The impact of COVID‐19 on alcohol and other drug nurses' provision of care: A qualitative descriptive study

Searby, Adam; Burr, Dianna

doi:10.1111/jocn.15732

Cited by 18 publications

(12 citation statements)

References 42 publications

(52 reference statements)

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“…HCWs reported a work-life imbalance [57,97] as they had to adapt to the disruption of their usual work routine [59,62,131]. This disruption manifested in taking on different roles and responsibilities [39,49,67,73,83,89,94,97,110,137,139,144,151], increased or decreased workload pressure [85,128,130,133] and sometimes redeployment [57,155,165]. HCWs also reported negative financial effects [59,86,166].…”

Section: Individual Levelmentioning

confidence: 99%

Health care workers’ experiences during the COVID-19 pandemic: a scoping review

et al. 2022

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Background COVID-19 has challenged health systems worldwide, especially the health workforce, a pillar crucial for health systems resilience. Therefore, strengthening health system resilience can be informed by analyzing health care workers’ (HCWs) experiences and needs during pandemics. This review synthesizes qualitative studies published during the first year of the COVID-19 pandemic to identify factors affecting HCWs’ experiences and their support needs during the pandemic. This review was conducted using the Joanna Briggs Institute methodology for scoping reviews. A systematic search on PubMed was applied using controlled vocabularies. Only original studies presenting primary qualitative data were included. Results 161 papers that were published from the beginning of COVID-19 pandemic up until 28th March 2021 were included in the review. Findings were presented using the socio-ecological model as an analytical framework. At the individual level, the impact of the pandemic manifested on HCWs’ well-being, daily routine, professional and personal identity. At the interpersonal level, HCWs’ personal and professional relationships were identified as crucial. At the institutional level, decision-making processes, organizational aspects and availability of support emerged as important factors affecting HCWs’ experiences. At community level, community morale, norms, and public knowledge were of importance. Finally, at policy level, governmental support and response measures shaped HCWs’ experiences. The review identified a lack of studies which investigate other HCWs than doctors and nurses, HCWs in non-hospital settings, and HCWs in low- and lower middle income countries. Discussion This review shows that the COVID-19 pandemic has challenged HCWs, with multiple contextual factors impacting their experiences and needs. To better understand HCWs’ experiences, comparative investigations are needed which analyze differences across as well as within countries, including differences at institutional, community, interpersonal and individual levels. Similarly, interventions aimed at supporting HCWs prior to, during and after pandemics need to consider HCWs’ circumstances. Conclusions Following a context-sensitive approach to empowering HCWs that accounts for the multitude of aspects which influence their experiences could contribute to building a sustainable health workforce and strengthening health systems for future pandemics.

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Section: Individual Levelmentioning

confidence: 99%

Health care workers’ experiences during the COVID-19 pandemic: a scoping review

et al. 2022

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“…The AOD nurse practitioner is key in providing high‐level, holistic care to healthcare consumers who use alcohol and other drugs. As the literature indicates, the COVID‐19 pandemic has resulted in a greater need for clinical care and intervention for people who use AOD (Aponte‐Melendez et al, 2021; Searby & Burr, 2021). Accordingly, there is a greater demand for clinical staff competent in the comprehensive management of not only AOD use, including the ability to prescribe, but also the mental and physical health complications that result.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to becoming an alcohol and other drug nurse practitioner in Australia: A mixed methods study

Searby

Burr

Blums³

et al. 2023

Int J Mental Health Nurs

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Alcohol and other drug (AOD) nurse practitioners have an advanced scope of practice that allows them to diagnose, prescribe pharmacological treatments for alcohol and other substance use disorders, and monitor physical and mental health. The Behaviour Change Wheel (BCW) is used to understand barriers and facilitators to implementation by applying three conditions of behaviour change (capability, opportunity, and motivation—the COM‐B framework). The aim of this paper is to describe the current AOD nurse practitioner workforce, and to explore barriers and facilitators to AOD nurse practitioner uptake in Australia. A mixed method approach was used in this study: a survey to determine the current state of the AOD nurse practitioner workforce (n = 41) and qualitative interviews with 14 participants to determine barriers to endorsement and ongoing work as a nurse practitioner. Interview transcripts were analysed using thematic analysis and mapped to the COM‐B framework. The AOD nurse practitioner is a highly specialized provider of holistic care to people who use alcohol and other drugs, with AOD nurse practitioners performing advanced roles such as prescribing and medication management. However, there are several barriers to the further uptake of AOD nurse practitioners in Australia, including varied organizational support, a lack of support for the higher study required to become a nurse practitioner and a lack of available positions. Arguably, nurse practitioners are key to addressing prescriber shortages inherent in AOD treatment settings. In addition, they are equipped to provide true holistic care. We recommend that barriers are addressed to expand the AOD nurse practitioner workforce in Australia.

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“…The impact on the delivery of hospital‐based acute‐care services has been widely reported (Commonwealth of Australia, 2020; Fernandez et al., 2020). However, within primary health care (PHC), the pandemic has also impacted on the delivery of health promotion programmes, preventive health care and on the diagnosis and ongoing management of chronic disease (Australian Institute of Health & Welfare, 2021; Searby & Burr, 2021; Wright et al., 2020). The World Health Organization (2020, 2021) has noted that PHC providers play critical roles in making health systems more resilient in times of crisis, by proactively detecting early signs of epidemics and having the capacity to respond promptly to surges in service demand.…”

Section: Introductionmentioning

confidence: 99%

The impact of COVID‐19 on the delivery of care by Australian primary health care nurses

Ashley

Halcomb

James

et al. 2022

Health Social Care Comm

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This qualitative study describes the impact of the first wave of the COVID-19 pandemic on the provision of care by Australian primary health care (PHC) nurses.Participants were purposefully recruited following completion of a national survey about PHC nurses' experiences during the pandemic. Twenty-five semi-structured interviews were conducted by two experienced researchers and professionally transcribed. The mean duration of interviews was 38.5 min. Thematic analysis revealed three themes about the impact of COVID-19 on PHC nurses' provision of care. These were: workplace adjustments, changes in healthcare delivery and concerns about long-term health impacts of COVID-19. The sudden disruption and de-stabilisation of care delivery was reported as significantly impacting on initial service provision, although participants reported adapting quickly and finding new ways to deliver care.The impact of the pandemic on high risk communities and mental health support needs of clients created additional challenges, although some participants reported positive outcomes such as increased confidence of some clients to provide self-care.There were concerns about the potential long-term health impact on communities due to reduced levels of cancer screening, disrupted management of chronic conditions and reduced opportunistic health assessments. Findings from this study demonstrated how PHC nurses played an important role in the continued provision of PHC by adapting quickly to changed circumstances, adjusting and modifying clinical activities, and by monitoring for future potential negative outcomes from the pandemic. These findings are important for the future management of pandemics and inform the long-term planning of PHC services.

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The impact of COVID‐19 on alcohol and other drug nurses' provision of care: A qualitative descriptive study

Cited by 18 publications

References 42 publications

Health care workers’ experiences during the COVID-19 pandemic: a scoping review

Health care workers’ experiences during the COVID-19 pandemic: a scoping review

Barriers and facilitators to becoming an alcohol and other drug nurse practitioner in Australia: A mixed methods study

The impact of COVID‐19 on the delivery of care by Australian primary health care nurses

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