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Am J Nurs ; 121(12): 18-28, 2021 12 01.
Article in English | MEDLINE | ID: covidwho-1506930


ABSTRACT: For nurses, the challenges posed by demanding work environments and schedules often lead to fatigue, and this can be exacerbated during crises like the COVID-19 pandemic. In this article, the authors discuss causes and challenges of nurse fatigue and consider several evidence-based strategies and solutions for individual nurses and organizations. Barriers to implementation, including a negative workplace culture and inadequate staffing, are also described, and several resources are presented.

Fatigue/epidemiology , Fatigue/prevention & control , Nurses/psychology , COVID-19/nursing , Humans , Workforce/statistics & numerical data , Workplace/organization & administration , Workplace/psychology
Contemp Clin Trials ; 105: 106407, 2021 06.
Article in English | MEDLINE | ID: covidwho-1193252


The coronavirus disease-2019 (COVID-19) pandemic has changed the conduct of clinical trials. For studies with physical function and physical activity outcomes that require in-person participation, thoughtful approaches in transitioning to the remote research environment are critical. Here, we share our experiences in transitioning from in-person to remote assessments of physical function and activity during the pandemic and highlight key considerations for success. Details on the development of the remote assessment protocol, integration of a two-way video platform, and implementation of remote assessments are addressed. In particular, procedural challenges and considerations in transitioning and conducting remote assessments will be discussed in terms of efforts to maintain participant safety, maximize study efficiency, and sustain trial integrity. Plans for triangulation and analysis are also discussed. Although the role of telehealth platforms and research activities in remote settings are still growing, our experiences suggest that adopting remote assessment strategies are useful and convenient in assessing study outcomes during, and possibly even beyond, the current pandemic. Trial register and number: [NCT03728257].

COVID-19/epidemiology , Exercise/physiology , Lung Transplantation/rehabilitation , Research Design , Actigraphy , Clinical Protocols , Exercise Test/methods , Humans , Pandemics , Patient Safety , Postural Balance/physiology , Quality of Life , SARS-CoV-2 , Telemedicine , Videoconferencing