Effects of COVID-19 on Healthcare Providers: Opportunities for Education and Support (ECHOES)

Limoges, Jacqueline; Anzola, J. Daniel; Kolla, Nathan J.

doi:10.12927/cjnl.2021.26528

Cited by 8 publications

(18 citation statements)

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“…11,12 The mental health of HCWs has become a vital concern in the infrastructure of the US health care system. 13,14 To date, few evidenced-based methods have addressed burnout and poor mental health among HCWs. We postulated that a specific focus on bolstering resilience, defined as the process of harnessing resources to maintain well-being in the face of substantial stress, 15 would be an important factor for HCWs particularly during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Resilience Training for Hospital Employees in the Era of COVID-19

et al. 2022

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IMPORTANCE Health care workers face serious mental health challenges as a result of ongoing work stress. The COVID-19 pandemic exacerbated that stress, resulting in high rates of anxiety, depression, and burnout. To date, few evidence-based programs targeting mental health outcomes in health care workers have been described. OBJECTIVETo assess the feasibility, acceptability, and preliminary outcomes of a skills-based coaching program designed to reduce stress and build resilience. DESIGN, SETTING, AND PARTICIPANTSA pilot cohort study was conducted between September 2020 and April 2021 using preprogram and postprogram assessments and a mixed-methods analysis. Duration of follow-up was 7 weeks. The coaching program was delivered via video conferencing. Participants were health care workers and staff from a large urban health system. INTERVENTION The Promoting Resilience in Stress Management (PRISM) program, a manualized, skills-based coaching program originally developed for adolescents and young adults with serious/ chronic illness, was adapted to support health care workers and staff ("PRISM at Work"). It included 6 weekly 1-hour group sessions. MAIN OUTCOMES AND MEASURES Feasibility was defined a priori as 70% completion rates. Acceptability was defined quantitatively (satisfaction scores) and qualitatively (open-ended questions regarding experience with program). Preliminary outcomes were assessed with preprogram and post program assessments of self-reported resilience, stress, anxiety, and burnout using validated instruments. Descriptive statistics summarized demographic variables and feasibility and acceptability. Linear mixed effects regression models examined preliminary outcomes, controlling for relevant covariates. RESULTS A total of 153 participants (median [SD] age, 40.6 [10.1] years; 142 [92%] were female; 128 [84%] identified as having White race; 81 [53%] were in patient-facing roles) enrolled. Of the 132 health care workers who provided follow-up surveys, 120 (91%) had completed the program, and 116 (88%) reported being satisfied. Answers to open-ended questions suggested that participants wanted more PRISM either with longer or additional sessions. Participant-reported resilience (β = 1.74; 95% CI, 1.00-2.48), stress (β = −2.40; 95% CI, −3.28 to −1.51), anxiety (β = −2.04; 95% CI, −2.74 to −1.34), and burnout-exhaustion (β = −0.37; 95% CI, −0.56 to −0.18) improved after the program. CONCLUSIONS AND RELEVANCEResults of this study suggest that PRISM at Work may have utility for health care workers and staff in that the program was found to be feasible, acceptable, and associated with improved outcomes.

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Section: Introductionmentioning

confidence: 99%

“… 11 , 12 The mental health of HCWs has become a vital concern in the infrastructure of the US health care system. 13 , 14 …”

Section: Introductionmentioning

confidence: 99%

Assessment of Resilience Training for Hospital Employees in the Era of COVID-19

et al. 2022

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“…Healthcare policy decisions that were made during the pandemic impact psychosocial and physical health, social harms and opportunity costs ( Crowe et al 2021 ; Gilson et al 2020 ; Glover et al 2020 ). Policies created at the national, provincial and institutional level to shield people from the risk of COVID-19 and to avoid overwhelming the healthcare system altered the healthcare environment ( Glover et al 2020 ; Gomez-Ramiro et al 2021 ; Limoges et al 2021 ). For example, there were policies restricting visitors in all patient care areas and those restricting mobility such as the stay-at-home order and the six-feet physical distancing requirements, whereby patients could not leave their rooms or units even for fresh air and that prevented any type of patient group exercise or psychological therapy.…”

Section: Introductionmentioning

confidence: 99%

Effects of the COVID-19 Pandemic on Healthcare Providers: Policy Implications for Pandemic Recovery

Limoges¹,

McLean²,

Anzola³

et al. 2022

hcpol

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Background: Notably higher rates of mental health issues have been reported among healthcare providers (HCPs) during the COVID-19 pandemic. Concerns over the impact of policy decisions on the well-being of HCPs is growing, yet it remains underexplored in the literature. Method: HCPs from a 301-bed mental health hospital and a 408-bed acute care community hospital, both located in central Ontario, participated in interviews ( N = 30) and answered open-ended questionnaires ( N = 88) to provide their experiences with the COVID-19 pandemic. Results: Using interpretive description methods, we found that public health policies and other strategies intended to mitigate COVID-19 transmission variably impacted HCP well-being and professional practice. Discussion: Pandemic-related policies contributed to HCP stress by changing the healthcare environment and clinical practice. Understanding HCP experiences is key for leaders, policy makers and health system planners to deal with the current state, recovery and preparation for future pandemics. Direct input into policy development, implementation and evaluation from HCPs may support their well-being.

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“…There is also evidence that patient experience shapes HCPs' experience, and improving patient circumstances can have a significant effect on the mental health and general well-being of HCPs (49). Acknowledging the experiences of at-risk individuals is of paramount importance, as their circumstances must be adressed in strategic initiatives targeted at bolstering strong psychosocial functioning before mental health deterioration becomes a long lasting problem in the workforce (50,51).…”

Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 Pandemic on the Mental Health of Healthcare Providers: A Comparison of a Psychiatric Hospital and a General Hospital

et al. 2022

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Background:Before the COVID-19 pandemic, healthcare providers (HCPs) were already experiencing a higher prevalence of mental health disorders compared with non-healthcare professionals. Here, we report on the psychosocial functioning and stress resilience of HCPs who worked during the COVID-19 pandemic in a large-sized psychiatric facility and a large acute care hospital, both located in central Ontario, Canada.Methods:Participants completed five validated psychometric instruments assessing depression, anxiety, and stress (The Depression, Anxiety, and Stress Scale-21, DASS-21); work-related quality of life (Work-Related Quality of Life Scale, WRQoL); resilience (Connor-Davidson Resilience Scale, CD-RISC); anxiety about the novel coronavirus (Coronavirus Anxiety Scale, CAS); and loneliness (UCLA Loneliness Scale, ULS). Participants from the psychiatric hospital (n = 94) were sampled during the easing of restrictions after the first wave in Ontario, and participants from the acute care hospital (n = 146) were sampled during the height of the second wave in Ontario.Results:Data showed that HCPs from the acute care hospital and psychiatric hospital reported similar scores on the psychometric scales. There were also no significant differences in psychometric scale scores between medical disciplines at the acute care hospital. Among all HCPs, being a nurse predicted better quality of life (p = 0.01) and greater stress resilience (p = 0.031).Conclusion:These results suggest that HCPs' psychological symptoms are similar across the hospital settings sampled. Compared to other HCPs, nurses may show a unique resiliency to the pandemic. We suggest that emergencies such as the COVID-19 pandemic have a pervasive effect on HCPs. It is important to address HCPs' mental health needs in terms of crisis management and improve resilience among all HCPs during the inter-crisis period before a new challenge arrives.

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Effects of COVID-19 on Healthcare Providers: Opportunities for Education and Support (ECHOES)

Cited by 8 publications

References 0 publications

Assessment of Resilience Training for Hospital Employees in the Era of COVID-19

Assessment of Resilience Training for Hospital Employees in the Era of COVID-19

Effects of the COVID-19 Pandemic on Healthcare Providers: Policy Implications for Pandemic Recovery

Effects of the COVID-19 Pandemic on the Mental Health of Healthcare Providers: A Comparison of a Psychiatric Hospital and a General Hospital

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