scholarly journals COVID-19 confessions: a qualitative exploration of healthcare workers experiences of working with COVID-19

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043949
Author(s):  
Paul Bennett ◽  
S Noble ◽  
Stephen Johnston ◽  
David Jones ◽  
Rachael Hunter
Keyword(s):  
Healthcare Workers ◽  
Improve Patient Care ◽  
Front Line ◽  
High Profile ◽  
The Face ◽  
Discharged Patients ◽  
Front Line Workers ◽  
Long Term Impact ◽  
Qualitative Exploration

ObjectivesTo gain insight into the experiences and concerns of front-line National Health Service (NHS) workers while caring for patients with COVID-19.DesignQualitative analysis of data collected through an anonymous website (www.covidconfidential) provided a repository of uncensored COVID-19 experiences of front-line NHS workers, accessed via a link advertised on the Twitter feed of two high profile medical tweeters and their retweets.SettingCommunity of NHS workers who accessed this social media.Participants54 healthcare workers, including doctors, nurses and physiotherapists, accessed the website and left a ‘story’.ResultsStories ranged from 1 word to 10 min in length. Thematic analysis identified common themes, with a central aspect being the experience and psychological consequence of trauma. Specific themes were: (1) the shock of the virus, (2) staff sacrifice and dedication, (3) collateral damage ranging from personal health concerns to the long-term impact on, and care of, discharged patients and (4) a hierarchy of power and inequality within the healthcare system.ConclusionsCOVID-19 confidential gave an outlet for unprompted and uncensored stories of healthcare workers in the context of COVID-19. In addition to personal experiences of trauma, there were perceptions that many operational difficulties stemmed from inequalities of power between management and front-line workers. Learning from these experiences will reduce staff distress and improve patient care in the face of further waves of the pandemic.

scholarly journals Covid-19 Related Depression, Anxiety and Stress among Nurses Working as Front Line Workers in a Selected Hospital in Mumbai City

2021 ◽  
Vol 11 (5) ◽  
pp. 163-168
Author(s):  
Sheryl Cornelio ◽  
Saly Suseel ◽  
Valsa Thomas
Keyword(s):  
Healthcare Workers ◽  
Positive Impact ◽  
Vital Role ◽  
Emotional Impact ◽  
Front Line ◽  
Stress Scale ◽  
Symptoms Of Depression ◽  
Rapid Spread ◽  
Front Line Workers ◽  
Mumbai City

Background: Healthcare workers getting exposed to Covid-19 patients could be psychologically stressed. With the rapid spread of the disease, tremendous pressure and challenges are faced by the nurses. Purpose: The purpose/aim of the study was to assess the level of depression, anxiety and stress among Nurses working in the Covid-19 ICU and wards and Covid-19 clinic. Method: Quantitative approach with descriptive design was used for the study and convenient sampling was used with the sample size being 83. Standardized scale known as DASS-21 (Depression, Anxiety and stress scale) scale was used for the collection of data. Results: To analyze the data, inferential statistics was used. The major findings of the study showed that majority of the Nurses (34%) (N=28) had moderate anxiety. Also, majority of them (75%) (N=63) did not find any symptoms of depression. A majority of (48%) (N=40) had moderate level of stress. Conclusion/Implications: The findings of the study suggest that working in the Covid-19have both negative and positive impact on the emotional impact of the Nurses. Providing required basic needs and support both physical and psychological plays a vital role in maintaining the mental health of the Nurses. Key words: Depression, Anxiety, Stress, Nurses, Covid-19.

scholarly journals Cancer care disruption and reorganisation during the COVID-19 pandemic in Australia: A patient, carer and healthcare worker perspective

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257420
Author(s):  
Rhiannon Edge ◽  
Josh Meyers ◽  
Gabriella Tiernan ◽  
Zhicheng Li ◽  
Alexandra Schiavuzzi ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Cancer Care ◽  
Healthcare Workers ◽  
Psychosocial Support ◽  
Cross Sectional ◽  
Pandemic Response ◽  
Long Term Impact ◽  
Uncertain Time ◽  
Survey Responses

The COVID-19 pandemic has dramatically impacted cancer care worldwide. Disruptions have been seen across all facets of care. While the long-term impact of COVID-19 remains unclear, the immediate impacts on patients, their carers and the healthcare workforce are increasingly evident. This study describes disruptions and reorganisation of cancer services in Australia since the onset of COVID-19, from the perspectives of people affected by cancer and healthcare workers. Two separate online cross-sectional surveys were completed by: a) cancer patients, survivors, carers, family members or friends (n = 852) and b) healthcare workers (n = 150). Descriptive analyses of quantitative survey data were conducted, followed by inductive thematic content analyses of qualitative survey responses relating to cancer care disruption and perceptions of telehealth. Overall, 42% of cancer patients and survivors reported experiencing some level of care disruption. A further 43% of healthcare workers reported atypical delays in delivering cancer care, and 50% agreed that patient access to research and clinical trials had been reduced. Almost three quarters (73%) of patients and carers reported using telehealth following the onset of COVID-19, with high overall satisfaction. However, gaps were identified in provision of psychological support and 20% of participants reported that they were unlikely to use telehealth again. The reorganisation of cancer care increased the psychological and practical burden on carers, with hospital visitation restrictions and appointment changes reducing their ability to provide essential support. COVID-19 has exacerbated a stressful and uncertain time for people affected by cancer and healthcare workers. Service reconfiguration and the adoption of telehealth have been essential adaptations for the pandemic response, offering long-term value. However, our findings highlight the need to better integrate psychosocial support and the important role of carers into evolving pandemic response measures. Learnings from this study could inform service improvements that would benefit patients and carers longer-term.

scholarly journals Kidney Damage After Sepsis: A Long-term Follow-up. An Experimental Study.

2021 ◽  
Author(s):  
Ana Maria Alvim Liberatore ◽  
Giovana C. Obara ◽  
Rodrigo Barbosa de Souza ◽  
Luara L. Cassiano ◽  
Ivan Hong Jun Koh
Keyword(s):  
Kidney Injury ◽  
Control Group ◽  
E Coli ◽  
Renal Histology ◽  
Long Term Follow Up ◽  
The Face ◽  
Sepsis Survivors ◽  
Long Term Impact

Abstract Background: Acute kidney injury (AKI) in sepsis is a common event. This study aims to evaluate the long-term impact of sepsis on renal hemodynamics and morphology. Methods: Wistar rats underwent sepsis and survivors (n = 24) were followed for up to six months, monitoring macro, regional and micro hemodynamics of the kidney, serum creatinine, and renal histology. The naive animals were used as the control group (n= 6), and sepsis was induced by E. coli e.v. inoculation. Surviving animals were monitored for up to six months. Results: Overall, the findings show that sepsis survivors have long-term hemodynamic and morphological compromise, as well as a progressive worsening of renal functional unit components over time. Even after six months of recovery from sepsis, severe renal hypoxia, chronic inflammation, evidence of increased vascular resistance, and renal fibrosis were observed in surviving animals. These alterations were present in animals with a healthy appearance and normal MAP. Conclusion: Those findings may represent a state of severely impaired physiology and be a contributing factor to the higher susceptibility to renal failure in the face of a new infectious challenge or to other pathological stimuli in the post-sepsis periods.

Maintaining a Long-Term Care Workforce: Ideas from Front Line Workers

2003 ◽  
Vol 25 (2) ◽  
pp. 27-30
Author(s):  
P. Branch ◽  
Amanda Shearer
Keyword(s):  
Rural Areas ◽  
Long Term Care ◽  
Front Line ◽  
Care Needs ◽  
High Turnover ◽  
Community Based ◽  
Term Care ◽  
Care Services ◽  
Front Line Workers

Throughout Alaska older people say that they would rather remain in their own homes and communities for the duration of their lives. A growing array of home and community based long-term care services are available to assist elders and their families as care needs increase. These include services such as personal care, respite care, delivered meals, and chore services. However, high turnover and the inability to recruit staff limit the availability of these services in many of our rural areas.

scholarly journals Positive impacts among the negative impacts of the COVID-19 pandemic for community life

2021 ◽  
Vol 331 ◽  
pp. 01008
Author(s):  
Aam Amirudin ◽  
M. Syamsul ◽  
Christin Sri Marnani ◽  
Nadiva Awalia Rahmah ◽  
Wilopo
Keyword(s):  
Human Movement ◽  
Personal Hygiene ◽  
National Defense ◽  
Life Patterns ◽  
Surrounding Environment ◽  
The Face ◽  
Clean Air ◽  
Negative Impacts ◽  
Long Term Impact

The Covid-19 pandemic is a global disease outbreak that quickly spreads throughout the world and transmits from one person to another so easily and is a form of danger that has the potential to threaten all aspects of people's lives. These negative impacts include social, economic, health, and psychological impacts, even to the point of threatening national defense and security, due to the limited space for human movement in carrying out daily activities. But there are also positive influences that we unconsciously admit, not only producing clean air but making individuals mentally strong and changing personalities for a better life. Adaptation of new life patterns from before makes people learn about the meaning of maintaining cleanliness in the face of a pandemic with new habits in maintaining personal hygiene, family, and the surrounding environment. The long-term impact on society is to produce people who are tough in facing life by taking advantage of existing opportunities into innovations in running life with the emergence of creative businesses as a new source of income in meeting the needs of families today and in the future.

Democracy and social democracy

2018 ◽  
pp. 247-262
Author(s):  
Tony Wright
Keyword(s):  
Social Democracy ◽  
The European Union ◽  
Social Democrats ◽  
High Profile ◽  
Past Generation ◽  
Hands On ◽  
The Face ◽  
Democratic Revolution ◽  
Place And Identity

The hands-on challenges involved in building up genuinely democratic mechanisms of self-government in Britain take a high profile in Tony Wright’s chapter focused on the democracy aspects within social democracy. Like it or not, Wright notes, the Brexit referendum was a remarkably successful democratic uprising, regardless of whether leaving the European Union is truly in the long-term interest of Britain and its citizenry. The defeat for the ‘Remain’ campaign underscored the weaknesses of the Labour party in the ‘politics of place and identity’, and renewed the imperative for social democrats to defend the liberal tradition in the face of nationalist and populist attacks. Despite all the setbacks that have undermined social democracy throughout the past generation, its ‘permanent revisionism’ is needed more than ever. Wright also notes that for all the problems, social democrats can take pride in the hard-fought public goods won through the years – better jobs, cleaner air, affordable health care – and forge ahead for a wholesale democratic revolution in Britain that renders a government more ‘decentralised, pluralised and participatory’.

scholarly journals Higher Education Leadership Training: Global Maps and Gaps

2018 ◽  
Vol 2 (93) ◽  
pp. 4 ◽  
Author(s):  
Laura Rumbley ◽  
Hilligje Van't Land ◽  
Juliette Becker
Keyword(s):  
Higher Education ◽  
Low Income ◽  
Leadership And Management ◽  
Education Leaders ◽  
Management Capacity ◽  
The Face ◽  
Higher Education Leaders ◽  
Long Term Impact ◽  
Training Opportunities

Globally, most higher education leaders, managers, and policymakers receive no formal/specialized training for their work. Compared to the need, there is a relatively small number of structured training opportunities that exist to build leadership and management capacity in higher education around the world. These training programs are almost universally small in scale and largely unable to offer systematic accounts ofthe long-term impact of their efforts. This is a critical concern in the face of the myriad opportunities and imperatives facing higher education institutions and systems worldwide—particularly in low-income and emerging economy contexts—now and into the foreseeable future.

scholarly journals Higher Education Leadership Training: Global Maps and Gaps

2018 ◽  
pp. 4-6
Author(s):  
Laura Rumbley ◽  
Hilligje Van't Land ◽  
Juliette Becker
Keyword(s):  
Higher Education ◽  
Low Income ◽  
Leadership And Management ◽  
Education Leaders ◽  
Management Capacity ◽  
The Face ◽  
Higher Education Leaders ◽  
Long Term Impact ◽  
Training Opportunities

Globally, most higher education leaders, managers, and policymakers receive no formal/specialized training for their work. Compared to the need, there is a relatively small number of structured training opportunities that exist to build leadership and management capacity in higher education around the world. These training programs are almost universally small in scale and largely unable to offer systematic accounts ofthe long-term impact of their efforts. This is a critical concern in the face of the myriad opportunities and imperatives facing higher education institutions and systems worldwide—particularly in low-income and emerging economy contexts—now and into the foreseeable future.

What happened at the front lines of US welfare reform? Exploring the experiences of front-line implementers

2016 ◽  
Vol 84 (1) ◽  
pp. 82-100
Author(s):  
Hyunjoo Chang
Keyword(s):  
Welfare Reform ◽  
Theory Approach ◽  
Front Line ◽  
Local Initiatives ◽  
Front Line Workers ◽  
Qualitative Exploration ◽  
Skill Building ◽  
Grounded Theory Approach ◽  
Work First

This article aims to explore the story of the front-line implementation of US welfare reform through analyzing the experiences of front-line workers with a grounded theory approach. There were deep concerns about the working poor and unelaborated programs for economic independence, which were attributable to the legislation’s thrust to work-first and a skill mismatch, without taking the quality of jobs into account. Welfare roll reduction resulted in taking a generous approach to welfare clients on the front lines. Although discretion resulted in the operation of more local initiatives on the front lines, it was not a substantial response to the demands of the real lives of clients. This article argues that the quality and sustainability of work is critical, prior to an emphasis on work-first. Front-line implementation must shift to increasing employers’ willingness to create incentives for skill-building and to giving clients some motivation to work. Points for practitioners A gap between policymaking and nonlinear policy implementation on the front lines is inevitable as local demands vary. Particularly, perspectives of front-line implementers are useful in reflecting various local demands and adjusting the different interests of clients in the process of refining welfare reform in lieu of federal policymakers. Although the discretion of front-line implementers is critical, less attention has been paid to how they put welfare reform into practice and what they learned. Qualitative exploration of such issues thus provides field-based evidence to improve its implementation to help the clients, which has rarely been examined in the literature.

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