Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, 6229 ER Maastricht, The Netherlands.
Department of Health Services Research, Faculty of Health, Care and Public Health Research Institute (CAPHRI), Medicine and Life Sciences, Maastricht University, 6229 GT Maastricht, The Netherlands.
Int J Environ Res Public Health. 2021 Apr 28;18(9):4701. doi: 10.3390/ijerph18094701.
Maintaining hospital workers' psychological health is essential for hospitals' capacities to sustain organizational functioning during the COVID-19 pandemic. Workers' personal resilience can be an important factor in preserving psychological health, but how this exactly works in high stakes situations, such as the COVID-19 pandemic, requires further exploration. Similarly, the role of team social climate as contributor to individual psychological health seems obvious, but how it exactly prevents workers from developing depressive complaints in prolonged crises remains under investigated. The present paper therefore applies conservation of resources theory to study the relationships between resilience, team social climate, and depressive complaints, specifically focusing on worries about infections as an important explanatory mechanism. Based on questionnaire data of 1126 workers from five hospitals in the Netherlands during the second peak of the pandemic, this paper estimates a moderated-mediation model. This model shows that personal resilience negatively relates to depressive complaints (β = -0.99, < 0.001, 95%CI = -1.45--0.53), partially as personal resilience is negatively associated with worries about infections (β = -0.42, < 0.001, 95%CI = -0.50--0.33) which in turn are positively related to depressive complaints (β = 0.75, < 0.001, 95% CI = 0.31-1.19). Additionally, team social climate is associated with a lower effect of worries about being infected and infecting others on depressive complaints (β = -0.88, = 0.03, 95% CI = -1.68--0.09). These findings suggest that resilience can be an important individual level resource in preventing depressive complaints. Moreover, the findings imply that hospitals have an important responsibility to maintain a good team social climate to shield workers from infection related worries building up to depressive complaints.
维护医院工作人员的心理健康对于医院在 COVID-19 大流行期间维持组织运作能力至关重要。工作人员的个人韧性可能是维护心理健康的一个重要因素，但在高风险情况下，例如 COVID-19 大流行，这是如何运作的，需要进一步探索。同样，团队社会氛围作为个体心理健康的贡献因素似乎是显而易见的，但它如何在长期危机中防止工作人员出现抑郁抱怨仍有待研究。本文应用资源保存理论研究韧性、团队社会氛围与抑郁抱怨之间的关系，特别是关注对感染的担忧作为一个重要的解释机制。基于荷兰五家医院的 1126 名工作人员在大流行第二波期间的问卷调查数据，本文估计了一个调节中介模型。该模型表明，个人韧性与抑郁抱怨呈负相关（β=-0.99，<0.001，95%CI=-1.45--0.53），部分原因是个人韧性与对感染的担忧呈负相关（β=-0.42，<0.001，95%CI=-0.50--0.33），而后者与抑郁抱怨呈正相关（β=0.75，<0.001，95%CI=0.31-1.19）。此外，团队社会氛围与对感染和感染他人的担忧对抑郁抱怨的影响呈负相关（β=-0.88，=0.03，95%CI=-1.68--0.09）。这些发现表明，韧性可以成为预防抑郁抱怨的一个重要的个体资源。此外，研究结果表明，医院有责任保持良好的团队社会氛围，防止工作人员因感染而产生的担忧逐渐积累，导致抑郁抱怨。
