Co-Primary Investigator, Royal Ottawa Mental Health Centre, Ottawa, ON, Canada.
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
BMC Public Health. 2022 Jul 20;22(1):1396. doi: 10.1186/s12889-022-13761-1.
Pandemics and natural disasters are immensely stressful events for frontline healthcare workers, as they provide patient care to a population undergoing the impacts of the disaster while experiencing such impacts to their personal lives themselves. With increased stressors to an already demanding job, frontline healthcare workers are at a higher risk of adverse effects to their mental health. The current COVID-19 pandemic has already shown to have had significant impact on the mental health of healthcare workers with increased rates of burnout, anxiety and depression. There is already literature showing the utility of individual programs at improving mental health, however, interventions at the organizational level are not well explored. This scoping review aims to provide an overview and determine the utility of a systematic review of the current body of literature assessing the effectiveness of mental health interventions at the organizational level for healthcare workers during or after a public health emergency.
Electronic databases such as Medline on OVID, CENTRAL, PsycINFO on OVID and Embase on OVID were searched. A targeted search of the grey literature was conducted to identify any non-indexed studies. The population, concept and context approach was used to develop the eligibility criteria. Articles were included if (1) they assessed the impact of interventions to improve wellbeing or reduce the distress on healthcare personnel, first responders or military actively providing medical care; (2) provided quantitative or qualitative data with clearly defined outcomes that focused on established mental health indicators or qualitative descriptions on distress and wellbeing, validated scales and workplace indicators; (3) focused on organizational level interventions that occurred in a public health crisis.
The literature search resulted in 4007 citations and 115 potentially relevant full-text papers. All except 5 were excluded. There were four review articles and one experimental study. There were no other unpublished reports that warranted inclusion.
There is a distinct lack of research examining organizational interventions addressing mental resilience and well-being in healthcare workers in disaster settings. A systematic review in this area would be low yield. There is a clear need for further research in this area.
大流行病和自然灾害对一线医护人员来说是极其紧张的事件，因为他们在为遭受灾难影响的人群提供患者护理的同时，自身也在经历这些影响。由于工作压力的增加，一线医护人员面临着更大的心理健康负面影响风险。当前的 COVID-19 大流行已经对医护人员的心理健康产生了重大影响，导致 burnout、焦虑和抑郁的发生率增加。已经有文献表明，个别项目在改善心理健康方面的效用，然而，组织层面的干预措施尚未得到充分探索。本范围综述旨在提供概述并确定对组织层面心理健康干预措施在公共卫生紧急情况下或之后对医护人员进行有效性的现有文献进行系统综述的效用。
对 Medline on OVID、CENTRAL、PsycINFO on OVID 和 Embase on OVID 等电子数据库进行了搜索。还进行了针对性的灰色文献搜索，以确定任何未索引的研究。使用人群、概念和背景方法制定了纳入标准。如果符合以下条件，则纳入文章：（1）评估改善幸福感或减少医疗保健人员、急救人员或积极提供医疗服务的军人的痛苦的干预措施的影响；（2）提供具有明确定义的结果的定量或定性数据，重点关注既定的心理健康指标或关于痛苦和幸福感的定性描述、验证量表和工作场所指标；（3）侧重于在公共卫生危机期间发生的组织层面干预措施。
文献搜索产生了 4007 条引文和 115 篇潜在相关的全文论文。除了 5 篇外，其他全部被排除。有 4 篇综述文章和 1 篇实验研究。没有其他未发表的报告需要纳入。
在灾难环境中，针对医疗保健人员的心理弹性和幸福感的组织干预措施的研究明显不足。在这一领域进行系统综述的收益可能很低。这方面显然需要进一步研究。
