Institute of Global Health Innovation, Imperial College London, Faculty Building, South, Kensington Campus, London SW7 2AZ, UK.
Int J Qual Health Care. 2021 Feb 20;33(1). doi: 10.1093/intqhc/mzaa153.
The implications of severe acute respiratory syndrome coronavirus (SARS-CoV-2, henceforth described as COVID-19) on healthcare systems globally are proving to be immense, with unforeseen impacts that are still to fully emerge. Local and national healthcare systems, hospitals and healthcare workers have been overwhelmed by the needs of patients and limited by weaknesses in resources, staff capacity and distribution networks. These circumstances impact the ergonomic conditions within which healthcare staff work and subsequently their behavioural responses.In this commentary, we argue that urgent research is needed globally to bridge the evidence gap that exists on how best to support healthcare workers with the repercussions of working on the frontline of a pandemic. Leadership on the frontline is what matters. It is not only what policies, guidelines and checklists are in place to support nurses, doctors and healthcare workers, it is the actions and behaviours of their frontline and local leaders in implementing initiatives that really make the difference.Recognizing that the leadership style, organizational culture and model of successful implementation are inextricable is the first step to ensure sustainable interventions to support healthcare workers' well-being will follow.
严重急性呼吸综合征冠状病毒（SARS-CoV-2，此后简称 COVID-19）对全球医疗体系的影响巨大，其尚未完全显现的影响仍在持续。地方和国家医疗体系、医院和医护人员都不堪重负，难以满足患者的需求，且受到资源、人员能力和分配网络等方面弱点的限制。这些情况影响了医护人员工作的人体工效学条件，进而影响了他们的行为反应。在这篇评论中，我们认为全球急需开展研究，以填补关于如何为在大流行一线工作的医护人员提供支持的最佳方法方面存在的证据空白。一线领导至关重要。关键不仅在于是否有政策、指南和清单来支持护士、医生和医护人员，还在于一线和当地领导在实施倡议时的行动和行为，这才是真正的关键。认识到领导风格、组织文化和成功实施模式是不可分割的，这是确保后续采取可持续干预措施来支持医护人员福祉的第一步。
