scholarly journals Perceptions and experiences of healthcare workers during the COVID-19 pandemic in the UK

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040503 ◽  
Author(s):  
Cecilia Vindrola-Padros ◽  
Lily Andrews ◽  
Anna Dowrick ◽  
Nehla Djellouli ◽  
Harrison Fillmore ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Care Delivery ◽  
Well Being ◽  
Media Analysis ◽  
Routine Practice ◽  
Front Line ◽  
Framework Analysis ◽  
Daily Work ◽  
Line Staff ◽  
The Uk

ObjectiveThe COVID-19 pandemic has set unprecedented demand on the healthcare workforce around the world. The UK has been one of the most affected countries in Europe. The aim of this study was to explore the perceptions and experiences of healthcare workers (HCWs) in relation to COVID-19 and care delivery models implemented to deal with the pandemic in the UK.MethodsThe study was designed as a rapid appraisal combining: (1) a review of UK healthcare policies (n=35 policies), (2) mass media and social media analysis of front-line staff experiences and perceptions (n=101 newspaper articles, n=1 46 000 posts) and (3) in-depth (telephone) interviews with front-line staff (n=30 interviews). The findings from all streams were analysed using framework analysis.ResultsLimited personal protective equipment (PPE) and lack of routine testing created anxiety and distress and had a tangible impact on the workforce. When PPE was available, incorrect size and overheating complicated routine work. Lack of training for redeployed staff and the failure to consider the skills of redeployed staff for new areas were identified as problems. Positive aspects of daily work reported by HCWs included solidarity between colleagues, the establishment of well-being support structures and feeling valued by society.ConclusionOur study highlighted the importance of taking into consideration the experiences and concerns of front-line staff during a pandemic. Staff working in the UK during the COVID-19 pandemic advocated clear and consistent guidelines, streamlined testing of HCWs, administration of PPE and acknowledgement of the effects of PPE on routine practice.

scholarly journals Mental health and well-being of healthcare workers during the COVID-19 pandemic in the UK: contrasting guidelines with experiences in practice

BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Norha Vera San Juan ◽  
David Aceituno ◽  
Nehla Djellouli ◽  
Kirsi Sumray ◽  
Nina Regenold ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Well Being ◽  
Evidence Base ◽  
Rapid Review ◽  
Front Line ◽  
Contextual Characteristics ◽  
Definition Of ◽  
The Uk

Background Substantial evidence has highlighted the importance of considering the mental health of healthcare workers during the COVID-19 pandemic, and several organisations have issued guidelines with recommendations. However, the definition of well-being and the evidence base behind such guidelines remain unclear. Aims The aims of the study are to assess the applicability of well-being guidelines in practice, identify unaddressed healthcare workers’ needs and provide recommendations for supporting front-line staff during the current and future pandemics. Method This paper discusses the findings of a qualitative study based on interviews with front-line healthcare workers in the UK (n = 33), and examines them in relation to a rapid review of well-being guidelines developed in response to the COVID-19 pandemic (n = 14). Results The guidelines placed greater emphasis on individual mental health and psychological support, whereas healthcare workers placed greater emphasis on structural conditions at work, responsibilities outside the hospital and the invaluable support of the community. The well-being support interventions proposed in the guidelines did not always respond to the lived experiences of staff, as some reported not being able to participate in these interventions because of understaffing, exhaustion or clashing schedules. Conclusions Healthcare workers expressed well-being needs that aligned with socio-ecological conceptualisations of well-being related to quality of life. This approach to well-being has been highlighted in literature on support of healthcare workers in previous health emergencies, but it has not been monitored during this pandemic. Well-being guidelines should explore the needs of healthcare workers, and contextual characteristics affecting the implementation of recommendations.

Front-line Healthcare Workers in COVID-19: The Way from Elbow-Bump Greeting to Closing Body Bags

2020 ◽  
Author(s):  
Stefan Bittmann
Keyword(s):  
Health Service ◽  
Healthcare Workers ◽  
Well Being ◽  
The United States ◽  
Angiotensin Ii Receptor ◽  
Front Line ◽  
Resource Center ◽  
Research Activities ◽  
The World ◽  
The Usa

COVID-19 is a serious coronavirus disease that is spreading all over the world. As of the date of this publication, 2.834.134 people have been infected with COVID-19 and 197.924 deaths have been recorded in 185 countries (John Hopkins Corona Resource Center, 25th April 2020) [1]. This overwhelming mortality rate requires intensive research activities around the world. To date, the number of deaths per day in the United States is still killing, indicating an uncontrollable state of infection spread. SARS-CoV-2 binds to the angiotensin II receptor in various tissues of the human body, particularly in the oral cavity and tongue. SARS-CoV-2 requires the cheerful TMPRSS2 to activate this inertia. SARS-CoV-2 uses the ACE2 receptor as a gateway to the lungs. The SARS-CoV-2 virus binds with the spike protein to the ACE2 receptor. COVID-19 is more common among African Americans in the USA (Science 10th April 2020). The comfort and the emotional loading capacity of the employees in the health service are key components for the maintenance of the essential health services during the outbreak of the COVID-19 virus (Coronavirus) [2,3]. Hence, it will be important to anticipate the charges linked with this work and to release support for employees in the health service. The supervision and assessment of the psychic health and the well-being of the employees in the health service will be important, just as the efforts to guarantee a successful reunion with colleagues if they are infected.

scholarly journals Motivating Change: a grounded theory of how to achieve large-scale, sustained change, co-created with improvement organisations across the UK

2019 ◽  
Vol 8 (2) ◽  
pp. e000553 ◽  
Author(s):  
Jenna P Breckenridge ◽  
Nicola Gray ◽  
Madalina Toma ◽  
Sue Ashmore ◽  
Ruth Glassborow ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Large Scale ◽  
Peer Pressure ◽  
Theory Approach ◽  
Front Line ◽  
Convincing Argument ◽  
Line Staff ◽  
Sustained Change ◽  
Government Organisation ◽  
The Uk

BackgroundVarious theories provide guidance on implementing, sustaining and evaluating innovations within healthcare. There has been less attention given, however, to personal theories drawn from practice and the expertise of managers and front-line staff is a largely untapped resource. In this paper, we share learning from experienced improvement organisations to provide a conceptual level explanation of the conditions necessary to facilitate and sustain improvement at scale.MethodsStaff (n=42) from three leading change organisations in the UK, spanning health, education and social care, took part in three consultation meetings with the aim of sharing knowledge about sustaining large-scale change. This included one government organisation, one National Health Service Board and one large charity organisation. Using a participatory grounded theory approach, the workshops resulted in a co-created theory.ResultsThe theory of Motivating Change describes the psychosocial-structural conditions for large-scale, sustained change from the perspectives of front-line staff. The theory posits that change is more likely to be sustained at scale if there is synergy between staff’s perceived need and desire for improvement, and the extrinsic motivators for change. Witnessing effective change is motivating for staff and positive outcomes provide a convincing argument for the need to sustain improvement activity. As such, evidence of change becomes evidence for change. This is only possible when there is a flow of trust within organisations that capitalises on positive peer pressure and suppresses infectious negativity. When these conditions are in place, organisations can generate self-proliferating improvement.ConclusionsThe theory of Motivating Change has been co-created with staff and offers a useful explanation and guide for others involved in change work that capitalises on front-line expertise.

scholarly journals Culturally-tailored Peer Support for Doctors and Nurses of Indian Origin

2021 ◽  
Vol 14 (2) ◽  
pp. 1-8
Author(s):  
Sunil Daga ◽  
Viju Varadarajan ◽  
Manasvi Dwaraknath ◽  
Saraswati Hosdurga ◽  
Rajeev Metri ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Peer Support ◽  
Healthcare Workers ◽  
Well Being ◽  
Governance Structure ◽  
Culturally Tailored ◽  
Indian Origin ◽  
The Uk ◽  
Health And Well Being

The mental health and well-being needs of healthcare workers have risen sharply, fuelled by the current COVID-19 pandemic. Migrant healthcare workers are affected not only by events in the country where they work but also by events in countries where their family and friends reside. Despite, increase in psychological distress, migrant HCWs don’t use the existing resources to support their needs.   This paper summarises discussions from the workshop focusing on reasons/barriers in uptake of mental health and well-being resources in the UK, the scope of peer support initiatives and its boundaries in supporting colleagues in the UK and India. Finally, it makes recommendations on the governance structure and checklist when organising peer support for healthcare workers. 

scholarly journals Dentists deployed: an insider’s perspective of life on the NHS front line

2021 ◽  
Vol 10 (3) ◽  
pp. 21-29
Author(s):  
Harriet E. Powell
Keyword(s):  
Emergency Department ◽  
Secondary Care ◽  
Healthcare Workers ◽  
Major Trauma ◽  
Healthcare Services ◽  
Front Line ◽  
North West ◽  
National Crisis ◽  
The North ◽  
The Uk

The COVID-19 pandemic has stretched and overburdened healthcare services within the UK. This national crisis has led to the widespread redeployment of healthcare workers and reorganization of services throughout the NHS in the UK. The flexible and altruistic nature of healthcare workers has been inspiring, and central in the UK’s response to the COVID-19 pandemic. This article describes the ‘first-hand’ experience of a secondary care dentist, highlighting the redeployment journey to the emergency department (ED) of a major trauma hospital in the North-West of England during the first wave of the COVID-19 pandemic.

scholarly journals Mental health symptoms in a cohort of hospital healthcare workers following the first peak of the COVID-19 pandemic in the UK

BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Kasun Wanigasooriya ◽  
Priyanka Palimar ◽  
David N. Naumann ◽  
Khalida Ismail ◽  
Jodie L. Fellows ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Well Being ◽  
Moral Dilemmas ◽  
Ptsd Symptoms ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
History Of ◽  
Clinically Significant ◽  
The Uk

Background The coronavirus disease 2019 (COVID-19) pandemic is likely to lead to a significant increase in mental health disorders among healthcare workers (HCW). Aims We evaluated the rates of anxiety, depressive and post-traumatic stress disorder (PTSD) symptoms in a population of HCW in the UK. Method An electronic survey was conducted between the 5 June 2020 and 31 July 2020 of all hospital HCW in the West Midlands, UK using clinically validated questionnaires: the 4-item Patient Health Questionnaire(PHQ-4) and the Impact of Event Scale-Revised (IES-R). Univariate analyses and adjusted logistic regression analyses were performed to estimate the strengths in associations between 24 independent variables and anxiety, depressive or PTSD symptoms. Results There were 2638 eligible participants who completed the survey (female: 79.5%, median age: 42 years, interquartile range: 32–51). The rates of clinically significant symptoms of anxiety, depression and PTSD were 34.3%, 31.2% and 24.5%, respectively. In adjusted analysis a history of mental health conditions was associated with clinically significant symptoms of anxiety (odds ratio (OR) = 2.3, 95% CI 1.9–2.7, P < 0.001), depression (OR = 2.5, 95% CI 2.1–3.0, P < 0.001) and PTSD (OR = 2.1, 95% CI 1.7–2.5, P < 0.001). The availability of adequate personal protective equipment (PPE), well-being support and lower exposure to moral dilemmas at work demonstrated significant negative associations with these symptoms (P ≤ 0.001). Conclusions We report higher rates of clinically significant mental health symptoms among hospital HCW following the initial COVID-19 pandemic peak in the UK. Those with a history of mental health conditions were most at risk. Adequate PPE availability, access to well-being support and reduced exposure to moral dilemmas may protect hospital HCW from mental health symptoms.

scholarly journals How Nascent Occupations Construct a Mandate: The Case of Service Designers’ Ethos

2016 ◽  
Vol 62 (2) ◽  
pp. 270-303 ◽  
Author(s):  
Anne-Laure Fayard ◽  
Ileana Stigliani ◽  
Beth A. Bechky
Keyword(s):  
New Technology ◽  
Service Design ◽  
Work Practices ◽  
Technical Expertise ◽  
Front Line ◽  
Work Activities ◽  
Daily Work ◽  
Line Staff ◽  
Feasible Solutions

In this paper, we study the way that nascent occupations constructing an occupational mandate invoke not only skills and expertise or a new technology to distinguish themselves from other occupations, but also their values. We studied service design, an emerging occupation whose practitioners aim to understand customers and help organizations develop new or improved services and customer experiences, translate those into feasible solutions, and implement them. Practitioners enacted their values in their daily work activities through a set of material practices, such as shadowing customers or front-line staff, conducting interviews in the service context, or creating “journey maps” of a service user’s experience. The role of values in the construction of an occupational mandate is particularly salient for occupations such as service design, which cannot solely rely on skills and technical expertise as sources of differentiation. We show how service designers differentiated themselves from other competing occupations by highlighting how their values make their work practices unique. Both values and work practices, what service designers call their ethos, were essential to enable service designers to define the proper conduct and modes of thinking characteristic of their occupational mandate.

scholarly journals Pandemic and mental health of the front-line healthcare workers: a review and implications in the Indian context amidst COVID-19

2020 ◽  
Vol 33 (5) ◽  
pp. e100284
Author(s):  
Snehil Gupta ◽  
Swapnajeet Sahoo
Keyword(s):  
Mental Health ◽  
Psychological Health ◽  
Healthcare Workers ◽  
Mental Health Problems ◽  
Psychological Impact ◽  
Well Being ◽  
Health Problems ◽  
Front Line ◽  
Digital Platforms ◽  
Indian Context

Pandemic, being unprecedented, leads to several mental health problems, especially among the front-line healthcare workers (HCW). Front-line HCWs often suffer from anxiety, depression, burnout, insomnia and stress-related disorders. This is mediated to a large extent by the biopsychological vulnerabilities of the individuals; socioenvironmental factors such as the risk of exposure to infection, effective risk communication to HCWs, availability of personal protective equipment, job-related stress, perceived stigma and psychological impact of the isolation/quarantine and interpersonal distancing also play the major roles. Despite the huge magnitude of mental health problems among the front-line HCWs, their psychological health is often overlooked. Some of the potential measures to reduce the mental health problems of the front-line HCWs are effective communication, tangible support from the administration/seniors, mental health problem screening—and interventional—facilities, making quarantine/isolation less restrictive and ensuring interpersonal communication through the various digital platforms, proactively curtailing the misinformation/rumour spread by the media and strict legal measures against violence/ill treatment with the HCWs, and so on. India, along with other countries who lately got affected by the COVID-19, must learn from the experiences of the other countries and also from the previous pandemics as to how to address the mental health needs of their front-line HCWs and ensure HCWs’ mental well-being, thereby improving their productivity. Current review attempts to highlight the mental health aspects of the pandemic on the front-line HCWs, discusses some of the contentious issues and provides future directions particularly concerning COVID-19 in the Indian context and other low-resource countries.

scholarly journals Daily Work-Family Conflict and Burnout to Explain the Leaving Intentions and Vitality Levels of Healthcare Workers: Interactive Effects Using an Experience-Sampling Method

2021 ◽  
Vol 18 (4) ◽  
pp. 1932
Author(s):  
Luis Manuel Blanco-Donoso ◽  
Jennifer Moreno-Jiménez ◽  
Mercedes Hernández-Hurtado ◽  
José Luis Cifri-Gavela ◽  
Stephen Jacobs ◽  
...  
Keyword(s):  
Family Conflict ◽  
Healthcare Workers ◽  
Interactive Effect ◽  
Experience Sampling ◽  
Well Being ◽  
Interactive Effects ◽  
Work Family Conflict ◽  
Intentions To Leave ◽  
Daily Work ◽  
Work Family

There is an intensification of work in global health systems, a phenomenon that could increase work-family conflict, exhaustion, and intentions to leave among healthcare workers. The main objective of this study is to analyze if daily work-family conflict and burnout could explain the daily leaving intentions and vitality of healthcare workers. This is a diary study, which employs an experience-sampling methodology (ESM). A total of 56 physicians, nurses, and nursing aides from intensive care and nephrology units filled out various quantitative scales during 5 working days (56 × 5 = 280 observations). Multilevel hierarchical analysis showed that daily work-family conflict and burnout were significantly associated with higher daily intentions of leaving the profession, and with lower levels of daily vitality. In addition, those workers who experienced more work-family conflict and depersonalization on a daily basis were those who showed more intentions to leave and less daily vitality, showing an interactive effect. The results highlight the importance of examining the psychosocial risks experienced by healthcare workers by employing experience-sampling methodologies, which could help us to deepen our understanding of the proximal antecedents of their intentions to leave and their psychological well-being.

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