Potential strategies for supporting mental health and mitigating the risk of burnout among healthcare professionals: insights from the COVID-19 pandemic
EClinicalMedicine,
Год журнала:
2024,
Номер
71, С. 102562 - 102562
Опубликована: Апрель 6, 2024
Healthcare
professionals
(HCPs)
experienced
prolonged
stressful
conditions
during
the
coronavirus
disease
2019
pandemic,
and
global
situation
(particularly
in
United
Kingdom)
meant
that
they
continue
to
sustain
mental
stress
related
subsequent
cost-of-living
healthcare
budgeting
crises.
The
psychological
toll
on
HCPs
may
lead
increased
staff
attrition,
adversely
impacting
quality
of
patient
care
work
security.
To
help
mitigate
this
impact,
current
evidence
is
strongly
supportive
providers
consistently
adopting
programmes
fostering
improvement
coping
resilience,
facilitating
healthy
lifestyle,
allocating
some
resources
for
therapeutic
strategies
(e.g.
cognitive
behavioural
therapy-based
other
specified
trauma-related
issues)
which
can
be
delivered
by
trained
professionals.
We
approaches
are
not
a
one-size-fits-all
strategy,
we
also
highlight
need
encourage
treatment-seeking
among
those
who
it.
These
highly
relevant
employers
policymakers
support
all
settings
marked
periods
stress.
investment
these
expected
only
reduce
attrition
long-term,
but
likely
add
cost-effectiveness
overall
budgetary
allocation.
Язык: Английский
Proposing the Integrated Pathway Model of Moral Injury (IPM-MI): A Moderated Mediation Analysis of Moral Injury Among Secure Mental Healthcare Staff
Issues in Mental Health Nursing,
Год журнала:
2025,
Номер
unknown, С. 1 - 16
Опубликована: Март 11, 2025
Moral
injury
is
a
prevalent
issue
for
secure
mental
healthcare
staff,
though
understanding
of
the
underlying
mechanisms
limited.
This
multi-study
paper
explores
several
developmental,
cognitive
and
emotional
pathways
to
moral
associated
wellbeing
outcomes.
Frontline
support
staff
from
services
were
recruited
two
cross-sectional
studies
(n
=
527
n
325,
respectively),
completed
questionnaires.
In
first
study,
findings
indicated
serial
mediating
effect
childhood
trauma
symptoms,
early
maladaptive
schemas,
metacognitions
in
pathway
between
exposure
potentially
morally
injurious
events
symptoms.
Moderating
effects
social
organisational
also
apparent.
Findings
study
supported
psychological,
somatic
functional
outcomes,
which
mediated
by
negative
schema,
with
limited
expressive
suppression.
alexithymia
on
noted.
The
results
developmental-cognitive
model
account
development
adverse
well-being
outcomes
staff.
Drawing
wider
literature,
Integrated
Pathway
Model
Injury
(IPM-MI)
proposed
discussed,
offering
novel
theoretical
that
may
inform
potential
prevention
intervention
strategies.
Язык: Английский
Covid-19 pandemic? Mental health implications among nurses and Proposed interventions
AIMS Public Health,
Год журнала:
2024,
Номер
11(1), С. 273 - 293
Опубликована: Янв. 1, 2024
<abstract><sec>
<title>Background</title>
<p>With
its
abrupt
and
huge
health
socio-economic
consequences,
the
coronavirus
disease
(COVID-19)
pandemic
has
led
to
a
uniquely
demanding,
intensely
stressful,
even
traumatic
period.
Healthcare
workers
(HCW),
especially
nurses,
were
exposed
mental
challenges
during
those
challenging
times.</p>
</sec><sec>
<title>Objectives</title>
<p>Review
current
literature
on
problems
among
nurses
caring
for
COVID-19
patients.</p>
<title>Methods</title>
<p>This
is
narrative
review
critical
evaluation
of
relevant
publications.</p>
<title>Results</title>
<p>Nurses
experienced
higher
levels
stress,
burnout,
anxiety,
depression,
frustration,
stigma,
depersonalization
compared
other
HCW.
Factors
that
increased
this
symptomatology
included
concerns
about
infection
or
family
members,
inadequate
staff
protective
equipment,
extended
working
hours,
insufficient
information,
reduced
sense
security,
post-traumatic
stress
disorder.
The
factors
improved
psychopathology
general
positive
attitude,
job
satisfaction,
adequate
information
education,
harmonious
group
relationships,
development,
emotional
intelligence,
psychological
counseling,
mindfulness-based
reduction,
stable
leadership,
guidance,
moral
practical
administrative
support.</p>
<title>Conclusions</title>
<p>Recent
studies
clearly
show
women,
are
most
vulnerable
subgroup
HCW
particularly
prone
impacts
pandemic.
documented
vulnerability
frontline
nursing
requires
preventive
management
actions
increase
resilience
develop
defense
mechanisms.</p>
</sec></abstract>
Язык: Английский
Defining and identifying potentially morally injurious experiences for secure mental healthcare workers: a Delphi study
Journal of Criminological Research Policy and Practice,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 26, 2024
Purpose
Staff
in
secure
mental
health-care
settings
face
unique
occupational
challenges
that
may
conflict
with
their
personal
or
professional
moral
code.
Initial
research
has
established
the
presence
of
injury
this
population,
though
insight
into
specific
sources
and
driving
factors
at
root
syndrome
is
limited.
The
purpose
study
was
to
identify
potentially
morally
injurious
events
associated
risk
for
healthcare
staff.
Design/methodology/approach
To
address
gap,
a
three-round
expert
Delphi
survey
conducted
gain
consensus
on
conceptualisation,
types
drivers
experiences
(PMIEs)
workers.
Health-care
professionals
academics
field
were
recruited.
Findings
A
high
level
(=
80%)
achieved
several
injury,
which
related
aspects
system,
context,
relational
dynamics
individual
practices,
behaviours
attitudes.
Experts
also
agreed
items
relating
definition
PMIE,
occurrence
PMIEs
increasing
subsequent
development
injury.
Practical
implications
findings
suggest
current
definitions
may,
isolation,
be
too
narrow,
prompting
need
attend
broad
range
experienced
by
In
addition,
recommendations
primary
secondary
prevention
staff
are
offered,
recognising
particular
intervention
systemic
level.
Originality/value
best
authors’
knowledge,
first
consider
faced
providing
people
complex
forensic
health
needs.
Язык: Английский
Prevalence and influencing factors of suicidal ideation among doctors and nurses during the surge period of the COVID-19 pandemic in China: a multicenter cross-sectional study
QJM,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 3, 2024
Abstract
Background
From
November
2022
to
February
2023,
China
has
experienced
a
surge
period
of
COVID-19
pandemic
and
doctors
nurses
working
in
hospitals
have
suffered
from
serious
psychological
crisis
because
the
medical
crowding,
which
may
result
occurrence
suicidal
ideation
(SI).
This
study
aims
explore
prevalence
influencing
factors
SI
during
this
phase.
Methods
A
multicenter
cross-sectional
was
conducted
5
January
2023
9
2023.
Data
were
collected
by
online
questionnaires,
with
measured
single
item.
Ordinal
logistic
regression
analysis
stratified
analyses
preformed
identify
factors.
Results
total
5696
retained
for
further
analysis,
25.28%
reporting
Participants
experiencing
anxiety
symptoms
or
supporting
other
departments
treating
patients
more
likely
report
SI.
Additionally,
higher
levels
resilience,
mindfulness,
perceived
social
support
protective
against
Conclusion
During
phase,
over
quarter
SI,
should
be
great
concern.
Tailored
interventions
implemented
alleviate
among
when
new
infectious
diseases
outbreak
future.
Язык: Английский
Investigating the Effectiveness of the Health-promoting Lifestyle Educational Program on Suicidal Thoughts in Healthcare Workers
The Open Public Health Journal,
Год журнала:
2024,
Номер
17(1)
Опубликована: Ноя. 25, 2024
Background
Suicide
is
a
crisis,
and
its
occurrence
in
healthcare
workers
(HCWs)
special
challenge
that
requires
urgent
interventions.
Aim
This
study
was
conducted
to
determine
the
effectiveness
of
health
promotion
lifestyle
training
program
on
suicidal
thoughts
HCWs.
Methods
one-sample
longitudinal
using
multi-stage
sampling
method
248
providers
2023.
In
first
stage,
Beck
scale
used
measure
thoughts,
DASS-21
depression,
anxiety,
stress.
second
individuals
with
were
placed
separate
group,
educational
intervention
continued
for
them.
The
protocol
provided
this
group
as
program,
researchers
followed
up
implementation
95
days.
third
after
completion
intervention,
once
again
target
group.
Data
analyzed
SPSS-25
statistical
software.
Results
27.8%
participants
had
7.66%
represented
high-risk
ideation,
20.1%
low-risk
ideation.
69
HCWs
who
Health-Promoting
Lifestyle
Education
Program
percentage
people
high
risk
ideation
decreased
from
4.03%
(
p
<0.05),
13.30%
<0.05).
Conclusion
Health
programs
can
be
an
effective
improving
mental
indicators
reducing
Язык: Английский
Suicide risk factors among Lithuanian medical doctors and residents
Archives of Public Health,
Год журнала:
2024,
Номер
82(1)
Опубликована: Дек. 24, 2024
Abstract
Background
Medical
doctors
and
residents
are
regularly
exposed
to
multiple
stressors
that
may
lead
mental
health
problems.
Work-related
contribute
elevated
levels
of
psychological
distress,
anxiety,
depression
among
care
workers.
This
is
the
first
investigation
evaluating
suicidal
behaviour
thoughts
Lithuanian
medical
various
professional
at
two
years
after
start
COVID-19
pandemic.
The
aim
study
was
evaluate
suicidality
factors
associated
with
high
suicide
risk
in
a
large
sample
residents.
Methods
research
included
685
participants
who
completed
an
online
questionnaire
over
two-month
period
December
2021
January
2022.
from
all
specialties
were
invited
participate
survey.
most
common
their
work
environment
measured.
Mental
assessed
using
Depression,
Anxiety
Stress
Scale-21
(DASS-21)
scale,
measured
Suicidal
Behaviors
Questionnaire-Revised
(SBQ-R).
Results
lifetime
found
30.4%
sample.
Moreover,
11.4%
identified
as
having
previous
or
current
planning
ideation,
2.5%
reported
attempt.
Univariate
analysis
showed
younger
age,
no
long-term
relationships,
shorter
experience,
career
change
higher
poor
working
conditions,
direct
contact
patients,
lack
perspectives,
exposure
mobbing
exhaustion
statistically
significant
for
suicidality.
Furthermore,
regression
supported
relationship,
depression,
anxiety
Conclusion
We
out
almost
one-third
had
ideations
behaviours
level.
Main
health,
work-related
stressors,
relationships.
results
can
help
develop
prevention
strategies
by
identifying
populations
be
problems
provide
evidence
implementing
specific
interventions
address
healthcare
Язык: Английский