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在新冠疫情期间通过自我导向的电子学习干预提高医护人员的适应力和幸福感

Improving Healthcare Worker Resilience and Well-Being During COVID-19 Using a Self-Directed E-Learning Intervention.

作者信息

Kelly Frances, Uys Margot, Bezuidenhout Dana, Mullane Sarah L, Bristol Caitlin

机构信息

Foundation for Professional Development, Pretoria, South Africa.

Johnson and Johnson Health and Wellness Solutions Inc., New Brunswick, NJ, United States.

出版信息

Front Psychol. 2021 Dec 2;12:748133. doi: 10.3389/fpsyg.2021.748133. eCollection 2021.

Abstract

High rates of burnout, depression, anxiety, and insomnia in healthcare workers responding to the COVID-19 pandemic have been reported globally. Responding to the crisis, the Foundation for Professional Development (FPD) developed an e-learning course to support healthcare worker well-being and resilience. A self-paced, asynchronous learning model was used as the training intervention. Each module included practical, skill-building activities. An outcome evaluation was conducted to determine if completing the course improved healthcare worker knowledge of and confidence in the learning outcomes of the course, their use of resilience-building behaviours, their resilience, and their well-being. A secondary objective was to explore if there were any associations between behaviours, resilience, and well-being. Participants completed pre- and post-course questionnaires to measure knowledge of and confidence in the learning outcomes, y, frequency of self-reported resilience-building behaviours, and levels of resilience (CD-RISC) and well-being (WHO-5). Results were analysed in STATA using paired -tests, univariate and multivariate linear regression models. Participants ( = 474; 77.6% female; 55.7% primary care) exhibited significant increases in knowledge, confidence, resilience-building behaviour, resilience, and well-being scores. Statistically significant improvements in the frequency of resilience-building behaviours led to significant improvements in resilience (0.25 points; 95% CI: 0.06, 0.43) and well-being (0.21 points; 95% CI: 0.05, 0.36). Increasing changes in well-being scores had a positive effect on change in resilience scores (β = 0.20; 95% CI: 0.11, 0.29), and vice versa (β = 0.28; 95% CI: 0.14, 0.41). A healthcare worker e-learning course can build knowledge and skills that may prompt changes in resilience-building behaviours and improvements in well-being and resilience scores. The findings suggest that e-learning courses may improve more than competency-based outcomes alone but further research is warranted to further explore these relationships.

摘要

全球范围内都有报告称,应对新冠疫情的医护人员出现了高倦怠率、抑郁、焦虑和失眠等情况。为应对这场危机,专业发展基金会(FPD)开发了一门电子学习课程,以支持医护人员的身心健康和恢复力。培训干预采用了自定进度的异步学习模式。每个模块都包含实用的技能培养活动。进行了一项结果评估,以确定完成该课程是否能提高医护人员对课程学习成果的知识和信心、他们对恢复力培养行为的运用、他们的恢复力以及他们的身心健康水平。第二个目标是探索行为、恢复力和身心健康之间是否存在任何关联。参与者在课程前后完成了问卷调查,以测量对学习成果的知识和信心、自我报告的恢复力培养行为的频率、恢复力水平(CD - RISC)和身心健康水平(WHO - 5)。使用配对检验、单变量和多变量线性回归模型在STATA中对结果进行了分析。参与者(n = 474;77.6%为女性;55.7%为初级保健人员)在知识、信心、恢复力培养行为、恢复力和身心健康得分方面均有显著提高。恢复力培养行为频率的统计学显著改善导致恢复力(0.25分;95%置信区间:0.06,0.43)和身心健康(0.21分;95%置信区间:0.05,0.36)有显著改善。身心健康得分变化的增加对恢复力得分的变化有积极影响(β = 0.20;95%置信区间:0.11,0.29),反之亦然(β = 0.28;95%置信区间:0.14,0.41)。一门医护人员电子学习课程可以构建知识和技能,这可能促使恢复力培养行为发生改变,并提高身心健康和恢复力得分。研究结果表明,电子学习课程可能带来的改善不止基于能力的成果,但仍需进一步研究以深入探索这些关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8885/8675897/5d82c8de9d79/fpsyg-12-748133-g001.jpg

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