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What are effective strategies to respond to the psychological impacts of working on the frontlines of a public health emergency?
Neil-Sztramko, Sarah E; Belita, Emily; Hopkins, Stephanie; Sherifali, Diana; Anderson, Laura; Apatu, Emma; Kapiriri, Lydia; Tarride, Jean Eric; Bellefleur, Olivier; Kaasalainen, Sharon; Marr, Sharon; Dobbins, Maureen.
Afiliación
  • Neil-Sztramko SE; Department of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, ON, Canada.
  • Belita E; National Collaborating Centre for Methods and Tools, Hamilton, ON, Canada.
  • Hopkins S; School of Nursing, McMaster University, Hamilton, ON, Canada.
  • Sherifali D; National Collaborating Centre for Methods and Tools, Hamilton, ON, Canada.
  • Anderson L; School of Nursing, McMaster University, Hamilton, ON, Canada.
  • Apatu E; Department of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, ON, Canada.
  • Kapiriri L; Department of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, ON, Canada.
  • Tarride JE; Health, Aging & Society, McMaster University, Hamilton, ON, Canada.
  • Bellefleur O; Department of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, ON, Canada.
  • Kaasalainen S; Center for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada.
  • Marr S; Programs for Assessment of Technology in Health, Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada.
  • Dobbins M; National Collaborating Centre for Healthy Public Policy, Montreal, QC, Canada.
Front Public Health ; 11: 1282296, 2023.
Article en En | MEDLINE | ID: mdl-38131026
ABSTRACT

Background:

The COVID-19 pandemic has disrupted the healthcare and public health sectors. The impact of working on the frontlines as a healthcare or public health professional has been well documented. Healthcare organizations must support the psychological and mental health of those responding to future public health emergencies.

Objective:

This systematic review aims to identify effective interventions to support healthcare workers' mental health and wellbeing during and following a public health emergency.

Methods:

Eight scientific databases were searched from inception to 1 November 2022. Studies that described strategies to address the psychological impacts experienced by those responding to a public health emergency (i.e., a pandemic, epidemic, natural disaster, or mass casualty event) were eligible for inclusion. No limitations were placed based on study design, language, publication status, or publication date. Two reviewers independently screened studies, extracted data, and assessed methodological quality using the Joanna Briggs Institute critical appraisal tools. Discrepancies were resolved through discussion and a third reviewer when needed. Results were synthesized narratively due to the heterogeneity of populations and interventions. Outcomes were displayed graphically using harvest plots.

Results:

A total of 20,018 records were screened, with 36 unique studies included in the review, 15 randomized controlled trials, and 21 quasi-experimental studies. Results indicate that psychotherapy, psychoeducation, and mind-body interventions may reduce symptoms of anxiety, burnout, depression, and Post Traumatic Stress Disorder, with the lowest risk of bias found among psychotherapy interventions. Psychoeducation appears most promising to increase resilience, with mind-body interventions having the most substantial evidence for increases in quality of life. Few organizational interventions were identified, with highly heterogeneous components.

Conclusion:

Promoting healthcare workers' mental health is essential at an individual and health system level. This review identifies several promising practices that could be used to support healthcare workers at risk of adverse mental health outcomes as they respond to future public health emergencies.Systematic review registration https//www.crd.york.ac.uk/prospero/display_record.php?RecordID=203810, identifier #CRD42020203810 (PROSPERO).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Salud Pública Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: Front Public Health Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Salud Pública Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: Front Public Health Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza