Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Child Study Center, Yale School of Medicine, New Haven, CT, USA; Yale School of Public Health (Social and Behavioral Sciences), New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA.
Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Gen Hosp Psychiatry. 2022 Jul-Aug;77:80-87. doi: 10.1016/j.genhosppsych.2022.04.009. Epub 2022 Apr 22.
The COVID-19 pandemic is a traumatic stressor resulting in anxiety, depression, post-traumatic stress, and burnout among healthcare workers. We describe an intervention to support the health workforce and summarize results from its 40-week implementation in a large, tri-state health system during the COVID-19 pandemic.
We conducted 121 virtual and interactive Stress and Resilience Town Halls attended by 3555 healthcare workers. Town hall participants generated 1627 stressors and resilience strategies that we coded and analyzed using rigorous qualitative methods (Kappa = 0.85).
We identify six types of stressors and eight types of resilience strategies reported by healthcare workers, how these changed over time, and how town halls were responsive to emerging health workforce needs. We show that town halls dedicated to groups working together yielded 84% higher mean attendance and more sharing of stressors and resilience strategies than those offered generally across the health system, and that specific stressors and strategies are reported consistently while others vary markedly over time.
The virtual and interactive Stress and Resilience Town Hall is an accessible, scalable, and sustainable intervention to build mutual support, wellness, and resilience among healthcare workers and within hospitals and health systems responding to emerging crises, pandemics, and disasters.
新冠疫情是一种创伤性应激源，会导致医护人员出现焦虑、抑郁、创伤后应激和倦怠。我们描述了一项支持卫生人力的干预措施，并总结了在新冠疫情期间，该措施在一个大型三州卫生系统中实施 40 周的结果。
我们举办了 121 场虚拟互动的压力与韧性员工大会，共有 3555 名医护人员参加。员工大会参与者提出了 1627 项压力源和韧性策略，我们使用严格的定性方法对其进行了编码和分析（Kappa=0.85）。
我们确定了医护人员报告的六种压力源和八种韧性策略，以及这些压力源和策略随时间的变化情况，以及员工大会如何响应不断变化的卫生人力需求。我们发现，与在整个卫生系统中普遍提供的会议相比，专门针对合作群体的会议的平均出席率高出 84%，并且分享的压力源和韧性策略更多；此外，特定的压力源和策略始终存在，而其他压力源和策略则随时间发生明显变化。
虚拟互动的压力与韧性员工大会是一种易于获得、可扩展且可持续的干预措施，可在应对突发危机、大流行和灾害时，在医护人员以及医院和卫生系统内部建立相互支持、促进健康和韧性。
