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

被引：8

作者：

Sprung, Charles L. ^{[1
,2
]}

Devereaux, Asha, V ^{[3
]}

Ghazipura, Marya ^{[4
]}

Burry, Lisa D. ^{[5
]}

Hossain, Tanzib ^{[6
]}

Hamele, Mitchell T. ^{[7
,8
]}

Gist, Ramon E. ^{[9
]}

Dempsey, Timothy M. ^{[10
]}

Dichter, Jeffrey R. ^{[11
]}

Henry, Kiersten N. ^{[12
]}

Niven, Alexander S. ^{[13
]}

Alptunaer, Timur ^{[8
,14
]}

Huffines, Meredith ^{[15
]}

Bowden, Kasey R. ^{[16
]}

Martland, Anne Marie O. ^{[17
]}

Felzer, Jamie R. ^{[13
]}

Mitchell, Steven H. ^{[18
]}

Tosh, Pritish K. ^{[13
]}

Persoff, Jason ^{[16
]}

Mukherjee, Vikramjit ^{[6
]}

Downar, James ^{[19
]}

Baez, Amado A. ^{[20
]}

Maves, Ryan C. ^{[21
]}

机构：

[1] Hebrew Univ Jerusalem, Hadassah Med Org, Jerusalem, Israel

[2] Hebrew Univ Jerusalem, Fac Med, Jerusalem, Israel

[3] Sharp Coronado Hosp, Coronado, CA USA

[4] ZS Associates, New York, NY USA

[5] Univ Toronto, Toronto, ON, Canada

[6] NYU, Grossman Sch Med, New York, NY USA

[7] Tripler Army Med Ctr, Honolulu, HI USA

[8] Uniformed Serv Univ Hlth Sci, Bethesda, MD USA

[9] SUNY Downstate Hlth Sci Univ, Brooklyn, NY USA

[10] US Air Force, David Grant Med Ctr, Travis Afb, CA USA

[11] Univ Minnesota, Minneapolis, MN USA

[12] MedStar Montgomery Med Ctr, Olney, MD USA

[13] Mayo Clin, Rochester, MN USA

[14] Leonard J Chabert Med Ctr, Houma, LA USA

[15] Univ Maryland, Baltimore, MD USA

[16] Univ Colorado, Sch Med, Aurora, CO USA

[17] Scripps Hlth, San Diego, CA USA

[18] Univ Washington, Seattle, WA USA

[19] Univ Ottawa, Ottawa, ON, Canada

[20] Med Coll Georgia, Augusta, GA USA

[21] Wake Forest Univ, Sch Med, Winston Salem, NC USA

来源：

CHEST | 2023年 / 164卷 / 01期

基金：

美国国家卫生研究院;

关键词：

burnout; critical care; disasters; health-care workforce; mental health; moral distress; pandemics; resilience; staffing; MORAL DISTRESS; COVID-19; BURNOUT; PROFESSIONALS; WORKERS; RESILIENCE; NURSES; STRESS;

D O I：

10.1016/j.chest.2023.03.008

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：124 / 136

页数：13

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