Department of Organizational Psychology, Birkbeck, University of London, London, UK.
Society of Occupational Medicine, London, UK.
J Adv Nurs. 2022 Sep;78(9):3048-3060. doi: 10.1111/jan.15359. Epub 2022 Jul 13.
To use the Delphi technique to identify and prioritize recommendations for research and practice to improve the mental wellbeing of nurses and midwives in the United Kingdom (UK).
Although there is evidence that self-reported mental wellbeing among nurses and midwives in the UK is poor, interventions have not adequately considered the wider context in which they work. The wide range of individual, organizational, occupational and wider sector-level factors that can influence wellbeing requires the involvement of different stakeholders to identify the most pressing actions required.
A three-round Delphi technique was conducted in 2019.
In the first round, 16 subject matter experts generated, reviewed and discussed recommendations from a review of the research evidence with potential to support the mental wellbeing of nurses. A second group with 23 stakeholder representatives then rated and provided feedback on the developed recommendations through two additional rounds. Recommendations that received an 'essential' or 'important' rating from at least 80% of participants were retained and prioritized.
In total, 45 recommendations met the consensus agreement and were retained. More than half (57%) involved action at the organizational level, 27% to public policy and 13% to research. Only one recommendation is related to the individual. Collectively, these recommendations highlight the importance of taking direct action to tackle poor mental wellbeing among the workforce and initiating change at the policy and organizational level.
Our findings emphasize the need to take a systemic approach to improving the mental health of nurses and midwives in the UK with input from different stakeholders. There is a clear consensus that action is needed at the organization and policy levels, rather than at the individual level as is current practice.
This study provides a framework, alongside a set of practical recommendations, that provides a starting point for different stakeholders to understand, address and support the mental wellbeing of nurses and midwives. Although UK-focused, it has relevance to healthcare workforces internationally.
使用德尔菲技术确定和优先考虑改善英国（英国）护士和助产士心理健康的研究和实践建议。
尽管有证据表明英国护士和助产士自我报告的心理健康状况不佳，但干预措施并未充分考虑他们工作的更广泛背景。可以影响幸福感的广泛的个人、组织、职业和更广泛的部门层面因素需要不同利益相关者的参与，以确定所需的最紧迫行动。
2019 年进行了三轮德尔菲技术。
在第一轮中，16 名主题专家从支持护士心理健康的研究证据综述中生成、审查和讨论了建议。然后，第二组 23 名利益相关者代表通过另外两轮对制定的建议进行了评分和提供了反馈。收到至少 80%参与者的“必要”或“重要”评分的建议被保留和优先考虑。
共有 45 项建议符合共识并保留。超过一半（57%）的建议涉及组织层面的行动，27%的建议涉及公共政策，13%的建议涉及研究。只有一项建议与个人有关。这些建议共同强调了采取直接行动解决劳动力中不良心理健康问题并在政策和组织层面发起变革的重要性。
我们的研究结果强调需要采取系统方法来改善英国护士和助产士的心理健康，让不同的利益相关者参与其中。有一个明确的共识，即需要在组织和政策层面采取行动，而不是像当前实践那样在个人层面采取行动。
这项研究提供了一个框架，以及一套实用建议，为不同的利益相关者提供了一个起点，以了解、解决和支持护士和助产士的心理健康。虽然该研究侧重于英国，但它与国际医疗保健劳动力有关。
