Schwartz rounds for healthcare personnel in coping with COVID-19 pandemic

Saniasiaya, Jeyasakthy; Ramasamy, Kuganathan

doi:10.1136/postgradmedj-2020-137806

Cited by 11 publications

(10 citation statements)

References 5 publications

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“…Schwartz Rounds have been previously proven effective in improving HCW patient compassion, teamwork, and psychosocial well-being. Experts have suggested that shorter interval Schwartz Round-like interventions could improve HCW mental health during the COVID-19 pandemic [ 32 , 33 ]. A medical institution in NYC created a peer support program closely resembling the Schwartz Rounds structure.…”

Section: Resultsmentioning

confidence: 99%

COVID-19 Pandemic Support Programs for Healthcare Workers and Implications for Occupational Mental Health: A Narrative Review

et al. 2021

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This narrative review aims to summarize initiatives developed during the COVID-19 pandemic to support healthcare workers’ emotional well-being within the context of a pre-existing framework of occupational mental health guidelines. This occupational mental health framework integrates principles from multiple disciplines to optimize prevention and management of mental health issues among employees. We conducted an online search on Medline/PubMed, Cochrane Library, and Embase for studies that reported on design or execution of medical institution-based interventions, aiming to support healthcare worker mental health during the COVID-19 pandemic. Inclusion criteria was intentionally broad in order to incorporate as many types of interventions at varying stages of development or evaluation. We included 31 studies in our review that reported on newly designed psychological support interventions for healthcare workers (HCW) during the COVID-19 pandemic. We found that most programs commonly supported HCW mental health through offering one or more of the following initiatives: expanded basic need resources/services, additional workplace training programs that bolstered professional preparedness while also indirectly boosting HCW emotional health, and/or expanded psychological support programs, such as peer support programs, psychoeducational or counseling services. Most programs, however, did not consider methods to ensure program longevity or sustainability. The COVID-19 pandemic has underscored the acuity of HCW mental health issues and is likely to leave long lasting mental health strains among HCW. This pandemic is a critical point in time to catalyze much needed progress in reducing stigma and expanding HCW mental health care access.

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Section: Resultsmentioning

confidence: 99%

COVID-19 Pandemic Support Programs for Healthcare Workers and Implications for Occupational Mental Health: A Narrative Review

et al. 2021

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“…Nonetheless, those SR successes occurred during nonpandemic times and contradictory evidence exists; Dawson et al 25 found that SR did not improve compassion, engagement, or reflection although SR reduced psychological distress among UK nurses ( N = 274). Reports of SR modifications and outcomes within the COVID‐19 context are limited 26,27 …”

Section: Discussionmentioning

confidence: 99%

“…Reports of SR modifications and outcomes within the COVID-19 context are limited. 26,27 Like SR, CR might have improved professional QOL under nonpandemic circumstances. At baseline these respondents reported less BO than a national prepandemic sample of physicians and nurses 11 ;…”

Section: Discussionmentioning

confidence: 99%

Effect of compassion rounds on nurses' professional quality of life on a COVID‐19 unit

Bhatnagar

Highfield

2022

Nursing Forum

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Introduction Evidence suggests that support groups enhance nurses' professional quality of life (QOL), and positive professional QOL is associated with better patient and nurse outcomes. This study examined the effect of a unit‐level support group on the professional QOL of nurses working on a progressive care unit‐turned‐dedicated‐COVID‐19 unit. Aim We hypothesized that a professionally facilitated Compassion Rounds (CR) support group would improve compassion satisfaction (CS) and reduce compassion fatigue (CF) among COVID‐19 unit nurses. Methods For this pre/post, within‐group trial we recruited an inclusive, convenience sample of 84 nurses on a COVID‐19 unit within a 377‐bed, Magnet®‐designated hospital. The 10‐week, CR consisted of biweekly meetings, and the ProQOL version 5 measured pre/post CS and CF. Results Paired t‐testing showed that CS scores fell after CR (n = 10; p = .005), while scores rose for CF burnout (p = .05) and secondary traumatic stress (p = .008). Results were similar for unpaired analysis (N = 38; p < .05). Implications/Conclusion Although pandemic‐related challenges likely overwhelmed CR's potential to improve professional QOL, CR may have prevented worse deterioration of work‐life quality. CR may also create clinically meaningful improvements for groups or individual nurses, and thus enhance nurse and patient outcomes.

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“…These discussions are introduced to allow the entire hospital personnel-doctors, nurses but also porters, catering staff, pharmacists, librarians, managers, and administrators-to freely express feelings and concerns about the care of particular patients. 27 Finally, a most comprehensive perspective on the responses to COVID-19 has now been published by 38 authors from the social and behavioral sciences. 28 The summarized responses can help align human behavior with the recommendations of epidemiologists and public health experts as well as lessen individual psychological suffering.…”

Section: Individualmentioning

confidence: 99%

Coping with the Challenges of COVID-19 Using the Sociotype Framework: A Rehearsal for the Next Pandemic

Peng¹,

Berry²

2021

Rambam Maimonides Med J

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The world, as a global village, is currently taking part in a real-time public health, medical, socio-cultural, and economic experiment on how best to combat the COVID-19 pandemic. Extraordinary times demand extraordinary measures. Depending on the time from the outbreak, strategies have ranged from minimal intervention to mitigation by quarantine for high-risk groups (elderly with chronic illnesses) to containment and lockdown. Adherence to such restrictions have depended on the individual and national psyche and culture. One can understand and forgive governments for being over-cautious, but not for being ill-prepared. It seems that Singapore after SARS (2003) and South Korea after MERS (2015) learnt from their experiences and have fared relatively well with minimal disruption to daily routines. Coping with the challenge of COVID-19 is an urgent global task. We use the Sociotype ecological framework to analyze different coping responses at three levels: Context (government and leadership, social context, health services, and media); Relationships; and the Individual. We describe the many negative outcomes (e.g. mortality [obviously], unemployment, economic damage, threat to democracy, claustrophobia) and the positive ones (e.g. new, remote teaching, working, and medical routines; social bonding and solidarity; redefining existential values and priorities) of this surreal situation, which is still evolving. We highlight the importance of humor in stress reduction. Regular and reliable communication to the public has to be improved, acknowledging incomplete data, and learning to deal with fake news, misinformation, and conspiracy theories. Excess mortality is the preferred statistic to follow and compare outcomes. When the health risks are over, the economic recovery responses will vary according to the financial state of countries. If world order is to be reshaped, then a massive economic aid plan should be launched by the rich countries—akin to the Marshall plan after the Second World War. It should be led preferably by the USA and China. The results of the tradeoffs between health and economic lockdowns will only become apparent in the months to come. The experiences and lessons learned from this emergency should be used as a rehearsal for the next epi-/pandemic, which will surely take place in the foreseeable future.

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Schwartz rounds for healthcare personnel in coping with COVID-19 pandemic

Cited by 11 publications

References 5 publications

COVID-19 Pandemic Support Programs for Healthcare Workers and Implications for Occupational Mental Health: A Narrative Review

COVID-19 Pandemic Support Programs for Healthcare Workers and Implications for Occupational Mental Health: A Narrative Review

Effect of compassion rounds on nurses' professional quality of life on a COVID‐19 unit

Coping with the Challenges of COVID-19 Using the Sociotype Framework: A Rehearsal for the Next Pandemic

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