Resilience strategies to manage psychological distress amongst healthcare workers during the COVID-19 pandemic: a narrative review.

The COVID-19 pandemic marks an extraordinary global public health crisis unseen in the last century, with its rapid spread worldwide and associated mortality burden. The longevity of the crisis, and disruption to normality is unknown. With COVID-19 set to be a chronic health crisis, clinicians will be required to maintain a state of high alert for an extended period. The support received before and during an incident is likely to influence whether clinicians experience psychological growth or injury. An abundance of information is emerging on disease epidemiology, pathogenesis and infection control prevention. However, literature on interventions for supporting the psychological wellbeing of healthcare workers during disease outbreaks is limited. This article summarises the available management strategies to increase resilience in healthcare workers during the COVID-19 pandemic and beyond. It focuses on self care and organisational justice. It highlights various individual as well as organisational strategies. With the success of slowing disease spread in many countries to date, and reduced workload due to limitations on elective surgery in many institutions, there is more time and opportunity to be proactive in implementing measures to mitigate or minimise potential adverse psychological effects and improve, restore and preserve the wellbeing of the workforce now and for years to come. The purpose of this review is to review available literature on strategies for minimising the psychological impact of the COVID-19 pandemic on clinicians and to identify proactive holistic approaches which may be beneficial for healthcare workers both for the current crisis and into the future.

Anaesthesia. 2020 Jun 13 [Epub ahead of print]

C Heath, A Sommerfield, B S von Ungern-Sternberg

Fellow, Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, WA, Australia., Research Co-ordinator, Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, WA, Australia., Consultant, Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, WA, Australia.

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