ArticleThe Lancet regional health. Western Pacific2022
Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region.
Article in The Lancet regional health. Western Pacific, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Frontline Healthcare Workers' Reflections on Operationalizing the COVID-19 Pandemic Response: A Qualitative Study.Journal of nursing management · 2026Article
- Article
- The future of pandemic modeling in support of decision making: lessons learned from COVID-19.BMC global and public health · 2025Article
- Trust: an essential component in nursing crisis leadership; a hybrid concept analysis.BMC nursing · 2025Article
- Role of hospital leadership in pandemic preparedness: experience at a tertiary hospital in Kenya during the COVID-19 pandemic.BMJ leader · 2024Article
- Women on the frontline: exploring the gendered experience for Pacific healthcare workers during the COVID-19 pandemic.The Lancet regional health. Western Pacific · 2024Article
- A step towards reinvigorating the COVID-19 response: an intra-action review of the WHO Regional Office for Africa Incident Management Support Team.BMJ global health · 2023Review
- Descriptive assessment of COVID-19 responses and lessons learnt in Cambodia, January 2020 to June 2022.BMJ global health · 2023Article
- Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic.The Lancet regional health. Western Pacific · 2023Article
- Doctors' Professional and Personal Reflections: A Qualitative Exploration of Physicians' Views and Coping during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Assessing pandemic preparedness, response, and lessons learned from the COVID-19 pandemic in four south American countries: agenda for the future.Frontiers in public health · 2023Article
- "When all else fails you have to come to the emergency department": Overarching lessons about emergency care resilience from frontline clinicians in Pacific Island countries and territories during the COVID-19 pandemic.The Lancet regional health. Western Pacific · 2022Review
- Supporting each other: Pacific emergency care clinicians navigate COVID-19 pandemic challenges through collaboration.The Lancet regional health. Western Pacific · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Universal access to safe, effective emergency care (EC) during the COVID-19 pandemic has illustrated its centrality to healthcare systems. The 'Leadership and Governance' building block provides policy, accountability and stewardship to health systems, and is essential to determining effectiveness of pandemic response. This study aimed to explore the experience of leadership and governance during the COVID-19 pandemic from frontline clinicians and stakeholders across the Pacific region. Methods: Australian and Pacific researchers collaborated to conduct this large, qualitative research project in three phases between March 2020 and July 2021. Data was gathered from 116 Pacific regional participants through online support forums, in-depth interviews and focus groups. A phenomenological approach shaped inductive and deductive data analysis, within a previously identified Pacific EC systems building block framework. Findings: Politics profoundly influenced pandemic response effectiveness, even at the clinical coalface. Experienced clinicians spoke authoritatively to decision-makers; focusing on safety, quality and service duty. Rapid adaptability, past surge event experience, team-focus and systems-thinking enabled EC leadership. Transparent communication, collaboration, mutual respect and trust created unity between frontline clinicians and 'top-level' administrators. Pacific cultural assets of relationship-building and community cohesion strengthened responses. Interpretation: Effective governance occurs when political, administrative and clinical actors work collaboratively in relationships characterised by trust, transparency, altruism and evidence. Trained, supported EC leadership will enhance frontline service provision, health security preparedness and future Universal Health Coverage goals. Funding: Epidemic Ethics/World Health Organization (WHO), Foreign, Commonwealth and Development Office/Wellcome Grant 214711/Z/18/Z. Co-funding: Australasian College for Emergency Medicine Foundation, International Development Fund Grant.
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