The Bulle: Support and Prevention of Psychological Decompensation of Health Care Workers During the Trauma of the COVID-19 Epidemic

Hervé Lefèvre, Chantal Stheneur, Charlotte Cardin, Lola Fourcade, Christine Fourmaux, Elise Tordjman, Marie Touati, Flore Voisard, Sevan Minassian, Pauline Chaste, Marie Rose Moro, Jonathan Lachal, Hervé Lefèvre, Chantal Stheneur, Charlotte Cardin, Lola Fourcade, Christine Fourmaux, Elise Tordjman, Marie Touati, Flore Voisard, Sevan Minassian, Pauline Chaste, Marie Rose Moro, Jonathan Lachal

Abstract

The coronavirus disease 2019 pandemic presents unprecedented challenges for the health care system. The pressure on health care staff continues to intensify, accentuated by the confinement (lockdown) of the population and the unprecedented duration of this emergency. Separately and especially together, overwork, degraded conditions of care because of the never-ending emergency, and the risk of exposure to the virus can lead to acute psychological distress or signs of burnout. This original program was developed at Cochin Hospital in Paris, France to prevent these potentially dramatic psychological consequences, support the medical staff, and identify those most affected to offer them specific care. A program and a space for relaxation and support for hospital caregivers by hospital caregivers, the Port Royal Bulle (the Bubble) offers these workers help in decompression and relaxation. It combines a warm and caring welcome that promotes attention, listening, conversations, and exchanges as needed, empathetic support, and the ability to participate in soothing, relaxing, or low-impact physical activities. It takes care of caregivers. The Bubble is a program that is simple to set up and that appears to meet professionals' expectations. Making it permanent and enlarging its scale, as a complement to existing programs, might help to support health care personnel in their work.

Keywords: COVID-19 pandemic; Psychosocial risks; health care workers; professional burnout; work-related stress.

Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

Figures

Fig. 1
Fig. 1
Map of the Bubble. 1) Reception of health care workers, place for conversation and listening, and reminders of the hygiene requirements; 2) passage to the cloakroom, to leave belongings and wash hands; 3) modular room for relaxation and low-impact physical activities; and 4) a second opportunity to talk, be listened to, in the sitting room.

References

    1. Wu A.W., Connors C., Everly G.S., Jr. COVID-19: peer support and crisis communication Strategies to promote institutional resilience. Ann Intern Med. 2020;172:822–823.
    1. Tam C.W.C., Pang E.P.F., Lam L.C.W., Chiu H.F.K. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychol Med. 2004;34:1197–1204.
    1. Albott C.S., Wozniak J.R., McGlinch B.P., Wall M.H., Gold B.S., Vinogradov S. Battle buddies: rapid deployment of a psychological resilience intervention for healthcare workers during the COVID-19 pandemic. Anesth Analg. 2020;131:43–54.
    1. Center for the Study of Traumatic Stress . CSTS, Department of Psychiatry, Uniformed Services University; Bethesda, USA: 2020. Sustaining the Well-Being of Healthcare Personnel During Infectious Disease Outbreaks.
    1. Maunder R., Lancee W., Balderson K. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerging Infect Dis. 2006;12:1924–1932.
    1. Wu W., Zhang Y., Wang P. Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. J Med Virol. 2020 Available from.
    1. Lu W., Wang H., Lin Y., Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res. 2020;288:112936.
    1. Brooks S.K., Dunn R., Sage C.A.M., Amlôt R., Greenberg N., Rubin G.J. Risk and resilience factors affecting the psychological wellbeing of individuals deployed in humanitarian relief roles after a disaster. J Ment Health. 2015;24:385–413.
    1. Ripp J., Peccoralo L., Charney D. Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. Acad Med. 2020;95:1136–1139.
    1. Greenberg N., Docherty M., Gnanapragasam S., Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020;368:m1211.
    1. Bohlken J., Schömig F., Lemke M.R., Pumberger M., Riedel-Heller S.G. COVID-19-Pandemie: Belastungen des medizinischen Personals: Ein kurzer aktueller review. Psychiatrische Praxis. 2020;47:190–197.
    1. Litz B.T., Stein N., Delaney E. Moral injury and moral repair in war veterans: a preliminary model and intervention strategy. Clin Psychol Rev. 2009;29:695–706.
    1. Murray E., Krahé C., Goodsman D. Are medical students in prehospital care at risk of moral injury? Emerg Med J. 2018;35:590–594.
    1. Williamson V., Stevelink S.A.M., Greenberg N. Occupational moral injury and mental health: systematic review and meta-analysis. Br J Psychiatry. 2018;212:339–346.
    1. Chew N.W.S., Lee G.K.H., Tan B.Y.Q. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020;88:559–565.
    1. Lai J., Ma S., Wang Y. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3:e203976.
    1. Adams J.G., Walls R.M. Supporting the health care workforce during the COVID-19 global epidemic. JAMA. 2020;323:1439.
    1. Iversen A.C., Fear N.T., Ehlers A. Risk factors for post-traumatic stress disorder among UK Armed Forces personnel. Psychol Med. 2008;38:511–522.
    1. Greenberg N., Thomas S., Iversen A., Unwin C., Hull L., Wessely S. Do military peacekeepers want to talk about their experiences? Perceived psychological support of UK military peacekeepers on return from deployment. J Ment Health. 2003;12:565–573.
    1. Flanagan E., Chadwick R., Goodrich J., Ford C., Wickens R. Reflection for all healthcare staff: a national evaluation of Schwartz Rounds. J Interprofessional Care. 2020;34:140–142.
    1. The Guardian More than 600 French doctors threaten to quit amid funding row. the Guardian [Internet] 2019. Available from.
    1. Embriaco N., Papazian L., Kentish-Barnes N., Pochard F., Azoulay E. Burnout syndrome among critical care healthcare workers. Curr Opin Crit Care. 2007;13:482–488.
    1. Quenot J.P., Rigaud J.P., Prin S. Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices. Intensive Care Med. 2012;38:55–61.
    1. Lopes Cardozo B., Gotway Crawford C., Eriksson C. Psychological distress, depression, anxiety, and burnout among international humanitarian aid workers: a longitudinal study. PLoS One. 2012;7:e44948.
    1. World Health Organization, War Trauma Foundation, World Vision International . World Health Organization; Geneva: 2011. Psychology first aid: guide for field workers [Internet]
    1. Ager A., Pasha E., Yu G., Duke T., Eriksson C., Cardozo B.L. Stress, mental health, and burnout in national humanitarian aid workers in Gulu, Northern Uganda: stress in national humanitarian workers in Uganda. J Traumatic Stress. 2012;25:713–720.

Source: PubMed

Sponzoři a spolupracovníci

Zdravotní podmínky

Drogové intervence

3
Předplatit