Resilience training for hospital workers in anticipation of an influenza pandemic
Identifieur interne : 002728 ( Main/Exploration ); précédent : 002727; suivant : 002729Resilience training for hospital workers in anticipation of an influenza pandemic
Auteurs : Andria Aiello [Canada] ; Michelle Young-Eun Khayeri ; Shreyshree Raja ; Nathalie Peladeau ; Donna Romano ; Molyn Leszcz ; Robert G. Maunder ; Marci Rose ; Mary Anne Adam ; Clare Pain ; Andrea Moore ; Diane Savage ; Rabbi Bernard SchulmanSource :
- Journal of Continuing Education in the Health Professions [ 0894-1912 ] ; 2011-12.
Descripteurs français
- KwdFr :
- Adaptation psychologique, Attitude du personnel soignant, Compétence clinique, Formation médicale continue comme sujet (organisation et administration), Grippe humaine (), Grippe humaine (épidémiologie), Humains, Mise au point de programmes, Médecine factuelle, Pandémies (), Personnel hospitalier (enseignement et éducation), Personnel hospitalier (psychologie), Recherche qualitative, Sous-type H1N1 du virus de la grippe A, Stress psychologique (), Syndrome respiratoire aigu sévère (psychologie), Évaluation de programme.
- MESH :
- enseignement et éducation : Personnel hospitalier.
- organisation et administration : Formation médicale continue comme sujet.
- psychologie : Personnel hospitalier, Syndrome respiratoire aigu sévère.
- épidémiologie : Grippe humaine.
- Adaptation psychologique, Attitude du personnel soignant, Compétence clinique, Grippe humaine, Humains, Mise au point de programmes, Médecine factuelle, Pandémies, Recherche qualitative, Sous-type H1N1 du virus de la grippe A, Stress psychologique, Évaluation de programme.
English descriptors
- KwdEn :
- Adaptation, Psychological, Attitude of Health Personnel, Clinical Competence, Education, Medical, Continuing (organization & administration), Evidence-Based Medicine, Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (epidemiology), Influenza, Human (prevention & control), Pandemics (prevention & control), Pandemics (statistics & numerical data), Personnel, Hospital (education), Personnel, Hospital (psychology), Program Development, Program Evaluation, Qualitative Research, Severe Acute Respiratory Syndrome (psychology), Stress, Psychological (prevention & control).
- MESH :
- education : Personnel, Hospital.
- epidemiology : Influenza, Human.
- organization & administration : Education, Medical, Continuing.
- prevention & control : Influenza, Human, Pandemics, Stress, Psychological.
- psychology : Personnel, Hospital, Severe Acute Respiratory Syndrome.
- statistics & numerical data : Pandemics.
- Adaptation, Psychological, Attitude of Health Personnel, Clinical Competence, Evidence-Based Medicine, Humans, Influenza A Virus, H1N1 Subtype, Program Development, Program Evaluation, Qualitative Research.
Abstract
Background: Well before the H1N1 influenza, health care organizations worldwide prepared for a pandemic of unpredictable impact. Planners anticipated the possibility of a pandemic involving high mortality, high health care demands, rates of absenteeism rising up to 20–30% among health care workers, rationing of health care, and extraordinary psychological stress. Method: The intervention we describe emerged from the recognition that an expected influenza pandemic indicated a need to build resilience to maintain the health of individuals within the organization and to protect the capacity of the organization to respond to extraordinary demands. Training sessions were one component of a multifaceted approach to reducing stress through effective preparation and served as an evidence based platform for our hospital's response to the H1N1 pandemic. Results: The training was delivered to more than 1250 hospital staff representing more than 22 departments within the hospital. The proportion of participants who felt better able to cope after the session (76%) was significantly higher than the proportion who felt prepared to deal confidently with the pandemic before the session (35%). Ten key themes emerged from our qualitative analysis of written comments, including family‐work balance, antiviral prophylaxis, and mistrust or fear towards health care workers. Conclusions: Drawing on what we learned from the impact of SARS on our hospital, we had the opportunity to improve our organization's preparedness for the pandemic. Our results suggest that an evidence‐based approach to interventions that target known mediators of distress and meet standards of continuing professional development is not only possible and relevant, but readily supportable by senior hospital administration.
Url:
DOI: 10.1002/chp.20096
Affiliations:
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<term>Education, Medical, Continuing (organization & administration)</term>
<term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Pandemics (prevention & control)</term>
<term>Pandemics (statistics & numerical data)</term>
<term>Personnel, Hospital (education)</term>
<term>Personnel, Hospital (psychology)</term>
<term>Program Development</term>
<term>Program Evaluation</term>
<term>Qualitative Research</term>
<term>Severe Acute Respiratory Syndrome (psychology)</term>
<term>Stress, Psychological (prevention & control)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique</term>
<term>Attitude du personnel soignant</term>
<term>Compétence clinique</term>
<term>Formation médicale continue comme sujet (organisation et administration)</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains</term>
<term>Mise au point de programmes</term>
<term>Médecine factuelle</term>
<term>Pandémies ()</term>
<term>Personnel hospitalier (enseignement et éducation)</term>
<term>Personnel hospitalier (psychologie)</term>
<term>Recherche qualitative</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Stress psychologique ()</term>
<term>Syndrome respiratoire aigu sévère (psychologie)</term>
<term>Évaluation de programme</term>
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<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Personnel, Hospital</term>
</keywords>
<keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Personnel hospitalier</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Formation médicale continue comme sujet</term>
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<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Education, Medical, Continuing</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term>
<term>Pandemics</term>
<term>Stress, Psychological</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnel hospitalier</term>
<term>Syndrome respiratoire aigu sévère</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Personnel, Hospital</term>
<term>Severe Acute Respiratory Syndrome</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Pandemics</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term>
<term>Attitude of Health Personnel</term>
<term>Clinical Competence</term>
<term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Program Development</term>
<term>Program Evaluation</term>
<term>Qualitative Research</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term>
<term>Attitude du personnel soignant</term>
<term>Compétence clinique</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Mise au point de programmes</term>
<term>Médecine factuelle</term>
<term>Pandémies</term>
<term>Recherche qualitative</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
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<front><div type="abstract" xml:lang="en">Background: Well before the H1N1 influenza, health care organizations worldwide prepared for a pandemic of unpredictable impact. Planners anticipated the possibility of a pandemic involving high mortality, high health care demands, rates of absenteeism rising up to 20–30% among health care workers, rationing of health care, and extraordinary psychological stress. Method: The intervention we describe emerged from the recognition that an expected influenza pandemic indicated a need to build resilience to maintain the health of individuals within the organization and to protect the capacity of the organization to respond to extraordinary demands. Training sessions were one component of a multifaceted approach to reducing stress through effective preparation and served as an evidence based platform for our hospital's response to the H1N1 pandemic. Results: The training was delivered to more than 1250 hospital staff representing more than 22 departments within the hospital. The proportion of participants who felt better able to cope after the session (76%) was significantly higher than the proportion who felt prepared to deal confidently with the pandemic before the session (35%). Ten key themes emerged from our qualitative analysis of written comments, including family‐work balance, antiviral prophylaxis, and mistrust or fear towards health care workers. Conclusions: Drawing on what we learned from the impact of SARS on our hospital, we had the opportunity to improve our organization's preparedness for the pandemic. Our results suggest that an evidence‐based approach to interventions that target known mediators of distress and meet standards of continuing professional development is not only possible and relevant, but readily supportable by senior hospital administration.</div>
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