养老机构医护人员心理健康急救培训的参与情况及对其幸福感的影响：一项英国全国性调查。
Uptake and effects of psychological first aid training for healthcare workers' wellbeing in nursing homes: A UK national survey.
机构信息
School of Health and Life Sciences, Northumbria University, Newcastle, United Kingdom.
Centre for Health Sciences, University of the Highlands and Islands, Inverness, Scotland.
出版信息
PLoS One. 2022 Nov 3;17(11):e0277062. doi: 10.1371/journal.pone.0277062. eCollection 2022.
AIMS
Psychological First Aid is a brief intervention based on international guidance from the World Health Organisation. Free to access online training in the intervention was introduced during the COVID-19 pandemic in UK. We aimed to determine the uptake of Psychological First Aid training among healthcare workers in care homes in the UK and to assess its effects on their wellbeing.
DESIGN
This was a sequential mixed methods design.
METHODS
Healthcare workers (nurses and carers) working in care homes in the UK were surveyed about their uptake of Psychological First Aid, their stress, coping efficacy and the key concepts of Psychological First Aid (safety, calmness, hopefulness, connectedness, and accomplishment). Those that completed the Psychological First Aid training were asked to share their experiences via qualitative survey. Data collection was conducted between June and October 2021. Analyses included descriptive statistics and regression analysis. A six step thematic analysis was used to interpret the qualitative data.
RESULTS
388 participants responded to the survey. The uptake of Psychological First Aid training was 37 (9.5%). Psychological first aid was a significant predictor for coping efficacy (β = 17.54, p = .001). Participants with a physical or mental health condition experienced higher stress and lower coping regardless of PFA training. Four themes were identified from the qualitative analysis: self-awareness and growth, relationships with others, overcoming stress and accessibility.
CONCLUSION
While this study suggests some benefits to healthcare workers in care home settings undergoing PFA the poor uptake of the training warrants further investigation.
IMPACT
Care home staff need psychological support. This gap remains as few completed PFA training. This is the first study in UK and worldwide to look at the effects of psychological first aid on stress and coping in this population and it warrants further investigation.
目的
心理急救是一种基于世界卫生组织国际指导的简短干预措施。在英国 COVID-19 大流行期间，免费提供在线干预培训。我们旨在确定英国养老院医护人员对心理急救培训的接受程度，并评估其对他们幸福感的影响。
设计
这是一项顺序混合方法设计。
方法
对英国养老院的医护人员（护士和护理人员）进行了心理急救、压力、应对效能以及心理急救的关键概念（安全感、冷静、希望、联系和成就感）的调查。那些完成心理急救培训的人被要求通过定性调查分享他们的经验。数据收集在 2021 年 6 月至 10 月之间进行。分析包括描述性统计和回归分析。采用六步主题分析法对定性数据进行解释。
结果
388 名参与者对调查做出了回应。心理急救培训的参与率为 37（9.5%）。心理急救是应对效能的显著预测因素（β=17.54，p=0.001）。无论是否接受 PFA 培训，有身体或心理健康状况的参与者压力较高，应对能力较低。从定性分析中确定了四个主题：自我意识和成长、与他人的关系、克服压力和可及性。
结论
虽然这项研究表明，接受 PFA 的养老院医护人员可能会受益，但培训参与率低需要进一步调查。
影响
养老院工作人员需要心理支持。这一差距仍然存在，因为很少有人完成 PFA 培训。这是英国和全球范围内首次研究心理急救对这一人群压力和应对能力的影响，值得进一步调查。
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