Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics
PurposeThere are a few qualitative studies on the psychological resilience of COVID-19 medical directors upon outbreaks of pandemics. Psychological resilience is essential to providing quality care through the pandemic.Materials and MethodsWe conducted narrative interviews with 14 out of 21 medical...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.801297/full |
| _version_ | 1818275293061709824 |
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| author | Gabay Gillie Lior Naamati-Schneider Dvora Pikkel |
| author_facet | Gabay Gillie Lior Naamati-Schneider Dvora Pikkel |
| author_sort | Gabay Gillie |
| collection | DOAJ |
| description | PurposeThere are a few qualitative studies on the psychological resilience of COVID-19 medical directors upon outbreaks of pandemics. Psychological resilience is essential to providing quality care through the pandemic.Materials and MethodsWe conducted narrative interviews with 14 out of 21 medical directors of COVID-19 divisions in Israeli public hospitals upon the outbreak of the pandemic and through its first wave. We adopted the Salutogenic paradigm to identify personal and organizational resources that both deterred and promoted resilience of front-line medical directors. Thematic analysis was performed based on the Sense of coherence construct, an anchor of Salutogenics.ResultsLow comprehensibility was compensated by ethical boundaries and managerial experience. A few organizational and personal resources promoted manageability. The hospital management both deterred and promoted resilience. In contrast to Salutogenics theory, meaningfulness was driven by the occupational calling rather than by comprehensibility and manageability. Gaps in personal resources inhibited resilience.ConclusionsOur study adds to the scant qualitative research performed upon the outbreak of the pandemic and extends the Salutogenic paradigm suggesting that the three axes of sense of coherence are multi-layered, intertwined, and evolving. We introduce the dynamic spheres model that we adopted from Physics to illustrate the findings. We propose interventions to build resilience in front-line medical directors. |
| first_indexed | 2024-12-12T22:27:27Z |
| format | Article |
| id | doaj.art-22a7ab7c6e754cb69e46a65f807c1525 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-12T22:27:27Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-22a7ab7c6e754cb69e46a65f807c15252022-12-22T00:09:42ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-04-011010.3389/fpubh.2022.801297801297Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of SalutogenicsGabay Gillie0Lior Naamati-Schneider1Dvora Pikkel2Multidisciplinary Studies, Achva Academic College, Arugot, IsraelDepartment of Health Services, Hadassah Academic College, Jerusalem, IsraelSchool of Medicine, Ben Gurion University of the Negev, Beer Sheva, IsraelPurposeThere are a few qualitative studies on the psychological resilience of COVID-19 medical directors upon outbreaks of pandemics. Psychological resilience is essential to providing quality care through the pandemic.Materials and MethodsWe conducted narrative interviews with 14 out of 21 medical directors of COVID-19 divisions in Israeli public hospitals upon the outbreak of the pandemic and through its first wave. We adopted the Salutogenic paradigm to identify personal and organizational resources that both deterred and promoted resilience of front-line medical directors. Thematic analysis was performed based on the Sense of coherence construct, an anchor of Salutogenics.ResultsLow comprehensibility was compensated by ethical boundaries and managerial experience. A few organizational and personal resources promoted manageability. The hospital management both deterred and promoted resilience. In contrast to Salutogenics theory, meaningfulness was driven by the occupational calling rather than by comprehensibility and manageability. Gaps in personal resources inhibited resilience.ConclusionsOur study adds to the scant qualitative research performed upon the outbreak of the pandemic and extends the Salutogenic paradigm suggesting that the three axes of sense of coherence are multi-layered, intertwined, and evolving. We introduce the dynamic spheres model that we adopted from Physics to illustrate the findings. We propose interventions to build resilience in front-line medical directors.https://www.frontiersin.org/articles/10.3389/fpubh.2022.801297/fullCOVID-19front-line clinicianslived experiencemedical directorspsychological resiliencesalutogenics |
| spellingShingle | Gabay Gillie Lior Naamati-Schneider Dvora Pikkel Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics Frontiers in Public Health COVID-19 front-line clinicians lived experience medical directors psychological resilience salutogenics |
| title | Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics |
| title_full | Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics |
| title_fullStr | Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics |
| title_full_unstemmed | Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics |
| title_short | Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics |
| title_sort | cultivating psychological resilience of israeli medical directors of covid 19 divisions the dynamic spheres of salutogenics |
| topic | COVID-19 front-line clinicians lived experience medical directors psychological resilience salutogenics |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.801297/full |
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