Response to NIOSH Request for Information on Interventions to Prevent Work-Related Stress and Support Health Worker Mental Health.

IF 1.8 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH New Solutions-A Journal of Environmental and Occupational Health Policy Pub Date : 2022-11-01 Epub Date: 2022-09-22 DOI:10.1177/10482911221126271
Laura Punnett
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Abstract

The root causes of health care worker strain and depression include excessive job demands, extended work schedules, little decision-making opportunity, assault, bullying, and fear of injury. Potential links between working conditions and opioid overuse have also been discussed, beginning with psychological job strain or with physical pain leading to medication use. Promising solutions have been identified and many would be cost-effective, as enhanced working conditions could improve workers' mental health, job satisfaction, retention, and patient outcomes. Considering the number of health care workers leaving work during the global COVID-19 pandemic, it is urgent to address preventable root causes. In 2021, the US Congress called for educating health workers and first responders on the primary prevention of mental health conditions and substance use disorders. The CDC issued a Request for Information; this submission summarized research from CPH-NEW, a NIOSH Center of Excellence in Total Worker Health®, supplemented by a selective literature review.

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对美国国家职业安全与健康管理局(NIOSH)要求提供有关预防与工作有关的压力和支持健康工人心理健康的干预措施的信息的答复。
造成医护人员紧张和抑郁的根本原因包括工作要求过高、工作时间过长、决策机会少、攻击、欺凌和害怕受伤。人们还讨论了工作条件与阿片类药物过度使用之间的潜在联系,首先是心理上的工作压力,或者是身体疼痛导致的药物使用。目前已经确定了一些很有前景的解决方案,其中许多方案都具有成本效益,因为改善工作条件可以提高工作人员的心理健康水平、工作满意度、留住人才并改善患者的治疗效果。考虑到在 COVID-19 全球大流行期间离职的医护人员人数,当务之急是解决可预防的根本原因。2021 年,美国国会呼吁对医护人员和急救人员进行有关精神健康状况和药物使用障碍初级预防的教育。美国疾病预防控制中心发布了一份信息请求;本报告总结了 CPH-NEW(美国国家职业健康与安全研究所的全面工人健康®卓越中心)的研究成果,并对文献进行了有选择性的回顾。
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来源期刊
CiteScore
3.50
自引率
4.30%
发文量
28
期刊介绍: New Solutions delivers authoritative responses to perplexing problems, with a worker’s voice, an activist’s commitment, a scientist’s approach, and a policy-maker’s experience. New Solutions explores the growing, changing common ground at the intersection of health, work, and the environment. The Journal makes plain how the issues in each area are interrelated and sets forth progressive, thoughtfully crafted public policy choices. It seeks a conversation on the issues between the grassroots labor and environmental activists and the professionals and researchers involved in charting society’s way forward with the understanding that lack of scientific knowledge is no excuse for doing nothing and that inaction is itself a choice.
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