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. 2021 Mar 16;12:622132. doi: 10.3389/fpsyg.2021.622132

TABLE 2.

Categories, Themes of analysis and supporting verbal excerpts from the participants.

Categories Themes (frequency) Verbal Excerpts
Challenges
  • Fear of infection and uncertainty (80%)

  • Existential crisis (65%)

  • Loneliness and burnout (69%)

  • Sense of Guilt (53%)

  • Perceived stigma (71%)

  • “Each day is difficult. It’s like living with a constant sense of apprehension and guilt of infecting my family.”

  • “I haven’t met my parents for months now. I stay separate to keep them safe. I have lost my colleague. Don’t know if I will lose them too

  • “People have started looking at me with “disgust”! It feels as if a doctor is always a carrier unless proven otherwise

Unmet Needs
  • Flexible work policies (88%)

  • Medical/Insurance benefits (70%)

  • Administrative understanding (60%)

  • Effective risk communication (43%)

  • Sensitivity of media (82%)

  • Social inclusion (90%)

  • “We are already understaffed. I haven’t got a single-day leave in the last 6 months. it can’t go on like this

  • “The wards are not sanitized regularly. If the authority doesn’t organize, how will be managed such a caseload!”

  • “Doctors are not immune. We work most closely with COVID patients. The degree of our risk estimates and shift rotations are mostly chaoticthat adds to our stress

  • “All that we need in such difficult times is some empathy. Many of my colleagues are being evicted from their apartments or looked down upon

  • “Doctors are being portrayed in a negative shade. this needs to stop! The popular media has a huge role to play in improving our status

Processes of Resilience
Resilient Identity
  • Social network (55%)

  • Duty: “Sense of purpose” (67%)

  • Gratitude (42%)

  • Hope amidst uncertainty (49%)

  • “I am really thankful to my friends and family, who helped me move on, even from miles away

  • “I have seen the sufferings, deaths and grief myself, it makes me feel I can make a difference, save lives

  • “My duty and oath as a physician are my strengths, my hope

Resilience management
  • Collectivism (39%)

  • Problem negotiation (73%)

  • Dialogue with self and self-esteem (59%)

  • Assumption of “sick role” (52%)

  • Past stressful experiences (66%)

  • “I kept writing letters to myselfthat was my stress-buster.”

  • “Now, I realize the importance of ICU duties and prolonged shifts. The training helps me gear up so much now

  • “There are multiple things at stake. I try my best to organize and prioritize at the end of the dayit helps me cope

  • “While working in COVID-wards, we have to consider ourselves “vulnerable,” “potentially” sick: this stops too many expectations.”

  • “I just keep telling myself, it’s a susceptible period, not to be too hard on myself

Working through distress
  • Self-care (73%)

  • Lifestyle changes (40%)

  • Peer support (84%)

  • Telephonic counseling (34%)

  • Balanced “risk” approach (47%)

  • Relationships (72%)

  • “Indulging in my hobbies and maintaining a schedule has helped me de-stress

  • “I felt my colleagues and co-workers understand my status best. I felt validated

  • “Even weekly discussions with the counselor was fruitful. I felt there was an “audience” to my voice.”

  • “Risk was inevitable since the pandemic started. You can’t avoid it, just try ways to minimize it

  • “You don’t cope till you face the risk. Face it in a pragmatic way that helps in the face of such distress