Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority

被引:321
|
作者
Sovold, Lene E.
Naslund, John A. [1 ,2 ]
Kousoulis, Antonis A. [3 ]
Saxena, Shekhar [4 ]
Qoronfleh, M. Walid [5 ]
Grobler, Christoffel [6 ]
Munter, Lars [7 ]
机构
[1] Dept Global Hlth & Social Med, Boston, MA 02115 USA
[2] Harvard Med Sch, Boston, MA 02115 USA
[3] Mental Hlth Fdn, London, England
[4] Harvard Univ, Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA
[5] 21HealthSt, London, England
[6] Univ Pretoria, Sch Hlth Syst & Publ Hlth, Fac Hlth Sci, Pretoria, South Africa
[7] Danish Comm Hlth Educ, Copenhagen, Denmark
关键词
mental health; healthcare workers; COVID-19; public health emergencies; burnout; self-care; psychological interventions; healthcare policies; PSYCHOLOGICAL IMPACT; COMMITMENT THERAPY; PATIENT-CARE; SELF-CARE; BURNOUT; COVID-19; STRESS; CORONAVIRUS; SYMPTOMS; OUTBREAK;
D O I
10.3389/fpubh.2021.679397
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The COVID-19 pandemic has had an unprecedented impact on health systems in most countries, and in particular, on the mental health and well-being of health workers on the frontlines of pandemic response efforts. The purpose of this article is to provide an evidence-based overview of the adverse mental health impacts on healthcare workers during times of crisis and other challenging working conditions and to highlight the importance of prioritizing and protecting the mental health and well-being of the healthcare workforce, particularly in the context of the COVID-19 pandemic. First, we provide a broad overview of the elevated risk of stress, burnout, moral injury, depression, trauma, and other mental health challenges among healthcare workers. Second, we consider how public health emergencies exacerbate these concerns, as reflected in emerging research on the negative mental health impacts of the COVID-19 pandemic on healthcare workers. Further, we consider potential approaches for overcoming these threats to mental health by exploring the value of practicing self-care strategies, and implementing evidence based interventions and organizational measures to help protect and support the mental health and well-being of the healthcare workforce. Lastly, we highlight systemic changes to empower healthcare workers and protect their mental health and well-being in the long run, and propose policy recommendations to guide healthcare leaders and health systems in this endeavor. This paper acknowledges the stressors, burdens, and psychological needs of the healthcare workforce across health systems and disciplines, and calls for renewed efforts to mitigate these challenges among those working on the frontlines during public health emergencies such as the COVID-19 pandemic.
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页数:12
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