Battling Burnout at the Frontlines of Health Care Amid COVID-19

Howell, Beverly Ann M

doi:10.4037/aacnacc2021454

Cited by 18 publications

(23 citation statements)

References 24 publications

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“…Inevitably, HCWs experienced immense pressure and eventually burnout, which is a major contributor to turnover intention [ 55 ]. Burnout accompanies the progression of emotional overburdening, deteriorating mental well-being, and job dissatisfaction, which may drive HCWs to conclude that resignation is their best option [ 80 ]. In hindsight, these phenomena could be alleviated by judicious considerations of the consequences and the initiation of mitigating health policy measures.…”

Section: Discussionmentioning

confidence: 99%

A global overview of healthcare workers’ turnover intention amid COVID-19 pandemic: a systematic review with future directions

et al. 2022

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Background Globally, the health workforce has long suffered from labour shortages. This has been exacerbated by the workload increase caused by the COVID-19 pandemic. Major collapses in healthcare systems across the world during the peak of the pandemic led to calls for strategies to alleviate the increasing job attrition problem within the healthcare sector. This turnover may worsen given the overwhelming pressures experienced by the health workforce during the pandemic, and proactive measures should be taken to retain healthcare workers. This review aims to examine the factors affecting turnover intention among healthcare workers during the COVID-19 pandemic. Methods A mixed studies systematic review was conducted. The PubMed, Embase, Scopus, CINAHL, Web of Science and PsycINFO databases were searched from January 2020 to March 2022. The Joanna Briggs Institute’s Critical Appraisal Tools and the Mixed Methods Appraisal Tool version 2018 were applied by two independent researchers to critically appraise the methodological quality. Findings were synthesised using a convergent integrated approach and categorised thematically. Results Forty-three studies, including 39 quantitative, two qualitative and two mixed methods studies were included in this review. Eighteen were conducted in the Middle East, ten in the Americas, nine in the Asia–Pacific region and six in Europe. Nurses (n = 35) were included in the majority of the studies, while physicians (n = 13), allied health workers (n = 11) and healthcare administrative or management staff (n = 7) were included in a smaller proportion. Five themes emerged from the data synthesis: (1) fear of COVID-19 exposure, (2) psychological responses to stress, (3) socio-demographic characteristics, (4) adverse working conditions, and (5) organisational support. Conclusions A wide range of factors influence healthcare workers’ turnover intention in times of pandemic. Future research should be more focused on specific factors, such as working conditions or burnout, and specific vulnerable groups, including migrant healthcare workers and healthcare profession minorities, to aid policymakers in adopting strategies to support and incentivise them to retain them in their healthcare jobs.

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Section: Discussionmentioning

confidence: 99%

A global overview of healthcare workers’ turnover intention amid COVID-19 pandemic: a systematic review with future directions

et al. 2022

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“…Using person centredness as a theoretical framework, they found that the pandemic made best practice difficult for nurse leaders as they had to adapt their leadership. Some thrived and innovated to new ways of working, whereas others struggled with a crisis of leader (Allen, 2020;Brodrick et al, 2020;Digby et al, 2021;Fortgang, 2021;Markey et al, 2021;Moore, 2020;Quinn et al, 2021;Raderstorf et al, 2020;Rossa et al, 2020;Rosser et al, 2020;Vogel & Flint, 2021) M: Multiple communication methods (listening, being present, team huddles, protocols, emails, zoom, Schwartz Rounds, collaborative dialogue, horizontal and vertical communication (Abbu, 2021;Allen, 2020;Brodrick et al, 2020;Catania et al, 2021;Croke, 2020;Digby et al, 2021;Dimino et al, 2020;Ernst, 2020;Fortgang, 2021;Hoffmann et al, 2020;Hofmeyer & Taylor, 2021;Holge-Hazelton et al, 2021;Howell, 2021;…”

Section: Being Open and Engagingmentioning

confidence: 99%

“…M: Multiple communication methods (listening, being present, team huddles, protocols, emails, zoom, Schwartz Rounds, collaborative dialogue, horizontal and vertical communication (Abbu, 2021; Allen, 2020; Brodrick et al, 2020; Catania et al, 2021; Croke, 2020; Digby et al, 2021; Dimino et al, 2020; Ernst, 2020; Fortgang, 2021; Hoffmann et al, 2020; Hofmeyer & Taylor, 2021; Holge‐Hazelton et al, 2021; Howell, 2021; Markey et al, 2021; Merchant, 2021; Moore, 2020; Rossa et al, 2020; Vogel & Flint, 2021; Yoder‐Wise et al, 2021)…”

Section: Data Extractionmentioning

confidence: 99%

UK nurses' and midwives' experiences of healthful leadership practices during the COVID‐19 pandemic: A rapid realist review

Dickson

Davies

McCormack

et al. 2022

J Nursing Management

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Aim To explore healthful leadership practices in nursing and midwifery evident within the Covid‐19 pandemic in the UK, the contextual facilitators, barriers, and outcomes. Background Globally, the health and care sector are under pressure and despite nurses and other professionals demonstrating resilience and resourcefulness in the COVID‐19 pandemic, this has negatively impacted on their health and wellbeing and on patient care. Evaluation Two searches were conducted in July 2021 and December 2021. Inclusion/exclusion criteria were identified to refine the search, including papers written since the beginning of the pandemic in 2020. A total of 38 papers were included principally from the USA and UK. 10 were research papers, the others were commentaries, opinion pieces and editorials. MS Teams literature repository was created. A unique critical appraisal tool was devised to capture contexts, mechanisms and outcomes whilst reflecting more standardised tools i.e., the Critical Appraisal Skills Programme and the Authority, Accuracy, Coverage, Objectivity and Date tool (AACOD) tool for reviewing grey literature to refine the search further. Key Issues Six tentative theories of healthful leadership emerged from the literature around leadership strategies which are relational, being visible and present; being open and engaging; caring for self and others; embodying values; being prepared and preparing others and u sing available information and support . Contextual factors that enable healthful leadership practices are in the main, created by leaders’ values, attributes, and style, as well as the culture within which they lead. The literature suggests leaders who embody values of compassion, empathy, courage, and authenticity create conditions for positive and healthful relations between leaders and others. Nurse and midwives’ voices are however absent from the literature in this review. Conclusion Current available literature would suggest healthful leadership practices are not prioritized by nurse leaders but the perspectives of nurses’ and midwives’ about the impact of such practices on their well‐being is missing. Tentative theories are offered as a means of identifying healthful leadership strategies, the context that enable these and potential outcomes for nurses an midwives. These will be explored in phase two of this study. Implications for nursing management Nurse leaders must be adequately prepared to create working environments that support nurses’ and midwives’ wellbeing, so that they may be able to provide high quality care. Ensuring a supportive organisational culture which embodies the values of healthfulness may help to mitigate the impact of the COVID‐19 pandemic on nurses’ and midwives’ wellbeing in the immediate afte...

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“…The global Coronavirus disease 2019 (COVID-19) pandemic has resulted in an influx of acute critical illness patients requiring basic and advanced life support in the intensive care unit [ 53 ]. To expand critical care capacity and maximize safety for everybody, critical care leaders have battled with difficult decisions about which services should be emphasized, which should be curtailed, and which should be stopped in preparation for the expected surge of patients with COVID-19 [ 54 ]. Although critical care research is always vital, it is a top priority worldwide during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Pandemic Critical Care Research during the COVID‐19 (2020‐2022): A Bibliometric Analysis Using VOSviewer

Ageel

2022

BioMed Research International

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This paper has reviewed the global research on the pandemic critical care research during the COVID-19 from 2020 to 2022. To this end, a bibliometric and cluster analysis by full counting has been carried out using VOSviewer software and bibliographic data extracted from the Scopus database. The research found and studied 2778 documents. The types of research documents were limited to an article (81.46%), a letter (9.43%), an editorial (3.92%), a note (3.92%), a conference paper (0.90), and a short survey (0.04%). The results show an incessant increase in the number of research documents published and citations received during the COVID-19 pandemic. The U.S., U.K., Italy, and France have been shown to be the most productive countries, and there is a predominance of European institutions supporting and fostering research on pandemic critical care. Cecconi, M. (Italy) and Shankar-Hari, M. (U.K.) produced the highest number of research documents. Mapping of citation, co-citation, co-authorship, and keyword cooccurrence highlighted the hotspot, knowledge structure, and important themes. Citation dynamics for the top-cited research documents revealed static discourse. By reviewing the evolutionary trends of pandemic critical care research investigated factors, such as the influential works, main research topics, and the research frontiers, this paper reveals the scientific literature production’s main research objectives and directions that could be addressed and explored in future studies. This paper reveals the scientific literature production’s main research objectives and directions that could be addressed and explored in future studies after reviewing the evolutionary trends of pandemic critical care research during the COVID-19 and the investigated factors, such as influential works, main research topics, and research frontiers.

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Battling Burnout at the Frontlines of Health Care Amid COVID-19

Cited by 18 publications

References 24 publications

A global overview of healthcare workers’ turnover intention amid COVID-19 pandemic: a systematic review with future directions

A global overview of healthcare workers’ turnover intention amid COVID-19 pandemic: a systematic review with future directions

UK nurses' and midwives' experiences of healthful leadership practices during the COVID‐19 pandemic: A rapid realist review

Pandemic Critical Care Research during the COVID‐19 (2020‐2022): A Bibliometric Analysis Using VOSviewer

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