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Implementing Home Office Work at a Large Psychiatric University Hospital in Switzerland During the COVID-19 Pandemic: Field Report
JMIR Mental Health ( IF 5.2 ) Pub Date : 2021-09-01 , DOI: 10.2196/28849
Jana Sophia Krückl 1, 2 , Julian Moeller 1, 2 , Rainer Gaupp 1 , Christoph E Meier 1 , Carl Bénédict Roth 1 , Undine Emmi Lang 1 , Christian G Huber 1
Affiliation  

Background: During the COVID-19 pandemic in 2020, psychiatric hospitals all over the world had to adapt their services to the prevailing governmental regulations. As a consequence, home office use and telepsychiatry boomed. Objective: The purpose of this study was to evaluate the potential of home office use, its adoption, and the association of home office use with employees’ mental health in a large psychiatric university hospital in Switzerland. Methods: We obtained and analyzed home office implementation and use data from the psychiatric university hospital’s information technology services. We also conducted a cross-sectional web-based survey to assess the employees’ attitudes toward the clinic’s crisis management during the COVID-19 pandemic in early 2020. Part of this web-based survey consisted of questions about home office use between March and June 2020, attitudes toward home office implementation, and mental health. Three mental health measures assessed depressive symptoms (Patient Health Questionnaire [PHQ]–2), anxiety (General Anxiety Disorder [GAD]–2), and stress factors (stress module of the PHQ-D); a cut-off score ≥3 was used for the PHQ-2 and GAD-2. Results: Of the 200 participating employees, 69 reported that they had worked from home at least partially (34.5%). Home office use differed significantly across professional groups (χ162=72.72, P≤.001, n=200). Employees experienced neither depressive symptoms (mean 0.76, SD 1.14) nor anxiety (mean 0.70, SD 1.03). The employees reported minor psychosocial stressors (mean 2.83, SD 2.92). The number of reported stress factors varied significantly across groups with different levels of home office use (χ42=9.72, P=.04). Conclusions: In general, home office implementation appears to be feasible for large psychiatric hospitals, however, it is not equally feasible for all professional groups. Professional groups that require personal contact with patients and technical or manual tasks must work onsite. Further evaluation of home office use in psychiatric hospitals up to the development of clinics that function merely online will follow in future research. The situation created by the COVID-19 pandemic served as a stepping stone to promote home office use and should be used to improve employees’ work–life balance, to save employers costs and foster other benefits.

中文翻译:

在 COVID-19 大流行期间在瑞士一家大型精神病学大学医院实施家庭办公室工作:现场报告

背景:在 2020 年 COVID-19 大流行期间,世界各地的精神病医院都必须根据现行政府法规调整其服务。结果,家庭办公室的使用和远程精神病学蓬勃发展。目的:本研究的目的是评估瑞士一家大型精神病大学医院使用家庭办公室的潜力、其采用情况以及家庭办公室使用与员工心理健康的关联。方法:我们从精神病学大学医院的信息技术服务中获取并分析了家庭办公室的实施和使用数据。我们还进行了一项基于网络的横断面调查,以评估员工在 2020 年初 COVID-19 大流行期间对诊所危机管理的态度。这项基于网络的调查的一部分包括有关 3 月至 6 月期间家庭办公室使用的问题2020 年,对家庭办公实施的态度和心理健康。三项心理健康措施评估了抑郁症状(患者健康问卷 [PHQ]–2)、焦虑(一般焦虑症 [GAD]–2)和压力因素(PHQ-D 的压力模块);PHQ-2 和 GAD-2 使用 ≥ 3 的临界值。结果:在参与的 200 名员工中,有 69 名报告说他们至少部分在家工作(34.5%)。家庭办公室的使用在专业组之间存在显着差异(χ 16 2 =72.72,P ≤.001,n=200)。员工既没有出现抑郁症状(平均 0.76,SD 1.14)也没有焦虑(平均 0.70,SD 1.03)。员工报告了轻微的社会心理压力(平均 2.83,SD 2.92)。报告的压力因素数量在具有不同家庭办公室使用水平的组之间差异显着(χ 4 2 =9.72,P =.04)。结论:一般而言,家庭办公室的实施对于大型精神病医院似乎是可行的,但并非对所有专业群体都同样可行。需要与患者进行个人接触以及技术或手动任务的专业团体必须在现场工作。未来的研究将进一步评估精神病医院的家庭办公室使用情况,直到开发仅在线功能的诊所。COVID-19 大流行造成的情况是促进家庭办公室使用的垫脚石,应用于改善员工的工作与生活平衡,节省雇主成本并促进其他福利。
更新日期:2021-09-01
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