{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T15:06:05Z","timestamp":1778425565594,"version":"3.51.4"},"reference-count":46,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002706","name":"AFA F\u00f6rs\u00e4kring","doi-asserted-by":"publisher","award":["200337"],"award-info":[{"award-number":["200337"]}],"id":[{"id":"10.13039\/501100002706","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The COVID\u201019 pandemic stretched Swedish intensive care unit (ICU) resources to an extent never experienced before, but even before the pandemic staffing was difficult and the number of staffed ICU beds was low. Studies have revealed high levels of COVID\u201019 ICU staff burn\u2010out and fatigue, and as similar situations with high demands are likely to occur in the future a better understanding of resources that improve staff resilience is important. Using the job\u2010demand resource theory as a framework, we explored ICU professionals\u2019 views on demands and resources when working in COVID\u201019 ICUs with the aim to highlight factors that increased the job resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected via a web survey distributed to COVID\u201019 ICU professionals, including both regular and temporary roles, working in 13 COVID\u201019 ICU wards in Stockholm and S\u00f6rmland counties during the spring 2021. A total of 251 written responses to the question \u201cWhat would have made work in the COVID\u201019 ICU less demanding?\u201d were analyzed using thematic analysis. One year later a member\u2010checking focus group interview was conducted to validate and further explore staff experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The main themes were work strategy, fairness and support, continuity, accessible leadership, introduction\/information, and crisis preparedness. The analysis of the focus group conducted confirmed the main results and the extreme demands on ICU staff during the initial stages of the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To increase staff health and performance in a long\u2010term crisis our results suggest; maintaining workplace leadership, scheduling work in advance and, when possible, schedule for recovery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.14518","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T01:32:56Z","timestamp":1724722376000},"page":"1436-1445","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["What would have made work in the <scp>COVID<\/scp>\u201019 <scp>ICU<\/scp> less demanding? A qualitative study from 13 Swedish <scp>COVID<\/scp>\u201019 <scp>ICUs<\/scp>"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7086-7409","authenticated-orcid":false,"given":"Cecilia","family":"Escher","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care Norrt\u00e4lje Hospital  Sweden"},{"name":"Clinical Sciences Intervention and Technology CLINTEC Karolinska Institutet  Stockholm Sweden"},{"name":"Center for Advanced Medical Simulation and Training CAMST Karolinska University Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fanny","family":"Engqvist","sequence":"additional","affiliation":[{"name":"Department of Perioperative Medicine and Intensive Care Karolinska University Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"Creutzfeldt","sequence":"additional","affiliation":[{"name":"Clinical Sciences Intervention and Technology CLINTEC Karolinska Institutet  Stockholm Sweden"},{"name":"Center for Advanced Medical Simulation and Training CAMST Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Perioperative Medicine and Intensive Care Karolinska University Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oili","family":"Dahl","sequence":"additional","affiliation":[{"name":"Department of Perioperative Medicine and Intensive Care Karolinska University Hospital  Stockholm Sweden"},{"name":"Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mats","family":"Ericson","sequence":"additional","affiliation":[{"name":"Division of Ergonomics Royal Institute of Technology  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisbet","family":"Meurling","sequence":"additional","affiliation":[{"name":"Clinical Sciences 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