Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority.

Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority.
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DOI:
10.3389/fpubh.2021.679397
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发表时间:
2021
影响因子:
5.2
通讯作者:
Münter L
Münter L
中科院分区:
医学3区
文献类型:
--
作者:
Søvold LE;Naslund JA;Kousoulis AA;Saxena S;Qoronfleh MW;Grobler C;Münter L

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COVID-19疫情对大多数国家的卫生系统造成了前所未有的影响,尤其是对疫情应对工作前线卫生工作者的心理健康和福祉。本文的目的是提供一个基于证据的概述,说明在危机时期和其他具有挑战性的工作条件下对医护人员的不利心理健康影响,并强调优先考虑和保护医护人员心理健康和福祉的重要性,特别是在COVID-19大流行的背景下。首先,我们提供了一个广泛的概述,压力,倦怠,道德伤害,抑郁症,创伤和其他心理健康挑战的风险升高的医疗保健工作者。其次,我们考虑了突发公共卫生事件如何加剧了这些担忧,这反映在新出现的关于COVID-19大流行对医护人员心理健康负面影响的研究中。此外,我们考虑通过探索实践自我护理策略的价值,并实施基于证据的干预措施和组织措施来帮助保护和支持医疗保健人员的心理健康和福祉,来克服这些对心理健康的威胁的潜在方法。最后,我们强调了系统性的变革,以增强医疗工作者的能力,并从长远来看保护他们的心理健康和福祉,并提出政策建议,以指导医疗领导者和卫生系统在这奋进的努力。本文件承认各卫生系统和学科的医护人员的压力源、负担和心理需求,并呼吁在新冠肺炎疫情等突发公共卫生事件期间,重新努力减轻一线工作人员的这些挑战。
The COVID-19 pandemic has had an unprecedented impact on health systems in most countries, and in particular, on the mental health and well-being of health workers on the frontlines of pandemic response efforts. The purpose of this article is to provide an evidence-based overview of the adverse mental health impacts on healthcare workers during times of crisis and other challenging working conditions and to highlight the importance of prioritizing and protecting the mental health and well-being of the healthcare workforce, particularly in the context of the COVID-19 pandemic. First, we provide a broad overview of the elevated risk of stress, burnout, moral injury, depression, trauma, and other mental health challenges among healthcare workers. Second, we consider how public health emergencies exacerbate these concerns, as reflected in emerging research on the negative mental health impacts of the COVID-19 pandemic on healthcare workers. Further, we consider potential approaches for overcoming these threats to mental health by exploring the value of practicing self-care strategies, and implementing evidence based interventions and organizational measures to help protect and support the mental health and well-being of the healthcare workforce. Lastly, we highlight systemic changes to empower healthcare workers and protect their mental health and well-being in the long run, and propose policy recommendations to guide healthcare leaders and health systems in this endeavor. This paper acknowledges the stressors, burdens, and psychological needs of the healthcare workforce across health systems and disciplines, and calls for renewed efforts to mitigate these challenges among those working on the frontlines during public health emergencies such as the COVID-19 pandemic.
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