Withiel Toni, Barson Elizabeth, Ng Irene, Segal Reny, Williams Daryl Lindsay Goulding, Krieser Roni Benjamin, Lee Keat, Mezzavia Paul Mario, Sindoni Teresa, Chen Yinwei, Fisher Caroline Anne
Department of Allied Health, Royal Melbourne Hospital, Parkville, Australia.
Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.
JMIR Perioper Med. 2021 Sep 29;4(2):e27166. doi: 10.2196/27166.
The rapid spread of the novel coronavirus (COVID-19) has presented immeasurable challenges to health care workers who remain at the frontline of the pandemic. A rapidly evolving body of literature has quantitatively demonstrated significant psychological impacts of the pandemic on health care workers. However, little is known about the lived experience of the pandemic for frontline medical staff.
This study aimed to explore the qualitative experience of perioperative staff from a large trauma hospital in Melbourne, Australia.
Inductive thematic analysis using a critical realist approach was used to analyze data from 9 semistructured interviews.
Four key themes were identified. Hospital preparedness related to the perceived readiness of the hospital to respond to the pandemic and encompassed key subthemes around communication of policy changes, team leadership, and resource availability. Perceptions of readiness contributed to the perceived psychological impacts of the pandemic, which were highly varied and ranged from anger to anxiety. A number of coping strategies were identified in response to psychological impacts which incorporated both internal and external coping mechanisms. Finally, adaptation with time reflected change and growth over time, and encompassed all other themes.
While frontline staff and hospitals have rapidly marshalled a response to managing the virus, relatively less consideration was seen regarding staff mental health in our study. Findings highlight the vulnerability of health care workers in response to the pandemic and reinforce the need for a coordinated approach to managing mental health.
新型冠状病毒（COVID-19）的迅速传播给身处疫情前线的医护人员带来了巨大挑战。大量不断发展的文献已定量证明了疫情对医护人员的重大心理影响。然而，对于一线医务人员在疫情中的实际经历却知之甚少。
本研究旨在探索澳大利亚墨尔本一家大型创伤医院围手术期工作人员的质性经历。
采用批判性现实主义方法进行归纳主题分析，以分析9次半结构化访谈的数据。
确定了四个关键主题。医院准备情况与医院应对疫情的感知准备程度相关，包括围绕政策变化沟通、团队领导和资源可用性的关键子主题。对准备情况的认知导致了对疫情的感知心理影响，这些影响高度多样，从愤怒到焦虑不等。针对心理影响确定了一些应对策略，其中包括内部和外部应对机制。最后，随时间的适应反映了随着时间的推移而发生的变化和成长，并涵盖了所有其他主题。
虽然一线工作人员和医院迅速组织了应对病毒的措施，但在我们的研究中，对工作人员心理健康的考虑相对较少。研究结果凸显了医护人员在应对疫情时的脆弱性，并强化了采取协调一致的方法来管理心理健康的必要性。
