scholarly journals Pertussis Vaccination for Health Care Workers

2008 ◽  
Vol 21 (3) ◽  
pp. 426-434 ◽  
Author(s):  
Thomas J. Sandora ◽  
Courtney A. Gidengil ◽  
Grace M. Lee

SUMMARY Pertussis, an acute respiratory infection caused by Bordetella pertussis, classically manifests as a protracted cough illness. The incidence of pertussis in the United States has been increasing in recent years. Immunity wanes after childhood vaccination, leaving adolescents and adults susceptible to infection. The transmission of pertussis in health care settings has important medical and economic consequences. Acellular pertussis booster vaccines are now available for use and have been recommended for all adolescents and adults. These vaccines are safe, immunogenic, and effective. Health care workers are a priority group for vaccination because of their increased risk of acquiring infection and the potential to transmit pertussis to high-risk patients. Health care worker vaccination programs are likely to be cost-effective, but further research is needed to determine the acceptability of pertussis vaccines among health care workers, the duration of immunity after booster doses, and the impact of vaccination on the management of pertussis exposures in health care settings.

1994 ◽  
Vol 28 (4) ◽  
pp. 301-315 ◽  
Author(s):  
Pamela S. Lane

A critical incident may be defined as a life-threatening crisis that requires rescue or emergency care. These incidents evoke strong emotional responses from health care workers. Some of the responses produced are normal and some are pathological stress and grief reactions. The Critical Incident Stress Debriefing process (CISD) is a model designed to mitigate the impact of such incidents on health care workers, to facilitate their return to routine functioning, and to prevent pathological responses to the trauma that is an inherent aspect of their profession. CISD is relied upon by hospital and emergency rescue professionals throughout the United States. The process was observed at St. Joseph's Hospital and Medical Center/Barrow Neurological Institute in Phoenix. This article examines the development of CISD and explores its implementation at St. Joseph's. Interviews conducted with health care workers who participated in the debriefing process following critical incident deaths are excerpted. Implications for death educators/counselors are discussed.


2021 ◽  
Vol 12 ◽  
Author(s):  
Mohammedamin Hajure ◽  
Bekem Dibaba ◽  
Shuayib Shemsu ◽  
Defaru Desalegn ◽  
Mohammed Reshad ◽  
...  

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.


2021 ◽  
Author(s):  
Brett van Stekelenburg ◽  
Harald De Cauwer ◽  
Dennis Barten ◽  
Luc Mortelmans

Previous pandemics have been used/misused for (geo)political reasons, in wars/genocides and for terrorism. COVID-19 has been no exception with the former American president challenging the relations with China calling it the ‘Chinese virus’, and Russia and China setting up cyberterrorist actions against health care organizations in the United States and Europe. Aside from state-driven factors, both left and right-wing activists and anti-vaxxers adhering conspiracy theories are a threat for health care organizations and patients. Socioeconomic and religious/cultural factors also play a role in why health caregivers are a possible target. Fear of viral pathogens, fear of losing jobs by lockdown measures, anger because of quarantine and proper burials of the beloved being denied, are amongst the reasons people revolt against health care providers. We provide a review of the impact of violence against health care workers during the COVID-19 pandemic and earlier pandemics and suggest preventative strategies.


2019 ◽  
Vol 118 (7) ◽  
pp. 20-26
Author(s):  
S. JAYARAMAN ◽  
R. Sindhya ◽  
P. Vijiyalakshmi

this research aims to find out the intensity of Employee Engagement of the health care sector workers and the relationship between the Work life factors and Employee Engagement of Health care sector workers in Dindigul District. Primary data were used in this research, were collected from 298 Health care workers from Dindigul District. Questionnaire was the major tool used to gather the primary data from the selected sample respondents. For this purpose, a well structured questionnaire was constructed with the help of professionals and the practiced employees of various health care units in Dindigul District. The health care employees were chosen by simple random sampling method. The investigative measures of regression Path analysis, and simple percentage analysis were utilized to find the impact of work life related factors with the Employee Engagement. The maximum Health care workers were generally satisfied with their jobs. The analytical procedure of path analysis multiple regressions was utilized to determine the predicting strength among Work life factors and the employee engagement. This study provides an another view about the importance of Work life factors and Employee engagement for organizational effectiveness and performance .


Author(s):  
Hasan S. Alamri ◽  
Wesam F. Mousa ◽  
Abdullah Algarni ◽  
Shehata F. Megahid ◽  
Ali Al Bshabshe ◽  
...  

Objective: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. Methods: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. Results: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). Conclusions: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.


2021 ◽  
Author(s):  
Zahra Zarei Jelyani ◽  
Sadra Valiee ◽  
Mohammad Kia ◽  
Ali jajarmizadeh ◽  
Sajad Delavari

Abstract Introduction: Generally, in Epidemics, such as COVID-19, health care workers (HCWs) faces many problems which lead to a shortage and weakening of human resources in the health system. Therefore, using effective strategies to retain human resources is one of the most important issues during outbreaks. This study aims to collect and classify the proposed interventions to strengthen human health resources and their sustainability during epidemics through scoping review.Methods: In this scoping review study, 2300 studies were retrieved through searching international databases –PubMed, Embase, Scopus and Web of Science. The retrieved studies were screened, and finally, 50 studies were included for analysis. The strategies were classified using inductive qualitative content analysis.Results: Most of the studies were conducted in the United States and the United Kingdom. The target population in 39 studies was all health workers; five studies were on physicians, five studies on nurses, and only one study on dentists. The proposed interventions were classified into five categories: preparation, protection, support, treatment, and feedback. Discussion: Most studies focused on providing interventions in one or two dimensions of human resources, but these interventions were summarized and categorized in this review. Therefore, this study has a holistic view of various dimensions of strengthening and maintaining human health resources during epidemics by providing a thematic map. Considering that human beings are multidimensional, policymakers and managers of the health system should use a set of interventions that simultaneously cover different aspects of their needs to strengthen and maintain HCWs.


2017 ◽  
Vol 21 (9) ◽  
pp. 1049-1055 ◽  
Author(s):  
M. J. Magee ◽  
L. Darchia ◽  
M. Kipiani ◽  
T. Chakhaia ◽  
R. R. Kempker ◽  
...  

2006 ◽  
Vol 21 (2) ◽  
pp. 181-184 ◽  
Author(s):  
William D. King ◽  
Steffie J. Woolhandler ◽  
Arleen F. Brown ◽  
Luohua Jiang ◽  
Kristine Kevorkian ◽  
...  

Author(s):  
Rajni Rai ◽  
Sonia El-Zaemey ◽  
Nidup Dorji ◽  
Lin Fritschi

Background: Collection of reliable and valid occupational history data is of utmost importanceto assess work-related exposures and their health effects. Few standardized questionnairesare available for the collection of occupational history data in low-and-middle incomecountries. Objective: To adapt and test a validated questionnaire developed in the United States by theNational Institute of Safety and Health, in order to assess occupational chemical exposuresamong health care workers in Bhutan. Methods: The questionnaire was first adapted to suit the Bhutanese context with the adviceof an expert review committee. 30 health care workers then completed the questionnaire atbaseline and 10–14 days later. Test-retest reliability was assessed by calculating Cohen's κand percentage agreement. Results: The questionnaire had high test-retest reliability. Cohen's κ ranged from 0.61 to1.00, and percentage agreement ranged from 86.7% to 100%. Further adaptations includedomitting questions on chemicals not available in Bhutan. Conclusion: The adapted questionnaire is appropriate for assessing occupational chemicalexposures among health care workers in Bhutan.


2020 ◽  
Author(s):  
Denise van Hout ◽  
Paul Hutchinson ◽  
Marta Wanat ◽  
Caitlin Pilbeam ◽  
Herman Goossens ◽  
...  

ABSTRACTBackgroundWorking under pandemic conditions exposes health care workers (HCWs) to infection risk and psychological strain. Protecting the physical and psychological health of HCWs is a key priority. This study assessed the perceptions of European hospital HCWs of local infection prevention and control (IPC) procedures during the COVID-19 pandemic and the impact on their emotional wellbeing.MethodsWe performed two rounds of an international cross-sectional survey, between 31 March and 17 April 2020 via existing research networks (round 1), and between 14 May and 31 August 2020 via online convenience sampling (round 2). Main outcome measures were (1) behavioural determinants of HCW adherence with IPC procedures, (2) WHO-5 Well-Being Index, a validated scale of 0-100 reflecting emotional wellbeing. The WHO-5 was interpreted as a score below or above 50 points, a cut-off score used in previous literature to screen for depression.Results2,289 HCWs (round 1: n=190, round 2: n=2,099) from 40 countries in Europe participated. Mean age of respondents was 42 (±11) years, 66% were female, 47% and 39% were medical doctors and nurses, respectively. 74% (n=1699) of HCWs were directly treating patients with COVID-19, of which 32% (n=527) reported they were fearful of caring for these patients. HCWs reported high levels of concern about COVID-19 infection risk to themselves (71%) and their family (82%) as a result of their job. 40% of HCWs considered that getting infected with COVID-19 was not within their control. This was more common among junior than senior HCWs (46% versus 38%, P value <.01). Sufficient COVID-19-specific IPC training, confidence in PPE use and institutional trust were positively associated with the feeling that becoming infected with COVID-19 was within their control. Female HCWs were more likely than males to report a WHO-5 score below 50 points (aOR 1.5 (95% confidence interval (CI) 1.2-1.8).ConclusionsIn Europe, the COVID-19 pandemic has had a differential impact on those providing direct COVID-19 patient care, junior staff and women. Health facilities must be aware of these differential impacts, build trust and provide tailored support for this vital workforce during the current COVID-19 pandemic.


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