Patient Admission and Mechanical Ventilator Allocation Decision-Making Processes by Frontline Medical Professionals in a Japanese ICU During the COVID-19 Pandemic: A Qualitative Study DOI Creative Commons
Sakura Ishizaki, Kazuaki Jindai, Hiroki Saito

et al.

Qualitative Health Research, Journal Year: 2023, Volume and Issue: 33(14), P. 1291 - 1304

Published: Oct. 17, 2023

During the COVID-19 pandemic, need to triage patients in ICUs emerged globally. Triage guidelines were established many countries; however, actual decision-making processes and decisions themselves made by frontline medical providers may not have exactly reflected those guidelines. Despite understand practice regarding patient ICU admission mechanical ventilator usage identify areas of improvement for care provision, such research is limited. This qualitative study was conducted admissions allocation issues associated with an during pandemic. Semi-structured, in-depth interviews physicians nurses working at urban tertiary referral hospital Japan between February April 2022. Patient characteristics that influenced interaction physicians, nurses, senior management staff upon making are discussed this article. An implicated issue lack legal support Japanese withdrawal life-sustaining treatments even emergencies. Another impact non-clinical forces-likely specific health emergencies-on physicians' allocation, where forces imposed a significant mental burden on providers. We consider public policy implications future pandemics.

Language: Английский

The Burden of Burnout among Healthcare Professionals of Intensive Care Units and Emergency Departments during the COVID-19 Pandemic: A Systematic Review DOI Open Access
Maria Rosaria Gualano,

Tiziana Sinigaglia,

Giuseppina Lo Moro

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(15), P. 8172 - 8172

Published: Aug. 2, 2021

The primary aim was to evaluate the burnout prevalence among healthcare workers (HCWs) in intensive care units (ICUs) and emergency departments (EDs) during COVID-19 pandemic. secondary identify factors associated with this population. A systematic review conducted following PRISMA guidelines by searching PubMed, Embase, PsychINFO, Scopus from 1 January 24 November 2020. Studies information about prevalence/level pandemic regarding ICU/ED HCWs were eligible. total of 927 records identified. selection resulted 11 studies. Most studies April/May Samples ranged 15 12,596 participants. overall 49.3% 58%. Nurses seemed be at higher risk. Both socio-demographic work-related features burnout. Many pandemic-related variables burnout, e.g., shortage resources, worry COVID-19, stigma. This highlighted a substantial HCWs. However, population has presented high for long time, there is not sufficient evidence understand if such currently increased. It also outlined modifiable need improve preparedness both an individual structural level.

Language: Английский

Citations

198

Impact of the COVID-19 pandemic on the mental health of professionals in 77 hospitals in France DOI Creative Commons
Alicia Fournier, Alexandra Laurent, Florent Lheureux

et al.

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(2), P. e0263666 - e0263666

Published: Feb. 16, 2022

The COVID-19 pandemic has led to significant re-organisation of healthcare delivery in hospitals, with repercussions on all professionals working healthcare. We aimed assess the impact mental health care institutions and identify individual environmental factors influencing risk disorders. From 4 June 22 September 2020, a total 4370 responded an online questionnaire evaluating psychological distress, severity post-traumatic stress symptoms, factors, coping strategies. About 57% suffered from 21% showed symptoms potential stress. Professionals radiology, those quality/hygiene/security nurses' aides were most affected groups. media focus crisis, high workload prevalent followed by uncertainty regarding possibility containing epidemic, constantly changing hygiene recommendations/protocols, lack personal protective equipment. use strategies, notably positive thinking, helped mitigate relation between perceived had far-reaching negative for professionals, some sectors more markedly affected. To prevent disorders during public support services management strategies within hospitals should take account importance thinking social support.

Language: Английский

Citations

39

Association between burnout and PTSD, and perceived stress in the workplace among healthcare workers in the intensive care unit: a PsyCOVID-ICU substudy DOI
Alicia Fournier, Victoire Deltour, Florent Lheureux

et al.

Psychology Health & Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 18

Published: Feb. 10, 2025

The COVID-19 pandemic exposed intensive care unit (ICU) healthcare workers (HCWs) to acute stress (e.g. unpredictability, fear, helplessness) and chronic prolonged crisis with recurring waves). While the psychological impact has been documented, few studies explore overlap of these stressors. One year after pandemic's first peak, we aimed assess psychotraumatic burnout among ICU HCW examine relationship between disorders, perceived workplace This study was conducted in 77 ICUs France June July 2021. online questionnaire included measures stress, burnout, symptoms post-traumatic disorder (PTSD). Descriptive analyses investigating co-occurrence PTSD/burnout were multinomial logistic regression used predict membership groupings from current a range relevant demographic variables. Among 1108 hCW included, 318 (28.7%) exhibited only 34 (3.07%) PTSD, 182 (16.42%) both conditions simultaneously. These categories professionals, particularly those concurrent PTSD higher work-related than without PTSD. results can be provide personalized support for specific disorders present (burnout or PTSD), view providing work environment that is more conducive their recovery.

Language: Английский

Citations

1

Symptoms of Anxiety, Depression, and Post-Traumatic Stress Disorder in Health Care Personnel in Norwegian ICUs during the First Wave of the COVID-19 Pandemic, a Prospective, Observational Cross-Sectional Study DOI Open Access
Siv K. Stafseth,

Laila Skogstad,

Johan Ræder

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(12), P. 7010 - 7010

Published: June 8, 2022

Background: The COVID-19 pandemic has induced demanding work situations in intensive care units (ICU). objective of our study was to survey psychological reactions, the disturbance social life, effort, and support ICU nurses, physicians, leaders. Methods: From May July 2020, this cross-sectional included 484 professionals from 27 hospitals throughout Norway. Symptoms anxiety depression were measured on Hopkins Symptom Checklist-10 (HSCL-10). post-traumatic stress disorder (PTSD) PCL-5. Results: population highly educated experienced professionals, well prepared for working with COVID-ICU patients. However, 53% felt socially isolated 67% reported a fear infecting others. Probable cases found 12.5% registered 11.6% 4.1% Younger age <5 years previous experiences predictors high HSCL-10 scores. Reported symptom-defined PTSD nurses 7.1%; leaders, 4.1%; 2.3% physicians. Conclusions: health talking colleagues as most helpful source support. leaders significantly higher mean score than physicians terms pushing themselves toward producing effort.

Language: Английский

Citations

23

Risk and protective factors for the possible development of post-traumatic stress disorder among intensive care professionals in France during the first peak of the COVID-19 epidemic DOI Creative Commons
Alexandra Laurent, Alicia Fournier, Florent Lheureux

et al.

European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(1)

Published: Jan. 26, 2022

Background Intensive care units (ICU) are among the healthcare services most affected by COVID-19 crisis. Stressors related to insecurity, unpredictability, patient death and family distress significant, put workers (HCWs) at high risk of post-traumatic stress disorder (PTSD). The aims this study were measure prevalence in HCWs identify factors protective during epidemic France.Methods During first peak (from 22 April 13 May 2020), we assessed sources (PS-ICU scale), mental health (GHQ-12) coping strategies (Brief-COPE). Three months later (03 June 6 July PTSD was using IES-R scale, with additional questions about support. Data collected self-report questionnaires administered online.Results Among 2153 professionals who participated study, 20.6% suffered from potential PTSD, mostly intrusion symptoms. Risk for development having experienced difficult events crisis, a level psychological distress, perceived workload human resources issues, emotional burden family, stressors specific use positive thinking decreased relationship between presence while social support seeking increased relationship. Finally, preferred colleagues, relatives and/or psychologist, very few used telephone hotlines.Conclusion has had strong traumatic impact on intensive HCWs. Given need consider implementing easily-accessible that focus strategies, after

Language: Английский

Citations

21

Predictive Factors of the Burnout Syndrome Occurrence in the Healthcare Workers During the COVID-19 Pandemic DOI Creative Commons
Simona Grigorescu, Ana‐Maria Cazan, Liliana Rogozea

et al.

Frontiers in Medicine, Journal Year: 2022, Volume and Issue: 9

Published: June 9, 2022

The coronavirus disease 2019 (COVID-19) pandemic is probably the most critical epidemiological situation that human civilization has faced in last few decades. In this context, of all professional categories involved management patients with COVID-19 are likely to develop burnout syndrome. main objective study analyze specific predictive factors occurrence and development syndrome healthcare workers diagnosis treatment COVID-19. focused on determining occurrence, maintaining related severe acute respiratory 2 (SARS-CoV-2) infection. was conducted a sample 959 participants, medical personnel from public entities Romania(including 5 hospitals): 122 male 755 female (82 participants did not declare their gender), mean age 42.29 years (SD = 9.97). included 219 doctors, 477 nurses, 214 auxiliary 49 other types hospital workers. A cross-sectional design used. Three predictors were identified: Work conditions, Fear consequences (including death) determined by Need for emotional support. Meaning work had moderating role. Several moderated mediation models tested. indirect relationship conditions via infection statistically significant; addition, effect through both fear need support significant. moderation analysis showed buffer between variance explained model including moderator (30%) higher than Model 1 (27%), showing adding relevant. results could be used interventions reduce workers, implementation strategy motivate employees highlighting recognizing high significance those frontline fight against

Language: Английский

Citations

21

A qualitative study of reinforcement workers’ perceptions and experiences of working in intensive care during the COVID-19 pandemic: A PsyCOVID-ICU substudy DOI Creative Commons
Florian Perraud, Fiona Ecarnot, Mélanie Loiseau

et al.

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(3), P. e0264287 - e0264287

Published: March 4, 2022

Purpose During the COVID pandemic, many hospitals had to mobilize reinforcement healthcare workers, especially in intensive care (ICUs). We investigated perceptions and experiences of workers deployed ICUs, impact deployment on their personal professional lives. Methods For this qualitative study, a random sample 30 was drawn from 4 centres participating larger PsyCOVID-ICU study. Individual semi-structured interviews were held, recorded, transcribed analyzed by thematic analysis. Results Thirty performed April May 2021 (22 nurses, 2 anesthesiology 6 nurses’ aides). Average age 36.8±9.5 years; 7 participants no ICU experience. Four major themes emerged, namely: (1) Difficulties with integration, for those experience; (2) lack training; (3) difficulties management, notably feeling insufficient communication; (4) Mental distress relating unusual work fear contaminating entourage. Conclusion Healthcare as reinforcements ICUs at height pandemic unique experience crisis, identified important gaps organisation preparation. They also suffered marked training, given stakes management critically ill patients ICU.

Language: Английский

Citations

18

Coronavirus disease 2019 aftermath: psychological trauma in ICU healthcare workers DOI
Sarah Wahlster, Christiane S. Hartog

Current Opinion in Critical Care, Journal Year: 2022, Volume and Issue: 28(6), P. 686 - 694

Published: Oct. 18, 2022

Purpose of review We aim to describe the extent psychological trauma and moral distress in healthcare workers (HCW) working intensive care unit (ICU) during coronavirus disease 2019 (COVID-19) pandemic. Specifically, we reports on prevalence mental health symptoms, highlight vulnerable populations summarize modifiable risk factors associated with symptoms ICU HCW. Recent findings The pandemic has resulted a multitude closely intertwined professional personal challenges for High rates posttraumatic stress disorder (14–47%), burnout (45–85%), anxiety (31–60%), depression (16–65%) have been reported, these are often interrelated. Most studies suggest that nurses female HCW at highest developing symptoms. main concerns reporting among were worries about transmitting COVID-19 their families, own health, witnessing colleagues contract disease, experiencing stigma from communities. Major work-related poor communication supervisors, perceived lack support administrative leadership, insufficient access protective equipment, inability rest, hasty end-of-life decisions, restriction family visitation policies. Summary severely impacted worldwide. trauma, manifesting as disorder, burnout, anxiety, depression, is substantial concerning. Urgent action by lawmakers administrators required protect sustain healthy workforce.

Language: Английский

Citations

17

Association of Burnout and Intention‐To‐Leave the Job With Objective Nursing Workload and Nursing Working Environment: A Cross‐Sectional Study Among Intensive Care Nurses DOI Open Access
Arnaud Bruyneel, Jérôme E. Dauvergne, Nicolas Bouckaert

et al.

Journal of Clinical Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 14, 2025

ABSTRACT Aim The objectives of this study were to determine the prevalence burnout risk and intention‐to‐leave among intensive care unit (ICU) nurses analyse association these with workload work environment. Design A cross‐sectional survey working in ICUs was conducted France between 15 January 2024 April alongside a longitudinal assessment during same period. Methods ICU nurse assessed using Nursing Activities Score (NAS). Maslach Burnout Inventory scale hospital binary question. total 1271 61 units completed questionnaire 14,134 NAS per patient 1885 included study. Results median overall by site 64.7% [P25: 53.3–P75: 72.7] for broad definition 20.7% [13.3–27.3] reported an intent‐to‐leave their job. score 135.9% [121.4–156.9] scores exceeding 100% 73.9% [62.8–80.3]. significant found better environment all dimensions as well below associated lower (OR = 0.69, 95% CI: 0.50–0.88 definition) job 0.68, 0.50–0.92). Conclusion This associations intention leave ICUs, mainly due and, lesser extent, nurses. Implications Profession and/or Patient Care In era shortages absenteeism, it is crucial institutions retain nursing staff. Our results should encourage managers take action improve keep workloads manageable decrease Reporting Method article follows STROBE guidelines reporting studies. or Public Contribution No public contribution.

Language: Английский

Citations

0

Burnout Among Physicians and Nurses Working in Intensive Care Units and Emergency Departments: A Systematic Review and Meta-Analysis DOI
Kuan‐Han Lin, Nicholyn Selvanayagam, Subhasish Patnaik

et al.

Journal of Emergency Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0