Malas Olga, Perez-Cuit Xavier, García-Sicard Jordi, Cuartero Andrés, Cuartero Gemma
Department of Psychology, Sociology and Social Work, University of Lleida. Avinguda de l'Estudi General, 4, 25001 Lleida, Spain.
Emergency Medical System, Department of Health and Social Security, Health Department Government of Catalonia. C. Pablo Iglesias, 101-115, 08908 Hospitalet de Llobregat, Spain.
AIMS Public Health. 2024 Jun 24;11(3):819-834. doi: 10.3934/publichealth.2024041. eCollection 2024.
This study focused on the TALK Debrief Experience in the prehospital personnel ( = 1521) of a western Spanish healthcare region during the COVID-19 Pandemic. The study aimed to apply the TALK clinical debriefing intervention to out-of-hospital clinical staff during pandemics; identify their emotions, thoughts, coping strategies, and solution proposals; determine their demands for improving well-being and coping ability; and disseminate valuable knowledge for addressing trauma in similar situations. The study employed a qualitative methodology within a participatory action research (PAR) framework, conducting group discussions ( = 375) and employing the TALK clinical debriefing method as the guiding framework for the sessions. The discussion group meetings were facilitated by psychologists ( = 67) who had received training in this intervention technique. Various emotions were identified during the sessions, including fear of contagion, lack of control and security, work-related stress, and ethical dilemmas. Proposed solutions and coping strategies addressed increased security measures, promotion of social distancing, stress and anxiety management, and clarity in procedures and provision of protective equipment. The study also highlighted additional demands such as the need for clear information, psychological support, and changes in work practices like reducing strenuous shifts. In conclusion, despite study limitations, such as the lack of long-term follow-up, it emphasized the importance of comprehensively addressing well-being and working conditions during health crises.
本研究聚焦于西班牙西部一个医疗保健地区在新冠疫情期间急救人员（= 1521人）的TALK汇报经验。该研究旨在将TALK临床汇报干预应用于疫情期间的院外临床工作人员；识别他们的情绪、想法、应对策略和解决方案建议；确定他们对改善幸福感和应对能力的需求；并传播在类似情况下应对创伤的宝贵知识。该研究在参与式行动研究（PAR）框架内采用定性方法，进行小组讨论（= 375次），并采用TALK临床汇报方法作为会议的指导框架。讨论小组会议由接受过该干预技术培训的心理学家（= 67人）主持。会议期间识别出了各种情绪，包括对感染的恐惧、缺乏控制感和安全感、工作压力以及伦理困境。提出的解决方案和应对策略包括加强安全措施、促进社交距离、管理压力和焦虑，以及明确程序和提供防护设备。该研究还强调了其他需求，如需要清晰的信息、心理支持，以及改变工作方式，如减少高强度轮班。总之，尽管存在研究局限性，如缺乏长期随访，但它强调了在健康危机期间全面解决幸福感和工作条件问题的重要性。
