The Mass Development of Wobble Rooms for Frontline Healthcare Staff in the NHS: The Politics of Space and Communities of Coping

在2019冠状病毒病大流行期间，医院紧张的工作环境促使一线医护人员开发了福利空间和房间。这些空间通常被称为摆动室，为处理和应对COVID-19期间的工作压力提供了一个场所。摆动室的使用比许多医院外的环境意识到的更重要的作用。摆动室的概念是在布拉德福德教学医院引入的，然后在整个英国和其他国家（如加拿大）采用。社交媒体和报纸的报道提高了人们对这类疾病的认识，设立“摇摆病房”的医院数量也显著增加。此外，摆动室的概念已被纳入《国民保健服务人民计划》概述的劳动力健康和福利战略。这样的空间鼓励员工之间发展非正式的关怀网络，也称为应对社区。然而，这取决于空间的可用性。此外，政治和财政问题限制了医院为这些房间提供物理空间的能力，这限制了一线工作人员休息和福利设施的质量。目标和方法拟议的研究将调查员工的经验及其在2020-2021年期间在摇摆室发展中的作用。这项研究将确定前线员工是否有机会发展应对社区。还将探讨有关开发和继续提供摇摆房的政治和财政问题。将采用结构化访谈和案例研究。来自样本NHS医院的关键联系人将在第一阶段进行访谈，以评估摆动室的状况。这一阶段将有助于确定是否继续提供摇摆房间，并纳入现有的福利程序，或停止。每组选取3例进行进一步研究。在第二阶段，将对每个案例中的员工、组织福利流程经理和相关管理人员进行15次半结构化访谈。与实践相关该项目将为我们理解NHS医院内的应对、安全空间和正式福利规定的社区做出重要贡献。因此，结果将特别相关的工作人员，管理人员和福利从业人员在NHS医院。Outputs1。Practitioner-focussed传播。将在布拉德福德教学医院举办一个培训讲习班，讨论摆动室对工作人员健康和物理空间组织的影响。在线研讨会和讲习班将为参与全国医院摆动室运动的每个人组织。论文将在面向NHS从业者的会议上发表（例如英国卫生服务研究所、卫生基金会和卫生保健管理研究所）。摇摆房间倡议已经产生了相当大的社会媒体活动，这些社会网络将被用来传播研究成果。学术传播撰写论文，目的是在社会学、健康与疾病、人际关系等高水平同行评议期刊上发表研究结果。

The stressful working environment in hospitals during the COVID-19 pandemic led to the development of wellbeing spaces and rooms for frontline health care workers. Such spaces are commonly termed wobble rooms and provide a place to process and cope with the stress of working during COVID-19. The use of wobble rooms plays a more significant role than many outside the hospital environment realise. The concept of a wobble room was introduced in Bradford Teaching Hospital and then adopted throughout the United Kingdom and in other countries, such as Canada. Social media and newspaper reports raised awareness of them, and the number of hospitals establishing wobble rooms grew significantly. Furthermore, the concept of wobble rooms has been included in the workforce health and wellbeing strategies outlined in the National Health Service (NHS) People Plan. Such spaces encourage informal caring networks, also termed communities of coping, to develop among staff. However, this depends on the availability of space. Additionally, political and financial issues restrict the ability of hospitals to provide the physical space for these rooms, which limits the quality of rest and wellbeing facilities for frontline workers. Aims and MethodologiesThe proposed research will investigate the experiences of staff and their role in the development of the wobble rooms in the period 2020-2021. The study will establish whether frontline staff had an opportunity to develop communities of coping. The political and financial issues concerning the development and continued provision of wobble rooms will also be explored. Structured interviews and case studies will be utilised. Key contacts from sample NHS hospitals will be interviewed in the first phase to assess the condition of wobble rooms. This phase will help determine whether the provision of wobble rooms is continued, and be integrated into existing wellbeing procedures, or discontinued. Three cases will be selected from each group for further study. In the second stage, fifteen semi-structured interviews from each case will be conducted with staff, managers of organisational wellbeing processes and relevant administrators.Relevant to practiceThis project will make an important contribution to our understanding of communities of coping, safe spaces and formal wellbeing provisions within NHS hospitals. As such, the outcomes will be particularly relevant to staff, administrators, and wellbeing practitioners in NHS hospitals. Outputs1. Practitioner-focussed dissemination.A training workshop on the implications of wobble rooms on staff wellbeing and the organisation of physical spaces will be developed and delivered at Bradford Teaching Hospital. Online seminars and workshops will be organised for everyone involved in campaigning for wobble rooms in hospitals nationwide. Papers will be presented at NHS practitioner-oriented conferences (e.g. Health Services Research UK, The Health Foundation and Institute for Healthcare Management). The wobble room initiative has generated considerable social media activity, and these social networks will be used to disseminate research findings.2. Academic disseminationThe thesis will be written and the aim is to publish findings from it in high-level peer review journals such as Sociology, Health and Illness, and Human Relations.