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      Psychosocial support for providers working high‐risk exposure settings during a pandemic: A critical discussion

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          Abstract

          Psychological first aid is a form of support designed to lessen disaster‐related distress. In a pandemic, providers may need such support but with the high risk of exposure, such a program is offered only virtually. The research is scant for traditional post‐disaster support and non‐existent for virtual; therefore, by using related research this discussion considers the likelihood of providers accessing and benefiting from this program. The virtual platform is heralded as the responsible way to provide support in a pandemic but this standard may be ineffective and is inherently inequitable. As a global event, pandemics require containment strategies applicable on an international level; therefore, psychosocial support should also be developed with an international audience in mind. Online psychosocial support falls short of being such a strategy as it incorrectly assumes global internet access. Many low‐income areas such as Sub‐Saharan Africa will need support strategies which compliment local frontline staff and fit with community‐driven initiatives, whereas wealthier countries may use a combination of onsite and online support. Provider psychosocial support needs in a pandemic, if articulated, are globally similar but how this support is offered requires contextually sensitive considerations not yet found in the literature.

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          Diagnostic and Statistical Manual of Mental Disorders

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            Is Open Access

            Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

            Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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              Mental Health and the Covid-19 Pandemic

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                Author and article information

                Contributors
                Mechelle.plasse@umassmed.edu
                Journal
                Nurs Inq
                Nurs Inq
                10.1111/(ISSN)1440-1800
                NIN
                Nursing Inquiry
                John Wiley and Sons Inc. (Hoboken )
                1320-7881
                1440-1800
                31 December 2020
                : e12399
                Affiliations
                [ 1 ] UMass Medical School Graduate School of Nursing Worcester MA USA
                Author notes
                [*] [* ] Correspondence

                Mechelle J. Plasse, UMass Medical School Graduate School of Nursing, 55 Lake N Lake Ave, Worcester, MA 01655, USA.

                Email: Mechelle.plasse@ 123456umassmed.edu

                Author information
                https://orcid.org/0000-0002-7420-5354
                Article
                NIN12399
                10.1111/nin.12399
                7883264
                33382522
                8d82a4a3-6941-496f-967d-c3f499fa6794
                © 2020 John Wiley & Sons Ltd

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 23 June 2020
                : 04 December 2020
                : 05 December 2020
                Page count
                Figures: 0, Tables: 0, Pages: 13, Words: 43811
                Categories
                Review
                Review
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.7 mode:remove_FC converted:15.02.2021

                healthcare providers,pandemics,post‐trauma,psychological first aid,stress disorder,traumatic distress

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