Applying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers.
Applying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers.
复制标题
DOI：
10.1007/bf03403782
复制
发表时间：
2008-11
影响因子：
4.3
通讯作者：
Schulman, Rabbi Bernard
中科院分区：
文献类型：
--
作者：
Maunder, Robert G.;Leszcz, Molyn;Savage, Diane;Adam, Mary Anne;Peladeau, Nathalie;Romano, Donna;Rose, Marci;Schulman, Rabbi Bernard
关键词：
我们描述了一种基于证据的方法，以增强医护人员的韧性，为流感大流行做准备，基于关于SARS爆发期间在医疗保健工作中相关压力的证据。SARS与医护人员长期的巨大压力有关，但与精神疾病的增加无关。减少与大流行相关的压力可能最好是通过旨在提高心理健康人的复原力的干预措施来实现。提高个体适应能力的适用模式包括福克曼和格里尔的压力评估和应对框架，以及心理急救。复原力在组织层面得到有效的培训和支持、物质和关系储备的发展、有效的领导、“磁石医院”特点的影响以及组织公正文化的支持。有证据表明，为了减少流感大流行对医护人员的预期压力，应发展和维持一种具有复原力的组织文化的目标。这项建议远远超出了提供适当的培训和咨询的范围。虽然大流行的严重程度是不可预测的，但这一努力不太可能白费，因为它还将在正常情况下支持患者和工作人员的健康。
We describe an evidence-based approach to enhancing the resilience of healthcare workers in preparation for an influenza pandemic, based on evidence about the stress associated with working in healthcare during the SARS outbreak. SARS was associated with significant long-term stress in healthcare workers, but not with increased mental illness. Reducing pandemic-related stress may best be accomplished through interventions designed to enhance resilience in psychologically healthy people. Applicable models to improve adaptation in individuals include Folkman and Greer’s framework for stress appraisal and coping along with psychological first aid. Resilience is supported at an organizational level by effective training and support, development of material and relational reserves, effective leadership, the effects of the characteristics of “magnet hospitals,” and a culture of organizational justice. Evidence supports the goal of developing and maintaining an organizational culture of resilience in order to reduce the expected stress of an influenza pandemic on healthcare workers. This recommendation goes well beyond the provision of adequate training and counseling. Although the severity of a pandemic is unpredictable, this effort is not likely to be wasted because it will also support the health of both patients and staff in normal times.