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. [Review]

MedStar author(s):
Citation: Chest. 164(1):124-136, 2023 07.PMID: 36907373Institution: MedStar Montgomery Medical CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Practice GuidelineSubject headings: *Burnout, Professional | *COVID-19 | *Disasters | Burnout, Professional/ep [Epidemiology] | Burnout, Professional/pc [Prevention & Control] | Burnout, Professional/px [Psychology] | Consensus | COVID-19/ep [Epidemiology] | Critical Care | Delivery of Health Care | Health Personnel/px [Psychology] | Humans | Pandemics | Workforce | Year: 2023Local holdings: Available online from MWHC library: 1935 - present, Available in print through MWHC library: 1999 - 2006ISSN:
  • 0012-3692
Name of journal: ChestAbstract: 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.CONCLUSIONS: 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. Copyright 2023 American College of Chest Physicians. All rights reserved.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, psychological distress, reduce moral distress and burnout, and foster mental health and resilience.All authors: Alptunaer T, Baez AA, Bowden KR, Burry LD, Dempsey TM, Devereaux AV, Dichter JR, Downar J, Felzer JR, Ghazipura M, Gist RE, Hamele MT, Henry KN, Hossain T, Huffines M, Martland AMO, Maves RC, Mitchell SH, Mukherjee V, Niven AS, Persoff J, Sprung CL, Tosh PKOriginally published: Original year of publication: 2023Fiscal year: Fiscal year of original publication: FY2023Digital Object Identifier:
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 36907373 Available 36907373

Available online from MWHC library: 1935 - present, Available in print through MWHC library: 1999 - 2006

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.

CONCLUSIONS: 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. Copyright 2023 American College of Chest Physicians. All rights reserved.

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, psychological distress, reduce moral distress and burnout, and foster mental health and resilience.

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