The COVID-19 Student WorkForce at the Icahn School of Medicine at Mount Sinai: A Model for Rapid Response in Emergency Preparedness

Bahethi, Rohini R.; Liu, Benjamin Y; Asriel, Benjamin; Blum, James R.; Huxley-Reicher, Zina; Agathis, Alexandra Z.; Pathak, Shravani; Willis, Michelle; Müller, David

doi:10.1097/acm.0000000000003863

Cited by 11 publications

(14 citation statements)

References 5 publications

(7 reference statements)

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“…Additionally, our student participants suggested including volunteering as part of their clinical placement hours to incentivize peers to volunteer. Such academic-related incentives, which some healthcare education institutes in the United States and Europe employed as part of service-learning, internship programs, or curricular activities, require a prompt responsive curriculum redesign and strong hospital/community–campus partnerships [ 15 , 22 , 23 ]. While such formal or even mandatory academic incentives can encourage volunteer participation, they might reduce students’ internal motivation and satisfaction regarding volunteer work [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our student participants shared a wealth of alternative volunteering roles which they can contribute as part of their participatory service learning. Other studies also articulated roles in promoting pandemic safety awareness and mitigating the consequences of pandemic safety measures (e.g., social isolation) in the community, addressing pandemic-specific and non-COVID-19 healthcare and hospital operational processes, supporting daily living concerns outside the work responsibilities (e.g., childcare) of healthcare staff, and assisting in COVID-19-related research work [ 22 , 23 , 29 ]. In Singapore, we have a relatively large pool of more than 6000 nursing students, with various years of study, across different educational institutions.…”

Section: Discussionmentioning

confidence: 99%

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To Volunteer or Not? Perspectives towards Pre-Registered Nursing Students Volunteering Frontline during COVID-19 Pandemic to Ease Healthcare Workforce: A Qualitative Study

Seah

Liaw

et al. 2021

IJERPH

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COVID-19 has caused a shortage of healthcare workers and has strained healthcare systems globally. Pre-registered healthcare students with training have a duty of care and can support the healthcare workforce. This study explored factors influencing the willingness of final-year nursing students to volunteer during the COVID-19 pandemic, the role of professional identity in volunteering as healthcare workers, and strategies to improve future volunteering uptakes and processes. A qualitative study using focus-group discussions was conducted. Final-year nursing students who volunteered, students who did not volunteer, and lecturers who supervised student volunteers were recruited. Interviews were conducted online, video-recorded, and transcribed verbatim. A thematic analysis was used. The themes were “wavering thoughts on volunteering”, “bringing out ‘the nurse’ in students through volunteering” and “gearing up to volunteer”. Findings suggested the need to look beyond the simplicity of altruism to the role of professional identity, operational, and motivational factors to explain nursing students’ decision to volunteer and their volunteer behavior. Providing accommodation, monetary and academic-related incentives, supporting the transitionary phase from students to “professional volunteers”, promoting cohesive and positive staff–student volunteer relationships, and establishing a volunteer management team are strategies identified to improve volunteering uptake and operational processes. Our findings advocate strategic partnerships between hospitals/communities and academic institutions in providing various healthcare services during pandemics.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

To Volunteer or Not? Perspectives towards Pre-Registered Nursing Students Volunteering Frontline during COVID-19 Pandemic to Ease Healthcare Workforce: A Qualitative Study

Seah

Liaw

et al. 2021

IJERPH

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“…Connecting to a bigger purpose reduced their sense of isolation and helped them see themselves capable and useful rather than powerless. 34 …”

Section: Effective Learning and Engagement In Ethics And Well-beingmentioning

confidence: 99%

Ethics and Well-Being: The Health Professions and the COVID-19 Pandemic

Hughes

Rushton

2022

Academic Medicine

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The COVID-19 pandemic has had a profound impact on health professionals, adding to the moral suffering and burnout that existed prepandemic. The physical, psychological, and moral toll of the pandemic has threatened the well-being and integrity of clinicians. The narrative of self-sacrifice and heroism bolstered people early on but was not sustainable over time. For health professions students, the learning environment changed dramatically, limiting opportunities in direct patient care and raising concerns for meeting training requirements. Learners lost social connections and felt isolated while learning remotely, and they witnessed ethical tensions between patient-centered care and parallel obligations to public health. Worries about transmission of the virus and uncertainty about its management contributed to their moral suffering. Educators adjusted curricula to address the changing ethical landscape. Preparing learners for the realities of their future professional identities requires creation of interprofessional moral communities that provide support and help develop the moral agency and integrity of its members using experiential and relational learning methods. Investing in the well-being and resilience of clinicians, implementing the recommendations of the National Academy of Medicine, and engaging learners and faculty as cocreators of ethical practice have the potential to transform the learning environment. Faculty need to be trained as effective mentors to create safe spaces for exploring challenges and address moral adversity. Ethics education will need to expand to issues related to health systems science, social determinants of health, and public health, and the cultivation of moral sensitivity, character development, professional identity formation, and moral resilience.

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“…Leave requests will need to be balanced with demand. In high‐risk settings, consideration should be provided to maximising the use of the skills of highly trained staff by utilising other staff, and potentially medical and nursing students, to undertake scribe and clerical duties for clinicians 21,22 …”

Section: Potential Solutionsmentioning

confidence: 99%

Preparing for reopening: An emergency care perspective

Cameron

O’Reilly

Mitra

et al. 2021

Emerg Medicine Australasia

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Australia is rapidly moving towards ‘living with COVID‐19’, with relaxation of some public health measures. The number of severe cases of COVID‐19 may be mitigated by vaccination, but ‘living with COVID‐19’ will be associated with higher number of patients seeking emergency care. This impending impact on the emergency care system requires recognition, monitoring and co‐ordinated management. Current challenges include a lack of emergency care monitoring systems, staff shortages and patient flow processes that are quickly overwhelmed by large numbers, particularly in a system already operating at capacity. Effective monitoring systems are required for health systems to proactively detect and respond to stresses. Additional solutions include public health messaging and clinical innovation to facilitate care of the right patient in the right place at the right time. Optimising staff numbers and morale, and efficient patient flow, are integral steps to increasing capacity within the emergency care system.

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The COVID-19 Student WorkForce at the Icahn School of Medicine at Mount Sinai: A Model for Rapid Response in Emergency Preparedness

Abstract: Supplemental Digital Content is available in the text.

Cited by 11 publications

References 5 publications

To Volunteer or Not? Perspectives towards Pre-Registered Nursing Students Volunteering Frontline during COVID-19 Pandemic to Ease Healthcare Workforce: A Qualitative Study

To Volunteer or Not? Perspectives towards Pre-Registered Nursing Students Volunteering Frontline during COVID-19 Pandemic to Ease Healthcare Workforce: A Qualitative Study

Ethics and Well-Being: The Health Professions and the COVID-19 Pandemic

Preparing for reopening: An emergency care perspective

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