PDF(Pubmed)
Abstract：
Home care rehabilitation professionals (hcRPs) provide health services for clients with a broad range of medical conditions. During the COVID-19 pandemic, home care rehabilitation professionals experienced exacerbations of pre-existing work-related stressors, increased risk of transmission of the COVID-19 virus, reduced resource availability, greater workloads, and staffing shortages. The primary aim of this study was to examine the experience and impact of occupational and mental stress on hcRPs working during the COVID-19 pandemic. Semi-structured interviews were conducted with 24 hcRPs working in Ontario, Canada during the COVID-19 pandemic. Inductive thematic analysis was used to interpret and organize the data into conceptualized themes. Interview data was organized into three themes: (a) unique challenges of a home care rehabilitation professional, (b) COVID-19 exacerbations of home care occupational and mental stress, and (c) personal and workplace coping strategies. Many participants reported reducing their hours or taking on adjunctive roles in different clinical settings outside of home care due to work-related stress exacerbated by the COVID-19 pandemic. With a focus on the effects of COVID-19 on the practice of home care, this study provides a unique perspective on the challenges experienced by hcRPs during an emergent and evolving global public health concern. The exploratory nature of this research works towards providing a framework of factors to be addressed when creating sustainable healthcare interventions, as well as recommendations to support hcRPs to benefit both the community and health-care providers.
摘要：
家庭护理康复专业人员（hcRP）为具有广泛医疗条件的客户提供健康服务。在COVID-19大流行期间，家庭护理康复专业人员经历了与工作相关的压力源的恶化，COVID-19病毒传播的风险增加，资源可用性降低，更大的工作负载，人员短缺。这项研究的主要目的是研究在COVID-19大流行期间职业和精神压力对hcRP工作的经验和影响。对在安大略省工作的24名hcRP进行了半结构化访谈，COVID-19大流行期间的加拿大。归纳主题分析用于将数据解释并组织成概念化主题。访谈数据分为三个主题：（a）家庭护理康复专业人员的独特挑战，（b）COVID-19加剧了家庭护理职业和精神压力，和(c)个人和工作场所应对策略。许多参与者报告说，由于COVID-19大流行加剧了与工作相关的压力，他们减少了工作时间或在家庭护理之外的不同临床环境中担任辅助角色。重点关注COVID-19对家庭护理实践的影响，这项研究提供了一个独特的视角来看待hcRPs在突发和不断演变的全球公共卫生问题期间所面临的挑战.这项研究的探索性工作旨在提供一个框架的因素时，创建可持续的医疗保健干预，以及支持hcRP使社区和医疗保健提供者受益的建议。
