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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.

ABSTRACT:

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.

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.

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.

SUBMITTER: Sprung CL

PROVIDER: S-EPMC10007715 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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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.

Sprung Charles L CL Devereaux Asha V AV Ghazipura Marya M Burry Lisa D LD Hossain Tanzib T Hamele Mitchell T MT Gist Ramon E RE Dempsey Timothy M TM Dichter Jeffrey R JR Henry Kiersten N KN Niven Alexander S AS Alptunaer Timur T Huffines Meredith M Bowden Kasey R KR Martland Anne Marie O AMO Felzer Jamie R JR Mitchell Steven H SH Tosh Pritish K PK Persoff Jason J Mukherjee Vikramjit V Downar James J Báez Amado A AA Maves Ryan C RC

Chest 20230311 1

<h4>Background</h4>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.<h4>Research question</h4>In health care workers, what are key systemic factors and interventions impacting mental health and burnout?<h4>Study design and methods</h4>The Workforce Sustainment subcommittee of the Task Force for Mass Critical Care (TFMCC) utilized a consensus developme ...[more]

PMID: 36907373

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