Training and redeployment of healthcare workers to intensive care units (ICUs) during the COVID-19 pandemic: a systematic review

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

doi:10.1136/bmjopen-2021-050038

Cited by 67 publications

(61 citation statements)

References 52 publications

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“…Similarly, to other studies in the UK, we found that redeployment generated anxiety for staff (Faderani et al 2020;San Juan et al 2021). Our results did not capture the impact of redeployment to specific areas of the healthcare system, which is seemingly a major contributor to poor mental health in staff.…”

Section: Redeployment Clinical Work and Sense Of Dutycontrasting

confidence: 63%

“…A group of the authors (NVSJ, LM, CB, PCG, AB, AS, EF, SMS) prepared interview data for analysis by performing selective transcription of extracts from the interviews and interview notes that were related to mental health and wellbeing as previously defined (Vera San Juan et al, 2021). This team includes health service researchers, nurse practitioners, anthropologists, and physicians.…”

Section: Interviews With Hcwsmentioning

confidence: 99%

“…While infection control measures were crucial for limiting the spread of COVID-19, they required complex additions to HCWs workload in order to reorganise necessary interactions at work. Our previous work on this topic additionally highlighted distancing measures completely disrupted of environmental factors that influence HCWs wellbeing (Vera San Juan et al, 2021) such as leisure time, Not only does the emotion involved in delivering care under these circumstances add copious amounts of strain on HCWs, but the moral injury of caring for patients under time and resource constraints, has also been a frequently mentioned factor associated with poor mental health, since the start of the pandemic (Hines et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…The aim of this paper was to conduct an in-depth, longitudinal exploration of the experiences, needs, and wellbeing strategies of HCWs and Institutions delivering care in the UK during the COVID-19 pandemic. We did not limit our analysis to clinical mental health and defined wellbeing following the SPICE model (Vera San Juan et al 2021) that considers social, political, and quality of life factors. We also explored how these experiences changed during different stages of the pandemic.…”

Section: Introductionmentioning

confidence: 99%

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Frontline healthcare workers’ mental health and wellbeing during the first year of the COVID-19 pandemic: Analysis of interviews and social media data

Juan

Martin

Badley

et al. 2022

Preprint

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The COVID-19 pandemic has shed light on the fractures of healthcare systems around the world, particularly in relation to the healthcare workforce. Frontline staff, in particular, have been exposed to unprecedented strain and delivering care during the pandemic has impacted their safety, mental health and wellbeing. The aim of this paper was to explore the experiences of HCWs delivering care in the UK during the COVID-19 pandemic to understand their wellbeing needs, experiences and strategies used to maintain wellbeing (at individual and organizational levels). We analysed 94 telephone interviews with HCWs and 2000 tweets about HCWs mental health taking place during the first year of the COVID-19 pandemic. Results were grouped under six themes: redeployment; wellbeing support and coping strategies; mental health effects; organisational support; social network and public support. These findings demonstrate a need for open conversations, where staff’s wellbeing needs and strategies can be shared and encouraged, rather than implementing solely top-down psychological interventions. At the macro level, findings also highlighted the impact on HCW’s wellbeing of public and government support, as well as the need for ensuring protection through PPE, testing, and/or vaccines for frontline workers.

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Section: Redeployment Clinical Work and Sense Of Dutycontrasting

confidence: 63%

Section: Interviews With Hcwsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Frontline healthcare workers’ mental health and wellbeing during the first year of the COVID-19 pandemic: Analysis of interviews and social media data

Juan

Martin

Badley

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…So nurses took on heavier workloads, including daily caring routines for patients, protective materials handling and environmental cleansing, as confirmed by another study of medical aid teams in Wuhan (Wei et al, 2020 ). Research has shown that redeploying health care workers into task‐based groups with clear leadership can increase efficiency and reduce risk by maximizing their existing skills (Vera San Juan et al, 2022 ). Therefore, task‐oriented functional nursing may help ensure patient care quality of patient care at the peak of the epidemic during manpower shortage.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of nursing directors on emergency nurse deployment during the pandemic of COVID‐19: A nationwide cross‐sectional survey in mainland China

Ren

Chen

et al. 2022

J Nursing Management

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Aims The aim of this study is to investigate the situation and perceptions of nursing directors about emergency nursing staff deployment in designated hospitals during the pandemic of COVID‐19 in mainland China. Background The pandemic of COVID‐19 has significantly depleted health care resources, leading to increased burden of nursing care and staffing and exacerbating the crisis in health care facilities. Currently, how to effectively plan and schedule nursing staffing in the pandemic still remains unknown. Methods From 14 July 2020 to 8 September 2020, 62 nursing directors of designated hospitals in mainland China were invited to participate in a cross‐sectional online survey for their perceptions of nursing human‐resource allocation during the pandemic of COVID‐19. Results A total of 55 valid questionnaires were collected, showing that 96.36% of the hospitals had emergency nursing organizations and management systems during the pandemic, 96.36% had well‐established scheduling principles for nursing human resources and 54.55% of hospitals had human‐resource scheduling platforms. All the hospitals had trained emergency nursing staff in infection control (55, 100%), work process (51, 92.73%) and emergency skills (50, 90.91%). Most of the participants were satisfied with the nursing staffing deployments at their institutions (52, 94.55%). However, more than two thirds of them believed that their human‐resource deployment plans need further improvements (39, 70.91%). Conclusions Most of the designated hospitals investigated had established emergency nursing organizations, and management systems, and related regulations for the epidemic. However, the contents mentioned above still need to be further standardized. Implications for nursing management The surge of patients in the epidemic was considerable challenge for the emergency capacity of hospitals. In the future, we should pay more attention to the following aspects: building emergency nursing staffing platforms, increasing emergency human‐resource reserves, establishing reliable communication channels for emergency response teams, improving the rules and regulations of emergency human‐resource management, offering more training and drills for emergency‐related knowledge and skills and giving more focus on bio‐psycho‐social wellbeing of nurses.

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Patient‐physician interactions in hereditary angioedema—Key learnings from the coronavirus disease 2019 pandemic

Maurer,

Buttgereit,

Magerl

et al. 2023

Clinical & Translational All

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BackgroundThe coronavirus disease pandemic and its containing measures have caused concerns for patients with hereditary angioedema (HAE) and their treating physicians. Both faced challenges surrounding interaction, and communication had to adapt to facilitate appropriate management. Specifically, the pandemic resulted in reduced in‐person contact in clinics. Where possible, telemedicine appointments were offered and treatment outside the hospital setting was encouraged.BodyThe pandemic markedly affected patient‐physician communication, which is essential to maintain partnerships and optimize care. Although patients with HAE are often experts in their condition, guidance by their physicians is essential, especially with the recent shift toward patient‐centered management for rare diseases and shared decision‐making (SDM). SDM enables patients to take control of their disease and allows the risks and benefits of treatment to be discussed with their physicians. This review explores perspectives from patients and physicians in the HAE clinical setting, particularly regarding their experiences with communication throughout the pandemic. We discuss the importance of SDM in rare diseases such as HAE, factors that impact effective communication, and potential solutions.ConclusionSince patient‐centered care and SDM have particular relevance in rare diseases in general, we believe our findings could be transferrable and applicable in the management of other rare diseases.

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Training and redeployment of healthcare workers to intensive care units (ICUs) during the COVID-19 pandemic: a systematic review

Cited by 67 publications

References 52 publications

Frontline healthcare workers’ mental health and wellbeing during the first year of the COVID-19 pandemic: Analysis of interviews and social media data

Frontline healthcare workers’ mental health and wellbeing during the first year of the COVID-19 pandemic: Analysis of interviews and social media data

Perspectives of nursing directors on emergency nurse deployment during the pandemic of COVID‐19: A nationwide cross‐sectional survey in mainland China

Patient‐physician interactions in hereditary angioedema—Key learnings from the coronavirus disease 2019 pandemic

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