Skip to main content

Table 2 Summary of results by theme

From: Systematic review of experiences and perceptions of key actors and organisations at multiple levels within health systems internationally in responding to COVID-19

Professional level

Organisational level

Local system level

Front-line staff asked to adapt to COVID-19 and exhibit resilience

Staff experienced shifting roles and increased workload to respond to COVID-19

Staff stress and burnout exacerbated by fear of contagion and lack of suitable protective measures, including PPE

Some healthcare staff less recognised, especially home care workers

Examples of innovative initiatives include telehealth and community engagement

Introduced psychological support programmes for workforce

Recognition of otherwise ´unseen´ workers

Emphasised open or engaging leadership

Use of cross-functional teams to support care coordination

Reflection on how COVID-19 relation information shared within and beyond organisation                                                   COVID-19 seen as ‘catalyst’ for overcoming typical barriers to change

System-wide training to mitigate stress

Safeguarding working conditions

Source of external public resources and finance, but concern about sustainability

Enabled coordination of relationships across organisations

Updating of regulations and contracting needed to support service-level changes (e.g. introduction of telemedicine)