Focus on Consciousness (FoCo)

Situational awareness is especially important to decision-making in health care. Comprehending the situation is crucial for anticipating any change in the environment and delivering optimal care. The objective of this study was to evaluate the effects of a training to increase situational awareness and mutual care designed for health care workers (FoCo) in a randomized controlled trial with additional qualitative analysis. We also investigated the perception of the training for the COVID-19 pandemic moment, in May 2020, almost 6 months after we finished the data collection at the Emergency Care Unit, which became a COVID-19 treatment reference for the care of a population depending on the public health system, in Sao Paulo, Brazil. We conclude that FoCo training can be an important instrument for health care professionals both in times of pandemic and “normal times,” to increase situational awareness, the culture of mutual care and decrease the possibility of occupational injuries and illnesses.

Rank: 8

First Author: Kozasa

Outcome: Stress,Intervention Experience,Mental Health,Mindfulness,Self-Compassion,Sleep/Exhaustion,Affect

Outcome p-value: Stress:⭑⭑, Intervention Experience:●, Mental Health:●, Mindfulness:●, Self-Compassion:⭑⭑, Sleep/Exhaustion:⭑, Affect:●

Intervention Category: Coping Skills Development

Time per Employee (hours): 0.25

D&B Study Quality Rating: 21

Reviewer Confidence: 3.5

Country: Brazil

Study Design Type: RCT

Materials Available to Implement: Intervention outlined in Publication. Intervention materials in Portuguese are being translated into English per elisa.harumi@einstein.br. Author email: ehkozasa@gmail.com

Organiz./Individ. Focus: Individual

Prevention Category: Primary

Effect size Small:

Effect size Medium:

Reference: Kozasa, E. H., Lacerda, S. S., Polissici, M. A., Coelho, R. da S., Farias, G. da S., Chaves, P., & Leao, E. R. (2020). An Intervention to Increase Situational Awareness and the Culture of Mutual Care (Foco) and Its Effects During COVID-19 Pandemic: A Randomized Controlled Trial and Qualitative Analysis. Frontiers in Psychiatry, 11(101545006), 570786. https://doi.org/10.3389/fpsyt.2020.570786