ABSTRACT
Objective: This study aimed to explore the role of family resilience in the relationship between parents' psychological stress and their perceptions of children's emotional and behavioral symptoms during the COVID-19 lockdown in Italy. Background: The COVID-19 lockdown threatened the well-being of parents, with a potentially cascading effect on children's adjustment. However, the negative impact of parents' stress on children's well-being may be attenuated in resilient families. Method: During the Italian lockdown, an online survey was administered to 649 parents of at least one child aged between 5 and 17 years. Respondents completed the survey themselves and their child(ren). The Perceived Stress Scale, the Walsh Family Resilience Questionnaire, and the Strengths and Difficulties Questionnaire were administered to parents. Results: Results show that family resilience is a key mechanism in the association of parents' perceived stress with their perceptions of children's emotional symptoms, prosocial behavior, and hyperactivity and that only parents' marital status moderates this relationship. Conclusion: The intervening role of family resilience emphasizes the need to empower parents and families during the pandemic crisis. Implications: By strengthening family resilience, family resources maybe strengthened to meet new challenges more effectively.
ABSTRACT
Objective This study aimed to explore the role of family resilience in the relationship between parents' psychological stress and their perceptions of children's emotional and behavioral symptoms during the COVID-19 lockdown in Italy. Background The COVID-19 lockdown threatened the well-being of parents, with a potentially cascading effect on children's adjustment. However, the negative impact of parents' stress on children's well-being may be attenuated in resilient families. Method During the Italian lockdown, an online survey was administered to 649 parents of at least one child aged between 5 and 17?years. Respondents completed the survey themselves and their child(ren). The Perceived Stress Scale, the Walsh Family Resilience Questionnaire, and the Strengths and Difficulties Questionnaire were administered to parents. Results Results show that family resilience is a key mechanism in the association of parents' perceived stress with their perceptions of children's emotional symptoms, prosocial behavior, and hyperactivity and that only parents' marital status moderates this relationship. Conclusion The intervening role of family resilience emphasizes the need to empower parents and families during the pandemic crisis. Implications By strengthening family resilience, family resources maybe strengthened to meet new challenges more effectively.
ABSTRACT
The COVID-19 pandemic has placed considerable strain on healthcare workers showing high rates of stress and psychological health problems. Interventions are urgently needed to help healthcare workers perform under conditions of great risk and uncertainty. In particular, healthcare leadership is known to be critical to supporting healthcare workers to deal with an uncertain and distressing healthcare environment. This pilot study evaluated the impact of the R2 resilience program tailored for healthcare leaders working in a highly affected COVID-19 area in Italy. Through two group cohorts, 21 healthcare leaders completed the intervention, with 17 participants providing pre- and post-intervention assessment data. Sixty-two staff members who benefitted from their coordinators' resilience-focused leadership were also included in the study. Findings show that participation in R2 was associated with reduction in levels of perceived stress and burnout symptoms, and increases in rugged qualities, self-efficacy and in social-ecological resilience. Significant changes in rugged qualities, self-efficacy and perceived stress were also detected in staff members. High rates of participants' program satisfaction have been detected. R2 is a promising intervention for healthcare professionals working in emergency settings designed to enhance the rugged qualities and resources required to deal with heightened exposure to stress.
Subject(s)
COVID-19 , Resilience, Psychological , Delivery of Health Care , Health Personnel/psychology , Humans , Pandemics , Pilot ProjectsABSTRACT
Background: From 10 March up until 3 May 2020 in Northern Italy, the SARS-CoV-2 spread was not contained; disaster triage was adopted. The aim of the present study is to assess the impact of the COVID-19-pandemic on the Orthopedic and Trauma departments, focusing on: hospital reorganization (flexibility, workload, prevalence of COVID-19/SARS-CoV-2, standards of care); effects on staff; subjective orthopedic perception of the pandemic. Material and Methods: Data regarding 1390 patients and 323 surgeons were retrieved from a retrospective multicentric database, involving 14 major hospitals. The subjective directors' viewpoints regarding the economic consequences, communication with the government, hospital administration and other departments were collected. Results: Surgical procedures dropped by 73%, compared to 2019, elective surgery was interrupted. Forty percent of patients were screened for SARS-CoV-2: 7% with positive results. Seven percent of the patients received medical therapy for COVID-19, and only 48% of these treated patients had positive swab tests. Eleven percent of surgeons developed COVID-19 and 6% were contaminated. Fourteen percent of the staff were redirected daily to COVID units. Communication with the Government was perceived as adequate, whilst communication with medical Authorities was considered barely sufficient. Conclusions: Activity reduction was mandatory; the screening of carriers did not seem to be reliable and urgent activities were performed with a shortage of workers and a slower workflow. A trauma network and dedicated in-hospital paths for COVID-19-patients were created. This experience provided evidence for coordinated responses in order to avoid the propagation of errors.