Resilience and Well-Being of Professionals Working in Complex Environments

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (25 December 2023) | Viewed by 2100

Special Issue Editors


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Guest Editor
Departamento de Psicología de la Salud, Universidad Miguel Hernández, 03002 Elche, Spain
Interests: patient safety; quality assurance; second victim; health services evaluation; occupational health; qualitative research
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Guest Editor
Health Psychology Department, Universidad Miguel Hernández de Elche, Comunidad Valenciana, 03202 Elche, Spain
Interests: chronic disease; quality assurance; caregivers; health services evaluation; qualitative research
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

High reliability organizations (HROs) are organizations that operate in a physical, psychological, social or political complex environment that has the potential for large-scale risk and harm, but which manage to balance effectiveness, efficiency, and safety. The work sectors that usually fall under this conceptual framework are energy, aviation and transport, military and space, fires and disasters, healthcare, and education (The Health Foundation, 2011). In turn, rapid response teams (RRTs) - commonly defined in the healthcare setting but also existing in other fields - are interdisciplinary teams of trained individuals prepared for rapid mobilization and deployment in critical situations or emergencies (Greiner et al., 2020).

The professionals who make up the HROs or RRTs are relatively frequently exposed to critical situations that sometimes impact their physical or psychological health. The distress derived from these experiences and the proximity to trauma inevitably impacts the performance and responsiveness of professionals and may affect the quality of the service provided to the public (Kim et al., 2019; Schwappach & Boluarte, 2009).

Caring for the well-being of professionals, especially in the framework of HROs and RRTs, is crucial to ensure the resilience of organizations and the provision of a service in conditions of quality and safety. The COVID-19 pandemic has emphasized this need. The development of training and support programs (such as psychological first aid or peer support programs) specifically designed to restore the well-being of professionals and reinforce their resilience is fundamental in addressing this issue (de Bienassis, Slawomirski & Klazinga, 2021; Wu, Connors & Everly Jr, 2020).

Papers adding relevant and valuable knowledge regarding the need to reinforce the Resilience and Well-Being of Professionals Working in Complex Environments are welcome in this Special Issue.

You may choose our Joint Special Issue in International Journal of Environmental Research and Public Health

Prof. Dr. Irene Carrillo Murcia
Dr. Mercedes Guilabert Mora
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • high reliability organizations
  • rapid response team
  • emergency responders
  • second victim
  • psychological first aid
  • crisis intervention
  • peer support
  • disaster
  • catastrophe
  • critical incident
  • adverse event
  • resilience
  • well-being
  • risk management
  • occupational health
  • occupational safety

Published Papers (2 papers)

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Research

12 pages, 1069 KiB  
Article
Validity and Reliability of the Portuguese Version of the Connor–Davidson Resilience Scale of 10 Elements for Young University Students
by Lorena Tarriño-Concejero, Dalila Cerejo, María Dolores Guerra-Martín and Juan Manuel Praena-Fernández
Healthcare 2024, 12(3), 400; https://doi.org/10.3390/healthcare12030400 - 4 Feb 2024
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Abstract
Background: Resilience is an important aspect of mental health in young people, which has become more relevant after the COVID-19 pandemic. It is therefore of paramount importance to have valid and reliable instruments that measure the globality of this aspect. One of the [...] Read more.
Background: Resilience is an important aspect of mental health in young people, which has become more relevant after the COVID-19 pandemic. It is therefore of paramount importance to have valid and reliable instruments that measure the globality of this aspect. One of the instruments that has been shown to have good psychometric properties and which has been widely adapted in several languages is the Connor–Davidson resilience scale, composed of 10 elements (10-item CD-RISC). Aim: The aim of this study was to evaluate the validity and reliability of the Portuguese version of the 10-item CD-RISC among young university students. Methods: a cross-sectional observational study of psychometric validation was conducted with a sample of 206 university students. Results: Good and adequate fit indices were obtained for the confirmatory factor analysis (CFA): Standardized Root-Mean-Square Residual [SRMR] = 0. 056; comparative fit index [CFI] = 0.958; and the Tucker–Lewis index [TLI] = 0.946. It also showed an average degree of convergent validity with the Depression, Anxiety and Stress Scale (DASS-21) and the General Health Scale (SF-36), and its internal consistency was good (Cronbach’s alpha = 0.842) with a range of factor loadings between 0.42 and 0.77. Conclusions: the results show that the 10-item CD-RISC is a valid, reliable scale to measure resilience among young Portuguese university students. Full article
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17 pages, 1777 KiB  
Article
Applicability and Validity of Second Victim Assessment Instruments among General Practitioners and Healthcare Assistants (SEVID-IX Study)
by Stefan Bushuven, Milena Trifunovic-Koenig, Maxie Bunz, Patrick Weinmann-Linne, Victoria Klemm, Reinhard Strametz and Beate Sigrid Müller
Healthcare 2024, 12(3), 351; https://doi.org/10.3390/healthcare12030351 - 30 Jan 2024
Viewed by 793
Abstract
Background: The second victim phenomenon and moral injury are acknowledged entities of psychological harm for healthcare providers. Both pose risks to patients, healthcare workers, and medical institutions, leading to further adverse events, economic burden, and dysfunctionality. Preceding studies in Germany and Austria showed [...] Read more.
Background: The second victim phenomenon and moral injury are acknowledged entities of psychological harm for healthcare providers. Both pose risks to patients, healthcare workers, and medical institutions, leading to further adverse events, economic burden, and dysfunctionality. Preceding studies in Germany and Austria showed a prevalence of second victim phenomena exceeding 53 percent among physicians, nurses, emergency physicians, and pediatricians. Using two German instruments for assessing moral injury and second victim phenomena, this study aimed to evaluate their feasibility for general practitioners and healthcare assistants. Methods: We conducted a nationwide anonymous online survey in Germany among general practitioners and healthcare assistants utilizing the SeViD (Second Victims in Deutschland) questionnaire, the German version of the Second Victim Experience and Support Tool Revised Version (G-SVESTR), and the German version of the Moral Injury Symptom and Support Scale for Health Professionals (G-MISS-HP). Results: Out of 108 participants, 67 completed the survey. In G-SVESTR, the collegial support items exhibited lower internal consistency than in prior studies, while all other scales showed good-quality properties. Personality traits, especially neuroticism, negatively correlated to age, seem to play a significant role in symptom count and warrant further evaluation. Multiple linear regression indicated that neuroticism, agreeableness, G-SVESTR, and G-MISS-HP were significant predictors of symptom count. Furthermore, moral injury partially mediated the relationship between second victim experience and symptom count. Discussion: The results demonstrate the feasible use of the questionnaires, except for collegial support. With respect to selection bias and the cross-sectional design of the study, moral injury may be subsequent to the second victim phenomenon, strongly influencing symptom count in retrospect. This aspect should be thoroughly evaluated in future studies. Full article
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