Evidence map›Paper›PMID 36371294›Full record

ArticleAustralian critical care : official journal of the Confederation of Australian Critical Care Nurses2023

The impact of the COVID-19 pandemic on critical care healthcare professionals' work practices and wellbeing: A qualitative study.

Rosalind Elliott, Liz Crowe, Wendy Pollock, Naomi E Hammond

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Rosalind ElliottMalcolm Fisher Department of Intensive Care, Royal North Shore Hospital and Centre for Nursing and Midwifery Research, Northern Sydney Local Health District, Pacific Highway, St Leonards NSW 2065 Australia; Faculty of Health, University of Technology, Ultimo NSW 2007 Australia. Electronic address: Rosalind.Elliott@health.nsw.gov.au.
Liz CroweSchool of Medicine, Brisbane, The University of Queensland, 20 Weightman Street, Herston QLD 4006 Australia; Queensland Children's Hospital, 501 Stanley Street, South Brisbane, QLD 4101 Australia. Electronic address: Liz.Crowe@health.qld.gov.au.
Wendy PollockFaculty of Medicine, Nursing and Health Sciences, Monash University, 35 Rainforest Walk, Clayton, VIC 3800, Australia; Department of Nursing, Midwifery and Health, Northumbria University, Benton, Newcastle-upon-Tyne, NE7 7XA, UK. Electronic address: wendy.pollock@monash.edu.
Naomi E HammondMalcolm Fisher Department of Intensive Care, Royal North Shore Hospital and Centre for Nursing and Midwifery Research, Northern Sydney Local Health District, Pacific Highway, St Leonards NSW 2065 Australia; Critical Care Division, The George Institute for Global Health and University of NSW, Level 5, 1 King Street, Newtown NSW 2042 Australia. Electronic address: nhammond@georgeinstitute.org.au.
Northumbria University · GBRoyal North Shore Hospital · AUThe University of Queensland · AUUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout and other psychological comorbidities were evident prior to the COVID-19 pandemic for critical care healthcare professionals (HCPs) who have been at the forefront of the health response. Current research suggests an escalation or worsening of these impacts as a result of the COVID-19 pandemic.

objectivesThe objective of this study was to undertake an in-depth exploration of the impact of the evolving COVID-19 pandemic on the wellbeing of HCPs working in critical care.

methodsThis was a qualitative study using online focus groups (n = 5) with critical care HCPs (n = 31, 7 medical doctors and 24 nurses) in 2021: one with United Kingdom-based participants (n = 11) and four with Australia-based participants (n = 20). Thematic analysis of qualitative data from focus groups was performed using Gibbs framework.

findingsFive themes were synthesised: transformation of anxiety and fear throughout the pandemic, the burden of responsibility, moral distress, COVID-19 intruding into all aspects of life, and strategies and factors that sustained wellbeing during the pandemic. Moral distress was a dominant feature, and intrusiveness of the pandemic into all aspects of life was a novel finding.

conclusionsThe COVID-19 pandemic has adversely impacted critical care HCPs and their work experience and wellbeing. The intrusiveness of the pandemic into all aspects of life was a novel finding. Moral distress was a predominate feature of their experience. Leaders of healthcare organisations should ensure that interventions to improve and maintain the wellbeing of HCPs are implemented.

Indexed as

COVID-19Critical CareFocus GroupsHumansPandemicsQualitative ResearchCOVID-19 pandemicCritical careFocus groupsHealthcare professionalsHealthcare workersPsychologicalStressThematic analysisWellbeing

Identifiers

PMID36371294
PMCPMC9550671
OpenAlexW4304172454

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.