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
- chronic kidney disease
- ejection fraction
- newly diagnosed
- affordable care act
- pain management
- peritoneal dialysis
- type diabetes
- emergency department
- patient reported outcomes
- health insurance
- skeletal muscle
- adverse drug
- adipose tissue
- insulin resistance
- chronic pain
- drug induced