School of Nursing and Midwifery, Edith Cowan University, Perth, Western Australia, Australia.
Centre for Nursing Research, Sir Charles Gardiner Osbourne Park Healthcare Group, Perth, Western Australia, Australia.
J Adv Nurs. 2023 Dec;79(12):4434-4454. doi: 10.1111/jan.15690. Epub 2023 May 18.
To review and synthesize available evidence exploring the impact of pandemics on direct healthcare providers' workloads in the acute care setting.
Scoping review.
A review of English research articles published up to August 2022 that examined the impact of pandemics on healthcare providers' workloads was undertaken. Studies were identified by searching four electronic databases: Medline (EBSCO), CINAHL (EBSCO), Web of Science and PsychInfo (EBSCO). Fifty-five studies met the inclusion criteria.
The review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses Scoping Review checklist.
Healthcare workers experience an increase in workload pressures during a pandemic. This included patients requiring more care, undertaking non-normal work activities, increase in work content including changes to documentation, increase in demand and skills required, an increase in overtime and hours of work per week and higher patient-to-nurse ratios. The review also highlighted changes to the work environment and worsened work environments, including staffing shortages.
Focused efforts from health organizations to prioritize supportive conditions, policies focused on improved work environments, staffing adequacy and fair and reasonable workloads will enhance retention of the current workforce and future planning for pandemics.
Understanding workload challenges faced by frontline health professionals during the pandemic can improve planning, including policies and procedures, and resource allocation for future pandemic or emergency situations. In addition, extended periods of high workloads can impact staff retention. As many countries return to life after COVID-19, it is important that healthcare organizations examine staff pressures and identify ways to support staff moving forward. This will be vital for the future sustainability of the workforce.
No patient or public contribution.
综述和综合现有证据，探讨大流行对急性护理环境中直接医疗保健提供者工作量的影响。
范围综述。
对截至 2022 年 8 月发表的、探讨大流行对医疗保健提供者工作量影响的英文研究文章进行了回顾。通过在四个电子数据库（Medline[EBSCO]、CINAHL[EBSCO]、Web of Science 和 PsychInfo[EBSCO]）中搜索，确定了研究。有 55 项研究符合纳入标准。
综述遵循系统评价和荟萃分析范围综述首选报告项目清单。
医护人员在大流行期间经历了工作量压力的增加。这包括需要更多护理的患者、从事非正常工作活动、工作内容增加，包括文件记录的更改、需求和技能要求增加、加班和每周工作时间增加以及患者与护士的比例增加。该综述还强调了工作环境的变化和恶化的工作环境，包括人员配备短缺。
卫生组织集中精力优先考虑支持条件、以改善工作环境、人员配备充足和公平合理的工作量为重点的政策，将提高现有劳动力的留用率，并为未来的大流行做好规划。
了解大流行期间一线卫生专业人员面临的工作量挑战可以改善规划，包括政策和程序以及未来大流行或紧急情况的资源分配。此外，长时间的高工作量会影响员工留用率。随着许多国家从 COVID-19 后恢复生活，重要的是，医疗保健组织要检查员工的压力，并确定支持员工的方法。这对于未来劳动力的可持续性至关重要。
无患者或公众贡献。
