scholarly journals How can we build and maintain the resilience of our health care professionals during COVID-19? Recommendations based on a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043718
Author(s):  
Anja Rieckert ◽  
Ewoud Schuit ◽  
Nienke Bleijenberg ◽  
Debbie ten Cate ◽  
Wendela de Lange ◽  
...  
Keyword(s):  
Mental Health ◽  
Working Conditions ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Psychosocial Support ◽  
Grey Literature ◽  
Hospital Setting ◽  
Physical And Mental Health ◽  
The Impact

ObjectiveTo explore how to build and maintain the resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions.DesignScoping review supplemented with expert interviews to validate the findings.SettingHospitals.MethodsWe searched PubMed, Embase, PsycINFO, CINAHL, bioRxiv and medRxiv systematically and grey literature for articles focusing on the impact of COVID-19-like working conditions on the physical and/or mental health of healthcare professionals in a hospital setting. Articles using an empirical design about determinants or causes of physical and/or mental health and about interventions, measures and policies to preserve physical and/or mental health were included. Four experts were interviewed to reflect on the results from the scoping review.ResultsIn total, 4471 records were screened leading to an inclusion of 73 articles. Recommendations prior to the outbreak fostering resilience included optimal provision of education and training, resilience training and interventions to create a feeling of being prepared. Recommendations during the outbreak consisted of (1) enhancing resilience by proper provision of information, psychosocial support and treatment (eg, create enabling conditions such as forming a psychosocial support team), monitoring the health status of professionals and using various forms and content of psychosocial support (eg, encouraging peer support, sharing and celebrating successes), (2) tasks and responsibilities, in which attention should be paid to kind of tasks, task mix and responsibilities as well as the intensity and weight of these tasks and (3) work patterns and working conditions. Findings of the review were validated by experts.ConclusionsRecommendations were developed on how to build and maintain resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions. These practical and easy to implement recommendations can be used by hospitals and other healthcare organisations to foster and preserve short-term and long-term physical and mental health and employability of their professionals.

The Relationship Between Highly Visual Social Media and Young People’s Mental Health: A Scoping Review (Preprint)

2020 ◽  
Author(s):  
Alanna McCrory
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Young People ◽  
Scoping Review ◽  
Quantitative Methods ◽  
Grey Literature ◽  
Significant Proportion ◽  
Mental Wellbeing ◽  
Published Evidence ◽  
The Impact

UNSTRUCTURED Users of highly visual social media (HVSM), such as Snapchat and Instagram, share their messages through images, rather than relying on words. A significant proportion of people that use these platforms are adolescents. Previous research reveals mixed evidence regarding the impact of online social technologies on this age group’s mental wellbeing, but it is uncertain whether the psychological effects of visual content alone differ from text-driven social media. This scoping review maps existing literature that has published evidence about highly visual social media, specifically its psychological impact on young people. Nine electronic databases and grey literature from 2010 until March 2019 were reviewed for articles describing any aspect of visual social media, young people and their mental health. The screening process retrieved 239 articles. With the application of eligibility criteria, this figure was reduced to 25 articles for analysis. Results indicate a paucity of data that exclusively examines HVSM. The predominance of literature relies on quantitative methods to achieve its objectives. Many findings are inconsistent and lack the richness that qualitative data may provide to explore the reasons for theses mixed findings.

scholarly journals Scoping review of mental health in prisons through the COVID-19 pandemic

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e046547
Author(s):  
Luke Johnson ◽  
Kerry Gutridge ◽  
Julie Parkes ◽  
Anjana Roy ◽  
Emma Plugge
Keyword(s):  
Mental Health ◽  
Scoping Review ◽  
Grey Literature ◽  
Well Being ◽  
Health Impact ◽  
Poor Quality ◽  
Eligibility Criteria ◽  
Prison Staff ◽  
The Impact

ObjectiveTo examine the extent, nature and quality of literature on the impact of the COVID-19 pandemic on the mental health of imprisoned people and prison staff.DesignScoping review.Data sourcesPubMed, Embase, CINAHL, Global Health, Cochrane, PsycINFO, PsychExtra, Web of Science and Scopus were searched for any paper from 2019 onwards that focused on the mental health impact of COVID-19 on imprisoned people and prison staff. A grey literature search focused on international and government sources and professional bodies representing healthcare, public health and prison staff was also performed. We also performed hand searching of the reference lists of included studies.Eligibility criteria for selection of studiesAll papers, regardless of study design, were included if they examined the mental health of imprisoned people or prison staff specifically during the COVID-19 pandemic. Imprisoned people could be of any age and from any countries. All languages were included. Two independent reviewers quality assessed appropriate papers.ResultsOf 647 articles found, 83 were eligible for inclusion, the majority (58%) of which were opinion pieces. The articles focused on the challenges to prisoner mental health. Fear of COVID-19, the impact of isolation, discontinuation of prison visits and reduced mental health services were all likely to have an adverse effect on the mental well-being of imprisoned people. The limited research and poor quality of articles included mean that the findings are not conclusive. However, they suggest a significant adverse impact on the mental health and well-being of those who live and work in prisons.ConclusionsIt is key to address the mental health impacts of the pandemic on people who live and work in prisons. These findings are discussed in terms of implications for getting the balance between infection control imperatives and the fundamental human rights of prison populations.

scholarly journals Living habits affecting subsequent gastrointestinal cancer surgery: An interpretative phenomenological interview study

2021 ◽  
Author(s):  
Karin Blomquist ◽  
Carina Wennerholm ◽  
Carina Berterö ◽  
Per Sandström ◽  
Bergthor Björnsson ◽  
...  
Keyword(s):  
Mental Health ◽  
Gastrointestinal Cancer ◽  
Health Care Professionals ◽  
Lived Experiences ◽  
Research Process ◽  
Cancer Surgery ◽  
University Hospital ◽  
Physical And Mental Health ◽  
Motivation Level ◽  
The Impact

Abstract Purpose There is limited in-depth understanding of patients’ views and experiences with physical training, nutritional care, psychological support, and smoking/alcohol cessation prior to gastrointestinal cancer surgery. Therefore, patients' thoughts and influences regarding prehabilitation components are of interest in the effort to provide optimal supportive cancer care and to improve health. The aim of this study was to explore patients’ thoughts, lived experiences and influences regarding their living habits prior to gastrointestinal cancer surgery. Methods The participants in this qualitative study were recruited from a university hospital in southeast Sweden. In total, six in-depth digital interviews were held from November 2020 to March 2021. An interpretative phenomenological analysis approach was used throughout the research process. Results The interpretative analysis identified three themes: the influence of the cancer diagnosis on awareness and motivation, life circumstances affecting living habits and activities bringing mental strength. The main findings deepen the current understanding of the situation that patients face when committing to presurgical preparation plans. The participants expressed the impact of their motivation level and circumstances in life. Physical and mental health was promoted by various types of activities and support. Conclusion Motivation level and circumstances in life both influence living habits. Patients’ physical and mental health is promoted by various types of activities and support. Health care professionals need to investigate patients’ lived experiences when developing person-centred support to achieve health-promoting behaviour prior to cancer surgery.

scholarly journals The ABCDE approach in critically ill or injured patients: a scoping review of quantitative and qualitative evidence

2021 ◽  
Author(s):  
Marjolein Linders ◽  
Laura Bruinink ◽  
Lia Fluit ◽  
Willem de Boode ◽  
Marije Hogeveen
Keyword(s):  
Health Care ◽  
Critically Ill ◽  
Study Protocol ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Hospital Setting ◽  
Main Question ◽  
Qualitative Evidence ◽  
Injured Patients

this is the study protocol for a scoping review regarding the ABCDE approach used by health care professionals . The main question we aim to answer is: What are the reported outcomes related to application or teaching of the ABCDE approach by healthcare professionals in a hospital setting?

scholarly journals Experiences of frontline healthcare workers and their views about support during COVID-19 and previous pandemics: a systematic review and qualitative meta-synthesis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jo Billings ◽  
Brian Chi Fung Ching ◽  
Vasiliki Gkofa ◽  
Talya Greene ◽  
Michael Bloomfield
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Psychosocial Support ◽  
Grey Literature ◽  
Opportunity To Learn ◽  
Health Impact ◽  
Frontline Workers ◽  
Health And Wellbeing ◽  
Frontline Healthcare Workers ◽  
The Impact

Abstract Background Healthcare workers across the world have risen to the demands of treating COVID-19 patients, potentially at significant cost to their own health and wellbeing. There has been increasing recognition of the potential mental health impact of COVID-19 on frontline workers and calls to provide psychosocial support for them. However, little attention has so far been paid to understanding the impact of working on a pandemic from healthcare workers’ own perspectives or what their views are about support. Methods We searched key healthcare databases (Medline, PsychINFO and PubMed) from inception to September 28, 2020. We also reviewed relevant grey literature, screened pre-print servers and hand searched reference lists of key texts for all published accounts of healthcare workers’ experiences of working on the frontline and views about support during COVID-19 and previous pandemics/epidemics. We conducted a meta-synthesis of all qualitative results to synthesise findings and develop an overarching set of themes and sub-themes which captured the experiences and views of frontline healthcare workers across the studies. Results This review identified 46 qualitative studies which explored healthcare workers’ experiences and views from pandemics or epidemics including and prior to COVID-19. Meta-synthesis derived eight key themes which largely transcended temporal and geographical boundaries. Participants across all the studies were deeply concerned about their own and/or others’ physical safety. This was greatest in the early phases of pandemics and exacerbated by inadequate Personal Protective Equipment (PPE), insufficient resources, and inconsistent information. Workers struggled with high workloads and long shifts and desired adequate rest and recovery. Many experienced stigma. Healthcare workers’ relationships with families, colleagues, organisations, media and the wider public were complicated and could be experienced concomitantly as sources of support but also sources of stress. Conclusions The experiences of healthcare workers during the COVID-19 pandemic are not unprecedented; the themes that arose from previous pandemics and epidemics were remarkably resonant with what we are hearing about the impact of COVID-19 globally today. We have an opportunity to learn from the lessons of previous crises, mitigate the negative mental health impact of COVID-19 and support the longer-term wellbeing of the healthcare workforce worldwide.

scholarly journals Interagency collaboration models for people with mental ill health in contact with the police: a systematic scoping review

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019312 ◽  
Author(s):  
Adwoa Parker ◽  
Arabella Scantlebury ◽  
Alison Booth ◽  
Jillian Catherine MacBryde ◽  
William J Scott ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Scoping Review ◽  
Police Officers ◽  
Grey Literature ◽  
Interagency Collaboration ◽  
Cochrane Library ◽  
Scoping Reviews ◽  
Health Related ◽  
The Impact

ObjectiveTo identify existing evidence on interagency collaboration between law enforcement, emergency services, statutory services and third sector agencies regarding people with mental ill health.DesignSystematic scoping review. Scoping reviews map particular research areas to identify research gaps.Data sources and eligibilityASSIA, CENTRAL, the Cochrane Library databases, Criminal Justice Abstracts, ERIC, Embase, MEDLINE, PsycINFO, PROSPERO and Social Care Online and Social Sciences Citation Index were searched up to 2017, as were grey literature and hand searches. Eligible articles were empirical evaluations or descriptions of models of interagency collaboration between the police and other agencies.Study appraisal and synthesisScreening and data extraction were undertaken independently by two researchers. Arksey’s framework was used to collate and map included studies.ResultsOne hundred and twenty-five studies were included. The majority of articles were of descriptions of models (28%), mixed methods evaluations of models (18%) and single service evaluations (14%). The most frequently reported outcomes (52%) were ‘organisational or service level outcomes’ (eg, arrest rates). Most articles (53%) focused on adults with mental ill health, whereas others focused on adult offenders with mental ill health (17.4%). Thirteen models of interagency collaboration were described, each involving between 2 and 13 agencies. Frequently reported models were ‘prearrest diversion’ of people with mental ill health (34%), ‘coresponse’ involving joint response by police officers paired with mental health professionals (28.6%) and ‘jail diversion’ following arrest (23.8%).ConclusionsWe identified 13 different interagency collaboration models catering for a range of mental health-related interactions. All but one of these models involved the police and mental health services or professionals. Several models have sufficient literature to warrant full systematic reviews of their effectiveness, whereas others need robust evaluation, by randomised controlled trial where appropriate. Future evaluations should focus on health-related outcomes and the impact on key stakeholders.

scholarly journals Recognising autism in healthcare

2021 ◽  
pp. 1-7
Author(s):  
Mary Doherty ◽  
Clair Haydon ◽  
Ian A Davidson
Keyword(s):  
Mental Health ◽  
Patient Experience ◽  
Healthcare Professionals ◽  
Autistic Traits ◽  
Health Issues ◽  
Negative Consequences ◽  
Physical And Mental Health ◽  
Mental Health Issues ◽  
Autistic People ◽  
The Impact

Recognition of autism and the associated co-occurring physical and mental health issues has increased over recent years. However, undergraduate and postgraduate curricula take time to adapt and to impact on what is delivered in training so healthcare professionals, including doctors, report little training on these topics. Doctors need to know when someone might be autistic in order to respond to them appropriately. This article sets out the reasons why recognition of autism is important and the positive impacts of recognising and understanding autism on health outcomes, service delivery and patient experience. The negative consequences of not recognising autism or understanding the impact of autistic traits on the person are also explored. A companion article then covers how practice can be made more appropriate for autistic people to improve outcomes.

scholarly journals Changes in Care- A Systematic Scoping Review of Transitions for Children with Medical Complexities

2020 ◽  
Vol 16 (3) ◽  
pp. 165-175
Author(s):  
Tara Mantler ◽  
Kimberley T. Jackson ◽  
Jessi Baer ◽  
Jenna White ◽  
Bridget Ache ◽  
...  
Keyword(s):  
Mental Health ◽  
Outcome Measures ◽  
Emotional Distress ◽  
Scoping Review ◽  
Emotional Health ◽  
Models Of Care ◽  
Physical And Mental Health ◽  
High Expectations ◽  
Transitions In Care ◽  
The Impact

Background: Children with medical complexity (CMC) and their parents are affected physically and mentally during transitions in care. Coordinated models of care show promise in improving health outcomes. Objective: The purpose of this scoping review was to examine research related to CMC and their parents and transitions in care. The aim was 3-fold: (1) to examine the extent, range, and nature of research activity related to the impact of transitions on physical and mental health for CMC and their parents; (2) to summarize and disseminate research findings for key knowledge users; and (3) to identify research gaps in the existing literature to inform future studies. Methods: Twenty-three sources were identified through database searches and five articles met the inclusion criteria of CMC (multi-organ involvement or technology-dependent) (or parents of CMC) transitioning from hospital to alternate levels of care where outcome measures were physical or mental health-related. Results: Numerical analysis revealed substantial variation in methodological approaches and outcome measures. Content analysis revealed two themes for parents of CMC during this transition: (1) emotional distress, and (2) high expectations; and three themes for CMC: (1) improved health, (2) changes in emotion, and (3) disrupted relationships. Conclusion: The findings from this scoping review reveal for parents, transitions in care are fraught with emotional distress and high expectations; and for CMC there are improvements in quality of life and emotional health post- hospital to home transitions when collaborative models of care are available. This review serves as an early attempt to summarize the literature and demonstrate a need for further research.

scholarly journals Connecting healthcare with income maximisation services, and their financial, health and well-being impacts for families with young children: a systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e056297
Author(s):  
Jade Burley ◽  
Anna MH Price ◽  
Anneka Parker ◽  
Nora Samir ◽  
Anna Zhu ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Healthcare Service ◽  
Grey Literature ◽  
Well Being ◽  
Financial Hardship ◽  
Cochrane Library ◽  
Physical And Mental Health ◽  
The Impact ◽  
Health And Well Being

IntroductionPoverty has far-reaching and detrimental effects on children’s physical and mental health, across all geographies. Financial advice and income-maximisation services can provide a promising opportunity for shifting the physical and mental health burdens that commonly occur with financial hardship, yet awareness of these services is limited, and referrals are not systematically integrated into existing healthcare service platforms. We aim to map and synthesise evidence on the impact of healthcare-income maximisation models of care for families of children aged 0–5 years in high-income countries on family finances, parent/caregiver(s) or children’s health and well-being.Methods and analysisTo be included in the review, studies must be families (expectant mothers or parents/caregivers) of children who are aged between 0 and 5 years, accessing a healthcare service, include a referral from healthcare to an income-maximisation service (ie, financial counselling), and examine impacts on child and family health and well-being. A comprehensive electronic search strategy will be used to identify studies written in English, published from inception to January 2021, and indexed in MEDLINE, EMBase, PsycINFO, CINAHL, Proquest, Family & Society Studies Worldwide, Cochrane Library, and Informit Online. Search strategies will include terms for: families, financial hardship and healthcare, in various combinations. Bibliographies of primary studies and review articles meeting the inclusion criteria will be searched manually to identify further eligible studies, and grey literature will also be searched. Data on objective and self-reported outcomes and study quality will be independently extracted by two review authors; any disagreements will be resolved through a third reviewer. The protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols.Ethics and disseminationEthical approval is not required. The results will be disseminated widely via peer-reviewed publication and presentations at conferences related to this field.PROSPERO registration numberCRD42020195985.

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