PHENOMENON: Many academic medical centers (AMCs) have a history of separating patients on the basis of insurance status. In New York State, where Black and Latino patients are more than twice as likely to have Medicaid as white patients, this practice leads to de facto racial segregation in healthcare. Emerging evidence suggests that this segregation of care is detrimental to both patient care and medical education. Medical students are uniquely positioned to be change makers in this space but face significant barriers to speaking out about these disparities and successfully advocating for institutional change. APPROACH: The authors designed, piloted, and distributed a 16-item survey on segregated care to third-year medical students at a large academic medical center in New York City. Students were asked both open- and close-ended questions about witnessing separation and differences in patient care on the basis of insurance during their clinical rotations. The survey was shared with 140 students in March 2019 with a response rate of 46.4% (n?=?65). Preliminary findings were presented to school and hospital administrators. FINDINGS: More than half of survey respondents reported witnessing separation of patient care or differences in patient care on the basis of insurance (56.3%, n?=?36 and 51.6%, n?=?33 respectively). Many students reported that these experiences contributed to cynicism and burnout. The authors leveraged these results to advocate for quality improvement measures. In Ob-Gyn, department leadership launched a clinical transformation taskforce and recruited a new Vice Chair of Clinical Transformation/Chief Patient Experience Officer, whose role includes addressing segregated care and disparities in health outcomes. The hospital committed to establishing integrated practices in new clinical spaces and launching a similar survey among house staff. INSIGHTS: Many medical students experience and participate in segregated care during their clerkships and this has the potential to impact their education. Medical students are well-positioned to recognize segregated care across health systems and leverage their experiences for advocacy. A survey-based approach can be a powerful tool enabling students to collect these experiences to address segregated care and other health equity issues.
Leveraging Clerkship Experiences to Address Segregated Care: A Survey-Based Approach to Student-Led Advocacy
PURPOSE: The on-going COVID-19 pandemic has drastically impacted healthcare systems worldwide. Understanding the perspectives and insights of frontline healthcare workers caring for and interacting with patients with COVID-19 represents a timely, topical, and important area of research. The purpose of this qualitative action research study was to assist one US healthcare system that has an expansive footprint with the implementation of a needs assessment among its frontline healthcare workers. The leadership within this healthcare system wanted to obtain a deeper understanding of how the COVID-19 pandemic was impacting the personal and professional lives of its workers. Further, the organisation wanted to solicit employees' feedback about what they needed, understand the issues they were facing, and solicit their ideas to help the organisation know where to take action. DESIGN/METHODOLOGY/APPROACH: This qualitative research employed 45 focus groups, referred to as virtual listening calls (LCs) in this organisation, which were held over a four-week period. A total of 241 nursing staff, representing healthcare facilities across the country, attended 26 of the LCs. A total of 19 LCs were held with 116 healthcare workers who are employed in other clinical roles (e.g. therapists) or administrative functions. FINDINGS: Extending beyond the available research at the time, this study was initiated from within a US healthcare system and informed by the frontline healthcare employees who participated in the LCs, the findings of this study include the perspectives of both nursing and other healthcare workers, the latter of which have not received considerable attention. The findings underscore that the COVID-19 pandemic has wreaked havoc on the personal and professional lives of all of these healthcare workers and has exacted an emotional toll as noted in other studies. However, this study also highlights the importance of listening to employees' concerns, but more importantly, their recommendations for improving their experiences. Notably, the organisation is in the midst of making changes to address these frontline workers' needs. ORIGINALITY/VALUE: The study, inclusive of nursing and other healthcare staff, demonstrates how an organisation can adapt to a crisis by listening and learning from its frontline employees.
This resource is found in our Actionable Strategies for Health Organizations: Empowering Worker & Learner Voice (Worker & Learner Engagement).
Listening and Learning from the COVID-19 Frontline in One US Healthcare System
Researchers explored travel nurses' and permanent staff nurses' COVID-19 pandemic work experiences, seeking to understand, “How do these experiences influence nurses' motivation, happiness, stress, and career decisions?” The COVID-19 pandemic took a heavy physical and psychological toll on health care providers. Demand outweighed resources as nurses accepted the monumental task of caring for communities affected by the catastrophe. We aimed to gain insight into nurses' lived pandemic experiences in the United States, while exploring the impact of these experiences on their motives to remain in current positions or alter their career paths. In this descriptive, phenomenological study, interview data collected from 30 nurses were analyzed using qualitative content analysis. Physical and emotional trauma experienced during the early and peak months of the pandemic led nurses to evaluate their current work arrangements and to ponder alternatives. Our results suggest that pandemic work environments contributed to a change in nursing workforce distribution and exacerbated widening nurse shortage gaps. A call to action bids leaders to institute retention measures based on factors influencing nurses' career trajectory decisions in the current environment. Our findings led to recommendations for leadership approaches to promote nurses' emotional healing and mental wellness.
Lived Travel Nurse and Permanent Staff Nurse Pandemic Work Experiences as Influencers of Motivation, Happiness, Stress, and Career Decisions: A Qualitative Study
The COVID-19 pandemic has had a considerable impact on the mental health of the general population.Reference Pierce, Hope, Ford, Hatch, Hotopf and John1 However, there is also concern that the mental health of healthcare professionals (HCPs) has been disproportionately affectedReference Hacimusalar, Kahve, Yasar and Aydin2-Reference Luo, Liu, Chen, Huang, Chen and Yang4 because of the stress related to caring and working with patients with COVID-19,Reference Kisely, Warren, McMahon, Dalais, Henry and Siskind5-Reference Siddiqui, Aurelio, Gupta, Blythe and Khanji8 increased exposure to COVID-19, concern regarding infecting family members,Reference Billings, Ching, Gkofa, Greene and Bloomfield9-Reference Han, Choi, Cho, Lee and Yun11 and other unique stressors such as moral injuryReference Williamson, Murphy, Phelps, Forbes and Greenberg12 and stigma.Reference Han, Choi, Cho, Lee and Yun11 This is likely in addition to the mental health impact related to the growing economic insecurityReference Kousoulis, McDaid, Crepaz-Keay, Solomon, Lombardo and Yap13 and financial problemsReference Kwong, Pearson, Adams, Northstone, Tilling and Smith14 faced by the general public, and issues such as staff shortages resulting from cuts to public health services in the UK. The mental health impact is likely to result in increased work absences and significant attrition in some job roles, thus it is a priority to broadly understand the impact, dimensions and severity of the COVID-19 pandemic on the mental health of HCPs.Reference Billings, Ching, Gkofa, Greene and Bloomfield9 Nonetheless, there is conflicting data regarding the relative impact on the mental health of front-line HCPs (those who work with patients) compared with ‘non-front-line’ HCPs, or HCPs compared with non-HCPs, during this pandemic.Reference Alshekaili, Hassan, Al Said, Al Sulaimani, Jayapal and Al-Mawali15-Reference Norhayati, Che Yusof and Azman18 Largely these studies have been cross-sectional only,Reference Hacimusalar, Kahve, Yasar and Aydin2,Reference Li, Ge, Yang, Feng, Qiao and Jiang17-Reference Buselli, Corsi, Baldanzi, Chiumiento, Del Lupo and Dell'Oste19 or, in the case of the few longitudinal studies, have not repeatedly sampled the same population,Reference Mosolova, Sosin and Mosolov20 thereby limiting our understanding of the evolution of mental health changes throughout the pandemic. [...]although there has been great media interest in burnout, this has not been systematically evaluated in the different professional groups described above over time. Aims To address these gaps, we devised the COVID-19 Disease and Physical and Emotional Wellbeing of Health Care Professionals (CoPE-HCP) studyReference Khanji, Maniero C, Siddiqui, Gupta and Crosby21 as an international, observational cohort study assessing mental health, well-being and burnout in HCPs and non-HCPs across three distinct phases for evaluation of multiple domains over time. The validated mental health, burnout and well-being measures asked at all phases were as follows: the nine-item Patient Health Questionnaire (PHQ-9) to measure depression;Reference Kroenke, Spitzer and Williams22 the seven-item Generalised Anxiety Disorder (GAD-7) to measure anxiety;Reference Spitzer, Kroenke, Williams and Lowe23 the seven-item Insomnia Severity Index (ISI) to measure clinical insomnia;Reference Morin, Belleville, Belanger and Ivers24 burnout was measured with single-item indicators of emotional exhaustion and depersonalisation, abbreviated from the Maslach Burnout Inventory;Reference Li-Sauerwine, Rebillot, Melamed, Addo and Lin25 and the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS) to measure well-being.Reference Tennant, Hiller, Fishwick, Platt, Joseph and Weich26 These measures were selected because they are widely used and freely available, allowing comparable rates with similar research elsewhere, and have validated cut-off points.
Longitudinal Comparisons of Mental Health, Burnout and Well-Being in Patient-Facing, Non-Patient-Facing Healthcare Professionals and Non-Healthcare Professionals During the COVID-19 Pandemic: Findings from the CoPE-HCP Study
Mental health and wellness is a major concern among trainees, where challenges may be associated with higher perceived stress, burnout, depression, and suicide.1,2 Although struggles with mental health are not new, awareness has been heightened by increasing depression and anxiety among all medical specialties, including oral and maxillofacial surgery (OMS). Stress during residency is something we can all identify with, and the era of grinning and bearing with it, sucking it up, or taking one for the team is a strategy of the past. We can all remember sleepless nights and stressful emergency department encounters, but we must also recognize that not every surgical resident or practicing surgeon handles stress in an identical manner. Making sure oral and maxillofacial surgeons have access to mental health care providers and outlets is imperative, and it all starts during residency. We must foster a culture where senior residents advocate for their juniors, faculty advocate for their residents, and practicing oral and maxillofacial surgeons or senior faculty advocate for their junior colleagues. Only in this way will we reduce the stigma of seeking help for mental health issues. Identifying stress, anxiety, and depression not only is important for the well-being of the surgeon but also optimizes professional effectiveness and limits medical errors, emotional exhaustion, and depersonalization.
Maintaining Mental Health in Oral and Maxillofacial Surgery
[This is an excerpt.] Male physicians consistently earn more than women. For every dollar a man earns, a woman earns only 74 cents. This translates to between $0.9 million and $2.5 million less in career earnings for women physicians compared to men, depending on the type of medicine practiced. The number of women physicians has been consistently increasing; more than half of medical students are women. But despite this growing representation, women continue to make less than men. As part of the focus on addressing discrimination and bias in health care and diversifying the workforce, we should also consider the physician gender compensation gap. The gender pay gap for physicians is substantially wider than in most other occupations in the U.S. While women across occupations earn less than men, often owing to a range of factors including family obligations and fewer opportunities for raises and promotions, how much and how we pay for health care in the U.S. uniquely contributes to the gender compensation gap among physicians. [To read more, click View Resource.]
This resource is found in our Actionable Strategies for Health Organizations: Meaningful Rewards& Recognition (Adequate Compensation)
Male Physicians Earn More Than Women in Primary and Specialty Care
OBJECTIVE: There is a high prevalance of burnout and mental health illness among trainees. Through structured meetings, Program Directors (PDs) have an opportunity to screen and aid residents that may be affected by mental health concerns. However, barriers to this process exist. This study sought to evaluate the perspectives of PDs regarding mental health screening for trainees. DESIGN: A 13-item survey-based study. SETTING: Electronic distribution of the survey was performed via three individualized requests sent via e-mail to PDs. PARTICIPANTS: PDs of 5 ACGME specialties, including Internal Medicine, Pediatrics, Emergency Medicine, General Surgery, and Psychiatry were invited to participate. RESULTS: In total, 595 PDs responded to the survey (response rate = 40.0%) In general, PDs expressed dissatisfaction with the management of burnout and mental health. Most PDs supported periodic screening of residents for burnout (87.0%) and mental health (73.9%). For a resident that could screen positive for mental illness, most PDs were concerned about the possibility of harm to a patient (70.7%) and implications for future licensing (65.7%). Only 30.2% of PDs currently use some form of standardized screening to identify residents struggling with mental health and burnout concerns. CONCLUSION: The majority of PDs across 5 ACGME specialties support the use of periodic screening of
Managing Resident Mental Health: Prevention is Better than Cure
OBJECTIVE: To describe the association between mistreatment, burnout, and having multiple marginalized identities during undergraduate medical education. DESIGN: Cross sectional survey and retrospective cohort study. SETTING: 140 US medical schools accredited by the Association of American Medical Colleges. Participants 30 651 graduating medical students in 2016 and 2017. MAIN OUTCOME MEASURES: Self-reported sex, race or ethnicity, and sexual orientation groups were considered, based on the unique combinations of historically marginalized identities held by students. Multivariable linear regression was used to determine the association between unique identity groups and burnout along two dimensions (exhaustion and disengagement) as measured by the Oldenburg Burnout Inventory for Medical Students while accounting for mistreatment and discrimination. RESULTS: Students with three marginalized identities (female; non-white; lesbian, gay, or bisexual (LGB)) had the largest proportion reporting recurrent experiences of multiple types of mistreatment (88/299, P<0.001) and discrimination (92/299, P<0.001). Students with a higher number of marginalized identities also had higher average scores for exhaustion. Female, non-white, and LGB students had the largest difference in average exhaustion score compared with male, white, and heterosexual students (adjusted mean difference 1.96, 95% confidence interval 1.47 to 2.44). Mistreatment and discrimination mediated exhaustion scores for all identity groups but did not fully explain the association between unique identity group and burnout. Non-white and LGB students had higher average disengagement scores than their white and heterosexual counterparts (0.28, 0.19 to 0.37; and 0.73, 0.52 to 0.94; respectively). Female students, in contrast, had lower average disengagement scores irrespective of the other identities they held. After adjusting for mistreatment and discrimination among female students, the effect among female students became larger, indicating a negative confounding association. CONCLUSION: In this study population of US medical students, those with multiple marginalized identities reported more mistreatment and discrimination during medical school, which appeared to be associated with burnout.
Marginalized Identities, Mistreatment, Discrimination, and Burnout Among US medical Students: Cross Sectional Survey and Retrospective Cohort Study
Meaningful recognition is powerful and tied to purpose. As nurses, we are motivated by our ability to contribute and make a difference in our patients' lives. As leaders, we can buffer the negative effects of burnout, foster a positive work environment, and cultivate a culture of gratitude and trust by creating and sustaining a culture of recognition.
Meaningful Recognition: The Tie to Purpose
The COVID-19 pandemic created novel patient care circumstances that may have increased nurses' moral distress, including COVID?19 transmission risk and end?oflife care without family present. Well?established moral distress instruments do not capture these novel aspects of pandemic nursing care. The purpose of this study was to develop and evaluate the psychometric properties of the COVID?19 Moral Distress Scale (COVID?MDS), which was designed to provide a short MDS that includes both general and COVID?19?specific content. Researcher?developed COVID?19 items were evaluated for content validity by six nurse ethicist experts. This study comprised a pilot phase and a validation phase. The pilot sample comprised 329 respondents from inpatient practice settings and the emergency department in two academic medical centers. Exploratory factor analysis (EFA) was conducted with the pilot data. The EFA results were tested in a confirmatory factor analysis (CFA) using the validation data. The validation sample comprised 5042 nurses in 107 hospitals throughout the United States. Construct validity was evaluated through CFA and known groups comparisons. Reliability was assessed by the omega coefficient from the CFA and Cronbach's alpha. A two?factor CFA model had good model fit and strong loadings, providing evidence of a COVID?19?specific dimension of moral distress. Reliability for both the general and COVID?19?specific moral distress subscales was satisfactory. Known groups comparisons identified statistically significant correlations as theorized. The COVID?MDS is a valid and reliable short tool for measuring moral distress in nurses including both broad systemic sources and COVID?19 specific sources.
Measuring Moral Distress in Nurses During a Pandemic: Development and Validation of the COVID-MDS
[This is an excerpt.] Prior authorization (PA) is a cost-control process that requires health care professionals to obtain advance approval from health plans before a prescription medication or medical service qualifies for payment and can be delivered to the patient. While health plans and benefit managers contend PA programs are necessary to control costs, physicians and other providers find these programs to be time-consuming barriers to the delivery of necessary treatment. [To read more, click View Resource.]
This resource is found in our Actionable Strategies for Other Private Organizations: Private Payers
Measuring Progress in Improving Prior Authorization
BACKGROUND AND OBJECTIVES: Medical students face difficult transitions throughout their training that increase their risk of burnout. Resiliency training may prepare students to better face the demands of their medical careers. This project is an initial investigation into medical students' long-term utilization of learned resiliency skills. METHODS: Medical students completed a survey 1-18 months following Active Resilience Training (ART). The computerized survey assessed the program's success in meeting its stated objectives and how often students used the skills they had learned during the training. RESULTS: ART is highly effective in increasing awareness of the benefits of resiliency training. The majority of participants would recommend the course to their peers. Students continued to utilize the skills learned for more than 18 months after completing the training. These skills include planned breaks, prioritizing sleep, building support systems, and mindfulness techniques. CONCLUSIONS: This work adds to the existing literature regarding participants' valuation of novel resilience curricula. Students utilized the skills learned in ART as long as 18 months after completing the program. More study evaluating the specific effects of ART on traditional measures of resilience such as the Brief Resilience Scale (BRS) is needed.
Medical Students' Perceptions and Retention of Skills From Active Resilience Training
INTRODUCTION: Orthopaedic surgeons face decreased reimbursement, lower income, and increased rates of burnout. As subspecializing through fellowship training in orthopaedics becomes more and more prevalent, the value of membership to a general orthopaedic society (American Academy of Orthopaedic Surgeons [AAOS]) warrants investigation. METHODS: One hundred thirty orthopaedic surgeons were surveyed by e-mail through a 14-item anonymous survey administered through SurveyMonkey. The survey inquired about surgeon experience, practice type, fellowship training, and details regarding AAOS and subspecialty society membership. RESULTS: The response rate was 67%, with 94% of respondents indicating that they were members of AAOS and a subspecialty society. The most common reasons for AAOS membership were tradition (65, 74.7%), continuing medical education (46, 52.9%), maintenance of board certification (44, 50.6%), and political advocacy (40, 46.0%). The most common reasons for subspecialty society membership were continuing medical education (73, 83.9%), tradition (49, 59.8%), and political advocacy (33, 40.2%). DISCUSSION: Most surgeons in our study cohort were members of both AAOS and a subspecialty society, but the reasons for membership in each differed. Almost 80% of respondents think their subspecialty society provides all their professional needs. The orthopaedic societies need to continue to evolve to provide value to their members to succeed in the future.
Membership and Feedback on the American Academy of Orthopaedic Surgeons and Other Subspecialty Societies: A Survey Study of Orthopaedic Surgeons
Working in correctional facilities is inherently stressful, and correctional workers have a high rate of anxiety, depression, PTSD, and professional burnout. Correctional workers faced an unprecedented set of challenges during the COVID-19 pandemic, exacerbating an already dire situation. There has been a relative shortage of studies evaluating effective interventions for the psychological consequences of working in correctional facilities. Well-being and mental health Interventions for correctional workers should be embedded in a general framework of support, reducing occupational risk factors, improving mental well-being by developing a positive work environment, improving mental health literacy, and identifying and treating mental health issues. The backbone of the correctional system is its workforce and the mental health and well-being of correctional workers are of paramount importance in an effective correctional system.
Mental Health Burden and Burnout in Correctional Workers
Mental distress is a widespread phenomenon that has existed across human lifespans. Most people experience stress or have experienced it throughout the history of humankind. Given the lack of studies identifying the stressors for law enforcement officers, their mental health considerations have so far been left unaddressed. For officers to remain true to their purpose of serving and protecting, it is important to holistically consider the adverse impact of their mental distress. This study examined the incidence of psychological distress among law enforcement officers and the organizational and operational factors contributing to mental distress. A quantitative probabilistic sampling strategy was used in the study. The Police Stressors Questionnaire (PS), a 40-item testing instrument adopted to evaluate various law enforcement stress elements, was used to evaluate 66 sworn law enforcement officers' stress as it gave the chance to evaluate the life of law enforcement officers and what makes them susceptible to mental distress. The research determined the direct impacts of organizational and operational stress factors on law enforcement officers. There were no significant relationship between mental distress and organizational and operational stress. Although, some factors reflected a correlation to cause mental distress. However, the participating law enforcement agency implemented several programs to intervene when an officer is experiencing distress. A positive, strong, and significant relationship exists between organizational and operational stress (R = 0.624, P<0.01).
Mental Health Considerations among Law Enforcement Officers
Medical trainees and physicians experience high rates of depression, anxiety, suicidal ideation, and burnout. The stigma surrounding mental health may deter help-seeking behaviors and increase informal treatment to maintain anonymity. Invasive health history questions on state medical licensure applications regarding mental health diagnoses and treatment likely increase stigma, reduce help-seeking, and consequently may motivate some applicants to report an inaccurate history to the state medical board. Research on physician mental health, suicide rates, and lack of help-seeking have led to recommendations for changes to licensure questions. In this article, the authors review the language of health history questions, disclosure requirements for applicants, and the potential consequences of disclosing mental health or substance abuse history on state medical licensure applications. They review recent changes to some states’ health history questions, using the changes to Florida’s licensure application in 2021 as an example, and explore the implications of these changes for reducing stigma and encouraging help-seeking. The authors recommend that state medical boards review and refine licensure applications’ health history questions regarding mental health disclosure in ways that strategically address concerns related to stigma, bias, and unwarranted scrutiny. They call for research to examine the impact of such question changes on applicant response accuracy, help-seeking behaviors, and mental health outcomes and stigma. They also recommend that medical schools offer and promote access to mental health services, encourage faculty to normalize help-seeking behaviors, and provide students with information about state licensure processes. Reducing stigma, normalizing trainee and physician experiences, and promoting help-seeking are preliminary steps to promote a culture in academic medicine that prioritizes mental health. In turn, this will encourage trainees and physicians to care for themselves and cultivate physicians who are better equipped to heal and support their patients.
Mental Health Disclosure Questions on Medical Licensure Applications: Implications for Medical Students, Residents, and Physicians
[This is an excerpt.] The Department of Labor’s Employee Benefits Security Administration is dedicated to ensuring all Americans have access to mental health and substance use disorder benefits, but this past year we’ve been particularly busy. In fact, we’ve undertaken more mental health parity investigations than we have in previous fiscal years on the parity requirements. This increase is no accident: We’re purposefully ramping up our efforts to ensure everyone gets the mental health and substance use disorder care they are entitled to under the law. As a federal agency tasked with enforcing the mental health parity law, we’re uniquely positioned to help millions of Americans who depend on their health plans for access to these benefits—and we take the responsibility seriously. In short, this means more proactive enforcement than what plans and issuers may have become accustomed to. The recently passed Consolidated Appropriations Act provided a new, important enforcement tool and additional resources which helps EBSA in our mission to facilitate greater parity in mental health and substance use disorder benefits. All of these efforts are highlighted in a new report to Congress released today. The report summarizes the actions we’ve taken to implement and enforce these new mental health parity requirements and sets the stage for what’s to come in our enforcement program. [To read more, click View Resource.]
This resource is found in our Actionable Strategies for Government: Ensuring Workers' Physical and Mental Health (Support Workers' and Learners' Mental Health & Well-Being).
Mental Health Parity is the Law, and We're Enforcing it
BACKGROUND: Adverse Childhood Experiences (ACEs) increase risk for negative mental health outcomes in adulthood; however, the mechanisms through which ACEs exert their influence on adult mental health are poorly understood. This is particularly true for Public Safety Personnel (PSP; e.g., police, firefighters, paramedics, etc.), a group with unique vulnerability to negative psychiatric sequalae given their chronic exposure to potentially traumatic, work-related events. OBJECTIVES: To examine the role of moral injury (MI) and emotion regulation in the relation between ACEs and adult mental health symptoms in adulthood. Participants and setting Participants (N = 294) included a community sample of Canadian and American PSP members aged 22 to 65. METHODS: The current study uses cross-sectional data collection via retrospective self-report questionnaires administered between November, 2018 and November, 2019 to assess level of ACEs (ACE-Q), emotion regulation difficulties (DERS) and symptoms of post-traumatic stress (PCL-5), dissociation (MDI), depression, stress, and anxiety (DASS-21). Additionally, participants completed the Moral Injury Assessment for Public Safety Personnel, the first measure of MI developed specifically for PSP. RESULTS: Path analysis revealed that ACEs significantly predicted adverse mental health symptoms in adulthood; this effect was mediated by symptoms of MI and moderated by difficulties with emotion regulation. CONCLUSIONS: This study is the first to identify MI as a mechanism involved in the relation between ACEs and adult psychopathology and highlights the protective role of emotion regulation skills. These findings can inform the development of future research and clinical interventions in PSP populations.
Mental Health Symptoms in Public Safety Personnel: Examining the Effects of Adverse Childhood Experiences and Moral Injury
[This is an excerpt.] UK dentists experience high levels of stress, anxiety and burnout. Poor mental health can lead practitioners to exit the profession, contributing to workforce and service loss. Therefore, there is a need to focus on interventions to protect the mental health and wellbeing of dental teams. Three levels of intervention can be deployed in the workplace to support mental health and wellbeing: primary prevention, secondary prevention, and tertiary prevention. [To read more, click View Resource.]
Mental Health and Wellbeing Interventions in The Dental Sector: A Systematic Review
[This is an excerpt.] As a follow-up to the American Nurses Foundation's first two Mental Health and Wellness surveys completed in summer 2020 and December 2020, and the COVID-19 Impact Assessment Survey - The First Year, completed in January-February 2021, the Foundation conducted this survey to determine the changes and further impact of the pandemic on the mental health and wellness of nurses, with additional enquiries concerning emotional health, post-traumatic stress, resiliency, and stigma around seeking professional mental health support. Between August 20 - September 2, 2021, there were 9,572 nurses who completed the survey. When using this data in media, communications or presentations please reference as follows: American Nurses Foundation, Pulse on the Nation's Nurses COVID-19 Survey Series: Mental Health and Wellness Survey 3, September 2021. [To read more, click View Resource.]
This resource is found in our Actionable Strategies for Professional Associations: Spotlights: Professional Associations Relational Strategies (Measuring Well-Being & Accountability).
