Mental health patterns during COVID-19 in emergency medical services (EMS)

PurposeThis study aims to explore patterns of Emergency Medical Services (EMS) personnel's mental health, regarding their levels of anxiety, depression, stress, COVID-19 anxiety, obsessive-compulsive symptoms and well-being; and to explore variables that contribute to these patterns, among sociodemographic/professional and COVID-19 experience variables.Design/methodology/approachParticipants were 214 EMS personnel, who answered the Patient-Health Questionnaire, Perceived Stress Scale, COVID-19 Anxiety Scale, Obsessive-Compulsive Inventory, Well-Being Questionnaire and COVID-19 related questions.FindingsEMS personnel showed an adequate psychological adjustment during COVID-19. Two clusters/patterns were found: the poorly (34%) and the well (66%) psychologically-adjusted. Personnel's age, COVID-19 fear and workplace security measures' adequacy contributed to which pattern they were more likely to belong to.Research limitations/implicationsDespite being cross-sectional and not controlling for pre-COVID-19 data, this study adds to the COVID-19 literature. Findings call for the need to explore: other COVID-19 fears; how personnel perceive workplace security measures; COVID-19 valid instruments; pre-COVID-19 data; and mental health patterns with different rescuers.Practical implicationsFindings explored EMS personnel's patterns of mental health during the COVID-19, as well as its covariates. Results allow to better prepare emergency management, which can develop prevention strategies focused on older professionals, COVID-19 related fears and how personnel assess security measures.Originality/valueThis study contributes to the scarce literature focused on COVID-19 mental health patterns instead of focussing on isolated mental health variables, as well as what contributes to these patterns. Moreover, it is one of the few studies that focused on EMS personnel rather than hospital staff.

Health Patterns among Migrant and Non-Migrant Middle- and Older-Aged Individuals in Europe—Analyses Based on Share 2004–2017

Introduction: European populations are becoming older and more diverse. Little is known about the health differences between the migrant and non-migrant elderly in Europe. The aim of this paper was to analyse changes in the health patterns of middle- and older-aged migrant and non-migrant populations in Europe from 2004 to 2017, with a specific focus on differences in age and gender. We analysed changes in the health patterns of older migrants and non-migrants in European countries from 2004 to 2017. Method: Based on data from the Survey of Health, Ageing and Retirement in Europe (6 waves; 2004–2017; n = 233,117) we analysed three health indicators (physical functioning, depressive symptoms, and self-rated health). Logistic regression models for complex samples were calculated. Interaction terms (wave * migrant * gender * age) were used to analyse gender and age differences and the change over time. Results: Middle- and older-aged migrants in Europe showed significantly higher rates of depressive symptoms, lower self-rated health, and a higher proportion of limitations on general activities compared to non-migrants. However, different time trends were observed. An increasing health gap was identified in the physical functioning of older males. Narrowing health gaps over time were observed in women. Discussion: An increasing health gap in physical functioning in men is evidence of cumulative disadvantage. In women, evidence points towards the hypothesis of aging-as-leveler. These different results highlight the need for specific interventions focused on healthy ageing in elderly migrant men.

The Influence of Reproductive History on Post-Reproductive Mortality: A Case Study of Amish Women

The reproductive choices women make affect their health outcomes; however, the relevance of reproductive history on post-reproductive mortality varies according to the population under study. We examine whether the number of children a woman gives birth to, short birth intervals, late childbearing, having twins, and having children who die young have an influence on maternal mortality among the Amish. We use information from Amish directories to examine reproductive patterns of 228 women in this high fertility group. Our results indicate the patterns typically found for maternal mortality in the general population do not hold in our sample of Amish women. We suggest the mediating role of family and community is integral to understanding the maternal health patterns within the Amish community.

A Scoping Review of Associations Between Ethno-Cultural Context and Mental Health in Canada

It is unclear how ethno-cultural concentration of residential areas relates to the mental health of immigrant, refugee, ethno-cultural, and racialized (IRER) groups. Communities of higher ethno-cultural density are theorized to support IRER groups’ mental health via community supports, access to culturally/linguistically appropriate healthcare, and lower discrimination/stigma. This article reviewed quantitative studies that examined relationships between communities’ ethno-cultural density and mental health among IRER groups in Canada. Eleven of the sixteen reviewed studies (almost 70%) observed protective associations between ethno-cultural density and mental health; patterns were more mixed for studies with child populations, suggesting associations may differ based on developmental phases. Findings suggested there was more support in protective associations of higher areal ethno-cultural density with regard to community mental health of IRER groups in Canada.

Examining Ethnic Variation in Life Expectancy Among Asians in the United States, 2012–2016

As the fastest growing racial group in the United States, understanding the health patterns of Asians is important to addressing health gaps in American society. Most studies have not considered the unique experiences of the ethnic groups contained in the Asian racial group, implying that Asians have a shared story. However, we should expect differences between the ethnic groups given the differences in their timing and place of migration, socioeconomic status, and racialized experiences in the United States. We estimate the life expectancy of the six largest Asian ethnic groups—Chinese, Asian Indians, Filipinos, Vietnamese, Koreans, and Japanese—analyzing data from the Multiple Cause of Death File (2012–2016) and the American Community Survey (2012–2016) in the United States at the national and regional levels. Nationally, Chinese had the highest life expectancy (males e0 = 86.8; females e0 = 91.3), followed by Asian Indians, Koreans, Japanese, Filipinos, and Vietnamese, generally reflecting the pattern expected given their educational attainment, our primary indicator of socioeconomic status. We also found regional differences in life expectancy, where life expectancy for Asians in the West was significantly lower than all other regions. These findings suggest the presence of underlying selection effects associated with settlement patterns among new and traditional destinations. Our results underline the necessity of studying the experiences of the different Asian ethnic groups in the United States, permitting a better assessment of the varying health needs within this diverse racial group.

COVID-19 Pandemisi ile Mücadele: COVID-19 Olgusu ve Hemşirelik Yönetimi

Millions of people lost their lives due to the Coronavirus (SARS-Cov-2) epidemic that started in China and spread rapidly all over the world. One of the most important problems in combating the disease was the loss of time in early diagnosis of infections and the ineffectiveness of the quarantine screen due to the incubation period of the disease, which can last up to fourteen days. This process poses a high risk to healthcare professionals and especially nurses, who are the first to come into contact with infected people. Currently, there is no definitive treatment for Covid-19. The only proven form of management is isolation and supportive care. Therefore, nurses, who are involved in every level of patient care, have an important role in combating this epidemic. Being a new emerging disease condition for the whole world, there has been created a huge gap regarding how the nursing care of patients with Covid-19 in hospitals will be. The aim of this article is to implement nursing interventions according to Gordon's Functional Health Patterns Model of a patient diagnosed with Covid-19, to highlight the important points that should be taken into consideration during their care, and to guide the nurses working in the field. Data were collected by face-to-face interviewing with the patient, and care was planned, applied and evaluated according to the model. The model of Functional Health Patterns can be used as an easy and convenient model for determining health care requirements and implementing nursing interventions for patient with a positive diagnosis of Covid-19.

Nursing Care Case Report of Patient of COVID-19

The functional health patterns model and nursing care process based on the nursing diagnosis of an individual with the diagnosis of COVID-19 were reviewed in this case report. An individual with the diagnosis of COVID-19 was evaluated in line with the functional health patterns (FHP) model, nursing diagnosis was made and a nursing care process was implemented in this case report. The data were collected by the researcher through observation and evaluation. N.B. was evaluated in line with the FHP nursing care model on 7 to 14 August 2020, and nursing procedures were implemented for these diagnoses and the results were evaluated.