A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being

被引:548
作者
De Kock, Johannes H. [1 ,2 ]
Latham, Helen Ann [3 ]
Leslie, Stephen J. [4 ]
Grindle, Mark [1 ]
Munoz, Sarah-Anne [1 ]
Ellis, Liz [1 ]
Polson, Rob [1 ]
O'Malley, Christopher M. [1 ]
机构
[1] Univ Highlands & Isl, Inst Hlth Res & Innovat, Old Perth Rd, Inverness IV2 3JH, Scotland
[2] New Craigs Hosp, Dept Clin Psychol, NHS Highland, Inverness IV3 8NP, Scotland
[3] Nairn Healthcare Grp, NHS Highland, Cawdor Rd, Nairn IV12 5EE, Scotland
[4] NHS Highland Cardiac Unit Raigmore Hosp, NHS Highland, Inverness IV2 3UJ, Scotland
关键词
COVID-19; Mental health; Psychology; Intervention; Review; Frontline; Staff; Workers; Healthcare; Social care; DISEASE; OUTCOMES; SARS;
D O I
10.1186/s12889-020-10070-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundHealth and social care workers (HSCWs) have carried a heavy burden during the COVID-19 crisis and, in the challenge to control the virus, have directly faced its consequences. Supporting their psychological wellbeing continues, therefore, to be a priority. This rapid review was carried out to establish whether there are any identifiable risk factors for adverse mental health outcomes amongst HSCWs during the COVID-19 crisis.MethodsWe undertook a rapid review of the literature following guidelines by the WHO and the Cochrane Collaboration's recommendations. We searched across 14 databases, executing the search at two different time points. We included published, observational and experimental studies that reported the psychological effects on HSCWs during the COVID-19 pandemic.ResultsThe 24 studies included in this review reported data predominantly from China (18 out of 24 included studies) and most sampled urban hospital staff. Our study indicates that COVID-19 has a considerable impact on the psychological wellbeing of front-line hospital staff. Results suggest that nurses may be at higher risk of adverse mental health outcomes during this pandemic, but no studies compare this group with the primary care workforce. Furthermore, no studies investigated the psychological impact of the COVID-19 pandemic on social care staff. Other risk factors identified were underlying organic illness, gender (female), concern about family, fear of infection, lack of personal protective equipment (PPE) and close contact with COVID-19. Systemic support, adequate knowledge and resilience were identified as factors protecting against adverse mental health outcomes.ConclusionsThe evidence to date suggests that female nurses with close contact with COVID-19 patients may have the most to gain from efforts aimed at supporting psychological well-being. However, inconsistencies in findings and a lack of data collected outside of hospital settings, suggest that we should not exclude any groups when addressing psychological well-being in health and social care workers. Whilst psychological interventions aimed at enhancing resilience in the individual may be of benefit, it is evident that to build a resilient workforce, occupational and environmental factors must be addressed. Further research including social care workers and analysis of wider societal structural factors is recommended.
引用
收藏
页数:18
相关论文
共 69 条
[1]   Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak [J].
Ahmed, Muhammad Adeel ;
Jouhar, Rizwan ;
Ahmed, Naseer ;
Adnan, Samira ;
Aftab, Marziya ;
Zafar, Muhammad Sohail ;
Khurshid, Zohaib .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (08)
[2]   Perceptions of postoutbreak management by management and healthcare workers of a Middle East respiratory syndrome outbreak in a tertiary care hospital: a qualitative study [J].
Al Knawy, Bandar Abdulmohsen ;
Al-Kadri, Hanan M. F. ;
Elbarbary, Mahmoud ;
Arabi, Yaseen ;
Balkhy, Hanan H. ;
Clark, Alex .
BMJ OPEN, 2019, 9 (05)
[3]  
Aldridge Robert W, 2020, Wellcome Open Res, V5, P88, DOI 10.12688/wellcomeopenres.15922.1
[4]  
[Anonymous], 2020, JBI Manual for Evidence Synthesis, DOI [10.46658/JBIMES-20-08, DOI 10.46658/JBIMES-20-08]
[5]   COVID-19: are frontline surgical staff ready for this? [J].
Balakumar, C. ;
Rait, J. ;
Montauban, P. ;
Zarsadias, P. ;
Iqbal, S. ;
Fernandes, R. .
BRITISH JOURNAL OF SURGERY, 2020, 107 (07) :E195-E195
[6]  
Boniol M., 2019, GENDER EQUITY HLTH W
[7]  
British Medical Association, 2020, MENTAL HLTH WELLBEIN
[8]   Review of literature on the mental health of doctors: Are specialist services needed? [J].
Brooks, Samantha K. ;
Gerada, Clare ;
Chalder, Trudie .
JOURNAL OF MENTAL HEALTH, 2011, 20 (02) :146-156
[9]   A Systematic, Thematic Review of Social and Occupational Factors Associated With Psychological Outcomes in Healthcare Employees During an Infectious Disease Outbreak [J].
Brooks, Samantha Kelly ;
Dunn, Rebecca ;
Amlot, Richard ;
Rubin, Gideon James ;
Greenberg, Neil .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2018, 60 (03) :248-257
[10]  
Burchell B., 2020, Working Paper