Unit Staff Research Articles

‘Nothing for us without us’: Exclusion of students with disabilities in disability policy review at a South African institution of higher education

The prominent disability rights slogan ‘nothing for us without us’ which was adopted from the 16th-century Polish revolution ‘nihil de nobis, sine nobis’, means that persons with disabilities, should be involved in anything that concerns their welfare so that they speak for themselves as people with a lived experience of disabilities. This empirical paper explores the participation of students with disabilities in the review of an institutional disability policy in a single institution of higher education in South Africa. Qualitative data were collected through interviews with twelve students with disabilities and seven disability unit staff members. Informed by critical disability theory, the finding was that there was limited participation by students with disabilities in the formulation of institutional disability policy meant for their welfare. While contemporary scholarship on disability seeks to address the exclusion of historically disadvantaged social groups such as those with disabilities but without privileging the voice of those with a lived experience of disability in policy issues, the ‘nothing for us without us’ slogan will remain elusive, fragile and cliché merely chanted. The paper thus aims to contribute to the understanding that limited participation in policy formulation could negatively affect the learning of students with disabilities and consequently their timeous graduation. For genuine inclusion, all students, including those with disabilities will fully participate in higher learning.

Moral distress and positive experiences of ICU staff during the COVID-19 pandemic: lessons learned

BackgroundThe COVID-19 pandemic causes moral challenges and moral distress for healthcare professionals and, due to an increased work load, reduces time and opportunities for clinical ethics support services. Nevertheless, healthcare professionals could also identify essential elements to maintain or change in the future, as moral distress and moral challenges can indicate opportunities to strengthen moral resilience of healthcare professionals and organisations.This study describes 1) the experienced moral distress, challenges and ethical climate concerning end-of-life care of Intensive Care Unit staff during the first wave of the COVID-19 pandemic and 2) their positive experiences and lessons learned, which function as directions for future forms of ethics support.MethodsA cross-sectional survey combining quantitative and qualitative elements was sent to all healthcare professionals who worked at the Intensive Care Unit of the Amsterdam UMC - Location AMC during the first wave of the COVID-19 pandemic. The survey consisted of 36 items about moral distress (concerning quality of care and emotional stress), team cooperation, ethical climate and (ways of dealing with) end-of-life decisions, and two open questions about positive experiences and suggestions for work improvement.ResultsAll 178 respondents (response rate: 25–32%) showed signs of moral distress, and experienced moral dilemmas in end-of-life decisions, whereas they experienced a relatively positive ethical climate. Nurses scored significantly higher than physicians on most items. Positive experiences were mostly related to ‘team cooperation’, ‘team solidarity’ and ‘work ethic’. Lessons learned were mostly related to ‘quality of care’ and ‘professional qualities’.ConclusionsDespite the crisis, positive experiences related to ethical climate, team members and overall work ethic were reported by Intensive Care Unit staff and quality and organisation of care lessons were learned. Ethics support services can be tailored to reflect on morally challenging situations, restore moral resilience, create space for self-care and strengthen team spirit. This can improve healthcare professionals’ dealing of inherent moral challenges and moral distress in order to strengthen both individual and organisational moral resilience.Trial registrationThe trial was registered on The Netherlands Trial Register, number NL9177.

The influence of the application of government accounting standards and local government internal control on the quality of financial reporting information

This study aims to determine the effect of applying government accounting standards on the quality of financial reporting information and the influence of regional government internal control on the quality of financial reporting information of the Regional Work Unit (SKPD) of Bukittinggi City. This research is a causative descriptive type which describes the facts that occur clearly and looks at the effect of each causal variable (X) on the effect variable (Y). The population of this study consisted of 87 civil servants (PNS) government agencies and accounting staff of the Regional Work Unit (SKPD) of Bukittinggi City, so the sample for this study was total sampling because the population was less than 100 objects.∝5% (0.05), 2) there is a significant influence between Local Government Internal Control on the quality of financial report information with a t value of 3.184 or a significant level of 0.004, the value is smaller than the significant level∝5% (0.05). It is hoped that this research can make a positive contribution to the Regional Apparatus Unit (SKPD) of the City of Bukittinggi.

Analisis Informasi Status Keberangkatan Penerbangan Oleh Unit Customer Service PT. Angkasa Pura II Bandar Udara Internasional Husein Sastranegara Bandung

Process of providing information unit Customer Service Husein Sastranegara International Airport experienced a discrepancy in flight status information between FIDS and AAS at the departure untill passengers were confused because they received different information from each of the information facilities. Purpose this study is determine process of services provided, constraints, and efforts in the process of information services provided. This research was conducted using a qualitative analysis, which tried to describe all conditions that existed, condition of symptoms according to what they were at the time research was conducted. Based on the main problem, namely to analyze the constraints and what efforts are made by information unit Customer Service when there is a difference in scheduled departure flight information. Result of the study show that the flow of service information on status of departure exists in the unit Customer Service Husein Sastranegara International Airport refers to Standard Operating Procedure of PT. Angkasa Pura II 2022 with the aim of providing fast, precise and accurate information services. Constraints on differences in information caused by miscommunication with other unit and less information service staff. Listening detail every Announcement, contacting related units, teamwork and additional personnel are efforts to overcome the obstacles encountered.

Assessment of risk factors for COVID-19 spread by staff in intensive care units of a multidisciplinary hospital

Objective. To evaluate the risk factors for COVID-19 spreading by personnel of resuscitation units of a multifield hospital.
 Materials and Methods. The study included epidemiological, statistical, and mathematical research methods with retrospective analysis of COVID-19 morbidity and COVID-19 preventive measures in resuscitation units of a multifield hospital.
 Results. The results of the study indicated the highest incidence of COVID-19 among medical personnel in the cardiac surgery and neuroresuscitation units with the highest rates among physicians (66.6 and 45.5 %). The determining risk factors for infection with COVID-19 and other pathogens of acute respiratory diseases among medical personnel were the following: admission of patients in urgent condition to the department without examination results; high load for doctors working with patients, determining the excessive use of personal protective equipment (PPE) by two, four times; violation of rules for PPE removal and utilization conditions, improper storage and contamination of clean PPE, low proportion of PPE use in the interepidemic period; procedures associated with formation of aerosol, airtightness failure during mask ventilation in 24 % of patients that led to leakage of aerosol into the environment, insufficient coverage of medical personnel with preventive vaccination against COVID-19 in some units.
 Conclusions. The high incidence of COVID-19 among medical personnel and workload, violations of PPE usage, and procedures with aerosol formation specific for resuscitation units all these things determine the increased risk of COVID-19 spread by medical staff in resuscitation units.

Военная служба по контракту в Вооруженных Силах Российской Федерации: организационные, медицинские и социальные аспекты отбора граждан

Summary. The aim of the study is to analyze organizational, medical and social aspects of the selection of citizens for military service under contract in the Armed Forces of the Russian Federation on the basis of a comprehensive study conducted in the subject of the Russian Federation, Orenburg oblast, in order to differentiate the approach to the qualitative staffing of military units of different kinds and types. Materials and Methods of Research. During the present study, the reporting and accounting documents of military commissariats (military commissariats) of municipal formations of Orenburg oblast for the ten-year period – from 2012 to 2021 – were analyzed. Study materials and methods. At present, the share of citizens serving under conscription is 1/3, and the share of contract servicemen is 2/3 of the total number of the Armed Forces of the Russian Federation. The resource of citizens for qualitative selection for military service under contract in the Orenburg oblast has been established. A comprehensive assessment of health status, medical and social status and quality of life of persons willing to enter military service under contract has been made, and their moral qualities and their capabilities have been studied in detail. According to the data of the professional psychological selection, all the selected persons had high emotional stability, resistance to physical and mental overload, which may arise during military service, including during performance of tasks in extreme conditions and emergency situations.

Commentary: Assessment of mental health status among Chinese nursing staff in the intensive care unit: a network analysis.

Commentary: Assessment of mental health status among Chinese nursing staff in the intensive care unit: a network analysis.

Assessment of mental health status among Chinese nursing staff in the intensive care unit: a network analysis.

Nursing is the key group to provide healthcare services, and it is easy for nursing staff to develop mental health problems. The study aimed to evaluate prevalence of psychological symptoms in nurses working in an intensive care unit (ICU) and the inter-relationship of associations of psychological symptoms using network analysis. This study is a cross-sectional design study. The Chinese version of the Symptom Check List-90 (SCL-90) was used to measure the psychological status of ICU nurses. The network structure of psychological symptoms was characterised, and indices of 'Expected influence' were used to identify symptoms central to the network. Network stability was examined using a case-dropping bootstrap procedure. Multiple logistic regression analysis found those who had worked more than 15 years were less likely to experience positive psychological symptoms, whereas nurses working in emergency ICU and other ICUs, nurses working in departments with over 16 beds were more likely to develop psychological symptoms. In addition, 'Anxiety', 'Mental degeneration' and 'Depression' were central symptoms in the network. ICU nurses reported a high level of psychological symptoms, which may affect the quality of their work and worsen public health problems.

Carga laboral en áreas críticas y “TISS 28”

Introduction: nursing as the backbone of the global health care system. The workload in critical care units affects the quality of health care. The creation of therapeutic support units for medical specialties has increased their complexity. The Simplified Therapeutic Intervention Scoring System (TISS-28) determines workload. The lack or absence of the application of these tools within the ICU has evidenced a workload and caused adverse effects for the external and internal user. Objective: to determine the nursing workload by means of the TISS-28 Prognostic System in the Intensive Care Unit of the Hospital General Docente Ambato. Methods: a prospective, descriptive, cross-sectional, correlational, descriptive study was conducted during the period from June to August 2019; in the Intensive Care Unit of the Hospital General Docente Ambato. Results: there is a deficit of nursing staff in the shift from 19 to 35%. The workload increases adverse events: Health Care Associated Infections, medication errors, deteriorating the quality of health care. Multiplying the workload of nursing staff in Intensive Care Units. Conclusions: The TISS-28 scale has proven to be a reliable method to determine and distribute workload. Workload increased adverse events deteriorating the quality of health and the incidence of burnout syndrome in health care personnel.

Evaluation of Building Condition and Maintenance as a Panacea for Preventing Building Collapse in Nigeria: The Case for Correctional Buildings

Buildings are constructed with the aim of lasting for a certain duration of time while achieving other ancillary benefits, such as functionality, aesthetics, affordability, comfort, and pleasure for the occupants. Over the years, correctional facilities and other buildings have become derelict within some period of construction due to a lack of adequate maintenance, which resulted in dilapidation and probably collapse. This paper evaluated the building condition and maintenance of correctional facilities. The objective is to reduce incessant building collapse in Nigeria. A survey approach was adopted in the collection of data from the relevant Niger State prison staff population of 120 workers, including staff in the maintenance unit, within a specific period. A stratified sampling technique was used to generate a sample that was used to collect data representing the entire population across the prisons. The results from the study identified poor maintenance of correctional facilities which could cause building deterioration and which could eventually pave way for the building to collapse. The study suggests continuous evaluation of maintained correctional facilities to ascertain their condition and performance levels.

0916 Q4 no More: Optimizing Clincial Decision Support to Decrease Inpatient Sleep Disruptions

Abstract Introduction Orders such as vital signs (VS) and neurological checks (NC) contain frequency options to help clinicians align workflows with patient needs. However, these clinical decision support (CDS) systems often default to around-the-clock, and clinicians may over-accept around-the-clock, leading to unnecessary sleep disruptions. Methods We added two radio buttons to VS/NC orders: q4 hour while awake (q4WA) and TID while awake (TIDWA). We gave presentations on CDS to inpatient neurology unit (INU) residents and staff pre-intervention. We sent reminders to INU residents to review and modify (when appropriate) around-the-clock orders via secure chat. We defined the pre-intervention period as six months before and the post-intervention period as six months following. Order frequencies and NC/VS performed from 11 pm–7 am were obtained via EHR. Pre- and post-intervention data were analyzed using interrupted time-series analysis (ITSA). Results Post-intervention, there was a significant decrease in q4 order frequencies (VS 15% and NC 17%,p< 0.001) across the institution. Subgroup analysis of the INU revealed more significant reductions in q4 frequencies (VS 54% and NC 48%, p< 0.001). Sleep-friendly orders significantly increased for VS and NC (0% to 6.7%, 0% to 7.8%). Sub-group analysis of the INU was again more profound, with sleep-friendly orders increasing from 0% to 16% for both VS and NC. Additionally, overnight VS and NC performed decreased by 11% and 17% post-intervention (p< 0.001) at the institution, with a further reduction in the INU (45% and 35% decrease for VS and NC, p< 0.001). The case-mix index was appropriately lower in the population with while awake orders (1.2749) versus around-the-clock orders (2.2684) Conclusion CDS modifications significantly increased sleep-friendly orders while reducing around-the-clock order frequencies and NC/VS completed overnight. These results were more profound on the INU, indicating that a combination of CDS changes, education, and chat reminders demonstrated a higher impact than CDS changes alone. Support (if any)

PENINGKATAN KINERJA STAFF BAGIAN PERSONALIA BATALYON INFANTERI RAIDER 600/MODANG KODAM VI/ MULAWARMAN BALIKPAPAN KALIMANTAN TIMUR

The purpose of this study was to identify and analyze the factors that caused the performance of the Staff of the 600th Infantry Raider Battalion/Modang Kodam VI/Mulawarman Balikpapan staff to improve, and to identify and analyze efforts to improve the performance of the 600th Infantry Raider Battalion's staff. /Modang Kodam VI/ Mulawarman Balikpapan, East Kalimantan. This research uses qualitative research with data collection techniques such as interviews, document analysis, and observation. The data analysis method used by the author is using the Miles and Huberman method. The results showed that the factors causing the performance of the Staff of the Personnel Section in the Personnel Division of the 600th Raider Infantry Battalion/Modang Kodam VI/Mulawarman still need to be improved in terms of the need for training of soldiers in the provision, education, use, maintenance, and separation so that it affects the performance of soldiers, still there are some staff who have not had an undergraduate education and managerial and computer skills still need to be added, but the current condition is that soldiers actually have the requirements to carry out education but the quota given to attend education is very limited, the number of staff in the personnel department is inadequate so they still cannot meet DSP. Efforts to improve the performance of the Staff of the Personnel Division of the 600th Infantry Raider Battalion/Modang Kodam VI/Mulawarman include: (1) Effort-1: Improving the pattern of personnel staff development, reward and punishment, application of the merit system and improving the pattern of care for the Staff of the Personnel Division; (2) Effort-2: Increasing the leadership's commitment to the education of special qualifications for personnel staff; (3) Effort-3: Arranging the placement of the Personnel Division Staff with the aim of fulfilling the DSP for personnel staff in all TNI AD work units.

Perception of Postgraduate Students on Ethical Public Relations Practice in Ebonyi State University, Abakaliki, Nigeria

In every organization, Public Relations serve as a vital anchor that keeps its reputation and external relationships afloat. It is a shield that minimizes risk and damage upon progress, initiating robust growth and evolution. The rationale for this study is that every successful public relations activity is guided by certain moral principles and is geared towards ensuring that the communication needs of all key stakeholders are addressed. These obviously include the postgraduate students of Ebonyi State University who constitute a critical component of the university publics. Besides, in building the reputation of an organization, it has to start with the internal publics. It is against this backdrop that it becomes imperative to assess the practice of ethical public relations as perceived by postgraduate students among the university staff at Ebonyi State University. The objectives were to determine whether Ebonyi State University postgraduate students perceive the level of communication flow between the students and staff as highly commendable; ascertain the level of goodwill elicited from postgraduate students and as well determine the major challenges that confront the postgraduate students. The study was anchored on a two-way symmetrical model. A mixed research method was adopted for this study and data were gathered using a questionnaire and in-depth interviews with staff of the public relations unit of Ebonyi State University. The population of the study consists of 990 postgraduate students in the 9 faculties of the university between 2018 to 2022 academic sessions. The population includes 88 PGDs, 540 Masters, and 362 PhDs. A sample of 285 respondents was chosen for the study based on the Australian sample size online calculator. The findings of the study revealed that poor communication and inadequate feedback mechanism pose serious challenges to the ethical practice of public relations at Ebonyi State University. It was therefore recommended that in order to build and enhance healthy relationships between the university and its postgraduate students, it is vital to find innovative ways to communicate with the postgraduate students to keep them not only engaged but informed.

A real-time system to report abnormal events involving staff in a nuclear medicine therapy unit.

A system for internal and voluntary reporting of abnormal events in a Nuclear Medicine Therapy Unit is described. This system is based on the Internet of Things and is composed of an application for mobile devices and a wireless network of detectors. The application is addressed to healthcare professionals and is intended to be a user-friendly tool to make the reporting procedure little laborious. The network of detectors allows for a real-time measurement of the dose distribution in the patient's room. The staff was involved in all stages, from the design of the dosimetry system and mobile application up to their final testing. Face-to-face interviews were carried out with 24 operators in different roles in the Unit (radiation protection experts, physicians, physicists, nuclear medicine technicians and nurses). The preliminary results of the interviews and the current state of development of the application and the detection network will be described.

Private Sector Participation and the Provision of Facilities for Universities Business Education Undergraduates’ Acquisition of 21st Century Skills

This study investigated private sector participation and the provision of facilities for universities business education undergraduates’ acquisition of 21st century skills. It looked at infrastructural and instructional facilities. Two research questions were answered while two hypotheses guided the study. The population comprised heads of departments, heads of units, senior non-academic staff, 300 and 400 levels students in the 2021/2022 academic session from Vocational and Technical Education departments in which business education is a part drawn from two institutions: University of Calabar (UNICAL) and Cross River University of Technology (CRUTECH). A sample of 124 respondents out of a population of 376 was drawn therefrom. Of this number, 122 copies of the instrument representing 98.39% return rate was achieved. Census technique was used to select the heads of departments, heads of unit and senior non-academic staff, purposive sampling was used in selecting 300 and 400 levels students because they were considered relatively knowledgeable concerning the items contained in the questionnaire, while systematic random sampling was adopted in selecting the 300 and 400 levels students that actually responded to the questionnaire. A validated four point rating scale structured questionnaire titled Private Sector Participation and the Provision of Facilities for Universities Business Education Undergraduates’ Acquisition of 21st Century Skills Questionnaire (PSPPFUBEUSAQ) was used for data collection. A reliability estimate of .84 was achieved for the instrument using Cronbach alpha reliability coefficient after a pilot test. Mean and standard deviation were used in answering the research questions, while population t-test was used in testing the hypotheses at .05 level of significance. Findings revealed among others that the extent of private sector participation in the provision of infrastructural facilities for universities business education undergraduates’ acquisition of 21st century skills is significantly low. Based on this, it was recommended that the government as well as the regulatory authorities should as a matter of importance enact policies that will mandate private sector organizations to regularly donate educational facilities to institutions of learning in their operational areas. Such donations can be carried out as part of their philanthropic corporate social responsibilities which could aggregate a certain percentage of their annual profits.

“That was our afterparty”: a qualitative study of mobile, venue-based PrEP for MSM

BackgroundHIV preexposure prophylaxis (PrEP) uptake among men who have sex with men (MSM), a group disproportionately impacted by HIV, is not commensurate with need. Settings which reduce or remove barriers to accessing care are promising venues to support PrEP uptake. PrEP provision at mobile clinics represents a novel strategy to increase PrEP access; however, the acceptability and feasibility of this approach have not been well studied.MethodsOur objective was to understand patient and staff experiences of a mobile clinic van offering PrEP and sexual health services in Boston, Massachusetts, USA. We interviewed mobile unit users and conducted focus groups with mobile unit staff and users. Data were organized using Dedoose software, and content analysis was used to identify themes of access, community, and stigma.ResultsNineteen individuals (16 patients and 3 staff members) participated in interviews (N = 13) or focus groups (N = 6). All patients identified as MSM, 63% were Hispanic or Latino, and 21% of patient interviews were conducted in Spanish. Logistical and psychological convenience facilitated service use, while the community-oriented environment improved satisfaction with care. Overall, participants supported expansion of mobile unit services and recommended changes to improve access to longitudinal care. However, some barriers to PrEP persisted, including low HIV risk perception and stigma about sexual behavior.ConclusionsMobile units can promote sexual health and PrEP uptake, particularly for populations facing social and logistical barriers to care in traditional settings.

Three Missed Critical Nursing Care Processes on Labor and Delivery Units During the COVID-19 Pandemic

ObjectiveTo examine the relationships of three missed critical nursing care processes on labor and delivery units with reduced nursing time at the bedside and adequacy of unit staffing during the COVID-19 pandemic in the United States. DesignA cross-sectional survey. SettingOnline distribution from January 14 to February 26, 2021. ParticipantsA national convenience sample (N = 836) of registered nurses employed on labor and delivery units. MethodsWe conducted descriptive analyses on respondent characteristics and critical missed care items adapted from the Perinatal Missed Care Survey. We conducted robust logistic regression analyses to assess the relationships of three missed critical nursing care processes (surveillance of fetal well-being, excessive uterine activity, and development of new maternal complications) with reduced nursing time at the bedside and adequacy of unit staffing during the COVID-19 pandemic. ResultsLess nursing time at the bedside was associated with greater odds of missing any of the critical aspects of care, adjusted odds ratio = 1.77, 95% confidence interval [1.12, 2.80]. Adequate staffing greater than or equal to 75% of the time was associated with lower odds of missing any of the critical aspects of care compared to adequate staffing less than or equal to 50% of the time, adjusted odds ratio = 0.54, 95% confidence interval [0.36, 0.79]. ConclusionPerinatal outcomes are dependent on the timely recognition of and response to abnormal maternal and fetal conditions during childbirth. In times of unexpected complexity in care and resource constraints, a focus on three critical aspects of perinatal nursing care is needed to maintain patient safety. Strategies that enable bedside presence of nurses, including maintaining adequate unit staffing, may help to mitigate missed care.

Improving Communication in a Large Urban Academic Safety Net Hospital System: Implementation of Secure Messaging.

Given the complexities of communication within health systems, we investigated how the implementation of secure messaging in addition to traditional paging would impact hospital communication. This study was implemented at Grady Health System (GHS), a large safety net academic hospital system in metro Atlanta that includes inpatient and ambulatory settings. GHS uses Epic Electronic Health Record (EHR), and secure messaging was performed using Epic Haiku Platform. To assess states of communication, we implemented pre- and post-surveys. The secure messaging data tracked from 2018 to 2022 demonstrated a rise in usage from 9,378 chats per month when it went live in August 2018 to greater than 200,000 monthly messages during the pandemic when social distancing measures were enacted. Monthly usage peaked in March 2022 with 378,932 messages. Pre-and-post survey questions using a Likert scale (1-4) showed increased agreement in the ability to reach all team members through secure chat amongst healthcare workers. Within our unit staff, communication improved by being more rapid and reliable, as the Likert scale means increased from 2.18 pre-survey to 2.63 post survey. Pre-and-post survey analysis indicates improved satisfaction across GHS stakeholders with the implementation of secure chat in addition to the existing direct-paging system. Next steps could include exchanging digital media through secure messaging to facilitate faster diagnosis and treatment of certain medical conditions. Secure messaging integrated within the EHR (including mobile devices) enhances communication between healthcare team members in a HIPAA-compliant way reducing the number of pages and phone calls.

Challenges, Job Satisfiers, and Self-Care among Perinatal Nurses in the United States during the COVID-19 Pandemic.

To explore the perceived challenges, job satisfiers, and self-care of U.S. perinatal nurses during the COVID-19 pandemic. In May of 2021, a cross-sectional survey was distributed online to members of the Association of Women's Health, Obstetric, and Neonatal Nurses and the National Association of Neonatal Nurses. We calculated descriptive statistics on respondent characteristics and applied conventional content analysis to free-text comments. Perinatal nurses ( N = 297) responded to three open-ended questions on their perceived challenges, job satisfiers, and self-care. Frequently reported challenges included changing guidelines and policies ( n = 101, 34%), personal protective equipment as a barrier ( n = 73, 24.6%), and visitor restrictions ( n = 64, 21.5%). Frequently reported job satisfiers were provision of high-quality care ( n = 137, 46.1%) and visitor restrictions ( n = 77, 25.9%). Respondents reported using mental ( n = 152, 51.2%) and physical ( n = 145, 48.8%) self-care strategies and 12.8% ( n = 38) reported using no self-care strategies. The ability to provide high-quality care was reported as a leading job satisfier. Poor communication of consistent, evidence-based guidelines, lack of personal protective equipment, and inadequate unit staffing were leading challenges. Visitor restrictions were a challenge and a job satisfier, suggesting opportunities to better include visitors as support people. Most respondents reported engaging in one or more types of self-care outside of the hospital setting. Future research is needed to examine strategies for self-care among perinatal nurses when at work in the hospital setting.

Feasibility of Implementing the STEADY Wellness Program to Support Hospital Staff During the COVID-19 Pandemic

Introduction:The COVID-19 Pandemic negatively impacted the mental wellbeing of healthcare workers worldwide. Many organizations responded reactively to their staff needs. The novel, evidence-informed Social Support, Tracking Distress, Education and Discussion Community (STEADY) program was implemented, with senior leadership support across a large hospital. STEADY is a multi-pronged program developed to mitigate occupational stress injury in healthcare workers and first responders. This project examined the feasibility of implementing STEADY across hospital units during a pandemic.Method:STEADY was implemented in five acute care units and across the rehab site of a large hospital. Data was collected on the five program components (drop-in peer support groups and critical incident debriefs, psychoeducation workshops, wellness assessments, peer partnering, community-building initiatives). Most peer support groups were facilitated by the program manager trained in peer support and one of six clinical staff.Results:The program was iteratively adapted to meet the needs of target units/groups. More than 300 sessions were run in ~one year, for an average of ~1.15 sessions per unit per week. With flexible adaptation to the mode of facilitation, ~75% of planned workshops and ~85% of peer support sessions were run. Three critical incident stress debriefs were held. The formal partnering program was offered via e-mail with minimal uptake. Ninety-five wellness assessments were completed by target end-users, with 36 personalized responses sent. Gratitude trees were posted in each unit for community-building. Eight target unit staff completed formal peer support facilitation training. Twenty additional groups across the organization requested STEADY programming support and ten requested gratitude trees.Conclusion:Results indicate that most components of the STEADY program were feasible to implement in hospital units during the pandemic. On-site, interactive programming was most engaging for end-users. Leadership support and flexible, continuous adaption by program leaders were identified as facilitators to program implementation and uptake.