tetano
Editor, Senior Moderator
Chest
. 2023 Mar 10;S0012-3692(23)00331-8.
doi: 10.1016/j.chest.2023.03.008. Online ahead of print.
Critical Care Staffing in Pandemics and Disasters: A Consensus Report from a Sub-committee of the Task Force for Mass Critical Care- Systems Strategies to Sustain the Healthcare Workforce
Charles L Sprung[SUP] 1 [/SUP], Asha V Devereaux[SUP] 2 [/SUP], Marya Ghazipura[SUP] 3 [/SUP], Lisa D Burry[SUP] 4 [/SUP], Tanzib Hossain[SUP] 5 [/SUP], Mitchell T Hamele[SUP] 6 [/SUP], Ramon E Gist[SUP] 7 [/SUP], Timothy M Dempsey[SUP] 8 [/SUP], Jeffrey R Dichter[SUP] 9 [/SUP], Kiersten N Henry[SUP] 10 [/SUP], Alexander S Niven[SUP] 11 [/SUP], Timur Alptunaer[SUP] 12 [/SUP], Meredith Huffines[SUP] 13 [/SUP], Kasey R Bowden[SUP] 14 [/SUP], Anne Marie O Martland[SUP] 15 [/SUP], Jamie R Felzer[SUP] 11 [/SUP], Steven H Mitchell[SUP] 16 [/SUP], Pritish K Tosh[SUP] 11 [/SUP], Jason Persoff[SUP] 14 [/SUP], Vikramjit Mukherjee[SUP] 5 [/SUP], James Downar[SUP] 17 [/SUP], Amado A Báez[SUP] 18 [/SUP], Ryan C Maves[SUP] 19 [/SUP]; Task Force for Mass Critical Care Writing Group
Affiliations
Abstract
Background: The 2019 coronavirus disease (COVID-19) pandemic has led to unprecedented mental health disturbances, burnout, and moral distress among healthcare workers, impacting their ability to care for themselves and their patients.
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 impacting mental health, burnout, and moral distress in healthcare workers, in order 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 wellbeing 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 healthcare worker basic physical needs, psychological distress, reduce moral distress and burnout, and foster mental health and resilience.
Conclusions: The Workforce Sustainment subcommittee of the TFMCC offers evidence-informed operational strategies to assist healthcare workers and hospitals plan, prevent, and treat the factors impacting healthcare worker mental health, burnout, and moral distress to improve resilience and retention following the COVID-19 pandemic.
Keywords: Burnout; Critical Care; Disasters; Healthcare Workforce; Mental Health; Moral Distress; Pandemics; Resilience; Staffing.
. 2023 Mar 10;S0012-3692(23)00331-8.
doi: 10.1016/j.chest.2023.03.008. Online ahead of print.
Critical Care Staffing in Pandemics and Disasters: A Consensus Report from a Sub-committee of the Task Force for Mass Critical Care- Systems Strategies to Sustain the Healthcare Workforce
Charles L Sprung[SUP] 1 [/SUP], Asha V Devereaux[SUP] 2 [/SUP], Marya Ghazipura[SUP] 3 [/SUP], Lisa D Burry[SUP] 4 [/SUP], Tanzib Hossain[SUP] 5 [/SUP], Mitchell T Hamele[SUP] 6 [/SUP], Ramon E Gist[SUP] 7 [/SUP], Timothy M Dempsey[SUP] 8 [/SUP], Jeffrey R Dichter[SUP] 9 [/SUP], Kiersten N Henry[SUP] 10 [/SUP], Alexander S Niven[SUP] 11 [/SUP], Timur Alptunaer[SUP] 12 [/SUP], Meredith Huffines[SUP] 13 [/SUP], Kasey R Bowden[SUP] 14 [/SUP], Anne Marie O Martland[SUP] 15 [/SUP], Jamie R Felzer[SUP] 11 [/SUP], Steven H Mitchell[SUP] 16 [/SUP], Pritish K Tosh[SUP] 11 [/SUP], Jason Persoff[SUP] 14 [/SUP], Vikramjit Mukherjee[SUP] 5 [/SUP], James Downar[SUP] 17 [/SUP], Amado A Báez[SUP] 18 [/SUP], Ryan C Maves[SUP] 19 [/SUP]; Task Force for Mass Critical Care Writing Group
Affiliations
- PMID: 36907373
- DOI: 10.1016/j.chest.2023.03.008
Abstract
Background: The 2019 coronavirus disease (COVID-19) pandemic has led to unprecedented mental health disturbances, burnout, and moral distress among healthcare workers, impacting their ability to care for themselves and their patients.
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 impacting mental health, burnout, and moral distress in healthcare workers, in order 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 wellbeing 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 healthcare worker basic physical needs, psychological distress, reduce moral distress and burnout, and foster mental health and resilience.
Conclusions: The Workforce Sustainment subcommittee of the TFMCC offers evidence-informed operational strategies to assist healthcare workers and hospitals plan, prevent, and treat the factors impacting healthcare worker mental health, burnout, and moral distress to improve resilience and retention following the COVID-19 pandemic.
Keywords: Burnout; Critical Care; Disasters; Healthcare Workforce; Mental Health; Moral Distress; Pandemics; Resilience; Staffing.