Research and Evaluation Division, Knowledge Directorate, Public Health Wales, Cardiff, UK.
Academy of Nursing, University of Exeter, Exeter, UK.
Lancet. 2022 Nov;400 Suppl 1:S43. doi: 10.1016/S0140-6736(22)02253-X. Epub 2022 Nov 24.
The mental health of the nursing and midwifery workforce in the UK became a public health concern before the COVID-19 pandemic. Poor mental health is a known factor for those considering leaving the profession, and workforce retention of younger members is crucial for the future of the sector. The aim of this study was to provide up-to-date estimates of mental wellbeing in this workforce in Wales during the COVID-19 pandemic.
We did a cross-sectional analysis of demographics, work-related information, and health data from respondents to a national online survey of registered and student nurses and midwives and health-care support workers in Wales. The survey was open between June 23 and Aug 9, 2021, and 2910 people responded (approximately 7% of the workforce). Mental wellbeing was calculated using the Short Warwick Edinburgh Mental Wellbeing Score (SWEMWBS). We measured probable clinical depression (SWEMWBS <18) and possible mild depression (SWEMWBS 18-20). We used χ analysis and multinomial logistic regression (adjusted for sex and staff grouping) to examine associations between age groups and mental wellbeing.
We analysed data from 2781 (95·6%) of 2910 respondents (129 respondents did not answer all seven SWEMWBS questions). Overall, 1622 (58·3%) of 2781 respondents had SWEMWBSs indicative of either probable clinical depression (863 [31·0%] of 2781) or possible mild depression (759 [27·3%] of 2781). Probable clinical depression was highest among those aged 18-29 years (180 [33·8%] of 532), 30-39 years (250 [35·6%] of 703), and 40-49 years (233 [33·5%] of 696). Respondents in these age groups were twice as likely to report SWEMWBSs indicative of probable clinical depression than respondents aged 60 years and older (18-29 years adjusted odds ratio [aOR] 2·38 [95% CI 1·43-3·97], p=0·0009; 30-39 years aOR 2·86 [1·77-4·64], p<0·0001; 40-49 years aOR 2·49 [1·54-4·02], p=0·0002).
This study highlights the substantial burden of poor mental wellbeing among the nursing and midwifery workforce in Wales, especially in those aged 49 years and younger. These figures, higher than previous estimates, could reflect the mental health effect of responding to the pandemic and could have long-term implications on workforce retention.
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在 COVID-19 大流行之前，英国护理和助产士劳动力的心理健康状况已成为公共卫生关注的问题。心理健康状况不佳是考虑离开该行业的一个已知因素，而年轻成员的劳动力保留对于该行业的未来至关重要。本研究的目的是提供威尔士在 COVID-19 大流行期间该劳动力心理健康的最新估计。
我们对威尔士注册护士和助产士以及医疗保健支持工作者全国在线调查的受访者进行了横断面分析，分析了人口统计学、与工作相关的信息和健康数据。该调查于 2021 年 6 月 23 日至 8 月 9 日开放，有 2910 人（约占劳动力的 7%）做出了回应。使用 Warwick-Edinburgh 心理健康量表（SWEMWBS）来衡量心理健康状况。我们测量了可能的临床抑郁症（SWEMWBS<18）和轻度抑郁症（SWEMWBS 18-20）。我们使用卡方分析和多项逻辑回归（根据性别和员工分组进行调整）来检查年龄组与心理健康之间的关联。
我们分析了 2910 名受访者中的 2781 名（95.6%）（129 名受访者未回答 SWEMWBS 的所有七个问题）的数据。总体而言，2781 名受访者中有 1622 名（58.3%）的 SWEMWBS 表明存在可能的临床抑郁症（2781 名中有 863 名[31.0%]）或轻度抑郁症（2781 名中有 759 名[27.3%]）。年龄在 18-29 岁（532 名中有 180 名[33.8%]）、30-39 岁（703 名中有 250 名[35.6%]）和 40-49 岁（696 名中有 233 名[33.5%]）的人群中，可能的临床抑郁症发病率最高。这些年龄组的受访者报告的 SWEMWBS 表明可能患有临床抑郁症的可能性是 60 岁及以上受访者的两倍（18-29 岁调整后的优势比[OR]为 2.38[95%CI 1.43-3.97]，p=0.0009；30-39 岁 OR 为 2.86[1.77-4.64]，p<0.0001；40-49 岁 OR 为 2.49[1.54-4.02]，p=0.0002）。
本研究强调了威尔士护理和助产士劳动力心理健康状况的严重负担，尤其是年龄在 49 岁及以下的人群。这些数字高于之前的估计，可能反映了大流行期间应对疫情对心理健康的影响，并且可能对劳动力保留产生长期影响。
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