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Psychological resilience, fragility and the health workforce

Lessons on pandemic preparedness from Liberia and Sierra Leone

Bibliographic Data

ID21880834
AuthorsLaura Dean (0000-0002-4910-9707, Liverpool School of Tropical Medicine, corresponding author), Janice L Cooper (0000-0002-5343-9485, University of Liberia), Janice Cooper (Carter Center, Monrovia, Liberia), Haja Wurie (0000-0002-2500-3393, University of Sierra Leone), Karsor Kollie (0000-0003-4741-3374, Neglected Tropical Disease Programme, Ministry of Health, Monrovia, Liberia), Judith Raven (0000-0002-4112-6959, Liverpool School of Tropical Medicine), Rachel Tolhurst (0000-0002-3005-6641, Liverpool School of Tropical Medicine), Hayley Macgregor (0000-0002-9392-9331, Institute of Development Studies), Kate Hawkins (0000-0003-2915-1921, Spirent Communications (United Kingdom)), Sally Theobald (0000-0002-9053-211X, Liverpool School of Tropical Medicine), Bintu Mansaray (University of Sierra Leone)
Year2020
Volume5
Issue9
Pagese002873
Publication date2020-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-002873
PMID32988928
OpenAlexW3090462096
LanguageEN
Citations received7
References cited10

COVID-19 presents a time to redefine vulnerability; however, in discussions of vulnerability, the health workforce, particularly in \nregard to their psychosocial well-being, is often forgotten. Healthcare workers (HCWs) in fragile settings are constantly exposed to health system shocks, including; conflict, disease outbreaks and natural disasters, which compound the everyday challenges of working in an under-resourced health system. Based on a commitment to serve their communities, they often cope with repeated shocks and protracted crises through innovation and creative thinking. However, they also experience repeated acute and chronic stressors that can lead to psychological distress. For some, prolonged exposure to risk of psychological distress can lead to personal growth, for others, continuous exposure to chronic stress and uncertainty can lead to psychological injury

Disease · Distress · Economic growth · Economics · Health care · Mental health · Pandemic · Political science · Preparedness · Psychiatry · Psychological resilience · Psychosocial · Sierra leone · Socioeconomics · Sociology · Stressor · Workforce · Clinical Psychology · COVID-19 and Mental Health · Employment and Welfare Studies · Medicine · Mental Health Treatment and Access · Psychology · Social Psychology

  • Covid-19 mental health impact and responses in low-income and middle-income countries

    Open Access•Lola Kola, B A Kohrt et al.•The Lancet Psychiatry•2021

  • Trends and equity in mental disorder prevalence in Sierra Leone

    Augustus Osborne, Umaru Sesay et al.•Journal of Public Mental Health•2026

  • The Gendered Experience of Close to Community Providers during Covid-19 Response in Fragile Settings

    Open Access•Judith Raven, Abriti Arjyal et al.•Social Sciences•2022

  • Health system resilience and peacebuilding in fragile and conflict-affected settings

    Open Access•Jannie Lilja, Abeer S Ahmad•Current Opinion in Environmental…•2023

  • Identifying core global mental health professional competencies

    Open Access•Dimitar Karadzhov, Joanne Lee et al.•Cambridge Prisms Global Mental…•2024

  • Health systems resilience in fragile and conflict-affected settings

    Open Access•Claudia Truppa, Sally Yaacoub et al.•Conflict and Health•2024

  • Joint Efforts

    Open Access•Yang Yang, Rui Yan et al.•SAGE Open•2023

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

    Open Access•Neil Greenberg, Mary Docherty et al.•BMJ•2020

  • Racism and discrimination in Covid-19 responses

    Open Access•Delan Devakumar, Gary Shannon et al.•The Lancet•2020

  • Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the Covid-19 Pandemic

    Tait D Shanafelt, Tait Shanafelt et al.•JAMA•2020

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    Open Access•Emily A Holmes, Rory C O''Connor et al.•The Lancet Psychiatry•2020

  • From bouncing back, to nurturing emergence

    Open Access•Edwine W Barasa, Edwine Barasa et al.•Health Policy and Planning•2017

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    Open Access•Johanna Hanefeld, Susannah Mayhew et al.•Health Policy and Planning•2018

  • Healthcare providers on the frontlines

    Open Access•Shannon A Mcmahon, Lara S Ho et al.•Health Policy and Planning•2016

  • How do health workers experience and cope with shocks? Learning from four fragile and conflict-affected health systems in Uganda, Sierra Leone, Zimbabwe and Cambodia

    Open Access•Sophie Witter, Haja Wurie et al.•Health Policy and Planning•2017

Unique citing works7
Citations per year1,4
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7
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