Evidence map›Paper›PMID 38216178›Full record

ArticleBMJ open2024

Qualitative interview study of strategies to support healthcare personnel mental health through an occupational health lens.

Cati Brown-Johnson, Cheyenne DeShields, Matthew McCaa, Natalie Connell, Susan N Giannitrapani, Wendy Thanassi, Elizabeth M Yano, Sara J Singer, Karl A Lorenz, Karleen Giannitrapani

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Cati Brown-JohnsonCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA catibj@stanford.edu karleen@stanford.edu.ORCID 0000-0002-5415-3665
Cheyenne DeShieldsCase Western Reserve University, Cleveland, Ohio, USA.
Matthew McCaaCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA.
Natalie ConnellEmory University School of Medicine, Atlanta, Georgia, USA.
Susan N GiannitrapaniEmployee Occupational Health, Wilmington VA Medical Center, Wilmington, Delaware, USA.
Wendy ThanassiStanford University School of Medicine, Stanford, California, USA.
Elizabeth M YanoCenter for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
Sara J SingerCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA.
Karl A LorenzCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA.
Karleen GiannitrapaniCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA catibj@stanford.edu karleen@stanford.edu.ORCID 0000-0003-0987-6204
VA Palo Alto Health Care System · USCase Western Reserve University · USEmory University · USUniversity of California, Los Angeles · USWilmington VA Medical Center · US

Funding

Building Better Interdisciplinary Pain Teams Across DisciplinesIK2HX003077 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI Karleen Frances Giannitrapani · 2022 to 2026
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HSRD VA IK2 HX003077
6 · The paper itself

Abstract

backgroundEmployee Occupational Health ('occupational health') clinicians have expansive perspectives of the experience of healthcare personnel. Integrating mental health into the purview of occupational health is a newer approach that could combat historical limitations of healthcare personnel mental health programmes, which have been isolated and underused.

objectiveWe aimed to document innovation and opportunities for supporting healthcare personnel mental health through occupational health clinicians. This work was part of a national qualitative needs assessment of employee occupational health clinicians during COVID-19 who were very much at the centre of organisational responses.

designThis qualitative needs assessment included key informant interviews obtained using snowball sampling methods.

participantsWe interviewed 43 US Veterans Health Administration occupational health clinicians from 29 facilities. APPROACH: This analysis focused on personnel mental health needs and opportunities, using consensus coding of interview transcripts and modified member checking. KEY

resultsThree major opportunities to support mental health through occupational health involved: (1) expanded mental health needs of healthcare personnel, including opportunities to support work-related concerns (eg, traumatic deployments), home-based concerns and bereavement (eg, working with chaplains); (2) leveraging expanded roles and protocols to address healthcare personnel mental health concerns, including opportunities in expanding occupational health roles, cross-disciplinary partnerships (eg, with employee assistance programmes (EAP)) and process/protocol (eg, acute suicidal ideation pathways) and (3) need for supporting occupational health clinicians' own mental health, including opportunities to address overwork/burn-out with adequate staffing/resources.

conclusionsOccupational health can enact strategies to support personnel mental health: to structurally sustain attention, use social cognition tools (eg, suicidality protocols or expanded job descriptions); to leverage distributed attention, enhance interdisciplinary collaboration (eg, chaplains for bereavement support or EAP) and to equip systems with resources and allow for flexibility during crises, including increased staffing.

Indexed as

Mental HealthOccupational HealthHealth PersonnelHumansNeeds AssessmentQualitative ResearchMENTAL HEALTHOCCUPATIONAL & INDUSTRIAL MEDICINEQUALITATIVE RESEARCH

Identifiers

PMID38216178
PMCPMC10806949
OpenAlexW4390830139

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.