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心理健康专业人员在新冠疫情期间为一线卫生和社会护理工作者提供支持的经验:定性研究

Experiences of mental health professionals supporting front-line health and social care workers during COVID-19: qualitative study.

作者信息

Billings Jo, Biggs Camilla, Ching Brian Chi Fung, Gkofa Vasiliki, Singleton David, Bloomfield Michael, Greene Talya

机构信息

Division of Psychiatry, University College London, UK.

Division of Psychiatry, University College London, UK; Traumatic Stress Clinic, Camden & Islington NHS Foundation Trust, UK; National Institute for Health Research University College London Hospitals Biomedical Research Centre, UK; and University College London Hospitals NHS Foundation Trust, UK.

出版信息

BJPsych Open. 2021 Mar 23;7(2):e70. doi: 10.1192/bjo.2021.29.

Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic is having a well-documented impact on the mental health of front-line health and social care workers (HSCWs). However, little attention has been paid to the experiences of, and impact on, the mental health professionals who were rapidly tasked with supporting them.

AIMS

We set out to redress this gap by qualitatively exploring UK mental health professionals' experiences, views and needs while working to support the well-being of front-line HSCWs during the COVID-19 pandemic.

METHOD

Mental health professionals working in roles supporting front-line HSCWs were recruited purposively and interviewed remotely. Transcripts of the interviews were analysed by the research team following the principles of reflexive thematic analysis.

RESULTS

We completed interviews with 28 mental health professionals from varied professional backgrounds, career stages and settings across the UK. Mental health professionals were motivated and driven to develop new clinical pathways to support HSCWs they perceived as colleagues and many experienced professional growth. However, this also came at some costs, as they took on additional responsibilities and increased workloads, were anxious and uncertain about how best to support this workforce and tended to neglect their own health and well-being. Many were professionally isolated and were affected vicariously by the traumas and moral injuries that healthcare workers talked about in sessions.

CONCLUSIONS

This research highlights the urgent need to consider the mental well-being, training and support of mental health professionals who are supporting front-line workers.

摘要

背景

2019年冠状病毒病(COVID-19)大流行对一线卫生和社会护理工作者(HSCW)的心理健康产生了有充分记录的影响。然而,对于那些迅速承担起支持他们任务的心理健康专业人员的经历以及对其心理健康的影响,却很少有人关注。

目的

我们旨在通过定性探索英国心理健康专业人员在COVID-19大流行期间为支持一线HSCW的福祉而工作时的经历、观点和需求,来弥补这一差距。

方法

有目的地招募了担任支持一线HSCW角色的心理健康专业人员,并进行远程访谈。研究团队按照反思性主题分析原则对访谈记录进行了分析。

结果

我们完成了对来自英国不同专业背景、职业阶段和工作环境的28名心理健康专业人员的访谈。心理健康专业人员有动力并积极开发新的临床途径来支持他们视为同事的HSCW,许多人经历了职业成长。然而,这也付出了一些代价,因为他们承担了额外的责任,工作量增加,对如何最好地支持这支劳动力队伍感到焦虑和不确定,并且往往忽视了自己的健康和福祉。许多人在专业上处于孤立状态,并受到医护人员在会议中谈论的创伤和道德伤害的间接影响。

结论

这项研究凸显了迫切需要考虑支持一线工作者的心理健康专业人员的心理健康、培训和支持。

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