School of Health and Society, The University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia.
Rural Health Research Institute, Charles Sturt University, Leeds Pd, Orange, NSW 2800, Australia.
Int J Environ Res Public Health. 2022 Oct 13;19(20):13204. doi: 10.3390/ijerph192013204.
The 2019-2020 Australian bushfires followed by the COVID-19 pandemic brought the significant mental health implications of working in healthcare to the fore. The importance of appropriate support services to ensure the resilience and recovery of healthcare workers has been highlighted. In response to healthcare staff experiences during the bushfires, the SEED Wellness Program was created in 2020 in the Illawarra Shoalhaven Local Health District in New South Wales, Australia. SEED used a participant-led design to engage healthcare staff in workplace-based restorative activities. Guided by practice theory, this study aimed to identify and describe SEED wellness practices that supported healthcare staff. Thirty-three healthcare workers participated in focus groups or individual interviews between June 2021 and March 2022. The analysis involved inductive thematic individual and collective exploration of SEED practices, including co-analysis with participants. Eight core practices that supported participants' wellbeing were identified, including responsive and compassionate leading, engaging staff at every stage of the recovery process, creating a sense of connection with others, and collective caring. The study found that workplace wellness initiatives are optimised when they are place-based and grounded in local knowledge, needs, and resources incorporating a collective and supportive team approach. Moreover, to ensure engagement in, and sustainability of these initiatives, both bottom-up and top-down commitment is required.
2019-2020 年澳大利亚丛林大火以及随后的 COVID-19 大流行,使医疗保健工作者所面临的重大心理健康问题凸显出来。适当的支持服务对于确保医疗保健工作者的适应力和恢复力的重要性得到了强调。为了应对丛林大火期间医护人员的经历,2020 年澳大利亚新南威尔士州伊拉瓦拉肖尔黑文地方卫生区创建了 SEED 健康计划。SEED 采用以参与者为主导的设计,让医护人员参与基于工作场所的恢复性活动。本研究以实践理论为指导,旨在确定和描述支持医护人员的 SEED 健康实践。2021 年 6 月至 2022 年 3 月期间,33 名医护人员参加了焦点小组或个人访谈。分析包括对 SEED 实践进行归纳主题式的个体和集体探索,包括与参与者共同分析。确定了八项支持参与者健康的核心实践,包括反应灵敏和富有同情心的领导、在恢复过程的每个阶段都让员工参与、与他人建立联系感以及集体关怀。研究发现,当工作场所健康倡议以基于地点、立足当地知识、需求和资源,并融入集体和支持性的团队方法时,这些倡议最能发挥作用。此外,为了确保这些倡议的参与和可持续性,需要自下而上和自上而下的承诺。