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      Need for support among healthcare professionals during the COVID-19 pandemic: a qualitative study at an academic hospital in the Netherlands

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          Abstract

          Objectives

          The aim of the current study is to gain insight into the factors that benefit vitality and resilience of healthcare workers during the COVID-19 pandemic, to develop and direct specific support strategies.

          Design, setting and participants

          This study applies a qualitative design, consisting of six focus groups and five interviews among 38 frontline healthcare workers in a large Dutch academic hospital. Included were professionals of the intensive care unit, COVID-19 departments, infection prevention units and facility management services. The study was conducted in October and November 2020, during the second wave of the COVID-19 pandemic.

          Data analysis

          Thematic analysis was applied to focus group and interview data to gain insight into the factors that contribute to maintaining vitality and resilience, and to assess specific support needs.

          Results

          Data analysis of the focus groups and individual interviews resulted in a thematic map of the factors that contribute to maintaining resilience and vitality. The map stretches over two axes: one ranging from a healthy basis to adequate professional functioning and the other from individual to organisation, resulting in four quadrants: recharge and recover (healthy basis, individual), safety and connectedness at work (healthy basis, organisational), collaboration (professional functioning, organisational) and professional identity (professional functioning, individual).

          Conclusion

          Areas for organisational support strategies to increase vitality and resilience among healthcare professionals are: consistent communication, realistic job performance expectations, monitor and improve mental resilience, showing appreciation and act upon practical support requests.

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          Most cited references45

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          Using thematic analysis in psychology

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            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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              Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

              Highlights • At least one in five healthcare professionals report symptoms of depression and anxiety. • Almost four in 10 healthcare workers experience sleeping difficulties and/or insomnia. • Rates of anxiety and depression were higher for female healthcare workers and nursing staff. • Milder mood symptoms are common and screening should aim to identify mild and sub-threshold syndromes.
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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2022
                24 February 2022
                24 February 2022
                : 12
                : 2
                : e059124
                Affiliations
                [1 ]departmentDepartment of Psychiatry , Erasmus Medical Center , Rotterdam, Zuid-Holland, The Netherlands
                [2 ]departmentDepartment of Public Health , Erasmus Medical Center , Rotterdam, Zuid-Holland, The Netherlands
                [3 ]departmentDepartment of Work, Health and Technology , Netherlands Organization for Applied Scientific Research TNO , Leiden, The Netherlands
                [4 ]departmentDepartment of Occupational Health , Erasmus Medical Center , Rotterdam, Zuid-Holland, The Netherlands
                [5 ]departmentChallenge and Support Programme , Erasmus MC Sophia Children Hospital , Rotterdam, Zuid-Holland, The Netherlands
                [6 ]departmentDepartment of Intensive Care Adults , Erasmus Medical Center , Rotterdam, Zuid-Holland, The Netherlands
                Author notes
                [Correspondence to ] Dr Leonieke W Kranenburg; l.kranenburg@ 123456erasmusmc.nl
                Author information
                http://orcid.org/0000-0001-5941-1056
                http://orcid.org/0000-0001-5440-9985
                http://orcid.org/0000-0002-0213-6054
                Article
                bmjopen-2021-059124
                10.1136/bmjopen-2021-059124
                8882635
                35210349
                fffd85fe-6835-4dbb-81c4-09eea0a972fe
                © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 08 November 2021
                : 07 February 2022
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100003061, Erasmus Medisch Centrum;
                Award ID: no grant number applicable
                Categories
                Mental Health
                1506
                2474
                1712
                Original research
                Custom metadata
                unlocked

                Medicine
                covid-19,mental health,qualitative research
                Medicine
                covid-19, mental health, qualitative research

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