What strategies can hospital administrations take to alleviate and prevent psychological issues encountered by clinicians on the Covid-19 frontlines?

Clinicians caring for Covid-19 patients have shown multiple signs of stress including anxiety, depression and sleep disturbance.1 Predictors of these adverse effects include young age, low work experience, female gender, heavy workload, working in unsafe settings, and lack of training and social support.2

Issues in COVID-19 care that may provoke these problems include “limited information about COVID-19, unpredictable tasks and challenging practices, insufficient support, concerns about family, and emotional and psychological stress”3, as well as “working in an isolated environment, concerns about personal protective equipment shortage and usage, physical and emotional exhaustion, intensive workload, fear of being infected, and insufficient work experiences with COVID-19.”4

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What are some strategies to increase compliance of correctly completing the bedside shift reports?

“Bedside report is an evidence-based practice used to increase patient involvement in their care and improve patient satisfaction. A change management strategy and standardized approach to bedside report can help increase nurse compliance with the process.”
In this study “A change management strategy and standardized approach to bedside report helped increase nurse compliance with the process, leading to improved patient satisfaction.”

Scheidenhelm, S, et. al  Hardwiring Bedside Shift Report. (2017). Journal of Nursing Administration., 47(3), 147.

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