Taxén Mariel, Tolf Sara, Appelbom Sophia, Sjöström-Bujacz Aleksandra, Baresso Ninveh, Herber Karin, Johansson Annika, Keita My, Ramstedt Lotta, Bringby Anna Wik, Stenfors Terese, Mazzocato Pamela
Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden, Karolinska Institutet, Stockholm, Sweden.
Södertälje Hospital, Södertälje, Sweden.
BMJ Open. 2024 Aug 7;14(8):e081095. doi: 10.1136/bmjopen-2023-081095.
A range of interventions to support psychological resilience among healthcare workers were provided in hospitals during the COVID-19 pandemic. Most research has focused on the content and experience of these interventions, but less is known about their implementation. The aim of this study was to increase understanding of the development, implementation and perceived usefulness of an intervention to support psychological resilience among healthcare workers at a Swedish hospital during the pandemic.
This study employs interviews and documents to explore the development and implementation of support activities and a survey to assess the usefulness of the activities (on a scale from 1 to 5). Qualitative content analysis was used to analyse the interview data and documents. Descriptive statistics were used to analyse the survey data.
A tertiary hospital in the outskirts of Region Stockholm.
Eight individual interviews were conducted with actors involved in developing the intervention. 286 healthcare workers answered the survey.
Support activities were developed and implemented by an internal multidisciplinary group who continuously identified and adapted activities to the needs of staff. The strategy of involving existing resources to jointly develop and continuously adapt staff support activities was beneficial for the implementation and longevity of the intervention. Scheduling difficulties were one of the challenges. The mean ratings of the activities ranged from 2.27 for one-on-one counselling to 3.25 for physical activity. Licensed practical nurses generally valued the activities higher than other professional groups.
The provision of activities to support psychological resilience in a crisis is facilitated by the ability of an organisation to use current resources in the face of a crisis, which is a sign of organisational resilience. Leaders who act quickly and create the conditions to test and learn under uncertainty can contribute to developing effective responses to a crisis.
在新冠疫情期间，医院提供了一系列旨在增强医护人员心理韧性的干预措施。大多数研究聚焦于这些干预措施的内容和体验，但对其实施情况了解较少。本研究的目的是加深对瑞典一家医院在疫情期间为增强医护人员心理韧性而开展的一项干预措施的开发、实施及感知有用性的理解。
本研究采用访谈和文件资料来探究支持活动的开发与实施情况，并通过一项调查来评估这些活动的有用性（评分范围为1至5分）。运用定性内容分析法对访谈数据和文件资料进行分析。使用描述性统计方法分析调查数据。
斯德哥尔摩地区郊区的一家三级医院。
对参与干预措施开发的相关人员进行了8次个人访谈。286名医护人员回答了调查问卷。
一个内部多学科团队开发并实施了支持活动，该团队不断根据员工需求确定并调整活动。利用现有资源共同开发并持续调整员工支持活动的策略，对干预措施的实施和长期开展有益。安排活动时间困难是其中一项挑战。各项活动的平均评分从一对一咨询的2.27分到体育活动的3.25分不等。执业护士总体上对这些活动的评价高于其他专业群体。
组织在危机中利用现有资源的能力有助于提供增强心理韧性的活动这一情况，是组织韧性的体现。迅速行动并创造条件在不确定性下进行测试和学习的领导者，有助于制定有效的危机应对措施。
