Rapid Research Evaluation and Appraisal Lab (RREAL), Department of Targeted Intervention, University College London, London, United Kingdom.
Centre for Global Mental Health and Centre for Implementation Science, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
J Med Internet Res. 2023 Aug 14;25:e43000. doi: 10.2196/43000.
BACKGROUND: The COVID-19 pandemic has shed light on fractures in health care systems worldwide and continues to have a significant impact, particularly in relation to the health care workforce. Frontline staff have been exposed to unprecedented strain, and delivering care during the pandemic has affected their safety, mental health, and well-being. OBJECTIVE: This study aimed to explore the experiences of health care workers (HCWs) delivering care in the United Kingdom during the COVID-19 pandemic to understand their well-being needs, experiences, and strategies used to maintain well-being (at individual and organizational levels). METHODS: We analyzed 94 telephone interviews with HCWs and 2000 tweets about HCWs' mental health during the first year of the COVID-19 pandemic. RESULTS: The results were grouped under 6 themes: redeployment, clinical work, and sense of duty; well-being support and HCW's coping strategies; negative mental health effects; organizational support; social network and support; and public and government support. CONCLUSIONS: These findings demonstrate the need for open conversations, where staff's well-being needs and the strategies they adopted can be shared and encouraged, rather than implementing top-down psychological interventions alone. At the macro level, the findings also highlighted the impact on HCW's well-being of public and government support as well as the need to ensure protection through personal protective equipment, testing, and vaccines for frontline workers.
背景:COVID-19 大流行暴露了全球医疗体系的缺陷,并持续产生重大影响,特别是在医疗保健人员方面。一线工作人员承受了前所未有的压力,在大流行期间提供护理工作影响了他们的安全、心理健康和福祉。
目的:本研究旨在探讨在 COVID-19 大流行期间在英国提供护理的医护人员的经历,以了解他们的福祉需求、体验以及用于维护福祉的策略(个人和组织层面)。
方法:我们分析了在 COVID-19 大流行第一年中,与 94 名医护人员进行的电话访谈和 2000 条有关医护人员心理健康的推文。
结果:结果分为 6 个主题:重新部署、临床工作和责任感;福祉支持和医护人员的应对策略;负面心理健康影响;组织支持;社交网络和支持;公众和政府支持。
结论:这些发现表明需要进行坦诚的对话,分享和鼓励员工的福祉需求和他们采用的策略,而不仅仅是单独实施自上而下的心理干预措施。在宏观层面上,这些发现还强调了公众和政府支持对医护人员福祉的影响,以及需要通过个人防护设备、检测和疫苗为前线工作人员提供保护。
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