Qualitative interview study of strategies to support healthcare personnel mental health through an occupational health lens.
Qualitative interview study of strategies to support healthcare personnel mental health through an occupational health lens.
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定性访谈研究研究了通过职业健康镜头支持医疗人员心理健康的策略。
DOI：
10.1136/bmjopen-2023-075920
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发表时间：
2024-01-11
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
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作者：
员工职业健康（“职业健康”）临床医生对医疗保健人员的经验有广泛的看法。将心理健康纳入职业健康的范围是一种较新的方法，可以克服医疗保健人员心理健康计划的历史局限性，这些计划一直被孤立和未得到充分利用。我们的目标是通过职业健康临床医生记录支持医疗保健人员心理健康的创新和机会。这项工作是2019冠状病毒病期间对雇员职业健康临床医生进行的国家定性需求评估的一部分，他们是组织应对措施的核心。这一定性需求评估包括采用滚雪球抽样方法对关键信息提供者进行的访谈。我们采访了来自29个设施的43名美国退伍军人健康管理局职业健康临床医生。这项分析的重点是人员的心理健康需求和机会，使用共识编码的采访成绩单和修改后的成员检查。通过职业健康支持心理健康的三个主要机会涉及：（1）扩大医疗保健人员的心理健康需求，包括支持与工作有关的问题的机会（例如，创伤性部署）、家庭问题和丧亲之痛（例如，与牧师一起工作）;（2）利用扩大的角色和协议来解决医疗保健人员的心理健康问题，包括扩大职业健康作用的机会，跨学科的伙伴关系，（例如，员工援助计划（EAP））和流程/协议（例如，急性自杀想法途径）和（3）需要支持职业健康临床医生自己的心理健康，包括利用足够的人员/资源解决过度工作/过度疲劳的机会。职业健康可以制定战略，以支持人员的心理健康：结构上保持注意力，使用社会认知工具（如，自杀协议或扩大的工作说明）;利用分布式注意力，加强跨学科合作（如，牧师丧亲支持或EAP），并配备系统的资源，并允许在危机期间的灵活性，包括增加人员配置。
Employee Occupational Health (‘occupational health’) clinicians have expansive perspectives of the experience of healthcare personnel. Integrating mental health into the purview of occupational health is a newer approach that could combat historical limitations of healthcare personnel mental health programmes, which have been isolated and underused. We aimed to document innovation and opportunities for supporting healthcare personnel mental health through occupational health clinicians. This work was part of a national qualitative needs assessment of employee occupational health clinicians during COVID-19 who were very much at the centre of organisational responses. This qualitative needs assessment included key informant interviews obtained using snowball sampling methods. We interviewed 43 US Veterans Health Administration occupational health clinicians from 29 facilities. This analysis focused on personnel mental health needs and opportunities, using consensus coding of interview transcripts and modified member checking. Three major opportunities to support mental health through occupational health involved: (1) expanded mental health needs of healthcare personnel, including opportunities to support work-related concerns (eg, traumatic deployments), home-based concerns and bereavement (eg, working with chaplains); (2) leveraging expanded roles and protocols to address healthcare personnel mental health concerns, including opportunities in expanding occupational health roles, cross-disciplinary partnerships (eg, with employee assistance programmes (EAP)) and process/protocol (eg, acute suicidal ideation pathways) and (3) need for supporting occupational health clinicians’ own mental health, including opportunities to address overwork/burn-out with adequate staffing/resources. Occupational health can enact strategies to support personnel mental health: to structurally sustain attention, use social cognition tools (eg, suicidality protocols or expanded job descriptions); to leverage distributed attention, enhance interdisciplinary collaboration (eg, chaplains for bereavement support or EAP) and to equip systems with resources and allow for flexibility during crises, including increased staffing.
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DOI：
10.3390/ijerph18073632
发表时间：
2021-03-31
影响因子：
--
作者：
Jain A;Hassard J;Leka S;Di Tecco C;Iavicoli S
通讯作者：
Iavicoli S
影响因子：
4.5
作者：
Moll SE
通讯作者：
Moll SE
影响因子：
2.9
作者：
Brown-Johnson C;McCaa MD;Giannitrapani S;Singer SJ;Lorenz KA;Yano EM;Thanassi WT;DeShields C;Giannitrapani KF
通讯作者：
Giannitrapani KF
影响因子：
29.9
作者：
Silver RC;Holman EA;Garfin DR
通讯作者：
Garfin DR
影响因子：
4.7
作者：
Moitra M;Rahman M;Collins PY;Gohar F;Weaver M;Kinuthia J;Rössler W;Petersen S;Unutzer J;Saxena S;Huang KY;Lai J;Kumar M
通讯作者：
Kumar M