Evaluation of a Telehealth-Enabled Pilot Program to Address Intensive Care Unit Health Care Worker Mental Health Distress.

Autor:	Shah N; Division of Pulmonary Critical Care Allergy and Sleep Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Goodwin AJ; Division of Pulmonary Critical Care Allergy and Sleep Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Verdin R; Telehealth Center of Excellence; Leadership and Management; Medical University of South Carolina, Charleston, South Carolina, USA., Clark JT; Biomedical Informatics Center; Leadership and Management; Medical University of South Carolina, Charleston, South Carolina, USA., Rheingold AA; Department of Psychiatry and Behavioral Sciences; Leadership and Management; Medical University of South Carolina, Charleston, South Carolina, USA., Ruggiero KJ; College of Nursing, Leadership and Management; Medical University of South Carolina, Charleston, South Carolina, USA., Simpson AN; Department of Healthcare, Leadership and Management; Medical University of South Carolina, Charleston, South Carolina, USA., Ford DW; Division of Pulmonary Critical Care Allergy and Sleep Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Jazyk:	angličtina
Zdroj:	Telemedicine reports [Telemed Rep] 2023 Aug 04; Vol. 4 (1), pp. 249-258. Date of Electronic Publication: 2023 Aug 04 (Print Publication: 2023).
DOI:	10.1089/tmr.2023.0030
Abstrakt:	Introduction: Health care workers (HCWs) are at heightened risk of adverse mental health events (AMHEs) and burnout with resultant impact on health care staffing, outcomes, and costs. We piloted a telehealth-enabled mental health screening and support platform among HCWs in the intensive care unit (ICU) setting at a tertiary care center. Methods: A survey consisting of validated screening tools was electronically disseminated to a potential cohort of 178 ICU HCWs. Participants were given real-time feedback on their results and those at risk were provided invitations to meet with resiliency clinicians. Participants were further invited to engage in a 3-month longitudinal assessment of their well-being through repeat surveys and a weekly text-based check-in coupled with self-help tips. Programmatic engagement was evaluated and associations between at-risk scores and engagement were assessed. Qualitative input regarding programmatic uptake and acceptance was gathered through key informant interviews. Results: Fifty (28%) HCWs participated in the program. Half of the participants identified as female, and most participants were white (74%) and under the age of 50 years (93%). Nurses (38%), physicians-in-training (24%), and faculty-level physicians (20%) engaged most frequently. There were 19 (38%) requests for an appointment with a resiliency clinician. The incidence of clinically significant symptoms of AMHEs and burnout was high but not clearly associated with engagement. Additional programmatic tailoring was encouraged by key informants while time was identified as a barrier to program engagement. Discussion: A telehealth-enabled platform is a feasible approach to screening at-risk HCWs for AMHEs and can facilitate engagement with support services. Competing Interests: No competing financial interests exist. (© Nihar Shah et al., 2023; Published by Mary Ann Liebert, Inc.)
Databáze:	MEDLINE
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