scholarly journals Psychological Distress Persists Among COVID-19 Health Care Providers, Suggesting New Challenges and Missed Opportunities for Support

CHEST Journal ◽  
2021 ◽  
Vol 160 (3) ◽  
pp. 797-798
Author(s):  
Ashley Eaton England ◽  
Jared A. Greenberg
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Health Care Providers ◽  
Care Providers ◽  
Missed Opportunities ◽  
New Challenges

scholarly journals Psychological distress among Iranian health-care providers exposed to coronavirus disease 2019 (COVID-19): a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Azizeh Alizadeh ◽  
Hamid Reza Khankeh ◽  
Mohammad Barati ◽  
Yazdan Ahmadi ◽  
Arash Hadian ◽  
...  
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Psychological Distress ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Care Providers ◽  
Structured Interviews ◽  
Personal Support ◽  
Corona Virus ◽  
Organizational Demands

Abstract Background Novel corona virus, named COVID-19, has spread rapidly to other countries like Italy, Iran and South Korea and affected all people, especially health-care providers. Therefore, due to the rapid spread of the disease in Iran, the aim of the present study was to explore psychological distress experienced by Iranian health-care providers in the first few weeks of the corona virus outbreak. Methods The present qualitative study was conducted on 18 Iranian health-care providers exposed to COVID − 19 using a content analysis method. Purposeful sampling was used to select the participants and continued until data saturation was reached. Data were collected using semi-structured interviews and then the qualitative data were analyzed through direct content analysis. Results By analyzing 236 primary codes, two main categories were extracted from the experiences of health-care providers during corona virus outbreak. The first category included Occupational demands with three sub-categories: nature of illness, Organizational demands and social demands. The second category was Supportive resources included personal support and social support. Conclusions The results of this study found that there were some barriers and challenges to medical personnel exposed to COVID-19 that caused psychological distress. Some of these problems related to the nature of illness, others related to social and organizational demands and some of supportive resources buffer the relationship between occupational demands and psychological distress.

scholarly journals Psychological Distress among Iranian Health-Care Providers Exposed to Coronavirus Disease 2019 (COVID-19): A Qualitative Study

2020 ◽  
Author(s):  
Azizeh Alizadeh ◽  
Hamid Reza Khankeh ◽  
Mohammad Barati ◽  
Yazdan Ahmadi ◽  
Arash Hadian ◽  
...  
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Psychological Distress ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Care Providers ◽  
Structured Interviews ◽  
Corona Virus ◽  
Data Saturation ◽  
Health Demands

Abstract Background Novel corona virus pneumonia, named COVID-19, has spread rapidly to other countries like Italy, Iran and South Korea and affected all people, especially health-care providers. Therefore, due to the rapid spread of the disease in Iran, the aim of the present study was to explore psychological distress experienced by Iranian health-care providers in the first few weeks of the corona virus outbreak. Methods The present qualitative study was conducted on 18 Iranian health-care providers exposed to COVID − 19 using a content analysis method. Purposeful sampling was used to select the participants and continued until data saturation was reached. Data were collected using semi-structured interviews and then the qualitative data were analyzed through direct content analysis. Results By analyzing 236 primary codes, three main categories, including demands, job resources and individual resources were extracted from the experiences of health-care providers during corona virus outbreak. These categories each included several sub-categories, which were classified according to their significant characteristics. Conclusions .Psychological protection of health care workers is an important component in addressing the COVID-19 epidemic. Understanding the health care providers’ experiences and their mental health demands during public health emergency might help medical workers and managers to response better to a disaster.

Family Conference in Palliative Care

2018 ◽  
Author(s):  
Margaret L. Isaac ◽  
J. Randall Curtis
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Therapeutic Communication ◽  
Missed Opportunities ◽  
Patient Navigators ◽  
Family Conference ◽  
Advance Care ◽  
End Of Life Decision

Patients receiving palliative care often experience severe psychosocial distress, which may due to the perception of the situation, the community resources and support, educational level, comorbidities, coping skills, and socioeconomic status. However, the distress can be reduced by communication between patients, caregivers, and health care providers. Studies have shown that family conferences can be a safe and well-accepted means for communication between patients, caregivers, and health care providers in the palliative care setting. This chapter highlights key topics regarding the family conference and facilitation of patient–clinician communication in palliative care. The topics covered in this chapter include (a) key components of a family conference (e.g., the importance of listening, therapeutic communication, and missed opportunities), (b) proactive communication strategies in the intensive care unit, (c) use of patient navigators and communication facilitators to reduce family distress, and (d) the impact of advance care planning on end-of-life decision-making regarding resuscitation.

scholarly journals Psychological Distress Among Health Care Workers in Health Facilities of Mettu Town During COVID-19 Outbreak, South West Ethiopia, 2020

2021 ◽  
Vol 12 ◽  
Author(s):  
Mohammedamin Hajure ◽  
Bekem Dibaba ◽  
Shuayib Shemsu ◽  
Defaru Desalegn ◽  
Mohammed Reshad ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Psychological Distress ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Care Providers ◽  
Event Scale ◽  
Care Workers ◽  
Increased Risk ◽  
The Impact

Background: During any of the infectious disease outbreak, health care workers were at increased risk of being infected, and psychological distress was a common phenomenon. Therefore, the study aimed to assess the psychological distress related to COVID-19 among healthcare workers in Mettu town.Methods: A cross sectional study was conducted from May 1–15, 2020 using convenient sampling techniques among 127 health care providers during COVID-19 pandemic in the Mettu town. Self-administered questionnaire was used to collect information. Depression and anxiety were evaluated as subscales from the Depression Anxiety Stress Scale (DASS-21). Psychological distress related to COVID-19 was measured using the Impact of Event Scale Revised (IES-R). Data analysis were done using SPSS version 24. Chi-square test was used to find the association between the outcome and demographic variables. Multivariable logistic regression analyses were used to evaluate the significance of the association at P-value < 0.05.Result: Using IES-R scale, 40.2% of the participants reported to have the symptoms of psychological distress. The majority of the participants reported mild psychological distress (37%) followed by moderate psychological distress (29%). The multivariate logistic regression analysis revealed that the odds of psychological distress were found to be higher among health care providers who reported to have depressive symptoms, and those who used alcohol, khat and tobacco in the past 3 months shows a significant association with psychological distress.Conclusion: Our findings revealed that the COVID-19 pandemic had exerted major psychological distress on health care providers. So the findings, seek attention for early psychological intervention needed to manage psychological distress in health care providers regarding identified factors.

Health Care Providers' Missed Opportunities for Preventing Femicide

2001 ◽  
Vol 33 (5) ◽  
pp. 373-380 ◽  
Author(s):  
Phyllis W. Sharps ◽  
Jane Koziol-McLain ◽  
Jacquelyn Campbell ◽  
Judith McFarlane ◽  
Carolyn Sachs ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Missed Opportunities

scholarly journals Missed opportunities: are residents prepared to care for transgender patients? A study of family medicine, psychiatry, endocrinology, and urology residents

2018 ◽  
Vol 9 (3) ◽  
pp. e41-55 ◽  
Author(s):  
Alexandre Coutin ◽  
Sarah Wright ◽  
Christine Li ◽  
Raymond Fung
Keyword(s):  
Health Care ◽  
Family Medicine ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Clinical Care ◽  
Care Providers ◽  
Care Needs ◽  
Missed Opportunities ◽  
Clinical Exposure ◽  
Care Education

Background: The transgender (trans) population faces multiple barriers in accessing health care, with knowledge deficits of health care providers contributing substantially. Trans patients report having to teach health care professionals about their own health needs.We compared perceptions of trans-care education and training across family medicine, psychiatry, endocrinology, and urology residency training programs at the University of Toronto.             Methods: We surveyed residents to assess their perceptions of and attitudes towards trans-care, exposure to trans patients, knowledge of trans-specific clinical care, and the state of trans-care education within their training. We used Likert scale data to identify patterns across residency programs. We collected open-ended responses to further explain quantitative findings where appropriate.Results: Of 556 residents approached, 319 participated (response rate = 57.4%). Nearly all endocrinology and psychiatry residents agreed that trans-care falls within their scope of practice, while only 71% and 50% of family medicine and urology residents did, respectively. Though participants were at different stages of their postgraduate training when surveyed, only 17% of all participants predicted they would feel competent to provide specialty-specific trans-care by the end of their residency and only 12% felt that their training was adequate to care for this population.Conclusion: Though the study revealed a willingness to serve this population, there was a lack of clinical exposure and trans-related teaching within postgraduate curricula resulting in feelings of unpreparedness to meet the health care needs of this underserved population. 

Who's to Blame? Perceived Responsibility for Spousal Death and Psychological Distress among Older Widowed Persons

2009 ◽  
Vol 50 (3) ◽  
pp. 359-375 ◽  
Author(s):  
Deborah Carr
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Psychological Distress ◽  
Health Care Providers ◽  
Marital Quality ◽  
Sedentary Lifestyle ◽  
Care Providers ◽  
Older Couples ◽  
Poor Health Care ◽  
A Prospective Study

I examine the ways that bereaved older adults attribute responsibility for their late spouses' deaths, and the consequences of such attributions for psychological adjustment to loss. Data are from the Changing Lives of Older Couples, a prospective study of married persons ages 65 and older. Bereaved persons whose late spouse smoked and had a sedentary lifestyle attributed higher levels of blame to the decedent. Persons who believe that their late spouse's stressful lifestyle and poor health care compliance contributed to the death report significantly lower levels of yearning, yet these effects are no longer statistically significant when marital quality is controlled. Bereaved spouses who believe health care providers contributed to the death report significantly more anger symptoms. The findings suggest that older adults adhere to a “secular morality”; deceased spouses who previously maintained unhealthy lifestyles are viewed as partly responsible for their own deaths.

scholarly journals Country-Level Assessment of Missed Opportunities for Vaccination in South Africa: Protocol for Multilevel Analysis (Preprint)

2019 ◽  
Author(s):  
Duduzile Ndwandwe ◽  
Ntombenhle J Ngcobo ◽  
Abdu A Adamu ◽  
Chukwudi Nnaji ◽  
Thandiwe Mashunye ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
South African ◽  
Health Care Providers ◽  
Vaccination Coverage ◽  
Health Survey ◽  
Health Care Facilities ◽  
Ethical Review ◽  
Care Providers ◽  
Missed Opportunities

BACKGROUND Vaccination is one of the greatest public health interventions of all time. Vaccination coverage in South Africa has shown a steady improvement in reaching the national target. However, while there is progress nationally, there are districts within the country that are below the set target for vaccination coverage. One of the main drivers of suboptimal vaccination coverage is thought to be missed opportunities for vaccination. OBJECTIVE This study aims to understand the magnitude and determinants of missed opportunities for vaccination in South Africa. METHODS The 2016 South African Demographic and Health Survey will be used to conduct multilevel regression analyses to determine individual and contextual factors associated with missed opportunities for vaccination in South Africa. The perspectives of parents attending health care facilities in South Africa will be explored through exit interviews and focus group discussions. Similarly, perspectives of the health care providers will be sought to understand enablers and barriers to vaccination coverage at the facility level. Insights to such factors will aid in designing tailor-made interventions to improve vaccination coverage in South Africa. RESULTS Ethical review submission is planned for October 2020. Data collection is expected to be underway in January 2021. CONCLUSIONS The extent of missed opportunities in South Africa coupled with the associated factors presents an opportunity for efforts to increase uptake in districts where vaccination coverage is below the national target. Population-level data such as those from the 2016 South African Demographic Health Survey will provide an idea of the magnitude of missed opportunities for vaccination in South Africa at the national and subnational levels. The findings of the study will inform national and subnational policy implementation on vaccinations and help to find context-specific interventions to improve vaccination coverage. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/16672

scholarly journals Psychological Distress among Iranian Health-Care Providers Exposed to Coronavirus Disease 2019 (COVID-19): A Qualitative Study

2020 ◽  
Author(s):  
Azizeh Alizadeh ◽  
Hamid Reza Khankeh ◽  
Mohammad Barati ◽  
Yazdan Ahmadi ◽  
Arash Hadian ◽  
...  
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Psychological Distress ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Care Providers ◽  
Structured Interviews ◽  
Personal Support ◽  
Corona Virus ◽  
Organizational Demands

Abstract Background: Novel corona virus, named COVID-19, has spread rapidly to other countries like Italy, Iran and South Korea and affected all people, especially health-care providers. Therefore, due to the rapid spread of the disease in Iran, the aim of the present study was to explore psychological distress experienced by Iranian health-care providers in the first few weeks of the corona virus outbreak.Methods: The present qualitative study was conducted on 18 Iranian health-care providers exposed to COVID -19 using a content analysis method. Purposeful sampling was used to select the participants and continued until data saturation was reached. Data were collected using semi-structured interviews and then the qualitative data were analyzed through direct content analysis.Results: By analyzing 236 primary codes, two main categories were extracted from the experiences of health-care providers during corona virus outbreak. The first category included Occupational demands with three sub-categories: nature of illness, Organizational demands and social demands. The second category was Supportive resources included personal support and social support.Conclusions: The results of this study found that there were some barriers and challenges to medical personnel exposed to COVID-19 that caused psychological distress. Some of these problems related to the nature of illness, others related to social and organizational demands and some of supportive resources buffer the relationship between occupational demands and psychological distress.

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