Frontline Health Care Workers' Mental Health and Well-Being During the First Year of the COVID-19 Pandemic: Analysis of Interviews and Social Media Data.

COVID-19 Collaborative and Digital Analysis of Big Qualitative Data in Time Sensitive Contexts LISTEN method frontline health care workers health services research mental health

Journal

Journal of medical Internet research
ISSN: 1438-8871
Titre abrégé: J Med Internet Res
Pays: Canada
ID NLM: 100959882

Informations de publication

Date de publication:
14 08 2023
Historique:
received: 27 09 2022
accepted: 04 07 2023
revised: 29 06 2023
medline: 15 8 2023
pubmed: 4 7 2023
entrez: 4 7 2023
Statut: epublish

Résumé

The COVID-19 pandemic has shed light on fractures in health care systems worldwide and continues to have a significant impact, particularly in relation to the health care workforce. Frontline staff have been exposed to unprecedented strain, and delivering care during the pandemic has affected their safety, mental health, and well-being. This study aimed to explore the experiences of health care workers (HCWs) delivering care in the United Kingdom during the COVID-19 pandemic to understand their well-being needs, experiences, and strategies used to maintain well-being (at individual and organizational levels). We analyzed 94 telephone interviews with HCWs and 2000 tweets about HCWs' mental health during the first year of the COVID-19 pandemic. The results were grouped under 6 themes: redeployment, clinical work, and sense of duty; well-being support and HCW's coping strategies; negative mental health effects; organizational support; social network and support; and public and government support. These findings demonstrate the need for open conversations, where staff's well-being needs and the strategies they adopted can be shared and encouraged, rather than implementing top-down psychological interventions alone. At the macro level, the findings also highlighted the impact on HCW's well-being of public and government support as well as the need to ensure protection through personal protective equipment, testing, and vaccines for frontline workers.

Sections du résumé

BACKGROUND
The COVID-19 pandemic has shed light on fractures in health care systems worldwide and continues to have a significant impact, particularly in relation to the health care workforce. Frontline staff have been exposed to unprecedented strain, and delivering care during the pandemic has affected their safety, mental health, and well-being.
OBJECTIVE
This study aimed to explore the experiences of health care workers (HCWs) delivering care in the United Kingdom during the COVID-19 pandemic to understand their well-being needs, experiences, and strategies used to maintain well-being (at individual and organizational levels).
METHODS
We analyzed 94 telephone interviews with HCWs and 2000 tweets about HCWs' mental health during the first year of the COVID-19 pandemic.
RESULTS
The results were grouped under 6 themes: redeployment, clinical work, and sense of duty; well-being support and HCW's coping strategies; negative mental health effects; organizational support; social network and support; and public and government support.
CONCLUSIONS
These findings demonstrate the need for open conversations, where staff's well-being needs and the strategies they adopted can be shared and encouraged, rather than implementing top-down psychological interventions alone. At the macro level, the findings also highlighted the impact on HCW's well-being of public and government support as well as the need to ensure protection through personal protective equipment, testing, and vaccines for frontline workers.

Identifiants

pubmed: 37402283
pii: v25i1e43000
doi: 10.2196/43000
pmc: PMC10426381
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e43000

Informations de copyright

©Norha Vera San Juan, Sam Martin, Anna Badley, Laura Maio, Petra C Gronholm, Caroline Buck, Elaine C Flores, Samantha Vanderslott, Aron Syversen, Sophie Mulcahy Symmons, Inayah Uddin, Amelia Karia, Syka Iqbal, Cecilia Vindrola-Padros. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 14.08.2023.

Références

Epidemiol Psychiatr Sci. 2021 Jan 28;30:e15
pubmed: 33504412
Annu Rev Clin Psychol. 2011;7:169-201
pubmed: 21443447
Int J Soc Psychiatry. 2021 Aug;67(5):522-531
pubmed: 32972298
Indian J Psychiatry. 2020 May-Jun;62(3):250-256
pubmed: 32773867
Cochrane Database Syst Rev. 2020 Nov 5;11:CD013779
pubmed: 33150970
J Psychosom Res. 2021 Feb;141:110343
pubmed: 33360329
PLoS One. 2020 Aug 7;15(8):e0237303
pubmed: 32764825
Sociol Health Illn. 2021 Nov;43(9):2156-2177
pubmed: 34706107
J Clin Nurs. 2021 Jun;30(11-12):1684-1693
pubmed: 33616249
Conserv Biol. 2020 Apr;34(2):462-471
pubmed: 31379018
Front Psychol. 2020 Dec 08;11:608986
pubmed: 33363500
BMJ Open. 2020 Nov 5;10(11):e040503
pubmed: 33154060
Front Psychol. 2020 Oct 23;11:569935
pubmed: 33192854
Pak J Med Sci. 2020 May;36(COVID19-S4):S37-S42
pubmed: 32582312
PLoS One. 2020 Nov 18;15(11):e0242538
pubmed: 33206714
J Occup Health Psychol. 2019 Feb;24(1):108-126
pubmed: 30714811
Gen Psychiatr. 2020 Jun 14;33(3):e100259
pubmed: 32596640
BMJ Open. 2022 Jan 7;12(1):e050038
pubmed: 34996785
Future Healthc J. 2020 Oct;7(3):e71-e76
pubmed: 33094261
BJPsych Open. 2021 Jan 07;7(1):e27
pubmed: 33407989
Vaccine. 2022 Dec 5;40(51):7488-7499
pubmed: 34823912
Ann Am Thorac Soc. 2018 Jul;15(7):787-790
pubmed: 29727197
Psychiatry Res. 2020 Nov;293:113441
pubmed: 32898840
Gen Hosp Psychiatry. 2020 Sep - Oct;66:1-8
pubmed: 32590254
Emerg Infect Dis. 2006 Dec;12(12):1924-32
pubmed: 17326946
Australas Psychiatry. 2021 Feb;29(1):26-30
pubmed: 33043677
PLoS One. 2021 Apr 16;16(4):e0238666
pubmed: 33861739
J Affect Disord. 2020 Sep 1;274:405-410
pubmed: 32663970
Palliat Med. 2021 May;35(5):852-861
pubmed: 33775169
Ann Intensive Care. 2021 Jul 10;11(1):106
pubmed: 34245380
Vaccine. 2020 Sep 29;38(42):6627-6637
pubmed: 32788136
BMC Health Serv Res. 2021 Mar 21;21(1):262
pubmed: 33743674
Front Psychiatry. 2021 Sep 01;12:712026
pubmed: 34539464
Int Nurs Rev. 2020 Jun;67(2):164-167
pubmed: 32578249
BJPsych Open. 2020 Dec 29;7(1):e24
pubmed: 33371927
Perspect Psychol Sci. 2022 Mar;17(2):311-333
pubmed: 34597198
BJPsych Open. 2020 Dec 10;7(1):e15
pubmed: 33298229
Int J Environ Res Public Health. 2021 Jan 09;18(2):
pubmed: 33435300
PLoS One. 2021 Nov 29;16(11):e0244415
pubmed: 34843462
PLoS One. 2018 Jun 14;13(6):e0198857
pubmed: 29902270
JMIR Med Inform. 2021 Oct 8;9(10):e29584
pubmed: 34623312
Vaccines (Basel). 2021 Mar 29;9(4):
pubmed: 33805272
J Clin Nurs. 2018 Jul;27(13-14):2691-2698
pubmed: 29856096
JAMA Netw Open. 2020 Mar 2;3(3):e203976
pubmed: 32202646
J Health Soc Behav. 2002 Jun;43(2):207-22
pubmed: 12096700
BMJ. 2020 May 05;369:m1642
pubmed: 32371466
Diagnostics (Basel). 2020 Jun 16;10(6):
pubmed: 32560091
BMC Public Health. 2021 Jan 9;21(1):104
pubmed: 33422039
BMJ Open. 2021 Nov 12;11(11):e050945
pubmed: 34772752
BMJ Open. 2020 Oct 10;10(10):e042030
pubmed: 33040019
Lancet Psychiatry. 2020 Apr;7(4):e15-e16
pubmed: 32085839
J Affect Disord. 2020 Dec 1;277:347-357
pubmed: 32861835
BMJ Open. 2021 Jan 20;11(1):e046199
pubmed: 33472794

Auteurs

Norha Vera San Juan (N)

Rapid Research Evaluation and Appraisal Lab (RREAL), Department of Targeted Intervention, University College London, London, United Kingdom.
Centre for Global Mental Health and Centre for Implementation Science, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Sam Martin (S)

Rapid Research Evaluation and Appraisal Lab (RREAL), Department of Targeted Intervention, University College London, London, United Kingdom.
Ethox Centre, Big Data Institute, University of Oxford, Oxford, United Kingdom.

Anna Badley (A)

Academy Research and Improvement, Solent Trust, Southampton, United Kingdom.
School of Health Sciences, University of Southampton, Southampton, United Kingdom.

Laura Maio (L)

Rapid Research Evaluation and Appraisal Lab (RREAL), Department of Targeted Intervention, University College London, London, United Kingdom.

Petra C Gronholm (PC)

Centre for Global Mental Health and Centre for Implementation Science, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Caroline Buck (C)

Department of Behavioural Science and Health, University College London, London, United Kingdom.

Elaine C Flores (EC)

Centre on Climate Change & Planetary Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Stanford Center for Innovation in Global Health, Stanford Woods Institute for the Environment,, Stanford University, Stanford, CA, United States.

Samantha Vanderslott (S)

Oxford Vaccine Group, Churchill Hospital, University of Oxford, Oxford, United Kingdom.
NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.

Aron Syversen (A)

Institute of Epidemiology and Healthcare, University College London, London, United Kingdom.

Sophie Mulcahy Symmons (SM)

Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.

Inayah Uddin (I)

Division of Psychiatry, Marie Curie Palliative Care Research Department, University College London, London, United Kingdom.

Amelia Karia (A)

Rapid Research Evaluation and Appraisal Lab (RREAL), Department of Targeted Intervention, University College London, London, United Kingdom.

Syka Iqbal (S)

Rapid Research Evaluation and Appraisal Lab (RREAL), Department of Targeted Intervention, University College London, London, United Kingdom.
Department of Psychology, University of Bradford, Bradford, United Kingdom.

Cecilia Vindrola-Padros (C)

Rapid Research Evaluation and Appraisal Lab (RREAL), Department of Targeted Intervention, University College London, London, United Kingdom.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH