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@ARTICLE{Katzmarzyk:279446,
author = {Katzmarzyk, Deliah and Holle, Daniela and Roes, Martina},
title = {{F}actors influencing the implementation of interventions
for symptoms of posttraumatic stress disorder among
hospital-based nurses and physicians during the {COVID}-19
pandemic: a scoping review.},
journal = {BMC health services research},
volume = {25},
number = {1},
issn = {1472-6963},
address = {London},
publisher = {BioMed Central},
reportid = {DZNE-2025-00777},
pages = {885},
year = {2025},
abstract = {In the field of posttraumatic stress disorder (PTSD) among
nurses and physicians working in an acute hospital setting,
various investigations have been conducted on the prevalence
of PTSD during the COVID-19 pandemic rather than on the
implementation of PTSD-related interventions to improve the
mental health of health care workers. It is known that
implementation faces challenges, such as social restrictions
or the dynamic of the pandemic itself. However, for
successful implementation under these conditions,
identifying barriers and facilitators is inevitable before
using tailored implementation strategies. The following
research question was addressed: What are the
barriers/facilitators in the implementation of PTSD-related
interventions for nurses and physicians working in an acute
hospital setting during the COVID-19 pandemic?Using a
scoping review approach, we conducted systematic literature
searches from February to May 2023 in MEDLINE via PubMed and
PsychINFO/CINAHL via EBSCO. We included primary studies
(protocols), and concept articles focused on influencing
factors in the implementation of PTSD-related interventions
for nurses and physicians working in an acute hospital
setting during the COVID-19 pandemic. We performed data
analysis in MaxQDA via evaluative content analysis using the
Consolidated Framework of Implementation Research (CFIR).A
total of 19 studies were included. Most of them used an
empirical approach to evaluate the intervention during its
development or adaptation process. The identified factors
were mainly neutral factors that emerged from the inner
setting and individuals as the intervention's target group.
The management, the nurses, and the physicians as innovation
recipients themselves, and the connection between the inner
and outer settings could influence the implementation of
PTSD-related interventions.With these results,
decision-makers in organizations in health care systems can
be encouraged to implement interventions to improve PTSD
among hospital-based nurses and physicians under pandemic
conditions. Future research needs to focus on conducting
implementation studies to evaluate influencing factors and
investigate whether these factors enable or hinder the
implementation of PTSD-related interventions.},
keywords = {Humans / Stress Disorders, Post-Traumatic: therapy / Stress
Disorders, Post-Traumatic: epidemiology / COVID-19:
psychology / COVID-19: epidemiology / SARS-CoV-2 / Nursing
Staff, Hospital: psychology / Medical Staff, Hospital:
psychology / Pandemics / COVID-19 (Other) / Hospitals
(Other) / Implementation science (Other) / Nurses (Other) /
Physicians (Other) / Post-traumatic (Other) / Stress
disorders (Other)},
cin = {AG Roes},
ddc = {610},
cid = {I:(DE-2719)1610003},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40604886},
doi = {10.1186/s12913-025-13005-z},
url = {https://pub.dzne.de/record/279446},
}