Factors contributing to health care worker turnover in intensive care units during the COVID-19 pandemic in Alberta, Canada: a qualitative descriptive interview study.

Autor: Mellett J; Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, Edmonton, AB, Canada., Andersen SK; Center for Research, Investigation, and Systems Modeling of Acute Illness (CRISMA), Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA., Deschenes S; Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.; Alberta Critical Care Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada., Kilcommons S; Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, Edmonton, AB, Canada., Douma MJ; Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada., Montgomery CL; Faculty of Nursing, University of Alberta, Edmonton, AB, Canada., Opgenorth D; Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada., Baig N; Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada., Fiest KM; Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada., Rewa OG; Alberta Critical Care Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada.; Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada.; School of Public Health, University of Alberta, Edmonton, AB, Canada., Bagshaw SM; Alberta Critical Care Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada.; Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada.; School of Public Health, University of Alberta, Edmonton, AB, Canada., Lau VI; Alberta Critical Care Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada. vince.lau@ualberta.ca.; Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada. vince.lau@ualberta.ca.
Jazyk: angličtina
Zdroj: Canadian journal of anaesthesia = Journal canadien d'anesthesie [Can J Anaesth] 2024 Sep 04. Date of Electronic Publication: 2024 Sep 04.
DOI: 10.1007/s12630-024-02825-y
Abstrakt: Purpose: The COVID-19 pandemic has resulted in increased job vacancies in Canadian intensive care units (ICUs). We aimed to identify, explore, and describe factors contributing to the decisions of health care workers to leave, or strongly consider leaving their ICU positions during the peri-COVID-19 pandemic era.
Methods: We undertook a qualitative descriptive study between June and August 2022. We conducted semistructured interviews with 19 registered nurses and one respiratory therapist from a single ICU in Alberta, Canada who had left, or had strongly considered leaving their ICU position since the beginning of the pandemic. We used Braun and Clarke's thematic analysis to generate themes from these interviews.
Results: We identified five themes to describe the factors that contributed to participants' decisions to leave, or strongly consider leaving, their ICU positions. These were: 1) toxic workplace, 2) inadequate staffing, 3) distress from providing nonbeneficial care, 4) caring for patients with COVID-19 and their families, and 5) paradoxical responses to COVID-19 outside of the ICU. Some of these factors existed before the pandemic and were exacerbated by it, while others were novel to COVID-19.
Conclusions: Participants described as key factors in their decision or desire to leave their ICU positions the impacts of the COVID-19 pandemic on workplace culture, staffing, and patient interactions, as well as the discourse surrounding COVID-19 outside of work. Strategies that target workplace culture and ensure adequate staffing should be prioritized to promote staff retention following the pandemic.
(© 2024. Canadian Anesthesiologists' Society.)
Databáze: MEDLINE
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