Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study.

E. Frigola-Capell, Laura Fabregas, Marta Juanola, Mercè Soms, Marta Hernández, Roser Grau, Noelia Alarcón, Neus Colomer, Jordi Cid, A. Cuartero-Barbanoj, Jordi Garcia
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Abstract

INTRODUCTION The outbreak of the COVID-19 pandemic put at risk the resilience of healthcare professionals by exposing them to high levels of stress. Our aim was to identify key elements for implementing the STEP  programme, a psychological support service for healthcare professionals. METHODS qualitative design.  The study participants were hospital healthcare staff. Anonymous questionnaires and transcriptions  of group interventions and focus groups were used to  identify professionals' preferences to receiving psychological support, needs, concerns, resilience (STEP1.0); constrained emotions and associated thoughts (STEP1.5); perception of self-efficacy on managing emotions (STEP2.0); and the professionals' profile requiring individual therapy. RESULTS Three hundred professionals participated in the study, 100.0% in STEP 1.0 , 27.3% in STEP 1.5, 2.7% in STEP 2.0, and 10.0% in individual interventions. Two hundred and three (67.7%) participants reflected in the survey that they would prefer access to a face-to-face psychological service during working hours. Three consecutive phases with specific needs and concerns were identified: The "cognitive" phase, at the beginning of the pandemic, when infection and self-efficacy were major concerns, the "ventilation" phase, when constrained emotions associated with several factors were expressed; and the "recovery" phase, when the clinical overload decreased and professionals were able to focus on emotion management training. Several personal characteristics associated with referral to individual therapy were identified.  Conclusions: The key characteristics of a psychological support service are proximity, face-to-face interaction during working shifts, and a chronological phase system adapted to different emerging needs.
在 COVID-19 大流行期间为一线医护人员提供综合心理干预计划。定性研究。
简介:COVID-19 大流行病的爆发使医护人员面临巨大压力,从而危及他们的恢复能力。我们的目的是确定实施 STEP 计划的关键要素,该计划是一项针对医护人员的心理支持服务。 研究参与者为医院医护人员。通过匿名调查问卷、小组干预和焦点小组的记录,我们确定了专业人员对接受心理支持的偏好、需求、关注点、复原力(STEP1.0);受限情绪和相关想法(STEP1.结果300 名专业人员参与了研究,其中 100.0% 参与了 STEP1.0,27.3% 参与了 STEP1.5,2.7% 参与了 STEP2.0,10.0% 参与了个人干预。有 233 名参与者(67.7%)在调查中反映,他们更希望在工作时间获得面对面的心理服务。调查确定了三个连续阶段的具体需求和关注点:认知 "阶段,即大流行病开始时,感染和自我效能是主要关注点;"通风 "阶段,即与多种因素相关的受限情绪;以及 "恢复 "阶段,即临床负荷减轻,专业人员能够专注于情绪管理培训。研究还发现了一些与个人治疗转介相关的个人特征。 结论心理支持服务的主要特点是距离近、工作轮班期间面对面的互动,以及适应不同新需求的时序阶段系统。
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