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

Burnout, coping and resilience of the cancer care workforce during the SARS-CoV-2: A multinational cross-sectional study DOI Open Access
Constantina Cloconi, Mary Economou, Andreas Charalambous

et al.

European Journal of Oncology Nursing, Journal Year: 2022, Volume and Issue: 63, P. 102204 - 102204

Published: Oct. 18, 2022

Language: Английский

Citations

5
A qualitative study of the perceptions and experiences of healthcare providers caring for critically ill patients during the first wave of the COVID-19 pandemic: A PsyCOVID-ICU substudy DOI Creative Commons
Fiona Ecarnot,

Sandrine Lombion,

Aurélie Pourrez

et al.

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(9), P. e0274326 - e0274326

Published: Sept. 9, 2022

Background Intensive care unit (ICU) staff have faced unprecedented levels of stress, in the context profound upheaval their working environment due to COVID-19 pandemic. We explored perceptions frontline ICU about first wave pandemic, and how this experience impacted personal professional lives. Methods In a qualitative study as part PsyCOVID-ICU project, we conducted semi-structured interviews with random sample nurses nurses’ aides from 5 centres participating main PsyCOVID study. Interviews were recorded fully transcribed, analysed by thematic analysis. Results A total 18 performed 13 August 6 October 2020; nurses, aides. Thematic analysis revealed three major themes, namely: (1) Managing home life; (2) Conditions workplace; (3) meaning profession. Conclusion investigating experiences healthcare workers caring for critically ill patients during France, participants reported that crisis had repercussions on both The factors affecting fear contamination, re-organisation conditions, against background media “infodemic”.

Language: Английский

Citations

4
Psychological Health in Intensive Care Unit Health Care Workers after the COVID-19 Pandemic DOI Open Access
Valeria Carola, Cristina Vincenzo,

Chiara Morale

et al.

Healthcare, Journal Year: 2022, Volume and Issue: 10(11), P. 2201 - 2201

Published: Nov. 2, 2022

Background: Although the COVID-19 pandemic had an impact on general population, health care workers (HCWs) constituted one of groups that were most adversely affected by associated risks, owing to significant consequences their mental health. This study examined these psychological effects HCWs who cared for patients admitted intensive unit in Italian hospital. Methods: Subjects administered several self-reported questionnaires: Kessler 10 Psychological Distress Scale (K10), Perceived Stress Scale-10 (PSS), Impact Event Revised (IES-R), and Post-traumatic Growth Inventory (PTGI), as well two open-ended questions oriented toward understanding positive negative emotional experience differentiating between phases emergency. Results: Overall, 45% showed medium-to-high anxiety/depressive symptoms, whereas 60% presented with levels perceived stress. In addition, 37% subjects developed symptoms PTSD 50% post-traumatic growth “appreciation life” “new possibilities” dimensions. With regard questions, three themes identified: quality workplace relationships, sense emotional-relational competence, clinical-technical competence. macrocategories responses identified answers: block. Conclusions: The are involved front line was significantly impacted this experience, showing high stress anxiety depressive more than 1 year after emergency began. A qualitative analysis staff experiences can be a useful guide structuring interventions prevention.

Language: Английский

Citations

4
Pressure-flow breath representation eases asynchrony identification in mechanically ventilated patients DOI Open Access
Alberto Casagrande,

Francesco Quintavalle,

Enrico Lena

et al.

Journal of Clinical Monitoring and Computing, Journal Year: 2021, Volume and Issue: 36(5), P. 1499 - 1508

Published: Dec. 29, 2021

Language: Английский

Citations

4
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

Citations

1