Bamforth Kathryn, Rae Pamela, Maben Jill, Lloyd Helen, Pearce Susie
Torbay and South Devon NHS Foundation Trust, Torquay, Devon, UK.
School of Nursing and Midwifery, University of Plymouth, Plymouth, Devon, UK.
Int J Nurs Stud Adv. 2023 Aug 1;5:100148. doi: 10.1016/j.ijnsa.2023.100148. eCollection 2023 Dec.
Healthcare professionals' psychological wellbeing at work affects patients' experiences of care. However, the literature tends to focus on negative aspects of psychological wellbeing, such as stress and burnout, and interventions to support healthcare professionals' wellbeing have limited effectiveness. The growing global concern over the psychological wellbeing of healthcare professionals has escalated following the COVID-19 pandemic. There is an urgent need to review the recent literature on healthcare professionals' psychological wellbeing to identify gaps in our knowledge. This scoping review will help focus the future research to improve the psychological wellbeing of healthcare staff and thereby patients' care experiences.
This scoping review aims to answer two research questions: 1) What do we know about healthcare professionals' and patients' perceptions of healthcare professionals' psychological wellbeing at work? 2) How does the psychological wellbeing of healthcare professionals at work affect patients' experiences of care?
We conducted a scoping review using frameworks developed by Arksey and O'Malley (2005) and Levac, Colquhoun and O'Brien (2010). Our comprehensive literature search covered publications dated 2011-2021 in PubMed, CINAHL, Scopus and PsychInfo, NIHR Journals, EThOS, Open Grey, Google Scholar, and the Department for Health and Social Care and Kings Fund websites. We also hand-searched the reference lists of included studies. Two independent reviewers assessed the eligibility of studies.
We included 56 articles from 16 countries, most using qualitative methods. We identified five themes: 1) The definition of healthcare professional psychological wellbeing; 2) The relationship between healthcare professionals' psychological wellbeing and nature of healthcare work; 3) The role of organisational culture in healthcare professionals' psychological wellbeing and the importance of organisational culture; 4) The impact the COVID-19 pandemic on of healthcare professionals' psychological wellbeing; and 5) The link between healthcare professionals' psychological wellbeing and patients' experiences of care. We found a complex relationship between organisational culture, healthcare professionals' perceptions of psychological wellbeing, and patients' experiences of care.
While there is currently no consensus on the definition of psychological wellbeing in healthcare professionals, our review highlights its relation to organizational culture and its impact on patients' experiences of care. Future research should include patients' perspectives and develop meaningful ways to support, develop, and retain healthcare professionals.
Scoping review: wellbeing of healthcare professionals is poorly understood. Basic needs must be met first to support staff to care @KathrynBamforth.
医疗保健专业人员工作时的心理健康状况会影响患者的护理体验。然而，文献往往侧重于心理健康的消极方面，如压力和倦怠，且支持医疗保健专业人员心理健康的干预措施效果有限。自新冠疫情以来，全球对医疗保健专业人员心理健康的关注日益增加。迫切需要回顾近期关于医疗保健专业人员心理健康的文献，以找出我们知识上的空白。这项范围综述将有助于聚焦未来研究，以改善医护人员的心理健康，从而提升患者的护理体验。
本范围综述旨在回答两个研究问题：1）我们对医疗保健专业人员以及患者对其工作时心理健康状况的看法了解多少？2）医疗保健专业人员工作时的心理健康如何影响患者的护理体验？
我们使用由阿克西和奥马利（2005年）以及莱瓦克、科尔昆和奥布赖恩（2010年）开发的框架进行了范围综述。我们全面的文献检索涵盖了2011年至2021年在PubMed、CINAHL、Scopus和PsychInfo、英国国家卫生研究院期刊、EThOS、Open Grey、谷歌学术以及卫生与社会保健部和国王基金网站上发表的文献。我们还人工检索了纳入研究的参考文献列表。两名独立评审员评估了研究的 eligibility。
我们纳入了来自16个国家的56篇文章，大多数采用定性方法。我们确定了五个主题：1）医疗保健专业人员心理健康的定义；2）医疗保健专业人员心理健康与医疗工作性质之间的关系；3）组织文化在医疗保健专业人员心理健康中的作用以及组织文化的重要性；4）新冠疫情对医疗保健专业人员心理健康的影响；5）医疗保健专业人员心理健康与患者护理体验之间的联系。我们发现组织文化、医疗保健专业人员对心理健康的认知以及患者的护理体验之间存在复杂的关系。
虽然目前对于医疗保健专业人员心理健康的定义尚无共识，但我们的综述强调了其与组织文化的关系及其对患者护理体验的影响。未来的研究应纳入患者的观点，并开发有意义的方法来支持、发展和留住医疗保健专业人员。
范围综述：对医疗保健专业人员的心理健康了解不足。必须首先满足基本需求以支持员工进行护理@凯瑟琳·班福思。
