scholarly journals Psychological impact of COVID-19 pandemic on nurses: A qualitative study

2021 ◽  
pp. 48-55
Author(s):  
Farzana Danial ◽  
Irfan Ullah Khattak
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Social Isolation ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Psychological Impact ◽  
Self Care ◽  
Care Providers

Coronavirus disease is a serious infectious disease that spread very rapidly. Coronavirus not only impacts the general population but also a thread for health care providers. Besides, it psychologically impacts health care professionals especially nurses. Objectives. To explore the psychological impact of the COVID-19 pandemic on nurses working in corona isolation units. Methodology. A qualitative study was conducted using a phenomenological study design. Overall, data were collected from 15 nurses working in tertiary care hospitals of district Nowshera. The study was carried from 1st April 2020 to 20th May 2020. Permission was granted from the District Health Officer of District Nowshera. Keeping the spread of the coronavirus in view, data was collected through semi-structured in-depth telephonic interviews. Electronic consent was also granted from all the concerned participants before data collection. Data were analyzed using Colaizzi’s 7-step method. Results. A total of three themes were generated from the data; Stress, social isolation, and Coping and Self-Care Styles. Nurses working in COVID-19 units experience stress due to constant duty change, fatigue, change in duty placement, and work overload. Also, they experience social isolation due to the fear of getting infected and the disease transmission to their family and other population. Coping and self-care styles such as exercise, physical activity, facing the reality and religious beliefs are important for the nurses to maintain their mental health. Conclusions. The outbreak of COVID-19 psychologically impacts the nurses. Besides, the nurses experience stress and social isolation. The nurses also need coping and self-care styles to maintain their mental health. The role of the health department is very important to highlight this issue and provide proper assistance to the nurses.

Understanding communication among health care professionals regarding death and dying in pediatrics

2013 ◽  
Vol 12 (5) ◽  
pp. 387-392 ◽  
Author(s):  
Julianne Harrison ◽  
Elana Evan ◽  
Amy Hughes ◽  
Shahram Yazdani ◽  
Myke Federman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Death And Dying ◽  
Palliative Care Service ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Impending Death

AbstractObjective:Effective communication regarding death and dying in pediatrics is a vital component of any quality palliative care service. The goal of the current study is to understand communication among health care professionals regarding death and dying in children. The three hypotheses tested were: (1) hospital staff (physicians of all disciplines, nurses, and psychosocial clinicians) that utilize consultation services are more comfortable communicating about death and dying than those who do not use such services, (2) different disciplines of health care providers demonstrate varying levels of comfort communicating about a range of areas pertaining to death and dying, and (3) health care staff that have had some type of formal training in death and dying are more comfortable communicating about these issues.Methods:A primary analysis of a survey conducted in a tertiary care teaching children's hospital.Results:Health care professionals who felt comfortable discussing options for end of life care with colleagues also felt more comfortable: initiating a discussion regarding a child's impending death with his/her family (r = 0.42), discussing options for terminal care with a family (r = 0.58), discussing death with families from a variety of ethnic/cultural backgrounds (r = 0.51), guiding parents in developmentally age-appropriate discussions of death with their children (r = 0.43), identifying and seeking advice from a professional role model regarding management concerns (r = 0.40), or interacting with a family following the death of a child (r = 0.51). Among all three disciplines, physicians were more likely to initiate discussions with regards to a child's impending death (F = 13.07; p = 0.007). Health care professionals that received formal grief and bereavement training were more comfortable discussing death.Significance of the results:The results demonstrated that consultation practices are associated with a higher level of comfort in discussing death and dying in pediatrics.

scholarly journals Challenges experienced by mothers caring for children with cerebral palsy in Zambia

2015 ◽  
Vol 71 (1) ◽  
Author(s):  
Carol Singogo ◽  
Margaret Mweshi ◽  
Anthea Rhoda
Keyword(s):  
Health Care ◽  
Cerebral Palsy ◽  
Social Isolation ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Providers ◽  
Community Members ◽  
Marital Problems ◽  
Children With Cerebral Palsy ◽  
Socially Isolated

Background: Mothers caring for children with disability experience a number of challenges.Aim: The aim of the study was to explore the challenges that mothers who cared for children with cerebral palsy (CP) living in Zambia experienced.Methods: During a qualitative study the experiences of 16 conveniently sampled mothers of children with CP, from the Ndola district in Zambia, were explored by means of interviews. The responses were thematically analysed. All the necessary ethical considerations were upheld.Results: Mothers experienced social isolation and marital problems, as well as negative attitudes from family, friends, community members and health care professionals. The physical environment created access challenges because of a lack of sidewalks, ramps, functioning lifts and small indoor spaces.Conclusion: Mothers of children with CP feel socially isolated owing to a lack of support from family, community members, and health care providers. This social isolation was exacerbated by attitudes of others towards the mothers; it was felt that mothers were responsible for their children’s condition. Mothers also experienced marital problems as a result of having a child with CP.

scholarly journals Psychological impact of infection with SARS-CoV-2 on health care providers: A qualitative study

2021 ◽  
Vol 10 (4) ◽  
pp. 1666
Author(s):  
JayaprakashRussell Ravan ◽  
Vidya Venkatesh ◽  
VijayNirup Samyuktha ◽  
BennyPaul Wilson ◽  
Dheeraj Kattula
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Psychological Impact ◽  
Care Providers

scholarly journals INCOMPLETE ADVANCE CARE PLANNING? CORRELATES OF PLANNING WITHOUT PERSONAL CONVERSATIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S425-S426
Author(s):  
Kathrin Boerner ◽  
Deborah Carr ◽  
Katherine M Ornstein ◽  
Sara Moorman
Keyword(s):  
Health Care ◽  
Social Isolation ◽  
Health Care Providers ◽  
Advance Care Planning ◽  
Health Care Professionals ◽  
Living Will ◽  
Community Dwelling ◽  
Care Planning ◽  
Care Providers ◽  
Advance Care

Abstract In the course of advance care planning (ACP), people may elect any of the following: a living will, a durable power of attorney for health care, and discussions with family members and health care providers. A small proportion of planners complete legal documents without discussing them with others (formal planning only, FPO). If people who have done FPO become incapacitated, their family and health care professionals may lack guidance on how to direct their care. To better understand this group, we drew on four large surveys of community-dwelling adults. Social isolation, measured by living alone and lack of a confidante, increased the odds of FPO across all studies. We also found some evidence that economic disadvantage and depressive symptoms were linked with FPO. We discuss implications for policy and practice, underscoring that ACP is yet another important domain affected by the crisis of social isolation in old age.

scholarly journals Patient, Caregiver, and Provider Perspectives on Challenges and Solutions to Individualization of Care in Hemodialysis: A Qualitative Study

2020 ◽  
Vol 7 ◽  
pp. 205435812097071
Author(s):  
Rachelle Sass ◽  
Juli Finlay ◽  
Krista Rossum ◽  
Kaytlynn V. Soroka ◽  
Michael McCormick ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Focus Groups ◽  
Health Care Providers ◽  
Self Care ◽  
Well Being ◽  
Treatment Goals ◽  
Care Providers ◽  
Provider Perspectives ◽  
Set Up

Background: Clinical settings often make it challenging for patients with kidney failure to receive individualized hemodialysis (HD) care. Individualization refers to care that reflects an individual’s specific circumstances, values, and preferences. Objective: This study aimed to describe patient, caregiver, and health care professional perspectives regarding challenges and solutions to individualization of care in people receiving in-center HD. Design: In this multicentre qualitative study, we conducted focus groups with individuals receiving in-center HD and their caregivers and semi-structured interviews with health care providers from May 2017 to August 2018. Setting: Hemodialysis programs in 5 cities: Calgary, Edmonton, Winnipeg, Ottawa, and Halifax. Participants: Individuals receiving in-center HD for more than 6 months, aged 18 years or older, and able to communicate in English were eligible to participate, as well as their caregivers. Health care providers with HD experience were recruited using a purposive approach and snowball sampling. Methods: Two sequential methods of qualitative data collection were undertaken: (1) focus groups and interviews with HD patients and caregivers, which informed (2) individual interviews with health care providers. A qualitative descriptive methodology guided focus groups and interviews. Data from all focus groups and interviews were analyzed using conventional content analysis. Results: Among 82 patients/caregivers and 31 health care providers, we identified 4 main themes: session set-up, transportation and parking, socioeconomic and emotional well-being, and HD treatment location and scheduling. Particular challenges faced were as follows: (1) session set-up: lack of preferred supplies, machine and HD access set-up, call buttons, bed/chair discomfort, needling options, privacy in the unit, and self-care; (2) transportation and parking: lack of reliable/punctual service, and high costs; (3) socioeconomic and emotional well-being: employment aid, finances, nutrition, lack of support programs, and individualization of treatment goals; and (4) HD treatment location and scheduling: patient displacement from their usual spot, short notice of changes to dialysis time and location, lack of flexibility, and shortages of HD spots. Limitations: Uncertain applicability to non-English speaking individuals, those receiving HD outside large urban centers, and those residing outside of Canada. Conclusions: Participants identified challenges to individualization of in-center HD care, primarily regarding patient comfort and safety during HD sessions, affordable and reliable transportation to and from HD sessions, increased financial burden as a result of changes in functional and employment status with HD, individualization of treatment goals, and flexibility in treatment schedule and self-care. These findings will inform future studies aimed at improving patient-centered HD care.

scholarly journals HEALTH CARE PROVIDERS’ VIEWS CONCERNING KNOWLEDGE AND PRACTICES OF TRADITIONAL BIRTH ATTENDANTS IN TAJIKISTAN: A QUALITATIVE STUDY

2021 ◽  
Vol 3 (2) ◽  
pp. 479-495
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Skilled Birth Attendant ◽  
Maternal Health Care ◽  
Traditional Birth Attendants ◽  
Care Providers ◽  
Birth Attendants

Introduction: This study seeks to explore health care providers’ perspectives of the traditional birth attendants’ knowledge and practices. Methods: This qualitative study was conducted in 2018 with 16 health care professionals working at various levels of maternal health care system in two purposefully selected research settings, Khorog town and Dushanbe, which have different social, economic and ethnic backgrounds. Semi-structured face-to-face interviews were conducted to gather the data. Duration of interviews ranged from 30-60 min. NVivo software for qualitative research was used to analyse the results. Results: This study has shown that health care workers have extremely negative views of the knowledge and practices of traditional birth attendants. They highlight the lack of adequate knowledge of traditional birth attendants on biomedical aspects of birth, poor skills in infections control and lack of use of clean delivery practices. They also claim that the traditional birth attendants’ practices also lead to different complications while they are woefully unprepared to recognize obstetric complications during birth. Conclusion: The study recommends providing a skilled birth attendant in every area. It also recommends avoiding a homogeneous approach to address maternal health issues in diverse countries of the Global South and reviewing maternal health care policies and programs to provide the most marginalized groups of women with skilled birth services to improve their maternal health and further decrease maternal mortality in Tajikistan.

scholarly journals Calling out the COVID blues- how much of a psychological impact does the COVID-19 pandemic have on health care professionals in India

2021 ◽  
Vol 12 (5) ◽  
Author(s):  
Arghya Halder ◽  
Ambarish Ghosh ◽  
Nikhiles Mondal ◽  
Birva Desai ◽  
Priyanka Das ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perceived Stress ◽  
Mental Health Professionals ◽  
Health Care Professionals ◽  
Large Scale ◽  
Tertiary Care ◽  
Psychological Impact ◽  
Care Hospital ◽  
Awareness Campaigns

Background: COVID-19 pandemic is one of the rarest health crises the world has ever encountered. As mental health professionals; we need to consider the psychological impact of the pandemic. There are certain groups of people that are largely more vulnerable to pernicious effects on mental health including frontline healthcare workers. Hence, the current study was undertaken look into the minds of our covid warriors. Aims and Objectives: This study aims to assess psychological impact of COVID-19 pandemic among health care professionals, with the primary objectives being to study: 1. Perceived stress regarding COVID-19 pandemic among health care professionals. 2. Stigma associated with the pandemic, faced by health care professionals in their surroundings as well as in the society. 3. Obsessive-Compulsive symptoms among the health care professionals. The secondary objective of the study is to compare between High and Low exposure groups on the basis of different variables. Materials and Methods: This study is an observational, cross-sectional study wherein the sample size is 410, taken by consequent sampling. Data was collected from health care professionals all over India, by manual or digital interview. Health care professionals of a tertiary care hospital were taken up for the study including doctors, nurses and other hospital staff. Results: On K10 scale, 369 (90%) of the subjects had scores below 25, meaning they reported to have no or mild perceived stress, whereas 41 of them (10%) had scores 25 or above, meaning to have moderate or severe perceived stress. Forty (9.8%) subjects reported to be experiencing panic symptoms at the time of the interview. One hundred twenty-eight (31.2%) admitted to have faced stigma from the society in at least one of the facets of the questionnaire based on SARI stigma scale. 39 people (9.5%) reported to be experiencing OC symptoms at the time of interview. Conclusion: With this research we conclude that owing to the ongoing COVID-19 pandemic, the health care professionals are under a lot of stress, many of them have also experienced panic like symptoms. Large scale screenings should be carried out at regular intervals at hospitals to keep a check on the mental health of health care workers. Mental health should be given a priority by the government officials and sufficient awareness campaigns should be rolled out.

The impact of COVID-19 on patients with cancer: A qualitative study.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18559-e18559
Author(s):  
Dhanya Kumar ◽  
Sana Khateeb ◽  
Manali I. Patel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Health Services ◽  
Health Care Providers ◽  
Cancer Care ◽  
Infection Risk ◽  
Care Providers ◽  
Patients With Cancer ◽  
The Impact

e18559 Background: The SARS‐CoV‐2/COVID‐19 pandemic greatly impacted the health of many patients with cancer. We conducted in-depth interviews with patients across the United States to better understand the effect of the COVID-19 pandemic on their cancer care, emotional and mental health, and to solicit suggestions for how health care providers could mitigate these concerns. Methods: We contacted respondents from the Impact of COVID-19 on Cancer parent study. The parent study used a snowball sampling approach to survey patients nationally regarding cancer delays between April 2020 and October 2020. We invited all respondents who volunteered for future studies to participate in a 40-minute interview regarding their experiences and suggestions for how health care providers could mitigate COVID19-related concerns. Interviews were conducted between August 2020 and October 2020, recorded, transcribed and analyzed using qualitative thematic content analysis. Results: A total of 34 participants were contacted and consented to participate in this study. Four overarching themes were identified: (1) significant concern regarding infection risk; (2) concerns regarding care changes, such as delays, worsening cancer outcomes; (3) concern regarding loss of employment, health insurance, and transportation on cancer treatment, affordability, and prognosis; and (4) worsening emotional and mental health due to social isolation. Suggestions for the clinical team included: 1) specific and direct guidance from health care providers on how to mitigate infection risk; 2) screening for and access to mental health services; 3) continuation of cancer treatment, surveillance, and clinical trials without delays and 4) allowing caregivers to attend appointments. Conclusions: In this national qualitative study of patients with cancer, participants identified that COVID-19 and modifications to their cancer care worsened their emotional and mental health with growing concerns about the impact of the virus and socioeconomic status on their cancer outcomes. Specific suggestions for health care providers, such as anticipatory guidance, access to mental health services, and expanded visitation should be considered to improve patient experiences with care during the pandemic.

scholarly journals Prevalence and severity of secondary traumatic stress and optimism in Indian health care professionals during COVID-19 lockdown

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257429
Author(s):  
Manohar K. N. ◽  
Neha Parashar ◽  
C. R. Satish Kumar ◽  
Vivek Verma ◽  
Sanjiv Rao ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Traumatic Stress ◽  
Health Care Professionals ◽  
Secondary Traumatic Stress ◽  
Mood States ◽  
Primary Data ◽  
Care Providers ◽  
Life Orientation Test

Background The COVID-19 pandemic has brought to light the lacunae in the preparedness of healthcare systems across the globe. This preparedness also includes the safety of healthcare providers (HCPs) at various levels. Sudden spread of COVID-19 infection has created threatening and vulnerable conditions for the HCPs. The current pandemic situation has not only affected physical health of HCPs but also their mental health. Objective This study aims to understand the prevalence and severity of secondary traumatic stress, optimism parameters, along with states of mood experienced by the HCPs, viz., doctors, nurses and allied healthcare professionals (including Physiotherapist, Lab technicians, Phlebotomist, dieticians, administrative staff and clinical pharmacist), during the COVID-19 lockdown in India. Methodology The assessment of level of secondary traumatic stress (STS), optimism/pessimism (via Life Orientation Test-Revised) and current mood states experienced by Indian HCPs in the present COVID-19 pandemic situation was done using a primary data of 2,008 HCPs from India during the first lockdown during April-May 2020. Data was collected through snow-ball sampling technique, reaching out to various medical health care professionals through social media platforms. Result Amongst the study sample 88.2% of doctors, 79.2 of nurses and 58.6% of allied HCPs were found to have STS in varying severity. There was a female preponderance in the category of Severe STS. Higher optimism on the LOTR scale was observed among doctors at 39.3% followed by nurses at 26.7% and allied health care professionals 22.8%. The mood visual analogue scale which measures the “mood” during the survey indicated moderate mood states without any gender bias in the study sample. Conclusion The current investigation sheds light on the magnitude of the STSS experienced by the HCPs in the Indian Subcontinent during the pandemic. This hitherto undiagnosed and unaddressed issue, calls for a dire need of creating better and accessible mental health programmes and facilities for the health care providers in India.

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