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公共卫生专业人员在 COVID-19 大流行期间进行危机沟通的经验:定性研究的系统评价

Experiences of Public Health Professionals Regarding Crisis Communication During the COVID-19 Pandemic: Systematic Review of Qualitative Studies.

作者信息

Okuhara Tsuyoshi, Terada Marina, Okada Hiroko, Yokota Rie, Kiuchi Takahiro

机构信息

Department of Health Communication, The University of Tokyo, Tokyo, Japan.

Department of Medical Communication, Hoshi University, Tokyo, Japan.

出版信息

JMIR Infodemiology. 2025 Mar 14;5:e66524. doi: 10.2196/66524.

Abstract

BACKGROUND

The COVID-19 pandemic emerged in the digital age and has been called the first "data-driven pandemic" in human history. The global response demonstrated that many countries had failed to effectively prepare for such an event. Learning through experience in a crisis is one way to improve the crisis management process. As the world has returned to normal after the pandemic, questions about crisis management have been raised in several countries and require careful consideration.

OBJECTIVE

This review aimed to collect and organize public health professionals' experiences in crisis communication to the public during the COVID-19 pandemic.

METHODS

We searched PubMed, MEDLINE, CINAHL, Web of Science, Academic Search Complete, PsycINFO, PsycARTICLES, and Communication Abstracts in February 2024 to locate English-language articles that qualitatively investigated the difficulties and needs experienced by health professionals in their communication activities during the COVID-19 pandemic.

RESULTS

This review included 17 studies. Our analysis identified 7 themes and 20 subthemes. The 7 themes were difficulties in pandemic communication, difficulties caused by the "infodemic," difficulties in partnerships within or outside of public health, difficulties in community engagement, difficulties in effective communication, burnout among communicators, and the need to train communication specialists and establish a permanent organization specializing in communication.

CONCLUSIONS

This review identified the gaps between existing crisis communication guidelines and real-world crisis communication in the digital environment and clarified the difficulties and needs that arose from these gaps. Crisis communication strategies and guidelines should be updated with reference to the themes revealed in this review to effectively respond to subsequent public health crises.

TRIAL REGISTRATION

PROSPERO CRD42024528975; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=528975.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/58040.

摘要

背景

新冠疫情在数字时代出现,被称为人类历史上第一场“数据驱动的疫情”。全球应对情况表明,许多国家未能有效应对此类事件。从危机中吸取经验教训是改进危机管理流程的一种方式。随着疫情后世界恢复正常,一些国家提出了有关危机管理的问题,需要认真考虑。

目的

本综述旨在收集和整理公共卫生专业人员在新冠疫情期间向公众进行危机沟通的经验。

方法

我们于2024年2月检索了PubMed、MEDLINE、CINAHL、科学网、学术搜索完整版、PsycINFO、PsycARTICLES和通讯摘要数据库,以查找定性研究卫生专业人员在新冠疫情期间沟通活动中所经历困难和需求的英文文章。

结果

本综述纳入了17项研究。我们的分析确定了7个主题和20个子主题。这7个主题分别是疫情沟通困难、“信息疫情”造成的困难、公共卫生内部或外部伙伴关系困难、社区参与困难、有效沟通困难、沟通者倦怠,以及培训沟通专家和建立专门的常设沟通组织的必要性。

结论

本综述确定了现有危机沟通指南与数字环境下现实世界危机沟通之间的差距,并阐明了这些差距所产生的困难和需求。应参照本综述揭示的主题更新危机沟通策略和指南,以有效应对后续公共卫生危机。

试验注册

PROSPERO CRD42024528975;https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=528975。

国际注册报告识别号(IRRID):RR2-10.2196/58040。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8392/11953600/ea3a1c1353db/infodemiology_v5i1e66524_fig1.jpg

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