scholarly journals Los efectos de la Covid-19 en las residencias de mayores

2021 ◽  
pp. 127-166
Author(s):  
Juan Alejandro MARTÍNEZ NAVARRO
Keyword(s):  
Health Care ◽  
Nursing Homes ◽  
Health Crisis ◽  
Patient Prioritization ◽  
Failed Attempt ◽  
Health Model ◽  
Main Effects ◽  
Health Cooperation

LABURPENA: COVID-19ak ekarri duen osasun-larrialdiak edo -krisiak erakutsi digu gure gizarte- eta osasun-ereduak badituela -bere-bereak gainera- hutsune larri batzuk. Garbi geratu da lankidetza soziosanitarioko mekanismo berriak birformulatu behar direla, berehala. Testuinguru konplexu horretan, pandemiaren ondorio handienak adinekoen egoitzetan nabaritu dira bereziki. Zentro horiei dagokienez, osasun-krisiak agerian utzi du egoitzak medikalizatzeko ahalegina egin dela baina ahalegin horrek porrot egin duela; eta erakutsi du orobat pazienteak lehenesteko sistema eztabaidagarri batean oinarritu dela osasun-arreta. Zentro horietan izandako ondorio kezkagarriak ikusita, badira gai juridiko eta bioetiko batzuk premiaz tratatu beharrekoak; derrigor mahaigaineratu behar dira. ABSTRACT: The health emergency crisis caused by COVID-19 has revealed the serious deficiencies in our social and health model, confirming the urgent need to reformulate new mechanisms for socio-health cooperation. In this complex context, the main effects of the pandemic have been felt with special intensity in nursing homes. In relation to these centers, the health crisis has revealed a failed attempt to medicalize nursing homes, and a health care based on a questionable patient prioritization system. The worrying consequences suffered in these centers make it necessary to raise some pressing legal and bioethical questions. RESUMEN: La crisis de emergencia sanitaria ocasionada por la COVID-19 ha confirmado las graves deficiencias que caracterizan a nuestro modelo social y sanitario, constatando la urgente necesidad de reformular nuevos mecanismos de cooperación socio-sanitaria. En este complejo contexto, los principales efectos de la pandemia se han hecho notar con especial intensidad en las residencias de mayores. En lo referente a estos centros, la crisis sanitaria ha dejado en evidencia un fracasado intento de medicalización de las residencias, y una atención sanitaria basada en un cuestionable sistema de priorización de pacientes. Las preocupantes consecuencias sufridas en estos centros obligan a plantear algunas cuestiones jurídicas y bioéticas de apremiante tratamiento.

scholarly journals Impact of the COVID-19 Pandemic on the Romanian Labor Market

2020 ◽  
Vol 13 (1) ◽  
pp. 271
Author(s):  
Carmen Valentina Radulescu ◽  
Georgiana-Raluca Ladaru ◽  
Sorin Burlacu ◽  
Florentina Constantin ◽  
Corina Ioanăș ◽  
...  
Keyword(s):  
Labor Market ◽  
Health Insurance ◽  
Labor Force ◽  
Semantic Differential ◽  
Current Crisis ◽  
Health Crisis ◽  
Unemployed People ◽  
Lack Of Information ◽  
Main Effects ◽  
The Impact

The present research aims to establish the impact that the current crisis situation the planet is facing, namely the COVID-19 pandemic, has had so far on the Romanian labor force market. In this context, given the lack of information and information regarding this pandemic and its effects, the administration of a questionnaire among the population was considered to identify the research results. The method of semantic differential and the method of ordering the ranks were used for the interpretation of the results. With the help of this questionnaire, it will be possible to answer the question of the research in this study: What are the main effects of the COVID-19 pandemic on the Romanian labor market? The main results showed that the COVID-19 pandemic affected the Romanian workforce; the respondents of the applied questionnaire claimed that they obtained better results and maintained a similar income, but the health crisis also influenced the mentality of employees, with respondents stating that in the event of changing jobs, they would consider it very important for the new employer to ensure the conditions for preventing and combating COVID-19, as well as complex health insurance. However, analyzing at the macroeconomic level, it was found that the COVID-19 pandemic induced an increase in the number of unemployed people in the Romanian labor market.

Which determinants should be targeted to increase influenza vaccination uptake among health care workers in nursing homes?

Vaccine ◽  
2009 ◽  
Vol 27 (34) ◽  
pp. 4724-4730 ◽  
Author(s):  
I. Looijmans-van den Akker ◽  
J.J.M. van Delden ◽  
Th.J.M. Verheij ◽  
G.A. van Essen ◽  
M.A.B. van der Sande ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Homes ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Vaccination Uptake ◽  
Care Workers

Trapped in a Blind Spot: The Covid-19 Crisis in Nursing Homes in Italy and Spain

2021 ◽  
pp. 1-20
Author(s):  
Margarita León ◽  
Marco Arlotti ◽  
David Palomera ◽  
Costanzo Ranci
Keyword(s):  
Nursing Homes ◽  
Blind Spot ◽  
Structural Factors ◽  
Legacy Effects ◽  
Allocation Of Resources ◽  
Health Crisis ◽  
Policy Responses ◽  
Emergency Interventions ◽  
Institutional Embedding ◽  
The Welfare State

This article investigates the delay in implementation and inadequacy of specific policy actions in the fight against the COVID-19 pandemic in nursing homes. The analysis focuses on Lombardy and Madrid, the two wealthiest regions in Italy and Spain. These were the most severely affected by the onset of the pandemic, both country-wise and at the European level. We compare the chronology of policy decisions that affected nursing homes against the broader policy responses related to the health crisis. We look at structural factors that reveal policy legacy effects. Our analysis shows that key emergency interventions arrived late, especially when compared to similar actions taken by the national health services. Weak institutional embedding of nursing homes within the welfare state in terms of ownership, allocation of resources, regulation and coordination hindered a swift response to the onset of the crisis.

scholarly journals Advance care planning in Norwegian nursing homes – limited awareness of the residents’ preferences and values? A qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lisbeth Thoresen ◽  
Reidar Pedersen ◽  
Lillian Lillemoen ◽  
Elisabeth Gjerberg ◽  
Reidun Førde
Keyword(s):  
Health Care ◽  
Nursing Homes ◽  
Advance Care Planning ◽  
Health Care Professionals ◽  
Qualitative Content Analysis ◽  
Care Planning ◽  
Next Of Kin ◽  
Medical Issues ◽  
Interdisciplinary Approaches ◽  
Advance Care

Abstract Background 52% of all deaths in Norway occur in nursing homes. Still advance care planning (ACP) is scarce and heterogeneous. To improve the implementation and practice of ACP in nursing homes, knowledge about health care professionals’ views on ACP is vital. The objective of this study is to explore nurses and physicians’ aims and experiences with carrying out ACP in nursing homes. Methods Semi-structured group interviews were conducted with 20 health care professionals, recruited from nursing homes where ACP was performed regularly. Qualitative content analysis was used to analyse the data. Results The primary aim of the nursing home professionals when doing ACP in nursing homes were to build alliances with next of kin to avoid misunderstandings and future conflicts. Two main experiences with ACP were described: i) due to the sensitivity of ACP issues, it was important to balance directness with being sensitive, and ii) when the physicians raised questions concerning future medical treatment, the answers from residents as well as next of kin were often hesitant and unclear. Conclusion Our study add insights into how ACP is practiced in nursing homes and the professionals’ agenda. A focus on medical issues and achieving consensus with next of kin may result in lack of involvement of the residents and limited awareness of the residents’ needs. Interdisciplinary approaches, ACP-training and tailored guidelines may improve the implementation and practice of ACP.

scholarly journals El duelo en medicina desde la visión y piel del profesional sanitario

2021 ◽  
Vol 2 (1) ◽  
pp. 92-100
Author(s):  
Erik Gabriel Díaz Avila ◽  
Marcela Fernández-Carrera Muchova ◽  
Teresa Sánchez Villanueva ◽  
Vega Sánchez Calvo ◽  
Jesús Francisco Mesonero Robles
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Professionals ◽  
Health Personnel ◽  
Natural Process ◽  
Future Health ◽  
Health Crisis ◽  
Loved One ◽  
Scientific Databases ◽  
Salud Mental

El duelo es un proceso natural que han de pasar las personas tras la pérdida de un ser querido. Durante la actual pandemia COVID-19 los profesionales sanitarios han sido víctimas, pues se han tenido que enfrentar a una situación sin precedentes en la que se ha puesto en juego su propia salud mental. El objetivo principal del estudio ha sido analizar el duelo en los profesionales sanitarios durante la actual pandemia COVID-19. Se realizó una revisión de la literatura, no sistemática, en las diferentes bases de datos científicas para analizar el duelo en el ámbito de la medicina ligado al duelo vivido por los profesionales sanitarios, centrado en la situación actual de crisis sanitaria, así como los problemas que añadió la pandemia COVID-19. La pandemia COVID-19 ha puesto de manifiesto la importancia del duelo y la despedida justa, la cual no se pudo dar en la mayoría de los casos. Es imperiosa la preparación que han de recibir los profesionales sanitarios para enfrentar dicho proceso e incluso, los futuros profesionales sanitarios. Queda de manifiesto la importancia de la capacitación y cuidado de la salud mental, tanto en pacientes, familiares, personal sanitario y futuros profesionales de la salud. A la vez que, se ha de garantizar la resiliencia enfocada a los aspectos relacionados con el duelo. Grief is a natural process that people go through after the loss of a loved one. During the current COVID-19 pandemic, health professionals have been victims, as they have had to face an unprecedented situation in which their own mental health has been put at stake. The main objective of the study has been to analyze the grief in health professionals during the current COVID-19 pandemic. A literatura review, non-systematic was carried out in the different scientific databases to analyze the grief in the field of medicine linked to the grief experienced by health professionals, focused on the current situation of health crisis, as well as the problems added by the COVID-pandemic. 19. The COVID-19 pandemic has highlighted the importance of mourning and a fair farewell, which could not be given in most cases. The preparation that health professionals must receive to face this process and even future health professionals is imperative. The importance of training and mental health care is evident, both in patients, relatives, health personnel and future health professionals. At the same time, resilience focused on aspects related to grief must be guaranteed.

scholarly journals Efficacy of a brief online mindfulness-based intervention on the psychological well-being of health care professionals and trainees during the COVID-19 pandemic: A mixed method design

2021 ◽  
Vol 26 ◽  
Author(s):  
Iram Osman ◽  
Shaista Hamid ◽  
Veena S. Singaram
Keyword(s):  
South Africa ◽  
Health Care ◽  
Mixed Method ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Well Being ◽  
Personal Accomplishment ◽  
Intervention Analysis ◽  
Health Crisis ◽  
The Impact

Background: During the coronavirus disease 2019 (COVID-19) pandemic, health professionals were pushed to the front line of a global health crisis unprepared and resource constrained, which affected their mental well-being.Aim: This study aimed to investigate the effectiveness of a brief online mindfulness-based intervention (MBI) on stress and burnout for health professionals training and working in South Africa during the COVID-19 crisis.Setting: The context of the study is the overburdened, under-resourced health care system in South Africa during a global pandemic.Methods: A mixed method framework was adopted for this study. The quantitative data was analysed using descriptive analysis and the participants’ qualitative experiences were interpreted using interpretative phenomenological analysis.Results: Forty-seven participants took part in this study. The study found a statistically significant (p 0.05) reduction in stress levels and emotional exhaustion as well as an increase in mindful awareness and feelings of personal accomplishment after the intervention. The participants’ shared experiences were analysed in two parts. The pre-intervention analysis presented with central themes of loss of control and a sense of powerlessness because of COVID-19. The post-intervention analysis comprised themes of a sense of acquired control and empowerment through increased mindfulness.Conclusions: The study found that a brief online MBI can be associated with reduced levels of stress and burnout as well as an increased sense of control and empowerment, felt both personally and professionally, during a global crisis.Contribution: The impact of an online MBI for health care professionals amidst a pandemic has not been previously documented.

scholarly journals Opinion Review of Socioeconomic Impact of COVID-2019 on Women's Health

2021 ◽  
Vol 2 ◽  
Author(s):  
Victory U. Salami ◽  
Stanley I. R. Okoduwa ◽  
Aimee O. Chris ◽  
Susannah I. Ayilara ◽  
Ugochi J. Okoduwa
Keyword(s):  
Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Health Care Professionals ◽  
Gender Based Violence ◽  
Maternal Complications ◽  
Health Crisis ◽  
Clinical Procedures ◽  
Women And Girls ◽  
Gender Based

The global battle to survive the onslaughts of the Coronavirus Disease 2019 (COVID-19) started in December 2019 and continues today. Women and girls have borne the brunt of the hardship resulting from the health crises. This paper examined the effects of COVID-19 on women. Socioeconomic factors resulting from the pandemic, especially in relation to women's health, were discussed after studying published articles. They include gender specificity and COVID-19, the economic toll of COVID-19 on women, pregnancy and COVID-19, gender-based violence due to COVID-19, and health-care impacts of COVID-19. Making up the majority in the healthcare workforce, women were at higher risk of infection with COVID-19 due to their exposure as caregivers to infected patients. The pandemic took its toll on them as part of the greater population in the informal sector of the economy due to the lockdown directive, as many experienced severe monetary shortages and job losses. Pregnant women infected with COVID-19 were prone to severe diseases, maternal complications, and death due to their weakened immunity and exposure during clinical procedures. Gender-based violence was observed to have increased across the globe for women. The results of this review strongly indicate that women are disproportionately affected by the ongoing COVID-19 health crisis. This review will help health-care professionals and policymakers arrive at properly-thought-through decisions to better manage health crises. Governments and all key players should address the challenge by devising effective policies with a gendered view.

scholarly journals Preparedness Assessment of Physicians during Coronavirus Disease-19 Pandemic: A Cross-sectional Study

2021 ◽  
Vol 9 (E) ◽  
pp. 179-186
Author(s):  
Eman Moawad Elhabashi ◽  
Reham Farouk Tawfik ◽  
Fatma Maamoun Abou-Hashima ◽  
Arwa Mohamed El Shafei ◽  
Fayrouz El-Aguizy
Keyword(s):  
Health Care ◽  
Knowledge Score ◽  
University Hospital ◽  
World Health ◽  
Infection Prevention And Control ◽  
Attitude Score ◽  
Global Public Health ◽  
Cross Sectional ◽  
Health Crisis ◽  
Attitudes And Practices

BACKGROUND: Since first confirmed case of coronavirus disease (COVID)-19 in December 2019 by Chinese health authorities and subsequent World Health Organization (WHO) declaration that COVID-19 is a global public health crisis, radical changes have occurred all over the world associating massive lockdown with increased numbers of infected cases and related mortalities. As health care workers (HCWs) are at a great risk to get COVID-19 infection and hence can be a dangerous source of spreading it to the community, it was important to assess HCWs knowledge, attitude, and practice toward COVID-19 infection prevention and control (IPC) to help limit the outcomes of COVID-19. AIM: The objectives of the study were to assess the knowledge, attitudes, and practices of physicians regarding COVID-19 IPC. METHODS: Research setting is “Kasr Al-Ainy” Faculty of Medicine, Cairo University Hospital. Design: A cross-sectional analytical observational hospital-based research in June 2020. Population: A convenient sample of 50 physicians working at Cairo University Hospital was included. Data collection: Self-administered questionnaires derived from the WHO IPC guide during health care when COVID-19 is suspected were used. RESULTS: Mean age of studied group was 30.5 ± 3.97, while their mean years of practice were 4.7 ± 3.55. Mean knowledge score among physicians was 5.6 (± 0.56), two-thirds of them had sufficient knowledge regarding COVID-19 IPC as their mean attitude score among 24.9 (± 2.8). While mean practice scores 5.6 (± 1.05), yet only 68% of the participating physicians use a new set of personal protective equipment when care is given to a different patient. CONCLUSION: Physician’s moderate knowledge, poor attitude, and modest practice toward COVID-19 IPC were found to be not sufficient, not favorable nor safe enough to expected standards.

Risking Lives to Save Others During COVID-19: A Focus on Public Health Care Workers in Bangladesh and Egypt

2021 ◽  
pp. 002073142110637
Author(s):  
Shahjahan Bhuiyan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Public Health Care ◽  
Altruistic Behavior ◽  
Ongoing Research ◽  
Health Crisis ◽  
Street Level ◽  
Care Workers

The coronavirus (COVID-19) pandemic has been spreading around the world, causing a major public health crisis that has already claimed hundreds of thousands of lives. Street-level bureaucrats­—health workers, teachers, street cleaners, police officers­, and so forth—are at the forefront in fighting against the pandemic. Of these, public health care workers, due to the nature of their involvement, should know and understand why they are risking their lives to save others during this pandemic. Based on the preliminary data gleaned from interviews with public health care workers in Bangladesh and Egypt, this ongoing research suggests they are risking their lives for reasons such as altruistic behavior, service to profession, adherence to bureaucratic accountability, and a desire to help mankind. The findings contribute to the existing literature about street-level bureaucratic behavior in atypical times such as these of the pandemic. This study is unique in that it comprehends that public health care workers of two culturally and geographically distinct countries are risking their lives for the same public-spirited cause.

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