Examining adaptive models of care implemented in hospital ICUs during the COVID-19 pandemic: a qualitative study.
Linda McGillis HallVanessa RealiSonya CanzianLinda JohnstonCarol HatcherKathryn Hayward-MurrayMikki LaytonJane MerkleyJoy RichardsRu TaggarSusan WoollardPublished in: BMJ open quality (2023)
The implementation of adaptive models of care in ICUs during the COVID-19 pandemic provided a rapid solution for staffing during the surge in critical care patients. Findings from this study highlight some of the challenges of implementing redeployment as a staffing strategy, including how role clarity and accountability can influence the adoption of care delivery models, lead to workarounds and contribute to adverse patient and nurse outcomes.
Keyphrases
- healthcare
- quality improvement
- palliative care
- end stage renal disease
- primary care
- newly diagnosed
- ejection fraction
- pain management
- chronic kidney disease
- affordable care act
- prognostic factors
- peritoneal dialysis
- case report
- emergency department
- adipose tissue
- skeletal muscle
- patient reported
- insulin resistance
- weight loss
- quantum dots