scholarly journals The COVID-19 Pandemic in Spain: Experiences of Midwives on the Healthcare Frontline

2021 ◽  
Vol 18 (12) ◽  
pp. 6516
Author(s):  
Josefina Goberna-Tricas ◽  
Ainoa Biurrun-Garrido ◽  
Carme Perelló-Iñiguez ◽  
Pía Rodríguez-Garrido
Keyword(s):  
Primary Care ◽  
Content Analysis ◽  
Qualitative Methodology ◽  
Health Management ◽  
Care Hospital ◽  
Southern Europe ◽  
Phenomenological Tradition ◽  
Resistance Strategies ◽  
Primary Care Hospital ◽  
Professional Occupation

Background: Midwives look after women during pregnancy, childbirth and puerperium. In Spain, the first wave of COVID was particularly virulent. There are few studies about the experiences of midwives providing care during the COVID pandemic and very few have been undertaken in the countries of southern Europe such as Spain. This article sets out to take a more in-depth look at the experiences of midwives who were on the frontline of care during the early months of the COVID-19 pandemic as well as to identify new needs and resilience strategies that can help midwives. Methods: A qualitative methodology of phenomenological tradition was used, interviewing 10 midwives from primary care, hospital and independent care. Results: After content analysis, three central categories emerged: (a) cascade of emotions; (b) professional occupation and concern for the women; (c) resisting the day-to-day; resilience and resistance strategies. Conclusions: Despite the difficulties, midwives are concerned about the loss of rights and autonomy and about the increased vulnerability of women. Midwives have become aware of the power they have in their actions both in health management and administration, as well as in the care of women, creating strategies to provide dignified care to their users.

scholarly journals The Odyssey from Symptom to Diagnosis of Pulmonary Hypertension from the Patients and Spouses Perspective

2021 ◽  
Vol 12 ◽  
pp. 215013272110292
Author(s):  
Bodil Ivarsson ◽  
Anders Johansson ◽  
Barbro Kjellström
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Pulmonary Hypertension ◽  
Content Analysis ◽  
Health Care Providers ◽  
Rare Diseases ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Care Hospital ◽  
Care Providers ◽  
Primary Care Hospital

Introduction/objective: Diagnostic delays in pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) are related to increased morbidity and mortality. The risk of a delayed, or even a missed, diagnosis is high as the conditions are rare. The aim was to describe patients’ and spouses’ experiences of the journey from the first symptom to an established diagnosis. Methods: A secondary analysis of 31 transcripts, based on 2 primary datasets containing interviews with 17 patients and 14 spouses, was carried out and analyzed according to qualitative content analysis. Results: One overarching category was revealed from the content analysis; “The journey from doubt and hope to receive the diagnosis.” Five subcategories were identified as: overall experiences; ignoring symptoms; seeking primary care/hospital specialty care; blame and stigma; and finding a pulmonary hypertension specialist clinic. The main finding was that both patients and spouses experienced that waiting for a diagnosis and the deteriorating state of health led to anxiety and frustration. The knowledge about rare diseases among health professionals needs to be improved to enable a timelier diagnosis and initiation of treatment. Conclusion: Patients’ and spouses’ lives were negatively affected by having to search for a correct diagnosis. In order for health care to identify rare diseases earlier, a well-functioning and responsive health care system, in primary care as well as in specialist care, is needed. Symptoms like breathlessness and fatigue are often unspecific but should not be ignored. Keeping the patient and spouse in the loop, and providing information that the search for an answer might take time is essential for health care providers to create trust.

scholarly journals Broad-based SARS-CoV-2 Testing Program for Healthcare Workers in a Primary Care Hospital In France

2021 ◽  
Author(s):  
Julie Chas ◽  
Marine Nadal ◽  
Martin Siguier ◽  
Anne Fajac ◽  
Michel Denis ◽  
...  
Keyword(s):  
Primary Care ◽  
Healthcare Workers ◽  
Care Hospital ◽  
Testing Program ◽  
Primary Care Hospital

scholarly journals Coincidental detection of the first outbreak of carbapenemase-producing Klebsiella pneumoniae colonisation in a primary care hospital, Finland, 2013

2015 ◽  
Vol 20 (26) ◽  
Author(s):  
M Kanerva ◽  
K Skogberg ◽  
K Ryynänen ◽  
A Pahkamäki ◽  
J Jalava ◽  
...  
Keyword(s):  
Primary Care ◽  
Klebsiella Pneumoniae ◽  
Care Hospital ◽  
Binary File ◽  
Primary Care Hospital

Binary file ES_Abstracts_Final_ECDC.txt matches

Hunger: A Missed Opportunity for Screening in the Pediatric Emergency Department

2018 ◽  
Vol 57 (11) ◽  
pp. 1318-1325 ◽  
Author(s):  
Tamar Robinson ◽  
Leah Bryan ◽  
Veda Johnson ◽  
Terri McFadden ◽  
Sarah Lazarus ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Emergency Department ◽  
Food Insecurity ◽  
Hospital Staff ◽  
Social Needs ◽  
Social Risk ◽  
Care Hospital ◽  
Social Risk Factors ◽  
Primary Care Hospital

Background. The American Academy of Pediatrics and pediatric community recognize the importance of addressing social determinants of health. There are limited data on the prevalence of food insecurity or literature establishing protocols assessing food insecurity in the emergency department (ED). Methods. Two anonymous surveys were administered, one to families during their ED visit and another to ED staff to assess perceptions on the ED’s role in providing social support. Results. Thirty-three of 214 respondents (15.4%) reported food insecurity and are associated with economic risk factors ( P < .0001) and a lack of primary care ( P = .008). Overall, 83.2% of the ED staff believed knowing information about families’ social risk factors would help patient care and 77.6% believed that the ED staff should address families’ social needs. Conclusions. Food insecurity affects a significant portion of ED families across income ranges. Screening for food insecurity in the ED is important given association with lack of primary care. Hospital staff supports screening and intervention.

scholarly journals Proportions of Cancer Cases in Primary Care, Hospital, and Cancer Registry Data Among Patients Treated for Overactive Bladder

Epidemiology ◽  
2019 ◽  
Vol 30 (2) ◽  
pp. e8-e9
Author(s):  
Andrea V. Margulis ◽  
Joan Fortuny ◽  
James A. Kaye ◽  
Brian Calingaert ◽  
Maria Reynolds ◽  
...  
Keyword(s):  
Primary Care ◽  
Overactive Bladder ◽  
Cancer Registry ◽  
Registry Data ◽  
Care Hospital ◽  
Cancer Registry Data ◽  
Primary Care Hospital

scholarly journals Drug prescriptions and dementia incidence: a medication-wide association study of 17000 dementia cases among half a million participants

2021 ◽  
pp. jech-2021-217090
Author(s):  
Tim Wilkinson ◽  
Christian Schnier ◽  
Kathryn Bush ◽  
Kristiina Rannikmäe ◽  
Ronan A Lyons ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Association Study ◽  
Hospital Admissions ◽  
Cox Regression ◽  
Mortality Data ◽  
Care Hospital ◽  
Dementia Incidence ◽  
Primary Care Hospital

BackgroundPrevious studies have suggested that some medications may influence dementia risk. We conducted a hypothesis-generating medication-wide association study to investigate systematically the association between all prescription medications and incident dementia.MethodsWe used a population-based cohort within the Secure Anonymised Information Linkage (SAIL) databank, comprising routinely-collected primary care, hospital admissions and mortality data from Wales, UK. We included all participants born after 1910 and registered with a SAIL general practice at ≤60 years old. Follow-up was from each participant’s 60th birthday to the earliest of dementia diagnosis, deregistration from a SAIL general practice, death or the end of 2018. We considered participants exposed to a medication if they received ≥1 prescription for any of 744 medications before or during follow-up. We adjusted for sex, smoking and socioeconomic status. The outcome was any all-cause dementia code in primary care, hospital or mortality data during follow-up. We used Cox regression to calculate hazard ratios and Bonferroni-corrected p values.ResultsOf 551 344 participants, 16 998 (3%) developed dementia (median follow-up was 17 years for people who developed dementia, 10 years for those without dementia). Of 744 medications, 221 (30%) were associated with dementia. Of these, 217 (98%) were associated with increased dementia incidence, many clustering around certain indications. Four medications (all vaccines) were associated with a lower dementia incidence.ConclusionsAlmost a third of medications were associated with dementia. The clustering of many drugs around certain indications may provide insights into early manifestations of dementia. We encourage further investigation of hypotheses generated by these results.

Sign in / Sign up

Export Citation Format

Share Document