Mental health, occupational outcomes and wellbeing among lower paid NHS staff

在2019冠状病毒病大流行期间，英国严重依赖NHS工作人员，有效的劳动力需要良好的心理健康。NHS员工年收入低于2.4万英镑，占劳动力总数的三分之一以上。尽管如此，在大流行之前和期间，这一群体的工作人员发病率较高，但对他们的心理健康、职业成果和福祉以及相关决定因素的了解有限。作为正在进行的NHS CHECK研究的一部分，我们正在收集英国18个信托机构的NHS员工的详细纵向数据，包括低薪员工。超过17000名NHS工作人员已经参与了基线问卷调查，并将在6个月和12个月进行随访。人们正在询问他们的健康、痛苦和工作环境。作为该项目的一部分，学生将探索1)COVID-19大流行对低收入NHS工作人员的心理健康，职业和福祉结果以及相关决定因素的影响，2)这种影响在COVID-19大流行过程中如何变化，以及3)哪些现有支持有助于促进这些工作人员群体的积极结果和减轻消极结果。调查结果将增加我们对这一经常被忽视的NHS工作人员群体的需求的理解，并为有效的支持策略提供信息，例如未来的劳动力规划、应急响应策略或心理健康支持。作为该项目的一部分，这一过程将通过在NHS英格兰/ NHS改进的实习来促进。研究结果将发表在科学期刊上，并使用清晰的信息图表进行总结，这些信息图表将通过社交媒体、NHS CHECK网站和NHS员工的通讯进行分享。学生将能够参加公开演讲活动和会议，传播调查结果，以及与合作伙伴和组织密切合作，与NHS检查研究团队，包括参与NHS信托，工会，高级信托管理小组，并在NHS英格兰/ NHS改善政策制定者分享这些。

The UK has relied heavily on NHS staff during the COVID-19 pandemic and an effective workforce requires good mental health. NHS staff earning under £24k-a-year make up more than 1/3 of this workforce. Despite this, and higher rates of staff sickness within this group before and during the pandemic, limited is known about their mental health, occupational outcomes and wellbeing, and associated determinants. As part of the on-going NHS CHECK study, we are gathering detailed longitudinal data on NHS staff, including lower paid staff, across 18 Trusts in England. Over 17,000 NHS staff have already participated in the baseline questionnaire and will be followed up at 6 and 12 months. Questions are being asked about their health, distress and work environment. As part of this project, the student will explore 1) the impact of the COVID-19 pandemic on the mental health, occupational and wellbeing outcomes, and associated determinants, of lower paid NHS staff, 2) how this impact may change over the course of the COVID-19 pandemic, and 3) what existing support has been helpful in promoting positive outcomes and mitigating negative outcomes in these groups of staff. Findings will increase our understanding about the needs of this often-overlooked group of NHS staff and inform an effective support strategy, for example for future workforce planning, emergency response strategies or mental health support. This process will be facilitated via an internship at NHS England / NHS Improvement as part of this project. Findings will be published in scientific journals and summarised using clear infographics that will be shared via social media, the NHS CHECK website and newsletters to NHS staff. The student will be able to attend public speaking events and conferences to disseminate findings as well as share these with partners and organisations closely working with the NHS CHECK research team including participating NHS Trusts, Unions, senior Trust management groups, and policy-makers in NHS England / NHS Improvement.