“We weren't checked in on, nobody spoke to us”: An exploratory qualitative analysis of two focus groups on the concerns of ethnic minority NHS staff during COVID-19
File(s)e053396.full.pdf (435.16 KB)
Published version
Author(s)
Jesuthasan, Jehanita
Powell, Richard
Burmester, Victoria
Nicholls, Dasha
Type
Journal Article
Abstract
Objective:
To gain exploratory insights into the multi-faceted, lived-experience impact of COVID-19 on a small sample of ethnic minority healthcare staff to co-create a module of questions for follow-up online surveys on the wellbeing of healthcare staff during the pandemic.
Design:
A cross-sectional design using two online focus groups among ethnic minority healthcare workers who worked in care or supportive roles in a hospital, community health or GP surgery setting for at least 12 months.
Participants
Thirteen healthcare workers (11 female) aged 26 to 62 years from diverse ethnic minority backgrounds, eleven working in clinical roles.
Results:
Five primary thematic domains emerged: 1) viral vulnerability, centring around perceived individual risk and vulnerability perceptions; 2) risk assessment, comprising of pressures to comply, perception of a tick-box exercise, and issues with risk and resource stratification; 3) interpersonal relations in the workplace, highlighting deficient consultation of ethnic minority staff, cultural insensitivity, need for support, and collegiate judgement; 4) lived experience of racial inequality, consisting of job insecurity and the exacerbation of systemic racism and its emotional burden; 5) community attitudes, including public prejudice and judgement, and patient appreciation.
Conclusions:
Our novel study has shown ethnic minority NHS staff have experienced COVID-19 in a complex, multi-dimensional manner. Future research with a larger sample should further examine the complexity of these experiences and should enumerate the extent to which these varied thematic experiences are shared among ethnic minority NHS workers so that more empathetic and supportive management and related occupational practices can be instituted.
To gain exploratory insights into the multi-faceted, lived-experience impact of COVID-19 on a small sample of ethnic minority healthcare staff to co-create a module of questions for follow-up online surveys on the wellbeing of healthcare staff during the pandemic.
Design:
A cross-sectional design using two online focus groups among ethnic minority healthcare workers who worked in care or supportive roles in a hospital, community health or GP surgery setting for at least 12 months.
Participants
Thirteen healthcare workers (11 female) aged 26 to 62 years from diverse ethnic minority backgrounds, eleven working in clinical roles.
Results:
Five primary thematic domains emerged: 1) viral vulnerability, centring around perceived individual risk and vulnerability perceptions; 2) risk assessment, comprising of pressures to comply, perception of a tick-box exercise, and issues with risk and resource stratification; 3) interpersonal relations in the workplace, highlighting deficient consultation of ethnic minority staff, cultural insensitivity, need for support, and collegiate judgement; 4) lived experience of racial inequality, consisting of job insecurity and the exacerbation of systemic racism and its emotional burden; 5) community attitudes, including public prejudice and judgement, and patient appreciation.
Conclusions:
Our novel study has shown ethnic minority NHS staff have experienced COVID-19 in a complex, multi-dimensional manner. Future research with a larger sample should further examine the complexity of these experiences and should enumerate the extent to which these varied thematic experiences are shared among ethnic minority NHS workers so that more empathetic and supportive management and related occupational practices can be instituted.
Date Issued
2021-12-31
Date Acceptance
2021-10-29
Citation
BMJ Open, 2021, 12 (11), pp.1-8
ISSN
2044-6055
Publisher
BMJ Journals
Start Page
1
End Page
8
Journal / Book Title
BMJ Open
Volume
12
Issue
11
Copyright Statement
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
License URL
Sponsor
National Institute for Health Research
Identifier
https://bmjopen.bmj.com/content/11/12/e053396
Grant Number
WPPA_P84260
Subjects
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
COVID-19
mental health
health & safety
occupational & industrial medicine
HEALTH-CARE WORKERS
MENTAL-HEALTH
SUPPORT
COVID-19
health & safety
mental health
occupational & industrial medicine
1103 Clinical Sciences
1117 Public Health and Health Services
1199 Other Medical and Health Sciences
Publication Status
Published
Date Publish Online
2021-12-31