Critical Care Staffing in Pandemics and Disasters : A Consensus Report From a Subcommittee of the Task Force for Mass Critical Care - Systems Strategies to Sustain the Health Care Workforce

Copyright © 2023 American College of Chest Physicians. All rights reserved..

BACKGROUND: The COVID-19 pandemic has led to unprecedented mental health disturbances, burnout, and moral distress among health care workers, affecting their ability to care for themselves and their patients.

RESEARCH QUESTION: In health care workers, what are key systemic factors and interventions impacting mental health and burnout?.

STUDY DESIGN AND METHODS: The Workforce Sustainment subcommittee of the Task Force for Mass Critical Care (TFMCC) utilized a consensus development process, incorporating evidence from literature review with expert opinion through a modified Delphi approach to determine factors affecting mental health, burnout, and moral distress in health care workers, to propose necessary actions to help prevent these issues and enhance workforce resilience, sustainment, and retention.

RESULTS: Consolidation of evidence gathered from literature review and expert opinion resulted in 197 total statements that were synthesized into 14 major suggestions. These suggestions were organized into three categories: (1) mental health and well-being for staff in medical settings; (2) system-level support and leadership; and (3) research priorities and gaps. Suggestions include both general and specific occupational interventions to support health care worker basic physical needs, lower psychological distress, reduce moral distress and burnout, and foster mental health and resilience.

INTERPRETATION: The Workforce Sustainment subcommittee of the TFMCC offers evidence-informed operational strategies to assist health care workers and hospitals plan, prevent, and treat the factors affecting health care worker mental health, burnout, and moral distress to improve resilience and retention following the COVID-19 pandemic.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:164

Enthalten in:

Chest - 164(2023), 1 vom: 01. Juli, Seite 124-136

Sprache:

Englisch

Beteiligte Personen:

Sprung, Charles L [VerfasserIn]
Devereaux, Asha V [VerfasserIn]
Ghazipura, Marya [VerfasserIn]
Burry, Lisa D [VerfasserIn]
Hossain, Tanzib [VerfasserIn]
Hamele, Mitchell T [VerfasserIn]
Gist, Ramon E [VerfasserIn]
Dempsey, Timothy M [VerfasserIn]
Dichter, Jeffrey R [VerfasserIn]
Henry, Kiersten N [VerfasserIn]
Niven, Alexander S [VerfasserIn]
Alptunaer, Timur [VerfasserIn]
Huffines, Meredith [VerfasserIn]
Bowden, Kasey R [VerfasserIn]
Martland, Anne Marie O [VerfasserIn]
Felzer, Jamie R [VerfasserIn]
Mitchell, Steven H [VerfasserIn]
Tosh, Pritish K [VerfasserIn]
Persoff, Jason [VerfasserIn]
Mukherjee, Vikramjit [VerfasserIn]
Downar, James [VerfasserIn]
Báez, Amado A [VerfasserIn]
Maves, Ryan C [VerfasserIn]
Task Force for Mass Critical Care Writing Group [VerfasserIn]

Links:

Volltext

Themen:

Burnout
Critical care
Disasters
Health-care workforce
Mental health
Moral distress
Pandemics
Practice Guideline
Resilience
Review
Staffing

Anmerkungen:

Date Completed 11.07.2023

Date Revised 18.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.chest.2023.03.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354129899