Kumar Varun Vijay, Deighton Alexander, Kleyn C Elise
Foundation Year 2 Doctor, Midlands Metropolitan University Hospital, Sandwell and West Birmingham NHS trust, Birmingham, UK.
Foundation Year 3 Doctor, Whipps Cross Hospital, Barts Health NHS Trust, London, UK.
Future Healthc J. 2024 Nov 20;12(1):100215. doi: 10.1016/j.fhj.2024.100215. eCollection 2025 Mar.
Healthcare workers' (HW') mental health during pandemics may be challenged due to the demands of their professional work. There is a need for effective organisational wellbeing strategies so that HW' mental health is safeguarded. In this article, we sought to examine approaches to implementing wellbeing strategies in hospital trusts, which we hope will improve future workplace planning.
A pilot study comprising semi-structured interviews with five management staff in two NHS trusts (which employ approximately 5,000 staff each) in north-west England (NWE) were conducted to investigate and compare how COVID-19 impacted HW' mental health and what wellbeing strategies were implemented.
Lack of guidance and communication, redeployment, fatigue, post-traumatic stress disorder (PTSD) and fear of infection were common stress factors. We identified that both trusts had implemented psychological support, and usage of online resources as well as providing adequate personal protective equipment (PPE). Trust A uniquely implemented psychological screening tools to identify vulnerable HWs, whereas trust B placed an emphasis more on offering practical support to HW.
It is likely that a whole-systems approach to improve organisational culture and reduce stigma around accessing support would be beneficial to HW wellbeing. Further research is required to optimise this support for NHS staff.
在大流行期间,医护人员的心理健康可能因其专业工作的要求而受到挑战。需要有效的组织福利策略来保障医护人员的心理健康。在本文中,我们试图研究在医院信托机构中实施福利策略的方法,希望这将改善未来的工作场所规划。
进行了一项试点研究,对英格兰西北部(NWE)两个国民保健服务信托机构(每个机构约有5000名员工)的五名管理人员进行了半结构化访谈,以调查和比较新冠疫情如何影响医护人员的心理健康以及实施了哪些福利策略。
缺乏指导和沟通、重新部署、疲劳、创伤后应激障碍(PTSD)和对感染的恐惧是常见的压力因素。我们发现两个信托机构都实施了心理支持、使用在线资源以及提供足够的个人防护装备(PPE)。信托机构A独特地实施了心理筛查工具以识别易受影响的医护人员,而信托机构B则更强调为医护人员提供实际支持。
采用全系统方法来改善组织文化并减少在寻求支持方面的污名化,可能有利于医护人员的福利。需要进一步研究以优化对国民保健服务工作人员的这种支持。