HIV Services, Population Solution for Health, Harare, Zimbabwe; and, Department of Health Sciences, College of Human Sciences, University of South Africa, Pretoria.
Curationis. 2023 Jun 21;46(1):e1-e10. doi: 10.4102/curationis.v46i1.2430.
The coronavirus disease 2019 (COVID-19) pandemic has further placed additional stress on the already fragile and overstretched healthcare system in Zimbabwe. Most healthcare institutions reported staff shortages, inability to cope with the extra workload, burnout and the resultant psychological implications.
This study aimed to develop a psychosocial support model that sustains a support structure that will contribute to an enabling work environment promoting efficiency and effectiveness in response to public health emergencies.
Empirical findings from interpretive phenomenological analysis studies on healthcare workers' experiences during the COVID-19 in Zimbabwe formed the basis for model development. The model development in this study was informed by the work of Donabedian, Dickoff, James and Wiedenbach, Walker and Avant, Chinn, Kramer and Wilkes.
The developed model is described using the elements of Donabedian's framework (structure, process and outcome) and of Dickoff, James and Wiedenbach's (1968) practice theory elements (agents, recipients, context, process, dynamics and outcome) and within the national and international context of the COVID-19 pandemic.
The fragile and under-resourced healthcare system has psychosocial implications to the well-being of healthcare workers. The utilisation of this model is critical and facilitates the provision of an enabling and supportive environment that facilitates efficiency in response activities during pandemics.Contribution: This study provides a reference guide in the provision of psychosocial support for healthcare workers particularly during public health emergencies. There is paucity of evidence focusing on the well-being of healthcare workers during a crisis, hence the significance of this study.
2019 年冠状病毒病（COVID-19）大流行进一步给津巴布韦本已脆弱和不堪重负的医疗体系带来了额外的压力。大多数医疗机构报告人员短缺，无法应对额外的工作量，出现倦怠，导致心理影响。
本研究旨在开发一种社会心理支持模式，维持一个支持结构，为促进公共卫生突发事件应对效率和效果的有利工作环境做出贡献。
津巴布韦 COVID-19 期间医护人员经验的解释性现象学分析研究的实证发现为模型开发提供了依据。本研究中的模型开发以 Donabedian、Dickoff、James 和 Wiedenbach、Walker 和 Avant、Chinn、Kramer 和 Wilkes 的工作为依据。
所开发的模型使用 Donabedian 框架（结构、过程和结果）的要素和 Dickoff、James 和 Wiedenbach（1968 年）实践理论要素（代理人、接收者、背景、过程、动态和结果）进行描述，并考虑到 COVID-19 大流行的国家和国际背景。
脆弱和资源不足的医疗体系对医护人员的福祉产生社会心理影响。利用该模型至关重要，有利于提供有利和支持性的环境，促进大流行期间应对活动的效率。
本研究为医护人员提供社会心理支持提供了参考指南，特别是在公共卫生突发事件期间。在危机期间关注医护人员福祉的证据很少，因此本研究具有重要意义。
