scholarly journals COVID-19 pandemic: The testing times for healthcare workers

2021 ◽  
Vol 91 (1) ◽  
Author(s):  
Nitish Aggarwal ◽  
Tarun Krishna Boppana ◽  
Saurabh Mittal
Keyword(s):  
Healthcare Workers ◽  
Healthcare Systems

Dear Editor,There is an increasing pressure on healthcare systems around the globe since the onset of the current coronavirus disease 2019 (COVID-19) pandemic to cope up with the increasing workload... 

scholarly journals Indications for healthcare surge capacity in European countries facing an exponential increase in COVID19 cases

2020 ◽  
Author(s):  
Frederik Verelst ◽  
Elise Kuylen ◽  
Philippe Beutels
Keyword(s):  
Healthcare Workers ◽  
Healthcare Expenditure ◽  
Healthcare Systems ◽  
System Capacity ◽  
Extreme Pressure ◽  
Composite Measure ◽  
Surge Capacity ◽  
Exponential Increase ◽  
European Healthcare ◽  
Country Specific

AbstractEuropean healthcare systems face extreme pressure from COVID-19. We estimate such pressure by relating both country-specific accumulated COVID-19 deaths (intensity-approach) and active COVID-19 cases (magnitude-approach) to measures of healthcare system capacity: hospital beds, healthcare workers and healthcare expenditure. On March 25, 2020 - relative to Italy on March 11- we found Spain, The Netherlands and France to experience the highest pressure using the intensity-approach with a composite measure for healthcare capacity. For updates see www.covid-hcpressure.org

The professions—on top of their game?

2019 ◽  
pp. 72-82
Author(s):  
Mark Britnell
Keyword(s):  
Young People ◽  
Healthcare Workers ◽  
Healthcare Systems ◽  
Health Profession ◽  
Education Training

In this chapter, Mark Britnell presents a sharp analysis and criticism of current healthcare systems and argues that we need to change how healthcare workers are treated to encourage them to stay and develop within their profession. He points to the recent global OECD survey of students that found that a career in the health profession was ranked first, suggesting that young people want to become healthcare workers but are often deprived of the support they need to do their job. This chapter is about how we realize that potential—through education, training, teamwork, and technology—and harness the best we can from them as individuals and in teams.

scholarly journals Promoting Participation in Daily Activities Through Reablement: A Qualitative Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Trine A. Magne ◽  
Kjersti Vik
Keyword(s):  
Older Adults ◽  
Social Network ◽  
Healthcare Workers ◽  
Elderly Population ◽  
Healthcare Systems ◽  
Daily Activities ◽  
Patient Centered ◽  
Home Based ◽  
Sense Of Security ◽  
The Social

A well-known prediction is that the growing elderly population will place a strain on our healthcare systems. At the same time, healthcare is becoming increasingly patient-centered and individualized, with the patient becoming an active participant rather than a mere object of healthcare. The need for change may be met by using a reablement service, utilizing the rehabilitation mindset through home-based services. Rehabilitation and reablement aim to provide opportunities for individuals to participate to a maximum of their potential. This study is part of a larger research project exploring different aspects of reablement in municipalities. It aims to describe how older adults engage in daily activities within the context of reablement and to explore participation in daily activities. A qualitative design was chosen, and the study is explorative in nature due to limited research on participants’ experience with reablement. Ten older adults age 70 to 94 years old were recruited and interviewed. The interviews were transcribed verbatim and analyzed using systematic text condensation (STC) strategies. This study provides insights on how older adults experience participation in daily activities and important aspects for performing these activities and living independently as long as possible. Based on the older adults’ experiences, three main themes were identified when receiving reablement. First, what to achieve with reablement and feeling a sense of security to participate in daily activities. Second, how to carry out wanted activities using different skills and last, how the social network is important for enabling active living. This calls for healthcare workers to address and facilitate these in reablement. Our findings show the importance of collaborating with the social network and strengthening participation in daily activities to establish and develop existing reablement services.

scholarly journals Intensive Care Unit Setup for COVID-19

2020 ◽  
Vol 04 (01) ◽  
pp. 05-11
Author(s):  
Shweta Panse ◽  
Muralidhar Kanchi ◽  
Jose Chacko ◽  
Srinath Kumar T. S. ◽  
Ranganatha Ramanjaneya ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Healthcare Workers ◽  
Medical Personnel ◽  
Healthcare Systems ◽  
Protective Equipment ◽  
Cross Contamination ◽  
Ventilator Management ◽  
Coronavirus Infection ◽  
The Ideal

AbstractThe coronavirus pandemic has become a challenge to all the healthcare systems in the world. Urgent creation of an intensive care unit (ICU) for the same is the need of the hour. The ideal ICU for COVID -19 should be isolated, fully equipped with invasive and noninvasive monitoring, with 24/7 trained medical personnel, nursing staff and laboratory support. As the coronavirus infection is transmitted by droplets and is highly contagious, protection of healthcare workers is crucial. Personnel working inside the ICU should get personal protective equipment (PPE). Strict guidelines for donning and doffing of PPE should be followed to prevent cross-contamination. Respiratory failure being the commonest complication of COVID-19, knowing the ventilator management for the same is essential. It is of great importance to meticulously manage all the resources to combat this contagion.

scholarly journals How to Manage the COVID-19 Diffusion in the Angiography Suite: Experiences and Results of an Italian Interventional Radiology Unit

2020 ◽  
Vol 2 ◽  
pp. 1-8 ◽  
Author(s):  
Marcello Andrea Tipaldi ◽  
Elena Lucertini ◽  
Gianluigi Orgera ◽  
Aleksejs Zolovkins ◽  
Florindo Lauirno ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Healthcare Workers ◽  
Preventive Measures ◽  
Healthcare Systems ◽  
Viral Transmission ◽  
Hospital Unit ◽  
Blood Samples ◽  
Healthcare Facilities ◽  
Hospital Units ◽  
Angiography Suite

Introduction: The management of the diffusion of Coronavirus disease 2019 (COVID-19) pandemic represents a massive problem for healthcare systems worldwide and Interventional Radiology (IR) is a fundamental hospital unit which must continue to provide its service. The aim of this article is to summarize the preventive measures taken in our IR unit and to report the results of these measures over a 7 weeks period. Material and Methods: Between the 25th of February, when we started to apply the recommended containing measures, and the 6th of April 2020, when all the IR staff started to undergo nasopharyngeal and oropharyngeal swabs screening, a total of 25 healthcare operators worked at our IR unit. Operators who, during this period, also worked in other hospital units such as diagnostic emergency department or other healthcare facilities, were excluded. Nasopharyngeal and oropharyngeal swabs screening and blood samples for specific SARS-CoV-2 IgG-IgM were retrospectively evaluated. Results: The overall procedures number decreased by a rate of 33% and twenty-three (16%) were performed in confirmed or strongly suspected COVID-19 patients. Two procedures were performed in non-suspected ones, who revealed positive in the following hospitalization days. Seventeen operators were included in the study. Only one of them resulted positive at the swabs, with an estimated infection rate in our IR unit of 6%. Specific SARS-CoV-2 IgG-IgM resulted negative in all the operators included. Conclusion: Our experience demonstrates that applying adequate measures to limit SARS-CoV-2 infection spread can efficiently reduce the viral transmission among IR healthcare workers.

Radiological manifestations of COVID-19: key points for the physician

2020 ◽  
Vol 81 (6) ◽  
pp. 1-11 ◽  
Author(s):  
Rachel J Gravell ◽  
Mark D Theodoreson ◽  
Danilo Buonsenso ◽  
John Curtis
Keyword(s):  
Healthcare Workers ◽  
Healthcare Systems ◽  
Hospital Physician ◽  
Radiographic Images ◽  
Key Points ◽  
The World

The emergence of the SARS-CoV-2 virus at the end of 2019 has led to unprecedented demand on healthcare systems around the world. Healthcare workers, including doctors, have found themselves having to work in unfamiliar environments in the effort to control this pandemic. This article gives the hospital physician an overview of the radiological manifestations of COVID-19 disease, to improve knowledge and increase familiarity when reviewing radiographic images.

Nursing Perspectives on Person- and People-Centered Integrated Care for All

2015 ◽  
Vol 4 (3) ◽  
pp. 163-166
Author(s):  
Yukiko Kusano
Keyword(s):  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Code Of Ethics ◽  
Healthcare Systems ◽  
Healthcare Design ◽  
International Council ◽  
Active Involvement ◽  
Care Recipients ◽  
Service Delivery Systems ◽  
Centered Care

 Person-centeredness resides at the heart of nursing and nurses also place people at the centre of their activities to achieve a healthier society. The commitment of the International Council of Nurses (ICN) to deliver person- and people-centered care is evident in the ICN Code of Ethics for Nurses [1], ICN policy papers and is translated into various guidelines, programmes and research.  Person- and people-centered healthcare requires not only commitment of individual nurses and other healthcare workers but also changes in healthcare systems including service delivery systems and other structures. It is necessary to take a whole government approach where person- and people-centered healthcare is considered by all ministries including non-health sectors. Active involvement of care recipients, nurses and other healthcare professionals in healthcare design and decision making is essential to achieve person- and people-centered healthcare. 

Intravenous Immunoglobulin Rich in Neutralising Antibodies to SARS-CoV-2 as a Passive Immunity Modality in Healthy Individuals at Risk of Infection With COVID-19: Study Protocol for an Open Label, Active Control Phase 1/2 Study.

2020 ◽  
Author(s):  
Guy Gavagna ◽  
Roderick Clifton-Bligh ◽  
Charlotte Lemech ◽  
Suzanne Williams ◽  
Elena Elefantis ◽  
...  
Keyword(s):  
Intravenous Immunoglobulin ◽  
Active Control ◽  
Healthcare Workers ◽  
Rapid Development ◽  
Phase 1 ◽  
Healthcare Systems ◽  
Passive Immunity ◽  
Open Label ◽  
Control Phase ◽  
Novel Therapeutics

Abstract Background The COVID-19 pandemic has demonstrated the fragility of our healthcare systems and the need for rapid development of effective care strategies. Global efforts to develop novel therapeutics have intensified, but in late November 2020, few are approved. There is an urgent need for novel therapeutics to limit further spread of COVID-19. Passive immunity by infusing neutralising anti-SARS-CoV-2 antibodies provides a method to prevent infection in individuals at heightened risk such as frontline health care workers. Convalescent plasma (CP) collected from donors who have recovered from an infectious disease can be pooled and fractionated into hyperimmune intravenous immunoglobulin (HIVIG), a concentrated formulation with enriched levels of pathogen-specific antibodies. HIVIG are established for therapeutic and prophylactic administration across many infectious diseases and possess many advantages over CP including consistent high titres of antiviral antibodies without ABO matching or risk of transfusion related acute lung injury (TRALI) or transfusion associated circulatory overload (TACO), lower infusion volume, simpler storage, longer shelf life, and easier administration. Method A parallel group, open-label, active control, phase 1/2 trial which allocates healthy adult healthcare workers never infected with SARS-CoV-2 to receive a single intravenous infusion of either CP or HIVIG. This clinical trial is the first to establish whether a HIVIG preparation concentrated with antibodies to SARS-CoV-2 is safe when administered to healthcare workers in the prevention of COVID-19, and to assess whether the anti-SARS-CoV-2 antibodies in the HIVIG are pharmacokinetically equivalent to those in unmodified CP.Discussion Trials to date suggest that allocation of limited CP may be optimised if used for prevention rather than treatment of COVID-19. This HIVIG (CovimmuneTM, Aegros Ltd.) is manufactured by a novel plasma fractionation technology (HaemaFracTM, Aegros Ltd.) which offers high purity and a greater protein yield from smaller batches of starting plasma than is possible with conventional fractionation techniques. If successful, this approach can be rapidly scaled up for implementation into clinical practice and contribute to the sustainability of healthcare systems during the current and future pandemics. The more prevention and treatment options available to address the COVID-19 pandemic, the stronger the position our society will hold. Trial registration Australia & New Zealand Clinical Trials Registry. Registration number: ACTRN12620001249943p. Date: 20/11/2020. https://www.anzctr.org.au/ACTRN12620001249943p.aspx

scholarly journals COVID-19 and healthcare system in China: challenges and progression for a sustainable future

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Shuangyi Sun ◽  
Zhen Xie ◽  
Keting Yu ◽  
Bingqian Jiang ◽  
Siwei Zheng ◽  
...  
Keyword(s):  
Healthcare System ◽  
Disaster Preparedness ◽  
Healthcare Workers ◽  
Early Stage ◽  
Healthcare Systems ◽  
Public Hospitals ◽  
Chinese Government ◽  
Protective Equipment ◽  
Spread Of Infection ◽  
High Technologies

AbstractWith the ongoing COVID-19 outbreak, healthcare systems across the world have been pushed to the brink. The approach of traditional healthcare systems to disaster preparedness and prevention has demonstrated intrinsic problems, such as failure to detect early the spread of the virus, public hospitals being overwhelmed, a dire shortage of personal protective equipment, and exhaustion of healthcare workers. Consequently, this situation resulted in manpower and resource costs, leading to the widespread and exponential rise of infected cases at the early stage of the epidemic. To limit the spread of infection, the Chinese government adopted innovative, specialized, and advanced systems, including empowered Fangcang and Internet hospitals, as well as high technologies such as 5G, big data analysis, cloud computing, and artificial intelligence. The efficient use of these new forces helped China win its fight against the virus. As the rampant spread of the virus continues outside China, these new forces need to be integrated into the global healthcare system to combat the disease. Global healthcare system integrated with new forces is essential not only for COVID-19 but also for unknown infections in the future.

scholarly journals Factors associated with COVID-19 vaccine receipt at two integrated healthcare systems in New York City: a cross-sectional study of healthcare workers

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e053641
Author(s):  
Kristin Oliver ◽  
Anant Raut ◽  
Stanley Pierre ◽  
Leopolda Silvera ◽  
Alexander Boulos ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Healthcare Workers ◽  
Primary Outcome ◽  
Vaccine Safety ◽  
Healthcare Systems ◽  
Cross Sectional ◽  
Integrated Healthcare ◽  
Factors Associated ◽  
Roll Out

ObjectivesTo examine the factors associated with COVID-19 vaccine receipt among healthcare workers and the role of vaccine confidence in decisions to vaccinate, and to better understand concerns related to COVID-19 vaccination.DesignCross-sectional anonymous survey among front-line, support service and administrative healthcare workers.SettingTwo large integrated healthcare systems (one private and one public) in New York City during the initial roll-out of the COVID-19 vaccine.Participants1933 healthcare workers, including nurses, physicians, allied health professionals, environmental services staff, researchers and administrative staff.Primary outcome measuresThe primary outcome was COVID-19 vaccine receipt during the initial roll-out of the vaccine among healthcare workers.ResultsAmong 1933 healthcare workers who had been offered the vaccine, 81% had received the vaccine at the time of the survey. Receipt was lower among black (58%; OR: 0.14, 95% CI 0.1 to 0.2) compared with white (91%) healthcare workers, and higher among non-Hispanic (84%) compared with Hispanic (69%; OR: 2.37, 95% CI 1.8 to 3.1) healthcare workers. Among healthcare workers with concerns about COVID-19 vaccine safety, 65% received the vaccine. Among healthcare workers who agreed with the statement that the vaccine is important to protect family members, 86% were vaccinated. Of those who disagreed, 25% received the vaccine (p<0.001). In a multivariable analysis, concern about being experimented on (OR: 0.44, 95% CI 0.31 to 0.6), concern about COVID-19 vaccine safety (OR: 0.39, 95% CI 0.28 to 0.55), lack of influenza vaccine receipt (OR: 0.28, 95% CI 0.18 to 0.44), disagreeing that COVID-19 vaccination is important to protect others (OR: 0.37, 95% CI 0.27 to 0.52) and black race (OR: 0.38, 95% CI 0.24 to 0.59) were independently associated with COVID-19 vaccine non-receipt. Over 70% of all healthcare workers responded that they had been approached for vaccine advice multiple times by family, community members and patients.ConclusionsOur data demonstrated high overall receipt among healthcare workers. Even among healthcare workers with concerns about COVID-19 vaccine safety, side effects or being experimented on, over 50% received the vaccine. Attitudes around the importance of COVID-19 vaccination to protect others played a large role in healthcare workers’ decisions to vaccinate. We observed striking inequities in COVID-19 vaccine receipt, particularly affecting black and Hispanic workers. Further research is urgently needed to address issues related to vaccine equity and uptake in the context of systemic racism and barriers to care. This is particularly important given the influence healthcare workers have in vaccine decision-making conversations in their communities.

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