Navigating crisis: exploring the links between threat perceptions, well-being, individual and workplace resilience among general hospital staff.

Autor: Shmul CS; Emergency and Disaster Management Department, School of Public Health, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel. chenshmil123@gmail.com., Berzon B; Emergency Department and Emergency Preparedness, Assaf Harofeh Shamir Medical Center, Zriffin, Israel., Adini B; Emergency and Disaster Management Department, School of Public Health, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.; ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel.
Jazyk: angličtina
Zdroj: Israel journal of health policy research [Isr J Health Policy Res] 2024 Nov 19; Vol. 13 (1), pp. 69. Date of Electronic Publication: 2024 Nov 19.
DOI: 10.1186/s13584-024-00656-2
Abstrakt: Background: Hospital staff frequently encounter high-stress situations, emergencies, and disasters, which profoundly impact their well-being and resilience. The aim of the study was to examine associations between perceived threats, well-being, individual resilience, and resilience at work among staff of a general hospital, following the unexpected Hamas assault on Israel on October 7, 2023, and during the Israel-Gaza conflict.
Methods: This cross-sectional study was conducted at a central Israeli public hospital, a level-two trauma center, surveying 434 staff members. Validated questionnaires were used to assess perceived threats, well-being, individual and work resilience, alongside demographic and professional characteristics. Data was collected via Qualtrics and paper questionnaires. Descriptive statistics, Pearson's correlation, T-tests, ANOVA, Chi-square, and linear regression models were used to analyze relationships, differences, and key factors associated with well-being, personal resilience, and work resilience.
Results: Key findings revealed that higher resilience at work and well-being are linked to greater individual resilience, while higher threat perception negatively affected well-being. Israeli-born individuals and those identifying as Jewish showed higher resilience. Men reported higher well-being than women, and physicians demonstrated higher well-being compared to nurses. Resilience at work was higher among administrative staff compared to nurses, with employment in the emergency department showing a significant negative relationship with resilience at work.
Conclusions: The study revealed significant predictors of well-being, individual resilience, and workplace resilience among hospital staff in conflict situations. The immediate threat of war was perceived as most significant, highlighting the dynamic nature of threat perceptions. Prolonged emergencies can severely impact well-being, necessitating timely support. The findings emphasize the importance of integrated programs that enhance individual well-being and foster resilience in both personal and professional domains. Significant gender differences and the positive role of religiosity in resilience underscore the need for targeted interventions and systemic organizational changes to better support healthcare workers during crises. These insights highlight the importance of a comprehensive approach for cultivating a robust and resilient medical staff capable of effectively managing future crises.
Competing Interests: Declarations Ethics approval and consent to participate Ethical approvals for the study were granted by the Tel Aviv University Ethics Committee (approval number 0007363-2, dated November 5, 2023) and the hospital’s Ethics Committee (approval number ASF-0251-23, dated November 8, 2023). The authors assert that all methods were performed in accordance with the ethical standards as laid down in the Declaration of Helsinki and its later amendments or comparable ethical standards. Informed consent was obtained from all participants. Consent for publication Not applicable. Competing interests The authors declare no conflict of interest.
(© 2024. The Author(s).)
Databáze: MEDLINE
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