Department of Brain Sciences, Imperial College London Faculty of Medicine, London, UK.
Department of Primary Care and Public Health, Imperial College London School of Public Health, London, UK.
BMJ Open. 2021 Dec 31;11(12):e053396. doi: 10.1136/bmjopen-2021-053396.
To gain exploratory insights into the multifaceted, lived experience impact of COVID-19 on a small sample of ethnic minority healthcare staff to cocreate a module of questions for follow-up online surveys on the well-being of healthcare staff during the pandemic.
A cross-sectional design using two online focus groups among ethnic minority healthcare workers who worked in care or supportive roles in a hospital, community health or primary care setting for at least 12 months.
Thirteen healthcare workers (11 female) aged 26-62 years from diverse ethnic minority backgrounds, 11 working in clinical roles.
Five primary thematic domains emerged: (1) , centring around perceived individual risk and vulnerability perceptions; (2) , comprising pressures to comply, perception of a tick-box exercise and issues with risk and resource stratification; (3) , highlighting deficient consultation of ethnic minority staff, cultural insensitivity, need for support and collegiate judgement; (4) , consisting of job insecurity and the exacerbation of systemic racism and its emotional burden; (5) , including public prejudice and judgement, and patient appreciation.
Our novel study has shown ethnic minority National Health Service (NHS) staff have experienced COVID-19 in a complex, multidimensional manner. Future research with a larger sample should further examine the complexity of these experiences and should enumerate the extent to which these varied thematic experiences are shared among ethnic minority NHS workers so that more empathetic and supportive management and related occupational practices can be instituted.
通过对少数族裔医疗保健工作者进行小样本的探索性研究，深入了解 COVID-19 对他们多方面的、切身的影响，从而为后续的在线调查医护人员在大流行期间的健康状况创建一个问题模块。
采用横断面设计，对在医院、社区卫生或初级保健机构中从事护理或支持工作至少 12 个月的少数族裔医疗保健工作者进行了两次在线焦点小组。
13 名医疗保健工作者（11 名女性），年龄在 26-62 岁之间，来自不同的少数族裔背景，其中 11 人从事临床工作。
出现了五个主要的主题领域：（1）个人风险和脆弱性的感知，主要集中在个人风险和脆弱性的感知上；（2）合规的压力，感知是一种勾选框练习，以及风险和资源分层的问题；（3）缺乏对少数民族工作人员的咨询、文化敏感性、支持和同事判断的需要；（4）工作的不稳定性以及系统性种族主义的加剧及其带来的情绪负担；（5）包括公众的偏见和判断，以及患者的感激之情。
我们的新研究表明，少数民族国民保健制度（NHS）工作人员以复杂的、多方面的方式经历了 COVID-19。未来应该有更大样本的研究进一步检查这些经历的复杂性，并列举这些不同主题的经历在多大程度上是少数民族 NHS 工作人员所共有的，以便能够制定出更具同理心和支持性的管理和相关职业实践。
