Mental health and well-being of healthcare workers during the COVID-19 pandemic in the UK: contrasting guidelines with experiences in practice
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Abstract
Background: Substantial evidence has highlighted the importance of considering the mental health of healthcare workers during the COVID-19 pandemic, and several organisations have issued guidelines with recommendations. However, the definition of well-being and the evidence base behind such guidelines remain unclear. Aims: The aims of the study are to assess the applicability of well-being guidelines in practice, identify unaddressed healthcare workers’ needs and provide recommendations for supporting front-line staff during the current and future pandemics. Method: This paper discusses the findings of a qualitative study based on interviews with front-line healthcare workers in the UK ( n = 33), and examines them in relation to a rapid review of well-being guidelines developed in response to the COVID-19 pandemic ( n = 14). Results: The guidelines placed greater emphasis on individual mental health and psychological support, whereas healthcare workers placed greater emphasis on structural conditions at work, responsibilities outside the hospital and the invaluable support of the community. The well-being support interventions proposed in the guidelines did not always respond to the lived experiences of staff, as some reported not being able to participate in these interventions because of understaffing, exhaustion or clashing schedules. Conclusions: Healthcare workers expressed well-being needs that aligned with socio-ecological conceptualisations of well-being related to quality of life. This approach to well-being has been highlighted in literature on support of healthcare workers in previous health emergencies, but it has not been monitored during this pandemic. Well-being guidelines should explore the needs of healthcare workers, and contextual characteristics affecting the implementation of recommendations.
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The complex effects of the remote modality on front-line staff added to the huge pandemic-related toll on their morale and well-being.
“These complex effects of the remote modality on front-line staff added to the huge pandemic-related toll on their morale and well-being, which included the physical and emotional stress of clinical work, the personal risk of infection and its complications, and personal bereavements and other losses (59–61).”
From Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics (2021) · cites this paper as [60]
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- Authors
- Vera San Juan, N., Aceituno, D., Djellouli, N., Sumray, K., Regenold, N., Syversen, A., Mulcahy Symmons, S., Dowrick, A., Mitchinson, L., Singleton, G., & Vindrola-Padros, C.
- Affiliations
- Pontificia Universidad Católica de Chile (CL)
- University College London (GB)
- Queen Mary University of London (GB)
- National Institute of Academic Anaesthesia (GB)
- ORCID
- Venue
- BJPsych Open
- Publisher
- Royal College of Psychiatrists
- Published
- 2020-12-10
- Volume
- 7
- Issue
- 1
- Pages
- e15-e15
- ISSN
- 2056-4724 (ISSN-L)
- PMC
- PMC7844154
- OpenAlex
- W3112124317
- Cited by
- 121
- References
- 37
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 19 · 2023: 30 · 2022: 43 · 2021: 21 · 2020: 2
- FWCI
- 9.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BJPsych Open (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Queen Mary University of London
- National Institute of Academic Anaesthesia
- Marie Curie (MCCC-FCO-11-U, MCCC‐FCH‐18‐U)
- King's College London
- University College London
- Universidad de Chile
- Institute of Psychiatry, Psychology and Neuroscience, King’s College London
- Economic and Social Research Council (2252537)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- mental health of healthcare workers, well-being, COVID-19 pandemic, frontline workers, socio-ecological model, quality of life, psychological support, understaffing, work exhaustion, community support, guideline implementation, health emergencies
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