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Coping with COVID: Developing a Rapid-cycle Frontline Quality-improvement Process to Support Employee Well-being and Drive Institutional Responsiveness in a Tertiary Care Faith-based Hospital in Rural Kenya.
Adam, Mary B; Makobu, Naomi Wambui; Kamiru, Wilson Karuri; Mbugua, Simon; Mailu, Faith.
  • Adam MB; 1AIC Kijabe Hospital, Kijabe, Kenya.
  • Makobu NW; 2Africa Consortium for Quality Improvement Research in Frontline Healthcare (ACQUIRE), Kijabe, Kenya.
  • Kamiru WK; 1AIC Kijabe Hospital, Kijabe, Kenya.
  • Mbugua S; 1AIC Kijabe Hospital, Kijabe, Kenya.
  • Mailu F; 1AIC Kijabe Hospital, Kijabe, Kenya.
Am J Trop Med Hyg ; 105(2): 372-374, 2021 Jun 15.
Article in English | MEDLINE | ID: covidwho-1371031
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has demanded rapid institutional responses to meet the needs of patients and employees in the face of a serious new disease. To support the well-being of frontline staff, a series of debriefing sessions was used to drive a rapid-cycle quality-improvement process. The goals were to confidentially determine personal coping strategies used by staff, provide an opportunity for staff cross-learning, identify what staff needed most, and provide a real-time feedback loop for decision-makers to create rapid changes to support staff safety and coping. Data were collected via sticky notes on flip charts to protect confidentiality. Management reviewed the data daily. Institutional responses to problems identified during debrief sessions were tracked, visualized, addressed, and shared with staff. More than 10% of staff participated over a 2-week period. Feedback influenced institutional decisions to improve staff schedules, transportation, and COVID-19 training.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tertiary Healthcare / Adaptation, Psychological / Faith-Based Organizations / COVID-19 Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: Africa Language: English Journal: Am J Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Ajtmh.20-1661

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tertiary Healthcare / Adaptation, Psychological / Faith-Based Organizations / COVID-19 Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: Africa Language: English Journal: Am J Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Ajtmh.20-1661