实施弹性教练计划以支持 COVID-19 大流行期间的第一年住院医师:早期试点结果及与非住院医师课程的比较。
Implementing a resilience coach program to support first year housestaff during the COVID-19 pandemic: early pilot results and comparison with non-housestaff sessions.
机构信息
Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, 3535 Market Street, Room 3103, Philadelphia, PA, 19104, USA.
Leonard Davis Institute of Health Economics, Philadelphia, PA, USA.
出版信息
BMC Health Serv Res. 2023 Aug 29;23(1):915. doi: 10.1186/s12913-023-09951-1.
BACKGROUND
In response to the COVID-19 pandemic, we launched the Penn Medicine Coping First Aid program to provide psychosocial supports to our health system community. Our approach leveraged lay health worker volunteers trained in principles of Psychological First Aid to deliver coaching services through a centralized virtual platform.
METHODS
We emailed all (n = 408) first year housestaff (i.e., residents and fellows) with an invitation to schedule a session with a resilience coach. We compared the mental health concerns, symptoms, and Psychological First Aid techniques recorded in (n = 67) first year housestaff sessions with (n = 91) sessions of other employees in the health system.
RESULTS
Between June and November 2020, forty-six first year housestaff attended at least one resilience coaching session. First year housestaff most commonly presented with feelings of anxiety and sadness and shared concerns related to the availability of social support. Resilience coaches most frequently provided practical assistance and ensured safety and comfort to first year housestaff. First year housestaff reported fewer physical or mental health symptoms and held shorter sessions with resilience coaches than non-housestaff.
CONCLUSIONS
This work offers insights on how to address psychosocial functioning through low-intensity interventions delivered by lay personnel. More research is needed to understand the efficacy of this program and how best to engage housestaff in wellness and resilience programs throughout training, both during and beyond COVID-19.
背景
为应对 COVID-19 大流行,我们推出了宾夕法尼亚大学医学中心应对急救计划,为我们的医疗系统社区提供社会心理支持。我们的方法利用经过心理急救原则培训的初级卫生工作者志愿者,通过集中的虚拟平台提供辅导服务。
方法
我们向所有(n=408)第一年住院医师(即住院医师和研究员)发送电子邮件,邀请他们预约与弹性教练进行一次会议。我们比较了(n=67)第一年住院医师会议中记录的心理健康问题、症状和心理急救技术,以及(n=91)卫生系统中其他员工的会议。
结果
2020 年 6 月至 11 月期间,有 46 名第一年住院医师至少参加了一次弹性辅导会议。第一年住院医师最常见的表现是焦虑和悲伤的感觉,并分享了与社会支持的可用性相关的担忧。弹性教练最常提供实际帮助,并确保第一年住院医师的安全和舒适。与非住院医师相比,第一年住院医师报告的身体或心理健康症状较少,与弹性教练的会议时间也较短。
结论
这项工作提供了如何通过初级人员提供的低强度干预措施来解决社会心理功能的见解。需要更多的研究来了解该计划的效果,以及如何在整个培训过程中,包括在 COVID-19 期间和之后,最好地让住院医师参与健康和弹性计划。