An innovative leadership development initiative to support building everyday resilience in health systems

by Jacinta Nzinga, Mwanamvua Boga, Nancy Kagwanja, Dennis Waithaka, Edwine Barasa, Benjamin Tsofa, Lucy Gilson and Sassy Molyneux

Effective management and leadership are essential for everyday health system resilience, but actors charged with these roles are often underprepared and undersupported to perform them. Particular challenges have been observed in interpersonal and relational aspects of health managers’ work, including communication skills, emotional competence and supportive oversight. Within the Resilient and Responsive Health Systems (RESYST) consortium in Kenya, the authors worked with two county health and hospital management teams to adapt a package of leadership development interventions aimed at building these skills. This article provides insights into: (1) the content and co-development of a participatory intervention combining two core elements: a complex health system taught course, and an adapted communications and emotional competence process training; and (2) the findings from a formative evaluation of this intervention which included observations of the training, individual interviews with participating managers and discussions in regular meetings with managers.

25th June 2021 • comment

Nursing is central to the provision of hospital-based care and is particularly so in the treatment of newborns. Continuous, effective provision of a basic set of interventions can have a highly positive impact on neonatal mortality, and most of these key interventions are delivered by nurses.  Unfortunately, neonatal wards in low income settings are typified by a high ratio of sick infants to nurses, which makes it difficult to deliver even basic care and limits the level of quality that is achievable. In the context of neonatal nursing in low-income countries, nursing stress is of particular concern because workloads are higher and the demands on individuals are greater. While a great deal of research has been directed towards nursing stress, the study of how stress affects nursing practice at the ward level has not been a priority, particularly in LMIC settings. Instead, the study of nursing over-work, burnout and resilience has largely been focused on individuals and their personal, psychological characteristics. In the course of this study, the authors found that theories of individualised burnout and resilience did not help to explain the practices that seemed most important in reducing nurses' exposure to stress. Their research question asks instead how nurses collectively cope with workload and stress and how this affects nursing practice. 

3rd December 2020 • comment

Supporting the Mental Health of Health Workers during COVID-19

by Ngoc Nguyen and Hien Tran, Public and Community Engagement Unit, Oxford University Clinical Research Unit

Working in the department, before screening, I have to screen the patients, the responsibility and the greater pressure and ensure the safety of all medical staff and patients. This line of work is also scary.”   Acknowledging the impacts of the challenging context of COVID-19 for health workers, this online workshop explored some of the experiences of health care workers in Vietnam and discussed strategies to support their mental health and wellbeing. 

24th September 2020 • comment

COVID-19 in Africa: care and protection for frontline healthcare workers

by Matthew F. Chersich , Glenda Gray, Lee Fairlie, Quentin Eichbaum, Susannah Mayhew, Brian Allwood, Rene English, Fiona Scorgie, Stanley Luchters, Greg Simpson, Marjan Mosalman Haghighi, Minh Duc Pham and Helen Rees

  Sustaining safe and quality care in the SARS-CoV-2 pandemic hinges on the health and mental wellbeing of frontline healthcare workers. Medical staff face exhaustion, difficult triage decisions, separation from families, stigma and the pain of losing patients and colleagues, in addition to their own risks of infection.  In this literature review, the authors describe the infection risks and mental health challenges that healthcare workers face in the COVID-19 pandemic and propose interventions to counter these in Africa. Lessons from previous disease-control efforts on the continent are highlighted and draw on experiences with SARS-CoV-2 in other parts of the world.   

24th September 2020 • comment

Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population

by Matthias Pierce, Holly Hope, Tamsin Ford, Stephani Hatch, Matthew Hotopf, Ann John, Evangelos Kontopantelis, Roger Webb, Simon Wessely, Sally McManus*, Kathryn M Abel*
24th September 2020 • comment

How mental health care should change as a consequence of the COVID-19 pandemic

by Carmen Moreno, Til Wykes, Silvana Galderisi, Merete Nordentoft, Nicolas Crossley, Nev Jones, Mary Cannon, Christoph U Correll, Louise Byrne, Sarah Carr, Eric Y H Chen, Philip Gorwood, Sonia Johnson, Hilkka Kärkkäinen, John H Krystal, Jimmy Lee, Jeffrey Lieberman, Carlos López-Jaramillo, Miia Männikkö, Michael R Phillips, Hiroyuki Uchida, Eduard Vieta, Antonio Vita, Celso Arango
23rd September 2020 • comment

Occupational Stress Among Health Worker in a National Dermatology Hospital in Vietnam, 2018

by Anh Nguyen Ngoc, Xuan Thi Thanh, Hue Le Thi, Anh Vu Tuan, Thanh Nguyen Van
14th August 2020 • comment

Prevalence and associated factors of depression, anxiety and stress among health staff in the hospital of tropical diseases - Ho Chi Minh city-Vietnam

by Phạm Ngọc Thanh, Nguyễn Thị Kim Ngọc, Mary Chambers, Phùng Khánh Lâm, Nguyễn Văn Vĩnh Châu, Nguyễn Thị Lệ Hồng
14th August 2020 • comment

Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

by Jianbo Lai, MSc, Simeng Ma, MSc, Ying Wang, MSc, Zhongxiang Cai, MD, Jianbo Hu, MSc, Ning Wei, MD, Jiang Wu, MD, Hui Du, MD, Tingting Chen, MD, Ruiting Li, MD, Huawei Tan, MD, Lijun Kang, MSc, Lihua Yao, MD, Manli Huang, MD, Huafen Wang, BD, Gaohua Wang, MD, Zhongchun Liu, MD, Shaohua Hu, MD
22nd May 2020 • comment

Managing mental health challenges faced by healthcare workers during covid-19 pandemic

by Neil Greenberg (professor of defence mental health), Mary Docherty (consultant liaison psychiatrist), Sam Gnanapragasam (NIHR academic clinical fellow in psychiatry), Simon Wessely (regius professor of psychiatry)
22nd May 2020 • comment
22nd May 2020 • comment

Optimism of health care workers during a disaster: a review of the literature (2011)

by Noga Boldor, Yosefa Bar-Dayan, Tova Rosenbloom, Joshua Shemer, Yaron Bar-Dayan
22nd May 2020 • comment

Identifying factors for job motivation of rural health workers in North Viet Nam

by Marjolein Dieleman, Pham Viet Cuong, Le Vu Anh, Tim Martineau
22nd May 2020 • comment

Communication between health workers and ethnic minorities in Vietnam

by Shannon McKinn, Duong Thuy Linh, Kirsty Foster, Kirsten McCaffery
22nd May 2020 • comment