Intensive Care Center, University Medical Center Utrecht, Utrecht, The Netherlands.
Department of Anesthesiology, IJsselland Hospital, Capelle Aan den IJssel, The Netherlands.
Med Educ Online. 2023 Dec;28(1):2231614. doi: 10.1080/10872981.2023.2231614.
The unprecedented influx of patients in 2020 with COVID-19 to intensive care units (ICU) required redeployment of healthcare professionals without adequate previous ICU-training. In these extraordinary circumstances, pivotal elements of effective clinical supervision emerged. This study sets out to explore the nature, aspects and key features of supervision under highly demanding circumstances among certified and redeployed health-care professionals on COVID-19 ICUs.
A prospective qualitative, single center, semi-structured interview study among healthcare professionals at COVID-19 ICUs at University Medical Center Utrecht, the Netherlands between July and December 2020. Interview data were analyzed using an inductive coding style.
A total of 13 certified and 13 redeployed health'hcare professionals, including physicians, nurses, and operation room technicians participated. Seven themes were identified as essential for both certified (supervisors) and redeployed (trainees) personnel: an open attitude, observing boundaries, gauging coworkers' capacities, being available, providing feedback, continuity in care and teams, and combining supervision with workload.
This study provides seven recommendations for both supervisors and trainees to help optimize clinical supervision. They align with the known five factors determining entrustment and supervision (trainee, supervisor, task, context, and relationship). To ensure good clinical supervision, be it either during normal circumstances or under pressure, efforts should primarily focus on factors that are within a supervisor or trainee's span of control.
Clinical supervision, interprofessional, COVID-19, Intensive Care.
2020 年，COVID-19 患者前所未有地涌入重症监护病房（ICU），这需要重新部署没有足够 ICU 培训的医疗保健专业人员。在这些特殊情况下，有效的临床监督的关键要素出现了。本研究旨在探讨在 COVID-19 ICU 中，具有认证和重新部署的医疗保健专业人员在高度要求的情况下，监督的性质、方面和关键特征。
2020 年 7 月至 12 月，在荷兰乌得勒支大学医学中心的 COVID-19 ICU 中，对医疗保健专业人员进行了前瞻性定性、单中心、半结构式访谈研究。使用归纳式编码风格对访谈数据进行分析。
共有 13 名认证和 13 名重新部署的医疗保健人员（包括医生、护士和手术室技术员）参加了研究。确定了七个对认证（监督者）和重新部署（受训者）人员都至关重要的主题：开放的态度、观察界限、评估同事的能力、随时可用、提供反馈、护理和团队的连续性以及将监督与工作量相结合。
本研究为监督者和受训者提供了七条建议，以帮助优化临床监督。它们与确定委托和监督的五个因素（受训者、监督者、任务、背景和关系）一致。为了确保良好的临床监督，无论是在正常情况下还是在压力下，都应主要关注监督者或受训者可控制的因素。
临床监督、跨专业、COVID-19、重症监护。
