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在 COVID-19 期间影响多元化医疗保健工作者心理健康的因素:英国的一项定性研究。

Factors influencing the mental health of an ethnically diverse healthcare workforce during COVID-19: a qualitative study in the United Kingdom.

机构信息

Lifespan and Population Sciences, School of Medicine, University of Nottingham, Nottingham, UK.

Department of Respiratory Sciences, University of Leicester, Leicester, UK.

出版信息

Eur J Psychotraumatol. 2022 Aug 9;13(2):2105577. doi: 10.1080/20008066.2022.2105577. eCollection 2022.

DOI:10.1080/20008066.2022.2105577
PMID:35967893
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9364733/
Abstract

Healthcare workers (HCWs) have been reported to be experiencing a deterioration in their mental health due to COVID-19. In addition, ethnic minority populations in the United Kingdom are disproportionately affected by COVID-19. It is imperative that HCWs are appropriately supported and protected from mental harm during the pandemic. Our research aims to add to the evidence base by providing greater insight into the lived experience of HCWs from diverse ethnic backgrounds during the pandemic that had an impact on their mental health. We undertook a qualitative work package as part of the United Kingdom Research study into Ethnicity And COVID-19 outcomes among Healthcare workers (UK-REACH). As part of the qualitative research, we carried out 16 focus groups with a total of 61 HCWs between December 2020 and July 2021. The aim of the study was to explore topics such as their experiences, fears and concerns, while working during the pandemic. The purposive sample included ancillary healthcare workers, doctors, nurses, midwives and allied health professionals from diverse ethnic backgrounds to ensure inclusion of underrepresented and disproportionately impacted individuals. We conducted discussions using Microsoft Teams. Recordings were transcribed and thematically analysed. Several factors were identified which impacted on the mental health of HCWs during this period including anxiety (due to inconsistent protocols and policy); fear (of infection); trauma (due to increased exposure to severe illness and death); guilt (of potentially infecting loved ones); and stress (due to longer working hours and increased workload). COVID-19 has affected the mental health of HCWs. We identified a number of factors which may be contributing to a deterioration in mental health for participants from diverse ethnic backgrounds. Healthcare organisations should consider developing strategies to counter the negative impact of these factors, including recommendations made by HCWs themselves.

摘要

医护人员(HCWs)因 COVID-19 而报告称心理健康恶化。此外,英国的少数族裔人口 disproportionately 受到 COVID-19 的影响。在大流行期间,必须适当支持和保护 HCWs 免受精神伤害。我们的研究旨在通过提供更多有关在大流行期间对其心理健康产生影响的来自不同族裔背景的 HCWs 的生活经历的见解来为证据基础做出贡献。我们作为英国研究种族与 COVID-19 对医护人员的影响(UK-REACH)的一部分开展了定性工作包。作为定性研究的一部分,我们 between December 2020 and July 2021 进行了 16 次焦点小组,共有 61 名 HCWs 参加。研究的目的是探讨他们在大流行期间的经历、恐惧和担忧等主题。选择样本包括来自不同族裔背景的辅助医疗保健工作者、医生、护士、助产士和联合保健专业人员,以确保包括代表性不足和 disproportionately 受影响的个人。我们使用 Microsoft Teams 进行了讨论。录音被转录并进行了主题分析。在这段时间内,有几个因素被确定为影响 HCWs 心理健康,包括焦虑(由于协议和政策不一致);恐惧(感染);创伤(由于接触严重疾病和死亡增加);内疚(可能感染亲人);和压力(由于工作时间延长和工作量增加)。COVID-19 影响了 HCWs 的心理健康。我们确定了一些可能导致来自不同族裔背景的参与者心理健康恶化的因素。医疗保健组织应考虑制定策略来应对这些因素的负面影响,包括 HCWs 自己提出的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/144b/9364733/7efda52e176d/ZEPT_A_2105577_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/144b/9364733/7eac244159a6/ZEPT_A_2105577_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/144b/9364733/7efda52e176d/ZEPT_A_2105577_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/144b/9364733/7eac244159a6/ZEPT_A_2105577_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/144b/9364733/7efda52e176d/ZEPT_A_2105577_F0002_OC.jpg

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