Guidance for Health Care Leaders During the Recovery Stage of the COVID-19 Pandemic: A Consensus Statement
| Autor: | Rakhi Dandona, Ajit T. Abraham, Oliver Razum, Louise Emilsson, Chikwe Ihekweazu, Michael Gardam, Alika Lafontaine, Khalid Fouda Neel, Jaason Matthew Geerts, Eyal Leshem, Marc Bilodeau, Donna Kinnair, Shanthi Johnson, Peter Nyasulu, Zunyou Wu, Allison Kooijman, Hamid Sharifi, Erwin Loh, Adeel Abbas Dhahri, Lorena Barberia, Oscar Lyons, Hélène Sabourin, Vicky Stergiopoulos, Jackie Schleifer Taylor, William H. Geerts, Paul Taheri, Nigel J Best, Brett Sutton, Caroline Lidstone-Jones, Joon Mo Ahn, Rifat Atun, Julian R Free |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Consensus Health Personnel media_common.quotation_subject Disaster Planning Context (language use) Excellence Political science Health care medicine Humans Pandemics media_common Government Contingency plan Emergency management SARS-CoV-2 business.industry Public health COVID-19 General Medicine Public relations Integrated care Leadership Models Organizational business |
| ISSN: | 2574-3805 |
| Popis: | Importance The COVID-19 pandemic is the greatest global test of health leadership of our generation. There is an urgent need to provide guidance for leaders at all levels during the unprecedented preresolution recovery stage. Objective To create an evidence- and expertise-informed framework of leadership imperatives to serve as a resource to guide health and public health leaders during the postemergency stage of the pandemic. Evidence Review A literature search in PubMed, MEDLINE, and Embase revealed 10 910 articles published between 2000 and 2021 that included the terms leadership and variations of emergency, crisis, disaster, pandemic, COVID-19, or public health. Using the Standards for Quality Improvement Reporting Excellence reporting guideline for consensus statement development, this assessment adopted a 6-round modified Delphi approach involving 32 expert coauthors from 17 countries who participated in creating and validating a framework outlining essential leadership imperatives. Findings The 10 imperatives in the framework are: (1) acknowledge staff and celebrate successes; (2) provide support for staff well-being; (3) develop a clear understanding of the current local and global context, along with informed projections; (4) prepare for future emergencies (personnel, resources, protocols, contingency plans, coalitions, and training); (5) reassess priorities explicitly and regularly and provide purpose, meaning, and direction; (6) maximize team, organizational, and system performance and discuss enhancements; (7) manage the backlog of paused services and consider improvements while avoiding burnout and moral distress; (8) sustain learning, innovations, and collaborations, and imagine future possibilities; (9) provide regular communication and engender trust; and (10) in consultation with public health and fellow leaders, provide safety information and recommendations to government, other organizations, staff, and the community to improve equitable and integrated care and emergency preparedness systemwide. Conclusions and Relevance Leaders who most effectively implement these imperatives are ideally positioned to address urgent needs and inequalities in health systems and to cocreate with their organizations a future that best serves stakeholders and communities. |
| Databáze: | OpenAIRE |
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