scholarly journals Healthcare providers: will they come to work during an influenza pandemic?

2013 ◽  
Author(s):  
C. Rossow ◽  
L. V. Ivanitskaya ◽  
L. Fulton ◽  
W. Fales
Keyword(s):  
Influenza Pandemic ◽  
Healthcare Providers

Planning for the next influenza pandemic: Using the science and art of logistics

2019 ◽  
Vol 14 (4) ◽  
pp. 287-298
Author(s):  
O. Shawn Cupp, PhD ◽  
Brad G. Predmore, MHA
Keyword(s):  
Palliative Care ◽  
Planning Process ◽  
Influenza Pandemic ◽  
Healthcare Providers ◽  
Work Force ◽  
Mass Casualty ◽  
Second Step ◽  
Protective Equipment ◽  
Science And Art ◽  
Care Situation

The complexities and challenges for healthcare providers and their efforts to provide fundamental basic items to meet the logistical demands of an influenza pandemic are discussed in this article. The supply chain, planning, and alternatives for inevitable shortages are some of the considerations associated with this emergency mass critical care situation. The planning process and support for such events are discussed in detail with several recommendations obtained from the literature and the experience from recent mass casualty incidents (MCIs). The first step in this planning process is the development of specific triage requirements during an influenza pandemic. The second step is identification of logistical resources required during such a pandemic, which are then analyzed within the proposed logistics science and art model for planning purposes. Resources highlighted within the model include allocation and use of work force, bed space, intensive care unit assets, ventilators, personal protective equipment, and oxygen. The third step is using the model to discuss in detail possible workarounds, suitable substitutes, and resource allocation. An examination is also made of the ethics surrounding palliative care within the construction of an MCI and the factors that will inevitably determine rationing and prioritizing of these critical assets to palliative care patients.

Identification, Management, and Clinical Characteristics of Hospitalized Patients with Influenza-Like Illness during the 2009 H1N1 Influenza Pandemic, Cook County, Illinois

2011 ◽  
Vol 32 (10) ◽  
pp. 998-1002 ◽  
Author(s):  
Kristen E. Metzger ◽  
Stephanie R. Black ◽  
Roderick C. Jones ◽  
Shaun R. Nelson ◽  
Ari Robicsek ◽  
...  
Keyword(s):  
Emergency Department ◽  
Sore Throat ◽  
Influenza A ◽  
Clinical Characteristics ◽  
Influenza Pandemic ◽  
Healthcare Providers ◽  
Hospitalized Patients ◽  
Cook County ◽  
Influenza Like Illness ◽  
2009 H1n1

Objective.To describe the identification, management, and clinical characteristics of hospitalized patients with influenza-like illness (ILI) during the peak period of activity of the 2009 pandemic strain of influenza A virus subtype H1N1 (2009 H1N1).Design.Retrospective review of electronic medical records.Patients and Setting.Hospitalized patients who presented to the emergency department during the period October 18 through November 14, 2009, at 4 hospitals in Cook County, Illinois, with the capacity to perform real-time reverse-transcriptase polymerase chain reaction testing for influenza.Methods.Vital signs and notes recorded within 1 calendar day after emergency department arrival were reviewed for signs and symptoms consistent with ILI. Cases of ILI were classified as recognized by healthcare providers if an influenza test was performed or if influenza was mentioned as a possible diagnosis in the physician notes. Logistic regression was used to determine the patient attributes and symptoms that were associated with ILI recognition and with influenza infection.Results.We identified 460 ILI case patients, of whom 412 (90%) had ILI recognized by healthcare providers, 389 (85%) were placed under airborne or droplet isolation precautions, and 243 (53%) were treated with antiviral medication. Of 401 ILI case patients tested for influenza, 91 (23%) had a positive result. Fourteen (3%) ILI case patients and none of the case patients who tested positive for influenza had sore throat in the absence of cough.Conclusions.Healthcare providers identified a high proportion of hospitalized ILI case patients. Further improvements in disease detection can be made through the use of advanced electronic health records and efficient diagnostic tests. Future studies should evaluate the inclusion of sore throat in the ILI case definition.

scholarly journals Emergency Healthcare Providers’ Perceptions of Preparedness and Willingness to Work during Disasters and Public Health Emergencies

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 442 ◽  
Author(s):  
Mohammed Ali Salem Sultan ◽  
Jarle Løwe Sørensen ◽  
Eric Carlström ◽  
Luc Mortelmans ◽  
Amir Khorram-Manesh
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Influenza Pandemic ◽  
Healthcare Providers ◽  
Family Members ◽  
Safety Issues ◽  
Safety Assurance ◽  
Public Health Emergencies ◽  
Mass Shooting ◽  
Level Of Significance

This study evaluates the perceptions of preparedness and willingness to work during disasters and public health emergencies among 213 healthcare workers at hospitals in the southern region of Saudi Arabia by using a quantitative survey (Fight or Flight). The results showed that participants’ willingness to work unconditionally during disasters and emergencies varied based on the type of condition: natural disasters (61.97%), seasonal influenza pandemic (52.58%), smallpox pandemic (47.89%), SARS/COVID-19 pandemic (43.56%), special flu pandemic (36.15%), mass shooting (37.56%), chemical incident and bombing threats (31.92%), biological events (28.17%), Ebola outbreaks (27.7%), and nuclear incident (24.88%). A lack of confidence and the absence of safety assurance for healthcare workers and their family members were the most important reasons cited. The co-variation between age and education versus risk and danger by Spearman’s rho confirmed a small negative correlation between education and danger at a 95% level of significance, meaning that educated healthcare workers have less fear to work under dangerous events. Although the causes of unsuccessful management of disasters and emergencies may vary, individuals’ characteristics, such as lack of confidence and emotional distractions because of uncertainty about the safety issues, may also play a significant role. Besides educational initiatives, other measures, which guarantee the safety of healthcare providers and their family members, should be established and implemented.

scholarly journals DNR and COVID-19: The Ethical Dilemma and Suggested Solutions

2021 ◽  
Vol 9 ◽  
Author(s):  
Hala Sultan ◽  
Razan Mansour ◽  
Omar Shamieh ◽  
Amal Al-Tabba' ◽  
Maysa Al-Hussaini
Keyword(s):  
Medical Condition ◽  
Ethical Dilemmas ◽  
Influenza Pandemic ◽  
Healthcare Providers ◽  
H1n1 Influenza ◽  
Ethical Challenge ◽  
Do Not Resuscitate ◽  
Difficult Situation ◽  
General Medical Condition ◽  
Free Environment

Ethics are considered a basic aptitude in healthcare, and the capacity to handle ethical dilemmas in tough times calls for an adequate, responsible, and blame-free environment. While do-not-resuscitate (DNR) decisions are made in advance in certain medical situations, in particular in the setting of poor prognosis like in advanced oncology, the discussion of DNR in relation to acute medical conditions, the COVID-19 pandemic in this example, might impose ethical dilemmas to the patient and family, healthcare providers (HCPs) including physicians and nurses, and to the institution. The literature on DNR decisions in the more recent pandemics and outbreaks is scarce. DNR was only discussed amid the H1N1 influenza pandemic in 2009, with clear global recommendations. The unprecedented condition of the COVID-19 pandemic leaves healthcare systems worldwide confronting tough decisions. DNR has been implemented in some countries where the healthcare system is limited in capacity to admit, and thus intubating and resuscitating patients when needed is jeopardized. Some countries were forced to adopt a unilateral DNR policy for certain patient groups. Younger age was used as a discriminator in some, while general medical condition with anticipated good outcome was used in others. The ethical challenge of how to balance patient autonomy vs. beneficence, equality vs. equity, is a pressing concern. In the current difficult situation, when cases top 100 million globally and the death toll surges past 2.7 million, difficult decisions are to be made. Societal rather than individual benefits might prevail. Pre-hospital triaging of cases, engagement of other sectors including mental health specialists and religious scholars to support patients, families, and HCPs in the frontline might help in addressing the psychological stress these groups might encounter in addressing DNR in the current situation.

“Hospital's full-up”: the 1918 influenza pandemic

2001 ◽  
Vol 116 ◽  
pp. 32-33 ◽  
Author(s):  
Moniga Schoch-spana
Keyword(s):  
Influenza Pandemic ◽  
1918 Influenza

Healthcare Providers' Beliefs About Working with Patients with Substance Use Disorders

2014 ◽  
Author(s):  
L. C. van Boekel ◽  
E. P. M. Brouwers ◽  
J. van Weeghel ◽  
H. F. L. Garretsen
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Healthcare Providers

Explicit and implicit disability attitudes of healthcare providers.

2020 ◽  
Vol 65 (2) ◽  
pp. 101-112
Author(s):  
Laura VanPuymbrouck ◽  
Carli Friedman ◽  
Heather Feldner
Keyword(s):  
Healthcare Providers ◽  
Disability Attitudes

Faith Tabernacle Congregation, the 1918–19 Influenza Pandemic and Classical Pentecostalism in Colonial West Africa

2020 ◽  
Vol 26 (3) ◽  
pp. 219-238
Author(s):  
Adam Mohr
Keyword(s):  
West Africa ◽  
Influenza Pandemic ◽  
Assemblies Of God ◽  
Sub Saharan Africa ◽  
Orthodox Medicine ◽  
Massive Growth ◽  
Small Branch ◽  
Pentecostal Churches ◽  
Sub Saharan ◽  
Apostolic Church

The 1918–19 influenza pandemic killed between 30 and 50 million people worldwide. In Sub-Saharan Africa, as Terence Ranger points out, the pandemic left an indelible mark, including the unforeseen emergence of anti-medical religious movements. None were as significant as Faith Tabernacle Congregation, the Philadelphia-based divine-healing church that spurred a massive revival in West Africa – and a network stretching from Ivory Coast to Nigeria – without ever sending missionaries. They evangelised through personal letters exchanged across the Atlantic, and Faith Tabernacle literature sent from Philadelphia to various leaders in West Africa. The 1918–19 influenza pandemic was the spark that led to the church's massive growth, from one small branch before the pandemic began in 1918 to 10,500 members and nearly 250 branches of Faith Tabernacle in West Africa at its zenith in 1926. After the church's rapid demise between 1926 and 1929, leaders of Faith Tabernacle established most of the oldest Pentecostal Churches in the Gold Coast and Nigeria – such as the Apostolic Faith, the Apostolic Church, the Christ Apostolic Church and the Assemblies of God (Nigeria). Classical Pentecostalism, therefore, is Faith Tabernacle's legacy in West Africa, while abstinence from orthodox medicine continued to be debated within these Pentecostal circles.

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