Emergency and Disaster Management Department, School of Public Health, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Emergency Department and Emergency Preparedness, Assaf Harofeh Shamir Medical Center, Zriffin, Israel.
Isr J Health Policy Res. 2024 Nov 19;13(1):69. doi: 10.1186/s13584-024-00656-2.
Hospital staff frequently encounter high-stress situations, emergencies, and disasters, which profoundly impact their well-being and resilience. The aim of the study was to examine associations between perceived threats, well-being, individual resilience, and resilience at work among staff of a general hospital, following the unexpected Hamas assault on Israel on October 7, 2023, and during the Israel-Gaza conflict.
This cross-sectional study was conducted at a central Israeli public hospital, a level-two trauma center, surveying 434 staff members. Validated questionnaires were used to assess perceived threats, well-being, individual and work resilience, alongside demographic and professional characteristics. Data was collected via Qualtrics and paper questionnaires. Descriptive statistics, Pearson's correlation, T-tests, ANOVA, Chi-square, and linear regression models were used to analyze relationships, differences, and key factors associated with well-being, personal resilience, and work resilience.
Key findings revealed that higher resilience at work and well-being are linked to greater individual resilience, while higher threat perception negatively affected well-being. Israeli-born individuals and those identifying as Jewish showed higher resilience. Men reported higher well-being than women, and physicians demonstrated higher well-being compared to nurses. Resilience at work was higher among administrative staff compared to nurses, with employment in the emergency department showing a significant negative relationship with resilience at work.
The study revealed significant predictors of well-being, individual resilience, and workplace resilience among hospital staff in conflict situations. The immediate threat of war was perceived as most significant, highlighting the dynamic nature of threat perceptions. Prolonged emergencies can severely impact well-being, necessitating timely support. The findings emphasize the importance of integrated programs that enhance individual well-being and foster resilience in both personal and professional domains. Significant gender differences and the positive role of religiosity in resilience underscore the need for targeted interventions and systemic organizational changes to better support healthcare workers during crises. These insights highlight the importance of a comprehensive approach for cultivating a robust and resilient medical staff capable of effectively managing future crises.
医院工作人员经常面临高压力情况、紧急情况和灾害，这对他们的幸福感和适应力产生深远影响。本研究旨在探讨在 2023 年 10 月 7 日哈马斯意外袭击以色列之后以及以色列-加沙冲突期间，一家综合医院工作人员感知到的威胁、幸福感、个体韧性和工作韧性之间的关联。
这是一项在一家以色列中部公立医院进行的横断面研究，该医院是一个二级创伤中心，共调查了 434 名工作人员。使用经过验证的问卷评估感知到的威胁、幸福感、个体和工作韧性以及人口统计学和职业特征。数据通过 Qualtrics 和纸质问卷收集。使用描述性统计、皮尔逊相关、T 检验、方差分析、卡方检验和线性回归模型来分析与幸福感、个体韧性和工作韧性相关的关系、差异和关键因素。
主要发现表明，更高的工作韧性和幸福感与更高的个体韧性相关，而更高的威胁感知则对幸福感产生负面影响。以色列出生的个体和犹太身份认同的个体表现出更高的韧性。男性的幸福感高于女性，医生的幸福感高于护士。与护士相比，行政人员的工作韧性更高，而在急诊部门工作与工作韧性呈显著负相关。
该研究揭示了冲突情境下医院工作人员幸福感、个体韧性和工作韧性的重要预测因素。战争的直接威胁被认为是最重要的，突显了威胁感知的动态性质。长期的紧急情况会严重影响幸福感，因此需要及时提供支持。研究结果强调了增强个人幸福感和培养个人及专业领域适应力的综合计划的重要性。性别差异显著，宗教信仰在韧性中的积极作用凸显了有针对性的干预措施和系统的组织变革的必要性，以更好地在危机期间支持医疗工作者。这些见解突出了培养一支强大且适应力强的医疗人员的综合方法的重要性，使他们能够有效地应对未来的危机。
