da Silva Andrea Tenorio Correia, Sisenop Felix, Henao Alexandra Restrepo, Souza Miriam Regina, Atti Beatriz, Ruiz Maria Paula, Marchi Evaldo, Lindert Jutta
Department of Primary Care, Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Department of Social Work and Health, University of Applied Sciences Emden/Leer, Emden, Germany.
Front Public Health. 2025 Jul 15;13:1542494. doi: 10.3389/fpubh.2025.1542494. eCollection 2025.
To assess healthcare workers' (HCWs) perceptions of commonalities and differences in stressors affecting their mental health during the COVID-19 pandemic in Brazil, Colombia, and Germany.
We conducted a qualitative cross-country study between April and September 2022. HCWs from primary and secondary care centers and hospitals participated. The focus groups were recorded, transcribed verbatim, and analyzed using content analysis.
63 HCWs participated in the study. Factors affecting HCWs' mental health were categorized into three levels: healthcare system, facility, and individual. Common stressors across all three countries included: a rapid increase in patients and disease severity at the healthcare system level; frequent updates to COVID-19 protocols, staff shortages, and service unpreparedness at the facility-level; and dealing with a new virus and workplace violence at the individual-level. In Brazil and Colombia, constraints in the healthcare system and insufficient personal protective equipment were reported. Additionally, in Brazil, financial strain and working in deprived areas also impacted HCWs' mental health.
Improving healthcare system preparedness, reducing inequities across facilities, and combating misinformation and violence are crucial for alleviating the mental burden on HCWs in future global crises.
评估巴西、哥伦比亚和德国的医护人员对新冠疫情期间影响其心理健康的压力源的共性和差异的看法。
我们在2022年4月至9月间开展了一项定性的跨国研究。来自基层和二级医疗中心及医院的医护人员参与其中。焦点小组讨论被录音、逐字转录，并采用内容分析法进行分析。
63名医护人员参与了该研究。影响医护人员心理健康的因素分为三个层面：医疗系统、机构和个人。所有三个国家的共同压力源包括：医疗系统层面患者数量和疾病严重程度的迅速增加；机构层面新冠疫情防控方案的频繁更新、人员短缺和服务准备不足；以及个人层面应对新型病毒和工作场所暴力。在巴西和哥伦比亚，报告了医疗系统的限制和个人防护装备不足的情况。此外，在巴西，经济压力和在贫困地区工作也影响了医护人员的心理健康。
提高医疗系统的准备水平、减少各机构间的不平等现象以及打击错误信息和暴力行为对于减轻未来全球危机中医护人员的心理负担至关重要。
