Institute of Occupational, Social and Environmental Medicine, University Medical Centre, Johannes Gutenberg University Mainz, Mainz, Germany.
Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Johannes Gutenberg University Mainz, Mainz, Germany.
Front Public Health. 2023 Aug 10;11:1186929. doi: 10.3389/fpubh.2023.1186929. eCollection 2023.
Due to the SARS-CoV-2 pandemic, healthcare workers (HCWs) are experiencing tremendous levels of emotional and physical stress. Hospitals are trying to help personnel cope with work-related pressure. The aim of this study was to assess HCWs' awareness and utilization of counseling and support services during the pandemic, HCWs' unmet counseling and support needs, and the type and content of these services.
A cross-sectional online survey was conducted from January to June 2021 through the German national research organization Network University Medicine (NUM). All participating hospitals (6 in total) were asked to inform their employees about the study.
A total of 1,495 HCWs were included in the analysis. Of these, 42.8% ( = 637) were frontline HCWs (who had contact with COVID-19 patients), 23.1% ( = 344) were second-line HCWs (who only had contact with non-COVID-19 patients) and 34.1% ( = 508) had no contact with any patients. Participating hospitals offer various counseling and support services for their staff. The percentage of respondents who were unaware of available counseling and support services ranged from 5.0 to 42.0%. Depending on the type of counseling and support services, 23.0-53.6% of the respondents indicated that counseling and support services were provided but not used, while 1.7-11.6% indicated that, despite the need for them, such services were not available. HCWs' overall satisfaction with the provided counseling and support services and their unmet support needs differed by patient contact: Frontline HCWs reported more unmet needs for counseling and support than second-line HCWs, while second-line HCWs reported more unmet needs than HCWs without patient contact.
The results indicate that hospitals should make more efforts to inform HCWs about available counseling and support services. Hospitals could also create networks where HCWs could share information about the type and content of services and their experiences with various counseling and support services. These steps would enable hospitals to respond more quickly and effectively to the problems facing HCWs during pandemics.
由于 SARS-CoV-2 大流行，医护人员（HCWs）正经历着巨大的情绪和身体压力。医院正试图帮助人员应对与工作相关的压力。本研究的目的是评估大流行期间 HCWs 对咨询和支持服务的意识和利用情况、HCWs 未满足的咨询和支持需求以及这些服务的类型和内容。
2021 年 1 月至 6 月期间，通过德国国家研究组织网络大学医学（NUM）进行了一项横断面在线调查。所有参与医院（共 6 家）均被要求向其员工通报该研究。
共有 1495 名 HCWs 纳入分析。其中，42.8%（ = 637）为一线 HCWs（与 COVID-19 患者接触），23.1%（ = 344）为二线 HCWs（仅与非 COVID-19 患者接触），34.1%（ = 508）与任何患者均无接触。参与医院为其员工提供各种咨询和支持服务。表示不知道可用咨询和支持服务的受访者比例在 5.0%至 42.0%之间。根据咨询和支持服务的类型，23.0%至 53.6%的受访者表示提供了咨询和支持服务但未使用，而 1.7%至 11.6%的受访者表示尽管有需求，但这些服务不可用。HCWs 对提供的咨询和支持服务的总体满意度及其未满足的支持需求因患者接触而异：一线 HCWs 报告的咨询和支持需求未得到满足的情况多于二线 HCWs，而二线 HCWs 报告的需求未得到满足的情况多于无患者接触的 HCWs。
结果表明，医院应加大力度向 HCWs 通报可用的咨询和支持服务。医院还可以建立网络，使 HCWs 能够共享有关服务类型和内容以及各种咨询和支持服务经验的信息。这些步骤将使医院能够更迅速和有效地应对大流行期间 HCWs 面临的问题。
