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Background. During the coronavirus disease 2019 (COVID-19) pandemic, most hospitals have faced a heavy load of pa-tients. In this situation, it is very important to consider the resilience and endurance of medical staff, as well as to identify and investi-gate the relevant factors which can increase their resilience.Objectives. The aim of this study was to identify the factors affecting the resilience of hospital medical staff during the COVID-19 pan-demic.Material and methods. The present study is a qualitative study using a semi-structured interview. Participants included doctors, nurs-es, clinicians and managers working in tertiary referral hospitals during the COVID-19 pandemic. Interviews were conducted as needed until data saturation was reached using the purposive sampling method. A total number of 20 people, including 6 physicians, 2 hospital managers, 7 nurses, 1 radiologist, 3 laboratory technicians and 1 clinical psychologist, were interviewed in 7 educational hospitals of the Kerman Province.Results. After data analysis and coding, 127 initial codes were identified. By reviewing the codes, 127 initial codes were merged by the research team, and 23 codes in 6 main categories, including Personal Factors (7 codes), Family-Related Factors (2 codes), Community -Related Factors (2 codes), Virus-Related Factors (2 codes), Organisational Factors (7 codes) and Economical Factors (3 codes) were extracted.Conclusions. Paying attention to the identified factors on the maintenance of medical human resources in the form of the "Surge Capacity Programme" can increase the resilience of medical staff. Such measures pave the way for a better response to other threats similar to the COVID-19 pandemic.
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COVID-19 has put great physical and psychological pressure on medical staff worldwide, including Iran. As with any other disaster, it is worth paying attention to the risk of developing depression, anxiety, stress, and post-traumatic stress disorder (PTSD) among the healthcare team. This study aimed to determine the severity of depression, anxiety, stress, and PTSD status in healthcare staff involved in treating COVID-19 patients. 400 nurses and clinical assistants in a hospital occupied in treating COVID-19 were included in the study by the incidental sampling. The demographic information questionnaire, DASS-21, and Mississippi PTSD scales were applied to data collection. The mean score of PTSD in about half of the participants is severe. The mean score of re-experience sub-scale is higher than other sub-scales. Depression and stress are significantly higher in those infected with COVID-19. There is a significant difference between various age groups regarding the lack of depression. There is a significant difference in re-experience, alexithymia, and PTSD scores between participants with various marital statuses. Therefore, the existence of depression, stress, and PTSD among medical staff would be a major concern for the health ministry to protect the mental health of society members.
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AIMS: To measure nurses' compliance with standard precautions during the COVID-19 pandemic, compare findings with previous assessments and describe the barriers affecting nurses' compliance. BACKGROUND: Healthcare providers' compliance with standard precautions is still limited worldwide. Implementation of infection control policies in hospitals is needed internationally, especially during a pandemic. Surprisingly, studies exploring nurses' compliance with standard precautions are lacking during COVID-19. METHODS: A multicenter cross-sectional study was adopted in two Italian hospitals. Nurses' compliance with standard precautions was measured through The Compliance with Standard Precautions Scale (Italian version). An open-ended question explored the barriers to nurses' compliance with standard precautions. Reporting, followed the STROBE guidelines. RESULTS: A total of 201 nurses were enrolled in 2020. Nurses' compliance with standard precautions was suboptimal. A statistically significant improvement in the compliance rate with standard precautions was observed between pre- and during COVID-19 assessments. High compliance was found in the appropriate use of surgical masks, gloves and sharps disposal. Nurses perceived personal, structural and organizational barriers to standard precautions adherence. CONCLUSION: Nurses' compliance with standard precautions was not 100%, and different factors impeded nurses to work safely. Our findings provide institutional leaders and educators with the basis for implementing policies to optimize nurse safety, well-being and patient care. IMPLICATIONS FOR NURSING AND HEALTH POLICIES: Nurses have the right to work safely, and when the shortage of personal protective equipment and nurses during an emergency threatens healthcare quality worldwide, policymakers are challenged to act by establishing an effective allocation of resources for consistent compliance with standard precautions. Moreover, nurses should actively engage in the implementation of infection control policies to improve safe behaviours among citizens and students accessing hospitals.
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Introduction: In January 2020, WHO declared COVID-19 to be a Public Health Emergency of International concern. The covid-19 pandemic is likely to place healthcare professionals across the world in an unprecedented situation, forcing the human to take impossible decisions and work under extreme pressures. In addition to fear around COVID-19 exposure, anxieties related to shortages of personal protective equipment (PPE) or other essential equipment and the challenges of family support and childcare while they work irregular hours and higher workloads, coupled with anxiety, as they enter new or unfamiliar clinical roles. Objective: To explore the experiences of nurses caring for COVID-19. Methods: Using phenomenological analysis approach, a qualitative study was conducted using semi-structured interview of 15 nurses working in COVID units of LWCH. Ethical approval obtained from DREC. The interviews were recorded and grouped into themes. Results: Four themes emerged from data analysis. The first one is psychological feeling where many of them were anxious for first time witnessing pandemic, stressful, uncertainty, constant fear, sadness etc. In the early stage, negative emotions were dominant and positive emotions appeared gradually. ICU nurses were experiencing intense psychological and physical effects. Second category was challenges where they were challenged by lack of experience, knowledge, use of PPE, heavy workload, fear of becoming infected and infecting others etc. The third theme was coping strategies where they identified many sources of social support and self-management strategies to cope with situation. The last theme was lifestyle changes where most of the nurses isolated themselves from other family members, no socialization. They also expressed the change in attitude of the society towards nurses. Discussion/Conclusion: The intensive work drained health-care providers physically and emotionally;therefore, comprehensive support should be provided to safeguard the wellbeing of health-care providers and pre-induction training on working with infectious diseases to be included in pandemic management programs.
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In April 2022, I was a paediatric NHS nurse and in a bad place emotionally. I was extremely anxious, felt unable to cope and was having nightmares. I was also experiencing what I now know are flashbacks. A series of traumatic events had led me to this point, then an incident with a young patient tipped me over the edge and I realised I needed help. [ FROM AUTHOR]
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The article offers tips for nurses on providing care for patients with continence issues. Topics discussed include the consequences of pressures on continence services, the lack of confidence among nurses in continence, tools used for initial assessment of bladder symptoms in adults, and the lack of services for younger patients with bladder and bowel issues in the Untied Kingdom.
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Do you want to resign? If so, you're not alone. According to tech giant Microsoft, 40% of the global workforce across all industries has thought about quitting this year. The pandemic, it seems, has encouraged many of us to consider a change of direction. [ FROM AUTHOR] Copyright of Nursing Management - UK is the property of RNCi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)