Organizational support, training and equipment are key determinants of burnout among dialysis healthcare professionals during the COVID-19 pandemic

Pawłowicz, Ewa; Forycka, Joanna; Harendarz, Karolina; Stanisławska, Martyna; Makówka, Agnieszka; Nowicki, Michał

doi:10.1007/s40620-022-01418-6

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…35 This has been exacerbated during the COVID-19 pandemic. 36 Our study also found HCPs' work stress reduced their capacity to take an active role in the trial, and thus work stress may impede implementation of new infection-prevention measures. However, McAlearney et al found that nurses' perspectives and action could improve implementation of a central-lineassociated BSI prevention initiative.…”

Section: Discussionmentioning

confidence: 57%

Implementing nasal povidone-iodine decolonization to reduce infections in hemodialysis units: a qualitative assessment

Dukes,

Hockett Sherlock,

Racila

et al. 2024

Infect. Control Hosp. Epidemiol.

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Background: A substantial proportion of patients undergoing hemodialysis carry Staphylococcus aureus in their noses, and carriers are at increased risk of S. aureus bloodstream infections. Our pragmatic clinical trial implemented nasal povidone-iodine (PVI) decolonization for the prevention of bloodstream infections in the novel setting of hemodialysis units. Objective: We aimed to identify pragmatic strategies for implementing PVI decolonization among patients in outpatient hemodialysis units. Design: Qualitative descriptive study. Setting: Outpatient hemodialysis units affiliated with five US academic medical centers. Units varied in size, patient demographics, and geographic location. Interviewees: Sixty-six interviewees including nurses, hemodialysis technicians, research coordinators, and other personnel. Methods: We conducted interviews with personnel affiliated with all five academic medical centers and conducted thematic analysis of transcripts. Results: Hemodialysis units had varied success with patient recruitment, but interviewees reported that patients and healthcare personnel (HCP) found PVI decolonization acceptable and feasible. Leadership support, HCP engagement, and tailored patient-focused tools or strategies facilitated patient engagement and PVI implementation. Interviewees reported both patients and HCP sometimes underestimated patients’ infection risks and experienced infection-prevention fatigue. Other HCP barriers included limited staffing and poor staff engagement. Patient barriers included high health burdens, language barriers, memory issues, and lack of social support. Conclusion: Our qualitative study suggests that PVI decolonization would be acceptable to patients and clinical personnel, and implementation is feasible for outpatient hemodialysis units. Hemodialysis units could facilitate implementation by engaging unit leaders, patients and personnel, and developing education for patients about their infection risk.

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Section: Discussionmentioning

confidence: 57%

Implementing nasal povidone-iodine decolonization to reduce infections in hemodialysis units: a qualitative assessment

Dukes,

Hockett Sherlock,

Racila

et al. 2024

Infect. Control Hosp. Epidemiol.

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“…In addition, patients on hemodialysis are vulnerable to Covid-19 infection due to associated comorbidities & insufficient immune system [9] . The prevention and control of COVID-19 in dialysis units is more difficult than in the general population and is particularly problematic due to frequent patient visits and shared use of the dialysis department [10] .…”

Section: Discussionmentioning

confidence: 99%

Egyptian Retrospective Multicenter Study: The Interrelationship between COVID-19 Infection and Hemodialysis

2023

The Egyptian Journal of Hospital Medicine

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Background: Individuals on dialysis are disproportionately affected by corona virus. It is beneficial to compare the general population's and dialysis population's hospitalisation trends during the COVID-19 pandemic. Objective: To study the clinical presentation of SARS-CoV-2 infection in maintenance hemodialysis patients and identify their clinical sequel and outcomes through comparing the results with non-COVID-19 infection hemodialysis patients, and non-hemodialysis COVID-19 infection patients. Material and Methods: In this retrospective multicenter study 734 Egyptian patients were recruited. The clinical course and outcomes of hemodialysis patients with confirmed COVID, (group I) were compared to non-COVID hemodialysis patients (group II), and non-hemodialysis COVID-19 patients (group III). Results: The most common co-morbidities among group I was hypertension (45%), then diabetes mellitus (28.3%). Fever was the most common symptom (84.4 %) followed by dyspnea (46.9%). The cure rate was 84.4% and mortality was (15.6%). 5.3% of patients needed mechanical ventilation and majority were treated according to Egyptian protocol at home (65.3%). Comparison between (group I) and (group II) revealed that body mass index were significantly higher in group I while comparing investigations of both groups revealed that hemoglobin, hematocrit, leucocytes, platelets, ferritin & C-reactive protein showed statistically significant difference. Unexpectedly, although the need for intensive care admission presented more in group III, mortality significantly increased among group I. Comparing investigations during and after cure there were significant decrease in leucocytes, lymphocytes, and platelets. Conclusion: Obesity, hypertension and diabetes mellitus are important risk factors among hemodialysis patients with COVID-19 infection. Hemoglobin, hematocrit, leucocytes, platelets, ferritin & C-reactive protein are significant investigations for screening of COVID-19 among them, while WBCs, Lymphocytes, and platelets are considerable for follow-up of cure. Unexpectedly the need for ICU admission presented more in non-hemodialysis patients and mortality significantly increased among hemodialysis group with COVID-19.

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“…All nephrologists in this study noted the need for widespread systems change in response to COVID-19. This call for organizational support, improved training, and additional equipment were the conclusions of a subsequent study of burnout in nephrologists during the pandemic [48]. Fear of contagion increased when appropriate personal protective equipment was insufficient.…”

Section: Nephrologymentioning

confidence: 99%

Burnout in Medical Specialists Redeployed to Emergency Care During the COVID-19 Pandemic

Nash

2024

Preprint

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Burnout represents a concern for all healthcare providers, particularly those specializing in emergency medical care for whom burnout outcomes have been well-documented. What remains unknown is the effect of burnout on redeployed medical specialists during the COVID-19 pandemic from an appointment-centered practice to emergency care directed by public health considerations. This research aims to identify and assess the burnout responses of fourteen medical specialties noted in searched returns of the four most cited articles published since 2020 about non-emergency physicians regarding their burnout brought on by the unanticipated need for them to provide emergency care during the recent pandemic. The hypothesis is that medical specialists accustomed to planning for emergency possibilities in their appointment-centered practice would demonstrate the least burnout regarding COVID-19-related emergencies. Considering coping as a process based on Lazarus's research, comparing and ranking the COVID-19 emergency responses across the various normally appointment-centered medical specialties in their employed coping strategies determines the outcome. With the hypothesis supported, suggested interventions for future pandemics—when these specialists are, again, redeployed to emergency care directed by public health considerations—are those coping strategies identified as most effective in reducing burnout while maintaining the viability of the medical specialty and excellent patient care.

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Organizational support, training and equipment are key determinants of burnout among dialysis healthcare professionals during the COVID-19 pandemic

Cited by 6 publications

References 30 publications

Implementing nasal povidone-iodine decolonization to reduce infections in hemodialysis units: a qualitative assessment

Implementing nasal povidone-iodine decolonization to reduce infections in hemodialysis units: a qualitative assessment

Egyptian Retrospective Multicenter Study: The Interrelationship between COVID-19 Infection and Hemodialysis

Burnout in Medical Specialists Redeployed to Emergency Care During the COVID-19 Pandemic

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