This underscores the need for region-specific assessments of the burden of mental health problems and the identification of helpful occupational safety and health (OSH) interventions applicable to the EU context regarding the prevention and management of psychosocial risks and mental health in the HeSCare sector in the context of pandemics. [...] The scope of the prevalence systematic review is to quantify the mental health burden in the HeSCare sector in the EU from the start of the pandemic in 2020 until mid-2023, and to identify interventions and recommendations published in the peer-reviewed literature. [...] An increase in workload, isolation, lack of resources, fear of infecting themselves and their loved ones, witnessing the passing of patients daily, and social stigma are some of the factors that exacerbated the strain on mental health to the notable detriment on the wellbeing and mental health of the workforce in the sector9. [...] There was high quality in the sampling frames used by 53 studies (47.3%), the sampling methods used in 62 studies (55.3%), the sample size in 81 studies (72.3%), the description of the subjects and setting in 101 studies (90.2%), the identification of the mental health condition of interest in 111 studies (99.1%), reliability of the assessment of the condition in 111 studies (99.1%) and the statis. [...] The forest plot in Figure 4 shows the summary estimates for the prevalence of the different mental health conditions; the meta-analyses result for each mental health condition (including all studies from the countries identified) with 95% CIs, the number of studies providing data and the total number of participants assessed for the condition.
Authors
- Pages
- 166
- Published in
- Spain
Table of Contents
- Table of Contents 3
- List of Tables 4
- List of Figures 4
- List of Acronyms 6
- Executive Summary 7
- 1 Introduction 11
- 1.1 Background 11
- 1.2 Objectives 12
- 2 Methodological approach 13
- 2.1 Systematic review of mental health outcomes 13
- 2.1.1 Specific objectives and framework 13
- 2.1.2 Research question and eligibility criteria 13
- 2.1.3 Search strategy 14
- 2.1.4 Study selection and evidence appraisal 14
- 2.1.5 Synthesis of the evidence 15
- 2.2 Identification of good practices and recommendations 16
- 2.2.1 Specific objectives and framework 16
- 2.2.2 Research question and eligibility criteria 16
- 2.2.3 Sources of information 17
- ▪ Literature searches: Grey literature and peer-reviewed publications 17
- ▪ Delphi strategy and direct contact with experts 18
- 3 Results 19
- 3.1 Systematic review 19
- 3.1.1 Literature search and screening process 19
- 3.1.2 Description of included studies 20
- 3.1.3 Quality appraisal of included studies 22
- 3.1.4 Overall prevalence of mental health conditions 22
- 3.1.5 Prevalence of mental health conditions by EU-country 24
- 3.1.6 Prevalence by selected subgroups of HeSCare workers 30
- ▪ Professional profiles 30
- ▪ Prevalence in frontline workers 36
- ▪ Prevalence by work setting 37
- ▪ Prevalence by sex or gender 38
- ▪ Prevalence by age 39
- 3.2 Good practices and recommendations 41
- 3.2.1 Identified sources of information 41
- 3.2.2 Results from the searches 41
- 3.2.3 Identified good practices and interventions 42
- 3.2.4 Selected examples of good practices 46
- 3.2.5 Recommendations 107
- 3.2.6 List of recommendations by scope 107
- 4 Discussion 115
- 4.1 Prevalence of adverse mental health outcomes in the EU 115
- 4.2 Identification of good practices / interventions and recommendations 116
- 5 Policy pointers for future action 118
- 6 Appendices 119
- Appendix A — Glossary of terms 119
- Appendix B — Literature search strings for MEDLINE and EMBASE 122
- Appendix C — Critical appraisal checklist from Joanna Brigs Institute 126
- Appendix D — Scales used to assess mental health outcomes 127
- Appendix E — Disaggregated data by burnout dimension 130
- Appendix F — Prevalence results by EU-country for all mental health conditions in the HeSCare sector 131
- Appendix G — Professional categories in the HeSCare sector reported by the included studies, grouped into 11 general professional categories 141
- Appendix H — Assessment of the certainty of evidence using GRADE 142
- Appendix I — Results of the first round of the Delphi consultation 144
- Appendix J — Additional sources of information identified in the Delphi consultation 148
- References 150
- Acknowledgements 165
