The professions—on top of their game?

Author(s):  
Mark Britnell

In this chapter, Mark Britnell presents a sharp analysis and criticism of current healthcare systems and argues that we need to change how healthcare workers are treated to encourage them to stay and develop within their profession. He points to the recent global OECD survey of students that found that a career in the health profession was ranked first, suggesting that young people want to become healthcare workers but are often deprived of the support they need to do their job. This chapter is about how we realize that potential—through education, training, teamwork, and technology—and harness the best we can from them as individuals and in teams.

Author(s):  
Frederik Verelst ◽  
Elise Kuylen ◽  
Philippe Beutels

AbstractEuropean healthcare systems face extreme pressure from COVID-19. We estimate such pressure by relating both country-specific accumulated COVID-19 deaths (intensity-approach) and active COVID-19 cases (magnitude-approach) to measures of healthcare system capacity: hospital beds, healthcare workers and healthcare expenditure. On March 25, 2020 - relative to Italy on March 11- we found Spain, The Netherlands and France to experience the highest pressure using the intensity-approach with a composite measure for healthcare capacity. For updates see www.covid-hcpressure.org


Author(s):  
Elizabeth Wortley ◽  
Ann Hagell

There have been rising concerns in the UK about the levels of serious violence between young people, especially serious physical violence and knife crime. Interactions with young people in the emergency department (ED) at the time of injury provide an opportunity for screening and intervention in order to reduce the risk of repeat attendances. However, paediatricians and other healthcare workers can feel unsure about the best way to intervene. Embedding youth workers in EDs has started in some UK hospitals, making use of a potential ‘teachable moment’ in the immediate aftermath of an event to help change behaviour. Based on a rapid review of the literature, we summarise the evidence for these types of interventions and present two practice examples. Finally, we discuss how EDs could approach the embedding of youth workers within their department and considerations required for this.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Trine A. Magne ◽  
Kjersti Vik

A well-known prediction is that the growing elderly population will place a strain on our healthcare systems. At the same time, healthcare is becoming increasingly patient-centered and individualized, with the patient becoming an active participant rather than a mere object of healthcare. The need for change may be met by using a reablement service, utilizing the rehabilitation mindset through home-based services. Rehabilitation and reablement aim to provide opportunities for individuals to participate to a maximum of their potential. This study is part of a larger research project exploring different aspects of reablement in municipalities. It aims to describe how older adults engage in daily activities within the context of reablement and to explore participation in daily activities. A qualitative design was chosen, and the study is explorative in nature due to limited research on participants’ experience with reablement. Ten older adults age 70 to 94 years old were recruited and interviewed. The interviews were transcribed verbatim and analyzed using systematic text condensation (STC) strategies. This study provides insights on how older adults experience participation in daily activities and important aspects for performing these activities and living independently as long as possible. Based on the older adults’ experiences, three main themes were identified when receiving reablement. First, what to achieve with reablement and feeling a sense of security to participate in daily activities. Second, how to carry out wanted activities using different skills and last, how the social network is important for enabling active living. This calls for healthcare workers to address and facilitate these in reablement. Our findings show the importance of collaborating with the social network and strengthening participation in daily activities to establish and develop existing reablement services.


2020 ◽  
Vol 04 (01) ◽  
pp. 05-11
Author(s):  
Shweta Panse ◽  
Muralidhar Kanchi ◽  
Jose Chacko ◽  
Srinath Kumar T. S. ◽  
Ranganatha Ramanjaneya ◽  
...  

AbstractThe coronavirus pandemic has become a challenge to all the healthcare systems in the world. Urgent creation of an intensive care unit (ICU) for the same is the need of the hour. The ideal ICU for COVID -19 should be isolated, fully equipped with invasive and noninvasive monitoring, with 24/7 trained medical personnel, nursing staff and laboratory support. As the coronavirus infection is transmitted by droplets and is highly contagious, protection of healthcare workers is crucial. Personnel working inside the ICU should get personal protective equipment (PPE). Strict guidelines for donning and doffing of PPE should be followed to prevent cross-contamination. Respiratory failure being the commonest complication of COVID-19, knowing the ventilator management for the same is essential. It is of great importance to meticulously manage all the resources to combat this contagion.


2020 ◽  
Vol 2 ◽  
pp. 1-8 ◽  
Author(s):  
Marcello Andrea Tipaldi ◽  
Elena Lucertini ◽  
Gianluigi Orgera ◽  
Aleksejs Zolovkins ◽  
Florindo Lauirno ◽  
...  

Introduction: The management of the diffusion of Coronavirus disease 2019 (COVID-19) pandemic represents a massive problem for healthcare systems worldwide and Interventional Radiology (IR) is a fundamental hospital unit which must continue to provide its service. The aim of this article is to summarize the preventive measures taken in our IR unit and to report the results of these measures over a 7 weeks period. Material and Methods: Between the 25th of February, when we started to apply the recommended containing measures, and the 6th of April 2020, when all the IR staff started to undergo nasopharyngeal and oropharyngeal swabs screening, a total of 25 healthcare operators worked at our IR unit. Operators who, during this period, also worked in other hospital units such as diagnostic emergency department or other healthcare facilities, were excluded. Nasopharyngeal and oropharyngeal swabs screening and blood samples for specific SARS-CoV-2 IgG-IgM were retrospectively evaluated. Results: The overall procedures number decreased by a rate of 33% and twenty-three (16%) were performed in confirmed or strongly suspected COVID-19 patients. Two procedures were performed in non-suspected ones, who revealed positive in the following hospitalization days. Seventeen operators were included in the study. Only one of them resulted positive at the swabs, with an estimated infection rate in our IR unit of 6%. Specific SARS-CoV-2 IgG-IgM resulted negative in all the operators included. Conclusion: Our experience demonstrates that applying adequate measures to limit SARS-CoV-2 infection spread can efficiently reduce the viral transmission among IR healthcare workers.


2021 ◽  
Vol 91 (1) ◽  
Author(s):  
Nitish Aggarwal ◽  
Tarun Krishna Boppana ◽  
Saurabh Mittal

Dear Editor,There is an increasing pressure on healthcare systems around the globe since the onset of the current coronavirus disease 2019 (COVID-19) pandemic to cope up with the increasing workload... 


2020 ◽  
Vol 81 (6) ◽  
pp. 1-11 ◽  
Author(s):  
Rachel J Gravell ◽  
Mark D Theodoreson ◽  
Danilo Buonsenso ◽  
John Curtis

The emergence of the SARS-CoV-2 virus at the end of 2019 has led to unprecedented demand on healthcare systems around the world. Healthcare workers, including doctors, have found themselves having to work in unfamiliar environments in the effort to control this pandemic. This article gives the hospital physician an overview of the radiological manifestations of COVID-19 disease, to improve knowledge and increase familiarity when reviewing radiographic images.


2015 ◽  
Vol 4 (3) ◽  
pp. 163-166
Author(s):  
Yukiko Kusano

 Person-centeredness resides at the heart of nursing and nurses also place people at the centre of their activities to achieve a healthier society. The commitment of the International Council of Nurses (ICN) to deliver person- and people-centered care is evident in the ICN Code of Ethics for Nurses [1], ICN policy papers and is translated into various guidelines, programmes and research.  Person- and people-centered healthcare requires not only commitment of individual nurses and other healthcare workers but also changes in healthcare systems including service delivery systems and other structures. It is necessary to take a whole government approach where person- and people-centered healthcare is considered by all ministries including non-health sectors. Active involvement of care recipients, nurses and other healthcare professionals in healthcare design and decision making is essential to achieve person- and people-centered healthcare. 


2020 ◽  
Author(s):  
Guy Gavagna ◽  
Roderick Clifton-Bligh ◽  
Charlotte Lemech ◽  
Suzanne Williams ◽  
Elena Elefantis ◽  
...  

Abstract Background The COVID-19 pandemic has demonstrated the fragility of our healthcare systems and the need for rapid development of effective care strategies. Global efforts to develop novel therapeutics have intensified, but in late November 2020, few are approved. There is an urgent need for novel therapeutics to limit further spread of COVID-19. Passive immunity by infusing neutralising anti-SARS-CoV-2 antibodies provides a method to prevent infection in individuals at heightened risk such as frontline health care workers. Convalescent plasma (CP) collected from donors who have recovered from an infectious disease can be pooled and fractionated into hyperimmune intravenous immunoglobulin (HIVIG), a concentrated formulation with enriched levels of pathogen-specific antibodies. HIVIG are established for therapeutic and prophylactic administration across many infectious diseases and possess many advantages over CP including consistent high titres of antiviral antibodies without ABO matching or risk of transfusion related acute lung injury (TRALI) or transfusion associated circulatory overload (TACO), lower infusion volume, simpler storage, longer shelf life, and easier administration. Method A parallel group, open-label, active control, phase 1/2 trial which allocates healthy adult healthcare workers never infected with SARS-CoV-2 to receive a single intravenous infusion of either CP or HIVIG. This clinical trial is the first to establish whether a HIVIG preparation concentrated with antibodies to SARS-CoV-2 is safe when administered to healthcare workers in the prevention of COVID-19, and to assess whether the anti-SARS-CoV-2 antibodies in the HIVIG are pharmacokinetically equivalent to those in unmodified CP.Discussion Trials to date suggest that allocation of limited CP may be optimised if used for prevention rather than treatment of COVID-19. This HIVIG (CovimmuneTM, Aegros Ltd.) is manufactured by a novel plasma fractionation technology (HaemaFracTM, Aegros Ltd.) which offers high purity and a greater protein yield from smaller batches of starting plasma than is possible with conventional fractionation techniques. If successful, this approach can be rapidly scaled up for implementation into clinical practice and contribute to the sustainability of healthcare systems during the current and future pandemics. The more prevention and treatment options available to address the COVID-19 pandemic, the stronger the position our society will hold. Trial registration Australia & New Zealand Clinical Trials Registry. Registration number: ACTRN12620001249943p. Date: 20/11/2020. https://www.anzctr.org.au/ACTRN12620001249943p.aspx


2016 ◽  
Vol 7 (2) ◽  
pp. 79-84
Author(s):  
Vadim K Iur’ev ◽  
Anatolij G Serdjukov ◽  
Ceren M Tebleev ◽  
Viktor G Puzyrev

Contraception is the important component of family planning. It plays the important role in fighting with abortion and preserving the reproductive health of women. The specially designed anonymous survey was performed in 375 women living in the Republic of Kalmykia in the age from 16 till 45 years old. The average age of beginning of sexual life was estimated as 18,6 ± 0,1 years at the examined group. The average age decreased from 19,3 ± 0,3 to 17,0 ± 0,2 during the last 10 years. Almost the half of respondent (45,9 %) started the sexual life before the marriage. Kalmyk women started the sexual life later than Russian and entered the premarital relationship rarely. 70,2 % of sexually active women protected from pregnancy: 74,2 % used barrier methods of contraception, 13,5 % - intrauterine device, 12,9 % - oral hormone contraception, 11,1% - rejected sexual intercourse. Women below 30 and Kalmyk women used the barrier methods of contraception most often. Women older than 30 years used intrauterine device most often, oral hormone contraception was in use among cities inhabitants and among Russian women. The self-appraisal of knowledge on contraception questions showed that women estimate their erudition as 3,98 ± 0,04 on average. One quarter (23,2 %) of women consider themselves insufficiently or poorly informed dealing with this question. Women in the age below 20 and inhabitants of countryside are less informed. The information was received from the formal source by 32,5 % of women (at school - 27,7 %, from healthcare workers - 4,8 %). The majority of women (50,8 %) received the information from the informal source: 17,9 % - mother and other relatives, 12,8 % - mass media, 4,3 % - printed matter. The role of school in the informing young people dealing with this question decreased during the last few years. The role of healthcare workers in the informing young people is very low.


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