Department of Psychiatry and Psychotherapy, Medical Faculty, University of Augsburg, Bezirkskrankenhaus, Augsburg, Germany.
Department of Medical Psychology and Sociology, Medical Faculty, University of Augsburg, Augsburg, Germany.
BMC Psychiatry. 2023 Mar 24;23(1):195. doi: 10.1186/s12888-023-04686-z.
To support healthcare workers (HCWs) during the increased burden caused by the SARS-CoV-2 pandemic, numerous recommendations for action and possible interventions have been developed. However, the actual protective factors, needs and desires of those affected, as well as potential barriers to implementing psychological interventions, have been insufficiently examined. This study addresses this research gap and captures HCWs' experiences and views.
Medical personnel including nursing staff and physicians were recruited for a qualitative study regarding protective factors as well as barriers to the implementation of support services. We conducted 21 individual, semi-structured interviews with members of the medical staff at tertiary care center in Germany. The collected data were analyzed using a qualitative content analysis.
The analyses showed that social interaction in the professional and private context was rated as helpful in coping with the challenges of everyday work amplified by the SARS-CoV-2 pandemic. The results also suggest that the available support services, despite being highly valued, were rarely accessed. Possible barriers included the fear of negative consequences when asking for support. It could be deduced that the fear and shame of admitting one's own mistakes as well as the work-related tradition of showing no weakness could be the underlying factors for this fear.
The results of this study suggest that medical staff need a more extensive range of low-threshold support services, which should be adapted to the respective needs of the professional groups. The study also provides indications that the norms and expectations represented in the hospital system require critical reflection.
为了在 SARS-CoV-2 大流行导致的工作量增加期间支持医护人员 (HCWs)，已经制定了许多行动建议和可能的干预措施。然而，对于受影响者的实际保护因素、需求和愿望，以及实施心理干预的潜在障碍，研究还不够充分。本研究旨在弥补这一研究空白，并了解医护人员的经验和观点。
我们招募了包括护士和医生在内的医务人员，对保护因素以及支持服务实施的障碍进行了一项定性研究。我们在德国的一家三级保健中心对医务人员进行了 21 次单独的半结构化访谈。使用定性内容分析法对收集到的数据进行分析。
分析表明，在专业和私人环境中的社交互动被认为有助于应对因 SARS-CoV-2 大流行而加剧的日常工作挑战。结果还表明，尽管人们高度重视现有的支持服务，但很少有人使用。可能的障碍包括寻求支持时害怕产生负面后果。可以推断，害怕承认自己的错误以及与工作相关的不示弱传统可能是这种恐惧的潜在因素。
本研究结果表明，医务人员需要更广泛的、低门槛的支持服务，这些服务应适应专业群体的各自需求。该研究还表明，医院系统中体现的规范和期望需要进行批判性反思。
