Loeffler Leonie A K, Lambert Sophie Isabelle, Bouché Lea, Klasen Martin, Sopka Saša, Vogt Lina
Department of Anesthesiology, University Hospital RWTH Aachen, Medical Faculty, RWTH Aachen University, Aachen, Germany.
AIXTRA-Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen University, Aachen, Germany.
PLoS One. 2025 Jan 21;20(1):e0316105. doi: 10.1371/journal.pone.0316105. eCollection 2025.
Promoting resilience, the ability to withstand and overcome challenging situations, is crucial for maintaining the performance of healthcare systems. Unique challenges faced by healthcare facilities in border regions render them particularly vulnerable during crises, emphasizing the need to promote resilience in these areas. The current study evaluated the state and needs of resilience in healthcare professionals in a representative European border region.
All hospitals and emergency medical care services in the Euregio Meuse-Rhine (Germany, Belgium, the Netherlands) were approached to participate via an online-survey. Behavioral data on psychological distress (Patient Health Questionnaire-4), work-related stressors, individual resilience (Brief Resilience Scale, Resilience at Work scale), and organizational resilience (Benchmark Resilience Tool-short) were collected.
2233 participants initiated the survey with 500 responses included in the analysis. 46% of the participants indicated clinically significant psychological distress. Most challenging stressors were staff availability, available time, and workload. On average, individual resilience was in the normal range, yet 15.6% showed below average resilience. At the organizational level, healthcare institutions can particularly enhance resilience in the domains of Internal resources, Situation Awareness, and Unity of purpose. Compared to their neighbor countries, German healthcare professionals indicated higher levels of depressive symptoms, were more burdened by work-related stressors, and reported lower levels of organizational resilience.
Findings highlight that healthcare institutions not only need to promote the resilience of the individual employee particularly in border regions, healthcare institutions, must also act to be better prepared for potential threats and crises while considering each country's unique needs.
提升恢复力，即承受并克服具有挑战性情况的能力，对于维持医疗系统的运转至关重要。边境地区的医疗机构面临的独特挑战使其在危机期间格外脆弱，这凸显了在这些地区提升恢复力的必要性。本研究评估了欧洲一个具有代表性的边境地区医疗专业人员的恢复力状况和需求。
通过在线调查邀请欧洲马斯 - 莱茵地区（德国、比利时、荷兰）的所有医院和紧急医疗服务机构参与。收集了关于心理困扰（患者健康问卷 - 4）、工作相关压力源、个人恢复力（简短恢复力量表、工作中的恢复力量表）以及组织恢复力（基准恢复力工具 - 简短版）的行为数据。
2233名参与者开始了调查，其中500份回复纳入分析。46%的参与者表示存在具有临床意义的心理困扰。最具挑战性的压力源是人员可用性、可用时间和工作量。平均而言，个人恢复力处于正常范围，但15.6%的人恢复力低于平均水平。在组织层面，医疗机构可以在内部资源、态势感知和目标一致性等领域特别增强恢复力。与邻国相比，德国医疗专业人员的抑郁症状水平更高，承受的工作相关压力更大，且组织恢复力水平更低。
研究结果表明，医疗机构不仅需要提升个体员工的恢复力，特别是在边境地区，医疗机构还必须采取行动，在考虑每个国家独特需求的同时，更好地为潜在威胁和危机做好准备。
