Why sexual health clinics are important in the 2020s.

To make services more accessible, acceptable and affordable, sexual health service delivery models have embraced innovation, technology, outreach and decentralisation. In particular, some routine high-volume services, like asymptomatic testing for sexually transmitted infections (STIs), can be delivered in general practice, online or in non-clinical settings. On the surface, sexual health clinics, like hospitals or other primary care clinics, might appear to be operating on a model that has not changed significantly in recent times. However, globally sexual healthcare needs are rising both in volume and complexity, not all of which can be adequately met through decentralised care. Sexual health clinics themselves are the site of considerable innovation. The importance of sexual health clinics in the diagnosis and treatment of symptomatic STIs is likely to increase with the increasing burden of disease, the complexity of treatment guidelines and the emergence of new infections. Services essential to patient health such as immediate or complex clinical care, partner notification and safeguarding, and activities essential to the health system like research, training and supervision require expertise to be located where it can be accessed and maintained at reasonable cost. We do not know whether increasing some services outside existing models can safely compensate for reducing other services inside them.

Economic Impact of COVID-19 Pandemic on Interns & Business Operation of Internships Challenges, Opportunities & 'Best Practices' in Pre-, Occurring- and Crisis Recovery

This study addressed the economic fallout effects of the 2020 COVID-19 very contagious virus pandemic that has been heavily shouldered by 2020 collegiate interns and their internship sponsoring firms, in the U.S. (as well as those and other people and businesses around the world). This paper 's research foci is on 2020 U.S. interns and would be ones, as well as internship sponsoring company, and addresses the following four issues: (1) The diverse COVID-19 pandemic responses of both interns and internship sponsoring firms to the economic fallout from the effects of the spread of COVID-19;(2) identification of challenges and opportunities that COVID-19 has presented to interns and their sponsors;(3) the extrapolation of number of intern affected and ballpark economic dollar loss they, individually and collectively suffered. from COVID 19;and, (4) communicate with this study's readers lessons learned and best practices employed in other types of crises and cross-cultural crises. As there is no precedent anywhere to the present global COVID-19 virus pandemic crisis this study, as it is economic fallout focused, used the works of precedent authors of studies related to ebbs and flows of economics related to the internship subsector during the U.S. Great Recession years' (2007-2016) to harvest from them lessons learned and best practices, and, as well, formulated some insights of today. Figures and tabular presentations are offered, along with categorized table of recommend good reads, for those interested, concerning the coping with and survival of crises' pending, occurring, and recovery years.

Strategies and resources for nurse leaders to use to lead with empathy and prudence so they understand and address sources of anxiety among nurses practising in the era of COVID-19.

AIMS: Identify strategies and resources for nurse leaders to use to lead with empathy and prudence to improve quality of care and to ease the psychological toll on nurses caring for patients with COVID-19. BACKGROUND: In a 2020 report, clinicians caring for patients during the COVID-19 pandemic said their healthcare leaders needed to: 'hear me, protect me, prepare me, support me, and care for me'. These words provide an action plan for nurse leaders to communicate, educate and support nurses to practice competently and safely (physically and mentally) in the context of COVID-19. DESIGN: Discursive paper. METHOD: Identification and inclusion of relevant international evidence with clinical discussion. FINDINGS: Nurse leaders can mobilise system and individual level strategies and resources to support nurses to manage pandemic-related issues including: anxiety due to the risk of infection, supporting anxious children, mitigating moral injury; providing safe and quality nursing care for patients with COVID-19 and end-of-life care as needed; supporting relatives who cannot be present with a dying relative and care for grieving relatives and colleagues. We categorise a selection of evidence-based, online sources providing current COVID-19 information, practice updates and resources to develop personalised self-care plans to ease anxiety and support renewal and resilience. CONCLUSIONS: Nurse leaders must ensure adequate PPE supply, upskill nurses to provide safe, quality care for patients with COVID-19 and promote restorative self-care plans. RELEVANCE TO CLINICAL PRACTICE: The strategic actions nurse leaders take today can positively impact nurses' well-being and ability to provide safe and quality care for patients in the context of COVID-19.