政府公共卫生雇员在 COVID-19 大流行期间服务经历的定性洞察，PH WINS 2021。
Qualitative Insights From Governmental Public Health Employees About Experiences Serving During the COVID-19 Pandemic, PH WINS 2021.
机构信息
Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana (Dr Yeager); Department of Communication Studies, IUPUI School of Liberal Arts, Indianapolis, Indiana (Ms Madsen); and de Beaumont Foundation, Bethesda, Maryland (Ms Schaffer).
出版信息
J Public Health Manag Pract. 2023;29(Suppl 1):S73-S86. doi: 10.1097/PHH.0000000000001644. Epub 2022 Oct 11.
OBJECTIVE
The purpose of the current study was to examine governmental public health employee experiences during the COVID-19 pandemic.
DESIGN AND SETTING
A total of 5169 responses to a PH WINS 2021 open-ended question were qualitatively coded. The question asked employees to share their experiences during the COVID-19 response. The 15 most common themes are discussed.
PARTICIPANTS
Responses from governmental public health employees in state health agencies (SHAs), big cities (Big City Health Coalition or BCHC agencies), and local health departments (LHDs) across all 50 states were included.
RESULTS
The most frequently identified theme was pride in public health work and/or the mission of public health (20.8%), followed by leadership (17.2%), burnout or feeling overwhelmed (14%), communication (11.7%), and overtime/extra work (9.7%). Among the top 15 themes identified, comments about pride in public health work and/or the mission of public health (95.9%), teamwork (81.5%), and telework (61%) were predominantly positive. Co-occurring themes for responses that expressed pride in public health work and/or the mission of public health were often countered with explanations of why respondents remain frustrated, including feeling burned out or overwhelmed , disappointment with the community's sense of responsibility or trust in science , and feeling unappreciated either by the community or their agency. All of these co-occurring themes were predominantly negative.
CONCLUSIONS
Employees are proud to work in public health and value teamwork but often felt overworked and unappreciated during the COVID-19 pandemic. Reviewing existing emergency preparedness protocols in the context of lessons learned during the COVID-19 pandemic and listening to employees' experiences with teleworking and task sharing may better prepare agencies for future challenges. Creating channels for clear communication during a period of changing information and guidelines may help employees feel more prepared and valued during an emergency response.
目的
本研究旨在探讨 COVID-19 大流行期间政府公共卫生雇员的经历。
设计和设置
对 PH WINS 2021 年的一个开放式问题的 5169 个回复进行了定性编码。该问题要求员工分享他们在 COVID-19 应对期间的经历。讨论了 15 个最常见的主题。
参与者
包括来自州卫生机构 (SHA)、大城市 (大市卫生联盟或 BCHC 机构) 和所有 50 个州的地方卫生部门 (LHD) 的政府公共卫生雇员的回复。
结果
最常被识别的主题是对公共卫生工作和/或公共卫生使命的自豪感 (20.8%)，其次是领导力 (17.2%)、倦怠或不知所措感 (14%)、沟通 (11.7%) 和加班/额外工作 (9.7%)。在所确定的 15 个主题中，关于对公共卫生工作和/或公共卫生使命的自豪感的评论 (95.9%)、团队合作 (81.5%) 和远程办公 (61%) 的评论主要是积极的。对表达对公共卫生工作和/或公共卫生使命的自豪感的回复的共同主题往往与解释为什么受访者仍然感到沮丧有关，包括倦怠或不知所措感、对社区责任感或对科学信任的失望感、以及对社区或他们的机构的不被欣赏感。所有这些共同主题主要是负面的。
结论
员工为在公共卫生领域工作感到自豪，并重视团队合作，但在 COVID-19 大流行期间经常感到工作过度和不被赏识。在 COVID-19 大流行期间吸取经验教训的背景下审查现有的应急准备协议，并听取员工对远程办公和任务分担的经验，这可能会使机构更好地为未来的挑战做好准备。在信息和指导方针不断变化的时期，为清晰的沟通创建渠道可能有助于员工在应急响应期间感到更有准备和受到重视。
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