• Charles L Sprung, Asha V Devereaux, Marya Ghazipura, Lisa D Burry, Tanzib Hossain, Mitchell T Hamele, Ramon E Gist, Timothy M Dempsey, Jeffrey R Dichter, Kiersten N Henry, Alexander S Niven, Timur Alptunaer, Meredith Huffines, Kasey R Bowden, Anne Marie O Martland, Jamie R Felzer, Steven H Mitchell, Pritish K Tosh, Jason Persoff, Vikramjit Mukherjee, James Downar, Amado A Báez, Ryan C Maves, and Task Force for Mass Critical Care Writing Group.
• Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel. Electronic address: charless@ekmd.huji.ac.il.
• Chest. 2023 Jul 1; 164 (1): 124136124-136.

BackgroundThe COVID-19 pandemic has led to unprecedented mental health disturbances, burnout, and moral distress among health care workers, affecting their ability to care for themselves and their patients.Research QuestionIn health care workers, what are key systemic factors and interventions impacting mental health and burnout?Study Design And MethodsThe Workforce Sustainment subcommittee of the Task Force for Mass Critical Care (TFMCC) utilized a consensus development process, incorporating evidence from literature review with expert opinion through a modified Delphi approach to determine factors affecting mental health, burnout, and moral distress in health care workers, to propose necessary actions to help prevent these issues and enhance workforce resilience, sustainment, and retention.ResultsConsolidation of evidence gathered from literature review and expert opinion resulted in 197 total statements that were synthesized into 14 major suggestions. These suggestions were organized into three categories: (1) mental health and well-being for staff in medical settings; (2) system-level support and leadership; and (3) research priorities and gaps. Suggestions include both general and specific occupational interventions to support health care worker basic physical needs, lower psychological distress, reduce moral distress and burnout, and foster mental health and resilience.InterpretationThe Workforce Sustainment subcommittee of the TFMCC offers evidence-informed operational strategies to assist health care workers and hospitals plan, prevent, and treat the factors affecting health care worker mental health, burnout, and moral distress to improve resilience and retention following the COVID-19 pandemic.Copyright © 2023 American College of Chest Physicians. All rights reserved.

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