South London and Maudsley NHS Foundation Trust.
Department of War Studies, King's College London, London, UK.
Public Health. 2022 May;206:94-101. doi: 10.1016/j.puhe.2021.05.006. Epub 2021 May 25.
Concerns have been raised about the quantity and quality of research conducted during the COVID-19 pandemic, particularly related to the mental health and wellbeing of health care workers (HCWs). For understanding the volume, source, methodological rigour and degree of overlap in COVID-19, studies were conducted among HCWs in the United Kingdom (UK).
Mixed methods approach, literature review and audit.
First, a literature review of published research studies and second, an audit of studies HCWs have been invited to complete. For the literature review, we searched Medline, PsycINFO and Nexis, webpages of three medical organisations (Royal Society of Medicine, Royal College of Nursing and British Medical Association), and the YouGov website. For the audit, a non-random purposive sample of six HCWs from different London NHS Trusts reviewed email, WhatsApp and SMS messages they received for study invitations.
The literature review identified 27 studies; the audit identified 70 study invitations. Studies identified by the literature review were largely of poor methodological rigour: only eight studies (30%) provided response rate, one study (4%) reported having ethical approval, and one study (4%) reported funding details. There was substantial overlap in the topics measured. In the audit, volunteers received a median of 12 invitations. The largest number of study invitations were for national surveys (n = 23), followed by local surveys (n = 16) and research surveys (n = 8).
HCWs have been asked to complete numerous surveys that frequently have methodological shortcomings and overlapping aims. Many studies do not follow scientific good-practice and generate questionable, non-generalisable results.
人们对 COVID-19 大流行期间进行的研究的数量和质量提出了担忧,尤其是与医护人员(HCWs)的心理健康和福利有关的研究。为了了解 COVID-19 相关研究的数量、来源、方法严谨性和重叠程度,在英国(UK)的 HCWs 中进行了研究。
混合方法研究,文献回顾和审核。
首先,对已发表的研究进行文献回顾,其次,对 HCWs 受邀完成的研究进行审核。文献回顾方面,我们检索了 Medline、PsycINFO 和 Nexis,三家医学组织(皇家医学会、皇家护理学院和英国医学协会)的网页以及 YouGov 网站。审核方面,来自伦敦六个不同 NHS 信托的六名 HCWs 进行了非随机目的抽样,他们审查了收到的研究邀请的电子邮件、WhatsApp 和短信。
文献回顾确定了 27 项研究;审核确定了 70 项研究邀请。文献回顾中确定的研究大多方法严谨性较差:只有 8 项研究(30%)提供了回复率,一项研究(4%)报告了获得伦理批准,一项研究(4%)报告了资金细节。所测量的主题有很大的重叠。在审核中,志愿者收到了中位数为 12 份的邀请。邀请最多的是全国性调查(n=23),其次是地方性调查(n=16)和研究性调查(n=8)。
HCWs 被要求完成许多调查,这些调查经常存在方法上的缺陷和重叠的目标。许多研究不符合科学良好实践,产生了可疑的、不可推广的结果。