COVID-19 Preparedness, Stressors, and Data-Driven Solutions for Healthcare Workers at a Regional Rural-Urban Hospital System: A Longitudinal Total Worker Health® Study.

IF 2.3 4区 医学 Q1 NURSING
Workplace Health & Safety Pub Date : 2024-01-01 Epub Date: 2023-10-24 DOI:10.1177/21650799231202792
Lisa A Jaegers, Rose McAndrew, Andrea Cornelius, Susan D Scott, Sean Pridgeon, Mazen El Ghaziri, Jennifer K Bello
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引用次数: 0

Abstract

Background: During the COVID-19 pandemic in the United States, healthcare workers were devastated by the insufficient preparedness to respond to their patients' and personal health needs. A gap exists in resources to prevent or reduce acute and long-term healthcare worker mental illnesses resulting from COVID-19 frontline response.

Methods: We performed an exploratory, mixed methods, longitudinal study of healthcare workers at a regional rural-urban hospital system in the Midwest United States during the COVID-19 response (4 timepoints, 2020). Using the Total Worker Health® (TWH) participatory needs assessment approach, self-identified frontline COVID-19 workers participated in a survey including Health-Related Quality of Life, Impact of Event Scale, and a modified version of the American Nursing Association COVID-19 survey; and a hospital timeline tracked system-level activities.

Findings: Response rate at Timepoint (T)1 was 21.7% (N = 39) and of those, 14 (36%) completed all four surveys. From T1 to T4, the rate of COVID-19 patients steadily increased, staff exceeded the threshold for post-traumatic stress disorder at T1 and T4; staff reported not enough rest or sleep 50% of the month, T1-T4. Helpfulness of family support increased but community support decreased, T1-T4. Concerns with performing new tasks increased; the challenges related to lack of protective equipment and negative media decreased. Workers wanted to be involved in decision-making, desired timely communication, and needed adequate physical, environmental, and psychological supports.

Conclusions/applications for practice: Utilization of a TWH® strategy for describing health needs, hospital response, and multi-level staff suggestions to workplace health solutions during the COVID-19 pandemic identified evidence-based health promotion interventions in a hospital system.

Rural-Urban地区医院系统医护人员的新冠肺炎准备、压力源和数据驱动解决方案:纵向总体员工健康®研究。
背景:在美国新冠肺炎大流行期间,医护人员因应对患者和个人健康需求的准备不足而备受打击。预防或减少新冠肺炎一线应对导致的急性和长期医护人员精神疾病的资源存在缺口。方法:我们对新冠肺炎应对期间(2020年4个时间点)美国中西部地区城乡医院系统的医护人员进行了探索性、混合方法的纵向研究。自我认同的一线新冠肺炎工作者使用总体工作者健康®(TWH)参与性需求评估方法参与了一项调查,包括与健康相关的生活质量、事件影响量表和美国护理协会新冠肺炎调查的修订版;医院时间表跟踪系统级活动。调查结果:在时间点(T)1的应答率为21.7%(N=39),其中14人(36%)完成了所有四项调查。从T1到T4,新冠肺炎患者的发病率稳步上升,工作人员在T1和T4超过了创伤后应激障碍的阈值;工作人员报告本月50%的时间没有足够的休息或睡眠,T1-T4。家庭支持的帮助增加,但社区支持减少,T1-T4。对执行新任务的担忧增加;与缺乏防护设备和负面媒体有关的挑战减少了。工人们希望参与决策,希望及时沟通,并需要足够的身体、环境和心理支持。结论/实践应用:在新冠肺炎大流行期间,利用TWH®战略描述健康需求、医院应对措施和多层次员工对工作场所健康解决方案的建议,确定了医院系统中基于证据的健康促进干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
3.80%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity is the official publication of the American Association of Occupational Health Nursing, Inc. (AAOHN). It is a scientific peer-reviewed Journal. Its purpose is to support and promote the practice of occupational and environmental health nurses by providing leading edge research findings and evidence-based clinical practices. It publishes articles that span the range of issues facing occupational and environmental health professionals, including emergency and all-hazard preparedness, health promotion, safety, productivity, environmental health, case management, workers'' compensation, business and leadership, compliance and information management.
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