Dataset Information

Resilience among health care workers while working during a pandemic: A systematic review and meta synthesis of qualitative studies.

ABSTRACT:

Background

The COVID-19 pandemic has reinforced the need to attend to Health Care Workers (HCWs) mental health. What promotes resilience in HCWs during pandemics is largely unknown.

Aim

To appraise and synthesize studies investigating resilience among HCWs during COVID-19, H1N1, MERS, EBOLA and SARS pandemics.

Method

A systematic review of studies from 2002 to 11th March 2022 was conducted. PsychInfo, CINAHL, Medline, Embase, Web of Science, Scopus and the Cochrane Library databases were searched for qualitative and mixed-methods studies investigating the well-being of HCWs working in hospital settings during a pandemic. Data was extracted, imported into NVivo and analyzed by means of thematic synthesis. Reporting followed PRISMA and ENTREQ guidelines.

Results

One hundred and twenty-one eligible studies (N = 11,907) were identified. The results revealed six main themes underpinning HCWs resilience: moral purpose and duty, connections, collaboration, organizational culture, character and potential for growth.

Conclusion

The studies reviewed indicated that HCWs resilience is mainly born out of their professional identity, collegial support, effective communication from supportive leaders along with flexibility to engage in self-care and experiences of growth.

SUBMITTER: Curtin M

PROVIDER: S-EPMC9126830 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Resilience among health care workers while working during a pandemic: A systematic review and meta synthesis of qualitative studies.

Curtin Mariah M Richards Helen L HL Fortune Donal G DG

Clinical psychology review 20220524

<h4>Background</h4>The COVID-19 pandemic has reinforced the need to attend to Health Care Workers (HCWs) mental health. What promotes resilience in HCWs during pandemics is largely unknown.<h4>Aim</h4>To appraise and synthesize studies investigating resilience among HCWs during COVID-19, H1N1, MERS, EBOLA and SARS pandemics.<h4>Method</h4>A systematic review of studies from 2002 to 11th March 2022 was conducted. PsychInfo, CINAHL, Medline, Embase, Web of Science, Scopus and the Cochrane Library ...[more]

PMID: 35636130

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Project description:BACKGROUND:The number of patients with long-term chronic diseases is increasing. These patients place a strain on health care systems and health care professionals (HCPs). Presently, we aimed to systematically review the literature on HCPs' experiences working with patients with long-term chronic diseases such as type 2 diabetes, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). METHOD:A systematic search of papers published between 2002 and July 2019 was conducted in the Embase, AMED, PsycINFO, MEDLINE, CINAHL, and COCHRANE databases to identify studies reporting qualitative interviews addressing HCPs' experiences working with adults with COPD, CKD or type 2 diabetes. An interdisciplinary research group were involved in all phases of the study. With the help of NVivo, extracts of each paper were coded, and codes were compared across papers and refined using translational analysis. Further codes were clustered in categories that in turn formed overarching themes. RESULTS:Our comprehensive search identified 4170 citations. Of these, 20 papers met our inclusion criteria. Regarding HCPs' experiences working with patients with COPD, CKD, or type 2 diabetes, we developed 10 sub-categories that formed three overarching main themes of work experiences: 1) individualizing one's professional approach within the clinical encounter; 2) managing one's emotions over time; 3) working to maintain professionalism. Overall these three themes suggest that HCPs' work is a complex balancing act depending on the interaction between patient and professional, reality and professional ideals, and contextual support and managing one's own emotions. CONCLUSION:Few qualitative studies highlighted HCPs' general working experiences, as they mainly focused on the patients' experiences or HCPs' experiences of using particular clinical procedures. This study brings new insights about the complexity embedded in HCPs' work in terms of weighing different, often contrasting aspects, in order to deliver appropriate practice. Acknowledging, discussing and supporting this complexity can empower HCPs to avoid burning out. Leaders, health organizations, and educational institutions have a particular responsibility to provide HCPs with thorough professional knowledge and systematic support. TRIAL REGISTRATION:PROSPERO number: CRD42019119052.

Project description:ObjectivesTo systematically synthesise the results of primary qualitative studies on how community-dwelling older adults experience shared decision-making processes, express preferences and actively participate in care.DesignSystematic review of qualitative studies and qualitative meta-synthesis.MethodsWe focused on studies about community-dwelling participants aged ≥65 undergoing a health-disease process circumscribed to a primary healthcare setting, and the central theme should focus on either shared decision-making, expressing preferences or patient participation. We searched the following databases: MEDLINE, CINAHL, Web of Science, Scopus and PsycINFO (time publication frame 2012-2022). We excluded studies in those cases where the qualitative results were not analysed or unrelated to the phenomenon addressed, phenomena were not clear enough to be included or the setting did not occur in the community.ResultsA total of 12 studies were included in this meta-synthesis. We appraised the quality of the selected studies through Critical Appraisal Skills Programme (CASP) Checklist. The metasummary comprised the frequency and intensity of qualitative patterns across the included studies. The meta-synthesis revealed four influential elements in their interaction: recognising personal qualities, facing professional characteristics, experiences of discrimination and a double-edged context.ConclusionsThe phenomena studied were influenced by how older people approached their role in their binomial relationship with healthcare professionals. Those with a reinforced self-concept were better aware of health-disease-related situations regarding shared decision-making and the importance of being communicatively assertive. Professional characteristics were also crucial in how older people modulated their acting ability through their personality, communication skills and the approach healthcare professionals used towards older adults. Situations of discrimination generated through an imbalance of power inhibited the expression of preferences and hindered the active participation of older people. The context surrounding the participants influenced all these situations, key in tipping the balance between a therapeutic and a harmful side.Prospero registration numberCRD42022363515.

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Dataset Information

Resilience among health care workers while working during a pandemic: A systematic review and meta synthesis of qualitative studies.

Background

Aim

Method

Results

Conclusion

Publications

Resilience among health care workers while working during a pandemic: A systematic review and meta synthesis of qualitative studies.

Similar Datasets

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