Changing face-to-face psychological care to remote mode: facilitators and obstacles in the COVID-19 pandemic. / Cambio de la atención psicológica presencial a modalidad remota: facilitadores y obstáculos en la pandemia de COVID-19.

OBJECTIVE: to verify associations between sociodemographic variables and factors that facilitate and hinder the transition from face-to-face psychological care to remote mode in the first year of the COVID-19 pandemic. METHOD: this is an analytical, quantitative, cross-sectional study. After approval by the Research Ethics Committee, data collection was performed by applying an online form consisting of 55 questions. Data were analyzed using descriptive and inferential statistics techniques. RESULTS: the intentional sampling consisted of a total of 385 Brazilian psychologists, mostly women (67.01%), young professionals with up to five years of graduation (44.16%) most of activities in the private clinic. It was found that training time between five and 10 years was associated with a greater perception of difficulties and that previous experience with remote care facilitated adaptation in the transition from one modality to another. CONCLUSION: considering that call center can be a powerful tool in the health scenario, it is suggested the inclusion of remote care issues in the research agenda and syllabus in the curricula of health training courses.

Family grief during the COVID-19 pandemic: a meta-synthesis of qualitative studies.

The COVID-19 pandemic has led to a public health crisis, with increases in the number of deaths. As a result, the number of bereaved people has increased significantly. In addition, the measures adopted to control the spread of virus have triggered changes in the subjective and collective bereavement experiences. This systematic literature review aims to summarize and reinterpret the results of qualitative studies on the experience of losing family members during the pandemic by a thematic synthesis. The searches were performed in the Web of Science, Scopus, PubMed/MEDLINE, CINAHL, PsycINFO, and LILACS databases. Among 602 articles identified, 14 were included. Evidence was assessed using the Critical Appraisal Skills Programme tool. Two descriptive themes related to the objective were elaborated in addition to one analytical theme, namely: "Pandemic grief: lonely and unresolved". These themes proved to be interrelated and indicate that experiences of loss in this context were negatively impacted by the imperatives of physical distance, restriction of hospital visits, technology-mediated communication, and prohibition or restriction of funerals. These changes resulted in experiences marked by feelings of loneliness and helplessness, which should be considered when planning intervention strategies that favor communication between family members with the afflicted loved one and with the health care team, enabling welcoming and creating alternatives for farewell rituals. The findings may support further research to test intervention protocols, especially to guide public policies and promote psychological support to bereaved family members after their loss.

Is social isolation during the COVID-19 pandemic a risk factor for depression?

OBJECTIVE: To assess factors associated with depression among higher education students and professionals during the peak of the COVID-19 pandemic. METHOD: quantitative study with a cross-sectional design. 550 students and professionals participated. The data were collected by means of a digital questionnaire that included Patient Health Questionnaire-9 to assess depressive symptoms. RESULTS: The factors related to depression and social isolation outcomes were significantly associated with the female gender (n= 149; 37,8%; Odds Ratio OR=2,0), white (n=127; 37,2%; OR=1,60), young people (n=130; 39,4%; OR=2,0), without religion (n=70; 40,2%; OR=1,64), with financial problems (n=80; 53,0%; OR=2,40) and family problems (n=98; 47,3%; OR=1,77); who suffered violence during the quarantine (n=28; 58,3%; OR=2,33), increased the use of illicit drugs (n=16; 59,3%; OR=2,69), used sedatives without a medical prescription (n=75; 54,0%; OR=2,94), lived in conflicting relationships (n=33; 54,1%;OR=2,14), lost their job during the pandemic (n=32; 59,3%; OR=1,99) and presented symptoms of anxiety related to COVID-19 (n=155; 45,2%; OR=3,91). CONCLUSION: there is a meaningful relationship between vulnerability and adopting risk behaviors during the pandemic-imposed social isolation with depressive symptoms. We suggest that health professionals be attentive to the need to adjust their psychosocial interventions when promoting strategies when promoting strategies to mitigate the effects and risks to mental health.

Nursing as a mediator between nomophobia and social isolation in response to COVID-19.

OBJECTIVE: To reflect on the relationship between the nomophobia and the pandemic of COVID-19 and the nursing contributions to deal with this issue and its consequences. METHOD: This reflective and theoretical study was based on the dialogue between the scientific literature on the subject and in dialogue and conceptual perspective of comprehensive care. RESULTS: Nursing strives to harmonize observed problems and can support individuals to reflect and discover a potential harmful habit regarding the use of cell phones, especially when undergoing treatments for other diagnoses. FINAL CONSIDERATIONS: Nursing, when accessing the emotional and subjective aspects of those under their care, helps to alleviate the symptoms of nomophobia and, in tune with the patient, promotes harmony in the face of the COVID-19 pandemic.

April inconfidences: the impact of social isolation on the brazilian transgender community in times of the covid-19 pandemic

Resumo Diante de uma crise sanitária e humanitária sem precedentes, o negacionismo do governo de extrema-direita tem conduzido a uma gestão desastrosa da pandemia de COVID-19 no Brasil. Defendemos o argumento de que está em curso um projeto deliberado de extermínio das populações mais vulneráveis. Este estudo tem por objetivo analisar os impactos das medidas de distanciamento social na comunidade trans, buscando oferecer subsídios para articular uma compreensão que favoreça uma gestão ético-política da pandemia. No artigo, desenvolvemos esse argumento em torno das consequências da necropolítica sobre as vidas precárias. Incorporamos as vozes de pessoas trans e ligadas ao ativismo trans que compartilham suas experiências de apoio à comunidade. Situamos os processos sociais em curso que produzem normatizações que regulam e vulnerabilizam os corpos periféricos trans. Solidariedade e medidas para mitigar o sofrimento dos excluídos podem representar uma inflexão no processo em curso de institucionalização da desigualdade. Resumen Ante una crisis sanitaria y humanitaria sin precedentes, la negación del gobierno de extrema derecha ha llevado a una gestión desastrosa de la pandemia de COVID-19 en Brasil. Defendemos el argumento de que está en marcha un proyecto deliberado para exterminar a las poblaciones más vulnerables. Este estudio tiene como objetivo analizar los impactos de las medidas de aislamiento social en la comunidad trans, buscando ofrecer subsidios para articular un entendimiento que favorezca un manejo ético-político de la pandemia. En el artículo, desarrollamos este argumento en torno a las consecuencias de la necropolítica en las vidas precarias. Incorporamos las voces de personas trans y vinculadas al activismo trans que comparten sus experiencias de apoyo a la comunidad. Situamos los procesos sociales en curso que producen normas que regulan y hacen vulnerables los cuerpos trans periféricos. La solidaridad y las medidas para mitigar el sufrimiento de los excluidos pueden representar una inflexión en el proceso en curso de institucionalización de la desigualdad. In the face of an unprecedented health and humanitarian crisis, the denial of the far-right government has led to a disastrous management of the COVID-19 pandemic in Brazil. We defend the argument that a deliberate project to exterminate the most vulnerable populations is underway. This study aims to analyze the impacts of social distancing measures in the trans community, seeking to offer subsidies to articulate an understanding that favors an ethical-political management of the pandemic. In the article we developed this argument around the consequences of necropolitics on precarious lives. We incorporate the voices of people linked to trans activism who share their experiences supporting the community. We situate the ongoing social processes that produce norms that regulate and make the peripheral trans bodies vulnerable. Solidarity and measures to mitigate the suffering of the excluded may represent an inflexion in the ongoing process of institutionalizing inequality.

The effect of suppressing funeral rituals during the COVID-19 pandemic on bereaved families

Objective amidst the greatest health crisis in history triggered by COVID-19, this documental study was intended to understand the meanings individuals who have lost loved ones in this context assign to the phenomenon of suppressed funeral rituals. Method based on the theory of grief, the corpus of this study was composed of documents published in digital media containing personal writings and reports of experiences freely and easily available to the public. Two researchers with expertise in the field used inductive thematic analysis to interpret data. Results the experiences shared in the reports reflect the suffering experienced by the sudden death of a significant person, which is amplified by the absence or impediment to performing familial farewell rituals. The suppression or abbreviation of funeral rituals is a traumatic experience because family members are prevented from fulfilling their last homage to the loved one who has suddenly passed away, causing feelings of disbelief and indignation. Conclusion alternatives and new ways to celebrate passage rituals in emergencies of strong social commotion such as a pandemic are needed to provide support and comfort to family members, friends, and relatives. These rituals help survivors to overcome the critical moment, decreasing the risk of developing complicated grief. Objetivo en medio a la mayor crisis sanitaria de la historia, deflagrada por la pandemia de COVID-19, este estudio documental tuvo por objetivo comprender los sentidos atribuidos al fenómeno de la supresión de rituales fúnebres por personas que sufrieron pérdidas de seres queridos en ese contexto. Método amparado en la teoría del luto, fue constituido el corpus de investigación a partir de documentos publicados en los medios de comunicación digital, conteniendo escritos personales y relatos de experiencias abiertas al público. El análisis temático inductivo de los textos fue realizado por dos investigadores con pericia. Resultados la experiencia compartida en las declaraciones repercute el padecimiento por la muerte repentina de persona significativa, ampliado por la ausencia o truncamiento de rituales familiares de despedida después de la muerte. La supresión o abreviación de rituales fúnebres es vivida como una experiencia traumática, ya que los familiares se encuentran impedidos de cumplir las últimas homenajes al ser que se fue súbitamente, generando sentimientos de incredulidad e indignación. Conclusión es necesario crear alternativas y reinventar maneras de celebrar los rituales de pasaje en situaciones de emergencia de fuerte conmoción social como una pandemia, de modo a ofrecer amparo y confort a los familiares, amigos y parientes. Esto auxilia a los supervivientes a superar el momento crítico, reduciendo el riesgo de desarrollar un luto complicado. Objetivo em meio à maior crise sanitária da história, deflagrada pela pandemia de COVID-19, o objetivo deste estudo documental foi compreender os sentidos atribuídos ao fenômeno da supressão de rituais fúnebres por pessoas que amargaram perdas de entes queridos, nesse contexto. Método com amparo da teoria do luto, foi constituído o corpus de pesquisa a partir de documentos publicados na mídia digital, contendo escritos pessoais e relatos de experiências abertos ao público. A análise temática indutiva dos textos foi realizada por dois pesquisadores com expertise. Resultados a experiência compartilhada nos depoimentos repercute o padecimento pela morte repentina de pessoa significativa, ampliado pela ausência ou truncamento de rituais familiares de despedida após o óbito. A supressão ou abreviação de rituais fúnebres é vivida como uma experiência traumática, pois familiares se veem impedidos de cumprirem suas últimas homenagens ao ente que se foi subitamente, gerando sentimentos de incredulidade e indignação. Conclusão é preciso criar alternativas e reinventar maneiras de celebrar os rituais de passagem em situações emergenciais de forte comoção social como uma pandemia, de modo a oferecer amparo e conforto aos familiares, amigos e parentes. Isso auxilia os sobreviventes a superarem o momento crítico, reduzindo o risco de desenvolvimento do luto complicado.

April inconfidences: the impact of social isolation on the brazilian transgender community in times of the covid-19 pandemic / Inconfidências de abril: impacto do isolamento social na comunidade trans em tempos de pandemia de covid-19 / Inconfidencias de abril: impacto del aislamiento social en la comunidad trans en tiempos de la pandemia covid-19

Resumo Diante de uma crise sanitária e humanitária sem precedentes, o negacionismo do governo de extrema-direita tem conduzido a uma gestão desastrosa da pandemia de COVID-19 no Brasil. Defendemos o argumento de que está em curso um projeto deliberado de extermínio das populações mais vulneráveis. Este estudo tem por objetivo analisar os impactos das medidas de distanciamento social na comunidade trans, buscando oferecer subsídios para articular uma compreensão que favoreça uma gestão ético-política da pandemia. No artigo, desenvolvemos esse argumento em torno das consequências da necropolítica sobre as vidas precárias. Incorporamos as vozes de pessoas trans e ligadas ao ativismo trans que compartilham suas experiências de apoio à comunidade. Situamos os processos sociais em curso que produzem normatizações que regulam e vulnerabilizam os corpos periféricos trans. Solidariedade e medidas para mitigar o sofrimento dos excluídos podem representar uma inflexão no processo em curso de institucionalização da desigualdade.

Resumen Ante una crisis sanitaria y humanitaria sin precedentes, la negación del gobierno de extrema derecha ha llevado a una gestión desastrosa de la pandemia de COVID-19 en Brasil. Defendemos el argumento de que está en marcha un proyecto deliberado para exterminar a las poblaciones más vulnerables. Este estudio tiene como objetivo analizar los impactos de las medidas de aislamiento social en la comunidad trans, buscando ofrecer subsidios para articular un entendimiento que favorezca un manejo ético-político de la pandemia. En el artículo, desarrollamos este argumento en torno a las consecuencias de la necropolítica en las vidas precarias. Incorporamos las voces de personas trans y vinculadas al activismo trans que comparten sus experiencias de apoyo a la comunidad. Situamos los procesos sociales en curso que producen normas que regulan y hacen vulnerables los cuerpos trans periféricos. La solidaridad y las medidas para mitigar el sufrimiento de los excluidos pueden representar una inflexión en el proceso en curso de institucionalización de la desigualdad.

Abstract In the face of an unprecedented health and humanitarian crisis, the denial of the far-right government has led to a disastrous management of the COVID-19 pandemic in Brazil. We defend the argument that a deliberate project to exterminate the most vulnerable populations is underway. This study aims to analyze the impacts of social distancing measures in the trans community, seeking to offer subsidies to articulate an understanding that favors an ethical-political management of the pandemic. In the article we developed this argument around the consequences of necropolitics on precarious lives. We incorporate the voices of people linked to trans activism who share their experiences supporting the community. We situate the ongoing social processes that produce norms that regulate and make the peripheral trans bodies vulnerable. Solidarity and measures to mitigate the suffering of the excluded may represent an inflexion in the ongoing process of institutionalizing inequality.

The effect of suppressing funeral rituals during the COVID-19 pandemic on bereaved families.

OBJECTIVE: amidst the greatest health crisis in history triggered by COVID-19, this documental study was intended to understand the meanings individuals who have lost loved ones in this context assign to the phenomenon of suppressed funeral rituals. METHOD: based on the theory of grief, the corpus of this study was composed of documents published in digital media containing personal writings and reports of experiences freely and easily available to the public. Two researchers with expertise in the field used inductive thematic analysis to interpret data. RESULTS: the experiences shared in the reports reflect the suffering experienced by the sudden death of a significant person, which is amplified by the absence or impediment to performing familial farewell rituals. The suppression or abbreviation of funeral rituals is a traumatic experience because family members are prevented from fulfilling their last homage to the loved one who has suddenly passed away, causing feelings of disbelief and indignation. CONCLUSION: alternatives and new ways to celebrate passage rituals in emergencies of strong social commotion such as a pandemic are needed to provide support and comfort to family members, friends, and relatives. These rituals help survivors to overcome the critical moment, decreasing the risk of developing complicated grief.

Psychological and occupational impacts of the recent successive pandemic waves on health workers: an integrative review and lessons learned

Successive waves of pandemics can impact the mental health of healthcare personnel. We aim to present scientific evidence on factors associated with the occupational and psychological impact of successive waves of pandemics on health professionals. An integrative literature review was carried out with searches in five databases. Nine articles were included. The main impact explored in the articles is that pandemic situations are related to stress, anxiety, insomnia anddepressive symptoms in professionals who are on the front line of care. The working conditions and the characteristics of successive global pandemic streams poses both conceptual and empirical research challenges. New institutional processes are needed to optimize benefits in terms of mental health and for coping with problem situations. Learning from previous pandemic waves is an important step in setting an agenda for future research.