James M O'neill, Jeffrey K Clark, James A Jones
Promoting mental health and preventing substance abuse and violence in elementary students: a randomized control study of the Michigan Model for Health
The Journal of school health
covid19 pandemic introduced myriad changes negatively impacted resident physicians wellbeing communication program leadership may mitigate resident stress times crisis yet literature supporting premise scant best communication practices remain uncertain qualitative study aimed identify stressors residents explore influence residency program leaderships communication emotional stress covid19 pandemic informed kotters 8step management model support resident wellbeing qualitative study used grounded theory methods interview 25 residents three training programs pediatrics internal medicine medicinepediatrics single academic medical campus mayseptember 2020 four investigators coded data using constant comparative analysis sampling continued reaching thematic saturation codes built using iterative approach organized themes discrepancies resolved consensus discussion among investigators residents described increased stress levels allconsuming nature covid19 mixed emotions role healthcare providers new coping mechanisms changes education work environment impacted stress communication leadership residents pandemic varied effective communication helped mitigate stress perceived suboptimal communication exacerbated stress communicating methods communication content communication influenced resident stress covid19 pandemic introduced new stressors challenges residents perception leadership communication played critical role mitigating exacerbating resident stress propose communication framework residency leadership utilize times crisis