Department of Psychiatry, Faculty of Medicine, University of Toronto.
Department of Supportive Care, University Health Network, Toronto, Ontario, Canada.
Curr Opin Support Palliat Care. 2022 Sep 1;16(3):144-150. doi: 10.1097/SPC.0000000000000609.
Among the myriad traumatic impacts of COVID-19, the need for redeployment served as a significant stressor for healthcare providers (HCPs). This narrative review summarizes the current literature on HCP redeployment experiences and institutional support for staff, while proposing a theoretical approach to mitigating the negative impact on HCP mental health.
Redeployment was a strong predictor of negative emotions in HCP during the initial stage of the COVID-19 pandemic, whereas reflections on benefit-finding associated with redeployment were reported more frequently during later stages. In institutions where attention to redeployment impact was addressed and effective strategies put in place, redeployed HCP felt they received adequate training and support and felt satisfied with the information provided. Redeployment had the potential to yield personal feelings of accomplishment, situational leadership, meaning, and increased sense of team connectedness.
Benefit-finding, or posttraumatic growth, is a concept in cancer psychiatry which speaks to construing benefits from adversity to support resilience. Redeployment experiences can result in unexpected benefit-finding for individual HCPs. Taking a benefit-finding, relational, and existentially informed approach to COVID-19 redeployment might serve as an opportunity for posttraumatic growth for both individuals and institutions.
目的综述:在 COVID-19 带来的诸多创伤性影响中,重新部署成为医疗保健提供者(HCP)的一个重要压力源。本综述总结了关于 HCP 重新部署经历和对员工的机构支持的现有文献,并提出了一种减轻对 HCP 心理健康负面影响的理论方法。
最近发现:在 COVID-19 大流行的初始阶段,重新部署是 HCP 产生负面情绪的一个强有力预测因素,而在后期阶段,更多地报告了与重新部署相关的好处发现的反思。在关注重新部署影响并采取有效策略的机构中,重新部署的 HCP 感到他们接受了足够的培训和支持,并对提供的信息感到满意。重新部署有可能产生个人成就感、情境领导力、意义感和增强的团队联系感。
总结:创伤后成长是癌症精神病学中的一个概念,指的是从逆境中构建益处以支持韧性。重新部署的经历可能会为个别 HCP 带来意想不到的好处发现。采取从好处发现、关系和存在主义角度看待 COVID-19 重新部署的方法,可能为个人和机构提供创伤后成长的机会。