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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of the Russian academy of medical sciences</journal-id><journal-title-group><journal-title xml:lang="en">Annals of the Russian academy of medical sciences</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник Российской академии медицинских наук</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-6047</issn><issn publication-format="electronic">2414-3545</issn><publisher><publisher-name xml:lang="en">"Paediatrician" Publishers LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1434</article-id><article-id pub-id-type="doi">10.15690/vramn1434</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>INFECTIOUS DISEASES: CURRENT ISSUES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ ВОПРОСЫ ИНФЕКЦИОННЫХ БОЛЕЗНЕЙ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Children’s Psychiatric Clinic in the Context of the COVID-19 Pandemic: from Employee Psychology to Management Decisions</article-title><trans-title-group xml:lang="ru"><trans-title>Детская психиатрическая клиника в условиях пандемии COVID-19: от психологии сотрудников к управленческим решениям</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7976-0800</contrib-id><contrib-id contrib-id-type="spin">8636-1559</contrib-id><name-alternatives><name xml:lang="en"><surname>Bebchuk</surname><given-names>Marina A.</given-names></name><name xml:lang="ru"><surname>Бебчук</surname><given-names>Марина Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD</p></bio><bio xml:lang="ru"><p>к.м.н.</p></bio><email>Bebchukma@suhareva-center.mos.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1600-1641</contrib-id><contrib-id contrib-id-type="spin">1448-9797</contrib-id><name-alternatives><name xml:lang="en"><surname>Aksenova</surname><given-names>Elena I.</given-names></name><name xml:lang="ru"><surname>Аксенова</surname><given-names>Елена Ивановна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD in Economics, Professor</p></bio><bio xml:lang="ru"><p>д.э.н., профессор</p></bio><email>AksenovaEI2@zdrav.mos.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8980-3720</contrib-id><contrib-id contrib-id-type="spin">9347-6571</contrib-id><name-alternatives><name xml:lang="en"><surname>Dovbysh</surname><given-names>Daria V.</given-names></name><name xml:lang="ru"><surname>Довбыш</surname><given-names>Дарья Вадимовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Junior Research Associate</p></bio><bio xml:lang="ru"><p>м.н.с.</p></bio><email>DovbyshDV@zdrav.mos.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6443-9499</contrib-id><contrib-id contrib-id-type="spin">5852-1694</contrib-id><name-alternatives><name xml:lang="en"><surname>Zhorina</surname><given-names>Yana Y.</given-names></name><name xml:lang="ru"><surname>Жорина</surname><given-names>Яна Юрьевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Clinical Psychologist</p></bio><bio xml:lang="ru"><p>медицинский психолог</p></bio><email>ZorinaYY@suhareva-center.mos.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6787-6168</contrib-id><contrib-id contrib-id-type="spin">4289-0650</contrib-id><name-alternatives><name xml:lang="en"><surname>Gimranova</surname><given-names>Elena A.</given-names></name><name xml:lang="ru"><surname>Гимранова</surname><given-names>Елена Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Clinical Psychologist</p></bio><bio xml:lang="ru"><p>медицинский психолог</p></bio><email>GimranovaEA@suhareva-center.mos.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9871-0550</contrib-id><contrib-id contrib-id-type="spin">8655-4435</contrib-id><name-alternatives><name xml:lang="en"><surname>Timoshenko</surname><given-names>Sofia I.</given-names></name><name xml:lang="ru"><surname>Тимошенко</surname><given-names>Софья Игоревна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Clinical Psychologist</p></bio><bio xml:lang="ru"><p>медицинский психолог</p></bio><email>TimoshenkoSI@suhareva-center.mos.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2446-557X</contrib-id><contrib-id contrib-id-type="spin">1829-4167</contrib-id><name-alternatives><name xml:lang="en"><surname>Popil</surname><given-names>Evgeniya S.</given-names></name><name xml:lang="ru"><surname>Попиль</surname><given-names>Евгения Сергеевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Clinical Psychologist</p></bio><bio xml:lang="ru"><p>медицинский психолог</p></bio><email>PopilES@suhareva-center.mos.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Scientific and Practical Center for Mental Health of Children and Adolescents named after G.E. Sukhareva of the Moscow Department of Health</institution></aff><aff><institution xml:lang="ru">Научно-практический центр психического здоровья детей и подростков им. Г.Е. Сухаревой Департамента здравоохранения г. Москвы</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">State-financed Institution of Moscow city "Scientific Research Institute of Healthcare Organization and Medical Management of Moscow Department of Healthcare"</institution></aff><aff><institution xml:lang="ru">Научно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города Москвы</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2020-12-04" publication-format="electronic"><day>04</day><month>12</month><year>2020</year></pub-date><volume>75</volume><issue>5S</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>363</fpage><lpage>371</lpage><history><date date-type="received" iso-8601-date="2020-08-09"><day>09</day><month>08</month><year>2020</year></date><date date-type="accepted" iso-8601-date="2020-10-18"><day>18</day><month>10</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2020, "Paediatrician" Publishers LLC</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2020, Издательство "Педиатръ"</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="en">"Paediatrician" Publishers LLC</copyright-holder><copyright-holder xml:lang="ru">Издательство "Педиатръ"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2021-12-04"/></permissions><self-uri xlink:href="https://vestnikramn.spr-journal.ru/jour/article/view/1434">https://vestnikramn.spr-journal.ru/jour/article/view/1434</self-uri><abstract xml:lang="en"><p><bold>Background. </bold>The well-being and safety of health workers in a pandemic situation is recognized by the World Health Organization as a priority area of research and practice. Most of the materials postulate the presence of anxious, depressive experiences in workers who have direct contact with patients infected with COVID-19, and those who do not have such experience.</p> <p><bold>Aims </bold>— to study the features of the experience of the situation related to COVID-19, among the staff of the Center n.a. G.E. Sukhareva to improve the quality of specialized care for children.</p> <p><bold>Methods.</bold> The study took place on May 18–20 2020, was continuous and voluntary — all employees were asked to fill out an anonymous questionnaire in paper or online format. The developed author’s questionnaire included several blocks containing questions about: 1) changing attitudes towards patients and colleagues; 2) emotional experiences in connection with COVID-19; 3) ways to cope with a pandemic; 4) received social support; 4) attitude to finance.</p> <p><bold>Results.</bold> Participants in the study were 380 employees (psychiatrists, clinical psychologists, nurses, educators, non-medical staff) of the Center n.a. G.E. Sukhareva, divided into two groups: working directly with patients with COVID-19 (115 people) and those without this experience (265 people). The data obtained allows us to talk about the differences between the two groups. Clinical observational staff have an increased desire for peer support, a greater focus on collaboration and team input, and positive expectations for the administration. The leading motivation in making a decision to work with COVID-19 was the attitude of duty — 25.4% emphasized the particular importance of their activities. Management decisions in a situation of limited time and human resources were made; this decisions aimed at managing internal and external communications, enhancing the professional component in an interdisciplinary team and preventing burnout.</p> <p><bold>Conclusions. </bold>A number of timely personnel, administrative, organizational and financial decisions aimed at improving the adaptation of medical workers to the situation of the COVID-19 pandemic allow specialists to continue working in a well-coordinated team and provide patients with care in accordance with the highest standards.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Обоснование. </bold>Благополучие и безопасность работников здравоохранения в ситуации пандемии признается Всемирной Организацией Здравоохранения приоритетным направлением исследовательской и практической работы. Большинство материалов постулирует наличие тревожных, депрессивных переживаний и у работников, непосредственно контактировавших с пациентами, инфицированными COVID-19, и у тех, кто не имеет подобного опыта.</p> <p><bold>Цель исследования </bold>— изучение особенностей переживания ситуации, связанной с COVID-19, среди сотрудников детской психиатрической клиники для повышения качества специализированной помощи.</p> <p><bold>Методы. </bold>Исследование, проходившее с 18 по 20 мая 2020 г., носило сплошной характер и являлось добровольным — всем сотрудникам предлагалось заполнить анонимную анкету в бумажном или онлайн-формате.</p> <p><bold>Результаты.</bold> Участниками исследования выступали 380 сотрудников (врачи-психиатры, медицинские психологи, медицинские сестры, воспитатели, немедицинский персонал) Центра им. Г.Е. Сухаревой, разделенных на две группы: работающих непосредственно с пациентами с COVID-19 (115 человек) и не имеющих этого опыта (265 человек). Полученные данные позволяют говорить о различиях между двумя группами. У сотрудников, работающих в клинических обсервационных отделениях, наблюдаются повышенное стремление к поддержке коллег, большая ориентация на сотрудничество и вклад команды, позитивные ожидания в адрес администрации.</p> <p><bold>Заключение. </bold>Ряд своевременно принятых кадровых, административных, организационных и финансовых решений, направленных на улучшение адаптации работников медицинского учреждения к ситуации пандемии COVID-19, позволяет специалистам продолжить работу в слаженной команде и оказывать пациентам помощь в соответствии с самыми высокими стандартами.</p></trans-abstract><kwd-group xml:lang="en"><kwd>child psychiatry</kwd><kwd>COVID-19</kwd><kwd>health care quality management</kwd><kwd>patient care team</kwd><kwd>health personnel</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>детская психиатрия</kwd><kwd>COVID-19</kwd><kwd>менеджмент качества медицинской помощи</kwd><kwd>междисциплинарная команда</kwd><kwd>работники здравоохранения</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Blake H, Bermingham F, Johnson G, Tabner A. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package. International Journal of Environmental Research and Public Health. 2020;17(9):2997. doi: https://doi.org/10.3390/ijerph17092997</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>World Health Organization (WHO). Mental Health and Psychosocial Considerations during the COVID-19 Outbreak. Available from: https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf (accessed: 20.07.2020).</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020;89:531–542. doi: https://doi.org/10.1016/j.bbi.2020.05.048</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Huang JZ, Han MF, Luo TD, et al. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020;38(3):192–195. doi: https://doi.org/10.3760/cma.j.cn121094-20200219-00063</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Du J, Dong L, Wang T, et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry. 2020. (In Press). https://doi.org/10.1016/j.genhosppsych.2020.03.011</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729. doi: https://doi.org/10.3390/ijerph17051729</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi: https://doi.org/10.1016/j.psychres.2020.112934</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Liu CY, Yang YZ, Zhang XM, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect. 2020;148:e98. doi: https://doi.org/10.1017/S0950268820001107</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Chersich MF, Gray G, Fairlie L, et al. COVID-19 in Africa: care and protection for frontline healthcare workers. Global Health. 2020;16:46. doi: https://doi.org/10.1186/s12992-020-00574-3</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Adams JG, Walls RM. Supporting the Health Care Workforce During the COVID-19 Global Epidemic. JAMA. 2020;323(15):1439–1440. doi: https://doi.org/10.1001/jama.2020.3972</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Макарова Г.А. Синдром эмоционального выгорания // Психотерапия. — 2003. — № 11. — С. 2–11. [Makarova GA. Burnout syndrome. Psychotherapy. 2003;11:2–11 (In Russ.)]</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Митченко Л.Э. Исследование факторов эмоционального выгорания педагогов. — Тюмень: Тюменский областной государственный институт развития регионального образования, 2003. — 75 с. [Mitchenko LE. Issledovanie faktorov emocional’nogo vygoraniya pedagogov. Tyumen’: Tyumenskij oblastnoj gosudarstvennyj institut razvitiya regional’nogo obrazovaniya, 2003. 75 p. (In Russ.)]</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Romani M, Ashkar K. Burnout among physicians. Libyan J Med. 2014;9:23556. doi: https://doi.org/10.3402/ljm.v9.23556</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annual Review of Psychology. 2001;52:397–422. doi: https://doi.org/10.1146/annurev.psych.52.1.397</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Cox CL. “Healthcare Heroes”: problems with media focus on heroism from healthcare workers during the COVID-19 pandemic. Journal of Medical Ethics. 2020;46(8):510–513. https://doi.org/10.1136/medethics-2020-106398</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Xiao H, Zhang Y, Kong D, et al. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monitaction. 2020;26:e923549-1-e923549-8. doi: https://doi.org/10.12659/MSM.923549</mixed-citation></ref></ref-list></back></article>
