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Thorne C, Kimani P, Hampshire S, Hamilton-Bower I, Begum-Ali S, Benson-Clarke A, Couper K, Yeung J, Lockey A, Perkins G, Soar J. The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK. Resusc Plus 2023; 13:100366. [PMID: 36816597 PMCID: PMC9922585 DOI: 10.1016/j.resplu.2023.100366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Abstract
Aim To determine the impact of the COVID-19 pandemic on Resuscitation Council UK Advanced Life Support (ALS) and Immediate Life Support (ILS) course numbers and outcomes. Methods We conducted a before-after study using course data from the Resuscitation Council UK Learning Management System between January 2018 and December 2021, using 23 March 2020 as the cut-off between pre- and post-pandemic periods. Demographics and outcomes were analysed using chi-squared tests and regression models. Results There were 90,265 ALS participants (51,464 pre-; 38,801 post-) and 368,140 ILS participants (225,628 pre-; 142,512 post-). There was a sharp decline in participants on ALS/ILS courses due to COVID-19. ALS participant numbers rebounded to exceed pre-pandemic levels, whereas ILS numbers recovered to a lesser degree with increased uptake of e-learning versions. Mean ALS course participants reduced from 20.0 to 14.8 post-pandemic (P < 0.001).Post-pandemic there were small but statistically significant decreases in ALS Cardiac Arrest Simulation Test pass rates (from 82.1 % to 80.1 % (OR = 0.90, 95 % CI = 0.86-0.94, P < 0.001)), ALS MCQ score (from 86.6 % to 86.0 % (mean difference = -0.35, 95 % CI -0.44 to -0.26, P < 0.001)), and overall ALS course results (from 95.2 %to 94.7 %, OR = 0.92, CI = 0.85-0.99, P = 0.023). ILS course outcomes were similar post-pandemic (from 99.4 % to 99.4 %, P = 0.037). Conclusion COVID-19 caused a sharp decline in the number of participants on ALS/ILS courses and an accelerated uptake of e-learning versions, with the average ALS course size reducing significantly. The small reduction in performance on ALS courses requires further research to clarify the contributing factors.
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Affiliation(s)
- C.J. Thorne
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK,North Bristol NHS Trust, Bristol BS10 5NB, UK,Corresponding author at: North Bristol NHS Trust, Bristol BS10 5NB, UK.
| | - P.K. Kimani
- Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK
| | - S. Hampshire
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK
| | - I. Hamilton-Bower
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK
| | - S. Begum-Ali
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK
| | - A. Benson-Clarke
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK
| | - K. Couper
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK,Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK,Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - J. Yeung
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK,Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK,Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - A. Lockey
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK,Calderdale & Huddersfield NHS Foundation Trust, Halifax, United Kingdom,School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK
| | - G.D. Perkins
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK,Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK,Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - J. Soar
- Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK,North Bristol NHS Trust, Bristol BS10 5NB, UK
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Maben J, Conolly A, Abrams R, Rowland E, Harris R, Kelly D, Kent B, Couper K. 'You can't walk through water without getting wet' UK nurses' distress and psychological health needs during the Covid-19 pandemic: A longitudinal interview study. Int J Nurs Stud 2022; 131:104242. [PMID: 35525086 PMCID: PMC8976696 DOI: 10.1016/j.ijnurstu.2022.104242] [Citation(s) in RCA: 44] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 03/29/2022] [Accepted: 03/29/2022] [Indexed: 02/09/2023]
Abstract
BACKGROUND Pre-COVID-19 research highlighted the nursing profession worldwide as being at high risk from symptoms of burnout, post-traumatic stress disorder (PTSD) and suicide. The World Health Organization declared a pandemic on 11th March 2020 due to the sustained risk of further global spread of COVID-19. The high healthcare burden associated with COVID-19 has increased nurses' trauma and workload, thereby exacerbating pressure on an already strained workforce and causing additional psychological distress for staff. OBJECTIVES The Impact of COVID-19 on Nurses (ICON) interview study examined the impacts of the pandemic on frontline nursing staff's psychosocial and emotional wellbeing. DESIGN Longitudinal qualitative interview study. SETTINGS Nurses who had completed time 1 and 2 of the ICON survey were sampled to include a range of UK work settings including acute, primary and community care and care homes. Interviewees were purposively sampled for maximum variation to cover a broad range of personal and professional factors, and experiences during the COVID-19 pandemic, including redeployment. METHODS Nurses participated in qualitative in-depth narrative interviews after the first wave of COVID-19 in July 2020 (n = 27) and again at the beginning of the second wave in December 2020 (n = 25) via video and audio platform software. Rigorous qualitative narrative analysis was undertaken both cross-sectionally (within wave) and longitudinally (cross wave) to explore issues of consistency and change. RESULTS The terms moral distress, compassion fatigue, burnout and PTSD describe the emotional states reported by the majority of interviewees leading many to consider leaving the profession. Causes of this identified included care delivery challenges; insufficient staff and training; PPE challenges and frustrations. Four themes were identified: (1) 'Deathscapes' and impoverished care (2) Systemic challenges and self-preservation (3) Emotional exhaustion and (4) (Un)helpful support. CONCLUSIONS Nurses have been deeply affected by what they have experienced and report being forever altered with the impacts of COVID-19 persisting and deeply felt. There is an urgent need to tackle stigma to create a psychologically safe working environment and for a national COVID-19 nursing workforce recovery strategy to help restore nurse's well-being and demonstrate a valuing of the nursing workforce and therefore support retention.
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Affiliation(s)
- J. Maben
- University of Surrey, United Kingdom,Corresponding author
| | | | - R. Abrams
- University of Surrey, United Kingdom
| | | | - R. Harris
- King's College London, United Kingdom
| | - D. Kelly
- Cardiff University, United Kingdom
| | - B. Kent
- University of Plymouth, United Kingdom
| | - K. Couper
- University of Warwick and University Hospitals Birmingham NHS Foundation Trust, United Kingdom
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Soar J, Lott C, Böttiger BW, Carli P, Couper K, Deakin CD, Djärv T, Olasveengen T, Paal P, Pellis T, Perkins GD, Sandroni C, Nolan JP. Erweiterte lebensrettende Maßnahmen bei Erwachsenen. Notf Rett Med 2020; 23:248-250. [PMID: 32536800 PMCID: PMC7284666 DOI: 10.1007/s10049-020-00720-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Perkins GD, Morley PT, Nolan JP, Soar J, Berg K, Olasveengen T, Wyckoff M, Greif R, Singletary N, Castren M, de Caen A, Wang T, Escalante R, Merchant RM, Hazinski M, Kloeck D, Heriot G, Couper K, Neumar R. International Liaison Committee on Resuscitation: COVID-19 consensus on science, treatment recommendations and task force insights. Resuscitation 2020; 151:145-147. [PMID: 32371027 PMCID: PMC7194051 DOI: 10.1016/j.resuscitation.2020.04.035] [Citation(s) in RCA: 66] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 04/27/2020] [Indexed: 12/02/2022]
Abstract
Consensus on Science and Treatment recommendations aim to balance the benefits of early resuscitation with the potential for harm to care providers during the COVID-19 pandemic. Chest compressions and cardiopulmonary resuscitation have the potential to generate aerosols. During the current COVID-19 pandemic lay rescuers should consider compressions and public-access defibrillation. Lay rescuers who are willing, trained and able to do so, should consider providing rescue breaths to infants and children in addition to chest compressions. Healthcare professionals should use personal protective equipment for aerosol generating procedures during resuscitation and may consider defibrillation before donning personal protective equipment for aerosol generating procedures.
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Affiliation(s)
- G D Perkins
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium.
| | - P T Morley
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - J P Nolan
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - J Soar
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - K Berg
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - T Olasveengen
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - M Wyckoff
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - R Greif
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - N Singletary
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - M Castren
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - A de Caen
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - T Wang
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - R Escalante
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - R M Merchant
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - M Hazinski
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - D Kloeck
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - G Heriot
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - K Couper
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
| | - R Neumar
- International Liaison Committee on Resuscitation, Emile Vanderveldelaan 35, 2845 Niel, Belgium
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