Akhanemhe R, Wallbank S, Greenberg N
King's Centre for Military Health Research, Department of Psychological Medicine, Institute for Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Department of Health and Social Care, Skipton House, London, UK.
Occup Med (Lond). 2021 Jun 16;71(3):127-130. doi: 10.1093/occmed/kqab023.
Healthcare workers (HCWs) are vulnerable to developing mental ill-health. Prior research has shown those in managerial or supervisory positions have pivotal roles in creating a healthy work environment, as well as recognizing and supporting HCWs with mental health symptoms to improve occupational outcomes and reduce sickness absence.
To evaluate the effectiveness of active listening skills training (REACTMH) for UK healthcare managers.
Managers of HCWs were voluntarily enrolled on a REACTMH active listening skills training package. Attendees anonymously completed questionnaires before and immediately after attending the 1-h remote training session and again 1 month later. The questionnaire asked about confidence in recognizing, conversing with and supporting distressed colleagues as well as perceived usefulness and importance of the training and how often they had used the taught active listening skills.
Fifty-eight healthcare managers enrolled onto the REACTMH programme in July 2020 and 32 (55%) completed the 1-month follow-up. Just less than half reported feeling confident in being able to identify, speak to and support potentially distressed staff before the training; significantly more (>80%) reported feeling confident 1 month afterwards (P < 0.001). Around three-quarters of attendees reported the REACTMH programme as highly useful, highly important and said they had frequently used the learned skills.
A brief active listening skills training package was associated with significant improvements healthcare manager's confidence in recognizing, speaking with and supporting HCWs with suspected mental health conditions. Further research is needed to investigate the longer term effectiveness and acceptability of REACTMH training.
医护人员易出现心理健康问题。先前的研究表明，担任管理或监督职位的人员在营造健康的工作环境以及识别和支持有心理健康症状的医护人员以改善职业结局和减少病假方面起着关键作用。
评估针对英国医疗保健管理人员的积极倾听技能培训（REACTMH）的效果。
医护人员的管理人员自愿参加REACTMH积极倾听技能培训包。参与者在参加1小时远程培训课程之前、之后立即以及1个月后匿名填写问卷。问卷询问了在识别、与苦恼的同事交谈和支持他们方面的信心，以及对培训的感知有用性和重要性，以及他们使用所学积极倾听技能的频率。
2020年7月，58名医疗保健管理人员参加了REACTMH计划，32名（55%）完成了1个月的随访。不到一半的人报告说在培训前对能够识别、与可能苦恼的员工交谈和支持他们感到有信心；1个月后，报告有信心的人显著增多（>80%）（P<0.001）。约四分之三的参与者报告说REACTMH计划非常有用、非常重要，并表示他们经常使用所学技能。
一个简短的积极倾听技能培训包与医疗保健管理人员在识别、与疑似有心理健康问题的医护人员交谈和支持他们方面的信心显著提高有关。需要进一步研究来调查REACTMH培训的长期效果和可接受性。
