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Quality was appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Data were then extracted and synthesised. Confidence of findings was assessed using the ConQual approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>The electronic databases: MEDLINE, CINAHL, Embase, and Scopus were searched in November 2023. Additional searches were conducted using the preprint servers: medRxiv, Open Science Foundation, Social Science Research Network, and Journal of Medical Internet Research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Synthesised findings of \u2018unfavourable working conditions and changed nursing practices\u2019 and \u2018health concerns caused by the nursing practices\u2019 with eight categories were identified. Significant findings included increased workloads; overwhelming use and insufficient supply of personal protective equipment; decreased communication between nurses and patients, families, and other healthcare workers; lack of knowledge of the disease; and adequate support from coworkers, but inadequate support from nurse managers and physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study synthesised existing knowledge and offered insight into the nursing practices and working conditions of high acuity nurses during the COVID\u201019 pandemic. Clinical nurses and managers need to actively take action on those modifiable aspects of their practices in a future similar crisis. This review did not identify any studies focusing on high acuity nurses' working conditions and practices in the post\u2010pandemic era. This kind of research is urgently needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Nurse managers and policy makers can use the findings of this review to help construct better working conditions for their high\u2010acuity nursing staff in a future similar crisis. Frontline high\u2010acuity clinical staff may use the findings of this review to help better guide their nursing practices and mitigate negative effects of a future similar crisis on their practice and health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>International Prospective Register of Systematic Reviews: CRD42023473414<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16887","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T01:14:01Z","timestamp":1742346841000},"page":"205-234","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Persistent Changes of Nurses' Practices and Working Conditions in High Acuity Settings in the Post\u2010Pandemic Era: A Qualitative Meta\u2010Aggregation"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5563-7506","authenticated-orcid":false,"given":"Weizhe","family":"Sun","sequence":"first","affiliation":[{"name":"Healthy Working Lives Research Group School of Public Health and Preventive Medicine, Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3501-8046","authenticated-orcid":false,"given":"Kelli","family":"Innes","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Monash University  Clayton Victoria Australia"},{"name":"Office of the Deputy Dean (Education), Faculty of Medicine, Nursing and Health Sciences Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0140-1287","authenticated-orcid":false,"given":"Simone","family":"Yu","sequence":"additional","affiliation":[{"name":"Healthy Working Lives Research Group School of Public Health and Preventive Medicine, Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2617-9339","authenticated-orcid":false,"given":"Alex","family":"Collie","sequence":"additional","affiliation":[{"name":"Healthy Working Lives Research Group School of Public Health and Preventive Medicine, Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.2036"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13677"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000509361"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2022.06.013"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.977"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103179"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.13158"},{"key":"e_1_2_10_10_1","unstructured":"Australian Institute of Health and Welfare.2023.\u201cElective Surgery Activity. 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