Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic

Shanafelt, Tait D.; Ripp, Jonathan; Trockel, Mickey

doi:10.1001/jama.2020.5893

Cited by 1,606 publications

(1,724 citation statements)

References 6 publications

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“…Des cellules d'écoute individuelle ont ainsi été mises en place dans de nombreux établissements. Elles ne constituent pas à elles seules cependant, les mesures de prévention primaire visant à limiter à long terme l'impact psychologique de la crise (17,18,36,37). Ces dispositifs se déclinent au niveau de l'institution, de l'encadrement et des soignants, et participent à la reconnaissance du caractère professionnel du stress.…”

Section: Addictionsunclassified

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Les professionnels de santé face à la pandémie de la maladie à coronavirus (COVID-19) : quels risques pour leur santé mentale ?

et al. 2020

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Objectifs : La pandémie de la maladie à coronavirus (COVID-19) a provoqué une crise sanitaire majeure et mis en quarantaine la moitié de la population planétaire. En France, elle a provoqué une réorganisation en urgence de l'offre de soins mobilisant les soignants dans un climat d'incertitude. L'objectif du présent article est de faire le point sur les risques associés à l'exposition des soignants au COVID-19 pour leur santé mentale. Méthodes : Les auteurs ont conduit une revue de la littérature internationale tenant compte des données des précédentes épidémies (SARS-CoV-1, H1N1) et des données plus récentes concernant le COVID-19. Résultats : Les caractéristiques de cette pandémie (rapidité de diffusion, connaissances incertaines, sévérité, morts de soignants) ont installé un climat anxiogène. Des facteurs organisationnels peuvent être source de stress : déficit d'équipement de protection individuel, réaffectation de postes, manque de communication, manque de matériels de soins, bouleversement de la vie quotidienne familiale et sociale. D'autres facteurs de risque sont identifiés comme l'absence de soutien, la crainte de contaminer un proche, l'isolement ou la stigmatisation sociale, le haut niveau de stress au travail, ou les patterns d'attachement insécure. Les soignants ont ainsi un risque augmenté d'anxiété, de dépression, d'épuisement, d'addiction et de trouble de stress post-traumatique. Conclusions : Cette crise sanitaire devrait nous aider à mieux comprendre la vulnérabilité des soignants à la souffrance psychologique afin de renforcer les stratégies de prévention primaire et la formation aux enjeux psychologiques des soins, de la relation, et de la gestion des situations de crises sanitaires.

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Section: Addictionsunclassified

“…Au niveau institutionnel, gestion de crise doit répondre à un certain nombre d'impératifs (18,36) : consignes claires, information actualisée, EPI, tests de dépistage, support logistique (transport, logement, éducation, etc. ), et diffusion de conseils fiables sur la gestion du stress (p.ex., http://cn2r.fr/recommandations-epidemie-covid-19).…”

Section: Soutienunclassified

Les professionnels de santé face à la pandémie de la maladie à coronavirus (COVID-19) : quels risques pour leur santé mentale ?

et al. 2020

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“…Research has identified that healthcare professionals have requested five things from their employer during the COVID-19 pandemic: hear me, protect me, prepare me, support me, and care for me [20]. For the healthcare workforce to perform to their full potential over an extended time period, healthcare employers must provide early psychosocial support for all employees that addresses these requests and is focused on: creation of a psychologically safe environment, strong leadership, clear organisational strategies for staff wellbeing, consistent communication and significant team support.…”

Section: Introductionmentioning

confidence: 99%

Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package

Blake

Bermingham

Johnson

et al. 2020

IJERPH

548

557

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The coronavirus pandemic (COVID-19) will undoubtedly have psychological impacts for healthcare workers, which could be sustained; frontline workers will be particularly at risk. Actions are needed to mitigate the impacts of COVID-19 on mental health by protecting and promoting the psychological wellbeing of healthcare workers during and after the outbreak. We developed and evaluated a digital learning package using Agile methodology within the first three weeks of UK outbreak. This e-package includes evidence-based guidance, support and signposting relating to psychological wellbeing for all UK healthcare employees. A three-step rapid development process included public involvement activities (PPIs) (STEP 1), content and technical development with iterative peer review (STEP 2), and delivery and evaluation (STEP 3). The package outlines the actions that team leaders can take to provide psychologically safe spaces for staff, together with guidance on communication and reducing social stigma, peer and family support, signposting others through psychological first aid (PFA), self-care strategies (e.g., rest, work breaks, sleep, shift work, fatigue, healthy lifestyle behaviours), and managing emotions (e.g., moral injury, coping, guilt, grief, fear, anxiety, depression, preventing burnout and psychological trauma). The e-package includes advice from experts in mental wellbeing as well as those with direct pandemic experiences from the frontline, as well as signposting to public mental health guidance. Rapid delivery in STEP 3 was achieved via direct emails through professional networks and social media. Evaluation included assessment of fidelity and implementation qualities. Essential content was identified through PPIs (n = 97) and peer review (n = 10) in STEPS 1 and 2. The most important messages to convey were deemed to be normalisation of psychological responses during a crisis, and encouragement of self-care and help-seeking behaviour. Within 7 days of completion, the package had been accessed 17,633 times, and healthcare providers had confirmed immediate adoption within their health and wellbeing provisions. Evaluation (STEP 3, n = 55) indicated high user satisfaction with content, usability and utility. Assessment of implementation qualities indicated that the package was perceived to be usable, practical, low cost and low burden. Our digital support package on 'psychological wellbeing for healthcare workers' is free to use, has been positively evaluated and was highly accessed within one week of release. It is available here: Supplementary Materials. This package was deemed to be appropriate, meaningful and useful for the needs of UK healthcare workers. We recommend provision of this e-package to healthcare workers alongside wider strategies to support their psychological wellbeing during and after the COVID-19 pandemic.

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“…The severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) pandemic has put the lives of healthcare workers at great risk, as evidenced by the growing numbers of healthcare worker deaths in many nations [1,2]. The threat to healthcare workers from the virus, and the associated fear, has been further exacerbated by a worldwide shortage of personal protective equipment (PPE) [3,4].…”

Section: Introductionmentioning

confidence: 99%

The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study

et al. 2020

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The coronavirus disease 2019 pandemic has led to the manufacturing of novel devices to protect clinicians from the risk of transmission, including the aerosol box for use during tracheal intubation. We evaluated the impact of two aerosol boxes (an early-generation box and a latest-generation box) on intubations in patients with severe coronavirus disease 2019 with an in-situ simulation crossover study. The simulated process complied with the Safe Airway Society coronavirus disease 2019 airway management guidelines. The primary outcome was intubation time; secondary outcomes included first-pass success and breaches to personal protective equipment. All intubations were performed by specialist (consultant) anaesthetists and video recorded. Twelve anaesthetists performed 36 intubations. Intubation time with no aerosol box was significantly shorter than with the early-generation box (median (IQR [range]) 42.9 (32.9-46.9 [30.9-57.6])s vs. 82.1 (45.1-98.3 [30.8-180.0])s p = 0.002) and the latest-generation box (52.4 (43.1-70.3 [35.7-169.2])s, p = 0.008). No intubations without a box took more than 1 min, whereas 14 (58%) intubations with a box took over 1 min and 4 (17%) took over 2 min (including one failure). Without an aerosol box, all anaesthetists obtained first-pass success. With the early-generation and latest-generation boxes, 9 (75%) and 10 (83%) participants obtained first-pass success, respectively.

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Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic

Cited by 1,606 publications

References 6 publications

Les professionnels de santé face à la pandémie de la maladie à coronavirus (COVID-19) : quels risques pour leur santé mentale ?

Les professionnels de santé face à la pandémie de la maladie à coronavirus (COVID-19) : quels risques pour leur santé mentale ?

Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package

The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study

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