Redeployment and training of healthcare professionals to Intensive Care during COVID-19: a systematic review

Juan, Norha Vera San; Camilleri, Matthew; Jeans, John; Monkhouse, Alexandra; Chisnall, Georgia; Vindrola‐Padros, Cecilia

doi:10.1101/2021.01.21.21250230

Cited by 13 publications

(12 citation statements)

References 39 publications

(61 reference statements)

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“…COVID-19 has adversely impacted the occupational roles and physical and mental well-being of healthcare staff. 1 Many have experienced disrupted support structures, redeployment to areas outside their professional training 2 —sometimes engaging in tasks that transgress individual moral consciences and values 3 —limited resources and vital medical equipment, 4 and unprecedented patient service demand amid rapidly changing care guidelines. 5 Staff are vulnerable to contracting the virus and at risk of work stress, moral injury and mental ill health, including clinical depression, post-traumatic stress disorder, substance misuse and suicide.…”

Section: Introductionmentioning

confidence: 99%

’We weren't checked in on, nobody spoke to us’: an exploratory qualitative analysis of two focus groups on the concerns of ethnic minority NHS staff during COVID-19

et al. 2021

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ObjectiveTo gain exploratory insights into the multifaceted, lived experience impact of COVID-19 on a small sample of ethnic minority healthcare staff to cocreate a module of questions for follow-up online surveys on the well-being of healthcare staff during the pandemic.DesignA cross-sectional design using two online focus groups among ethnic minority healthcare workers who worked in care or supportive roles in a hospital, community health or primary care setting for at least 12 months.ParticipantsThirteen healthcare workers (11 female) aged 26–62 years from diverse ethnic minority backgrounds, 11 working in clinical roles.ResultsFive primary thematic domains emerged: (1) viral vulnerability, centring around perceived individual risk and vulnerability perceptions; (2) risk assessment, comprising pressures to comply, perception of a tick-box exercise and issues with risk and resource stratification; (3) interpersonal relations in the workplace, highlighting deficient consultation of ethnic minority staff, cultural insensitivity, need for support and collegiate judgement; (4) lived experience of racial inequality, consisting of job insecurity and the exacerbation of systemic racism and its emotional burden; (5) community attitudes, including public prejudice and judgement, and patient appreciation.ConclusionsOur novel study has shown ethnic minority National Health Service (NHS) staff have experienced COVID-19 in a complex, multidimensional manner. Future research with a larger sample should further examine the complexity of these experiences and should enumerate the extent to which these varied thematic experiences are shared among ethnic minority NHS workers so that more empathetic and supportive management and related occupational practices can be instituted.

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Section: Introductionmentioning

confidence: 99%

’We weren't checked in on, nobody spoke to us’: an exploratory qualitative analysis of two focus groups on the concerns of ethnic minority NHS staff during COVID-19

et al. 2021

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“…5. Redeployment is a stressful period for everyone and all necessary steps should be taken to make this as smooth as possible to protect staff wellbeing (20). 6.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Family Liaison Officer (FLO) role during the COVID-19 Pandemic

Hughes

Anderton

Taylor

2021

Preprint

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Objectives: During the first wave of COVID-19 heavy restrictions were placed on hospital visitations in the United Kingdom. To support communication between families and patients a central London hospital introduced the role of the Family Liaison Officer. Communication within healthcare settings is often the subject of contention, particularly for patients families. During periods of crisis communication can become strained for patients and their families. We aimed to evaluate the rapid implementation of this role to provide guidance if it was required in the future and to explore the potential for this to become a standard role. Design: Service evaluation Setting: Single National Health Service hospital in London. Methods: Semi-structured video interviews with a convenience sample of 12 participants. Data were analysed using Framework Analysis. Participants: Family Liaison Officers (n=5) and colleagues who experienced working alongside them (n=7). Results: Key themes were identified from the interviews pertaining to the role, the team, the impact and the future. Two versions of the role emerged though the process based on the Family Liaison Officers previous background: Clinical Family Liaison Officers (primarily nurses) and Pastoral Family Liaison Officers (primarily play specialists). Both the Family Liaison Officers and their colleagues agreed that the role had a very positive impact on the wards during this time. Negative aspects of the role, such as a lack of induction, boundaries or clear structure were also discussed. Conclusion: The Family Liaison Officer was a key role during the pandemic in facilitating communication between patient, clinical team and family. The challenges associated with the role reflect the speed in which it was implemented but it was evident to those in the role and clinicians who the role was supporting that it has potential to help improve hospital communication, and the work of healthcare staff outside of a pandemic.

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“…Our study is a collaborative framework analysis [34,35] of relevant material from interviews with people with pre-existing mental health conditions conducted as part of a broader study exploring loneliness and mental health during the COVID-19 pandemic [26].…”

Section: Methodsmentioning

confidence: 99%

“…We conducted a two-stage collaborative framework analysis [34,35]. This was an iterative approach with team discussions, including LERs, clinicians, and researchers at each stage to enhance reflexivity and develop consensus on coding approaches and development of themes/topics.…”

Section: Methodsmentioning

confidence: 99%

Service user experiences and views regarding telemental health during the COVID-19 pandemic: a co-produced framework analysis

Juan

Shah

Schlief

et al. 2021

Preprint

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Background The prominence of telemental health, including providing care by video call and telephone, has greatly increased during the COVID-19 pandemic. However, there are clear variations in uptake and acceptability, and concerns that digital exclusion may exacerbate previous inequalities in accessing good quality care. Greater understanding is needed of how service users experience telemental health, and what determines whether they engage and find it acceptable. Methods We conducted a collaborative framework analysis of data from semi-structured interviews with a sample of people already experiencing mental health problems prior to the pandemic. Data relevant to participants′ experiences and views regarding telemental health during the pandemic was identified and extracted. Data collection and analysis used a participatory, coproduction approach where lived experience researchers, clinical and academic researchers contributed to all stages of data collection, analysis and interpretation of findings. Findings Participants′ experiences and preferences regarding telemental health care were dynamic and varied across time, settings, and individuals. Participants′ preferences were shaped by the reason for contacting providers, their relationship with the care provider, and both parties′ access or acceptability to use remote technology. While face-to-face care tended to be the preferred option, participants identified benefits of remote care including making care more accessible for some populations and improved efficiency for functional appointments such as prescription reviews. Participants highlighted important new challenges around safety and privacy in online settings, and gave examples of good remote care strategies, including scheduling regular phone calls and developing guidelines about how to access remote care tools. Discussion Participants in our study and previous literature have highlighted advantages of telemental health care, as well as significant limitations which hinder mental health support and exacerbate inequalities in access to services. Some of these limitations are seen as potentially removable, for example through staff training or better digital access for staff or service users. Others indicate a need to maintain traditional face-to-face contact at least for some appointments. There is a clear need for care to be flexible and individualised to service user circumstances and preferences. Further research is needed on ways of minimising digital exclusion and to support staff in making effective and collaborative use of relevant technologies.

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Redeployment and training of healthcare professionals to Intensive Care during COVID-19: a systematic review

Cited by 13 publications

References 39 publications

’We weren't checked in on, nobody spoke to us’: an exploratory qualitative analysis of two focus groups on the concerns of ethnic minority NHS staff during COVID-19

’We weren't checked in on, nobody spoke to us’: an exploratory qualitative analysis of two focus groups on the concerns of ethnic minority NHS staff during COVID-19

Evaluation of the Family Liaison Officer (FLO) role during the COVID-19 Pandemic

Service user experiences and views regarding telemental health during the COVID-19 pandemic: a co-produced framework analysis

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