Workforce wellbeing centres and their positive role for wellbeing and presenteeism in healthcare workers during the COVID-19 pandemic: secondary analysis of COVID-Well data DOI Creative Commons
Holly Blake,

Helen Mancini,

Emma Coyne

et al.

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: March 6, 2024

Abstract Background Supported wellbeing centres established during the COVID-19 pandemic provided high quality rest spaces and access to peer-to-peer psychological first aid for healthcare workers (HCWs). The were well accessed valued by HCWs, but their relationship with job-related factors is not established. aim of this study was explore between centre use, HCWs (job stressfulness, job satisfaction, presenteeism, turnover intentions). Methods Secondary analysis data from 819 an acute hospital trust who completed online survey in April-July 2020, as part COVID-Well study. Measures included Warwick Edinburgh Mental Wellbeing Scale, four single-item global measures presenteeism intentions. ANCOVA models regression analyses conducted on these data. Results had lower (β = 0.12, p < .001), higher stressfulness − 0.22, satisfaction 0.39, .001) younger age 0.09, .002). Centre use associated irrespective stressfulness. Those reporting (M 3.30, SE 0.04) than those did report 3.06, (F(1, 791) 18.65, .001, η 2 0.02). significantly intentions (B 0.30, .13; Wald 2.26; odds 0.74), while stress showed significant effects. Conclusions Accessing particularly presenteeism. Therefore, may have greatest respite restoration present at work optimal health. Younger disproportionately affected terms wellbeing, targeted support population needed. Strategies decrease maximise are urgently required. Healthcare organisations should provide long-term, a systems-wide approach improving workforce health wellbeing.

Language: Английский

The global prevalence of depression, anxiety, stress, and, insomnia and its changes among health professionals during COVID-19 pandemic: A rapid systematic review and meta-analysis DOI Creative Commons
Sultan Mahmud, Sorif Hossain, Abdul Muyeed

et al.

Heliyon, Journal Year: 2021, Volume and Issue: 7(7), P. e07393 - e07393

Published: June 26, 2021

BackgroundDuring the COVID-19 pandemic, health professionals who are at frontline of this crisis have been facing extreme psychological disorders. This research aims to provide an overall scenario prevalence depression, anxiety, stress, as well insomnia and inspect changes in these over time by analyzing existing evidence during pandemic.MethodsA systematic search was performed on March 30, 2021, PubMed, MEDLINE, Google Scholar databases, Web Science. To assess heterogeneity, Q-test, I2 statistics, Meta regression for publication bias, Eggers's test funnel plot were used. The random-effect model subgroup analysis due significant heterogeneity.ResultsAmong eighty-three eligible studies final synthesis, 69 (n = 144649) assessed depression 37.12% (95% CI: 31.80–42.43), 75 147435) reported anxiety 41.42% 36.17–46.54), 41 82783) stress 44.86% 36.98–52.74), 21 33370) enunciated 43.76% 35.83–51.68). severity mental problems among increased January 2020 September 2020.LimitationsA level heterogeneity found measurement tools across studies.ConclusionsTherefore, it is emergency develop interventions that can protect vulnerable groups like professionals.

Language: Английский

Citations

181
A qualitative study of experiences of NHS mental healthcare workers during the Covid-19 pandemic DOI Creative Commons
Elisa Giulia Liberati, Natalie Richards, Janet Willars

et al.

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: May 12, 2021

Abstract Background The Covid-19 pandemic has imposed extraordinary strains on healthcare workers. But, in contrast with acute settings, relatively little attention been given to those who work mental health settings. We aimed characterise the experiences of working English NHS secondary services during first wave pandemic. Methods design was a qualitative interview-based study. conducted semi-structured, remote (telephone or online) interviews 35 members staff from (inpatient and community) England. Analysis based constant comparative method. Results Participants reported wide-ranging changes organisation care nature response pandemic, including pausing all deemed be “non-essential”, deployment across new unfamiliar roles, moves working. quality participants’ life impaired by increasing levels daily challenge associated trying provide constrained circumstances, problems forging ways remotely, constraints ability access informal support. were confronted difficult dilemmas relating clinical decision-making, prioritisation care, compromises perform therapeutic function their roles. Other centred balance risks controlling infection need for human contact. Many features moral injury linked perceived failures providing level that they felt service users needed. They sometimes sought compensate deficits through increased advocacy, taking additional tasks, making exceptions, but this led further personal strain. experienced feelings grief, helplessness, isolation, distress, burnout. These compounded poor communication about feeling could not take time off because potential impact others. Some poorly supported organisations. Conclusions Mental workers faced multiple adversities highly consequential wellbeing. findings can help identifying targets

Language: Английский

Citations

128
Moral injury: the effect on mental health and implications for treatment DOI Open Access
Victoria Williamson, Dominic Murphy, Andrea Phelps

et al.

The Lancet Psychiatry, Journal Year: 2021, Volume and Issue: 8(6), P. 453 - 455

Published: March 18, 2021

Language: Английский

Citations

106
Prevalence of post-traumatic stress disorder and common mental disorders in health-care workers in England during the COVID-19 pandemic: a two-phase cross-sectional study DOI

Hannah Scott,

Sharon A. M. Stevelink, Rafael Gafoor

et al.

The Lancet Psychiatry, Journal Year: 2022, Volume and Issue: 10(1), P. 40 - 49

Published: Dec. 8, 2022

Language: Английский

Citations

57
‘It hurts your heart’: frontline healthcare worker experiences of moral injury during the COVID-19 pandemic DOI Creative Commons
Siobhan Hegarty, Danielle Lamb, Sharon A. M. Stevelink

et al.

European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(2)

Published: Oct. 18, 2022

Background: Moral injury is defined as the strong emotional and cognitive reactions following events which clash with someone's moral code, values or expectations. During COVID-19 pandemic, increased exposure to Potentially Morally Injurious Events (PMIEs) has placed healthcare workers (HCWs) at risk of injury. Yet little known about lived experience cumulative PMIE how NHS staff respond this.Objective: We sought rectify this knowledge gap by qualitatively exploring experiences perspectives clinical frontline who responded COVID-19.Methods: recruited a diverse sample 30 HCWs from CHECK study cohort, for single time point qualitative interviews. All participants endorsed least one item on 9-item Injury Scale (MIES) [Nash et al., 2013. Psychometric evaluation scale. Military Medicine, 178(6), 646–652] six month follow up. Interviews followed semi-structured guide were analysed using reflexive thematic analysis.Results: described being routinely exposed ethical conflicts, created exacerbations pre-existing systemic issues including inadequate staffing resourcing. found that experienced range mental health symptoms primarily related perceptions institutional betrayal well feeling unable fulfil their duty care towards patients.Conclusion: These results suggest multi-facetted organisational strategy warranted prepare exposure, promote opportunities resolution associated prevent disengagement.HIGHLIGHTS Clinical have been an accumulation potentially morally injurious throughout betrayed both government leaders provide patients.HCWs significant adverse impact health, anxiety depression sleep disturbance.Most interviewed believed change within was necessary excess distress.

Language: Английский

Citations

50
Moral injury and psychological wellbeing in UK healthcare staff DOI Creative Commons
Victoria Williamson, Danielle Lamb, Matthew Hotopf

et al.

Journal of Mental Health, Journal Year: 2023, Volume and Issue: 32(5), P. 890 - 898

Published: March 8, 2023

Potentially morally injurious events (PMIEs) can negatively impact mental health. The COVID-19 pandemic may have placed healthcare staff at risk of moral injury.To examine the PMIE on wellbeing.Twelve thousand nine hundred and sixty-five (clinical non-clinical) were recruited from 18 NHS-England trusts into a survey exposure wellbeing.PMIEs significantly associated with adverse health symptoms across staff. Specific work factors experiences injury, including being redeployed, lack PPE, having colleague die COVID-19. Nurses who reported disorders more likely to report all forms PMIEs than those without (AOR 2.7; 95% CI 2.2, 3.3). Doctors only betrayal events, such as breach trust by colleagues 2.7, 1.5, 4.9).A considerable proportion NHS in both clinical non-clinical roles during pandemic. Prospective research is needed identify direction causation between injury disorder well continuing monitor longer term outcomes PMIEs.

Language: Английский

Citations

29
Burnout in Hospital-Based Healthcare Workers during COVID-19 DOI Creative Commons
Robert Maunder, Natalie D. Heeney, Gillian Strudwick

et al.

Published: Oct. 7, 2021

About Us: The Ontario COVID-19 Science Advisory Table is a group of scientific experts and health system leaders who evaluate report on emerging evidence relevant to the pandemic, inform Ontario's response.Our mandate provide weekly summaries for Health Coordination Province Ontario, integrating information from existing tables, universities agencies, best global evidence.The summarizes its findings public in Briefs.The Mental Working Group comprises with specific expertise mental health.Their spans children youth, adults geriatric populations, care providers, women's health, among LGBTQ persons, Black, Indigenous, other racialized COVID-19.The evaluates related maintaining during COVID-19, burden disease interventions individuals across lifespan, including adolescents,

Language: Английский

Citations

53
The Psychological Impact of COVID-19 on Healthcare Workers in Saudi Arabia: A Year Later Into the Pandemic DOI Creative Commons
Atiah H. Almalki, Mohammad S. Alzahrani, Fahad S. Alshehri

et al.

Frontiers in Psychiatry, Journal Year: 2021, Volume and Issue: 12

Published: Dec. 17, 2021

The COVID-19 pandemic poses unprecedented challenges to healthcare workers worldwide. This study sought estimate the prevalence of depression, anxiety, and stress among in Saudi Arabia, identify factors associated with these psychological disorders.

Language: Английский

Citations

42
The mental health of healthcare workers during the COVID-19 pandemic: a narrative review DOI
Johannes H. De Kock, Helen Ann Latham, Richard G. Cowden

et al.

Current Opinion in Psychiatry, Journal Year: 2022, Volume and Issue: 35(5), P. 311 - 316

Published: July 18, 2022

Mental health (MH) problems among healthcare workers (HCWs) have the potential to impact negatively on capacity of systems respond effectively COVID-19. A thorough understanding factors that degrade or promote MH HCWs is needed design and implement suitable intervention strategies support wellbeing this population.MH were elevated prior COVID-19 pandemic. Accumulating evidence indicates public crisis has had a disproportionately negative specialised populations, including HCWs. Literature from pandemics suggests adverse effects pandemic are likely persist in aftermath crisis. Primary secondary risk for outcomes been identified should be considered when implementing interventions protect HCWs.The impacted by pandemic, which having detrimental influence response Protecting both during beyond remain top priority, with particular emphasis multifaceted aim balance psychological needs individual organisational-level could targeted their wellbeing.

Language: Английский

Citations

30
Burn-out in the health workforce during the COVID-19 pandemic: opportunities for workplace and leadership approaches to improve well-being DOI Creative Commons
Natasha Smallwood, Marie Bismark, Karen Willis

et al.

BMJ Leader, Journal Year: 2023, Volume and Issue: 7(3), P. 178 - 181

Published: March 10, 2023

Burn-out is a long-standing problem among healthcare workers (HCWs) and leads to poorer quality less safe patient care, lower satisfaction, absenteeism reduced workforce retention. Crises such as the pandemic not only generate new challenges but also intensify existing workplace stresses chronic shortages. As COVID-19 continues, global health burnt-out under immense pressure, with multiple individual, organisational system drivers.In this article, we examine how key leadership approaches can facilitate mental support for HCWs identify strategies that are critical supporting well-being during pandemic.We identified 12 at individual levels crisis. These may inform responses future crises.Governments, organisations leaders must invest deliver long-term measures value, retain preserve high-quality healthcare.

Language: Английский

Citations

20