دورية أكاديمية
Clinical supervision under pressure: a qualitative study amongst health care professionals working on the ICU during COVID-19.
| العنوان: | Clinical supervision under pressure: a qualitative study amongst health care professionals working on the ICU during COVID-19. |
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| المؤلفون: | van Dam M; Intensive Care Center, University Medical Center Utrecht, Utrecht, The Netherlands., van Hamersvelt H; Department of Anesthesiology, IJsselland Hospital, Capelle Aan den IJssel, The Netherlands., Schoonhoven L; Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands., Hoff RG; Department of Anesthesiology, University Medical Center Utrecht, Utrecht, The Netherlands., Ten Cate O; Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, The Netherlands., Hennus MP; Department of Pediatric Intensive Care, University Medical Center Utrecht, Utrecht, The Netherlands. |
| المصدر: | Medical education online [Med Educ Online] 2023 Dec; Vol. 28 (1), pp. 2231614. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: United States NLM ID: 9806550 Publication Model: Print Cited Medium: Internet ISSN: 1087-2981 (Electronic) Linking ISSN: 10872981 NLM ISO Abbreviation: Med Educ Online Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Philadelphia, PA : Taylor & Francis Original Publication: [E. Lansing, MI] : Medical Education Online, [1996- |
| مواضيع طبية MeSH: | COVID-19*/epidemiology , Internship and Residency* , Physicians* , Personnel Management* , Mentors*, Humans ; Clinical Competence ; Intensive Care Units ; Prospective Studies ; Qualitative Research |
| مستخلص: | Purpose: 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. Materials and Methods: 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. Results: 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. Conclusions: 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. Mesh: Clinical supervision, interprofessional, COVID-19, Intensive Care. |
| References: | Med Teach. 2020 Aug;42(8):846-854. (PMID: 32356468) Br J Clin Psychol. 2007 Nov;46(Pt 4):437-47. (PMID: 17535535) BMC Health Serv Res. 2017 Nov 28;17(1):786. (PMID: 29183314) Adv Health Sci Educ Theory Pract. 2014 Aug;19(3):435-56. (PMID: 23892689) Med Teach. 2007 Feb;29(1):2-19. (PMID: 17538823) Qual Quant. 2018;52(4):1893-1907. (PMID: 29937585) Med Teach. 2014 Jun;36(6):463-74. (PMID: 24661014) J Adv Nurs. 2022 Nov;78(11):3531-3539. (PMID: 35841328) ATS Sch. 2021 Aug 16;2(3):397-414. (PMID: 34667989) Med Teach. 2012;34(10):850-61. (PMID: 22913519) BMJ Open. 2021 Sep 28;11(9):e052929. (PMID: 34588261) Int J Qual Health Care. 2016 Sep;28(4):447-55. (PMID: 27283436) |
| فهرسة مساهمة: | Keywords: COVID-19; Clinical supervision; Intensive Care; interprofessional |
| تواريخ الأحداث: | Date Created: 20230705 Date Completed: 20230721 Latest Revision: 20230721 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10324445 |
| DOI: | 10.1080/10872981.2023.2231614 |
| PMID: | 37403584 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1087-2981 |
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| DOI: | 10.1080/10872981.2023.2231614 |