Effectiveness of a multi-modal hospital-wide doctor mental health and wellness intervention.

Autor: Petrie K; Black Dog Institute, University of New South Wales, Randwick, NSW, 2031, Australia.; School of Psychiatry, University of New South Wales, Sydney, NSW, 2000, Australia., Stanton K; St George Hospital, Kogarah, NSW, 2217, Australia.; The Royal Brisbane and Women's Hospital, Herston, Brisbane, QLD, 4006, Australia., Gill A; St George Hospital, Kogarah, NSW, 2217, Australia.; Sutherland Hospital, Caringbah, NSW, 2229, Australia.; University of New South Wales, Sydney, NSW, 2000, Australia., Simmons J; St George Hospital, Kogarah, NSW, 2217, Australia., Harvey SB; Black Dog Institute, University of New South Wales, Randwick, NSW, 2031, Australia. s.harvey@unsw.edu.au.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2022 Apr 06; Vol. 22 (1), pp. 244. Date of Electronic Publication: 2022 Apr 06.
DOI: 10.1186/s12888-022-03908-0
Abstrakt: Background: Doctors report high rates of workplace stress and are at increased risk of mental health disorders. However, there are few real-world studies evaluating the effectiveness of interventions aimed at addressing workplace risk factors and improving doctors' mental health in a hospital setting. This study was conducted over two years (2017-2019) to assess the effects of a multi-modal intervention on working conditions doctors' mental health and help-seeking for mental health problems in two Australian teaching hospitals.
Methods: The multimodal intervention consisted of organisational changes, such as reducing unrostered overtime, as well as strategies for individual doctors, such as mental health training programs. Hospital-based doctors at all career stages were eligible to participate in two cross-sectional surveys. 279 doctors completed the baseline survey (19.2% response rate) and 344 doctors completed the follow-up survey (31.3% response rate). A range of workplace risk and protective factors, mental health (psychological distress and suicidal ideation) and help-seeking outcomes were assessed.
Results: There were significant improvements in key workplace protective factors, with small effects found for doctors' job satisfaction, stress, work-life balance and perceived workplace support and a significant reduction in workplace risk factors including a moderate reduction in reported bullying behaviour between baseline to follow-up (job satisfaction p < 0.05, all other outcomes p < 0.01). However, no significant changes in doctors' mental health or help-seeking outcomes were found over the intervention period.
Conclusion: Following the implementation of individual and organisational-level strategies in two Australian tertiary hospitals, doctors reported a reduction in some key workplace stressors, but no significant changes to their mental health or help-seeking for mental health problems. Further research is warranted, particularly to determine if these workplace changes will lead to improved mental health outcomes for doctors once maintained for a longer period.
(© 2022. The Author(s).)
Databáze: MEDLINE
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