{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T13:07:59Z","timestamp":1767791279668,"version":"3.49.0"},"reference-count":38,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"unspecified","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/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":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Qual"],"accepted":{"date-parts":[[2025,9,28]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The COVID-19 pandemic flooded intensive care units with patients needing supportive care. In Scandinavia, the greater Stockholm area was among the most affected. This study aimed to capture healthcare workers\u2019 conditions and challenges during this prolonged crisis, including perspectives from the intensive care team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The data consist of 22 semistructured individual interviews with regular and temporary healthcare workers involved in the intensive care of COVID-19 patients, including nurse assistants, registered nurses, critical care nurses and consultant and junior physicians. Thematic analysis was used to analyse the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overarching theme that emerged was\n                      <jats:italic>trying to create order in chaos<\/jats:italic>\n                      .\n                    <\/jats:p>\n                    <jats:p>\n                      The theme encompassed four categories:\n                      <jats:italic>adaptation with consequences, learning and growing while sacrificing my health, supporting and balancing staff resources without having enough,<\/jats:italic>\n                      and\n                      <jats:italic>challenging ICU values and standards<\/jats:italic>\n                      . Each category comprised multiple subcategories.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study demonstrates challenges and identifies workarounds, support strategies and personnel learning experienced by COVID-19 intensive care teams in delivering patient care, ensuring patient safety and managing staff resilience. The findings can be used to better prepare for future crises.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjoq-2025-003459","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:25:12Z","timestamp":1761290712000},"page":"e003459","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Trying to create order in chaos\u2014healthcare workers\u2019 perspective of COVID-19 intensive care (a qualitative study)"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1157-3780","authenticated-orcid":false,"given":"Lisbet","family":"Meurling","sequence":"first","affiliation":[{"name":"Anesthesia and Intensive Care, Karolinska University Hospital, Stockholm, Huddinge, Sweden"},{"name":"Clinical Sciences Intervention and Technology\u2014CLINTEC, Karolinska Institute, Stockholm, 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