University of Innsbruck, Innsbruck, Austria.
Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
PLoS One. 2021 Apr 2;16(4):e0249609. doi: 10.1371/journal.pone.0249609. eCollection 2021.
This study aims at investigating the nature of resilience and stress experience of health care workers during the COVID-19 pandemic. Thirteen healthcare workers from Italian and Austrian hospitals specifically dealing with COVID-19 patients during the first phase of the pandemic were interviewed. Data was analysed using grounded theory methodology. Psychosocial effects on stress experience, stressors and resilience factors were identified. We generated three hypotheses. Hypothesis one is that moral distress and moral injury are main stressors experienced by healthcare workers. Hypothesis two states that organisational resilience plays an important part in how healthcare workers experience the crisis. Organisational justice and decentralized decision making are essential elements of staff wellbeing. Hypothesis three refers to effective psychosocial support: Basic on scene psychosocial support based on the Hobfoll principles given by trusted and well-known mental health professionals and peers in an integrated approach works best during the pandemic.
本研究旨在探讨 COVID-19 大流行期间医护人员的韧性和压力体验的本质。对来自意大利和奥地利医院的 13 名专门在大流行第一阶段照顾 COVID-19 患者的医护人员进行了采访。使用扎根理论方法对数据进行了分析。确定了对压力体验、压力源和韧性因素的心理社会影响。我们提出了三个假设。假设一是道德困境和道德伤害是医护人员经历的主要压力源。假设二是组织韧性在医护人员如何应对危机方面起着重要作用。组织公正和分散决策是员工福祉的重要因素。假设三是指有效的心理社会支持：在大流行期间，基于霍夫斯特拉原则的现场基本心理社会支持由值得信赖和知名的心理健康专业人员和同行以综合方式提供，效果最佳。
