Oregon Health and Science University, Portland, OR, USA.
Acad Psychiatry. 2024 Jun;48(3):222-226. doi: 10.1007/s40596-024-01965-z. Epub 2024 Apr 17.
Pre-pandemic, the healthcare workforce was already at risk for higher burnout than the general population and, in some roles (e.g., physicians, nurses), at higher risk for clinical distress and suicide. Studies of healthcare workforce well-being during and after past pandemics reflect that distress can persist after a pandemic subsides, if adequate support within the workplace is not forthcoming and accessible. The current report presents the rationale for and development of a wellness consult service to provide support to leaders and teams in an academic medical center during the COVID-19 pandemic and now as teams work to recover and rebuild after years of significant pandemic and other stressors.
Healthcare workers who participated in supportive Listening Sessions or Interactive Workshops facilitated by the wellness consult service were invited to complete an anonymous post-session survey.
Between March 2020 and November 2022, 185 leaders and teams participated in 342 supportive Listening Sessions and Interactive Workshops. Of the respondents to the post-session survey (N = 701), 89% rated the intervention as "good to excellent" and 84% were likely or very likely to recommend this service. Leaders rated the experience more highly than non-leaders (F (1,307) = 13.99, p < 0.001) and were more likely to report feeling emotionally supported (F (1,304) = 19.836, p < 0.001).
Supporting leader and team well-being may be critical to post-pandemic recovery of the healthcare workforce. The current report presents a feasible, theory-driven model for doing so, which was rated as highly satisfactory by participants.
大流行前，医疗保健工作者的倦怠风险已经高于一般人群，在某些角色（例如医生、护士）中，临床痛苦和自杀的风险更高。过去大流行期间和之后对医疗保健工作者福利的研究反映出，如果工作场所没有提供和提供足够的支持，大流行消退后痛苦可能会持续存在。本报告介绍了在 COVID-19 大流行期间为学术医疗中心的领导和团队提供支持的健康咨询服务的理由和发展情况，以及现在团队在经历多年大流行和其他压力源后努力恢复和重建时提供支持的情况。
参加健康咨询服务组织的支持性倾听会议或互动研讨会的医疗保健工作者被邀请完成匿名会后调查。
在 2020 年 3 月至 2022 年 11 月期间，185 名领导和团队参加了 342 次支持性倾听会议和互动研讨会。在对会后调查的回应者（N=701）中，89%的人将干预措施评为“良好到优秀”，84%的人很可能或非常可能推荐这项服务。领导对体验的评价高于非领导（F（1,307）=13.99，p<0.001），并且更有可能报告感到情绪上得到支持（F（1,304）=19.836，p<0.001）。
支持领导和团队的健康可能是医疗保健工作者大流行后恢复的关键。本报告介绍了一种可行的、基于理论的模型，参与者对其评价非常满意。
