J. Ripp is senior associate dean for well-being and resilience, Icahn School of Medicine at Mount Sinai, and chief wellness officer, Mount Sinai Health System, New York, New York.
L. Peccoralo is associate dean for faculty well-being and resilience, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, New York.
Acad Med. 2020 Aug;95(8):1136-1139. doi: 10.1097/ACM.0000000000003414.
The COVID-19 pandemic has placed an enormous strain on health care workers, and its potential impact has implications for the physical and emotional well-being of the workforce. As hospital systems run well over capacity, facing possible shortages of critical care medical resources and personal protective equipment as well as clinician deaths, the psychological stressors necessitate a strong well-being support model for staff. At the Mount Sinai Health System (MSHS) in New York City, health care workers have been heroically providing frontline care to COVID-19 patients while facing their own appropriate fears for their personal safety in the setting of contagion. This moral obligation cannot be burdened by unacceptable risks; the health system's full support is required to address the needs of its workforce.In this Invited Commentary, the authors describe how an MSHS Employee, Faculty, and Trainee Crisis Support Task Force-created in early March 2020 and composed of behavioral health, human resources, and well-being leaders from across the health system-used a rapid needs assessment model to capture the concerns of the workforce related to the COVID-19 pandemic. The task force identified 3 priority areas central to promoting and maintaining the well-being of the entire MSHS workforce during the pandemic: meeting basic daily needs; enhancing communications for delivery of current, reliable, and reassuring messages; and developing robust psychosocial and mental health support options. Using a work group strategy, the task force operationalized the rollout of support initiatives for each priority area. Attending to the emotional well-being of health care workers has emerged as a central element in the MSHS COVID-19 response, which continues to be committed to the physical and emotional needs of a workforce that courageously faces this crisis.
COVID-19 大流行给医疗保健工作者带来了巨大的压力，其潜在影响对劳动力的身心健康都有影响。由于医院系统的运转负荷过大，面临着可能短缺重症监护医疗资源和个人防护设备以及临床医生死亡的情况，心理压力需要为员工提供一个强大的健康支持模式。在纽约市的西奈山卫生系统 (MSHS) 中，医疗保健工作者英勇地为 COVID-19 患者提供了一线护理，同时在面临传染的情况下，他们对个人安全也有适当的担忧。这种道德义务不能被不可接受的风险所负担；需要卫生系统全力支持来满足其劳动力的需求。在这篇特邀评论中，作者描述了 MSHS 员工、教职员工和受训人员危机支持工作队是如何做到的-于 2020 年 3 月初成立，由来自整个卫生系统的行为健康、人力资源和健康促进领导人组成-使用快速需求评估模型来捕捉与 COVID-19 大流行相关的劳动力的关切。该工作队确定了 3 个优先领域，这些领域对促进和维护整个 MSHS 劳动力在大流行期间的健康至关重要：满足基本的日常需求；加强沟通以提供当前、可靠和令人安心的信息；以及制定强大的社会心理和心理健康支持选择。该工作队使用工作组策略，为每个优先领域实施了支持计划的推出。关注医疗保健工作者的情绪健康已成为 MSHS COVID-19 应对措施的一个核心要素，该措施继续致力于满足勇敢面对这场危机的劳动力的身体和情感需求。
