Use it or lose it? Identifying reasons for the low use of psychosocial support by hospital staff

Abstract Background Psychosocial support programs are a way for hospitals to support the mental health of their staff. However, while support is needed, utilization of support by hospital staff remains low. This study aims to identify reasons for non-use and elements that are important to consider w...

Full description

Bibliographic Details
Main Authors: Frank van de Baan, Lieze Poesen, Daan Westra, Bram Fleuren, Dirk Ruwaard, Fred Zijlstra, Rachel Gifford
Format: Article
Language:English
Published: BMC 2023-06-01
Series:Human Resources for Health
Subjects:
Online Access:https://doi.org/10.1186/s12960-023-00830-8
_version_ 1797806656534347776
author Frank van de Baan
Lieze Poesen
Daan Westra
Bram Fleuren
Dirk Ruwaard
Fred Zijlstra
Rachel Gifford
author_facet Frank van de Baan
Lieze Poesen
Daan Westra
Bram Fleuren
Dirk Ruwaard
Fred Zijlstra
Rachel Gifford
author_sort Frank van de Baan
collection DOAJ
description Abstract Background Psychosocial support programs are a way for hospitals to support the mental health of their staff. However, while support is needed, utilization of support by hospital staff remains low. This study aims to identify reasons for non-use and elements that are important to consider when offering psychosocial support. Methods This mixed-method, multiple case study used survey data and in-depth interviews to assess the extent of psychosocial support use, reasons for non-use and perceived important elements regarding the offering of psychosocial support among Dutch hospital staff. The study focused on a time of especially high need, namely the COVID-19 pandemic. Descriptive statistics were used to assess frequency of use among 1514 staff. The constant comparative method was used to analyze answers provided to two open-ended survey questions (n = 274 respondents) and in-depth interviews (n = 37 interviewees). Results The use of psychosocial support decreased from 8.4% in December 2020 to 3.6% by September 2021. We identified four main reasons for non-use of support: deeming support unnecessary, deeming support unsuitable, being unaware of the availability, or feeling undeserving of support. Furthermore, we uncovered four important elements: offer support structurally after the crisis, adjust support to diverse needs, ensure accessibility and awareness, and an active role for supervisors. Conclusions Our results show that the low use of psychosocial support by hospital staff is shaped by individual, organizational, and support-specific factors. These factors can be targeted to increase use of psychosocial support, whereby it is important to also focus on the wider hospital workforce in addition to frontline staff.
first_indexed 2024-03-13T06:10:36Z
format Article
id doaj.art-8f26d22bc0e54de8964f5ea6c722846c
institution Directory Open Access Journal
issn 1478-4491
language English
last_indexed 2024-03-13T06:10:36Z
publishDate 2023-06-01
publisher BMC
record_format Article
series Human Resources for Health
spelling doaj.art-8f26d22bc0e54de8964f5ea6c722846c2023-06-11T11:16:05ZengBMCHuman Resources for Health1478-44912023-06-0121111210.1186/s12960-023-00830-8Use it or lose it? Identifying reasons for the low use of psychosocial support by hospital staffFrank van de Baan0Lieze Poesen1Daan Westra2Bram Fleuren3Dirk Ruwaard4Fred Zijlstra5Rachel Gifford6Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht UniversityDepartment of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht UniversityDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht UniversityDepartment of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht UniversityDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht UniversityDepartment of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht UniversityDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht UniversityAbstract Background Psychosocial support programs are a way for hospitals to support the mental health of their staff. However, while support is needed, utilization of support by hospital staff remains low. This study aims to identify reasons for non-use and elements that are important to consider when offering psychosocial support. Methods This mixed-method, multiple case study used survey data and in-depth interviews to assess the extent of psychosocial support use, reasons for non-use and perceived important elements regarding the offering of psychosocial support among Dutch hospital staff. The study focused on a time of especially high need, namely the COVID-19 pandemic. Descriptive statistics were used to assess frequency of use among 1514 staff. The constant comparative method was used to analyze answers provided to two open-ended survey questions (n = 274 respondents) and in-depth interviews (n = 37 interviewees). Results The use of psychosocial support decreased from 8.4% in December 2020 to 3.6% by September 2021. We identified four main reasons for non-use of support: deeming support unnecessary, deeming support unsuitable, being unaware of the availability, or feeling undeserving of support. Furthermore, we uncovered four important elements: offer support structurally after the crisis, adjust support to diverse needs, ensure accessibility and awareness, and an active role for supervisors. Conclusions Our results show that the low use of psychosocial support by hospital staff is shaped by individual, organizational, and support-specific factors. These factors can be targeted to increase use of psychosocial support, whereby it is important to also focus on the wider hospital workforce in addition to frontline staff.https://doi.org/10.1186/s12960-023-00830-8Well-beingMental healthHealthcareHealthcare workersOrganizational supportMixed-methods
spellingShingle Frank van de Baan
Lieze Poesen
Daan Westra
Bram Fleuren
Dirk Ruwaard
Fred Zijlstra
Rachel Gifford
Use it or lose it? Identifying reasons for the low use of psychosocial support by hospital staff
Human Resources for Health
Well-being
Mental health
Healthcare
Healthcare workers
Organizational support
Mixed-methods
title Use it or lose it? Identifying reasons for the low use of psychosocial support by hospital staff
title_full Use it or lose it? Identifying reasons for the low use of psychosocial support by hospital staff
title_fullStr Use it or lose it? Identifying reasons for the low use of psychosocial support by hospital staff
title_full_unstemmed Use it or lose it? Identifying reasons for the low use of psychosocial support by hospital staff
title_short Use it or lose it? Identifying reasons for the low use of psychosocial support by hospital staff
title_sort use it or lose it identifying reasons for the low use of psychosocial support by hospital staff
topic Well-being
Mental health
Healthcare
Healthcare workers
Organizational support
Mixed-methods
url https://doi.org/10.1186/s12960-023-00830-8
work_keys_str_mv AT frankvandebaan useitorloseitidentifyingreasonsforthelowuseofpsychosocialsupportbyhospitalstaff
AT liezepoesen useitorloseitidentifyingreasonsforthelowuseofpsychosocialsupportbyhospitalstaff
AT daanwestra useitorloseitidentifyingreasonsforthelowuseofpsychosocialsupportbyhospitalstaff
AT bramfleuren useitorloseitidentifyingreasonsforthelowuseofpsychosocialsupportbyhospitalstaff
AT dirkruwaard useitorloseitidentifyingreasonsforthelowuseofpsychosocialsupportbyhospitalstaff
AT fredzijlstra useitorloseitidentifyingreasonsforthelowuseofpsychosocialsupportbyhospitalstaff
AT rachelgifford useitorloseitidentifyingreasonsforthelowuseofpsychosocialsupportbyhospitalstaff