Trajectories of perceived stress and resilience through the crisis and the influence of semantic representations of SARS-CoV-2 in healthcare and pastoral/spiritual care workers

SARS-Cov-2大流行与医护人员的高度痛苦有关，但研究缺乏纵向研究，无法前瞻性地记录恢复过程的动态并描述典型的轨迹。由此，可以得出结论，例如关于脆弱阶段或干预的主题和时间。迄今为止，在研究中被忽视的一个群体是卫生保健系统中的牧师和精神护理工作者群体。此外，到目前为止，还没有对SARS-CoV-2大流行的语义表征与压力和应对过程的主观体验之间的联系进行跨学科分析。特别是在SARS-CoV-2大流行中，对个人威胁和社会支持的评估在很大程度上基于公共话语和科学期刊上的表述。DFG-FOR“宗教和灵性中的复原力”旨在寻找复原力的跨学科定义，其重点是耐力，无能为力的形成，恐惧和焦虑以及将危机经历融入个人生活叙事。SARS-CoV-2大流行给研究小组带来了挑战和机遇，使他们能够在这场危机中利用具体的经验证据推进初步工作。为此，申请人已经在卫生保健工作者中开展了一项关于暴露、负担和保护因素的在线调查，其中包括100 000个完整的数据集。一个特别的特点是(A)关注道德困境和精神因素，(b)包括德国的医院牧师，例如在定性访谈中。此外，还创建了一个来自医学、社会科学和神学学科的关于SARS-CoV-2的最新文章数据库，其中已经分析了500篇文章，以了解病毒、大流行和卫生工作者的作用的语义表示。该项目的目的是利用混合方法从这项初步工作中发展一项前瞻性、纵向和跨学科的研究。通过在指定时间点进行的六项调查，并采用定量和定性方法（在线调查和访谈），将根据大流行病的发展过程描述复原力发展的典型过程。特别关注精神的作用和人们的连贯性，同时考虑到医疗和教牧关怀工作者之间的差异，包括对大流行病的语义表示以及这些不同群体在科学和公共媒体中的作用。在我们的跨学科合作中，这些期望将在调查项目和访谈问题中付诸实施，以便更好地了解个人痛苦和复原过程，并制定建议，以便在大流行的长期过程中保持保健工作者的身心和精神健康。

The SARS-Cov-2 pandemic is associated with high levels of distress for healthcare workers but research lacks longitudinal studies that prospectively record the dynamics of resilience processes and describe typical trajectories. From this, statements can be derived, e.g. on vulnerable phases or topics and times for interventions. One group that has been neglected in research to date is the group of pastoral and spiritual care workers in the health care system. Also, so far, there has been no transdisciplinary analysis of the connection between semantic representations of the SARS-CoV-2 pandemic and the subjective experience of stress and coping processes. Especially in the SARS-CoV-2 pandemic the assessment of personal threat and social support is based to a large extent on representations in public discourses and scientific journals. The DFG-FOR "Resilience in Religion and Spirituality" aims to find a transdisciplinary definition of resilience, which focuses on endurance, the formation of powerlessness, fear and anxiety and the integration of crisis experiences into individual life narratives. The SARS-CoV-2 pandemic confronted the research group with a challenge and opportunity to advance preliminary work using concrete empirical evidence in this crisis. For this reason, the applicants have already carried out an online survey among health care workers on exposure, burden and protecting factors, which comprises >1,100 complete data sets. A special feature is (a) the focus on moral distress and spiritual factors, and (b) on including hospital chaplains in Germany e.g. in qualitative interviews. Also, a database of current articles on SARS-CoV-2 from medical, social sciences and theological disciplines was created with already >500 articles been analysed for semantic representations of the virus, the pandemic and the role of health workers. The aim of the project is to develop a prospective, longitudinal and transdisciplinary study from this preliminary work using a mixed-methods approach. By means of six surveys conducted at designated timepoints and using quantitative and qualitative methods (online surveys and interviews), typical courses of the development of resilience are to be described in relation to the course of the pandemic. Special focus is on the role of spirituality and people’s senses of coherence taking into account differences between medical and pastoral care workers, including semantic representations of the pandemic and the role of these different groups in scientific and public media. In our interdisciplinary cooperation these desiderata will be operationalised in survey items and interview questions in order to gain a better understanding of individual distress and the course of resilience as well as to formulate recommendations for maintaining physical, mental and spiritual health of healthcare workers in the long-term course of a pandemic.