Applying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers.
Identifieur interne : 000301 ( Ncbi/Merge ); précédent : 000300; suivant : 000302Applying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers.
Auteurs : Robert G. Maunder [Canada] ; Molyn Leszcz ; Diane Savage ; Mary Anne Adam ; Nathalie Peladeau ; Donna Romano ; Marci Rose ; Bernard SchulmanSource :
- Canadian journal of public health = Revue canadienne de sante publique [ 0008-4263 ]
Descripteurs français
- KwdFr :
- Administration du personnel hospitalier (), Culture organisationnelle, Flambées de maladies, Grippe humaine (), Grippe humaine (épidémiologie), Humains, Justice sociale, Médecine factuelle, Ontario (épidémiologie), Personnel hospitalier (psychologie), Planification des mesures d'urgence en cas de catastrophe (organisation et administration), Résilience psychologique, Santé au travail, Stress psychologique (), Stress psychologique (étiologie), Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (épidémiologie).
- MESH :
- organisation et administration : Planification des mesures d'urgence en cas de catastrophe.
- psychologie : Personnel hospitalier.
- épidémiologie : Grippe humaine, Ontario, Syndrome respiratoire aigu sévère.
- étiologie : Stress psychologique.
- Administration du personnel hospitalier, Culture organisationnelle, Flambées de maladies, Grippe humaine, Humains, Justice sociale, Médecine factuelle, Résilience psychologique, Santé au travail, Stress psychologique, Syndrome respiratoire aigu sévère.
English descriptors
- KwdEn :
- Disaster Planning (organization & administration), Disease Outbreaks, Evidence-Based Medicine, Humans, Influenza, Human (epidemiology), Influenza, Human (therapy), Occupational Health, Ontario (epidemiology), Organizational Culture, Personnel Administration, Hospital (methods), Personnel, Hospital (psychology), Resilience, Psychological, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (therapy), Social Justice, Stress, Psychological (etiology), Stress, Psychological (prevention & control).
- MESH :
- geographic , epidemiology : Ontario.
- epidemiology : Influenza, Human, Severe Acute Respiratory Syndrome.
- etiology : Stress, Psychological.
- methods : Personnel Administration, Hospital.
- organization & administration : Disaster Planning.
- prevention & control : Stress, Psychological.
- psychology : Personnel, Hospital.
- therapy : Influenza, Human, Severe Acute Respiratory Syndrome.
- Disease Outbreaks, Evidence-Based Medicine, Humans, Occupational Health, Organizational Culture, Resilience, Psychological, Social Justice.
Abstract
We describe an evidence-based approach to enhancing the resilience of healthcare workers in preparation for an influenza pandemic, based on evidence about the stress associated with working in healthcare during the SARS outbreak. SARS was associated with significant long-term stress in healthcare workers, but not with increased mental illness. Reducing pandemic-related stress may best be accomplished through interventions designed to enhance resilience in psychologically healthy people. Applicable models to improve adaptation in individuals include Folkman and Greer's framework for stress appraisal and coping along with psychological first aid. Resilience is supported at an organizational level by effective training and support, development of material and relational reserves, effective leadership, the effects of the characteristics of "magnet hospitals," and a culture of organizational justice. Evidence supports the goal of developing and maintaining an organizational culture of resilience in order to reduce the expected stress of an influenza pandemic on healthcare workers. This recommendation goes well beyond the provision of adequate training and counseling. Although the severity of a pandemic is unpredictable, this effort is not likely to be wasted because it will also support the health of both patients and staff in normal times.
PubMed: 19149392
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SARS was associated with significant long-term stress in healthcare workers, but not with increased mental illness. Reducing pandemic-related stress may best be accomplished through interventions designed to enhance resilience in psychologically healthy people. Applicable models to improve adaptation in individuals include Folkman and Greer's framework for stress appraisal and coping along with psychological first aid. Resilience is supported at an organizational level by effective training and support, development of material and relational reserves, effective leadership, the effects of the characteristics of "magnet hospitals," and a culture of organizational justice. Evidence supports the goal of developing and maintaining an organizational culture of resilience in order to reduce the expected stress of an influenza pandemic on healthcare workers. This recommendation goes well beyond the provision of adequate training and counseling. Although the severity of a pandemic is unpredictable, this effort is not likely to be wasted because it will also support the health of both patients and staff in normal times.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maunder</LastName><ForeName>Robert G</ForeName><Initials>RG</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Mount Sinai Hospital, Faculty of Medicine, University of Toronto, Toronto, ON. rmaunder@mtsinai.on.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leszcz</LastName><ForeName>Molyn</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Savage</LastName><ForeName>Diane</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Adam</LastName><ForeName>Mary Anne</ForeName><Initials>MA</Initials></Author><Author ValidYN="Y"><LastName>Peladeau</LastName><ForeName>Nathalie</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Romano</LastName><ForeName>Donna</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Rose</LastName><ForeName>Marci</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Schulman</LastName><ForeName>Bernard</ForeName><Initials>B</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>67807-1</GrantID><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Can J Public Health</MedlineTA><NlmUniqueID>0372714</NlmUniqueID><ISSNLinking>0008-4263</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D004189" MajorTopicYN="N">Disaster 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last="Peladeau">Nathalie Peladeau</name><name sortKey="Romano, Donna" sort="Romano, Donna" uniqKey="Romano D" first="Donna" last="Romano">Donna Romano</name><name sortKey="Rose, Marci" sort="Rose, Marci" uniqKey="Rose M" first="Marci" last="Rose">Marci Rose</name><name sortKey="Savage, Diane" sort="Savage, Diane" uniqKey="Savage D" first="Diane" last="Savage">Diane Savage</name><name sortKey="Schulman, Bernard" sort="Schulman, Bernard" uniqKey="Schulman B" first="Bernard" last="Schulman">Bernard Schulman</name></noCountry><country name="Canada"><noRegion><name sortKey="Maunder, Robert G" sort="Maunder, Robert G" uniqKey="Maunder R" first="Robert G" last="Maunder">Robert G. 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