Hopelessness, helplessness and resilience: The importance of safeguarding our trainees' mental wellbeing during the COVID-19 pandemic

Shaw, Sebastian C K

doi:10.1016/j.nepr.2020.102780

Cited by 153 publications

(157 citation statements)

References 7 publications

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“…During the early stages of the Covid-19 epidemic, many researchers reported the need to provide interventions to support the mental health of people affected by the Covid-19 crisis [ 15 , 16 , 19 , 87 , 88 ], in particular for healthcare workers [ 18 , 89 , 90 , 91 ] and patients with the Covid-19 infection [ 92 , 93 ]. For this purpose, many scholars suggested the use of mindfulness interventions [ 94 , 95 , 96 , 97 ].…”

Section: Discussionmentioning

confidence: 99%

Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy

Matiz

Fabbro

Paschetto

et al. 2020

IJERPH

164

133

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The Covid-19 pandemic and subsequent public health measures were shown to impact negatively on people’s mental health. In particular, women were reported to be at higher risk than men of developing symptoms of stress/anxiety/depression, and resilience was considered a key factor for positive mental health outcomes. In the present study, a sample of Italian female teachers (n = 66, age: 51.5 ± 7.9 years) was assessed with self-report instruments one month before and one month after the start of the Covid-19 lockdown: mindfulness skills, empathy, personality profiles, interoceptive awareness, psychological well-being, emotional distress and burnout levels were measured. Meanwhile, they received an 8-week Mindfulness-Oriented Meditation (MOM) course, through two group meetings and six individual video-lessons. Based on baseline personality profiles, analyses of variance were performed in a low-resilience (LR, n = 32) and a high-resilience (HR, n = 26) group. The LR and HR groups differed at baseline in most of the self-report measures. Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels. Improvements in depression and psychological well-being were higher in the LR vs. HR group. We conclude that mindfulness-based training can effectively mitigate the psychological negative consequences of the Covid-19 outbreak, helping in particular to restore well-being in the most vulnerable individuals.

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Section: Discussionmentioning

confidence: 99%

Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy

Matiz

Fabbro

Paschetto

et al. 2020

IJERPH

164

133

View full text Add to dashboard Cite

show abstract

“…Different governments have taken unprecedented measures in order to safeguard the health of their citizens, measures that have meant a decrease in social contact and the isolation, even involuntary, of large sectors of the population (Usher et al, 2020). It has been observed that these measures led to an increase of fear (Ornell et al, 2020), anxiety (Peteet, 2020), depressive symptoms (Stein, 2020), hopelessness (Shaw, 2020) and adjustment disorders. These circumstances have already been described in countries where the situation has overwhelmed the health system (Kang et al, 2020; Mantica et al, 2020; Mowbray, 2020; Sindhu & Gupta, 2020), as well as in those areas where disease outbreaks were contained (Ho et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Spanish version of the Fear of COVID-19 Scale (FCV-19S)

Barrios

Ríos-González

O’Higgins

et al. 2020

Preprint

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Globally, mental health impairments have been described based on the fear of the infection generated by the COVID-19 pandemic. The aim of this study is to test the psychometric properties of the Spanish validation the Fear of COVID-19 Scale (FCV-19S), which has been recently developed to measure fear quantitatively. Participants were recruited through an Internet-based survey. 1077 subjects were included. To establish construct validity, an exploratory factor analysis was performed using the KMO test, which was adequate, and the Bartlett sphericity test, which was significant (p <.0001). The CFI, NFI, GFI, TLI and RMSEA indices were used to evaluate the model and showed good adjustment. Cronbach’s alpha showed valid internal consistency (α=0.86). This validation is supported by significant correlation (p <.001) with the HADS scale for anxiety and depression and with the Fear Questionnaire scale for specific phobia. In conclusion, the Spanish version of the FCV-19S is a 7-item scale with two dimensions, psychological symptoms (items 1, 2, 4, and 5) and physiological symptoms (items 3, 6, and 7) with robust psychometric properties.

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“…Preceptorship is a time of capacity-building for self-reliance, clinical confidence, and interprofessional identity. Shaw (2020) draws attention to the vulnerability of trainees whose sense of self-efficacy hinges on positive clinical experiences and reinforcement by other team members. The COVID-19 outbreak has had the effect of undercutting these experiences, pushing students back to watching passively from the sidelines.…”

Section: Discussionmentioning

confidence: 99%

“…Whether placed in rural or urban settings, health sciences students confront an equally uncertain future, at least for the short term. The suspension of all clinical learning, especially for students nearing licensure, may engender hopelessness, helplessness, and long-term psychosocial harm ( Shaw, 2020 ). Helplessness —the learned response that “their fate is out of their control” (p. 2) —has the most troubling implications, insofar as it may shatter self-confidence and self-reliance, carefully nurtured over months by preceptors and other staff members in the clinical environment.…”

Section: Introductionmentioning

confidence: 99%

Crisis and continuity: Rural health care students respond to the COVID-19 outbreak

Jackman

Yonge

Myrick

et al. 2020

Nurse Education in Practice

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The COVID-19 outbreak in Winter (2020) has caused widespread disruption for health sciences students undergoing clinical placements—vital periods of experiential learning that cannot be substituted with distance alternatives. For students placed in rural areas, already coping with isolation, precarious supply chains and shortages of essential personnel, the effects of the COVID-19 outbreak may have far-reaching implications for psychosocial wellness, self-efficacy and clinical judgment. Four nursing and eight medical students ( n = 12) supplied photographs and commentary documenting the experience of withdrawing suddenly from clinical sites in rural Alberta. Collaborative, thematic analysis revealed continuities between pre- and post-outbreak life, both for the students and their rural hosts. Social determinants of health such as seclusion, environmental hazards, and health-seeking behaviors carried over and compounded the effects of the outbreak on the placement communities and clinical sites. Other continuities included the reliance on technology for clinical and social connectivity, and capitalizing on natural settings to cope with isolation and confinement. Prolonged liminality, lack of closure, and the loss of team identity were the greatest stressors brought on by the suspension of clinical activities. However, the participants felt well equipped to deal with these circumstances through the resilience, adaptability, and community ethos acquired during their placements.

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Hopelessness, helplessness and resilience: The importance of safeguarding our trainees' mental wellbeing during the COVID-19 pandemic

Cited by 153 publications

References 7 publications

Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy

Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy

Psychometric properties of the Spanish version of the Fear of COVID-19 Scale (FCV-19S)

Crisis and continuity: Rural health care students respond to the COVID-19 outbreak

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