Addressing Postpandemic Clinician Mental Health : A Narrative Review and Conceptual Framework.
Identifieur interne : 000822 ( Main/Exploration ); précédent : 000821; suivant : 000823Addressing Postpandemic Clinician Mental Health : A Narrative Review and Conceptual Framework.
Auteurs : Rachel Schwartz ; Jina L. Sinskey ; Uma Anand ; Rebecca D. MargolisSource :
- Annals of internal medicine [ 1539-3704 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Personnel de santé, Quarantaine, Épuisement professionnel.
- Humains, Pandémies, Santé mentale.
English descriptors
- KwdEn :
- MESH :
- epidemiology : COVID-19.
- psychology : Burnout, Professional, COVID-19, Health Personnel, Quarantine.
- Humans, Mental Health, Pandemics, SARS-CoV-2.
Abstract
Previous pandemics have seen high psychiatric morbidity among health care workers. Protecting clinician mental health in the aftermath of coronavirus disease 2019 (COVID-19) requires an evidence-based approach to developing and deploying comprehensive clinician mental health support. In a narrative review of 96 articles addressing clinician mental health in COVID-19 and prior pandemics, 7 themes emerged: 1) the need for resilience and stress reduction training; 2) providing for clinicians' basic needs (food, drink, adequate rest, quarantine-appropriate housing, transportation, child care, personal protective equipment); 3) the importance of specialized training for pandemic-induced changes in job roles; 4) recognition and clear communication from leadership; 5) acknowledgment of and strategies for addressing moral injury; 6) the need for peer and social support interventions; and 7) normalization and provision of mental health support programs. In addition to the literature review, in collaboration with the Collaborative for Healing and Renewal in Medicine (CHARM) network, the authors gathered practice guidelines and resources from health care organizations and professional societies worldwide to synthesize a list of resources deemed high-yield by well-being leaders. Studies of previous pandemics demonstrate heightened distress in health care workers years after the event. The COVID-19 pandemic presents unique challenges that surpass those of previous pandemics, suggesting a significant mental health toll on clinicians. Long-term, proactive individual, organizational, and societal infrastructures for clinician mental health support are needed to mitigate the psychological costs of providing care during the COVID-19 pandemic.
DOI: 10.7326/M20-4199
PubMed: 32822206
PubMed Central: PMC7450528
Affiliations:
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Sinskey</name><affiliation><nlm:affiliation>University of California, San Francisco, San Francisco, California (J.L.S.).</nlm:affiliation><wicri:noCountry code="subField">California (J.L.S.).</wicri:noCountry></affiliation></author><author><name sortKey="Anand, Uma" sort="Anand, Uma" uniqKey="Anand U" first="Uma" last="Anand">Uma Anand</name><affiliation><nlm:affiliation>Office of Wellness and Academic Success, Mayo Clinic College of Medicine and Science, Rochester, Minnesota (U.A.).</nlm:affiliation><wicri:noCountry code="subField">Minnesota (U.A.).</wicri:noCountry></affiliation></author><author><name sortKey="Margolis, Rebecca D" sort="Margolis, Rebecca D" uniqKey="Margolis R" first="Rebecca D" last="Margolis">Rebecca D. Margolis</name><affiliation><nlm:affiliation>Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA (R.D.M.).</nlm:affiliation><wicri:noCountry code="subField">CA (R.D.M.).</wicri:noCountry></affiliation></author></analytic><series><title level="j">Annals of internal medicine</title><idno type="eISSN">1539-3704</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 (psychology)</term><term>COVID-19 (epidemiology)</term><term>COVID-19 (psychology)</term><term>Health Personnel (psychology)</term><term>Humans (MeSH)</term><term>Mental Health (MeSH)</term><term>Pandemics (MeSH)</term><term>Quarantine (psychology)</term><term>SARS-CoV-2 (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains (MeSH)</term><term>Pandémies (MeSH)</term><term>Personnel de santé (psychologie)</term><term>Quarantaine (psychologie)</term><term>Santé mentale (MeSH)</term><term>Épuisement professionnel (psychologie)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>COVID-19</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnel de santé</term><term>Quarantaine</term><term>Épuisement professionnel</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Burnout, Professional</term><term>COVID-19</term><term>Health Personnel</term><term>Quarantine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Mental Health</term><term>Pandemics</term><term>SARS-CoV-2</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Pandémies</term><term>Santé mentale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Previous pandemics have seen high psychiatric morbidity among health care workers. Protecting clinician mental health in the aftermath of coronavirus disease 2019 (COVID-19) requires an evidence-based approach to developing and deploying comprehensive clinician mental health support. In a narrative review of 96 articles addressing clinician mental health in COVID-19 and prior pandemics, 7 themes emerged: 1) the need for resilience and stress reduction training; 2) providing for clinicians' basic needs (food, drink, adequate rest, quarantine-appropriate housing, transportation, child care, personal protective equipment); 3) the importance of specialized training for pandemic-induced changes in job roles; 4) recognition and clear communication from leadership; 5) acknowledgment of and strategies for addressing moral injury; 6) the need for peer and social support interventions; and 7) normalization and provision of mental health support programs. In addition to the literature review, in collaboration with the Collaborative for Healing and Renewal in Medicine (CHARM) network, the authors gathered practice guidelines and resources from health care organizations and professional societies worldwide to synthesize a list of resources deemed high-yield by well-being leaders. Studies of previous pandemics demonstrate heightened distress in health care workers years after the event. The COVID-19 pandemic presents unique challenges that surpass those of previous pandemics, suggesting a significant mental health toll on clinicians. Long-term, proactive individual, organizational, and societal infrastructures for clinician mental health support are needed to mitigate the psychological costs of providing care during the COVID-19 pandemic.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32822206</PMID><DateCompleted><Year>2020</Year><Month>12</Month><Day>29</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1539-3704</ISSN><JournalIssue CitedMedium="Internet"><Volume>173</Volume><Issue>12</Issue><PubDate><Year>2020</Year><Month>12</Month><Day>15</Day></PubDate></JournalIssue><Title>Annals of internal medicine</Title><ISOAbbreviation>Ann Intern Med</ISOAbbreviation></Journal><ArticleTitle>Addressing Postpandemic Clinician Mental Health : A Narrative Review and Conceptual Framework.</ArticleTitle><Pagination><MedlinePgn>981-988</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.7326/M20-4199</ELocationID><Abstract><AbstractText>Previous pandemics have seen high psychiatric morbidity among health care workers. Protecting clinician mental health in the aftermath of coronavirus disease 2019 (COVID-19) requires an evidence-based approach to developing and deploying comprehensive clinician mental health support. In a narrative review of 96 articles addressing clinician mental health in COVID-19 and prior pandemics, 7 themes emerged: 1) the need for resilience and stress reduction training; 2) providing for clinicians' basic needs (food, drink, adequate rest, quarantine-appropriate housing, transportation, child care, personal protective equipment); 3) the importance of specialized training for pandemic-induced changes in job roles; 4) recognition and clear communication from leadership; 5) acknowledgment of and strategies for addressing moral injury; 6) the need for peer and social support interventions; and 7) normalization and provision of mental health support programs. In addition to the literature review, in collaboration with the Collaborative for Healing and Renewal in Medicine (CHARM) network, the authors gathered practice guidelines and resources from health care organizations and professional societies worldwide to synthesize a list of resources deemed high-yield by well-being leaders. Studies of previous pandemics demonstrate heightened distress in health care workers years after the event. The COVID-19 pandemic presents unique challenges that surpass those of previous pandemics, suggesting a significant mental health toll on clinicians. Long-term, proactive individual, organizational, and societal infrastructures for clinician mental health support are needed to mitigate the psychological costs of providing care during the COVID-19 pandemic.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schwartz</LastName><ForeName>Rachel</ForeName><Initials>R</Initials><Identifier Source="ORCID">0000-0001-8125-9492</Identifier><AffiliationInfo><Affiliation>WellMD and WellPhD Center, Stanford University School of Medicine, Stanford, California (R.S.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sinskey</LastName><ForeName>Jina L</ForeName><Initials>JL</Initials><Identifier Source="ORCID">0000-0001-8810-5031</Identifier><AffiliationInfo><Affiliation>University of California, San Francisco, San Francisco, California (J.L.S.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anand</LastName><ForeName>Uma</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Office of Wellness and Academic Success, Mayo Clinic College of Medicine and Science, Rochester, Minnesota (U.A.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Margolis</LastName><ForeName>Rebecca D</ForeName><Initials>RD</Initials><AffiliationInfo><Affiliation>Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA (R.D.M.).</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Intern 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uniqKey="Anand U" first="Uma" last="Anand">Uma Anand</name><name sortKey="Margolis, Rebecca D" sort="Margolis, Rebecca D" uniqKey="Margolis R" first="Rebecca D" last="Margolis">Rebecca D. Margolis</name><name sortKey="Schwartz, Rachel" sort="Schwartz, Rachel" uniqKey="Schwartz R" first="Rachel" last="Schwartz">Rachel Schwartz</name><name sortKey="Sinskey, Jina L" sort="Sinskey, Jina L" uniqKey="Sinskey J" first="Jina L" last="Sinskey">Jina L. Sinskey</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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