Rowein S, Singh S, Habbick M, Mehdiyeva K, Miller L, Gagneur, A, Groot G, Neudorf C, Camillo CA, Tokhmafshan, F, Muhajarine N. Motivational Interviewing for Vaccine Hesitancy. May 2022. Document no.: [12.1]. CoVaRR-Net Public Health, Health Systems, Social Policy Team, c2022.
Howell-Spooner, B. What approaches are effective to limit the spread of COVID-19 infection for healthcare workers in health facilities and how does it impact their mental health? 2020 Mar 30; Document no.: EOC033002-01 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 20 p. (CEST evidence search report)
· Well established that older individuals, particularly those with pre-existing conditions are at increased risk of severe disease and/or complications with SARS-CoV-2 infection, and volunteers should take this into consideration
· No other evidence specific to healthcare workers or volunteers to guide age restriction policies
Badea, A; Groot, G; Miller, L; Mueller, M. What are the age restrictions for healthcare workers/volunteer? 2020 Oct 19; Document no.: EOC100801 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 8 p. (CEST rapid review report)
Miller, L; Mueller, M. What are the age restrictions for healthcare workers/volunteers? 2020 Oct 13; Document no.: EOC100801-01 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 5 p. (CEST evidence search report)
Fox, L; Young C; Howell-Spooner, B; What are the existing policies for the re-deployment or deployment of healthcare workers whose regular work has been disrupted by COVID-19 in high-resource clinical settings? 2020 Jul 29; Document no.: EOC072701-01 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 39 p. (CEST evidence search report)
Physician and nursing staff members can be redeployed from various clinical areas, but in particular non-acute or elective practice areas such as ambulatory settings and surgical practices.
Providing patient-care in new clinical areas can be restructured into a task-based format that utilizes the skills already possessed by redeployed clinicians and staff.
Medical students, residents, internationally trained medical graduates and other health professionals such as respiratory therapists and pharmacists should also be considered for redeployment to high-need areas.
Scope of practice limitations, practice permit approvals and licensing may pose as potential barriers to being able to optimize our healthcare workforce in a surge.
Efficient but effective training should be provided to all staff that have volunteered for redeployment, in preparation of the next surge.
The safety of all health professionals should be ensured throughout the redeployment process.
Radu, L; Badea, A; Groot, G; Fox, L; Howell-Spooner, B; Young, C. What are the existing policies for the re-deployment or deployment of healthcare workers whose regular work has been disrupted by COVID-19 in high-resource clinical settings? 2020 Jul 29; Document no.: EOC072701 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 16 p. (CEST rapid review report)
Healthcare worker (HCW) well-being has been significantly affected by the COVID-19 pandemic around the world, with significantly increased rates of burnout, PTSD, anxiety and depression leading to increased absenteeism, willingness to work and decreased worker retention
Many of the pre-existing programs for HCW well-being focused on single, isolated incidents, such as patient safety incidents. Some adaptation of programs aimed at military or disaster relief are more readily translatable to the COVID-19 pandemic context
The measurement of HCW well-being relies on self-reported measures and related outcomes (e.g. absenteeism, willingness to work, retention) and as such, most interventions are evaluated using self-reported satisfaction surveys
Organizational level recommendations focus on the provision of adequate staffing and equipment for work-life balance, as well as a supportive and safe work environment free of stigma of help-seeking behaviors
In order for successful program interventions, leadership must be genuine, transparent and accessible at all levels
Interventions such as education and training are recommended not only for HCW well-being, but also for disease specific and unfamiliar task knowledge
In the face of lockdowns and social distancing guidelines, the fostering of connectedness and peer support communities, including self-efficacy and self-advocacy, and including plans for remaining connected with isolating workers and reintegration programs has been found to be highly important to HCW
The centralization of support services into a wellness/resource hub increases awareness and accessibility as acceptability, and where possible the design of rest areas should promote well-being
Individual interventions providing education, training and psychological support are generally well received, but accessibility and meaningful use are heavily dependent on organizational support
Badea A; MacFadden, M; Bishop, S; Dalidowicz M; Stojanovic V. What are the interventions to ameliorate the impacts of the pandemic on Healthcare workers? 2022 Feb 17, Document no.: EOC211202 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. 20 p. (CEST rapid review report).
Dalidowicz, M; Miller, L. What evidence is available regarding degradation of N95 respirators/masks? 2020 Nov 10; Document no.: PPE110203-01 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 16 p. (CEST evidence search report)
Laboratory testing of expired masks maintain an acceptable filtration performance with less than 2% failing testing in a study of nearly 4,000 masks from 93 lots
Another study assessing stockpiled N95 masks in Taiwan found acceptable filtration up to 13 years post storage
Guidelines indicate that expired N95 respirators should be used before resorting to extended use/reuse
Badea, A; Groot, G; Dalidowicz, M; Miller, L. What evidence is available regarding degradation of N95 respirators/masks? 2020 Nov 20; Document no.: PPE110203 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 15 p. (CEST rapid review report)
Dalidowicz, M; Miller, L. What is the evidence to support the reprocessing and re-use of N95 respirators by healthcare workers? 2020 Nov 6; Document no.: PPE110201-01 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 28 p. (CEST evidence search report)
