British Journal of Anaesthesia, Год журнала: 2023, Номер 131(1), С. e13 - e16
Опубликована: Апрель 3, 2023
Язык: Английский
BMC Psychology, Год журнала: 2023, Номер 11(1)
Опубликована: Июнь 27, 2023
As of March 2020, the UK public were instructed to work from home where possible and as a result, nearly half those in employment did so during following month. Pre-pandemic, around 5% workers chose home; it was often seen advantageous, for example due eliminating commuting time increasing flexibility. However, homeworking also had negative connotations, example, blurred boundaries between life sense constant connectivity workplace. Understanding psychological impact working an enforced prolonged manner COVID-19 pandemic is important. Therefore, this review sought establish relationship home, mental health, productivity. In January 2022, literature searches conducted across four electronic databases: Medline, Embase, PsycInfo Web Science. February 2022 grey using Google Advanced Search, NHS Evidence; Gov.uk Publications British Library directory online doctoral theses. Published unpublished which collected data after included participants who experienced at least some their hours, detailed association terms health or productivity included. total 6,906 citations screened 25 papers databases Grey searching resulted two additional papers. 27 studies review. Findings suggest both, varies considerably, suggesting complex relationship, with many factors (e.g., demographics, occupation) having influence on relationship. We found that there no clear consensus are indications start first risk poor productivity, experience health. Suggestions future research suggested.
Язык: Английский
Процитировано
22
Translational Psychiatry, Год журнала: 2023, Номер 13(1)
Опубликована: Сен. 1, 2023
Abstract Intrusive memories (IMs) after traumatic events can be distressing and disrupt mental health functioning. We evaluated the impact of a brief remotely-delivered digital imagery-competing task intervention on number IMs for intensive care unit (ICU) staff who faced repeated trauma exposure during COVID-19 pandemic using two-arm, parallel-group, single-blind randomised controlled trial, with comparator arm receiving delayed access to active treatment (crossover). Eligible participants worked clinically in UK NHS ICU had at least 3 work-related week before recruitment. Participants were randomly assigned (1:1) immediate (weeks 1–4) or 5–8) access. Sequential Bayesian analyses optimise increase trial efficiency are reported elsewhere [1]. The primary endpoint pre-specified frequentist analysis final study population compared experienced 4 between arms. Secondary outcomes included clinical symptoms, work functioning wellbeing. Safety was assessed throughout by scheduled questions free report. All undertaken an intention-to-treat basis (86 participants). There significantly fewer intrusive (median = 1, IQR 0–3, n 43), 10, 6–17, IRR 0.31, 95% CI: 0.20–0.48, p < 0.001. After crossover, also showed significant reduction 8 4. convergent findings symptoms PTSD, insomnia anxiety, engagement burnout, general quality life. found safe acceptable participants. adverse unrelated study. Our provides first evidence benefit reducing IMs, improving other wellbeing, as well safety intervention. An efficacy control longer follow-up is warranted. registered ClinicalTrials.gov (NCT04992390).
Язык: Английский
Процитировано
20
BMJ, Год журнала: 2024, Номер unknown, С. e075613 - e075613
Опубликована: Апрель 3, 2024
Kevin Fong, Charlotte Summers, and Tim Cook unpick arguments that the NHS was not overwhelmed by covid-19, highlighting its legacy effects on healthcare lessons for future health crises
Язык: Английский
Процитировано
6
Molecular Psychiatry, Год журнала: 2023, Номер 28(7), С. 2985 - 2994
Опубликована: Апрель 26, 2023
Abstract Intensive care unit (ICU) staff continue to face recurrent work-related traumatic events throughout the COVID-19 pandemic. Intrusive memories (IMs) of such comprise sensory image-based memories. Harnessing research on preventing IMs with a novel behavioural intervention day trauma, here we take critical next steps in developing this approach as treatment for ICU who are already experiencing days, weeks, or months post-trauma. To address urgent need develop mental health interventions, used Bayesian statistical approaches optimise brief imagery-competing task reduce number IMs. We evaluated digitised version remote, scalable delivery. conducted two-arm, parallel-group, randomised, adaptive optimisation trial. Eligible participants worked clinically UK NHS during pandemic, experienced at least one event, and three week prior recruitment. Participants were randomised receive immediate delayed (after 4 weeks) access intervention. Primary outcome was trauma 4, controlling baseline week. Analyses an intention-to-treat basis between-group comparison. Prior final analysis, sequential analyses ( n = 20, 23, 29, 37, 41, 45) inform early stopping trial planned maximum recruitment 150). Final analysis 75) showed strong evidence positive effect (Bayes factor, BF 1.25 × 10 6 ): arm reported fewer (median 1, IQR 0–3) than 10, 6–16.5). With further digital enhancements, 28) also (BF 7.31). Sequential provided reducing healthcare workers. This methodology allowed us rule out negative effects early, reduced sample size, evaluation enhancements. Trial Registration NCT04992390 www.clinicaltrials.gov ).
Язык: Английский
Процитировано
16
Journal of Advanced Nursing, Год журнала: 2023, Номер 80(1), С. 237 - 251
Опубликована: Июль 28, 2023
To understand the experience of critical care nurses during COVID-19 pandemic, through application Job-Demand-Resource model occupational stress.Qualitative interview study.Twenty-eight (CCN) working in ICU UK NHS pandemic took part semi-structured interviews between May 2021 and 2022. Interviews were guided by constructs Job-Demand Resource model. Data analysed using framework analysis.The most difficult job demands pace amount, complexity, physical emotional effort their work. Prolonged high led to CCN experiencing exhaustion, burnout, post-traumatic stress symptoms impaired sleep. Support from colleagues supervisors was a core resource. Sustained psychological well-being had negative organizational consequences with expressing increased intention leave role.The combination reduced resources impacts on which is translating into consideration leaving profession.The full mental health are unlikely resolve without appropriate interventions.Managers healthcare systems should use these findings inform: (i) structure organization workplaces so that they support staff be well, (ii) supportive interventions for who carrying significant distress as result after pandemic. These changes required improve recruitment retention.We used COREQ guidelines reporting qualitative studies.Six provided input survey content schedule. Two authors members study team (T.S. S.C.) worked
Язык: Английский
Процитировано
15
Healthcare, Год журнала: 2024, Номер 12(5), С. 587 - 587
Опубликована: Март 4, 2024
This study explored the associations between personality dimensions, burnout, and psychopathology in healthcare professionals intensive care units (ICUs). further aimed to discern differences these relationships when considering variables of critical experience (less than 5 years, 5–10 more 10 years), profession (nurses versus intensivists), urban size city where ICU is located (metropolitan cities smaller cities). cross-sectional investigation’s outcomes are based on data from 503 personnel, including 155 intensivists 348 nurses, 31 departments Greece. Participants underwent a comprehensive assessment involving sociodemographic questionnaire, Eysenck Personality Questionnaire (EPQ), Maslach Burnout Inventory (MBI), Symptom Checklist-90 (SCL-90). To analyze interplay among experience, burnout status, psychopathology, moderation analysis was conducted with dimensions (i.e., psychoticism, extraversion, neuroticism) serving as mediator variable. Profession location were considered moderators influencing relationships. Male showed higher psychoticism levels females, aligning prior research. Experienced nurses reported lower personal achievement, hinting at potential motivation challenges for professional growth. Psychoticism predicted high depersonalization low achievement. Neuroticism negatively impacted personnel’s mental well-being, reflected elevated scores status. appears be primary factor three particularly affecting intensivists. In contrast, influenced by their health
Язык: Английский
Процитировано
4
Human Resources for Health, Год журнала: 2024, Номер 22(1)
Опубликована: Сен. 20, 2024
Язык: Английский
Процитировано
4
BMC Public Health, Год журнала: 2025, Номер 25(1)
Опубликована: Янв. 23, 2025
Abstract Introduction The experiences of UK Government response-focused employees, who were considered frontline workers during the coronavirus response, are missing from current literature. Meeting demands being on frontline, whilst also adjusting a normal and practiced way working to having work within one’s home, may bring plethora new barriers facilitators associated with providing an effective pandemic response. Method This interview study collected analysed data 30 Civil servants worked COVID-19 response their own homes. Interviews aimed to: (1) explore employee’s home contributing response; and, (2) establish what support guidance employees offered, they would recommend for future public health emergencies requiring homeworking. Results Seven themes extracted data: overall experience home; preparedness effort; life balance; relationships colleagues; space equipment; inclusivity. Findings suggested that pandemic, participants reported feeling strong sense purpose achievement But, was demanding, particularly those had rapidly, unexpectedly, transition office or lab working. More generally, nature homeworking depended range practical (e.g., in home), organisational managers) personal factors caring responsibilities). Many underprepared but provided information relating offers find useful Conclusion results this demonstrate need more tailored flexible multilevel (i.e., peers, managers, organisations) when required home. A series data-informed recommendations created discussed.
Язык: Английский
Процитировано
0
European Journal Of Dental Education, Год журнала: 2025, Номер unknown
Опубликована: Фев. 24, 2025
A high frequency of mental issues has been reported amongst dental students in recent years. The aim this study was to explore the depression, stress, and anxiety undergraduate a developing country identify factors which may contribute poor health students. After obtaining ethical approval, from 14 institutions were invited participate an online study. Data collected using two globally validated scales for screening health. survey inventory also included open-ended items administered Google forms. Complete responses received 639 participants, 71.67% (n = 458) females 28.33% 181) males. overall response rate 43%. modal age group 18-21-year-olds (63.54%, n 406), followed by 22-25-year-olds (35.52%, 227). mean score on PHQ-9 10.37 (SD ± 6.13) 48.67% participants showed moderate severe depression. DASS-21 20.81 14.64) 48.21% screened positively extremely 49.30% anxiety, 30.36% features stress. Significantly positive correlations observed whole sample demographic participant scores Depression, Anxiety, Stress DASS-21. Academic workload, social interactions, personal factors, academic environment, financial difficulties as main causes This shows prevalence stress with unique socio-cultural landscape. identified underlying adversely affect provides recommendations address these challenges.
Язык: Английский
Процитировано
0
BMJ Open, Год журнала: 2025, Номер 15(2), С. e082817 - e082817
Опубликована: Фев. 1, 2025
Background During the COVID-19 pandemic, 40 mental health and well-being hubs were funded in England to support social care staff affected by pandemic. Aims To describe characteristics of accessing four for identify associated with clinically significant difficulties work functioning. Method Routinely collected screening data analysed from 1973 individuals across 4 hubs, including health, demographic occupational pandemic-related stressors. Factors identified via logistic regression. Results Most hub clients as white women who worked UK National Health Service; other groups less well represented. Hub reported high levels difficulties: 60% had severe often co-occurring (ie, depression, anxiety, post-traumatic stress disorder or alcohol use) 80% significantly impaired Younger age, disability status, identifying a minority ethnic group, sexual orientations excluding heterosexual higher likelihood having difficulties. Suffering financial loss during prepandemic emotional concerns most consistent factors Conclusions The supported Outreach engagement under-represented should be undertaken address potential barriers service access. findings add knowledge base on needs workforce planning response future crises.
Язык: Английский
Процитировано
0