Shared sources and mechanisms of healthcare worker distress in COVID-19: a comparative qualitative study in Canada and the UK.
Shared sources and mechanisms of healthcare worker distress in COVID-19: a comparative qualitative study in Canada and the UK.
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Covid-19的医疗保健工人困扰的共同来源和机制：加拿大和英国的一项比较定性研究。
DOI：
10.1080/20008066.2022.2107810
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发表时间：
2022
影响因子：
5
通讯作者：
Sheehan, Kathleen
中科院分区：
文献类型：
--
作者：
Berkhout, Suze G.;Billings, Jo;Abou Seif, Nada;Singleton, David;Stein, Hilarie;Hegarty, Siobhan;Ondruskova, Tamara;Soulios, Emilia;Bloomfield, Michael A. P.;Greene, Talya;Seto, Alison;Abbey, Susan;Sheehan, Kathleen
背景：新冠肺炎对医务人员的幸福感产生了重大影响，量化研究发现，在各种环境中，压力、焦虑、抑郁、失眠和创伤后应激障碍都会增加。到目前为止，有限的定性数据提供了关于这些挑战背后原因的深入细节，但没有一个提供不同医疗保健系统的全面比较。目的：探讨两个不同国家医护人员苦恼的定性研究结果，了解新冠肺炎相关苦恼的来源和影响的细微差别。方法：对新冠肺炎疫情期间医护人员的痛苦经历进行了两组定性数据的比较解释性主题分析。加拿大和英国的数据是并行收集的，并在迭代、协作的过程中进行分析。结果：两项研究都涉及到许多痛苦的来源，包括对安全和病人护理的担忧，家庭或个人生活中的挑战，沟通问题，工作环境，媒体和公众认知，以及政府对大流行的反应。从个人来源到机构来源，这些都是相辅相成的。我们的分析还表明，诸如不确定性加剧、过度警惕和道德伤害等常见机制支撑了这些来源，这也导致了它们如何被体验为痛苦。结论：这是第一次利用定性数据研究这一紧迫问题的国际合作。尽管在政治、社会、卫生服务和与大流行相关的背景下存在差异，但加拿大和英国的医护人员经历的痛苦的来源和机制非常相似。这项国际比较定性研究探索了导致痛苦的机制如何在不同的地理和文化中共享，即使当地环境塑造了痛苦的来源本身。高光
Background: COVID-19 has had a significant impact on the wellbeing of healthcare workers, with quantitative studies identifying increased stress, anxiety, depression, insomnia, and PTSD in a wide range of settings. Limited qualitative data so far has offered in-depth details concerning what underlies these challenges, but none provide comprehensive comparison across different healthcare systems. Objective: To explore qualitative findings relating to healthcare worker distress from two different countries to understand the nuanced similarities and differences with respect to the sources and impact of distress relating to COVID-19. Method: A comparative interpretive thematic analysis was carried out between two qualitative data sets examining healthcare workers’ experiences of distress during the COVID-19 pandemic. Data from Canada and the UK were collected in parallel and analyzed in an iterative, collaborative process. Results: A number of sources of distress cut across both study settings including concerns about safety and patient care, challenges at home or in one’s personal life, communication issues, work environment, media and public perception, and government responses to the pandemic. These sit on a spectrum from individual to institutional sources and were mutually reinforcing. Our analysis also suggested that common mechanisms such as exacerbations in uncertainty, hypervigilance, and moral injury underpinned these sources, which contributed to how they were experienced as distressing. Conclusion: This is the first international collaboration utilising qualitative data to examine this pressing issue. Despite differences in the political, social, health service, and pandemic-related context, the sources and mechanisms of distress experienced by healthcare workers in Canada and the UK were remarkably similar. This international comparative qualitative study explores how mechanisms that lead to distress are shared across different geographies and cultures, even as the local context shapes the sources of distress themselves. HIGHLIGHTS
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影响因子：
3.7
作者：
Binnie A;Moura K;Moura C;D'Aragon F;Tsang JLY
通讯作者：
Tsang JLY
影响因子：
6.9
作者：
Koenen KC;Ratanatharathorn A;Ng L;McLaughlin KA;Bromet EJ;Stein DJ;Karam EG;Meron Ruscio A;Benjet C;Scott K;Atwoli L;Petukhova M;Lim CCW;Aguilar-Gaxiola S;Al-Hamzawi A;Alonso J;Bunting B;Ciutan M;de Girolamo G;Degenhardt L;Gureje O;Haro JM;Huang Y;Kawakami N;Lee S;Navarro-Mateu F;Pennell BE;Piazza M;Sampson N;Ten Have M;Torres Y;Viana MC;Williams D;Xavier M;Kessler RC
通讯作者：
Kessler RC
影响因子：
4.7
作者：
Chutiyami M;Cheong AMY;Salihu D;Bello UM;Ndwiga D;Maharaj R;Naidoo K;Kolo MA;Jacob P;Chhina N;Ku TK;Devar L;Pratitha P;Kannan P
通讯作者：
Kannan P
影响因子：
13.8
作者：
Berkhout SG;Sheehan KA;Abbey SE
通讯作者：
Abbey SE
影响因子：
2.9
作者：
Firew T;Sano ED;Lee JW;Flores S;Lang K;Salman K;Greene MC;Chang BP
通讯作者：
Chang BP