{"title":"2019冠状病毒病大流行期间南非卫生保健工作者心理健康、福祉和复原力短期课程的益处","authors":"Maneo Maiketso, Jacqueline Wolvaardt, Margot Uys, Marolien Grobler","doi":"10.1108/heswbl-11-2022-0247","DOIUrl":null,"url":null,"abstract":"Purpose The study explored whether an asynchronous short online course in mental health well-being and resilience for healthcare workers (HCWs) showed improved self-reported results among participants during the second wave of the COVID-19 pandemic. Design/methodology/approach A descriptive cross-sectional study evaluated the course outcomes using the 10-item Connor and Davison's Resilience Scale, the World Health Organization's WHO-five well-being index and self-developed questions. Data were collected via online questionnaires before and after course completion. Findings A total of 1 301 HCWs participated. The highest proportion of participants was from South Africa (SA) (93.7%) and females (78.7%). Analysed mean pre- and post-training scores showed increased scores in all five domains: knowledge, confidence in course outcomes, behaviour, resilience and well-being. Confidence in the course outcomes was the only common significant construct for both well-being and resilience. Mindfulness activities (β = 0.12, 95%CI [0.032, 0.213], p = 0.008) and self-care behaviours ( β = 0.14, 95%CI [0.035, 0.241], p = 0.009) were significant predictors of participants' well-being. Coping mechanisms for stress ( β = 0.12, 95%CI [0.036, 0.21], p = 0.006) and connecting with a social support network ( β = 0.085, 95%CI [0.0007, 0.17], p = 0.048) were significant predictors of participants' resilience. Those working in the private sector, those working in clinical settings and those who were female showed significant associations with well-being and resilience. Research limitations/implications The results are self-reported data which may be susceptible to social desirability and acquiescent effects. There are no guarantees that positive effects observed during this study are sustained over time. The study sample was selective in that it excluded those who did not consent for the use of their data and those who did not complete the course. Originality/value The research is noteworthy as literature shows that female HCWs tend to have worse mental health outcomes than males in the same field. Online learning can enable HCWs to conveniently access mental health education, accommodate their work commitments and explore topics that are potentially stigmatising.","PeriodicalId":45549,"journal":{"name":"Higher Education Skills and Work-based Learning","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Benefits of a short course on mental health well-being and resilience for healthcare workers in South Africa during the COVID-19 pandemic\",\"authors\":\"Maneo Maiketso, Jacqueline Wolvaardt, Margot Uys, Marolien Grobler\",\"doi\":\"10.1108/heswbl-11-2022-0247\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Purpose The study explored whether an asynchronous short online course in mental health well-being and resilience for healthcare workers (HCWs) showed improved self-reported results among participants during the second wave of the COVID-19 pandemic. Design/methodology/approach A descriptive cross-sectional study evaluated the course outcomes using the 10-item Connor and Davison's Resilience Scale, the World Health Organization's WHO-five well-being index and self-developed questions. Data were collected via online questionnaires before and after course completion. Findings A total of 1 301 HCWs participated. The highest proportion of participants was from South Africa (SA) (93.7%) and females (78.7%). Analysed mean pre- and post-training scores showed increased scores in all five domains: knowledge, confidence in course outcomes, behaviour, resilience and well-being. Confidence in the course outcomes was the only common significant construct for both well-being and resilience. Mindfulness activities (β = 0.12, 95%CI [0.032, 0.213], p = 0.008) and self-care behaviours ( β = 0.14, 95%CI [0.035, 0.241], p = 0.009) were significant predictors of participants' well-being. Coping mechanisms for stress ( β = 0.12, 95%CI [0.036, 0.21], p = 0.006) and connecting with a social support network ( β = 0.085, 95%CI [0.0007, 0.17], p = 0.048) were significant predictors of participants' resilience. Those working in the private sector, those working in clinical settings and those who were female showed significant associations with well-being and resilience. Research limitations/implications The results are self-reported data which may be susceptible to social desirability and acquiescent effects. There are no guarantees that positive effects observed during this study are sustained over time. The study sample was selective in that it excluded those who did not consent for the use of their data and those who did not complete the course. Originality/value The research is noteworthy as literature shows that female HCWs tend to have worse mental health outcomes than males in the same field. Online learning can enable HCWs to conveniently access mental health education, accommodate their work commitments and explore topics that are potentially stigmatising.\",\"PeriodicalId\":45549,\"journal\":{\"name\":\"Higher Education Skills and Work-based Learning\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2023-10-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Higher Education Skills and Work-based Learning\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1108/heswbl-11-2022-0247\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EDUCATION & EDUCATIONAL RESEARCH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Higher Education Skills and Work-based Learning","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1108/heswbl-11-2022-0247","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
引用次数: 0
摘要
目的:本研究探讨了在第二波COVID-19大流行期间,一门关于医护人员心理健康福祉和恢复力的异步短期在线课程是否能改善参与者的自我报告结果。设计/方法/方法一项描述性横断面研究使用10项康纳和戴维森的弹性量表、世界卫生组织的世卫五幸福指数和自行开发的问题来评估课程结果。在课程完成前后通过在线问卷收集数据。调查结果共有1 301名医护人员参与。最高比例的参与者来自南非(SA)(93.7%)和女性(78.7%)。经过分析的平均培训前和培训后得分显示,在知识、对课程成果的信心、行为、适应能力和幸福感这五个领域的得分都有所提高。对课程结果的信心是幸福感和适应力的唯一共同的重要结构。正念活动(β = 0.12, 95%CI [0.032, 0.213], p = 0.008)和自我照顾行为(β = 0.14, 95%CI [0.035, 0.241], p = 0.009)是被试幸福感的显著预测因子。压力应对机制(β = 0.12, 95%CI [0.036, 0.21], p = 0.006)和社会支持网络连接(β = 0.085, 95%CI [0.0007, 0.17], p = 0.048)是被试心理弹性的显著预测因子。那些在私营部门工作的人,那些在临床环境工作的人和那些女性在幸福感和适应力方面表现出显著的联系。研究局限/启示研究结果是自我报告的数据,可能容易受到社会期望和默认效应的影响。不能保证在本研究中观察到的积极效果会持续一段时间。研究样本是选择性的,因为它排除了那些不同意使用他们的数据和那些没有完成课程的人。这项研究值得注意,因为文献表明,在同一领域,女性医护人员的心理健康状况往往比男性更差。在线学习可以使卫生保健工作者方便地获得心理健康教育,适应他们的工作承诺,并探索可能造成污名化的主题。
Benefits of a short course on mental health well-being and resilience for healthcare workers in South Africa during the COVID-19 pandemic
Purpose The study explored whether an asynchronous short online course in mental health well-being and resilience for healthcare workers (HCWs) showed improved self-reported results among participants during the second wave of the COVID-19 pandemic. Design/methodology/approach A descriptive cross-sectional study evaluated the course outcomes using the 10-item Connor and Davison's Resilience Scale, the World Health Organization's WHO-five well-being index and self-developed questions. Data were collected via online questionnaires before and after course completion. Findings A total of 1 301 HCWs participated. The highest proportion of participants was from South Africa (SA) (93.7%) and females (78.7%). Analysed mean pre- and post-training scores showed increased scores in all five domains: knowledge, confidence in course outcomes, behaviour, resilience and well-being. Confidence in the course outcomes was the only common significant construct for both well-being and resilience. Mindfulness activities (β = 0.12, 95%CI [0.032, 0.213], p = 0.008) and self-care behaviours ( β = 0.14, 95%CI [0.035, 0.241], p = 0.009) were significant predictors of participants' well-being. Coping mechanisms for stress ( β = 0.12, 95%CI [0.036, 0.21], p = 0.006) and connecting with a social support network ( β = 0.085, 95%CI [0.0007, 0.17], p = 0.048) were significant predictors of participants' resilience. Those working in the private sector, those working in clinical settings and those who were female showed significant associations with well-being and resilience. Research limitations/implications The results are self-reported data which may be susceptible to social desirability and acquiescent effects. There are no guarantees that positive effects observed during this study are sustained over time. The study sample was selective in that it excluded those who did not consent for the use of their data and those who did not complete the course. Originality/value The research is noteworthy as literature shows that female HCWs tend to have worse mental health outcomes than males in the same field. Online learning can enable HCWs to conveniently access mental health education, accommodate their work commitments and explore topics that are potentially stigmatising.