Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study / Programa integrado de intervenciones psicológicas de emergencia en sanitarios durante la pandemia de la COVID-19. Estudio cualitativo
Arch. prev. riesgos labor. (Ed. impr.)
; 27(2): 157-172, Abr. 2024. tab, ilus
Artigo
em Inglês
| IBECS
| ID: ibc-232637
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Introduction:
The outbreak of the COVID-19 pandemic put at risk the resilience of health-care professionals by exposing them to high levels of stress. Our aim was to identify key elements for implementing the STEP programme, a psychological support service for healthcare professionals.Methods:
qualitative design. The study participants were hospital healthcare staff. Anon-ymous questionnaires and transcriptions of group interventions and focus groups were used to identify professionals preferences to receiving psychological support, needs, concerns, resilience (STEP1.0); constrained emotions and associated thoughts (STEP1.5); perception of self-efficacy on managing emotions (STEP2.0); and the professionals profile requiring individual therapy.Results:
Three hundred professionals participated in the study, 100.0% in STEP 1.0 , 27.3% in STEP 1.5, 2.7% in STEP 2.0, and 10.0% in individual interventions. Two hundred and three (67.7%) participants reflected in the survey that they would prefer access to a face-to-face psychological service during working hours. Three consecutive phases with specific needs and concerns were identified The cognitive phase, at the beginning of the pandemic, when infection and self-efficacy were major concerns, the ventilation phase, when constrained emotions associated with several factors were expressed; and the recovery phase, when the clinical overload decreased and professionals were able to focus on emotion manage-ment training. Several personal characteristics associated with referral to individual therapy were identified.Conclusions:
The key characteristics of a psychological support service are proximity, face-to-face interaction during working shifts, and a chronological phase system adapted to dif-ferent emerging needs.(AU)RESUMEN
Introducción:
El estallido de la pandemia de la COVID-19 puso en riesgo la resiliencia de los profesionales sanitarios exponiéndolos a alto riesgo de estrés. Nuestro objetivo consistió en identificar elementos clave para implementar un servicio de apoyo psicológico para pro-fesionales.Método:
Diseño cualitativo. Participaron profesionales a nivel hospitalario. Se utilizaron cuestionarios anónimos, transcripciones de intervenciones grupales y grupo focal. Se consideraron las variables asociadas a las herramientas de intervención psicológica im-plementadas STEP 1.0, necesidades, preocupaciones y resiliencia; STEP 1.5, emociones contenidas y pensamientos asociados; STEP 2.0, percepción de autoeficacia en gestión de emociones. Características de profesionales asociadas a terapia individual; así como el método elegido para recibir apoyo psicológico.Resultados:
Participaron 300 profesionales, 100.0% en STEP 1.0, 27.3% en STEP 1.5, 2.7% en STEP 2.0 y 10.0% en intervenciones individuales. En 203 cuestionarios los profesionales preferían un servicio psicológico presencial y durante las horas de trabajo. Se identificaron 3 fases consecutivas con necesidades y preocupaciones específicas Fase Cognitiva, incial, cuando la infección y autoeficacia preocupaban más. Fase de Ventilación cuando se expresaron emociones contenidas asociadas a varios factores. Fase de Recuperación, cuando los profesionales afrontaron la gestión de emociones. Se identificaron característi-cas asociadas a la derivación a terapia individual.Conclusión:
Las características clave de un servicio de apoyo psicológico son la proximi-dad, presencialidad, activarse en turnos laborales y seguir un sistema cronológico de fases adaptado a las distintas necesidades emergentes.(AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Esgotamento Profissional
/
Saúde Mental
/
Pessoal de Saúde
/
Transtornos de Estresse Traumático
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arch. prev. riesgos labor. (Ed. impr.)
Ano de publicação:
2024
Tipo de documento:
Artigo
Instituição/País de afiliação:
APS Mutuam Girona/Spain
/
Institut d'Assistència Sanitària/Spain