家庭医生在传染性灾难事件中对自身心理健康和幸福的感知需求:一项混合研究文献综述

Family Physicians' Perceived Needs Regarding Their Mental Health and Wellbeing in Infectious Catastrophic Events: A Mixed Studies Literature Review.

作者信息

Zahedi Sima, Tellier Pierre-Paul, Luconi Francesca, Gore Genevieve, Rodríguez Charo

机构信息

McGill University, Montreal, QC, Canada.

出版信息

J Prim Care Community Health. 2025 Jan-Dec;16:21501319251356557. doi: 10.1177/21501319251356557. Epub 2025 Jul 23.

Abstract

INTRODUCTION

During catastrophes, physicians face significant stress and emotional challenges. This review explored existing evidence about the challenges family physicians face during infectious catastrophes, and their perceived well-being needs.

MATERIALS AND METHODS

We conducted a mixed studies literature review using 2 databases, Ovid MEDLINE ALL (1946 to February 2023) and PsycInfo on Ovid (1806 to February 2023). To assess methodological quality, we used Mixed Methods Appraisal Tool. The extracted data were analyzed employing a data-based convergent mixed methods design.

RESULTS

Thirty-four (34) studies met the criteria for data extraction. Line-by-line coding for thematic analysis was applied to Result and Discussion sections of included articles. Findings were categorized into 4 levels: Societal, Institutional, Organizational, and Individual. Seven themes were identified in total.

DISCUSSION

Public health authorities should focus on systemic changes, including organizational development to improve coordination within and across organizations. Clinician involvement in decision-making, clear communication, mental health support, and adequate resources are crucial. Policy implications underscore the necessity for healthcare policies prioritizing physician well-being, and organizational support during infectious catastrophes. Improving work conditions extends beyond personal protective equipment (PPE) access, requiring swift betterment of service innovations, with ongoing reassessment for sustainable care planning, financing, and delivery beyond emergencies.

摘要

引言

在灾难期间,医生面临巨大的压力和情感挑战。本综述探讨了关于家庭医生在传染病灾难期间所面临挑战以及他们所感知的福祉需求的现有证据。

材料与方法

我们使用两个数据库进行了一项混合研究文献综述,即Ovid MEDLINE ALL(1946年至2023年2月)和Ovid上的PsycInfo(1806年至2023年2月)。为评估方法学质量,我们使用了混合方法评估工具。采用基于数据的收敛性混合方法设计对提取的数据进行分析。

结果

34项研究符合数据提取标准。对纳入文章的结果和讨论部分进行逐行编码以进行主题分析。研究结果分为4个层面:社会层面、机构层面、组织层面和个人层面。总共确定了7个主题。

讨论

公共卫生当局应关注系统性变革,包括组织发展以改善组织内部和组织之间的协调。临床医生参与决策、清晰的沟通、心理健康支持和充足的资源至关重要。政策影响强调了医疗保健政策优先考虑医生福祉以及在传染病灾难期间提供组织支持的必要性。改善工作条件不仅限于提供个人防护装备(PPE),还需要迅速改进服务创新,并持续重新评估以制定可持续的护理规划、融资和紧急情况之外的服务提供方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dfd/12290357/4012de800c75/10.1177_21501319251356557-fig1.jpg

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