背景:工作量增加,缺乏资源,害怕感染,居民的痛苦和损失给受监管和不受监管的直接护理护理人员带来了巨大的情感负担(例如,注册护士,执业护士,和护理助手)在养老院(长期护理院)。疗养院的直接护理人员中提到了与COVID-19相关的心理困扰和倦怠。研究还强调了直接护理人员的韧性,谁,尽管大流行带来了重大挑战,继续致力于提供优质护理。迄今为止,只有一项针对疗养院的审查综合了大流行早期进行的15项研究的证据,报告焦虑,创伤后应激障碍,以及直接护理人员的抑郁。
目的:本系统评价的目的是(1)综合所有关于COVID-19大流行对直接护理人员心理健康影响的经验证据,身体健康,(2)确定具体的风险和保护因素;(3)检查为改善这些结果而制定的策略或干预措施的效果。
方法:我们将包括所有报告直接护理人员心理健康的客观或主观测量的研究设计,身体健康,在COVID-19大流行期间(2020年1月起),疗养院的工作生活质量。我们将搜索多个数据库(MEDLINE,CINAHL,Embase,Scopus,和PsycINFO)和灰色文献来源,没有语言限制。两位作者将独立筛选,评估数据质量,并提取数据进行合成。鉴于研究设计的异质性,我们将使用适合定量和定性研究的多种数据综合方法。
结果:截至2022年12月,全文筛选已经完成,数据提取正在进行中。预计完成日期为2023年6月30日。
结论:本系统综述将揭示当前知识的差距,增加我们对迄今为止不同发现的理解,确定防止大流行持续影响的风险和因素,并阐明支持心理健康的干预措施的可行性和效果,身体健康,一线护理人员的工作生活质量。这项研究将为未来的研究提供信息,探索医疗保健系统如何在大流行等极端压力源以及在大流行条件的更广泛背景下,更加积极主动地改善工作生活质量并支持一线工作人员的健康和心理需求。
背景:PROSPEROCRD42021248420;https://tinyurl.com/4djk7rpm。
未经批准:DERR1-10.2196/40390。
BACKGROUND: Increased workload, lack of resources, fear of infection, and the suffering and loss of residents have placed a significant emotional burden on regulated and unregulated direct care nursing staff (eg, registered nurses, licensed practical nurses, and care aides) in nursing homes (residential long-term care homes). Psychological distress and burnout related to COVID-19 have been cited among direct care staff within nursing homes. Studies have also emphasized the resilience of direct care staff, who, despite the significant challenges created by the pandemic, remained committed to providing quality care. To date, only one nursing home-specific review has synthesized evidence from 15 studies conducted early in the pandemic, which reported anxiety, posttraumatic stress disorder, and depression among direct care staff.
OBJECTIVE: The objectives of this systematic review are to (1) synthesize all empirical evidence on the impact of the COVID-19 pandemic on direct care staffs\' mental health, physical health, and work-life outcomes; (2) identify specific risks and protective factors; and (3) examine the effect of strategies or interventions that have been developed to improve these outcomes.
METHODS: We will include all study designs reporting objective or subjective measurements of direct care staffs\' mental health, physical health, and quality of work-life in nursing home settings during the COVID-19 pandemic (January 2020 onward). We will search multiple databases (MEDLINE, CINAHL, Embase, Scopus, and PsycINFO) and gray literature sources with no language restrictions. Two authors will independently screen, assess data quality, and extract data for synthesis. Given the heterogeneity in research designs, we will use multiple data synthesis methods that are suitable for quantitative and qualitative studies.
RESULTS: As of December 2022, full text screening has been completed and data extraction is underway. The expected completion date is June 30, 2023.
CONCLUSIONS: This systematic review will uncover gaps in current knowledge, increase our understanding of the disparate findings to date, identify risks and factors that protect against the sustained effects of the pandemic, and elucidate the feasibility and effects of interventions to support the mental health, physical health, and quality of work-life of frontline nursing staff. This study will inform future research exploring how the health care system can be more proactive in improving quality of work-life and supporting the health and psychological needs of frontline staff amid extreme stressors such as the pandemic and within the wider context of prepandemic conditions.
BACKGROUND: PROSPERO CRD42021248420; https://tinyurl.com/4djk7rpm.
UNASSIGNED: DERR1-10.2196/40390.