Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study

Introduction: The outbreak of the COVID-19 pandemic put at risk the resilience of healthcare professionals by exposing them to high levels of stress. Our aim was to identify key elements for implementing the STEP  programme, a psychological support service for healthcare professionals. Methods: q...

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Main Authors: Eva Frigola-Capell, Laura Fabregas, Marta Juanola, Mercè Soms, Marta Hernández, Roser Grau, Noelia Alarcón, Neus Colomer, Jordi Cid, Andrés Cuartero-Barbanoj, Jordi Garcia
Format: Article
Language:Catalan
Published: Associació Catalana de Salut Laboral 2024-04-01
Series:Archivos de Prevención de Riesgos Laborales
Subjects:
Online Access:https://archivosdeprevencion.eu/index.php/aprl/article/view/354
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author Eva Frigola-Capell
Laura Fabregas
Marta Juanola
Mercè Soms
Marta Hernández
Roser Grau
Noelia Alarcón
Neus Colomer
Jordi Cid
Andrés Cuartero-Barbanoj
Jordi Garcia
author_facet Eva Frigola-Capell
Laura Fabregas
Marta Juanola
Mercè Soms
Marta Hernández
Roser Grau
Noelia Alarcón
Neus Colomer
Jordi Cid
Andrés Cuartero-Barbanoj
Jordi Garcia
author_sort Eva Frigola-Capell
collection DOAJ
description Introduction: The outbreak of the COVID-19 pandemic put at risk the resilience of healthcare professionals by exposing them to high levels of stress. Our aim was to identify key elements for implementing the STEP  programme, a psychological support service for healthcare professionals. Methods: qualitative design.  The study participants were hospital healthcare staff. Anonymous questionnaires and transcriptions  of group interventions and focus groups were used to  identify professionals’ preferences to receiving psychological support, needs, concerns, resilience (STEP1.0); constrained emotions and associated thoughts (STEP1.5); perception of self-efficacy on managing emotions (STEP2.0); and the professionals’ profile requiring individual therapy. Results: Three hundred professionals participated in the study, 100.0% in STEP 1.0 , 27.3% in STEP 1.5, 2.7% in STEP 2.0, and 10.0% in individual interventions. Two hundred and three (67.7%) participants reflected in the survey that they would prefer access to a face-to-face psychological service during working hours. Three consecutive phases with specific needs and concerns were identified: The “cognitive” phase, at the beginning of the pandemic, when infection and self-efficacy were major concerns, the “ventilation” phase, when constrained emotions associated with several factors were expressed; and the “recovery” phase, when the clinical overload decreased and professionals were able to focus on emotion management training. Several personal characteristics associated with referral to individual therapy were identified.  Conclusions: The key characteristics of a psychological support service are proximity, face-to-face interaction during working shifts, and a chronological phase system adapted to different emerging needs.
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spelling doaj.art-a0d4231d3ca84b408782c0baeb08fd7a2024-04-17T12:00:40ZcatAssociació Catalana de Salut LaboralArchivos de Prevención de Riesgos Laborales1578-25492024-04-0127210.12961/aprl.2024.27.02.04Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative studyEva Frigola-Capell0Laura Fabregas1Marta Juanola2Mercè Soms3Marta Hernández4Roser Grau5Noelia Alarcón6Neus Colomer7Jordi Cid8Andrés Cuartero-Barbanoj9Jordi Garcia10Institut Assistència Sanitària; Grup Recerca Salut Mental Fundació Institut Investigació Biomèdica de Girona Dr. Josep Trueta (IDIBGI)Institut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), GironaInstitut d'Assistència Sanitària (IAS), Girona Introduction: The outbreak of the COVID-19 pandemic put at risk the resilience of healthcare professionals by exposing them to high levels of stress. Our aim was to identify key elements for implementing the STEP  programme, a psychological support service for healthcare professionals. Methods: qualitative design.  The study participants were hospital healthcare staff. Anonymous questionnaires and transcriptions  of group interventions and focus groups were used to  identify professionals’ preferences to receiving psychological support, needs, concerns, resilience (STEP1.0); constrained emotions and associated thoughts (STEP1.5); perception of self-efficacy on managing emotions (STEP2.0); and the professionals’ profile requiring individual therapy. Results: Three hundred professionals participated in the study, 100.0% in STEP 1.0 , 27.3% in STEP 1.5, 2.7% in STEP 2.0, and 10.0% in individual interventions. Two hundred and three (67.7%) participants reflected in the survey that they would prefer access to a face-to-face psychological service during working hours. Three consecutive phases with specific needs and concerns were identified: The “cognitive” phase, at the beginning of the pandemic, when infection and self-efficacy were major concerns, the “ventilation” phase, when constrained emotions associated with several factors were expressed; and the “recovery” phase, when the clinical overload decreased and professionals were able to focus on emotion management training. Several personal characteristics associated with referral to individual therapy were identified.  Conclusions: The key characteristics of a psychological support service are proximity, face-to-face interaction during working shifts, and a chronological phase system adapted to different emerging needs. https://archivosdeprevencion.eu/index.php/aprl/article/view/354COVID-19; Mental health; Health personnel; Crisis intervention; Stress disorders
spellingShingle Eva Frigola-Capell
Laura Fabregas
Marta Juanola
Mercè Soms
Marta Hernández
Roser Grau
Noelia Alarcón
Neus Colomer
Jordi Cid
Andrés Cuartero-Barbanoj
Jordi Garcia
Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study
Archivos de Prevención de Riesgos Laborales
COVID-19; Mental health; Health personnel; Crisis intervention; Stress disorders
title Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study
title_full Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study
title_fullStr Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study
title_full_unstemmed Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study
title_short Integrated psychological intervention programme for frontline healthcare workers during the COVID-19 pandemic. A qualitative study
title_sort integrated psychological intervention programme for frontline healthcare workers during the covid 19 pandemic a qualitative study
topic COVID-19; Mental health; Health personnel; Crisis intervention; Stress disorders
url https://archivosdeprevencion.eu/index.php/aprl/article/view/354
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