Staff Well-being Research Articles

Nurses' career choice and satisfaction with mental health transition-to-practice programs: A cross sectional study.

INTRODUCTION: Globally, there are consistent issues recruiting staff into the mental health nursing workforce. In Australia, recent efforts to expand the workforce include recruitment of a wider range of nurses in addition to new graduates into mental health transition-to-practice programs. Understanding the career motivations of nurses entering the field is an important element of recruitment and retention. To describe nurses' satisfaction with their mental health transition program and identify factors influencing their choice of mental health as a career. An online cross-sectional survey with questions on program satisfaction and career choice was responded to by n = 55 enrolled and registered nurses in a mental health transition program. Nurses reported overall high satisfaction with their program and identified increased time release for professional development and being supernumerary as necessary to support role development. Almost 25% of nurses reported personal experience of mental illness as an influence in choosing a mental health career. Mental health transition programs are important in recruitment and retention and need to be tailored to the needs of a wide range of nurses and include support for staff wellbeing. Tailored transition programs can help strengthen role clarity, and support staff retention.

"Trust people you've never worked with" - A social network visualization of teamwork, cohesion, social support, and mental health in NHS Covid personnel.

The unprecedented rapid re-deployment of healthcare workers from different care pathways into newly created and fluid COVID-19 teams provides a unique opportunity to examine the interaction of many of the established non-technical factors for successful delivery of clinical care and teamwork in healthcare settings. This research paper therefore aims to address these gaps by qualitatively exploring the impact of COVID work throughout the pandemic on permanent and deployed personnel's experiences, their ability to effectively work together, and the effect of social dynamics (e.g., cohesion, social support) on teamwork and mental health. Seventy-five interviews were conducted across the UK between March and December 2021 during wave 2 and 3 of COVID-19 with 75 healthcare workers who were either permanent staff on Intensive Care/High Dependency Units used as COVID wards, had been rapidly deployed to such a ward, or had managed such wards. Work Life Balance was measured using the WLB Scale. Interview transcripts were qualitatively coded and thematic codes were compared using network graph modeling. Using thematic network analysis, four overarching thematic clusters were found, (1) teamwork, (2) organizational support and management, (3) cohesion and social support, and (4) psychological strain. The study has three main findings. First, the importance of social factors for teamwork and mental health, whereby team identity may influence perceptions of preparedness, collaboration and communication, and impact on the collective appraisal of stressful events and work stressors. Secondly, it demonstrates the positive and negative impact of professional roles and skills on the development of teamwork and team identity. Lastly the study identifies the more pronounced negative impact of COVID work on deployed personnel's workload, mental health, and career intentions, exacerbated by reduced levels of social support during, and after, their deployment. The thematic network analysis was able to highlight that many of the traditional factors associated with the successful delivery of patient care were impeded by pandemic constraints, markedly influencing personnel's ability to work together and cope with pandemic work stressors. In this environment teamwork, delivery of care and staff well-being appear to depend on relational and organizational context, social group membership, and psycho-social skills related to managing team identity. While results hold lessons for personnel selection, training, co-location, and organizational support during and after a pandemic, further research is needed into the differential impact of pandemic deployment on HCWs mental health and teamwork.

ANALISIS FUNGSI KEPEMIMPINAN DALAM ERA ORGANISASI MODERN

This research has the main objective of conducting an in-depth analysis of the role and function of leadership in the context of educational institutions, with a focus on improving performance and effectiveness. Through an analytical approach, this research aims to provide a deeper understanding of how leadership influences the dynamics of educational institutions and creates an optimal learning environment. This research identifies leadership practices that are effective in improving the overall quality of teaching, learning, and school management. In addition, this research analyzes the impact of leadership on staff well-being, teacher motivation, and student learning outcomes.The bibliographic method was adopted as the primary approach to collecting and analyzing data, allowing the researcher to detail key concepts and explore recent developments in the educational leadership literature.The research results show that leadership in the context of modern educational institutions is not only related to administrative functions, but also requires adaptation to environmental changes. Leadership functions involving strategic aspects, human resource development, and creating an inclusive organizational culture are the keys to achieving success in educational institutions. The leadership concepts introduced reflect diverse approaches to leading in educational institutions, able to adapt to the unique demands of complexity and dynamics in the world of modern education. Overall, this research contributes to the educational leadership literature and provides insights that educational institution leaders can use to improve and strengthen their role in achieving desired educational goals

Emotionally intelligent school leadership predicts educator well-being before and during a crisis.

We examined the role of educator perceptions of school leader emotion regulation (ER) and emotional support (ES) in educator well-being during a typical year and during the COVID-19 pandemic. Based on emotion contagion theory, leaders' (in)ability to regulate their own emotions may trigger ripple effects of positive or negative emotions throughout their organizations, impacting staff well-being. Additionally, based on conservation of resources theory, when experiencing psychologically taxing events, skillful emotional support provided by leaders may help to replenish staff's depleted psychological resources, promoting staff well-being. In two national studies, a cross-sectional (NStudy 1 = 4,847) and a two-wave study (NStudy 2 = 2,749), we tested the association between United States preK-12 educator perceptions of school leaders' ER and ES with educator well-being before and during the COVID-19 pandemic, employing structural equation modeling and multilevel modeling. In Studies 1 and 2, educator reports of their leaders' ER and ES skills predicted greater educator well-being, including higher positive affect and job satisfaction and lower emotional exhaustion and turnover intentions. In moderation analyses, perceived leader ER predicted well-being about equally among educators facing severe versus mild health impacts from COVID-19. In contrast, perceived leader ES was more strongly associated with educator well-being for some outcomes in those severely versus mildly impacted by COVID-19 illness and death. Leader ER played a role in the well-being of everyone, whereas leader ES was more predictive of well-being for those severely impacted by a crisis. Regarding implications for policy and practice, efforts to promote well-being among educators may be enhanced when combined with efforts to develop school leaders' ER and ES skills, especially in times of crisis. Accordingly, school districts should consider the value of investing in systematic, evidence-based emotion skills training for their leaders.

The impact of ‘sleeping night shifts’ on veterinary clinical staff's cognitive performance and fine motor skills

Lack of sleep can affect concentration and reaction times. This study investigates the effects of working on-call emergency shifts on the cognitive function and motor skills of veterinary professionals, using a cross-sectional experimental design. A pilot testing battery – based on the Bruininks Motor Ability Test and the CANTAB Cognitive Safety Phase 1 Battery – was used on participating veterinary surgeons and veterinary nurses after every night shift in a 4-week period using a cross-sectional experimental design. Significant differences were demonstrated in multiple cognitive functions, motor skills and reaction times between those who lost little sleep and those who lost lots of sleep. The study was conducted in a single practice, with a small sample size and within a short time frame, which limits the conclusions that can be drawn; however, it still demonstrates proof of concept and forms a basis on which further studies can be created to confirm the reliability of the results. The study demonstrates that veterinary professionals suffer the same detrimental effects of out-of-hours shifts as their counterparts in human medicine, and suggests that steps need to be taken to prevent this affecting staff wellbeing and patient outcomes. The study also allows for discussions around the further use and adaptation of battery testing to help support these findings. Practice managers, veterinary surgeons and veterinary nurses in leadership roles could use these findings to focus on staff scheduling and allowing for proper rest periods, and they could potentially help to improve the wellbeing and retention of staff. The pilot study has helped raise awareness of the similarities between veterinary and medical professionals and the need for further exploration of this topic.

Rapid nursing redeployment from a specialist ward to a COVID-19 high-dependency setting.

Redeployment in health care can have a negative impact on the mental wellbeing of staff. Advanced planning and provisions for wellbeing support for health professionals has been recommended following previous pandemics. At the authors' institution nurses were redeployed overnight from a specialist cystic fibrosis ward to a COVID-19 high-dependency unit. To evaluate nurses' wellbeing following this redeployment during the first wave of the COVID-19 pandemic. A mixed online survey, consisting of both open and closed questions, based on literature, preliminary results of the Impact of COVID-19 on the Nursing and Midwifery Workforce (ICON) study and staff feedback. This was sent to 28 nurses to explore their feelings and experiences of redeployment to a COVID-19 environment. Purposive sampling was used to select study participants while thematic analysis and descriptive statistics were used to analyse the data. The survey had an 86% response rate. Using thematic analysis three key themes emerged: redeployment anxiety, lack of organisational preparedness and newfound teamworking. More than half (57%) of respondents expressed anxiety and concern when told of their redeployment; 52% reported that they did not receive adequate support from senior staff and management. However, 74% reported that they felt their nursing was positively influenced by support and teamwork from those in patient-facing roles. Twenty-five percent reported that they were looking for a new job or leaving their current role. This study examines the effects that redeployment to a COVID-19 environment has had on nurses. It highlights the need for further improvement to ensure redeployed staff are supported to safeguard their mental wellbeing.

Developing the future research agenda for the health and social care workforce in the United Kingdom: Findings from a national forum for policymakers and researchers.

There is a gap between healthcare workforce research and decision-making in policy and practice. This matters more than ever given the urgent staffing crisis. As a national research network, we held the first ever United Kingdom (UK) forum on healthcare workforce evidence in March 2023. This paper summarises outputs of the event including an emerging UK healthcare workforce agenda and actions to build research capacity and bridge the gap between academics and decisionmakers. The forum brought together over 80 clinical and system leaders, policymakers and regulators with workforce researchers. Fifteen sessions convened by leading experts combined knowledge exchange with deliberative dialogue over 2days. Topics ranged from workforce analytics, forecasting, international migration to interprofessional working. In the small groups that were convened, important gaps were identified in both the existing research body and uptake of evidence already available. There had not been enough high quality evaluations of recent workforce initiatives implemented at pace, from virtual wards to e-rostering. The pandemic had accelerated many changes in skillmix and professional roles with little learning from other countries and systems. Existing research was often small-scale or focused on individual, rather than organisational solutions in areas such as staff wellbeing. In terms of existing research, managers were often unaware of accepted high quality evidence in areas like the relationship between registered nurse staffing levels and patient outcomes. More work is needed to engage new disciplines from labour economics and occupational health to academic human resources and to strengthen the emerging diverse community of healthcare workforce researchers.

The Mental Wellbeing of Child and Adolescent Mental Health Service (CAMHS) Workers in England: A Cross-Sectional Descriptive Study Reporting Levels of Burnout, Wellbeing and Job Satisfaction.

In the UK, there has been a notable increase in referrals to specialist children's mental health services. This, coupled with shortages of qualified staff, has raised concerns about the escalating occupational stress experienced by staff in this sector. In this brief report, we present cross-sectional quantitative data from 97 staff members working in one Child and Adolescent Mental Health Service (CAMHS) in the UK during spring 2023, reporting on their wellbeing, job satisfaction, and burnout. Our findings reveal that over a third of CAMHS staff experienced moderate or high levels of work-related burnout; 39% reported moderate or high levels of personal burnout, but levels of client-related burnout were much lower (13%). Both work- and client-related burnout showed a robust negative relationship with job satisfaction, with higher burnout predicting lower levels of job satisfaction. Only a small proportion of respondents reported high levels of wellbeing, with about a quarter experiencing levels of wellbeing that can be considered indicative of mild or clinical depressive symptoms. Whilst these results are from a small sample in one area of the UK, they present an important snapshot of CAMHS staff wellbeing and are discussed in the context of similar trends reported in the wider NHS sector.

Culture, conditions and care support mental health of healthcare workers during crises.

The coronavirus disease 2019 (COVID-19) pandemic has presented immense challenges to health systems worldwide and significantly impacted the mental health of frontline healthcare workers. This study drew on the experiences of frontline healthcare workers to examine organizational strategies needed to support the mental health and well-being of healthcare workers during times of crisis. Semi-structured focus groups or individual interviews were conducted with healthcare workers to examine their perspectives on organizational strategies for enhancing staff mental health and well-being during crises. Data were analysed thematically. Following this, evidence for the identified strategies was reviewed to assess alignment with participant views and recommendations. Thirty-two healthcare workers from diverse disciplines (10 allied health, 11 nursing, 11 medical) participated in the study. Data analysis identified three broad themes contributing to supporting mental health and well-being. These themes can be encapsulated as the 'Three Cs'-culture (building an organizational culture that prioritizes mental health); conditions (implementing proactive organizational strategies during crises) and care (ensuring fit-for-purpose strategies to support mental health and well-being). Study findings underscore the necessity of an integrated and systemic organizational approach to address mental health and well-being in the healthcare workplace. This approach must be long term with the components of the 'Three Cs', particularly cultural change and conditions, viewed as a part of a suite of strategies to ensure crisis preparedness. It is imperative that organizations collaborate with their staff, providing support and fostering a safe and inclusive work environment that ultimately benefits patients, their care and staff well-being.

Extent of spending behavior, problems encountered, and financial knowledge across generational cohorts among state universities and colleges employees

This study investigates how financial well-being, a key factor affecting life quality, job contentment, and retirement readiness, varies among individuals. It looks at the spending habits, financial challenges, and knowledge of four generations (Baby Boomers, Generation X, Generation Y, and Generation Z) working in four state universities and colleges (SUCs) in the Philippines. The study involved 371 regular staff and academic employees who completed a modified questionnaire. The results showed that these employees generally spend cautiously and face few financial problems, yet they possess considerable financial understanding. There was a noticeable link between how they spend and the problems they face. A strong connection was observed between their financial knowledge and spending habits. However, the link between the financial issues they face and their knowledge of finances was weaker. This suggests that the employees are careful with their spending and have good financial knowledge. These insights are useful for creating specific programs and educational efforts to improve the financial well-being of staff and academics at these Philippine universities.

Person-centred support plans and staff wellbeing innovations for in-patient dementia care: A service development project

Comprehensive person-centred support plans are completed for all people living with dementia admitted to Holbrook ward, a dementia specialist unit in the Oxleas NHS Foundation Trust. However, staff have faced barriers in using these effectively for person-centred care due to the demanding and busy nature of the ward environment. It has also been challenging for new, bank, and agency staff to find time to read about and understand the person living with dementia, leading to escalation in situations which could have been avoided. In collaboration with nursing staff, the psychology team developed support plan flash cards that serve the purpose of being a ‘grab and go’ style resource. These are targeted at individuals with more complex presentations and used during handovers and when staff are on one-to-one observations, providing a useful snippet of information about the person living with dementia. The psychology team also developed a wellbeing support plan for staff, with tips for keeping well and supporting their own mental health and wellbeing.

A Mixed-Methods Study of Compassionate Mind Training for Pupils (CMT-Pupils) as a School-Based Wellbeing Intervention

ObjectivesMental health difficulties in children are increasing, especially following transition from elementary to high-school education. In attempts to mitigate risk of these difficulties, proactive wellbeing interventions are becoming increasingly explored in school settings. Recently, Compassionate Mind Training (CMT) has been shown to be well-accepted and efficacious in promoting school staff wellbeing and prosocial behaviours. This paper outlines the impact of CMT as a pupil wellbeing intervention.MethodSixty-seven pupils aged 11–12 took part in either Personal, Social, Health and Economic (PSHE) lessons as usual (n=30), or CMT-Pupils (n=37) as their PSHE lessons, over a 5-week period. A mixed-methods quantitative and qualitative design was utilised to explore implementation and curricula effectiveness across several wellbeing parameters (e.g., anxiety, self-compassion, perfectionism, moods and feelings, self-esteem).ResultsPupils reported positively on their experiences of the CMT-Pupils lessons, content and practices. Quantitative analyses revealed a significant time-by-group interaction effect for anxiety, reflecting differences in anxiety post CMT-Pupils vs. PSHE as usual. No further interactions reached significance. Qualitative analyses revealed benefits of CMT-Pupils for pupil and classroom behaviour, including emotion regulation, kindness to others and feelings of inclusion. Benefits were also found to extend to the class teachers.ConclusionsCMT-pupils could be a promising school-based wellbeing intervention for improving prosocial behaviours, the classroom environment and protecting against deteriorations in child mental health. Larger scale explorations of CMT-Pupils across wider demographics, including investigation of who can deliver the curriculum efficaciously (e.g., teachers vs. external facilitators), are suggested as next steps for investigation.PreregistrationThis study was not preregistered.

Adapting the Stress First Aid Model for Frontline Healthcare Workers during COVID-19.

The coronavirus pandemic has generated and continues to create unprecedented demands on our healthcare systems. Healthcare workers (HCWs) face physical and psychological stresses caring for critically ill patients, including experiencing anxiety, depression, and posttraumatic stress symptoms. Nurses and nursing staff disproportionately experienced COVID-19-related psychological distress due to their vital role in infection mitigation and direct patient care. Therefore, there is a critical need to understand the short- and long-term impact of COVID-19 stress exposures on nursing staff wellbeing and to assess the impact of wellbeing programs aimed at supporting HCWs. To that end, the current study aims to evaluate an evidence-informed peer support stress reduction model, Stress First Aid (SFA), implemented across units within a psychiatric hospital in the New York City area during the pandemic. To examine the effectiveness of SFA, we measured stress, burnout, coping self-efficacy, resilience, and workplace support through self-report surveys completed by nurses and nursing staff over twelve months. The implementation of SFA across units has the potential to provide the workplace-level and individual-level skills necessary to reduce stress and promote resilience, which can be utilized and applied during waves of respiratory illness acuity or any other healthcare-related stressors among this population.

Covid-19 Containment Measures and their Effect on Socio-Economic Wellbeing of Uasin Gishu County Government Staff, Kenya

COVID-19 was a major health emergency worldwide; countries were forced to adopt quarantine measures and other restrictions because of the highly infectiousness nature of COVID-19. It is in this context that the study sought to investigate the Effect of the containment measures on socio-economic wellbeing of Uasin Gishu County Government Staff, Kenya. The specific objectives of the study were: to determine the influence of implementation of COVID-19 behavioural protocols on socio-economic wellbeing of staff of Uasin Gishu County Government; to assess the impact of implementation of COVID-19 fiscal measures on socioeconomic wellbeing of employees of Uasin Gishu County Government; and to determine the influence of implementation of COVID-19 macro-financial measures on socioeconomic wellbeing of employees of Uasin Gishu County; The study adopted explanatory mixed method research design. The target population comprised 6,400 employees in Uasin Gishu County. The study employed stratified sampling and simple random sampling techniques to select the respondents. The sample size consisted of 10 heads of departments and 198 employees of Uasin Gishu county government. The data collection tools were questionnaire and interview guide. The data collected was analyzed using descriptive statistics including mean, percentages and frequencies; chi-square was used to test the hypotheses. Inferential statistics was also used. Analysis by the implementation of COVID-19 behavioural protocols as a containment measure shows that the P-value = .000 was less than the Alpha level 0.05. Therefore, there was statistical significance relationship between behavioral COVID-19 containment measures and socio-economic wellbeing of employees of Uasin Gishu County Government. Behavioural measures such as lock down highly disrupted businesses’ sourcing and distribution functions, which in turn affected the socio-economic wellbeing of the local population. The study recommended that financial organizations should offer trainings to the masses to embrace saving and empower them to participate in multiple economic activities; this would ensure that in any of any occurrences such as COVID 19, the businesses would have the resilience to cope.

A hospital-wide group approach to promote open dialogues of workplace issues and staff wellbeing with Schwartz Rounds.

This study aims to explore the feasibility and impact of Schwartz Rounds® led by psychiatrists/mental health professionals in an urban Australian public hospital setting and to develop strategies for optimising participants' experiences. Being a mixed-methods study collecting qualitative and quantitative data through post-Rounds evaluation surveys, this study thematically analysed responses from 105 participants attending four consecutive monthly Rounds between February and May 2023 to assess the perceived benefits and challenges of Schwartz Rounds. Respondents highly valued the Rounds and felt cared for by the healthcare organisation. Themes related to perceived benefits included (i) Connectedness and shared experience; (ii) Understanding other professionals; (iii) Normalisation of emotional distress, validation and a safe space for vulnerability; and (iv) Fostering authenticity and humanitarian aspects of healthcare. Challenges included (i) Fear of exposure and judgment; (ii) Emotional discomfort; (iii) Unfamiliarity with reflection; and (iv) Safety concerns. This study suggests acceptability and feasibility of implementing Schwartz Rounds within an Australian public health setting, particularly when facilitated by skilled mental health professionals. The outcomes provide preliminary support for the use of group interventions to enhance staff collegiality and culture in healthcare settings, thereby addressing critical needs for health professional wellbeing.

Improving staff retention in the research and development department sections of NHS hospitals in the United Kingdom: A systematic review

Background: This study undertook a comprehensive examination of the imperative task of improving staff retention within the National Health Service (NHS) Research and Development (R&D) sector in the UK. The motivation stemmed from the observed decline in staff retention over the years, posing a significant threat to the continuity of healthcare research and innovation. Aim: The primary objective of this systematic review was to elucidate impactful measures aimed at enhancing staff retention within NHS R&D. The study recognized the critical role of sustained staff commitment in preventing disruptions to research projects, ensuring efficient resource utilization, and maintaining the retention of crucial knowledge, research quality, and impact. The overarching aim was to mitigate the potential hindrances to the progress of medical advancements. Method: Conducted as a systematic review, the study employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting checklist. The research followed the Population, Intervention, Comparison, Outcome (PICO) format to frame research questions systematically. A meticulous search and screening process was employed to identify relevant studies, and data synthesis methods were utilized to draw meaningful conclusions from the selected literature. Conclusion: The study concluded by emphasizing the critical need to address staff retention issues within NHS R&D sections. The systematic review supported a comprehensive and tailored approach, urging the NHS to invest in its researchers, create a supportive work environment, and prioritize the physical and mental well-being of staff. By implementing these evidenced-based strategies, the NHS can effectively enhance the retention of its research talent, thereby fostering ongoing healthcare innovation and improvement. The findings presented in this study contribute to a detailed understanding of staff retention issues within R&D sections, providing a valuable foundation for future initiatives in this crucial domain.

The SEE-IT Trial: emergency medical services Streaming Enabled Evaluation In Trauma: a feasibility randomised controlled trial

BackgroundUse of bystander video livestreaming from scene to Emergency Medical Services (EMS) is becoming increasingly common to aid decision making about the resources required. Possible benefits include earlier, more appropriate dispatch and clinical and financial gains, but evidence is sparse.MethodsA feasibility randomised controlled trial with an embedded process evaluation and exploratory economic evaluation where working shifts during six trial weeks were randomised 1:1 to use video livestreaming during eligible trauma incidents (using GoodSAM Instant-On-Scene) or standard care only. Pre-defined progression criteria were: (1) ≥ 70% callers (bystanders) with smartphones agreeing and able to activate live stream; (2) ≥ 50% requests to activate resulting in footage being viewed; (3) Helicopter Emergency Medical Services (HEMS) stand-down rate reducing by ≥ 10% as a result of live footage; (4) no evidence of psychological harm in callers or staff/dispatchers. Observational sub-studies included (i) an inner-city EMS who routinely use video livestreaming to explore acceptability in a diverse population; and (ii) staff wellbeing in an EMS not using video livestreaming for comparison to the trial site.ResultsSixty-two shifts were randomised, including 240 incidents (132 control; 108 intervention). Livestreaming was successful in 53 incidents in the intervention arm. Patient recruitment (to determine appropriateness of dispatch), and caller recruitment (to measure potential harm) were low (58/269, 22% of patients; 4/244, 2% of callers). Two progression criteria were met: (1) 86% of callers with smartphones agreed and were able to activate livestreaming; (2) 85% of requests to activate livestreaming resulted in footage being obtained; and two were indeterminate due to insufficient data: (3) 2/6 (33%) HEMS stand down due to livestreaming; (4) no evidence of psychological harm from survey, observations or interviews, but insufficient survey data from callers or comparison EMS site to be confident. Language barriers and older age were reported in interviews as potential challenges to video livestreaming by dispatchers in the inner-city EMS.ConclusionsProgression to a definitive RCT is supported by these findings. Bystander video livestreaming from scene is feasible to implement, acceptable to both 999 callers and dispatchers, and may aid dispatch decision-making. Further assessment of unintended consequences, benefits and harm is required.Trial registration. ISRCTN 11449333 (22 March 2022). https://www.isrctn.com/ISRCTN11449333

Understanding how online solution–focused hypnotherapy can support the wellbeing of police personnel and treat symptoms of anxiety and depression

Background: The mental health and wellbeing of police personnel has received increased attention over the last 5 years and rates of mental illness amongst employees are high. Anxiety and depression are the most common mental illnesses within the police force, yet little is known about how effective psychotherapeutic interventions are in treating the symptoms of these mental illnesses in police personnel, that is, how many police personnel recover from anxiety and depression after completing a course of psychotherapy. In the psychotherapy outcome literature, recovery rates for anxiety and depression in clinical samples following treatment are low, between 37% and 47%, suggesting similar outcomes can be expected within the police force using current therapy models. Further research into new or unused interventions is therefore needed to improve recovery rates within the police force. Method: This pilot study explored how a new type of psychotherapy, online Solution Focused Hypnotherapy (SFH), can support the wellbeing of police personnel and effectively treat symptoms of anxiety and depression. A quantitative design was used to measure changes in anxiety (GAD-7) and depression (PHQ-9) symptom severity at pre- and post-intervention and measure changes in wellness using a rating scale (Life Wellness Indicator Tool) at the end of each session. Results: A total of 42 police personnel, both officers and staff, participated in the study and 20 qualified SFH therapists delivered the online intervention. The main finding was that 78% of police personnel who completed a course of SFH and started with clinically significant symptoms of anxiety and/or depression had recovered from their illness following the intervention (i.e. scored below 5 on at least one outcome measure). A total of 97.2% of participants achieved ‘wellness’ after the intervention, compared to 19% at pre-intervention and no participants experienced an increase in symptom scores after completing the intervention. Conclusion: Online Solution Focused Hypnotherapy (SFH) can support the wellbeing of both police officers and staff and effectively treat the symptoms of anxiety and depression. Our findings suggest that SFH is an effective, well liked and safe intervention to use within the police force and provides support for more resources into a larger randomised controlled trial.

Analysis of the competitiveness of higher education institutions in Ukraine in the context of recovery and development after the war

The article examines the challenges that arise before the education system in the conditions of military aggression. The changing political and social situation during the conflict seriously affects educational institutions and their ability to provide quality education. The purpose of the study is to create a structural and functional set of criteria for ensuring the processes of forming the competitiveness of educational institutions in the conditions of full-scale military aggression and post-war reconstruction. The article analyzes the effects of military conflict on education infrastructure, access to education, and the psychological well-being of students and staff. She reveals the need to adapt the criteria for assessing the competitiveness of educational institutions pays attention to the flexibility of the educational process and the ability to respond to emergency situations. The article used the method of literature analysis, which made it possible to systematize the results of the analysis of scientific studies, articles, reports, and other sources of information related to the competitiveness of educational institutions in the conditions of military aggression and post-war reconstruction. This allows you to establish the presence of problems, identify factors and determine previous theoretical approaches to the assessment of competitiveness. Analytical methods, including statistical data analysis, modeling, and other analytical approaches for assessing competitiveness, are used to identify relationships and important factors affecting the competitiveness of an educational institution. Based on the use of these methods, a model for assessing the competitiveness of educational institutions was developed. Using the competitive assessment model helps higher education institutions improve their strategic plans. This allows them to identify their strengths and weaknesses, identify competitive opportunities and threats, and develop effective development strategies. The competitiveness assessment model contributes to the improvement of the quality of education.

Robustness of point measurements of carbon dioxide concentration for the inference of ventilation rates in a wintertime classroom

Indoor air quality in schools and classrooms is paramount for the health and well-being of pupils and staff. Carbon dioxide sensors offer a cost-effective way to assess and manage ventilation provision. However, often only a single point measurement is available which might not be representative of the CO₂ distribution within the room. A relatively generic UK classroom in wintertime is simulated using Computational Fluid Dynamics. The natural ventilation provision is driven by buoyancy through high- and low-level openings in both an opposite-ended or single-ended configuration, in which only the horizontal location of the high-level vent is modified. CO₂ is modelled as a passive scalar and is shown not to be ‘well-mixed’ within the space. Perhaps surprisingly, the single-ended configuration leads to a ‘more efficient’ ventilation, with lower average CO₂ concentration. Measurements taken near the walls, often the location of CO₂ sensors, are compared with those made throughout the classroom and found to be more representative of the ventilation rate if made above the breathing zone. These findings are robust with respect to ventilation flow rates and to the flow patterns observed, which were tested by varying the effective vent areas and the ratio of the vent areas.