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. 2023 Jan 20;18:5. doi: 10.1186/s13722-023-00361-6

Table 2.

Perceived quality of work during COVID-19

Open-ended responses (n = 72) Participant quotes
Quality of Work Improved 17 (23%)a "As unfortunate as COVID has been for our community, it allowed for creativity in our treatment with patients in both maintenance and enrollment. I provide OUD and Narcan training and I have been able to connect with many individuals/facilities through webinars."
 Improved Organization 2 (12%)b "Due to going mostly virtual, I have had to become much more reorganized to manage everyone that is also virtual."
 More Worktime 3 (18%)b "I have more time to plan/prepare for sessions and more time to spend with patients."
 Fewer Distractions 3 (18%)b "Staff can tend to personal needs as well as client's needs more directly, without the distractions and hold-ups of being on-site. Staff prefers to work alone."
 Other 12 (71%)b "Due to loosened telehealth and prescribing limitations."
Quality of Work Decreased 31 (42%)a "[I] usually am motivated by working with the clients. Just talking to the clients over the phone does not provide for a feeling of accomplishment, on my part. Feel that I could help the client more in their progress through their recovery face to face as compared to through a phone that does not allow you to watch their body language and behaviors."
 Work  Overload/Longer Hours 5 (16%)c "My workload has increased but productivity with clients has decreased because clients are not returning calls."
 Client Needs & Barriers 19 (61%)c "I have found it more difficult to challenge clients and broach difficult issues during phone sessions and telehealth sessions. I think this stems from my concern about client safety and a fear that they will terminate session and I have limited recourse to offer support/ensure safety from there. "

 Stressed/Burned Out/Emotionally

Drained

5 (16%)c "I find telehealth and phone sessions more draining. I also feel like there's increased pressure to prove we are remaining productive during COVID."
 Other 16 (52%)c "Constant push to understand telehealth may be the new normal.”
No Difference in Work Quality 24 (32%)a "No change."

aPercentage out of Total Excerpts (N = 72)

bPercentage out of Parent Code “Quality of Work Increased”

cPercentage out of Parent Code “Quality of Work Decreased”

Subcodes not mutually exclusive (n = 18 assigned more than 1 applicable code)