Department of Anaesthesiology and Pain Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland
Department of Health Psychology and Behavioural Medicine, University of Bern, Bern, Switzerland.
BMJ Open. 2020 Jul 31;10(7):e039832. doi: 10.1136/bmjopen-2020-039832.
The unprecedented COVID-19 pandemic has exposed healthcare professionals (HCPs) to exceptional situations that can lead to increased anxiety (ie, infection anxiety and perceived vulnerability), traumatic stress and depression. We will investigate the development of these psychological disturbances in HCPs at the treatment front line and second line during the COVID-19 pandemic over a 12-month period in different countries. Additionally, we will explore whether personal resilience factors and a work-related sense of coherence influence the development of mental health problems in HCPs.
We plan to carry out a sequential qualitative-quantitative mixed-methods design study. The quantitative phase consists of a longitudinal online survey based on six validated questionnaires, to be completed at three points in time. A qualitative analysis will follow at the end of the pandemic to comprise at least nine semistructured interviews. The a priori sample size for the survey will be a minimum of 160 participants, which we will extend to 400, to compensate for dropout. Recruitment into the study will be through personal invitations and the 'snowballing' sampling technique. Hierarchical linear regression combined with qualitative data analysis, will facilitate greater understanding of any associations between resilience and mental health issues in HCPs during pandemics.
The study participants will provide electronic informed consent. All recorded data will be stored on a secured research server at the study site, which will only be accessible to the investigators. The Bern Cantonal Ethics Committee has waiv ed the need for ethical approval (Req-2020-00355, 1 April 2020). There are no ethical, legal or security issues regarding the data collection, processing, storage and dissemination in this project.
ISRCTN13694948.
前所未有的 COVID-19 大流行使医护人员（HCP）面临特殊情况，这些情况可能导致焦虑增加（即感染焦虑和感知脆弱）、创伤性应激和抑郁。我们将在不同国家的 COVID-19 大流行期间的 12 个月内，调查一线和二线治疗中的 HCP 中这些心理障碍的发展情况。此外，我们还将探讨个人韧性因素和与工作相关的连贯性是否会影响 HCP 心理健康问题的发展。
我们计划进行一项顺序的定性-定量混合方法设计研究。定量阶段包括基于六个经过验证的问卷的纵向在线调查，将在三个时间点完成。在大流行结束后，将进行定性分析，包括至少 9 次半结构访谈。调查的先验样本量至少为 160 名参与者，我们将扩展到 400 名，以弥补辍学。通过个人邀请和“滚雪球”抽样技术进行研究招募。分层线性回归结合定性数据分析，将有助于更好地理解大流行期间 HCP 中韧性与心理健康问题之间的任何关联。
研究参与者将提供电子知情同意书。所有记录的数据将存储在研究地点的安全研究服务器上，只有调查人员可以访问。伯尔尼州伦理委员会已豁免本项目对伦理批准的要求（Req-2020-00355，2020 年 4 月 1 日）。在本项目中，数据收集、处理、存储和传播不存在任何伦理、法律或安全问题。
ISRCTN85213034。
