Let us do better: learning lessons for recovery of healthcare professionals during and after COVID-19

Murray, Esther; Kaufman, Kenneth R.; Williams, Richard

doi:10.1192/bjo.2021.981

Cited by 24 publications

(27 citation statements)

References 37 publications

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“…Our conclusion is that it is very important for all of the agencies to come together well before any incident, to agree a comprehensive plan using a tripartite framework as published by Murray et al, 52 that provides a way of understanding and responding to the many psychosocial and mental health effects of critical incidents. These interventions fall into the categories of supporting the well-being of everyone affected (the Wellbeing Agenda); providing support and focused psychosocial interventions to meet the needs of people who are struggling or have become distressed, but who do not reach the threshold for specialist mental health assessment and treatment (the Psychosocial Agenda); and identifying, assessing and meeting the needs of a smaller number of people who may develop conditions that require specialist mental health assessment and, possibly, treatment (the Mental Health Agenda).…”

Section: Discussionmentioning

confidence: 95%

People’s experiences of distress and psychosocial care following a terrorist attack: interviews with survivors of the Manchester Arena bombing in 2017

et al. 2022

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Background Distress after major incidents is widespread among survivors. The great majority do not meet the criteria for mental health disorders and rely on psychosocial care provided by their informal networks and official response services. There is a need to better understand their experiences of distress and psychosocial care needs. Aims The aims of our study were to enhance understanding of the experience of distress among people present at the Manchester Arena bombing in 2017, identify their experiences of psychosocial care after the incident and learn how to better deliver and target effective psychosocial care following major incidents. Method We conducted a thematic analysis of semi-structured interviews with 18 physically non-injured survivors of the Manchester Arena attack, who registered with the NHS Manchester Resilience Hub. Results Distress was ubiquitous, with long-lasting health and social consequences. Initial reluctance to seek help from services was also common. Early and open access to authoritative sources of information and emotional support, and organised events for survivors, were viewed as helpful interventions. Inappropriate forms of psychosocial and mental healthcare were common and potent stressors that affected coping and recovery. Conclusions This paper extends our understanding of how people react to major events. Provision for the large group of people who are distressed and require psychosocial care may be inadequate after many incidents. There is a substantial agenda for developing awareness of people's needs for psychosocial interventions, and training practitioners to deliver them. The findings have substantial implications for policy and service design.

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Section: Discussionmentioning

confidence: 95%

People’s experiences of distress and psychosocial care following a terrorist attack: interviews with survivors of the Manchester Arena bombing in 2017

et al. 2022

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“…At the moment of returning to work, difficulties can be faced by those who have been affected by COVID-19 and have experienced physical and psychological disturbances as well as the reorganization of work, the loss of productivity, and the reduced ability to work [ 18 ]. In this current scenario, it is important to deeply understand the experience of HCWs affected by COVID-19 who return to work, to support their occupational health and well-being [ 19 , 20 ], and also to identify at-risk groups.…”

Section: Introductionmentioning

confidence: 99%

Return to Work of Healthcare Workers after SARS-CoV-2 Infection: Determinants of Physical and Mental Health

Grazzini

Lulli

Mucci

et al. 2022

IJERPH

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Introduction. The SARS-CoV-2 pandemic has involved healthcare workers (HCWs) both as caregivers and as patients. This study is a retrospective cross-sectional analysis of the HCWs working in a third-level hospital in Central Italy who were infected with COVID-19 from March 2020 to April 2021. This research aims at identifying the physical and mental health outcomes of HCWs infected with COVID-19 who returned to work after the infection, the determinants of those outcomes, such as age and sex, and the identification of possible vulnerable professional groups. Methods. A questionnaire about the acute illness, the experience of returning to work, and health perceptions after the disease was administered to 427 healthcare workers 3 months after recovering from the SARS-CoV-2 infection. Results. The majority interviewed (84.5%) reported symptoms at the time of the positive test, with no significant differences regarding age or sex, while a significant difference in the mean age was found regarding hospitalization (p < 0.001). At 3 months after the infection, females (p = 0.001), older workers (p < 0.001), and healthcare assistants (p < 0.001) were more likely to report persistent symptoms. Sex (p = 0.02) and age (p = 0.006) influenced the quality of sleep after the infection. At work, the nurses group reported increase in workload (p = 0.03) and worse relationships (p = 0.028). At 3 months after the infection, female workers perceived worse physical (p = 0.002) and mental (p < 0.001) health status according to the SF-12. A negative correlation was found between age and PCS score (p < 0.001) but not MCS score (p = 0.86). A significant difference in PCS score was found between nurses and physicians (p = 0.04) and between residents and all other groups (p < 0.001). Finally, the group of workers reporting sleep alterations showed lower PCS and MCS scores (p < 0.001) and working relationships had an impact on MCS scores (p < 0.001). Conclusions. Age, sex, and type of job had an impact on physical and mental outcomes. Organizing specific interventions, also tailored to professional sub-groups, should be a target for healthcare systems to protect and boost the physical and mental health of their workers.

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“…The COVID-19 pandemic allows us to answer this unsolved question. Therefore, scholars are calling for more relevant evidence to support healthcare workers who returned to work after recovering from COVID-19 to improve their well-being now and in the future ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring the Experience of Healthcare Workers Who Returned to Work After Recovering From COVID-19: A Qualitative Study

et al. 2021

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Background: To date, a large body of literature focuses on the experience of healthcare providers who cared for COVID-19 patients. Qualitative studies exploring the experience of healthcare workers in the workplace after recovering from COVID-19 are limited. This study aimed to describe the experience of healthcare workers who returned to work after recovering from COVID-19.Methods: This study employed a qualitative descriptive approach with a constructionist epistemology. Data were collected through semi-structured in-depth interviews with 20 nurses and physicians, and thematic analysis was used to identify themes from the interview transcripts.Results: Three major themes about the psychological experiences of healthcare workers who had recovered from COVID-19 and returned to work were identified: (1) holding multi-faceted attitudes toward the career (sub-themes: increased professional identity, changing relationships between nurses, patients, and physicians, and drawing new boundaries between work and family), (2) struggling at work (sub-themes: poor interpersonal relationships due to COVID-19 stigma, emotional symptom burden, physical symptom burden, and workplace accommodations), (3) striving to return to normality (sub-themes: deliberate detachment, different forms of social support in the workplace, and long-term care from organizations).Conclusions: The findings have highlighted opportunities and the necessity to promote health for this population. Programs centered around support, care, and stress management should be developed by policymakers and organizations. By doing this, healthcare workers would be better equipped to face ongoing crises as COVID-19 continues.

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Let us do better: learning lessons for recovery of healthcare professionals during and after COVID-19

Cited by 24 publications

References 37 publications

People’s experiences of distress and psychosocial care following a terrorist attack: interviews with survivors of the Manchester Arena bombing in 2017

People’s experiences of distress and psychosocial care following a terrorist attack: interviews with survivors of the Manchester Arena bombing in 2017

Return to Work of Healthcare Workers after SARS-CoV-2 Infection: Determinants of Physical and Mental Health

Exploring the Experience of Healthcare Workers Who Returned to Work After Recovering From COVID-19: A Qualitative Study

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