scholarly journals Psychological First Aid Well-Being Support Rounds for Frontline Healthcare Workers During COVID-19

2021 ◽  
Vol 12 ◽  
Author(s):  
Mansoor Malik ◽  
Jessica Peirce ◽  
Michael Van Wert ◽  
Cynthia Wood ◽  
Haroon Burhanullah ◽  
...  

Background and Objective: Frontline healthcare workers face unprecedented stress from the current SARS COV-2 (COVID-19) pandemic. Hospital systems need to develop support programs to help frontline staff deal with this stress. The purpose of this article is to describe a support program for front line healthcare workers.Methods: In this community case report, we describe a well-being support rounding program that was developed to deliver Psychological First Aid (PFA) to frontline healthcare workers in a large urban medical center to maintain their sense of psychological well-being and self-efficacy. A team of clinicians from the department of psychiatry, who were trained on the Johns Hopkins RAPID model (Reflective Listening, Assessment, Prioritization, Intervention, and Disposition) to provide PFA, were deployed throughout the hospital. These clinicians carried out daily well-being rounds from April to June during the peak of the pandemic.Results: Approximately 20% of the frontline staff members were going through an acute crisis and benefited from PFA. Anxiety, anger, exhaustion, economic worry, job insecurity, dehumanized interactions with patients due to Personal Protective Equipment (PPE), and stress of taking care of sick and dying patients without their families present, were the main themes identified by the staff. The deployed team used active listening, mindfulness, validation, reframing and other cognitive interventions to support staff.Conclusions: Our experience suggests that frontline staff are willing to engage with in-person, on-site support programs. Fostering resilience and self-efficacy through PFA is a useful model to provide emotional support to frontline healthcare workers during health crises.

2019 ◽  
Vol 18 (4) ◽  
pp. 248-255
Author(s):  
Brandon L. Gray ◽  
Samuel Gaster ◽  
Christina Early ◽  
Amanda Reed

Purpose Healthcare professionals work in high stress environments and may benefit from organizational efforts that enhance coping abilities. Community-based psychological first aid (CBPFA) is an evidence-informed program designed for building these skills and promoting resilience during stressful times. However, few studies have examined the effectiveness of CBPFA. The paper aims to discuss these issues. Design/methodology/approach This study examined the effectiveness of CBPFA training in promoting occupational self-efficacy and intentions to use CBPFA among oncology care staff over time using a longitudinal design. Findings Participants reported increased occupational self-efficacy and intentions to use CBPFA skills after completing training. These factors remained stable at one-month follow-up. Research limitations/implications The implications of these results are limited by the lack of a control group in the study’s design, relatively homogenous sample and participant dropout. Originality/value Despite the study’s limitations, these results represent an initial step in empirically examining the impact of CBPFA trainings and providing evidence that CBPFA may be an effective preparedness and development program in high-stress healthcare settings.


2020 ◽  
Vol 37 (4) ◽  
pp. 259-263 ◽  
Author(s):  
E. Minihan ◽  
B. Gavin ◽  
B. D. Kelly ◽  
F. McNicholas

Crises such as the global pandemic of COVID-19 (coronavirus) elicit a range of responses from individuals and societies adversely affecting physical and emotional well-being. This article provides an overview of factors elicited in response to COVID-19 and their impact on immunity, physical health, mental health and well-being. Certain groups, such as individuals with mental illness, are especially vulnerable, so it is important to maximise the supports available to this population and their families during the pandemic. More broadly, the World Health Organization recommends ‘Psychological First Aid’ as a useful technique that can help many people in a time of crisis.


1995 ◽  
Vol 41 (1) ◽  
pp. 13-27 ◽  
Author(s):  
Edward McAuley ◽  
Shelly M. Shaffer ◽  
David Rudolph

The purpose of the present study was to examine the relationships between perceptions of personal efficacy and affective responsibility to acute exercise in elderly male in-patients and outpatients at a Veterans Administration Medical Center. Participants completed self-efficacy measures prior to and following upper body ergometry exercise. Multidimensional affect was assessed prior to and following activity and in-task affect was assessed by retrospective recall. A significant change in feelings of fatigue was revealed over time but exercise effects on affect were shown to be moderated by perceptions of efficacy and age. Specifically, more efficacious individuals reported significantly more positive well-being and less psychological distress during and following exercise. Older individuals were less efficacious and experienced more negative responses to exercise. Finally, participants who experienced less psychological distress and more positive well-being during activity were more efficacious post-exercise. The results are discussed with respect to the role played by self-efficacy and age in the generation of affective responses to exercise.


2021 ◽  
Vol 34 (5) ◽  
pp. e100577
Author(s):  
Natasha Smallwood ◽  
Leila Karimi ◽  
Marie Bismark ◽  
Mark Putland ◽  
Douglas Johnson ◽  
...  

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has had a profound and prolonged impact on healthcare services and healthcare workers.AimsThe Australian COVID-19 Frontline Healthcare Workers Study aimed to investigate the severity and prevalence of mental health issues, as well as the social, workplace and financial disruptions experienced by Australian healthcare workers during the COVID-19 pandemic.MethodsA nationwide, voluntary, anonymous, single timepoint, online survey was conducted between 27 August and 23 October 2020. Individuals self-identifying as frontline healthcare workers in secondary or primary care were invited to participate. Participants were recruited through health organisations, professional associations or colleges, universities, government contacts and national media. Demographics, home and work situation, health and psychological well-being data were collected.ResultsA total of 9518 survey responses were received; of the 9518 participants, 7846 (82.4%) participants reported complete data. With regard to age, 4110 (52.4%) participants were younger than 40 years; 6344 (80.9%) participants were women. Participants were nurses (n=3088, 39.4%), doctors (n=2436, 31.1%), allied health staff (n=1314, 16.7%) or in other roles (n=523, 6.7%). In addition, 1250 (15.9%) participants worked in primary care. Objectively measured mental health symptoms were common: mild to severe anxiety (n=4694, 59.8%), moderate to severe burnout (n=5458, 70.9%) and mild to severe depression (n=4495, 57.3%). Participants were highly resilient (mean (SD)=3.2 (0.66)). Predictors for worse outcomes on all scales included female gender; younger age; pre-existing psychiatric condition; experiencing relationship problems; nursing, allied health or other roles; frontline area; being worried about being blamed by colleagues and working with patients with COVID-19.ConclusionsThe COVID-19 pandemic is associated with significant mental health symptoms in frontline healthcare workers. Crisis preparedness together with policies and practices addressing psychological well-being are needed.


Author(s):  
Holly Blake ◽  
Alisha Gupta ◽  
Mahnoor Javed ◽  
Ben Wood ◽  
Steph Knowles ◽  
...  

Supported wellbeing centres were set up in UK hospital trusts as an early intervention aimed at mitigating the psychological impact of COVID-19 on healthcare workers. These provided high quality rest spaces with peer-to-peer psychological support provided by National Health Service (NHS) staff volunteers called ‘wellbeing buddies’, trained in psychological first aid. The aim of the study was to explore the views of centre visitors and operational staff towards this COVID-19 workforce wellbeing provision. Qualitative semi-structured interviews were undertaken with twenty-four (20F, 4M) employees from an acute hospital trust in the UK. Interviews were digitally recorded and transcribed, data were handled and analysed using thematic analysis. Interviews generated 3 over-arching themes, and 13 sub-themes covering ‘exposure and job roles’, ‘emotional impacts of COVID-19 and ‘the wellbeing centres’. Supported wellbeing centres were viewed as critical for the wellbeing of hospital employees during the first surge of COVID-19 in the UK. Wellbeing initiatives require managerial advocacy and must be inclusive. Job-related barriers to work breaks and accessing staff wellbeing provisions should be addressed. High quality rest spaces and access to peer-to-peer support are seen to benefit individuals, teams, organisations and care quality. Training NHS staff in psychological first aid is a useful approach to supporting the wellbeing of the NHS workforce during and beyond the COVID-19 pandemic.


2021 ◽  
Author(s):  
Rhythm Joshi ◽  
Nidhi B. Agarwal ◽  
Dinesh Bhurani ◽  
Mohd. Ashif Khan

Purpose: The emergence of SARS CoV-2, has imposed high pressure on the healthcare system worldwide. As a consequence, frontline healthcare workers were impacted widely. The aim of this systematic review is to examine the impact of COVID-19 on mental status of FHW during pandemic. Methods: Databases such as PubMed, Scopus, google scholar were searched extensively from the date of inception till April 2021. All cross-sectional studies published in English assessing the mental condition and well-being of frontline caregivers during COVID-19 were included in the study. The quality assessment was done by Newcastle Ottawa scale. Results: Ten thousand eight hundred sixty-nine articles were found. After conscientious literature search, total 78 articles were included satisfying the objective of the review. The highest and lowest values for the rates of depression, anxiety and insomnia was found to be 99.51% & 6.07%, 85.7% & 73.6%, and 5.3% & 11.4%, respectively. Conclusion: It has been found that FHW were psychologically impacted by the pandemic. This could be due to lack of resources such as PPE, organizational support, inefficient relevant knowledge regarding the novel virus, its extremely indelible transmission rates, fear of contamination, stigmatization, and/or due to prevalence of ignorance by government and health policy makers. Prospero registration no- CRD42021244612 Key words; Mental disorders, Frontline healthcare workers, Psychosomatic disorders, psychological morbidities, COVID-19.


Author(s):  
Jung Suk Park ◽  
Yun-Jung Choi

Abstract Objective: This study developed a simulation program using standardized patients for the training of mental health practitioners in psychological first aid and evaluated its effect on learners’ self-efficacy and psychological first aid performance competence and knowledge. The simulation used in this program was of a fire disaster. Methods: Thirty participants were randomly assigned to an experimental group, a comparison group, and a control group. The experimental group participated in simulation training after attending a two-hour psychological first aid lecture. The comparison group was given only the two-hour lecture and the control group was given a psychological first aid handout to study individually. The results of pre- and post-intervention questionnaires were then statistically analyzed. Results: The participants’ self-efficacy, performance competency, and knowledge improved in all groups, and there were some statistically significant differences between the three groups. The experimental group showed a greater improvement in self-efficacy and performance than the other groups. Conclusions: The psychological first aid simulation training program was effective in improving three qualities of mental health practitioners: self-efficacy, performance competency, and knowledge. Further research is required for the development of various learning scenarios for iterative psychological first aid education.


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