Background

The COVID-19 pandemic has reinforced the need to attend to Health Care Workers (HCWs) mental health. What promotes resilience in HCWs during pandemics is largely unknown.

Aim

To appraise and synthesize studies investigating resilience among HCWs during COVID-19, H1N1, MERS, EBOLA and SARS pandemics.

Method

A systematic review of studies from 2002 to 11th March 2022 was conducted. PsychInfo, CINAHL, Medline, Embase, Web of Science, Scopus and the Cochrane Library databases were searched for qualitative and mixed-methods studies investigating the well-being of HCWs working in hospital settings during a pandemic. Data was extracted, imported into NVivo and analyzed by means of thematic synthesis. Reporting followed PRISMA and ENTREQ guidelines.

Results

One hundred and twenty-one eligible studies (N = 11,907) were identified. The results revealed six main themes underpinning HCWs resilience: moral purpose and duty, connections, collaboration, organizational culture, character and potential for growth.

Conclusion

The studies reviewed indicated that HCWs resilience is mainly born out of their professional identity, collegial support, effective communication from supportive leaders along with flexibility to engage in self-care and experiences of growth.

中文翻译：

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医护人员在大流行期间工作时的适应力：定性研究的系统回顾和元综合

背景

COVID-19 大流行加强了关注医护人员 (HCW) 心理健康的必要性。在大流行期间是什么促进了医护人员的恢复力，这在很大程度上是未知的。

目的

评估和综合调查 COVID-19、H1N1、MERS、埃博拉和 SARS 大流行期间医护人员恢复力的研究。

方法

对 2002 年至 2022 年 3 月 11 日的研究进行了系统回顾。在 PsychInfo、CINAHL、Medline、Embase、Web of Science、Scopus 和 Cochrane Library 数据库中搜索了定性和混合方法研究，以调查大流行期间在医院环境中工作的医护人员的福祉。提取数据，将其导入 NVivo 并通过主题合成进行分析。报告遵循 PRISMA 和 ENTREQ 指南。

结果

确定了 121项符合条件的研究（N  = 11,907）。结果揭示了支撑医护人员韧性的六个主要主题：道德目的和责任、联系、协作、组织文化、性格和成长潜力。

结论

审查的研究表明，居家护理工作者的适应力主要源于他们的专业身份、同事支持、支持领导者的有效沟通以及参与自我保健和成长经历的灵活性。