Ward Shay, Donohue Gráinne, Murray Johanna, McNicholas Fiona
CAMHS, Health Service Executive, Dublin, Ireland.
School of Medicine, University College Dublin, Dublin, Ireland
BMJ Paediatr Open. 2024 Dec 11;8(1):e003018. doi: 10.1136/bmjpo-2024-003018.
The COVID-19 pandemic placed increased pressure on service provision and healthcare worker (HCW) wellness. As the crisis of the pandemic receded, paediatric healthcare staff required an appropriate response to facilitate individual and organisational recovery, to minimise long-term HCW burn-out and to be better equipped for future crisis in paediatric healthcare.
To explore the experiences of HCWs working during the COVID-19 pandemic in an acute paediatric hospital to determine an appropriate leadership response in the postcrisis work environment.
Qualitative research design using responses from open-ended questions from 133 clinical and non-clinical staff (89% clinical) from an Irish paediatric teaching hospital. Responses were thematically analysed.
Paediatric HCWs experienced frustration, uncertainty, anxiety and stress, during the pandemic crisis. Perceived organisational contributors included communication inconsistencies, inadequate support and resources, including staff shortages. This exposed remaining staff to high risk for long-term burn-out as the pandemic recedes. Three themes were developed detailing this: support, communication and trust.
This research supports the long-standing need to increase mental health service investment and to implement an appropriate response to regain and maintain a healthy workforce, post-COVID-19. The organisational response should address the biopsychosocial needs of the individual and paediatric healthcare organisations should work dynamically, creatively and collaboratively to ensure the psychological safety of their workforce.
新冠疫情给医疗服务提供和医护人员的健康带来了更大压力。随着疫情危机的消退，儿科医护人员需要一种恰当的应对措施，以促进个人和组织的恢复，尽量减少医护人员长期的职业倦怠，并为未来儿科医疗危机做好更充分准备。
探讨一家急性儿科医院的医护人员在新冠疫情期间的工作经历，以确定危机后工作环境中恰当的领导应对措施。
采用定性研究设计，收集爱尔兰一家儿科教学医院133名临床和非临床工作人员（89%为临床人员）对开放式问题的回答，并进行主题分析。
在疫情危机期间，儿科医护人员经历了挫败、不确定性、焦虑和压力。他们认为组织方面的因素包括沟通不一致、支持和资源不足，包括人员短缺。随着疫情消退，这使剩余工作人员面临长期职业倦怠的高风险。由此形成了三个详细阐述此情况的主题：支持、沟通和信任。
本研究支持长期以来增加心理健康服务投入的必要性，以及实施恰当应对措施以在新冠疫情后恢复并维持一支健康的员工队伍。组织的应对措施应满足个人的生物心理社会需求，儿科医疗组织应积极、创造性地协同合作，以确保员工的心理安全。
