Battle Buddies: Rapid Deployment of a Psychological Resilience Intervention for Health Care Workers During the COVID-19 Pandemic.
Identifieur interne : 000B62 ( Main/Corpus ); précédent : 000B61; suivant : 000B63Battle Buddies: Rapid Deployment of a Psychological Resilience Intervention for Health Care Workers During the COVID-19 Pandemic.
Auteurs : Cristina Sophia Albott ; Jeffrey R. Wozniak ; Brian P. Mcglinch ; Michael H. Wall ; Barbara S. Gold ; Sophia VinogradovSource :
- Anesthesia and analgesia [ 1526-7598 ] ; 2020.
English descriptors
- KwdEn :
- Burnout, Professional (prevention & control), Burnout, Professional (psychology), Coronavirus Infections (psychology), Health Personnel (psychology), Hospital Units (organization & administration), Humans, Mental Health, Pandemics, Pneumonia, Viral (psychology), Resilience, Psychological, Stress, Psychological (prevention & control), Stress, Psychological (psychology).
- MESH :
- organization & administration : Hospital Units.
- prevention & control : Burnout, Professional, Stress, Psychological.
- psychology : Burnout, Professional, Coronavirus Infections, Health Personnel, Pneumonia, Viral, Stress, Psychological.
- Humans, Mental Health, Pandemics, Resilience, Psychological.
Abstract
The outbreak of the coronavirus disease 2019 (COVID-19) and its rapid global spread have created unprecedented challenges to health care systems. Significant and sustained efforts have focused on mobilization of personal protective equipment, intensive care beds, and medical equipment, while substantially less attention has focused on preserving the psychological health of the medical workforce tasked with addressing the challenges of the pandemic. And yet, similar to battlefield conditions, health care workers are being confronted with ongoing uncertainty about resources, capacities, and risks; as well as exposure to suffering, death, and threats to their own safety. These conditions are engendering high levels of fear and anxiety in the short term, and place individuals at risk for persistent stress exposure syndromes, subclinical mental health symptoms, and professional burnout in the long term. Given the potentially wide-ranging mental health impact of COVID-19, protecting health care workers from adverse psychological effects of the pandemic is critical. Therefore, we present an overview of the potential psychological stress responses to the COVID-19 crisis in medical providers and describe preemptive resilience-promoting strategies at the organizational and personal level. We then describe a rapidly deployable Psychological Resilience Intervention founded on a peer support model (Battle Buddies) developed by the United States Army. This intervention-the product of a multidisciplinary collaboration between the Departments of Anesthesiology and Psychiatry & Behavioral Sciences at the University of Minnesota Medical Center-also incorporates evidence-informed "stress inoculation" methods developed for managing psychological stress exposure in providers deployed to disasters. Our multilevel, resource-efficient, and scalable approach places 2 key tools directly in the hands of providers: (1) a peer support Battle Buddy; and (2) a designated mental health consultant who can facilitate training in stress inoculation methods, provide additional support, or coordinate referral for external professional consultation. In parallel, we have instituted a voluntary research data-collection component that will enable us to evaluate the intervention's effectiveness while also identifying the most salient resilience factors for future iterations. It is our hope that these elements will provide guidance to other organizations seeking to protect the well-being of their medical workforce during the pandemic. Given the remarkable adaptability of human beings, we believe that, by promoting resilience, our diverse health care workforce can emerge from this monumental challenge with new skills, closer relationships, and greater confidence in the power of community.
DOI: 10.1213/ANE.0000000000004912
PubMed: 32345861
PubMed Central: PMC7199769
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pubmed:32345861Le document en format XML
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Mcglinch</name><affiliation><nlm:affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</nlm:affiliation></affiliation></author><author><name sortKey="Wall, Michael H" sort="Wall, Michael H" uniqKey="Wall M" first="Michael H" last="Wall">Michael H. Wall</name><affiliation><nlm:affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</nlm:affiliation></affiliation></author><author><name sortKey="Gold, Barbara S" sort="Gold, Barbara S" uniqKey="Gold B" first="Barbara S" last="Gold">Barbara S. Gold</name><affiliation><nlm:affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</nlm:affiliation></affiliation></author><author><name sortKey="Vinogradov, Sophia" sort="Vinogradov, Sophia" uniqKey="Vinogradov S" first="Sophia" last="Vinogradov">Sophia Vinogradov</name><affiliation><nlm:affiliation>From the Departments of Psychiatry & Behavioral Sciences.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32345861</idno><idno type="pmid">32345861</idno><idno type="doi">10.1213/ANE.0000000000004912</idno><idno type="pmc">PMC7199769</idno><idno type="wicri:Area/Main/Corpus">000B62</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000B62</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Battle Buddies: Rapid Deployment of a Psychological Resilience Intervention for Health Care Workers During the COVID-19 Pandemic.</title><author><name sortKey="Albott, Cristina Sophia" sort="Albott, Cristina Sophia" uniqKey="Albott C" first="Cristina Sophia" last="Albott">Cristina Sophia Albott</name><affiliation><nlm:affiliation>From the Departments of Psychiatry & Behavioral Sciences.</nlm:affiliation></affiliation></author><author><name sortKey="Wozniak, Jeffrey R" sort="Wozniak, Jeffrey R" uniqKey="Wozniak J" first="Jeffrey R" last="Wozniak">Jeffrey R. Wozniak</name><affiliation><nlm:affiliation>From the Departments of Psychiatry & Behavioral Sciences.</nlm:affiliation></affiliation></author><author><name sortKey="Mcglinch, Brian P" sort="Mcglinch, Brian P" uniqKey="Mcglinch B" first="Brian P" last="Mcglinch">Brian P. Mcglinch</name><affiliation><nlm:affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</nlm:affiliation></affiliation></author><author><name sortKey="Wall, Michael H" sort="Wall, Michael H" uniqKey="Wall M" first="Michael H" last="Wall">Michael H. Wall</name><affiliation><nlm:affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</nlm:affiliation></affiliation></author><author><name sortKey="Gold, Barbara S" sort="Gold, Barbara S" uniqKey="Gold B" first="Barbara S" last="Gold">Barbara S. Gold</name><affiliation><nlm:affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</nlm:affiliation></affiliation></author><author><name sortKey="Vinogradov, Sophia" sort="Vinogradov, Sophia" uniqKey="Vinogradov S" first="Sophia" last="Vinogradov">Sophia Vinogradov</name><affiliation><nlm:affiliation>From the Departments of Psychiatry & Behavioral Sciences.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Anesthesia and analgesia</title><idno type="eISSN">1526-7598</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Burnout, Professional (prevention & control)</term><term>Burnout, Professional (psychology)</term><term>Coronavirus Infections (psychology)</term><term>Health Personnel (psychology)</term><term>Hospital Units (organization & administration)</term><term>Humans</term><term>Mental Health</term><term>Pandemics</term><term>Pneumonia, Viral (psychology)</term><term>Resilience, Psychological</term><term>Stress, Psychological (prevention & control)</term><term>Stress, Psychological (psychology)</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Hospital Units</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Burnout, Professional</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Burnout, Professional</term><term>Coronavirus Infections</term><term>Health Personnel</term><term>Pneumonia, Viral</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Mental Health</term><term>Pandemics</term><term>Resilience, Psychological</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The outbreak of the coronavirus disease 2019 (COVID-19) and its rapid global spread have created unprecedented challenges to health care systems. Significant and sustained efforts have focused on mobilization of personal protective equipment, intensive care beds, and medical equipment, while substantially less attention has focused on preserving the psychological health of the medical workforce tasked with addressing the challenges of the pandemic. And yet, similar to battlefield conditions, health care workers are being confronted with ongoing uncertainty about resources, capacities, and risks; as well as exposure to suffering, death, and threats to their own safety. These conditions are engendering high levels of fear and anxiety in the short term, and place individuals at risk for persistent stress exposure syndromes, subclinical mental health symptoms, and professional burnout in the long term. Given the potentially wide-ranging mental health impact of COVID-19, protecting health care workers from adverse psychological effects of the pandemic is critical. Therefore, we present an overview of the potential psychological stress responses to the COVID-19 crisis in medical providers and describe preemptive resilience-promoting strategies at the organizational and personal level. We then describe a rapidly deployable Psychological Resilience Intervention founded on a peer support model (Battle Buddies) developed by the United States Army. This intervention-the product of a multidisciplinary collaboration between the Departments of Anesthesiology and Psychiatry & Behavioral Sciences at the University of Minnesota Medical Center-also incorporates evidence-informed "stress inoculation" methods developed for managing psychological stress exposure in providers deployed to disasters. Our multilevel, resource-efficient, and scalable approach places 2 key tools directly in the hands of providers: (1) a peer support Battle Buddy; and (2) a designated mental health consultant who can facilitate training in stress inoculation methods, provide additional support, or coordinate referral for external professional consultation. In parallel, we have instituted a voluntary research data-collection component that will enable us to evaluate the intervention's effectiveness while also identifying the most salient resilience factors for future iterations. It is our hope that these elements will provide guidance to other organizations seeking to protect the well-being of their medical workforce during the pandemic. Given the remarkable adaptability of human beings, we believe that, by promoting resilience, our diverse health care workforce can emerge from this monumental challenge with new skills, closer relationships, and greater confidence in the power of community.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32345861</PMID><DateCompleted><Year>2020</Year><Month>06</Month><Day>25</Day></DateCompleted><DateRevised><Year>2020</Year><Month>06</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1526-7598</ISSN><JournalIssue CitedMedium="Internet"><Volume>131</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>07</Month></PubDate></JournalIssue><Title>Anesthesia and analgesia</Title><ISOAbbreviation>Anesth. Analg.</ISOAbbreviation></Journal><ArticleTitle>Battle Buddies: Rapid Deployment of a Psychological Resilience Intervention for Health Care Workers During the COVID-19 Pandemic.</ArticleTitle><Pagination><MedlinePgn>43-54</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1213/ANE.0000000000004912</ELocationID><Abstract><AbstractText>The outbreak of the coronavirus disease 2019 (COVID-19) and its rapid global spread have created unprecedented challenges to health care systems. Significant and sustained efforts have focused on mobilization of personal protective equipment, intensive care beds, and medical equipment, while substantially less attention has focused on preserving the psychological health of the medical workforce tasked with addressing the challenges of the pandemic. And yet, similar to battlefield conditions, health care workers are being confronted with ongoing uncertainty about resources, capacities, and risks; as well as exposure to suffering, death, and threats to their own safety. These conditions are engendering high levels of fear and anxiety in the short term, and place individuals at risk for persistent stress exposure syndromes, subclinical mental health symptoms, and professional burnout in the long term. Given the potentially wide-ranging mental health impact of COVID-19, protecting health care workers from adverse psychological effects of the pandemic is critical. Therefore, we present an overview of the potential psychological stress responses to the COVID-19 crisis in medical providers and describe preemptive resilience-promoting strategies at the organizational and personal level. We then describe a rapidly deployable Psychological Resilience Intervention founded on a peer support model (Battle Buddies) developed by the United States Army. This intervention-the product of a multidisciplinary collaboration between the Departments of Anesthesiology and Psychiatry & Behavioral Sciences at the University of Minnesota Medical Center-also incorporates evidence-informed "stress inoculation" methods developed for managing psychological stress exposure in providers deployed to disasters. Our multilevel, resource-efficient, and scalable approach places 2 key tools directly in the hands of providers: (1) a peer support Battle Buddy; and (2) a designated mental health consultant who can facilitate training in stress inoculation methods, provide additional support, or coordinate referral for external professional consultation. In parallel, we have instituted a voluntary research data-collection component that will enable us to evaluate the intervention's effectiveness while also identifying the most salient resilience factors for future iterations. It is our hope that these elements will provide guidance to other organizations seeking to protect the well-being of their medical workforce during the pandemic. Given the remarkable adaptability of human beings, we believe that, by promoting resilience, our diverse health care workforce can emerge from this monumental challenge with new skills, closer relationships, and greater confidence in the power of community.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Albott</LastName><ForeName>Cristina Sophia</ForeName><Initials>CS</Initials><AffiliationInfo><Affiliation>From the Departments of Psychiatry & Behavioral Sciences.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wozniak</LastName><ForeName>Jeffrey R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>From the Departments of Psychiatry & Behavioral Sciences.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McGlinch</LastName><ForeName>Brian P</ForeName><Initials>BP</Initials><AffiliationInfo><Affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wall</LastName><ForeName>Michael H</ForeName><Initials>MH</Initials><AffiliationInfo><Affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gold</LastName><ForeName>Barbara S</ForeName><Initials>BS</Initials><AffiliationInfo><Affiliation>Anesthesiology, School of Medicine, University of Minnesota, Minneapolis, Minnesota.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vinogradov</LastName><ForeName>Sophia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>From the Departments of Psychiatry & Behavioral Sciences.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Anesth Analg</MedlineTA><NlmUniqueID>1310650</NlmUniqueID><ISSNLinking>0003-2999</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName></SupplMeshList><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002055" MajorTopicYN="N">Burnout, Professional</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006757" MajorTopicYN="N">Hospital Units</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008603" MajorTopicYN="N">Mental Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055500" MajorTopicYN="Y">Resilience, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32345861</ArticleId><ArticleId IdType="doi">10.1213/ANE.0000000000004912</ArticleId><ArticleId IdType="pmc">PMC7199769</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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