Exploring the Well-being of Health Care Workers During the COVID-19 Pandemic: Protocol for a Prospective Longitudinal Study.

Autor:	Liu JJW; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada.; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada., Nazarov A; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada.; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada., Plouffe RA; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada.; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada., Forchuk CA; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada., Deda E; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada., Gargala D; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada., Le T; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada., Bourret-Gheysen J; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada., Soares V; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada., Nouri MS; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada., Hosseiny F; Centre of Excellence on Post-Traumatic Stress Disorder and Related Mental Health Conditions, Royal Ottawa Mental Health Centre, Ottawa, ON, Canada., Smith P; Centre of Excellence on Post-Traumatic Stress Disorder and Related Mental Health Conditions, Royal Ottawa Mental Health Centre, Ottawa, ON, Canada., Roth M; St. Joseph's Operational Stress Injury Clinic, Greater Toronto Area, ON, Canada., MacDougall AG; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada., Marlborough M; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.; St. Joseph's Operational Stress Injury Clinic, Greater Toronto Area, ON, Canada., Jetly R; Canadian Armed Forces, Ottawa, ON, Canada., Heber A; Veterans Affairs Canada, Ottawa, ON, Canada., Albuquerque J; Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Lanius R; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada., Balderson K; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.; St. Joseph's Operational Stress Injury Clinic, Greater Toronto Area, ON, Canada., Dupuis G; Centre of Excellence on Post-Traumatic Stress Disorder and Related Mental Health Conditions, Royal Ottawa Mental Health Centre, Ottawa, ON, Canada., Mehta V; St. Joseph's Operational Stress Injury Clinic, Greater Toronto Area, ON, Canada., Richardson JD; MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada.; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.; St. Joseph's Operational Stress Injury Clinic, Greater Toronto Area, ON, Canada.
Jazyk:	angličtina
Zdroj:	JMIR research protocols [JMIR Res Protoc] 2021 Sep 27; Vol. 10 (9), pp. e32663. Date of Electronic Publication: 2021 Sep 27.
DOI:	10.2196/32663
Abstrakt:	Background: Health care workers (HCWs) have experienced several stressors associated with the COVID-19 pandemic. Structural stressors, including extended work hours, redeployment, and changes in organizational mandates, often intersect with interpersonal and personal stressors, such as caring for those with COVID-19 infections; worrying about infection of self, family, and loved ones; working despite shortages of personal protective equipment; and encountering various difficult moral-ethical dilemmas. Objective: The paper describes the protocol for a longitudinal study seeking to capture the unique experiences, challenges, and changes faced by HCWs during the COVID-19 pandemic. The study seeks to explore the impact of COVID-19 on the mental well-being of HCWs with a particular focus on moral distress, perceptions of and satisfaction with delivery of care, and how changes in work structure are tolerated among HCWs providing clinical services. Methods: A prospective longitudinal design is employed to assess HCWs' experiences across domains of mental health (depression, anxiety, posttraumatic stress, and well-being), moral distress and moral reasoning, work-related changes and telehealth, organizational responses to COVID-19 concerns, and experiences with COVID-19 infections to self and to others. We recruited HCWs from across Canada through convenience snowball sampling to participate in either a short-form or long-form web-based survey at baseline. Respondents to the baseline survey are invited to complete a follow-up survey every 3 months, for a total of 18 months. Results: A total of 1926 participants completed baseline surveys between June 26 and December 31, 2020, and 1859 participants provided their emails to contact them to participate in follow-up surveys. As of July 2021, data collection is ongoing, with participants nearing the 6- or 9-month follow-up periods depending on their initial time of self-enrollment. Conclusions: This protocol describes a study that will provide unique insights into the immediate and longitudinal impact of the COVID-19 pandemic on the dimensions of mental health, moral distress, health care delivery, and workplace environment of HCWs. The feasibility and acceptability of implementing a short-form and long-form survey on participant engagement and data retention will also be discussed. International Registered Report Identifier (irrid): DERR1-10.2196/32663. (©Jenny J W Liu, Anthony Nazarov, Rachel A Plouffe, Callista A Forchuk, Erisa Deda, Dominic Gargala, Tri Le, Jesse Bourret-Gheysen, Vanessa Soares, Maede S Nouri, Fardous Hosseiny, Patrick Smith, Maya Roth, Arlene G MacDougall, Michelle Marlborough, Rakesh Jetly, Alexandra Heber, Joy Albuquerque, Ruth Lanius, Ken Balderson, Gabrielle Dupuis, Viraj Mehta, J Don Richardson. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 27.09.2021.)
Databáze:	MEDLINE
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