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10.1016/j.ajic.2020.10.014

http://scihub22266oqcxt.onion/10.1016/j.ajic.2020.10.014
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33091508!7573671!33091508
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suck abstract from ncbi


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pmid33091508      Am+J+Infect+Control 2021 ; 49 (4): 478-483
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  • The powder keg: Lessons learned about clinical staff preparedness during the early phase of the COVID-19 pandemic #MMPMID33091508
  • Aliyu S; Norful AA; Schroeder K; Odlum M; Glica B; Travers JL
  • Am J Infect Control 2021[Apr]; 49 (4): 478-483 PMID33091508show ga
  • BACKGROUND: Little is known about clinical staff's perspectives on preparedness for a pandemic. The purpose of this study was to obtain various clinical staff perspectives about preparedness to meet the demands for care during the early phase of the SARS-CoV-2 (COVID-19) pandemic. METHODS: We conducted a qualitative study using semistructured in-person interviews from March 2020 to April 2020 at a large tertiary academic urban hospital center. Interview guides were informed by the Resilience Framework for Public Health Emergency Preparedness and analyzed using a directed content analysis approach. RESULTS: Fifty-five clinical staff participated in the study. Three themes emerged from the data (1) Risk assessment and planning: "The powder keg," (2) Innovative evolution of roles and responsibilities, and (3) Pandemic response and capacity. In the early phases of the pandemic, participants reported varying levels of risks for dying. However, most participants adapted to practice changes and became innovative in their roles over time. Hierarchies were less relevant during care delivery, whereas team collaboration became crucial in managing workforce capacity. DISCUSSION: As the pandemic progressed, staff preparedness evolved through a trial-and-error approach. CONCLUSIONS: The pandemic is evolving as is clinical staff preparedness to meet the demands of a pandemic. In order to get a grasp on the crisis, clinical staff relied on each other and resorted to new workarounds.
  • |*SARS-CoV-2[MESH]
  • |Adult[MESH]
  • |COVID-19/*virology[MESH]
  • |Civil Defense/methods/standards[MESH]
  • |Communication[MESH]
  • |Female[MESH]
  • |Health Personnel/*organization & administration[MESH]
  • |Humans[MESH]
  • |Infection Control/*methods/*organization & administration[MESH]
  • |Interviews as Topic[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Risk Assessment[MESH]


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