The powder keg: Lessons learned about clinical staff preparedness during the early phase of the COVID-19 pandemic.


Journal

American journal of infection control
ISSN: 1527-3296
Titre abrégé: Am J Infect Control
Pays: United States
ID NLM: 8004854

Informations de publication

Date de publication:
04 2021
Historique:
received: 04 06 2020
revised: 08 10 2020
accepted: 12 10 2020
pubmed: 23 10 2020
medline: 14 4 2021
entrez: 22 10 2020
Statut: ppublish

Résumé

Little is known about clinical staff's perspectives on preparedness for a pandemic. The purpose of this study was to obtain various clinical staff perspectives about preparedness to meet the demands for care during the early phase of the SARS-CoV-2 (COVID-19) pandemic. We conducted a qualitative study using semistructured in-person interviews from March 2020 to April 2020 at a large tertiary academic urban hospital center. Interview guides were informed by the Resilience Framework for Public Health Emergency Preparedness and analyzed using a directed content analysis approach. Fifty-five clinical staff participated in the study. Three themes emerged from the data (1) Risk assessment and planning: "The powder keg," (2) Innovative evolution of roles and responsibilities, and (3) Pandemic response and capacity. In the early phases of the pandemic, participants reported varying levels of risks for dying. However, most participants adapted to practice changes and became innovative in their roles over time. Hierarchies were less relevant during care delivery, whereas team collaboration became crucial in managing workforce capacity. As the pandemic progressed, staff preparedness evolved through a trial-and-error approach. The pandemic is evolving as is clinical staff preparedness to meet the demands of a pandemic. In order to get a grasp on the crisis, clinical staff relied on each other and resorted to new workarounds.

Sections du résumé

BACKGROUND
Little is known about clinical staff's perspectives on preparedness for a pandemic. The purpose of this study was to obtain various clinical staff perspectives about preparedness to meet the demands for care during the early phase of the SARS-CoV-2 (COVID-19) pandemic.
METHODS
We conducted a qualitative study using semistructured in-person interviews from March 2020 to April 2020 at a large tertiary academic urban hospital center. Interview guides were informed by the Resilience Framework for Public Health Emergency Preparedness and analyzed using a directed content analysis approach.
RESULTS
Fifty-five clinical staff participated in the study. Three themes emerged from the data (1) Risk assessment and planning: "The powder keg," (2) Innovative evolution of roles and responsibilities, and (3) Pandemic response and capacity. In the early phases of the pandemic, participants reported varying levels of risks for dying. However, most participants adapted to practice changes and became innovative in their roles over time. Hierarchies were less relevant during care delivery, whereas team collaboration became crucial in managing workforce capacity.
DISCUSSION
As the pandemic progressed, staff preparedness evolved through a trial-and-error approach.
CONCLUSIONS
The pandemic is evolving as is clinical staff preparedness to meet the demands of a pandemic. In order to get a grasp on the crisis, clinical staff relied on each other and resorted to new workarounds.

Identifiants

pubmed: 33091508
pii: S0196-6553(20)30933-0
doi: 10.1016/j.ajic.2020.10.014
pmc: PMC7573671
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

478-483

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States

Informations de copyright

Copyright © 2020 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

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Auteurs

Sainfer Aliyu (S)

MedStar Washington Hospital Center, Washington, DC. Electronic address: sainfer.e.aliyu@medstar.net.

Allison A Norful (AA)

Columbia University School of Nursing, New York, NY.

Krista Schroeder (K)

Temple University College of Public Health, Philadelphia, PA.

Michelle Odlum (M)

Columbia University School of Nursing, New York, NY.

Bonnie Glica (B)

MedStar Washington Hospital Center, Washington, DC.

Jasmine L Travers (JL)

New York University Rory Meyers College of Nursing, New York, NY.

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