Healthcare team resilience during COVID-19: a qualitative study

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: April 12, 2024

Abstract Background Resilience, in the field of Resilience Engineering, has been identified as ability to maintain safety and performance healthcare systems is aligned with resilience potentials anticipation, monitoring, adaptation, learning. In early 2020, COVID-19 pandemic challenged US due lack equipment, supply interruptions, a shortage personnel. The purpose this qualitative research was describe team during situated cognizant, singular source knowledge defined by its collective identity, purpose, competence, actions, versus an individual or organization. Methods We developed descriptive model which considered unified cognizant entity within system designed for safe patient care. This combined elements from Patient Systems Engineering Initiative Safety (SEIPS) Advanced Team Decision Making (ADTM) models. Using design guided our adapted model, we conducted interviews members across United States. Data were analyzed using thematic analysis extracted codes organized framework. Results Five themes acute care professionals ( N = 22): teamwork pressure cooker , consistent working high stress environment; cohesion applying past lessons present challenges congruent transferring skills current situations; gaps altruistic behaviors sense duty personal responsibility team. Participants’ described how their adapt environment negatively impacted uncertainty, inconsistent communication information, emotions anxiety, fear, frustration, stress. Cohesion co-workers, transferability skills, behavior enhanced performance. Conclusion Working extreme unprecedented circumstances affected anticipate rapidly changing environment. Both promoted resilience. Our contributes growing understanding importance And provides bridge between organizational

Language: Английский

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Role of hospitals in recovery from COVID-19: Reflections from hospital managers and frontliners in the Eastern Mediterranean Region on strengthening hospital resilience

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 10

Published: Jan. 18, 2023

Background COVID-19 highlighted the critical role that hospitals play throughout prolonged response and continuous recovery stages of pandemic. Yet, there is limited evidence related to in stage, particularly capturing perspectives hospital managers frontliners resource-restrained humanitarian settings. Objective This paper aims capture across Eastern Mediterranean Region on (1) recovering from COVID-19, (2) Hospitals' expectations public health institutions enable (3) Evaluation resilience before through (4) lessons strengthen recovery. Methods A multi-methods approach, triangulating a scoping review with qualitative findings 64 semi-structured key-informant interviews survey responses ( n = 252), was used gain deeper context-specific understanding. Purposeful sampling maximum diversity supported by snowballing continued until reaching data saturation. Thematic analysis conducted using MAXQDA simple descriptive Microsoft Excel. Findings In noted hospitals' education, risk reduction, services continuity expected human resource management, financial material mobilization, better leadership coordination, technical support provision updated clinical evidence-based information their institutions. Qualitative also indicated attributed considerable changes capacities pandemic suggested strengthening required resilient staff, sustainable finance, adaptive management. Conclusion Hospitals are backbone systems main point contact for communities during emergencies; various critical. cannot be silos but rather require an integrated-whole-of-society-approach, inclusive other actors.

Language: Английский

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Impediments of social responsibility investment adoption system: a post-pandemic qualitative analysis

Qualitative Research in Financial Markets, Journal Year: 2024, Volume and Issue: unknown

Published: July 18, 2024

Purpose Ecological degradation is causing various medical hazards worldwide. Modern globalization enhancing several polluting factors that cause ecosystem deterioration. This situation leads to the increasing significance of implementing green environmental practices. Previous studies emphasize concepts, mainly in finance, encouraging investors make ethical and responsible decisions promote clean ecological But still, emerging concepts like socially investment (SRI) require more understanding acknowledgment, particularly developing economies. Design/methodology/approach study has focused on exploring impediments SRI-adopting It conducted two phases. Initially, a systematic literature review was identify hurdles promoting SRI. Later, open-ended interviews from active Pakistan Stock Exchange Limited were executed explore barriers SRI system. The responses transcribed tested through NVivo software. Findings information extracted recorded statements further classified into three themes: initial, subordinate cluster, which provides an identified factors. findings suggest significant complications hindering are lack regulatory framework, inadequate conceptual knowledge limited resources. Practical implications state can help framework for successfully practices strengthen stakeholders' guideline decisions, providing them with socially, ethically financially positive returns. Therefore, this will inspire potential adopt practices, making economic uplift certain. Originality/value add value existing body related highlight importance by suggesting it as source ensure sustainable efficiency, postpandemic era. emphasizes urgent need policy effective

Language: Английский

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Prevalence and influencing factors of occupational burnout among healthcare workers in the Chinese mainland during the late 2022 Omicron COVID-19 outbreak: a multicenter cross-sectional study

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 15, 2025

China witnessed an Omicron COVID-19 outbreak at the end of 2022. During this period, medical crowding and enormous pressure on healthcare systems occurred, which might result in occurrence occupational burnout among workers (HCWs). This study aims to investigate prevalence associated mental conditions, such as depressive symptoms, anxiety, PTSD perceived social support, resilience, mindfulness HCWs Chinese mainland during outbreak, explore potential risk protective factors influencing HCWs. A multicenter cross-sectional was conducted working from January 5 February 9, 2023. total 6552 participants were recruited by convenience sampling. Data collected demographic characteristics, burnout, PTSD, online questionnaires. Descriptive analyses performed describe participants' characteristics. Univariate-Multivariate used determine burnout. The results showed that disorders, 44.56%, 70.75%, 47.87%, 37.49%, respectively. Older age, female gender, higher income, more doses vaccine, a level mindfulness, support Working nurses, department currently taking charge treatment patients, high contracting due work, work intensity, anxiety symptoms Tailored interventions should be implemented alleviate disorders

Language: Английский

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Understanding the Lived Experience of Nurses

Dimensions of Critical Care Nursing, Journal Year: 2025, Volume and Issue: 44(3), P. 159 - 165

Published: April 7, 2025

During COVID-19, organizations accommodated an increase in critically ill and isolated patients. Rapid changes to workload the environment consumed daily operations, causing unrelenting strain on nurses. This study explored lived experience of nurses during a pandemic event. Additional objectives were determine levels individual resilience burnout. cross-sectional survey used convergent mixed-methods design. Descriptive inferential statistics summarize test differences resiliency burnout scores. Constant comparative analysis was analyze qualitative responses. The Brief Resilient Coping Scale indicated medium resilient copers (mean, 15.7 [SD, 2.52]). There no correlation between (r = 0.186). Four themes identified: (1) mental, physical, emotional toll; (2) constant change; (3) perceptions leadership; (4) No found coping ability Nursing associated with ongoing tolls, change, leadership challenges.

Language: Английский

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Gender and Emotional Resilience as Correlates of Work Engagement among School Teachers in Ogbomoso Metropolis, Nigeria

LASU Journal of Employment Relations & Human Resource Management, Journal Year: 2025, Volume and Issue: 5(1), P. 31 - 42

Published: March 20, 2025

The contributions of teachers are crucial in educational environments. Therefore, comprehending the factors that affect teachers’ work engagement is highly significant. This study examined influence gender and emotional resilience on among school Ogbomoso metropolis, Nigeria. research employed a cross-sectional approach quantitative design data were collected using standardized scales. A multistage sampling utilizing cluster simple random selection techniques was used to select total 965 from 64 schools throughout five local government areas Ogbomoso. . result shows significant difference selected metropolis (f (963) t= .284; p <.05). Male had (M= 23.13 SD= 7.25) while female 31.24 SD=10.24). Emotional found significantly (r=.392, r2 =318 F=10.583; <.01). Similarly, regression showed has (β=.337, t=4.583, p<.01). Based these findings, concludes impacts job teachers, with exhibiting higher levels than their male colleagues. recommends improving can be accomplished by strengthening skills fostering friendly environment sense community administrators, principals.

Language: Английский

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Pre-pandemic burnout and its changes during the COVID-19 outbreak as predictors of mental health of healthcare workers: A lesson to be learned

Psychiatry Research, Journal Year: 2023, Volume and Issue: 326, P. 115305 - 115305

Published: June 12, 2023

The aim of this study was to identify how previously existing burnout and its changes during the pandemic contributed PTSD symptoms psychological distress in a cohort 388 healthcare workers (HCWs). Each HCW surveyed Sep 2019 (before COVID-19) again Dec 2020-Jan 2021 (during pandemic) assess (MBI); second wave only (PCL-5-SF), (GHQ-12) resilience (CD-RISC-10). Changes emotional exhaustion (EE) depersonalisation (DEP) were stronger HCWs with lower EE DEP baseline values. higher poor personal accomplishment (PPA) improved more than those In multivariable-adjusted models, pre-pandemic equally associated both outcomes: standardised-βs 0.52 0.54 for PTSD, respectively; 0.55 0.53 distress. (0.10). PPA had association (0.29) (0.13). Resilience (-0.25). Preventive actions aimed at reducing EE, e.g., addressing organisational dysfunctions, are needed mitigate impact future crises, whereas improving levels is key target protect from mental health disorders pandemic.

Language: Английский

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Examining resilience among child protection professionals during COVID-19: A global comparison across 57 countries

Child Abuse & Neglect, Journal Year: 2024, Volume and Issue: unknown, P. 106659 - 106659

Published: Feb. 1, 2024

Language: Английский

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Healthcare Professionals’ Resilience During the COVID-19 and Organizational Factors That Improve Individual Resilience: A Mixed-Method Study

Health Services Insights, Journal Year: 2023, Volume and Issue: 16

Published: Jan. 1, 2023

Healthcare workers are a susceptible population to be psychologically affected during health crises, such as the recent COVID-19 pandemic. Resilience has been pointed out in literature possible protective factor against psychological distress crisis situations. This can influenced by internal and external factors, individual characteristics organizational factors. Thus, this study aims characterize overall resilience levels among healthcare professionals Portugal understand perspectives of regarding factors that improve resilience. is mixed-method study: first quantitative using cross-sectional design administer Scale for Adults (RSA) 271 (Mage 33.90, SD = 9.59 years, 90.80% female), followed qualitative through 10 in-depth interviews. The mean score total RSA was 178.17 (SD 22.44) 231. Qualitative analysis showed 4 major themes on enhance resilience: "Professional's Training," "Support Wellbeing Measures," "Reorganization Services" "Professional Acknowledgment." findings may contribute development targeted interventions support systems well-being workers.

Language: Английский

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“Getting pregnant during COVID-19 was a big risk because getting help from the clinic was not easy”: COVID-19 experiences of women and healthcare providers in Harare, Zimbabwe

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(1), P. e0002317 - e0002317

Published: Jan. 8, 2024

The COVID-19 pandemic and associated measures may have disrupted delivery of maternal neonatal health services reversed the progress made towards dual elimination mother-to-child transmission HIV syphilis in Zimbabwe. This qualitative study explores impact on provision uptake prevention (PMTCT) from perspectives women healthcare providers. Longitudinal in-depth interviews were conducted with 20 pregnant breastfeeding aged 20–39 years living workers two maternity polyclinics low-income suburbs Harare, Semi-structured held after second third waves March November 2021, respectively. Data analysed using a modified grounded theory approach. While eight antenatal care contacts are recommended by Zimbabwe’s Ministry Health Child Care, reported only being able to access contacts. Although testing, antiretroviral therapy (ART) refills screening accessible at first contact, other such as HIV-viral load monitoring enhanced adherence counselling not available for those ART. Closure clinics shortened operating hours during wave resulted more bookings occurring later pregnancy home deliveries. Six (33%) interviewed giving birth home, assisted untrained traditional midwives closed. Babies delivered missed ART prophylaxis testing despite HIV-exposed. faced multiple challenges, they continued attempt delivery. These findings underline importance investing robust systems that can respond emergency situations ensure continuity essential prevention, treatment, services.

Language: Английский

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