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新冠疫情期间医疗保健领域经历职业压力和倦怠的女性:一项快速综述

Women in healthcare experiencing occupational stress and burnout during COVID-19: a rapid review.

作者信息

Sriharan Abi, Ratnapalan Savithiri, Tricco Andrea C, Lupea Doina

机构信息

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Division of Emergency Medicine, Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

BMJ Open. 2021 Apr 8;11(4):e048861. doi: 10.1136/bmjopen-2021-048861. eCollection 2021.

Abstract

CONTEXT

COVID-19 has had an unprecedent impact on physicians, nurses and other health professionals around the world, and a serious healthcare burnout crisis is emerging as a result of this pandemic.

OBJECTIVES

We aim to identify the causes of occupational stress and burnout in women in medicine, nursing and other health professions during the COVID-19 pandemic and interventions that can support female health professionals deal with this crisis through a rapid review.

METHODS

We searched MEDLINE, Embase, CINAHL, PsycINFO and ERIC from December 2019 to 30 September 2020. The review protocol was registered in PROSPERO and is available online. We selected all empirical studies that discussed stress and burnout in women healthcare workers during the COVID-19 pandemic.

RESULTS

The literature search identified 6148 citations. A review of abstracts led to the retrieval of 721 full-text articles for assessment, of which 47 articles were included for review. Our findings show that concerns of safety (65%), staff and resource adequacy (43%), workload and compensation (37%) and job roles and security (41%) appeared as common triggers of stress in the literature.

CONCLUSIONS AND RELEVANCE

The current literature primarily focuses on self-focused initiatives such as wellness activities, coping strategies, reliance of family, friends and work colleagues to organisational-led initiatives such as access to psychological support and training. Very limited evidence exists about the organisational interventions such as work modification, financial security and systems improvement.

摘要

背景

新冠疫情对全球医生、护士及其他医疗专业人员产生了前所未有的影响,这场大流行导致了严重的医疗职业倦怠危机。

目的

我们旨在通过快速综述确定新冠疫情期间医学、护理及其他医疗行业女性职业压力和倦怠的原因,以及能够支持女性医疗专业人员应对这一危机的干预措施。

方法

我们检索了2019年12月至2020年9月30日期间的MEDLINE、Embase、CINAHL、PsycINFO和ERIC数据库。该综述方案已在PROSPERO注册并可在线获取。我们选取了所有讨论新冠疫情期间女性医护人员压力和倦怠的实证研究。

结果

文献检索共识别出6148条引文。对摘要的审查导致检索出721篇全文文章进行评估,其中47篇文章被纳入综述。我们的研究结果表明,安全担忧(65%)、人员和资源充足性(43%)、工作量和薪酬(37%)以及工作角色和安全性(41)在文献中似乎是常见的压力触发因素。

结论及意义

当前文献主要关注以自我为中心的举措,如健康活动、应对策略、对家人、朋友和同事的依赖,以及以组织为导向的举措,如获得心理支持和培训。关于工作调整、财务安全和系统改进等组织干预措施的证据非常有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d69/8039237/e605298ff006/bmjopen-2021-048861f01.jpg

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