scholarly journals Challenges Faced by Healthcare Professionals during the COVID-19 Pandemic: A Review

Author(s):  
Pratibha Wankhede ◽  
Mayur Wanjari ◽  
Sampada Late ◽  
Hina Rodge

Introduction: On March 11, 2020, the WHO formally declared the new coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreaks a pandemic by publishing public health guidelines to guide pandemic response. Serious illnesses may necessitate hospitalization and ventilatory assistance. The pandemic of coronavirus disease 2019 (COVID-19) has posed new concerns for healthcare workers around the world. However, in many developing nations, including India, information is scarce concerning these issues. Healthcare facilities are one-of-a-kind and difficult to understand. The Indian healthcare system consists of both governmental and private healthcare facilities. Healthcare practitioners face a variety of obstacles daily. The unexpected appearance of COVID-19 created a new threat to an already overburdened healthcare system. The pandemic altered the healthcare dilemma by introducing new employment and societal obstacles to healthcare workers. The goal of this review research is to uncover the causes of the workplace and societal issues that healthcare workers encounter.

Author(s):  
Nasser Hammad Al-Azri

Abstract The COVID-19 pandemic is the most unprecedented crisis facing modern healthcare governance in a century. Many healthcare activities are attracting scrutiny from ethical and legal perspectives. Therefore, healthcare professionals are concerned about legal ambiguity regarding legal liability and immunity in their areas of practice. Law is a key response activity that promotes a sense of safety and security among healthcare workers. This article describes why it is important formally to address issues of altered operations in healthcare practice during emergencies. Furthermore, this article provides suggestions regarding solutions to the issue of legal liability during disasters. Implementing ethical and legal clarity during disaster response is a necessity for a strong healthcare system at every level from international to local in order to achieve a stable healthcare workforce operating for the public good within a safe and secure working environment.


2020 ◽  
Vol 8 ◽  
Author(s):  
Giovanna Ricci ◽  
Graziano Pallotta ◽  
Ascanio Sirignano ◽  
Francesco Amenta ◽  
Giulio Nittari

The COVID-19 pandemic has shocked the world causing more victims than the latest global epidemics such as Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) in 2003, and the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in 2012. Italy has been one of the most affected countries, and it had to deal with an already weak economic condition and cuts to public health services due to budgetary requirements from the last decade—something that made the situation even more dramatic. Deaths have exceeded 600.000 worldwide. During the emergency, regulatory measures were taken to counter the situation. This study highlights the main anti-COVID-19 government measures to support doctors and healthcare professionals, and it analyzes how to respond to the many requests complaining about neglectful healthcare professionals during the spread of the infection. For all those healthcare workers who died on duty, a compensation plan is assumed through a solidarity fund. The same solution cannot be granted to all patients, given the difficulty in assessing the responsibility of the doctor not only during an emergency but with insufficient instruments to cope with it as well.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Wakgari Deressa ◽  
Alemayehu Worku ◽  
Workeabeba Abebe ◽  
Muluken Gizaw ◽  
Wondwossen Amogne

Abstract Background Healthcare professionals (HCPs) are at the frontline in the fight against COVID-19 and are at an increased risk of becoming infected with coronavirus. Risk of infection can be minimized by use of proper personal protective equipment (PPE). The aim of this study was to assess the availability and use of PPE, and satisfaction of HCPs with PPE in six public hospitals in Addis Ababa, Ethiopia. Methods A cross-sectional study was conducted among 1134 HCPs in June 2020. A systematic random sampling and consecutive sampling techniques were used to select the study participants. Data were collected using a self-administered questionnaire. Descriptive statistics were used to describe the data and Chi-square test was used to assess the association between the groups. Bivariate and multivariable logistic regression models were used to assess factors associated with satisfaction of healthcare workers. Results The mean (±SD) age of the participants was 30.26 ± 6.43 year and 52.6% were females. Nurses constituted about 40% of the overall sample, followed by physicians (22.2%), interns (10.8%), midwives (10.3%) and others (16.7%). The majority (77%) of the HCPs reported that their hospital did not have adequate PPE. A critical shortage of N95 respirators was particularly reported, it only increased from 13 to 24% before and during COVID-19, respectively. The use of N95 increased from 9 to 21% before and during COVID-19, respectively. Almost 72% of the respondents were dissatisfied with the availability and use of PPE in their hospital. The independent predictors of the respondents’ satisfaction level about PPE were healthcare workers who reported that PPE was adequately available in the hospital (adjusted OR = 7.65, 95% CI:5.09–11.51), and preparedness to provide care to COVID-19 cases (adjusted OR = 2.07, 95% CI:1.42–3.03). Conclusions A critical shortage of appropriate PPE and high level of dissatisfaction with the availability and use of PPE were identified. Therefore, urgent efforts are needed to adequately supply the healthcare facilities with appropriate PPE to alleviate the challenges.


2020 ◽  
pp. 1-3
Author(s):  
Chaula Doshi ◽  
Priyanka Jagavkar

Corona Virus Disease (COVID 19) is a respiratory infection caused by SARS-CoV-2 or COVID 19 virus which struck the world in November 2019 rapidly spreading and attaining the form of a pandemic by March 2020.The disease was officially named as Coronavirus Disease-2019 (COVID-19) by WHO on February 11, 2020.Spread is predominantly through respiratory droplet and close contacts with infected individuals. Airborne transmission is possible during aerosol generating medical procedures as the virus is abundantly present in nasopharyngeal, salivary secretions and body fluids of affected patients. During the pre-peaking, peak and plateau phase of the epidemic, non-emergency surgeries and invasive procedures took a backseat as all resources of healthcare providers were put to combat the disease. As the pandemic fades away the need of adapting the healthcare facilities and restarting elective surgeries has to be addressed. In this article we try to highlight the various challenges faced by the surgeons, anesthetists and healthcare professionals to restart elective surgical work. The strategies to overcome these hurdles are also discussed.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1226-1229
Author(s):  
Subhrojyoti Bhowmick ◽  
Asish Kumar Saha ◽  
Shubham Jana ◽  
Nipun Patil ◽  
Mohseenkhan Munshi

Novel Coronavirus Disease 2019 or Covid-19 Pandemic has become a globally recognized public-health phenomenon. As of September 2020, over 30 million people have been affected worldwide, and more than 1 million deaths have been registered. Healthcare professionals & researchers around the world are working hand in hand to find a vaccine or an efficient cure for this disease. Till then, a large part of the globe remains under lock down, and people are advised to follow certain guidelines like social distancing, practicing hand hygiene, etc. Pharmacists are one of the key healthcare workers who are working to fight this Pandemic. This commentary is an effort to describe their role in combating this Pandemic in a developing nation India. They are responsible for manufacturing/ supplying/dispensing of drugs to the ailing patients in the hospitals and community. In rural areas, pharmacists are expected to provide medical guidance. They play a vital role in medical information services within the hospital, along with providing Pharmacovigilance activities related to Covid-19 drugs. The essentiality of the presence of clinical pharmacists is being felt increasingly in India, where the healthcare workforce is limited. The safety of these caregivers during this Pandemic should be a priority so that this healthcare force can be efficiently utilized in managing the Pandemic in the country in the coming days.


Subject The outlook for pneumonia. Significance Pneumonia is the number one killer of children around the world, but receives substantially less funding or global attention than malaria, diarrhoea or HIV/AIDs. In an attempt to lower global mortality figures, the WHO released updated treatment protocols for the disease, calling for an expanded frontline distribution of antibiotics to children at the home and community level. However, despite being published in 2012, the guidelines have been poorly implemented and mortality rates are stagnating. Impacts If effectively rolled out, new community-based management of pneumonia could significantly lower the mortality rates of young children. Expanded frontline antibiotic distribution in developing nations will increase demand for pharmaceutical commodities. The new guidelines could shift the burden of disease management from overcrowded healthcare facilities to home-caring.


2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Stephen T. Odonkor ◽  
Kwasi Frimpong

Health workers are prone to burnout, which can have an adverse effect on their person and the patients to whom care is offered. The goal of this paper was to assess the levels of burnout experienced by healthcare workers in Accra, Ghana. The study was conducted using the cross-sectional study design. Questionnaires were used to obtain data from 365 respondents who worked in 12 major healthcare facilities. Data obtained were analyzed with SPSS version 23. Majority of the respondents were females (56.7%) as against males (43.3%). The total score for all burnout variables among health worker groups ranged from good (71.50%), alarming (12.60%), acute crisis (6.02%), and burnout (9.90%). Among the health worker groups, nurses had the highest percentage score values for all burnout variables. There was an association between burnout and these sociodemographic characteristics: age (p<0.001), gender (p=0.003), educational qualification (p<0.001), occupation (p<0.001), years of work experience (p<0.001), marital status (p<0.001), and parenthood (having children) (p<0.001). It is recommended that measures should be put in place in Ghanaian hospitals to assess stress and burnout levels to ensure people who are going through such situations are properly cared and supported.


2020 ◽  
Author(s):  
Seyed Mohssen Ghafari ◽  
Richard Nichol ◽  
Richard A. George

At the time of writing, more than seventy million people have been infected by COVID19 and more than one and a half million have died from the infection. A major challenge for health systems around the world is to supply ventilators and Intensive Care Unit (ICU) beds for those patients with the most severe symptoms of the infection. Unfortunately, during the COVID-19 pandemic, many countries face ICU bed shortages. In situations of peak-demand, healthcare providers follow predefined strategies to allocate the available ICU beds in the most efficient way. On these occasions, physicians and healthcare workers, who swore an oath to treat the ill to the best of their ability, would have to choose not to save some patients to ensure others survive. This decision puts healthcare professionals in an ethically and emotionally challenging situation in an already stressful environment. In this paper, we propose an automatic approach for managing ICU beds in hospitals to i) create the most effective ICU resource allocation, and ii) relieve physicians of having to make decisions in this regard. The experimental results demonstrate the effectiveness of our approach.


2020 ◽  
Vol 8 (T1) ◽  
pp. 366-370
Author(s):  
Cokorda Agung Wahyu Purnamasidhi ◽  
Ni Made Dewi Dian Sukmawati ◽  
Anak Agung Ayu Yuli Gayatri ◽  
I Made Susila Utama ◽  
I Ketut Agus Somia ◽  
...  

As numbers of coronavirus disease (COVID)-19 cases in the world rises gradually, both from unending first waves and resurging waves following successful reduction of cases on first waves, both the world and healthcare workers face an impending situation in the near future. For the world, the question may be, “When will we be allowed to work at our office again?” For caregivers, the question will be, “What may happen if over capacitance of healthcare facilities resumes until indeterminate time?” New published guidelines by WHO on clinical management of COVID-19 provided most recent recommendations on criteria for stopping isolation of COVID-19 patients based on new findings that patients positive of severe acute respiratory syndrome coronavirus 2 is not always transmitting virus to surroundings. Furthermore, criteria for terminating isolation are suitable for all COVID-19 cases regardless of the location of isolation or the severity of the disease without the requirement of repeated swab examinations. This further gives an advantage by lowering healthcare costs and effective allocation of health resources. Even if a negative swab result is still a condition to be deemed not to be able to transmit the virus, this should not be a barrier for someone to return to their normal activity and lifestyle while waiting for the test swab results. In the end, the choice whether to pursue a result that has no clear benefits by allocating funds for repeated swab tests at expensive costs and ignoring the productivity of professionals by carrying out prolonged isolation or to optimize the resources at our disposal.


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