scholarly journals Autocuidado em saúde mental de profissionais da saúde durante a pandemia COVID-19 no Brasil: protocolo de revisão / Self-care practices in mental health among health workers during the COVID-19 pandemic in Brazil: review protocol

2021 ◽  
Vol 4 (3) ◽  
pp. 12579-12586
Author(s):  
Pamela Bezerra Da Silva ◽  
Samuel Miranda Mattos ◽  
Açucena Leal De Araújo ◽  
Luciana Leitão Martins ◽  
Listamila Sousa De Oliveira ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Self Care ◽  
Review Protocol ◽  
Care Practices

scholarly journals Clinical effectiveness and cost effectiveness of individual mental health workers colocated within primary care practices: a systematic literature review

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042052
Author(s):  
Jean-Baptiste Woods ◽  
Geva Greenfield ◽  
Azeem Majeed ◽  
Benedict Hayhoe
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cost Effectiveness ◽  
Health Worker ◽  
Health Workers ◽  
Risk Of Bias ◽  
Mental Health Workers ◽  
Mental Health Worker ◽  
Care Practices ◽  
Primary Care Practices

ObjectivesMental health disorders contribute significantly to the global burden of disease and lead to extensive strain on health systems. The integration of mental health workers into primary care has been proposed as one possible solution, but evidence of clinical and cost effectiveness of this approach is unclear. We reviewed the clinical and cost effectiveness of mental health workers colocated within primary care practices.DesignSystematic literature review.Data sourcesWe searched the Medline, Embase, PsycINFO, Healthcare Management Information Consortium (HMIC) and Global Health databases.Eligibility criteriaAll quantitative studies published before July 2019 were eligible for the review; participants of any age and gender were included. Studies did not need to report a certain outcome measure or comparator in order to be eligible.Data extraction and synthesisData were extracted using a standardised table; however, pooled analysis proved unfeasible. Studies were assessed for risk of bias using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool and the Cochrane collaboration’s tool for assessing risk of bias in randomised trials.ResultsFifteen studies from four countries were included. Mental health worker integration was associated with mental health benefits to varied populations, including minority groups and those with comorbid chronic diseases. Furthermore, the interventions were correlated with high patient satisfaction and increases in specialist mental health referrals among minority populations. However, there was insufficient evidence to suggest clinical outcomes were significantly different from usual general practitioner care.ConclusionsWhile there appear to be some benefits associated with mental health worker integration in primary care practices, we found insufficient evidence to conclude that an onsite primary care mental health worker is significantly more clinically or cost effective when compared with usual general practitioner care. There should therefore be an increased emphasis on generating new evidence from clinical trials to better understand the benefits and effectiveness of mental health workers colocated within primary care practices.

scholarly journals Foster caring in an era of COVID-19: the impact on personal self-care

2021 ◽  
Vol 45 (1) ◽  
pp. 56-70
Author(s):  
Justin Jay Miller ◽  
Erlene Grise-Owens
Keyword(s):  
Mental Health ◽  
Self Care ◽  
The Self ◽  
Hierarchical Regression ◽  
Financial Security ◽  
Electronic Survey ◽  
Important Group ◽  
Care Practices ◽  
The Impact ◽  
Mental And Physical Health

COVID-19 has undoubtedly affected all caregivers, including foster carers. Despite the importance of self-care in assuaging the impact of the pandemic, there is a dearth of research on this topic, and virtually nothing specific to this important group. This study uses a retrospective pre/post design to measure the impact of the pandemic on foster carers’ self-care. An invitation to participate in an electronic survey was circulated among carers in a US state and a snowball sample of 1229 compiled. Analyses of their replies revealed significant decreases in self-care practices in the months following the start of the pandemic. Disaggregation of the post self-care scores showed that foster carers who were married, not employed outside their home, reported good mental and physical health and were financially stable exhibited higher levels of self-care compared to their peers. Furthermore, hierarchical regression analysis showed that three factors – age, financial security and mental health status – were the strongest determinants of post-care practices. The findings suggest the need for concerted efforts by foster care agencies to conceptualise, implement and evaluate initiatives aimed at the self-care and wellness of carers during the COVID-19 pandemic.

scholarly journals Mental Health Problems and Patterns of Self-Care Associated with the Use of Digital Devices among University Students

2021 ◽  
Vol 16 (2) ◽  
pp. 146-169
Author(s):  
Dirgha Raj Joshi ◽  
Jitendra Kumar Singh ◽  
Umesh Neupane
Keyword(s):  
Mental Health ◽  
University Students ◽  
Mental Health Problems ◽  
Self Care ◽  
Health Problems ◽  
Main Concern ◽  
Sense Of Control ◽  
Human Beings ◽  
Digital Devices ◽  
Care Practices

Background: Digital devices such as computers, laptops, television (TV) and mobile phones were originally designed to support human beings’ daily activities; however, they may produce several limitations as well as benefits. The main concern of the study was how the utilization of digital devices like laptops, computers and TVs affect the mental health of Nepal’s university students and what are the self-care practices utilized to manage problems? Method: 326 MPhil scholars of Nepal Open University (NOU) participated in this cross-sectional study. Digital devices pattern of use (i.e., TV, laptop and computer), mental health problems, and self-care practices among university students were assessed through a semi-structured questionnaire. Chi-square test and binary logistic regression were major statistical techniques used in the research. Results: The study’s researchers found the following mental health problems: depression (21.5%), loneliness (39.9%), anxiety (30.7%), and a loss of the sense of control (47.5%). Significant associations were found between sitting position with loneliness, age and anxiety and the daily use of computer with sense of control, loneliness, and anxiety. Additionally, computer use two to three times a week, laptop use in the evening and sitting on a chair or stool when using digital devices, stood as the main predictors respectively of the sense of control, loneliness, and depression. Few participants with mental health problems used medicine and meditation for self-care. Conclusion: The use of digital devices was associated with mental health problems. Patterns of using computers and the preferred time to use laptops were major contributing factors for one’s sense of control and loneliness, respectively. Therefore, an awareness programme concerning the use of digital devices and their effects on mental health should be communicated among university students.

A cognitive behavioural model for maintaining processes in burnout

2010 ◽  
Vol 3 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Zoe Tyrrell
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Self Care ◽  
Mental Health Workers ◽  
Behavioural Approach ◽  
Behavioural Model ◽  
Cognitive Behavioural ◽  
Over Time

AbstractCan a cognitive behavioural approach offer a fresh understanding of the maintaining processes in burnout? This paper considers the enduring nature of burnout symptoms over time. It examines the hypothesis that some of the actions associated with ‘coping’ in burnout may conversely serve to perpetuate burnout symptoms. This model is considered in the context of mental-health workers and is discussed in the light of current research. It implies the need to adopt an approach to burnout that incorporates the challenging of burnout-related cognitions and the elimination of safety behaviours, rather than having a sole focus on self-care strategies.

What Are You Afraid Of? Managing Staff Fear and Anxiety With Agitated Patients

2020 ◽  
pp. 107839032090281
Author(s):  
Caroline Stewart ◽  
Lesli Reeves
Keyword(s):  
Mental Health ◽  
Simulation Training ◽  
Health Workers ◽  
Self Care ◽  
Psychiatric Emergency ◽  
Mental Health Workers ◽  
Multilevel Approach ◽  
Care Education ◽  
Crisis Prevention ◽  
Fear And Anxiety

BACKGROUND: Mental health workers frequently encounter situations in which patients display agitation and escalating behaviors, increasing the risk for assaults, injuries, time off, and possible termination. These factors contribute to increased fear and anxiety when engaging with agitated patients in the psychiatric setting. OBJECTIVE: The aim of this quality improvement project was to explore how a multilevel approach of psychiatric simulation training, psychiatric emergency code support, enhanced crisis prevention intervention training, and self-care education addressed staff fear and anxiety related to managing agitated patients. STUDY DESIGN: Data collection was done by voluntary pre and post simulation training surveys, medical record review of high-risk violent patients, documented psychiatric emergency code debriefings, implementation of enhanced crisis prevention education, and voluntary self-care evaluations completed by mental health workers at staff retreats. RESULTS: Findings with psychiatric simulation showed effectiveness in improving role clarity, confidence, and feelings of preparedness for managing crisis situations. Review of code debriefings identified safety as the highest problem. Small work groups were created to address individualized elements that were expressed by mental health workers as safety concerns. Self-care education through staff retreats increased awareness on prevention of compassion fatigue and burnout, while allowing mental health workers to engage in activities that promote and improve cohesiveness of the team. CONCLUSIONS: These approaches effectively addressed management of fear and anxiety with agitated patients as well as solidified the notion that a multilevel approach is necessary.

scholarly journals Saúde mental dos trabalhadores de saúde da Atenção Primária durante a pandemia da COVID-19: protocolo de revisão de escopo / Mental health of Primary Care Health workers during the COVID-19 pandemic: scope review protocol

2021 ◽  
Vol 4 (5) ◽  
pp. 23514-23525
Author(s):  
Dina Mara Formiga Da Silva ◽  
José Edmilson Silva Gomes ◽  
Diego da Silva Ferreira ◽  
Levy Sombra de Oliveira Barcelos ◽  
Tallys Newton Fernandes De Matos
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Workers ◽  
Primary Care Health ◽  
Review Protocol ◽  
Care Health
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