US Hospital Capacity Managers' Experiences and Concerns Regarding Preparedness for Seasonal Influenza and Influenza-like Illness.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: American Medical Association Country of Publication: United States NLM ID: 101729235 Publication Model: Electronic Cited Medium: Internet ISSN: 2574-3805 (Electronic) Linking ISSN: 25743805 NLM ISO Abbreviation: JAMA Netw Open Subsets: MEDLINE
    • Publication Information:
      Original Publication: Chicago, IL : American Medical Association, [2018]-
    • Subject Terms:
      Capacity Building*/methods ; Capacity Building*/organization & administration ; Change Management* ; Disease Outbreaks*/prevention & control ; Disease Outbreaks*/statistics & numerical data ; Influenza, Human*/epidemiology ; Influenza, Human*/prevention & control ; Influenza, Human*/therapy; Civil Defense/*organization & administration ; Disaster Planning/*methods; COVID-19/epidemiology ; COVID-19/prevention & control ; Health Workforce/organization & administration ; Humans ; Personnel Management/methods ; Qualitative Research ; SARS-CoV-2 ; Seasons ; Severity of Illness Index ; United States/epidemiology
    • Abstract:
      Importance: The 2017-2018 influenza season in the US was marked by a high severity of illness, wide geographic spread, and prolonged duration compared with recent previous seasons, resulting in increased strain throughout acute care hospital systems.
      Objective: To characterize self-reported experiences and views of hospital capacity managers regarding the 2017-2018 influenza season in the US.
      Design, Setting, and Participants: In this qualitative study, semistructured telephone interviews were conducted between April 2018 and January 2019 with a random sample of capacity management administrators responsible for throughput and hospital capacity at short-term, acute care hospitals throughout the US.
      Main Outcomes and Measures: Each participant's self-reported experiences and views regarding high patient volumes during the 2017-2018 influenza season, lessons learned, and the extent of hospitals' preparedness planning for future pandemic events. Interviews were recorded and transcribed and then analyzed using thematic content analysis. Outcomes included themes and subthemes.
      Results: A total of 53 key hospital capacity personnel at 53 hospitals throughout the US were interviewed; 39 (73.6%) were women, 48 (90.6%) had a nursing background, and 29 (54.7%) had been in the occupational role for more than 4 years. Participants' experiences were categorized into several domains: (1) perception of strain, (2) effects of influenza and influenza-like illness on staff and patient care, (3) immediate staffing and capacity responses to influenza and influenza-like illness, and (4) future staffing and capacity preparedness for influenza and influenza-like illness. Participants reported experiencing perceived strain associated with concerns about preparedness for seasonal influenza and influenza-like illness as well as concerns about staffing, patient care, and capacity, but future pandemic planning within hospitals was not reported as being a high priority.
      Conclusions and Relevance: The findings of this qualitative study suggest that during the 2017-2018 influenza season, there were systemic vulnerabilities as well as a lack of hospital preparedness planning for future pandemics at US hospitals. These issues should be addressed given the current coronavirus disease 2019 pandemic.
    • References:
      Intensive Care Med. 2010 Mar;36(3):428-43. (PMID: 20135090)
      Healthc Policy. 2017 Aug;13(1):28-42. (PMID: 28906234)
      MMWR Morb Mortal Wkly Rep. 2018 Feb 16;67(6):169-179. (PMID: 29447145)
      J Gen Intern Med. 2017 Jun;32(6):686-696. (PMID: 27981468)
      Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
      J Hosp Med. 2017 Dec;12(12):963-968. (PMID: 29236094)
      Chest. 2014 Oct;146(4 Suppl):e103S-17S. (PMID: 25144857)
      Chest. 2014 Oct;146(4 Suppl):e17S-43S. (PMID: 25144407)
      Chest. 2014 Oct;146(4 Suppl):e1S-e16S. (PMID: 25144334)
      Crit Care. 2018 Mar 27;22(1):86. (PMID: 29587816)
      Am J Disaster Med. 2009 Jul-Aug;4(4):199-206. (PMID: 19860162)
      J Adv Nurs. 1997 Oct;26(4):790-7. (PMID: 9354993)
      Qual Health Res. 2016 Nov;26(13):1802-1811. (PMID: 27340178)
      Milbank Q. 2013 Mar;91(1):78-122. (PMID: 23488712)
      JAMA. 2016 Feb 23;315(8):788-800. (PMID: 26903337)
      J Infect Public Health. 2019 Jul - Aug;12(4):486-491. (PMID: 30670352)
      Crit Care Med. 2017 Apr;45(4):e347-e356. (PMID: 27635769)
      Prehosp Disaster Med. 2009 Nov-Dec;24(6):512-7. (PMID: 20301069)
      Chest. 2014 Oct;146(4 Suppl):e87S-e102S. (PMID: 25144713)
      Chest. 2014 Oct;146(4 Suppl):e61S-74S. (PMID: 25144591)
      Br Med Bull. 2019 Jun 19;130(1):25-37. (PMID: 31086957)
      Arch Med Res. 2009 Nov;40(8):673-6. (PMID: 20304255)
      J Nurs Manag. 2018 Mar;26(2):86-93. (PMID: 29114954)
      Crit Care Med. 2010 Apr;38(4 Suppl):e110-9. (PMID: 19935417)
      Am J Nurs. 2013 Dec;113(12):24-31; quiz 32. (PMID: 24247662)
    • Grant Information:
      K24 HL133444 United States HL NHLBI NIH HHS; K08 HL122478 United States HL NHLBI NIH HHS
    • Publication Date:
      Date Created: 20210319 Date Completed: 20210330 Latest Revision: 20210413
    • Publication Date:
      20240829
    • Accession Number:
      PMC7980097
    • Accession Number:
      10.1001/jamanetworkopen.2021.2382
    • Accession Number:
      33739431