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. 2022 Apr 26;27(6):472–473. doi: 10.1111/resp.14266

Reply: Hearing the voices of Australian frontline healthcare workers during the COVID‐19 pandemic

Natasha Smallwood 1,2,, Jaimie‐Lee Maple 3, Karen Willis 3,4
PMCID: PMC9115344  PMID: 35474392

Short abstract

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From the Authors:

We thank Marcellin et al. for their correspondence regarding our paper ‘COVID‐19 infection and the broader impacts of the pandemic on healthcare workers’. We welcome the opportunity to respond to their comments.

We appear to share common ground with Marcellin et al., particularly in recognizing the importance of prioritizing healthcare workers' voices in order to improve healthcare systems' preparedness for future crises. Our recent book, Experiences of Health Workers in the COVID‐19 pandemic: In Their Own Words, draws on over 9000 Australian healthcare workers' responses to a survey examining the psychological, occupational and social impact of the COVID‐19 pandemic. 1 The book shares healthcare workers' insights on what we can learn from the pandemic to strengthen our health system responses and preparedness for future crises.

We also recognize the importance of adopting a holistic approach to well‐being, and agree that measuring and integrating quality of working life is important for designing meaningful support strategies for healthcare workers in future crises. In a previous paper that we published from the Australian COVID‐19 Frontline Health Workers Study (ACFHWS), we argued that the pandemic both highlighted and magnified existing occupational health and safety issues that have serious implications for job satisfaction, health workforce retention and, ultimately, patient care. 2 Furthermore, many frontline healthcare workers reported moral distress related to resource scarcity and wearing personal protective equipment impacting patient care, exclusion of family going against their values and fear of letting co‐workers down if they were infected. These factors were associated with experiencing poor mental health and occupational burnout. Feeling appreciated by the community was identified as a protective factor against these risks. 3

Qualitative content analyses from the ACFHWS survey highlighted key issues regarding workplace safety and risk, uncertainty and upheaval at work and at home and the lack of crisis preparedness, which affected health professionals universally across disciplines and areas of work. 4 These findings align with Marcellin et al.'s comments that ‘a broader reflection needs to be pursued to build long‐term responses that consider healthcare workers quality of working life, experiences, needs and expectations’.

The next phase of our research programme, ‘Future‐Proofing the Frontline’, aims to develop strategies to support frontline healthcare workers and leaders in times of crises. To achieve this, we will endeavour to understand the experiences of managers and leaders who have been responsible for supporting the frontline healthcare workforce during the COVID‐19 pandemic. We will also work with frontline healthcare workers to co‐design occupational supports that they value and will use.

Moving forward, it is essential that we listen to and learn from the voices of frontline healthcare workers in order to ensure that their needs are addressed and prioritized in future crises.

CONFLICT OF INTEREST

None declared.

LINKED CONTENT

This publication is linked to a related article. To view this article, visit https://doi.org/10.1111/resp.14265.

ACKNOWLEDGMENT

Open access publishing facilitated by Monash University, as part of the Wiley ‐ Monash University agreement via the Council of Australian University Librarians.

Smallwood N, Maple J‐L, Willis K. Reply: Hearing the voices of Australian frontline healthcare workers during the COVID‐19 pandemic. Respirology. 2022;27(6):472–473. 10.1111/resp.14266

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REFERENCES

  • 1. Bismark M, Willis K, Lewis S, Smallwood N. Experiences of health workers in the COVID‐19 pandemic: in their own words. Routledge: Taylor & Francis Group; 2022. [Google Scholar]
  • 2. Willis K, Ezer P, Lewis S, Bismark M, Smallwood N. “Covid just amplified the cracks of the system”: working as a frontline health worker during the COVID‐19 pandemic. Int J Environ Res Public Health. 2021;18(19):10178. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3. Smallwood N, Pascoe A, Karimi L, Willis K. Moral distress and perceived community views are associated with mental health symptoms in frontline health workers during the COVID‐19 pandemic. Int J Environ Res Public Health. 2021;18(16):8723. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4. Petrie K, Smallwood N, Pascoe A, Willis K. Mental health symptoms and workplace challenges among Australian paramedics during the COVID‐19 pandemic. Int J Environ Res Public Health. 2022;19(2):1004. [DOI] [PMC free article] [PubMed] [Google Scholar]

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