Background

The last few years have witnessed a growing concern with the well-being of healthcare professionals internationally because of increasing recognition of its impact on patient outcomes and staff retention. The COVID-19 pandemic, which has placed additional and substantial pressure on frontline healthcare professionals, gives added urgency to the topic.

While numerous, and successful, interventions have been developed to address compromised well-being among healthcare professionals, they have not always been able to support the needs of frontline staff, specifically those working in high-pressure environments.

Objective

This paper presents findings of an evaluative research study of an intervention, named the Resilience and Well-being Training Programme, developed and implemented within an Acute Assessment Unit in a hospital in the UK. The 8 week-long programme followed a combined approach (both person-directed and work-directed), with mindfulness training as well as lectures and discussions to deepen participants' understanding of organisational life. The training, delivered from January to July 2018, involved a total of 72 healthcare professionals from a wide range of levels (UK bands 2–8), trained in three cohorts.

Design

The research followed a pre-post design to explore participants' experiences of working on the Unit, the programme and its impact on themselves and their working life.

Setting

The study was conducted in a large NHS district general hospital in South London, UK.

Participants

Participants included healthcare assistants and nurses who had completed their preceptorship, worked in the hospital's acute assessment unit, and had undertaken the resilience and well-being training programme.

Methods

The study employed mixed methods (online questionnaire, face-to-face focus groups/interviews) to collect data.

Results

Findings showed participants' positive experience with the programme, however it had limited positive impacts on aspects of compromised well-being at the personal level and a statistically significant enhancement of the quality of relationships and communication on the Unit, with medium effect size (Cohen's D). The programme had a positive impact on the culture of the Unit.

Conclusions

Results highlight the demand for and value of programmes designed in ways that enable this group of professionals to take part, because these professionals are often not able to participate in such programmes. A strong commitment from the leadership to enable staff attendance in time-protected programmes is one approach that works well in the short-term. However, this may be challenging to accomplish and raises issues of sustainability.

中文翻译：

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提高高压临床环境中一线医疗保健专业人员的福祉：一项混合方法评估研究项目

背景

在过去的几年里，国际上越来越关注医疗保健专业人员的福祉，因为人们越来越认识到它对患者结果和员工保留的影响。COVID-19 大流行给一线医疗保健专业人员带来了额外的巨大压力，使该主题更加紧迫。

尽管已经开发出许多成功的干预措施来解决医疗保健专业人员的福祉受损问题，但它们并不总是能够满足一线员工的需求，特别是那些在高压环境中工作的员工。

客观的

本文介绍了一项干预措施评估研究的结果，该干预措施名为“复原力和幸福感培训计划”，该计划是在英国一家医院的急性评估部门内开发和实施的。为期 8 周的课程采用综合方法（以人为本和以工作为导向），通过正念训练以及讲座和讨论来加深参与者对组织生活的理解。培训于 2018 年 1 月至 2018 年 7 月进行，共有 72 名来自不同级别（英国 2-8 级）的医疗保健专业人员参与，分三个队列接受培训。

设计

该研究遵循事前事后设计，以探索参与者在本单元工作的经历、该项目及其对他们自己和他们工作生活的影响。

环境

该研究在英国伦敦南部的一家大型 NHS 地区综合医院进行。

参加者

参与者包括医疗助理和护士，他们完成了他们的指导工作，在医院的急性评估部门工作，并接受了复原力和幸福感培训计划。

方法

该研究采用混合方法（在线问卷、面对面焦点小组/访谈）来收集数据。

结果

调查结果显示参与者对该计划的积极体验，但是它对个人幸福感受损方面的积极影响有限，并且在统计学上显着提高了单位的关系和沟通质量，效果大小中等（Cohen's D ). 该计划对该股的文化产生了积极影响。

结论

结果突出了以使这群专业人员能够参与的方式设计的计划的需求和价值，因为这些专业人员通常无法参与此类计划。领导层做出让员工能够参加限时计划的坚定承诺是一种在短期内行之有效的方法。然而，这可能难以实现并引发可持续性问题。