A critical care pandemic staffing framework in Australia.

Australia / epidemiology COVID-19 / epidemiology Critical Care / organization & administration Health Workforce / organization & administration Humans Pandemics Personnel Staffing and Scheduling / organization & administration SARS-CoV-2
Allied health Coronavirus disease Education Infection prevention and control Models of care Nursing Pandemic Surge capacity Workforce

Journal

Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
ISSN: 1036-7314
Titre abrégé: Aust Crit Care
Pays: Australia
ID NLM: 9207852

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 19 07 2020
revised: 30 08 2020
accepted: 31 08 2020
pubmed: 12 10 2020
medline: 27 3 2021
entrez: 11 10 2020
Statut: ppublish

Résumé

Pandemics and the large-scale outbreak of infectious disease can significantly impact morbidity and mortality worldwide. The impact on intensive care resources can be significant and often require modification of service delivery, a key element which includes rapid expansion of the critical care workforce. Pandemics are also unpredictable, which necessitates rapid decision-making and action which, in the lack of experience and guidance, may be extremely challenging. Recognising the potential strain on intensive care units (ICUs), particularly on staffing, a working group was formed for the purpose of developing recommendations to support decision-making during rapid service expansion. The Critical Care Pandemic Staffing Working Party (n = 21), representing nursing, allied health, and medical disciplines, has used a modified consensus approach to provide recommendations to inform multidisciplinary workforce capacity expansion planning in critical care. A total of 60 recommendations have been proposed which reflect general recommendations as well as those specific to maintaining the critical care workforce, expanding the critical care workforce, rostering and allocation of the critical care workforce, nurse-specific recommendations for staffing the ICU, education support and training during ICU surge situations, workforce support, models of care, and de-escalation. These recommendations are provided with the intent that they be used to guide interdisciplinary decision-making, and we suggest that careful consideration is given to the local context to determine which recommendations are most appropriate to implement and how they are prioritised. Ongoing evaluation of recommendation implementation and impact will be necessary, particularly in rapidly changing clinical contexts.

Sections du résumé

BACKGROUND BACKGROUND
Pandemics and the large-scale outbreak of infectious disease can significantly impact morbidity and mortality worldwide. The impact on intensive care resources can be significant and often require modification of service delivery, a key element which includes rapid expansion of the critical care workforce. Pandemics are also unpredictable, which necessitates rapid decision-making and action which, in the lack of experience and guidance, may be extremely challenging. Recognising the potential strain on intensive care units (ICUs), particularly on staffing, a working group was formed for the purpose of developing recommendations to support decision-making during rapid service expansion.
METHODS METHODS
The Critical Care Pandemic Staffing Working Party (n = 21), representing nursing, allied health, and medical disciplines, has used a modified consensus approach to provide recommendations to inform multidisciplinary workforce capacity expansion planning in critical care.
RESULTS RESULTS
A total of 60 recommendations have been proposed which reflect general recommendations as well as those specific to maintaining the critical care workforce, expanding the critical care workforce, rostering and allocation of the critical care workforce, nurse-specific recommendations for staffing the ICU, education support and training during ICU surge situations, workforce support, models of care, and de-escalation.
CONCLUSION CONCLUSIONS
These recommendations are provided with the intent that they be used to guide interdisciplinary decision-making, and we suggest that careful consideration is given to the local context to determine which recommendations are most appropriate to implement and how they are prioritised. Ongoing evaluation of recommendation implementation and impact will be necessary, particularly in rapidly changing clinical contexts.

Identifiants

DOI: 10.1016/j.aucc.2020.08.007 PMID: 33039301 PMC: PMC7543889
pubmed: 33039301
pii: S1036-7314(20)30300-3
doi: 10.1016/j.aucc.2020.08.007
pmc: PMC7543889
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

123-131

Commentaires et corrections

Type : CommentIn
Type : CommentIn
Type : CommentIn
Type : CommentIn

Informations de copyright

Copyright © 2020 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

Auteurs

Andrea P Marshall (AP)

Intensive Care Unit, Gold Coast University Hospital, E 2.015, 1 Hospital Blvd, Southport, 4212, QLD, Australia; Griffith University, Parklands Drive, Southport, 4212, QLD, Australia. Electronic address: a.marshall@griffith.edu.au.

Danielle E Austin (DE)

Intensive Care Unit, Liverpool Hospital, Elizabeth and Goulburn St., Liverpool, 2170, NSW, Australia; University of NSW, High Street, Kensington, 2052, NSW, Australia. Electronic address: danielle.austin@health.nsw.gov.au.

Di Chamberlain (D)

Flinders University, Sturt Rd, Bedford Park, SA, Australia. Electronic address: di.chamberlain@flinders.edu.au.

Lee-Anne S Chapple (LS)

Intensive Care Research, Royal Adelaide Hospital, Port Road, Adelaide, 5000, SA, Australia; Discipline of Acute Care Medicine, Faculty of Health and Medical Sciences, University of Adelaide, North Terrace, Adelaide, 5000, SA, Australia. Electronic address: lee-anne.chapple@adelaide.edu.au.

Michele Cree (M)

Queensland Children's Hospital and Children's Health Queensland, 501 Stanley Street, South Brisbane, 4101, Queensland, Australi; Society of Hospital Pharmacists Australia, Collingwood, 3066, Victoria, Australia. Electronic address: michele.cree@health.qld.gov.au.

Kate Fetterplace (K)

Allied Health (Clinical Nutrition), Royal Melbourne Hospital, Parkville, 3050, Victoria, Australia; The University of Melbourne, Melbourne Medical School, Victoria, Australia. Electronic address: Kate.fetterplace@mh.org.au.

Michelle Foster (M)

Emergency and Assessment Services, Gold Coast Health, 1 Hospital Blvd, Southport, 4215, QLD, Australia. Electronic address: Michelle.foster@health.qld.gov.au.

Amy Freeman-Sanderson (A)

University of Technology Sydney, Graduate School of Health, 100 Broadway, Sydney, 2007, NSW, Australia; Speech Pathology Department, Royal Prince Alfred Hospital, Missenden Road, Camperdown, 2050, NSW, Australia; The George Institute for Global Health, Level 10, King George V Building, Royal Prince Alfred Hospital, Missenden Road, Camperdown, 2050, NSW, Australia. Electronic address: amy.freeman-sanderson@uts.edu.au.

Rachel Fyfe (R)

Society of Hospital Pharmacists Australia, Collingwood, 3066, Victoria, Australia; Pharmacy Department, Barwon Health, Bellerine Street, Geelong, 3220, Victoria, Australia. Electronic address: rachel.fyfe@barwonhealth.org.au.

Bernadette A Grealy (BA)

Critical Care & Perioperative Services Program, Central Adelaide Local Health Network, Port Road, Adelaide, 5000, South Australia, Australia. Electronic address: Bernadette.grealy@sa.gov.au.

Alison Hodak (A)

High Dependency Unit, Flinders Medical Centre, SA Health, Flinders Drive, Bedford Park, 5042, SA, Australia. Electronic address: Alison.hodak@sa.gov.au.

Anthony Holley (A)

Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital, Butterfield St., Herston, QLD, Australia; Australian and New Zealand Intensive Care Society, 1.01 Level 1, 277 Camberwell Road, Camberwell, VIC, 3124, Australia. Electronic address: anthony.holley@health.qld.gov.au.

Peter Kruger (P)

Intensive Care Unit, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, QLD, Australia; Faculty of Medicine, University of Queensland, Brisbane, QLD, 4072, Australia. Electronic address: p.kruger1@uq.edu.au.

Geraldine Kucharski (G)

Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital, Butterfield St., Herston, QLD, Australia. Electronic address: Geraldine.Kucharski@health.qld.gov.au.

Wendy Pollock (W)

Nursing, Midwifery & Health, Northumbria University, Newcastle-upon-Tyne, UK. Electronic address: wendy.pollock@northumbria.ac.uk.

Emma Ridley (E)

Australia and New Zealand Intensive Care Research Centre, Monash University, 553 St Kilda Rd, Melbourne, 3004, VIC, Australia. Electronic address: emma.ridley@monash.edu.

Penny Stewart (P)

Intensive Care Unit, Alice Springs Hospital, 6 Gap Rd, The Gap, NT, 0870, Australia. Electronic address: Penny.stewart@nt.gov.au.

Peter Thomas (P)

Department of Physiotherapy, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, QLD, Australia. Electronic address: peterj.thomas@health.qld.gov.au.

Kym Torresi (K)

Speech Pathology Australia, 114 William St, Melbourne, 3000, VIC, Australia. Electronic address: agedcare@speechpathologyaustralia.org.au.

Linda Williams (L)

Agency for Clinical Innovation, NSW Health, 1 Reserve Rd, St Leonards, NSW, 2065, Australia. Electronic address: Linda.williams3@health.nsw.gov.au.

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Classifications MeSH

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questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › A critical care pandemic staffing framework in...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins de réanimation › A critical care pandemic staffing framework in...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Ressources en santé › Main-d'oeuvre en santé › A critical care pandemic staffing framework in...
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questionsmedicales.fr › Environnement et santé publique › Santé publique › Épidémies de maladies › Épidémies › Pandémies › A critical care pandemic staffing framework in...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Affectation du personnel et organisation du temps de travail › A critical care pandemic staffing framework in...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Virus du SRAS › SARS-CoV-2 › A critical care pandemic staffing framework in...