Life after ICU: five minutes with . . . Ron Daniels

The consultant in intensive care and anaesthesia and UK Sepsis Trust founder talks about life after intensive care for covid-19 patients

Service use preceding and following first referral for psychiatric emergency care at a short-stay crisis unit: A cohort study across three cities and one rural area in England.

BACKGROUND: Internationally, hospital-based short-stay crisis units have been introduced to provide a safe space for stabilisation and further assessment for those in psychiatric crisis. The units typically aim to reduce inpatient admissions and psychiatric presentations to emergency departments. AIMS: To assess changes to service use following a service user's first visit to a unit, characterise the population accessing these units and examine equality of access to the units. METHODS: A prospective cohort study design (ISCTRN registered; 53431343) compared service use for the 9 months preceding and following a first visit to a short-stay crisis unit at three cities and one rural area in England. Included individuals first visited a unit in the 6 months between 01/September/2020 and 28/February/2021. RESULTS: The prospective cohort included 1189 individuals aged 36 years on average, significantly younger (by 5-13 years) than the population of local service users (<.001). Seventy percent were White British and most were without a psychiatric diagnosis (55%-82% across sites). The emergency department provided the largest single source of referrals to the unit (42%), followed by the Crisis and Home Treatment Team (20%). The use of most mental health services, including all types of admission and community mental health services was increased post discharge. Social-distancing measures due to the COVID-19 pandemic were in place for slightly over 50% of the follow-up period. Comparison to a pre-COVID cohort of 934 individuals suggested that the pandemic had no effect on the majority of service use variables. CONCLUSIONS: Short-stay crisis units are typically accessed by a young population, including those who previously were unknown to mental health services, who proceed to access a broader range of mental health services following discharge.

Creating Effective Post-Pandemic Psychiatric Nursing Clinical Experiences Using the Roy Adaptation Model.

Introduction: The COVID-19 pandemic significantly impacted students in psychiatric clinical rotations. Clinicals were frequently limited or canceled, restricting exposure of student nurses to this experience. Many modifications led to permanent changes in the psychiatric clinical setting. Objectives: The purpose of this manuscript is to provide a cohesive approach to serving student nurses in the post-pandemic psychiatric clinical setting. Methods: A theoretical exploration of the literature framed by the Roy Adaptation Model (RAM) was conducted. Discussion: Results are presented using the four modes of the theory: Physiological, Self-Concept, Role Function, and Interdependence. Conclusions: Findings include strategies to enhance student learning while supporting students' health and wellness. Educators and practitioners should provide high-quality, safe learning environments for student nurses.

Assessing perceptions about critical thinking, motivation learning strategies in online psychiatric and mental health nursing education among Egyptian and Saudi undergraduate nursing students.

BACKGROUND: The pandemic context prompts nursing students to be involved in online learning. Researchers indicated that critical thinking develops through the learning process, but the link between critical thinking and online learning in nursing does not have sufficient evidence. AIM OF STUDY: This research examines student perceptions about critical thinking, motivation, and learning strategies in online psychiatric nursing education among nursing students at Imam Abdulrahman bin Faisal University in Saudi Arabia and Alexandria University in Egypt. SUBJECT AND METHODS: An online survey was designed to collect data anonymously. A total of 75 Saudi undergraduates and 105 Egyptian nursing students who met the inclusion criteria participated. The online survey assessed three parts: socio-demographic data, critical thinking motivational, and cognitive processing strategy scales. RESULTS: The current study found that using a motivating method for online learning inspired students to engage in critical thinking and cognitive processing strategies in a psychiatric and mental health nursing course, even in two different contexts. CONCLUSION: This study demonstrates that using motivational methods for online learning encourages students to engage in critical thinking and cognitive processing strategies in psychiatry and mental health care courses, even in two different settings.

Sociodemographic Factors and Mental Health in Nursing Students in Times of COVID-19

Introduction: Mental health has been affected during the pandemic by COVID-19, also in nursing students a negative effect on their levels of depression and anxiety has been observed. Objective: To describe the relationship between sociodemographic factors and mental health of nursing students in times of COVID-19. Methods: Quantitative, descriptive, cross-sectional study, whose population was 577 nursing students of a private university in Trujillo, Peru, enrolled in the semester 2021-01. A sample of 328 students was taken by non-probabilistic convenience sampling. Data were collected using the questionnaires to evaluate anxiety symptoms (GAD-7) and depression (PHQ-9), these instruments were sent through a Google form. Data were processed and described in absolute frequencies and percentages;Pearson's Chi-square test was used for inferential analysis. Results: The sociodemographic factors show that 31.10% belonged to the first cycle, 95.70% were female, 31.40% were aged up to 18 years, 92.10% were single, 68.90% professed the Catholic religion and 85.40% indicated residing in the department of La Libertad. It was also found that 45.40% of the students had mild anxiety and 19.80% severe anxiety;in addition, 39.60% did not present depressive symptoms, 18.90% presented mild major depression and 2.10% severe major depression;only a significant statistical relationship was found between the gender factor and depressive symptoms (p < 0.05). Conclusions: No relationship was found between sociodemographic factors and anxiety symptoms. © 2022, Editorial Ciencias Medicas. All rights reserved.

Mediating effect of perceived social support between mindfulness level and mental health of nursing undergraduates during the epidemic of novel coronavirus pneumonia

Objective: To study students' mental health status during epidemic of novel coronavirus pneumonia, and to explore the influence of mindfulness level and perceived social support on mental health. Methods: A total of 240 undergraduate nursing students were investigated with Depression Anxiety and Stress Scale, Five Facets Mindfulness Questionnaire, Perceived Social Support Scale and Pittsburgh Sleep Quality Index. SAS and Mplus were applied to describe the data and conduct mediation analysis. Results: About 18.8% of the participants were depressed and 27.9% were anxious, 13.3% were stressed, and 31.7% had problems of sleeping. The mindfulness level could directly affect sleep disorder (beta = - 0.242, P < 0.001), stress (beta = - 0.397, P < 0.001), anxiety (beta = - 0.350, P < 0.001)and depression(beta = - 0.484, P < 0.001), and could also indirectly affect sleep disorder (beta = - 0.171, P < 0.001), stress (beta = - 0.105, P = 0.029), anxiety (beta = - 0.102, P = 0.034) and depression (beta = - 0.180, P < 0.001) via the mediation role of perceived social support with the mediating effects accounted for 41.40%, 20.92%, 22.52% and 37.19%, respectively. Conclusions: Mindfulness level can improve the mental health of nursing undergraduates through direct action and understanding the intermediary role of social support. Nursing educators can consider integrating mindfulness decompression training into daily teaching, and give nursing undergraduates enough psychological and emotional support and encouragement to improve their mental health level.

Academic Procrastination of Undergraduate Nursing Student: A Cross-Sectional Study

BACKGROUND: The learning system carried out online during the COVID-19 pandemic increasingly supports students to delay working on assignments. AIM: The purpose of this study was to explore the academic procrastination of students during a pandemic. METHOD(S): This research using a cross-sectional study research method with 399 nursing students as respondents, data were collected using Google Forms which was circulated online, data were processed using descriptive, Pearson, and linear regression methods. RESULT(S): Pearson's results show that there is a positive correlation for age, fear of failure, aversiveness of task, difficulty making decisions, dependency, lack of assertion, risk taking, and rebellion against control. The results of the linear regression test showed that aversiveness of task, dependency, and lack of assertion were the strongest predictors of students' reasons for procrastinating. CONCLUSION(S): Academic procrastination by students, if carried out continuously and repeatedly, will have an impact on academic performance, grades, and mental health.Copyright © 2022 Syiddatul Budury, Diah Jerita Eka Sari, Widiharti Widiharti, Theresia Anita Pramesti, Siti Nur Hasina.

Mental Health Status and the Readiness of Nursing Students to Serve During the COVID-19 Pandemic

Aims: This study aims to assess the state of mental health of nursing students in Kosovo and their willingness to provide professional health services for individuals at risk during the COVID-19 pandemic. Method(s): In this cross-sectional survey, undergraduate nursing students from three higher education institutions in Kosovo participate from May 25, 2020, to June 5, 2020. Data was collected through a structured, anonymous, self-directed questionnaire via the online platform-google forms. Questions about nursing knowledge, skills and competencies, and willingness to work, if necessary, in healthcare facilities in Kosovo before graduation during the COVID-19 pandemic, were organised according to the Likert scale. Result(s): Four hundred and seventy-two nursing students (82% female;and mean age 20.3+/-1.8 years) participated in the study. 18.2% of students required further evaluation for depression, 48.3% for anxiety, and 30.7% for stress. 77.8% of students agreed that they had acquired sufficient knowledge, 80.6% that they had sufficient skills, and 75.9% that they had sufficient competencies, during their studies, to work as nurses. Female students had higher stress (8.55+/-4.06) and anxiety scores (6.65+/-4.08) compared to their male counterparts (7.46+/-4.35;and 5.02+/-4.07;respectively) (p<0.05). There was no statistically significant difference among categories of stress, anxiety and depression, and nursing student's willingness to work or not during COVID-19 pandemic (p>0.05). Conclusion(s): Most nursing students in Kosovo appear ready and willing to join qualified nurses in healthcare institutions in delivering health services during the COVID-19 pandemic. Highlights: Most nursing students are willing to provide health services during the pandemic. The female students had higher stress and anxiety scores than their counterparts. This study discovered that students needed psychological support during the pandemic. Serving during the pandemic will put into practice problem-solving skills.Copyright © 2023 Tahirbegolli et al.

Self-compassion and perceived readiness for practice among baccalaureate nursing students: A mixed-methods study

There is increasing concern about how nursing students' psychological health will impact their future nursing practice. The COVID-19 pandemic has enhanced these concerns. Nurse educators are being challenged with preparing nursing students to provide compassionate, patient-centered care despite the stress and psychological challenges of today's healthcare environment. Self-compassion is a practice of mindfulness, self-kindness, and common humanity which positively influences and predicts psychological health. The purpose of this study was to explore the relationship between self-compassion and perceived readiness for professional practice among undergraduate nursing students. A convergent mixed-method design utilizing correlational and directed content analyses explored this relationship. The sample consisted of 82 senior nursing students from baccalaureate programs in the Northeastern Region of the United States. Participants completed an online survey consisting of a demographic questionnaire, the Self-Compassion Scale Short Form (SCS-SF), and the Casey Fink Readiness for Practice Survey ©2008. Eighteen of the participants were also interviewed. Results indicated that self-compassion and support systems positively influence perceived readiness. The findings promote psychological health as a component of readiness for professional practice and the incorporation of self-compassion development into nursing curriculum. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Mental Health and Coping Strategy of Nursing Students During the Covid-19 Pandemic in Indonesia

Introduction: During this COVID-19 pandemic, being a nurse is one of the most stressful jobs a person can have. The purpose of this study was to determine the relationship between stress and coping strategy among nursing students during the COVID-19 pandemic in Indonesia. Methods: A cross-sectional study was conducted to students from higher education institutions. Closed web-based surveys were used to collect data. The instrument used the Beck Depression Inventory (BDI) and Ways of Coping (Revised). Linear regression was used to analysed the data. Results: The mean stress score was 24.18 (SD=4.744). About 64.6% of participants were having moderate stress during their online learning process and 33.3% of them were reported to have severe stress level. The mean score of coping strategy was 48.83 (SD=9.980), ranged from 7 to 84. Stress was associated with coping strategies (B=0.171, 95% CI: 0.119-0.223, p-value=0.000) with R square was 0.168. Conclusion: This study can be used as important data for each institution to develop an intervention to overcome mental health problems in students, especially when an outbreak or disaster occurs. © 2022 UPM Press. All rights reserved.

Remembering to be kind during the COVID-19 pandemic

The Mental Health Foundation was going to make sleep the theme of the 2020 Mental Health Awareness Week being held this month. Then COVID-19 came along and shook the world awake.

Resilience and mental health nursing: An integrative review of updated evidence.

Mental health nursing work is challenging, and workplace stress can have negative impacts on nurses' well-being and practice. Resilience is a dynamic process of positive adaptation and recovery from adversity. The aims of this integrative review were to examine and update understandings and perspectives on resilience in mental health nursing research, and to explore and synthesize the state of empirical knowledge on mental health nurse resilience. This is an update of evidence from a previous review published in 2019. Using integrative review methodology, 15 articles were identified from a systematic search (July 2018-June 2022). Data were extracted, analysed with constant comparison method, synthesized narratively and then compared with the findings from the original review. As an update of evidence, mental health nurse resilience was moderate to high across studies, was positively associated with psychological well-being, post-traumatic growth, compassion satisfaction and negatively associated with burnout, mental distress and emotional labour. Lack of support and resources from organizations could negatively impact nurses' ability to maintain resilience and manage workplace challenges through internal self-regulatory processes. A resilience programme improved mental health nurses' awareness of personal resilience levels, self-confidence, capacity to develop coping skills and professional relationships. Some studies continue to lack contemporary conceptualizations of resilience, and methodological quality varied from high to low. Further qualitative and interventional research is needed to investigate the role of resilience in mental health nursing practice, personal well-being, workforce sustainability and the ongoing impacts of the COVID-19 pandemic.

Impacts of the COVID-19 pandemic on nurses' health / Impactos da pandemia de COVID-19 para a saúde de enfermeiros / Impactos de la pandemia de COVID- 19 en la salud de enfermeros

Objetivo: descrever os impactos da pandemia de COVID-19 para a saúde de enfermeiros. Método: trata-se de um estudo exploratório, descritivo, com abordagem qualitativa, realizado com dez enfermeiros das Estratégias de Saúde da Família de Murici- Alagoas. Os dados foram obtidos a partir de entrevista semiestruturada, submetidos à técnica de Análise de Conteúdo de Minayo. O referencial teórico utilizado foi a Teoria da adaptação de Callista Roy. Resultados: o medo do desconhecido, a necessidade de enfrentamento da situação tanto pessoal como profissionalmente, o medo de transmissão da COVID-19 para os familiares e a vivência do luto, foram identificados neste estudo. Conclusão: a exposição do profissional enfermeiro ao Coronavírus o leva a vulnerabilidade profissional e humana. Nesse contexto, é fundamental que haja acolhimento efetivo ao enfermeiro, tendo em vista que a base profissional é o cuidado. Então, para a qualidade na assistência as condições de trabalho precisam ser condizentes a sua função.

Objective: Objective: to describe the impacts of the COVID-19 pandemic on nurses' health. Method: in this exploratory, descriptive, qualitative study, data were obtained from semi-structured interviews of ten nurses from the Family Health Strategy in Murici, Alagoas state, and submitted to Minayo's Content Analysis technique, using Callista Roy's Theory of Adaptation as the theoretical frame of reference. Results: fear of the unknown, the need to meet the situation both personally and professionally, fear of transmitting COVID to family members, and the experience of grief were identified in this study. Conclusion: nurses' occupational exposure to the Coronavirus leads them to professional and human vulnerability. In this context, it is essential that nurses' health demands be well received and effectively met, considering that the basis of the profession is care. Accordingly, for quality care, working conditions need to be consistent with the nurses' function.

Objetivo: describir los impactos de la pandemia de COVID-19 en la salud de enfermeros. Método: se trata de un estudio exploratorio, descriptivo, cuyo enfoque es cualitativo, realizado junto a diez enfermeros de las Estrategias de Salud Familiar de Murici-Alagoas. Los datos se basaron sobre una entrevista semiestructurada y fueron sometidos a la técnica de Análisis de Conteo de Minayo. El referencial teórico utilizado fue la Teoría de la adaptación de Callista Roy. Resultados: en este estudio se identificaron el miedo a lo desconocido, la necesidad de afrontar la situación tanto personal como profesionalmente, el temor a la transmisión del COVID-19 a los familiares y la experiencia del duelo. Conclusión: la exposición profesional de los enfermeros al Coronavirus los lleva a la vulnerabilidad profesional y humana. En este contexto, es fundamental que haya una acogida eficaz al enfermero, teniendo en cuenta que la base profesional es el cuidado. Por lo tanto, para que la asistencia sea de calidad, las condiciones de trabajo deben ser adecuadas a su función.

Artificial intelligence: An eye cast towards the mental health nursing horizon.

There has been an international surge towards online, digital, and telehealth mental health services, further amplified during COVID-19. Implementation and integration of technological innovations, including artificial intelligence (AI), have increased with the intention to improve clinical, governance, and administrative decision-making. Mental health nurses (MHN) should consider the ramifications of these changes and reflect on their engagement with AI. It is time for mental health nurses to demonstrate leadership in the AI mental health discourse and to meaningfully advocate that safety and inclusion of end users' of mental health service interests are prioritized. To date, very little literature exists about this topic, revealing limited engagement by MHNs overall. The aim of this article is to provide an overview of AI in the mental health context and to stimulate discussion about the rapidity and trustworthiness of AI related to the MHN profession. Despite the pace of progress, and personal life experiences with AI, a lack of MHN leadership about AI exists. MHNs have a professional obligation to advocate for access and equity in health service distribution and provision, and this applies to digital and physical domains. Trustworthiness of AI supports access and equity, and for this reason, it is of concern to MHNs. MHN advocacy and leadership are required to ensure that misogynist, racist, discriminatory biases are not favoured in the development of decisional support systems and training sets that strengthens AI algorithms. The absence of MHNs in designing technological innovation is a risk related to the adequacy of the generation of services that are beneficial for vulnerable people such as tailored, precise, and streamlined mental healthcare provision. AI developers are interested to focus on person-like solutions; however, collaborations with MHNs are required to ensure a person-centred approach for future mental healthcare is not overlooked.

Mental health reported in adult invasive home mechanical ventilation through a tracheostomy: A scoping review

Background: Although people receiving invasive home mechanical ventilation through a tracheostomy are facing both physical and mental health challenges, healthcare services often focus mainly on physical symptoms. To ensure well-functioning treatment and care for people receiving tracheostomy ventilation in a home setting, their mental health needs to be promoted and seen as an integral part of their health in general. Objective: This scoping review aimed to provide a summary of the current knowledge on the mental health of people receiving invasive home mechanical ventilation through a tracheostomy. Design: A scoping review of published and gray literature based on the framework developed by Arksey and O'Malley and refined by the JBI was performed. The Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews checklist was used for reporting the findings. Methods: A literature search was conducted by two researchers independently in the PubMed, CINAHL and PsycINFO databases. Additional searches for gray literature were conducted in Google, Google Scholar, websites of selected organisations, and the reference lists of included studies. The software system Covidence was used in the study selection process. For critical appraisal, the Mixed Methods Appraisal Tool was used. Results: Thirteen studies were included in this review, of which six used qualitative, six quantitative, and one mixed methods. The majority of studies were authored in Europe (n = 10), followed by the Americas (n = 2) and the Western Pacific (n = 1). Mental health was investigated both directly and indirectly (61.5% vs. 38.5%). Categorizing the reported mental health outcomes, we found that emotional well-being was reported widely across the studies (n = 13), while psychological well-being (n = 5) and social well-being (n = 4) were less widely reported. Conclusions: The mental health of people receiving home tracheostomy ventilation has received some scholarly attention. A heterogeneity of mental health outcomes was reported in the literature with emotional well-being being an important mental health area both in relation to the sub-components positive affect and quality of life appraisal. Mental health outcomes in relation to psychological well-being and social well-being were fragmented and only sparsely investigated. © 2022 The Author(s)

Impact on Nurse Mental Health Amongst Stressors of Global Pandemic

With the COVID-19 global pandemic, many are deceased, many are sick, and many recovering in hospitals worldwide. There are high physical and mental demands for nurses to be present and able to provide care for the sick and the unable, but such demands come with repercussions. While nurses are consistently caring for patients, are we properly taking care of our nurses in return? The motivation of this study is to further investigate the source of truth for the problem of nurse burnout and the impact it has on their outlook on job satisfaction.

Questioning potential ethical issues: facts on a hospitalized psychiatric patient with Covid-19

La contradicción en los principios de manejo de pacientes psiquiátricos internados con Covid-19 acompañada de cambios en las políticas gerenciales tiene la oportunidad de crear desafíos éticos para la enfermería. Sin embargo, estudios mínimos han descrito posibles problemas éticos durante la atención de pacientes con enfermedades mentales que padecen Covid-19. Por lo tanto, se necesita la máxima sinergia en el manejo de Covid-19 en personas con condiciones de salud mental para que los posibles problemas éticos puedan reducirse y prevenirse. Este estudio explora las perspectivas de las enfermeras sobre posibles problemas éticos en función de sus experiencias en el cuidado de pacientes con Covid-19 que reciben atención psiquiátrica. Los resultados de la recopilación de datos de esta investigación cualitativa se analizaron mediante el análisis de contenido convencional según Lundman y Graneheim. La recolección de datos se llevó a cabo durante quince entrevistas en profundidad considerando la saturación de datos. De acuerdo con la técnica de muestreo por conveniencia, una enfermera jefe fue entrevistada dos veces y realizó trece entrevistas con cinco enfermeras. Durante las entrevistas en profundidad, se realizaron grabaciones y se documentaron en transcripciones para su posterior análisis paso a paso para generar temas. El tema central formulado es el potencial de problemas éticos sustentado en tres temas: tratamiento psiquiátrico ineficaz, falta de apoyo gerencial para la condición mental del paciente y la complejidad de la situación enfrentada por los enfermeros. La conciencia, el sentido de responsabilidad y la confianza en sí mismos de las enfermeras acompañadas del apoyo de la gestión facilitan la mejora de las condiciones físicas y psicológicas de los pacientes psiquiátricos de pacientes con Covid-19.Alternate :The contradiction in the principles of handling psychiatric inpatients with Covid-19 accompanied by changes in managerial policies has the opportunity to create ethical challenges for nursing. However, minimal studies have described potential ethical issues during the care of mentally ill patients suffering from COVID-19. Therefore, maximum synergy is needed in handling Covid-19 in people with mental health conditions. Subsequently, potential ethical problems can be reduced and prevented. This study explores nurses' perspectives on potential ethical issues based on their experiences caring for Covid-19 patients undergoing psychiatric inpatient care. The results of this qualitative research data collection were analyzed using conventional content analysis according to Lundman and Graneheim. Data collection was carried out for fifteen in-depth interviews by considering data saturation. According to the convenience sampling technique, a head nurse was interviewed twice and conducted thirteen interviews with five nurses. During in-depth interviews, recordings were made and documented into transcripts for further analysis step by step to generate themes. The central theme formulated is the potential for ethical problems supported by three parts: ineffective psychiatric treatment, lack of managerial support for the patient's mental condition, and the complexity of the situation nurses face. Awareness, sense of responsibility, and self-confidence of nurses accompanied by management support facilitate the improvement of the physical and psychological conditions of psychiatric patients of Covid-19 patients.

Barriers and enablers to implementation of the therapeutic engagement questionnaire in acute mental health inpatient wards in England: A qualitative study.

A strong association exists between the quality of nurse-service user therapeutic relationship and care outcomes on acute mental health inpatient wards. Despite evidence that service users desire improved therapeutic engagement, and registered mental health nurses recognize the benefits of therapeutic relationships, such interactions remain sub-optimal. There is a dearth of evidence on factors influencing implementation of interventions to support and encourage therapeutic engagement. This study aimed to understand the barriers and enablers to implementation of the Therapeutic Engagement Questionnaire (TEQ), across fifteen acute inpatient wards in seven English mental health organizations. Qualitative methods were used in which data were collected from ethnographic field notes and documentary review, coded, and analysed using thematic analysis. Theoretical framing supported data analysis and interpretation. Reporting adheres to the Standards for Reporting Qualitative Research. The TEQ as an evidence-based intervention co-produced with service users and nurses was valued and welcomed by many nurse directors, senior clinicians, and ward managers. However, a range of practical and perceptual factors impeded implementation. Furthermore, many existing contextual challenges for intervention implementation in acute inpatient wards were magnified by the COVID-19 pandemic. Suitable facilitation to address these barriers can help support implementation of the TEQ, with some transferability to implementation of other interventions in these settings. Our study suggests several facilitation methods, brought together in a conceptual model, including encouragement of reflective, facilitative discussion meetings among stakeholders and researchers, effort put into winning nurse 'buy-in' and identifying and supporting ward-level agents of change.

Trauma-informed mental health practice during COVID-19: Reflections from a Community of Practice initiative.

This article discusses insights arising from a Community of Practice (CoP) initiative within a mental health short stay inpatient unit adjacent to a major Emergency Department to explore how COVID-19 has influenced engagement and support of people in mental distress. The present initiative was designed as a collaboration between the University of South Australia and SA Health. Community of Practice (CoP) is combined with a narrative review of current evidence to explain specific nursing care responses within an operating environment of pandemic-induced fear and uncertainty. Meetings discussed the challenges associated with delivering mental health care for people experiencing mental health distress in the COVID-19 context. Applying trauma-informed principles to mental health care delivery was identified to be of relevance in the context of an ongoing pandemic. Humanizing nursing care and increasing people's sense of predictability and safety contributed to therapeutic engagement and support during COVID-19. Factors discussed to mitigate the effects of safety measures include, for example, nuanced verbal and non-verbal engagement of health workers with people in mental distress when wearing personal protective equipment (PPE). We highlight the need to 'humanise' nursing and openly communicating that both practitioners and people in distress are navigating special circumstances. The CoP participants additionally acknowledged that the experience of moral distress among frontline health workers needs to be addressed in future policy responses to COVID-19. Person-centred and trauma-informed responses at the point of care might help to mitigate the pandemic short- and long-term effects for both service users and frontline health workers.