A critical care pandemic staffing framework in Australia.

Marshall, AP; Austin, DE; Chamberlain, D; Chapple, L-AS; Cree, M; Fetterplace, K; Foster, M; Freeman-Sanderson, A; Fyfe, R; Grealy, BA; Hodak, A; Holley, A; Kruger, P; Kucharski, G; Pollock, W; Ridley, E; Stewart, P; Thomas, P; Torresi, K; Williams, L

A critical care pandemic staffing framework in Australia.

Marshall, AP Austin, DE Chamberlain, D Chapple, L-AS Cree, M Fetterplace, K Foster, M Freeman-Sanderson, A

Fyfe, R Grealy, BA Hodak, A Holley, A Kruger, P Kucharski, G Pollock, W Ridley, E Stewart, P Thomas, P Torresi, K Williams, L

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Aust Crit Care, 2020
Issue Date:: 2020-10-07

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Field	Value	Language
dc.contributor.author	Marshall, AP
dc.contributor.author	Austin, DE
dc.contributor.author	Chamberlain, D
dc.contributor.author	Chapple, L-AS
dc.contributor.author	Cree, M
dc.contributor.author	Fetterplace, K
dc.contributor.author	Foster, M
dc.contributor.author	Freeman-Sanderson, A https://orcid.org/0000-0003-2161-6421
dc.contributor.author	Fyfe, R
dc.contributor.author	Grealy, BA
dc.contributor.author	Hodak, A
dc.contributor.author	Holley, A
dc.contributor.author	Kruger, P
dc.contributor.author	Kucharski, G
dc.contributor.author	Pollock, W
dc.contributor.author	Ridley, E
dc.contributor.author	Stewart, P
dc.contributor.author	Thomas, P
dc.contributor.author	Torresi, K
dc.contributor.author	Williams, L
dc.date.accessioned	2020-10-15T07:33:59Z
dc.date.available	2020-08-31
dc.date.available	2020-10-15T07:33:59Z
dc.date.issued	2020-10-07
dc.identifier.citation	Aust Crit Care, 2020
dc.identifier.issn	1036-7314
dc.identifier.uri	http://hdl.handle.net/10453/143269
dc.description.abstract	BACKGROUND: Pandemics and the large-scale outbreak of infectious disease can significantly impact morbidity and mortality worldwide. The impact on intensive care resources can be significant and often require modification of service delivery, a key element which includes rapid expansion of the critical care workforce. Pandemics are also unpredictable, which necessitates rapid decision-making and action which, in the lack of experience and guidance, may be extremely challenging. Recognising the potential strain on intensive care units (ICUs), particularly on staffing, a working group was formed for the purpose of developing recommendations to support decision-making during rapid service expansion. METHODS: The Critical Care Pandemic Staffing Working Party (n = 21), representing nursing, allied health, and medical disciplines, has used a modified consensus approach to provide recommendations to inform multidisciplinary workforce capacity expansion planning in critical care. RESULTS: A total of 60 recommendations have been proposed which reflect general recommendations as well as those specific to maintaining the critical care workforce, expanding the critical care workforce, rostering and allocation of the critical care workforce, nurse-specific recommendations for staffing the ICU, education support and training during ICU surge situations, workforce support, models of care, and de-escalation. CONCLUSION: These recommendations are provided with the intent that they be used to guide interdisciplinary decision-making, and we suggest that careful consideration is given to the local context to determine which recommendations are most appropriate to implement and how they are prioritised. Ongoing evaluation of recommendation implementation and impact will be necessary, particularly in rapidly changing clinical contexts.
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Aust Crit Care
dc.relation.isbasedon	10.1016/j.aucc.2020.08.007
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1110 Nursing
dc.subject.classification	Nursing
dc.title	A critical care pandemic staffing framework in Australia.
dc.type	Journal Article
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Speech Pathology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2020-10-15T07:33:51Z
pubs.publication-status	Published online

Abstract:

BACKGROUND: Pandemics and the large-scale outbreak of infectious disease can significantly impact morbidity and mortality worldwide. The impact on intensive care resources can be significant and often require modification of service delivery, a key element which includes rapid expansion of the critical care workforce. Pandemics are also unpredictable, which necessitates rapid decision-making and action which, in the lack of experience and guidance, may be extremely challenging. Recognising the potential strain on intensive care units (ICUs), particularly on staffing, a working group was formed for the purpose of developing recommendations to support decision-making during rapid service expansion. METHODS: The Critical Care Pandemic Staffing Working Party (n = 21), representing nursing, allied health, and medical disciplines, has used a modified consensus approach to provide recommendations to inform multidisciplinary workforce capacity expansion planning in critical care. RESULTS: A total of 60 recommendations have been proposed which reflect general recommendations as well as those specific to maintaining the critical care workforce, expanding the critical care workforce, rostering and allocation of the critical care workforce, nurse-specific recommendations for staffing the ICU, education support and training during ICU surge situations, workforce support, models of care, and de-escalation. CONCLUSION: These recommendations are provided with the intent that they be used to guide interdisciplinary decision-making, and we suggest that careful consideration is given to the local context to determine which recommendations are most appropriate to implement and how they are prioritised. Ongoing evaluation of recommendation implementation and impact will be necessary, particularly in rapidly changing clinical contexts.

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http://hdl.handle.net/10453/143269