British Journal of Anaesthesia, Год журнала: 2023, Номер 131(1), С. e13 - e16
Опубликована: Апрель 3, 2023
Язык: Английский
Intensive and Critical Care Nursing, Год журнала: 2022, Номер 74, С. 103313 - 103313
Опубликована: Авг. 22, 2022
To determine the impact of second surge COVID-19 pandemic (October 2020 to June 2021) on mental well-being intensive care unit nurses and factors associated with health outcomes. An online survey was available for Dutch in October 2021, measuring symptoms; anxiety, depression (Hospital Anxiety Depression Scale), post-traumatic stress disorder (Impact Event Scale-6). Additionally, work-related fatigue measured using Need For Recovery-11 questionnaire. Previous data from first (March until 2020) were used study longitudinally a subgroup nurses. Logistic regression analyses performed symptoms. In total, 589 (mean age 44.8 [SD, 11.9], 430 [73.8 %] females) participated, whom 164 also completed questionnaire 2020. After surge, 225/589 (38.2 %) experienced one or more symptoms 294/589 (49.9 fatigue. Compared measurement, occurrence remained high (55/164 [33.5 vs 63/164 [38.4 %], p = 0.36) significantly higher (66/164 [40.2 83/164 [50.6 0.02). Granted holidays as requested (aOR, 0.54; 95 % CI, 0.37–0.79), being confident about future 0.59; 0.37–0.93) better perceived work-life balance 0.42; 0.27–0.65) less The further drained reserves nurses, resulting
Язык: Английский
Процитировано
18
Current Opinion in Critical Care, Год журнала: 2022, Номер 28(6), С. 686 - 694
Опубликована: Окт. 18, 2022
Purpose of review We aim to describe the extent psychological trauma and moral distress in healthcare workers (HCW) working intensive care unit (ICU) during coronavirus disease 2019 (COVID-19) pandemic. Specifically, we reports on prevalence mental health symptoms, highlight vulnerable populations summarize modifiable risk factors associated with symptoms ICU HCW. Recent findings The pandemic has resulted a multitude closely intertwined professional personal challenges for High rates posttraumatic stress disorder (14–47%), burnout (45–85%), anxiety (31–60%), depression (16–65%) have been reported, these are often interrelated. Most studies suggest that nurses female HCW at highest developing symptoms. main concerns reporting among were worries about transmitting COVID-19 their families, own health, witnessing colleagues contract disease, experiencing stigma from communities. Major work-related poor communication supervisors, perceived lack support administrative leadership, insufficient access protective equipment, inability rest, hasty end-of-life decisions, restriction family visitation policies. Summary severely impacted worldwide. trauma, manifesting as disorder, burnout, anxiety, depression, is substantial concerning. Urgent action by lawmakers administrators required protect sustain healthy workforce.
Язык: Английский
Процитировано
17
Frontiers in Psychology, Год журнала: 2024, Номер 15
Опубликована: Фев. 20, 2024
Background The unprecedented rapid re-deployment of healthcare workers from different care pathways into newly created and fluid COVID-19 teams provides a unique opportunity to examine the interaction many established non-technical factors for successful delivery clinical teamwork in settings. This research paper therefore aims address these gaps by qualitatively exploring impact COVID work throughout pandemic on permanent deployed personnel’s experiences, their ability effectively together, effect social dynamics (e.g., cohesion, support) mental health. Methods Seventy-five interviews were conducted across UK between March December 2021 during wave 2 3 with 75 who either staff Intensive Care/High Dependency Units used as wards, had been rapidly such ward, or managed wards. Work Life Balance was measured using WLB Scale. Interview transcripts coded thematic codes compared network graph modeling. Results Using analysis, four overarching clusters found, (1) teamwork, (2) organizational support management, (3) cohesion support, (4) psychological strain. study has three main findings. First, importance health, whereby team identity may influence perceptions preparedness, collaboration communication, collective appraisal stressful events stressors. Secondly, it demonstrates positive negative professional roles skills development identity. Lastly identifies more pronounced workload, career intentions, exacerbated reduced levels during, after, deployment. Conclusion analysis able highlight that traditional associated patient impeded constraints, markedly influencing together cope In this environment well-being appear depend relational context, group membership, psycho-social related managing While results hold lessons personnel selection, training, co-location, after pandemic, further is needed differential deployment HCWs health teamwork.
Язык: Английский
Процитировано
2
BMC Health Services Research, Год журнала: 2024, Номер 24(1)
Опубликована: Апрель 4, 2024
Abstract Background NHS England funded 40 Mental Health and Wellbeing Hubs to support health social care staff affected by the COVID-19 pandemic. We aimed document variations in how national guidance was adapted local contexts of four North England. Methods used a modified version Price’s (2019) service mapping methodology. Service level data were inform analysis. A template from range tools, including European Mapping Schedule, reviewed Hub leads. Key included model; staffing; interventions. Data collected between March 2021 – 2022 site research assistants. Findings accuracy-checked leads, logic model developed theorise may effect change. Results goals models closely reflected guidance; offering: proactive outreach; team-based support; clinical assessment; onward referral, rapid access mental (in-house external). Implementation context client group with high need, waiting times at external services. predominantly staffed experienced clinicians, manage these presentations organisational working. Formulation-based psychological assessment provision direct therapy not core functions model, however all incorporated adaptations into their response contexts, such as extensive lists within services, and/or falling gaps existing provision. Finally, standalone records system seen important reassure users confidentiality. Other more nuanced variation depended on localised contexts. Conclusion This study provides map for setting up emphasising early understandings new services will integrate systems. Local regional led configuration. Whilst additional are supported available literature, further is needed determine whether should comprise essential components wellbeing moving forward. Future also comparative effectiveness components, limits permissible variation. Study registration researchregistry6303.
Язык: Английский
Процитировано
2
Sexuality Research and Social Policy, Год журнала: 2024, Номер 21(3), С. 1086 - 1099
Опубликована: Май 9, 2024
Abstract Introduction The acute phase of the COVID-19 pandemic impacted sexual function and mental health healthcare workers worldwide. However, extent to which health, including its relational dimension, was affected among different services protective coping strategies employed at that time is currently unclear. present study aimed investigate these two issues, exploring for first role meaning-centered on health. Method sample consisted 109 divided into groups: a high-exposure group (Intensive Care Unit service, 63 participants) low-exposure (gynecology, obstetrics, pediatrics services, 46 participants). One year after onset pandemic, participants completed an online survey comprised sociodemographic exposure variables, Depression Anxiety Stress Scale, New Sexual Satisfaction Scale-Short Form, Meaning-Centered Coping Scale. Results (1) High-exposure reported more anxiety depressive symptoms, (2) anxiety, depression stress were associated with decreased (3) higher decrease in their (4) levels coping, (5) predicted both groups. Policy Implications Various pose distinct risks regarding detrimental effects collective crises therefore they should be differently treated. promotion sensible policy improve preparedness contexts, especially vulnerable subpopulations.
Язык: Английский
Процитировано
2
Sociology of Health & Illness, Год журнала: 2023, Номер 46(3), С. 361 - 380
Опубликована: Сен. 13, 2023
Abstract In this article, we take forward sociological ways of knowing care‐in‐practice, in particular work critical care. To do so, analyse the experiences staff working care during first wave COVID‐19 pandemic UK. This moment exception throws into sharp relief which and place were reconfigured conditions surge, shows how depends at all times on co‐constitution place, practices relations. Our analysis draws anthropological material culture health its sensory instantiations. Pursuing through a study 40 across four intensive units (ICUs) 2020, provide an empirical theoretical elaboration body are mutually co‐constitutive. We argue that ICU does not exist independently constant embodied place‐making iteratively constitute as total system
Язык: Английский
Процитировано
5
Journal of the Academy of Nutrition and Dietetics, Год журнала: 2024, Номер unknown
Опубликована: Июль 1, 2024
Язык: Английский
Процитировано
1
BMC Psychology, Год журнала: 2024, Номер 12(1)
Опубликована: Авг. 7, 2024
Working on the frontline during COVID-19 pandemic has been associated with increased risk to mental health and wellbeing in multiple occupations contexts. The current study aimed provide an insight into rate of probable problems amongst United Kingdom (UK) Government employees who contributed response whilst working from home, ascertain what factors constructs, if any, influence sample population.
Язык: Английский
Процитировано
1
Scientific Reports, Год журнала: 2024, Номер 14(1)
Опубликована: Сен. 12, 2024
Язык: Английский
Процитировано
1
Health and Social Care Delivery Research, Год журнала: 2024, Номер unknown, С. 1 - 164
Опубликована: Сен. 1, 2024
Background Resilience Hubs provide mental health screening, facilitation of access and direct provision psychosocial support for social care keyworkers in England affected by the coronavirus disease 2019 pandemic. Aim To explore implementation Hubs, including characteristics staff using services, accessed, costing data a range stakeholder perspectives on barriers enablers to Hub use well-being within context Design Mixed-methods evaluation. Setting Four Hubs. Methods Findings were integrated via mixed-method case studies, including: analyses screening ( N = 1973); follow-up questionnaire 299) service status clients; economic information provided Hubs; 63 interviews with staff, wider stakeholders, clients who did not Results consistent across workstreams. Most NHS staff. Under-represented groups included men, from minority ethnic communities, homes emergency services Clients reported comorbid needs multiple domains (anxiety; depression; post-traumatic stress; alcohol use; functioning). Their was lower than population norms relevant pre-pandemic data. Several factors predicted higher needs, but having emotional concerns one most robust predictors need. Sixty per cent participants completed questionnaires receiving since which directly or indirectly due support. High levels satisfaction reported. As many staffing central component cost. predominantly staffed senior clinicians; this model generally severe difficulties experienced need systemic/team-based working. Costs associated low, may be accessing general. Enablers included: clear understanding how self-refer, managerial Barriers confusion between other support; unhelpful beliefs about job roles, unsupportive managers, negative workplace cultures caused systemic issues. Some highlighted perceived further diversity cultural competency training improve reach under-represented communities. Other these prior experiences structural inequalities stigma. stakeholders had around growing waiting times Hub-provided therapy, insufficient usage outcomes. Feedback otherwise very positive. Limitations Main limitations lack comparative pre-pandemic/baseline data, small numbers limiting fine-grained analysis, participant self-selection. Conclusions value outreach, navigation during pandemic, as potential respond future crises. The research recommendations promotion, equality/diversity/inclusion issues, management specialist resources collection outcomes activities. Broader primary prevention system are made, individual offers should an adjunct to, replacement for, resolutions challenges. Research made conduct more evaluations clinical cost-effectiveness larger sets Study registration This study is registered researchregistry6303. Funding award funded National Institute Health Care (NIHR) Social Delivery programme (NIHR ref: NIHR132269) published full ; Vol. 12, No. 29. See NIHR Awards website information.
Язык: Английский
Процитировано
1