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dc.contributor.authorMontgomery, Catherine M
dc.contributor.authorHumphreys, Sally
dc.contributor.authorMcCulloch, Corrienne
dc.contributor.authorDocherty, Annemarie B
dc.contributor.authorSturdy, Steve
dc.contributor.authorPattison, Natalie
dc.date.accessioned2021-09-01T13:15:02Z
dc.date.available2021-09-01T13:15:02Z
dc.date.issued2021-05-18
dc.identifier.citationMontgomery , C M , Humphreys , S , McCulloch , C , Docherty , A B , Sturdy , S & Pattison , N 2021 , ' Critical care work during COVID-19: a qualitative study of staff experiences in the UK ' , BMJ Open , vol. 11 , no. 5 , e048124 . https://doi.org/10.1136/bmjopen-2020-048124
dc.identifier.issn2044-6055
dc.identifier.otherPURE: 25862905
dc.identifier.otherPURE UUID: d25e6966-2d62-4949-90a4-eb075b77f426
dc.identifier.otherJisc: 308360bc6cfa4347a366dfc94a1353b6
dc.identifier.otherpublisher-id: bmjopen-2020-048124
dc.identifier.otherScopus: 85106196061
dc.identifier.otherORCID: /0000-0002-6771-8733/work/99429816
dc.identifier.urihttp://hdl.handle.net/2299/25029
dc.description.abstractObjective: To understand National Health Service (NHS) staff experiences of working in critical care during the first wave of the COVID-19 pandemic in the UK. Design: Qualitative study using semistructured telephone interviews and rapid analysis, interpreted using Baehr’s sociological lens of ‘communities of fate’. Participants: Forty NHS staff working in critical care, including 21 nurses, 10 doctors and advanced critical care practitioners, 4 allied health professionals, 3 operating department practitioners and 2 ward clerks. Participants were interviewed between August and October 2020; we purposefully sought the experiences of trained and experienced critical care staff and those who were redeployed. Setting: Four hospitals in the UK. Results: COVID-19 presented staff with a situation of extreme stress, duress and social emergency, leading to a shared set of experiences which we have characterised as a community of fate. This involved not only fear and dread of working in critical care, but also a collective sense of duty and vocation. Caring for patients and families involved changes to usual ways of working, revolving around: reorganisation of space and personnel, personal protective equipment, lack of evidence for treating COVID-19, inability for families to be physically present, and the trauma of witnessing extreme patient acuity and death on a large scale. The stress and isolation of working in critical care during COVID-19 was mitigated by strong teamwork, camaraderie, pride and fulfilment. Conclusion: COVID-19 has changed working practices in critical care and profoundly affected staff physically, mentally and emotionally. Attention needs to be paid to the social and organisational conditions in which individuals work, addressing both practical resourcing and the interpersonal dynamics of critical care provision.en
dc.language.isoeng
dc.relation.ispartofBMJ Open
dc.subjectSociology
dc.subject1506
dc.subject2474
dc.subject1735
dc.subjectCOVID-19
dc.subjectintensive & critical care
dc.subjectqualitative research
dc.subjectorganisation of health services
dc.titleCritical care work during COVID-19: a qualitative study of staff experiences in the UKen
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1136/bmjopen-2020-048124
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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