Assessment of Resilience Training for Hospital Employees in the Era of COVID-19 DOI Creative Commons
Joyce P. Yi‐Frazier,

Maeve B. O’Donnell,

Elizabeth A. Adhikari

et al.

JAMA Network Open, Journal Year: 2022, Volume and Issue: 5(7), P. e2220677 - e2220677

Published: July 1, 2022

Importance

Health care workers face serious mental health challenges as a result of ongoing work stress. The COVID-19 pandemic exacerbated that stress, resulting in high rates anxiety, depression, and burnout. To date, few evidence-based programs targeting outcomes have been described.

Objective

assess the feasibility, acceptability, preliminary skills-based coaching program designed to reduce stress build resilience.

Design, Setting, Participants

A pilot cohort study was conducted between September 2020 April 2021 using preprogram postprogram assessments mixed-methods analysis. Duration follow-up 7 weeks. delivered via video conferencing. Participants were staff from large urban system.

Intervention

Promoting Resilience Stress Management (PRISM) program, manualized, originally developed for adolescents young adults with serious/chronic illness, adapted support ("PRISM at Work"). It included 6 weekly 1-hour group sessions.

Main Outcomes Measures

Feasibility defined priori 70% completion rates. Acceptability quantitatively (satisfaction scores) qualitatively (open-ended questions regarding experience program). Preliminary assessed post self-reported resilience, burnout validated instruments. Descriptive statistics summarized demographic variables feasibility acceptability. Linear mixed effects regression models examined outcomes, controlling relevant covariates.

Results

total 153 participants (median [SD] age, 40.6 [10.1] years; 142 [92%] female; 128 [84%] identified having White race; 81 [53%] patient-facing roles) enrolled. Of 132 who provided surveys, 120 (91%) had completed 116 (88%) reported being satisfied. Answers open-ended suggested wanted more PRISM either longer or additional Participant-reported resilience (β = 1.74; 95% CI, 1.00-2.48), −2.40; −3.28 −1.51), anxiety −2.04; −2.74 −1.34), burnout-exhaustion −0.37; −0.56 −0.18) improved after program.

Conclusions Relevance

Results this suggest Work may utility found be feasible, acceptable, associated outcomes.

Language: Английский

Predicting the next pandemic: VACCELERATE ranking of the World Health Organization's Blueprint for Action to Prevent Epidemics DOI Creative Commons
Jon Salmanton‐García,

Pauline Wipfler,

Janina Leckler

et al.

Travel Medicine and Infectious Disease, Journal Year: 2023, Volume and Issue: 57, P. 102676 - 102676

Published: Dec. 6, 2023

The World Health Organization (WHO)'s Research and Development (R&D) Blueprint for Action to Prevent Epidemics, a plan of action, highlighted several infectious diseases as crucial targets prevention. These infections were selected based on thorough assessment factors such transmissibility, infectivity, severity, evolutionary potential. In line with this blueprint, the VACCELERATE Site Network approached disease experts rank listed in WHO R&D according their perceived risk triggering pandemic. is an EU-funded collaborative European network clinical trial sites, established respond emerging pandemics enhance vaccine development capabilities.

Language: Английский

Citations

14

Burnout among intensive care nurses, physicians and leaders during the COVID‐19 pandemic: A national longitudinal study DOI Creative Commons
Ingvild Strand Hovland,

Laila Skogstad,

Lien My Diep

et al.

Acta Anaesthesiologica Scandinavica, Journal Year: 2024, Volume and Issue: 68(10), P. 1426 - 1435

Published: July 26, 2024

Abstract Background Burnout is frequent among intensive care unit (ICU) healthcare professionals and may result in medical errors absenteeism. The COVID‐19 pandemic caused additional strain during working hours also affected off‐duty life. aims of this study were to survey burnout levels ICU the first year COVID‐19, describe those who reported burnout, analyse demographic work‐related factors associated with burnout. Methods This was a national prospective longitudinal cohort 484 nurses, physicians leaders units patients Norway. measured at 6‐ 12‐month follow‐up, after registration baseline data months COVID epidemic. Copenhagen Inventory (CBI), used (range 0–100), caseness defined as CBI ≥50. Bi‐ multivariable logistic regression analyses performed examine variables 12 months. Results At 6 months, median score 17, increasing 21 ( p = .037), nurses accounting for most increase. Thirty‐two per cent had an increase more than 5, whereas 25% decrease 5. Ten 14% (n.s.). participants significantly lower age, fewer years experience, previous anxiety and/or depression, moral distress, less perceived hospital recognition, fear infection bivariate analyses. single standing type psychological 24 out 41 (59%) anxiety, depression post‐traumatic stress disorder (PTSD) symptoms. Multivariate analysis showed statistically significant associations professional experience .041) borderline significance support by leader .049). Conclusion In Norway, minority 1 into pandemic. A majority PTSD symptoms combined. experience.

Language: Английский

Citations

5

Impact of the COVID-19 pandemic on psychosocial work factors and emotional exhaustion among workers in the healthcare sector: a longitudinal study among 1915 Dutch workers DOI Creative Commons
Fleur van Elk, Suzan JW Robroek, Alex Burdorf

et al.

Occupational and Environmental Medicine, Journal Year: 2022, Volume and Issue: 80(1), P. 27 - 33

Published: Nov. 24, 2022

This study aims to investigate across subgroups of healthcare workers (1) the changes in psychosocial working conditions and emotional exhaustion during pandemic compared with situation before, (2) impact different stages COVID-19 terms hospital pressure on exhaustion.Five questionnaire measurements 2 years from 1915 longitudinal 'the Netherlands Working Conditions Survey-COVID-19' were used. At each measurement, three defined: patients COVID-19, other not patients. For was determined by number hospitalisations per day. Linear mixed models fitted analyse differences workers.During deteriorated among patients, particular after correcting for before COVID-19. No observed any subgroups. An increasing improved job autonomy reduced demands wards, but had no influence exhaustion.Psychosocial (COVID-19) pandemic, while did change all groups workers.

Language: Английский

Citations

22

Implications for health system reform, workforce recovery and rebuilding in the context of the Great Recession and COVID-19: a case study of workforce trends in Ireland 2008–2021 DOI Creative Commons
Pádraic Fleming, Stephen Thomas,

Des Williams

et al.

Human Resources for Health, Journal Year: 2022, Volume and Issue: 20(1)

Published: May 26, 2022

Abstract Background Workforce is a fundamental health systems building block, with unprecedented measures taken to meet extra demand and facilitate surge capacity during the COVID-19 pandemic, following prolonged period of austerity. This case study examines trends in Ireland’s publicly funded service workforce, from global financial crisis, through Recovery into understand resource allocation across community acute settings. Specifically, this paper aims uncover whether skill-mix staff are aligned policy intent broader reform agenda achieve universal access integrated healthcare, part, by shifting free care primary Methods Secondary analysis anonymised aggregated national human resources data was conducted over almost 14 years, December 31st 2008 August 2021. Comparative conducted, professional cadre, three keys periods: ‘Recession period’ 2008–December 2014; ‘Recovery 2014–December 2019; ‘COVID-19 2019–August Results During Recession there an overall decrease 8.1% ( n = 9333) between 2014, while saw levels rebound increase 15.2% 16,789) 2014 2019. These figures continued grow, at accelerated rate most recent period, increasing further 8.9% 10,716) under 2 years. However, notable shift occurred 2013, when number services surpassed those employed 50,038 49,857, respectively). gap phase. By 2021, were 13,645 more whole-time equivalents settings compared community, complete reverse situation. consistent all cadres. absence indicate short-term spikes resulting shocks redeployment disproportionately impacted negatively on services. Conclusions clearly demonstrates prioritisation recruitment within services—increasing needed capacity, without same commitment support government Concerted action including permanent redistribution personnel required ensure progressive sustainable responses learned shocks.

Language: Английский

Citations

21

Assessment of Resilience Training for Hospital Employees in the Era of COVID-19 DOI Creative Commons
Joyce P. Yi‐Frazier,

Maeve B. O’Donnell,

Elizabeth A. Adhikari

et al.

JAMA Network Open, Journal Year: 2022, Volume and Issue: 5(7), P. e2220677 - e2220677

Published: July 1, 2022

Importance

Health care workers face serious mental health challenges as a result of ongoing work stress. The COVID-19 pandemic exacerbated that stress, resulting in high rates anxiety, depression, and burnout. To date, few evidence-based programs targeting outcomes have been described.

Objective

assess the feasibility, acceptability, preliminary skills-based coaching program designed to reduce stress build resilience.

Design, Setting, Participants

A pilot cohort study was conducted between September 2020 April 2021 using preprogram postprogram assessments mixed-methods analysis. Duration follow-up 7 weeks. delivered via video conferencing. Participants were staff from large urban system.

Intervention

Promoting Resilience Stress Management (PRISM) program, manualized, originally developed for adolescents young adults with serious/chronic illness, adapted support ("PRISM at Work"). It included 6 weekly 1-hour group sessions.

Main Outcomes Measures

Feasibility defined priori 70% completion rates. Acceptability quantitatively (satisfaction scores) qualitatively (open-ended questions regarding experience program). Preliminary assessed post self-reported resilience, burnout validated instruments. Descriptive statistics summarized demographic variables feasibility acceptability. Linear mixed effects regression models examined outcomes, controlling relevant covariates.

Results

total 153 participants (median [SD] age, 40.6 [10.1] years; 142 [92%] female; 128 [84%] identified having White race; 81 [53%] patient-facing roles) enrolled. Of 132 who provided surveys, 120 (91%) had completed 116 (88%) reported being satisfied. Answers open-ended suggested wanted more PRISM either longer or additional Participant-reported resilience (β = 1.74; 95% CI, 1.00-2.48), −2.40; −3.28 −1.51), anxiety −2.04; −2.74 −1.34), burnout-exhaustion −0.37; −0.56 −0.18) improved after program.

Conclusions Relevance

Results this suggest Work may utility found be feasible, acceptable, associated outcomes.

Language: Английский

Citations

20