Confinement with No Rights. Perceptions of Inmates' Relatives Regarding Measures for COVID-19 Control Implemented in Mexican Prisons

Based on a participatory study design, this article describes how a group of family members of people deprived of liberty (PDL) experienced the COVID-19 control measures implemented in Mexico's prisons. We conducted 28 in-depth interviews and analyzed them using ATLAS.ti. We found that the measures implemented in Mexican prisons to avoid the spread of COVID-19 focused mainly on suspension of visitation and PDL confinement. The isolation imposed on PDL impacted their living conditions, making them more vulnerable to contracting COVID-19 due to lack of access to essential services, food, and hygiene supplies. Visit restrictions and PDL isolation also impacted PDL relatives' health and socioeconomic conditions. Our findings indicate that the consequences of COVID-19 control actions in Mexican prisons differ according to the gender and jurisdiction of PDL. Women in federal prisons were more isolated, while those in local ones were more deprived of basic supplies. Imprisoned women's isolation has especially severe effects on the mental and physical health of their elderly parents and children. The results show how the measures adopted to control COVID-19 outbreaks in Mexican prisons have exacerbated the preexisting systemic violence experienced by PDL and their families and how they have failed to prevent the spread of COVID-19 in these settings. These findings provide support for the health-informed penal reform of Mexican prisons.

THE PLIGHT OF WOMEN ENTREPRENEURS DURING COVID-19 PANDEMIC LOCKDOWN IN SOUTH AFRICA

COVID-19, which is highly contagious, especially via person-to-person contact, is ravaging the world creating mayhem globally. Countries all over the world have devised various strategies to slow down the rate of spread of the COVID-19 which is not treatable presently. To curb COVID-19 spread, South Africa has been in several stages of lockdown since March 2020, restricting movement and business as usual. These lockdowns albeit imposed to keep people healthy and safe, have had tremendous negative impacts on business, especially those that require frequent movement and face-to-face contact with people. However, during lockdowns, one still needs to fend for self and family members, but without being able to work, there is no likelihood any income, even if government gives palliatives, it might not be enough to take care of critical needs of the family. Of note, a large percentage of households in South Africa are female-headed and as such, they often bear a larger burden in providing for themselves and children even prior COVID-19 outbreak not to mention during the course of the pandemic. Furthermore, many women, who are often the sole breadwinners of their households are involved in various business entrepreneurs to support themselves and their families. This paper looks at the plight of women business entrepreneurs during the COVID-19 pandemic lockdowns and their accessibility to the government stimulus package.

The Impact of the COVID-19 Pandemic on Students' Learning at Universities in the Gauteng Province, South Africa

Measures that were put in place to combat the spread of COVID-19, such as lockdowns, movement restrictions, and social distancing, resulted in remarkable changes in the traditional educational systems. Online learning was implemented to replace face-to-face teaching and learning, albeit with several challenges and varying levels of unpreparedness. The present study examined the impact of COVID-19 pandemic on university students' learning and emotional stability with the aim of understanding the impact of the changes on students. A questionnaire was administered online to 254 registered students at three universities in the Gauteng province of South Africa. Results showed that for the majority of participants (84.9%), their source of internet connectivity for learning was data provided by the universities, while 21% of participants made use of the Wi-Fi also provided by the universities. However, the data for 91.9% of participants depleted before new data could be provided in a new month resulting in 30.9%, 30%, and 29.2% of participants buying, borrowing, and stopping to learn, respectively. On average, 33.7% of participants were neutral about having adequate time for studies and their academic performance improving during COVID-19 pandemic. In addition, 33.9% of participants were neutral about receiving adequate assistance from lecturers (34%) and family members (33.7%) during COVID-19 pandemic. Furthermore, 30% of participants indicated that they were neutral and disagreed that they were getting sufficient resources for studies during COVID-19 pandemic. Loneliness and boredom were the main problems faced by most participants since teaching was mostly done online. To make online teaching and learning more effective, it is recommended that more data and support are provided to the students by the university management so that teaching and learning as well as students' academic performance can be enhanced during future similar situations.

Temporary suspension of visiting as experienced by non-covid-19 patients undergoing orthopaedic surgery, their relatives, and health professionals, a multimethod study

Background: Hospitals worldwide implemented visitor restrictions policies due to the SARS-CoV-2 pandemic. Aim: To investigate the impact of visitor restrictions experienced by non-Covid-19 orthopaedic patients, their relatives, and health professionals from a person-centred practice (PCP) perspective. Methods: Seventy-eight patients/relatives completed a self-reported survey. Template Analysis was conducted on twenty-five telephone interviews and one focus group interview. Findings: Despite accepting the restrictions for the country's good, we found a profound need for visits among the relatives. However, one-fifth of the patients were content, and one-third got more rest than earlier admissions. We uncovered a current readiness to develop an organisational PCP culture focused on the good of the patient. All stakeholders were attentive to the importance of the relatives' role, and the need for the involvement of relatives as team players became evident. Conclusion: The study emphasised the need for PCP strategies to involve relatives when visitor restrictions are necessary.

Introduction: Narratives of Belonging-The Interrelation between Ontological-Epistemological Observations and Narrative Methodology

In a recent editorial, the Lancet reported that one of the consequences of pandemics is the detrimental impact "on the mental health of affected populations," and the current COVID-19 one is no different. Since its out-break at the end of 2019, "depressed mood, anxiety, impaired memory, and insomnia" are constant companions of people around the world. Many even experience "stress, burnout, depression, and post-traumatic stress disorder." Amongst its concerns, the Lancet notes the rising "misuse of substances" as a consequence of these mental health problems.1 One of the reasons for this global mental health crisis is the way the pandemic affects peoples' practices of community building and rituals of belonging. Having to wear masks, being required to keep at least 1.5 meters apart, not being able to meet (vulnerable) friends and family members, and even more drastic measures like weeklong lockdowns fundamentally disrupted everyday lives and reduced opportunities to socialize. What is normally taken for granted is being challenged. Around the world, these measures have been met by increasing demonstrations, often based on conspiracy theories and against commonsense precautions for preventing a potentially lethal disease. This conflict between reasonable precaution and emotional stress and pressure suggests disruptions of common narratives of belonging.

Levels of Anxiety and Fear among Nurses During the COVID-19 Pandemic: A Systematic Review

Aim. The aim of this review is to find out what levels of anxiety and fear have been shown by nurses during the COVID-19 pandemic. Background. Health security crises affect not only physical health but also the mental health and wellbeing of healthcare professionals due to a higher level of exposure. Evaluation. A systematic review was carried out following the PRISMA statement. Methodological quality was assessed using the Joanna Briggs Institute critical appraisal tools. The literature search was carried out in the PubMed, Scopus, and Web of Science (WoS) electronic databases based on the keywords that the research question yielded following the PECOT strategy. For the selection of articles, original articles, meta-analyses, systematic reviews, short communication articles, and case reports were included. Then, a series of inclusion and exclusion criteria were applied, screening the results to obtain a total of 18 articles, which were used to elaborate the study. Key Issues. Fear and anxiety levels were described in a total of 18 selected studies. The main fear-related concerns of the nurses were associated with the fear of infecting their family or friends and the fear of the death of a family member or friend. Conclusions. The main psychological impact on nurses during the COVID-19 pandemic was related to fear, anxiety, stress, and depression. Fear of infecting family members or of being infected were the main impacts perceived by nurses. Implications for Nursing Management. In general, high scores were found for levels of fear and anxiety, although the figures varied by country and time of data collection. Resilience was considered the main tool for coping with the loss and trauma experienced by nurses.

In Between Escapade and Peril: The Impact of COVID-19 on Nepali Returnees and Their Families

The outbreak of COVID-19 has damaged the world economy, resulting in the termination of thousands of jobs which affects migrants and their families who have both economic and other investments in migration. This article explores the experiences and challenges of Nepali migrant workers who returned from Malaysia and their wives who were left behind when they originally migrated. We discuss the aspirations of returnee workers, their life and experiences in Malaysia during the pandemic and their experiences of tackling the bureaucratic challenges of the return process in Malaysia and Nepal. We find that any problems in migration also affects those family members who are left behind and discuss the experiences of husbands affect migrants' wives, including their understanding of the foreign employment situation of the husbands and their involvement in different decisions related to foreign employment and the return of their husbands. The study follows a qualitative methodology. Phone interviews were conducted with ten returnee migrants from Malaysia and ten as well as three informants who have knowledge and experience of the sector. The article argues that both migrants and their family members face the consequences of any failures and challenges in migration and that policies should encourage joint discussion among governments of source and host countries on coping with the challenges of migration including in the context of a global pandemic.

Police officers' punitiveness in the context of the COVID-19 pandemic: the role of fear, attribution and self-legitimacy

PurposeThe focus of this study is to examine Indian police officers' punitiveness toward violators of criminal sanctions attached to COVID-19 mitigation laws enacted by the Indian Penal Code. The authors draw from the conceptual frameworks and correlates typically employed in traditional crime and justice research and adapt them to the context of the pandemic. Additionally, the authors examine whether officers' punitive attitudes are related to their belief in self-legitimacy and their job assignment (civilian vs. armed personnel) in a country with inherited colonial policing legacies.Design/methodology/approachData for the study came from 1,323 police officers in a northern state of India.FindingsFindings suggest that officers with vicarious fear of COVID-19 infections (e.g. infection of family members) find the sanctions associated with the new laws harsh. Additionally, officers who subscribe to the classical attributions of offenders feel that the laws are not punitive enough. In contrast, those with deterministic views perceive the sanctions as excessively harsh. Findings also suggest that officers' self-legitimacy, and belief in the authority and responsibility vested in them, is a key predictor of their punitive attitudes. Finally, officers assigned to police lines are more punitive than those designated to patrol/traffic work.Research limitations/implicationsData or prior research on officers' punitive attitudes toward other violations (non-COVID-19 violations) is unavailable for comparison with this study's findings.Originality/valueNo prior research has examined the relationship between police officers' perceptions of self-legitimacy, their belief in the authority vested in them by the state, their belief in their role as police officers and their relationship to their punitive attitudes.

Grief and mourning in Covid-19 pandemic and delayed business as a new concept

The measures, restrictions, and death-related rituals in the COVID-19 pandemic have affected the mourning-related routines of individuals. Moreover, mourning processes have been affected by the restriction of death-related cultural rituals, funeral ceremonies performed only by the officials, and the prohibition of visiting graves. This study aims to investigate the experiences of individuals who lost their loved ones in Turkey during the COVID-19 pandemic. For that purpose, the phenomenological method is employed in the design of the study. Individual interviews were conducted with nine participants who lost their relatives during the COVID-19 pandemic. Data were collected through semi-structured interview forms prepared by the researchers. The study participants described the various factors contributing to the grief and mourning process in the COVID-19 pandemic. These factors were categorized into three following main categories: grief and mourning responses of the individuals lost loved ones, including cognitive, emotional, and behavioral responses;risk factors including the expectation of harm, unfinished business, and restriction of death-related religious-cultural rituals;and protective factors including relative support (i.e., family, spouse, friend, partner), tele-support (i.e., mobile phone, internet, social media), positive coping strategies (cognitive, behavioral, and religious-spiritual), and delayed business. The "delayed business” concept was also addressed within protective factors and explained in general terms. Finally, the findings were discussed considering the literature and presented some theoretical and practical implications.

PROTECTION OF THE RIGHT OF THE CHILD TO ATTEND JOINTS IN LIGHT OF THE RESTRICTIONS CONSEQUENT TO THE COVID PANDEMIA - 19

This essay examines the impact that the numerous and complex provisional rules related to the Covid-19 pandemic, which have occurred over time, have had in regulating family relationships. In particular, it analyses the influence that these rules have exercised, on the one hand, on the relationships between parents and children in the context of the family crisis and, on the other hand, the limits imposed on children as regards visiting relatives, as a consequence of the restrictions introduced on freedom of movement and on meetings between non-cohabiting people. This paper also deals with the application of these provisional rules carried out by the Courts, in order to assess their compatibility with the fundamental interests of the child. © 2022 Ibero-American Law Institute. All rights reserved.

Ethnocultural long-term care homes in Canada: a place for cultural inheritance and community building

This article discusses the overlooked role of recreation programmes in the ethnocultural and cultural-specific long-term care home from my standpoint as a recreation worker. First, the policy during the pandemic that prohibited visits by family members and volunteers revealed that they are important informal caregivers to fill in for the limitations of workers. Second, recreational programmes can also be considered as a practice of cultural inheritance: staff and volunteers learn their history and reconstruct them as collective memory. Third, the interaction between residents, volunteers, families and workers generates a sense of belonging to the ethnic community. Therefore, it can be considered a practice of community building for minority ethnic groups. By presenting the significant role of recreation workers in a long-term care home, I aim to question the meaning and value of care work in long-term care facilities.

Dying during the COVID-19 Pandemic in Sweden: Relatives' Experiences of End-of-Life Care (the CO-LIVE Study).

Background: The COVID-19 pandemic has seen many deaths, but the majority were for causes other than COVID-19. However, end-of-life care in all settings has been affected by measures limiting the spread of the virus, for patients with and without COVID-19. The Swedish coronavirus strategy was different compared to many other countries, which might have affected end-of-life care. The aim was to describe the experiences of end-of-life care for bereaved relatives in Sweden during the "first wave" and to compare the experiences for deaths due to COVID-19 with the experiences for deaths for other reasons. Methods: A random sample of addresses for 2400 people who died during March−September 2020 was retrieved from the Swedish Person Address Registry. Relatives were contacted with a questionnaire regarding their experience of end-of-life care, with a focus on communication, participation, and trust. Results: In total, 587 relatives (25% response rate) answered the questionnaire (14% COVID-19-deaths, 65% non-COVID-19-deaths, 21% uncertain). In the COVID-19 group 28% of the relatives were allowed visits without restrictions compared to 60% in the non-COVID-19 group (p < 0.01). Only 28% of the relatives in the COVID-19 group reported that the person received "enough care from physicians", significantly fewer than the non-COVID group (65%, p < 0.01). Conclusion: Relatives' experience of end-of-life care for persons with COVID-19 was significantly worse than relatives of persons without COVID-19, but relatives for persons without COVID-19 were also negatively affected.

Experiences of Inter-Hospital Transfers (IHT) by Patients and Relatives during the COVID-19 Pandemic in France: A Qualitative Study.

BACKGROUND: The first wave of the COVID-19 epidemic led to a rapid and unexpected saturation of the French ICU, forcing the health care system to adapt. Among other emergency measures, inter-hospital transfers were carried out. OBJECTIVE: To assess the psychological experience of patients and their relatives regarding inter-hospital transfers. METHODS: Semi-structured interviews were conducted with transferred patients and their relatives. A phenomenological study design was used to examine subjective experiences and their meanings for the participants. RESULTS: The analysis found nine axes pertaining to the experiences of IHT (inter-hospital transfers), grouped in three super-ordinate themes: Information about inter-hospital transfers, differences in patients' and relatives' experiences, and host hospital experience. It appears that patients felt little impacted by the transfers, unlike relatives who experienced intense anxiety when the transfer was announced. Good communications between patients and their relatives resulted in a good level of satisfaction regarding their host hospitals. COVID-19 and its somatic consequences seem to have had more psychological impact on the participants than the transfers by themselves. CONCLUSION: Our results suggest that there are limited current psychological consequences of the IHT implemented during the first wave of COVID-19, although the involvement of patients and their relatives in the organization of the IHT at the time of transfer could further limit them.

Together, at a distance: experiences with a novel technology for social contact among older people and their relatives in Norway during the COVID-19 pandemic.

BACKGROUND: The recognition that people are social beings is fundamental for person-centered care. During the COVID-19 pandemic, the lives of older people were restricted in ways that dramatically reduced their opportunities for face-to-face contact. Limited contact with family members due to social distancing raised concerns about the well-being of older people. In Norway, interactive technologies were therefore introduced to older people to help them maintain social contact while practicing physical distancing. OBJECTIVES: This study was designed to examine how older people and their relatives experienced the use of technology-mediated communication through KOMP, a tablet-like device for supporting social contact in care facilities and homes during the pandemic. METHODS: We adopted an open phenomenological approach inspired by Kvale and Brinkmann (2009) to explore how the use of KOMP became meaningful during the pandemic. The study was based on individual interviews with 4 residents in care facilities and 13 relatives. RESULTS: The lived experiences of using KOMP among older people and their relatives revealed that adopting digital communication helped older people, and their families mitigate social distancing and maintain relationships with each other, despite the restrictions imposed by the government. Virtual involvement through KOMP afforded meaningful interconnections in the social lives of the users and their distant family members, thereby supporting their roles as parents and grandparents despite the distance, and promoting cross-generational connections among family members. Digital meetings also provided opportunities for older people and their relatives to enjoy each other's presence in favored places, by conveying a homely atmosphere, for instance. These virtual encounters did not rely exclusively on talk as the only means of communication. CONCLUSION: This study suggests that communicating via KOMP was a meaningful activity for the participants. Technologies for social contact can, to some extent, facilitate person-centered care for older people in care facilities and their private homes, despite circumstances requiring social distancing.

Evaluation of a family liaison officer role introduced during the COVID-19 pandemic: A mixed methods study.

RATIONALE: The restrictions to hospital visiting for carers and relatives during the pandemic were unprecedented. To ensure patients could stay in touch with their relatives and carers new liaison roles were introduced. AIMS AND OBJECTIVES: The aim of this study is to report on the evaluation of a Family Liaison Officer (FLO) role to understand the rationale for introducing the role along with the challenges and benefits of its implementation. METHODS: A concurrent mixed methods design was used, triangulating both semi structured interviews and online surveys. Data were collected during 2021 from postholders, patients/relatives and key stakeholders. RESULTS: The family liaison officer role occupies a key brokering role between clinical teams and patients/relatives. All participants agreed the importance of the role particularly in relation to communication. Postholders noted issues around clarity of scope of practice. Patients reported the social benefits of the FLOs particularly in relation to technology. There was also key learning in terms of induction, training and line management of this nonprofessional role. CONCLUSION: There is limited research that evaluates emerging nonprofessional roles that connect clinical teams and patients/relatives. This evaluation study although limited to one organisation provides important insights to the strategic and operational learning to introducing a family liaison officer role during the COVID-19 pandemic.

[Intensive Care Unit patients' relatives' relationship in the settings of restrictive conditions]. / Relation avec les familles soumises aux restrictions d'accès des patients hospitalisés en réanimation.

Social distancing steps have been set during the 2020 COVID-19 pandemic. Patients' families brought their relatives to the emergency department and did not see them again for weeks due to lockdown of the whole population. Caregivers understood and approved the restriction of visits in ICU, in order to limit epidemic spreading, worried by overwhelming of their capacity would be overwhelmed and that they would not be able to admit all the patients requiring intensive care. However, they quickly sought to compensate by creating different relationships with relatives, using new ways of communication enabling patients and their relatives to keep in touch. Letters, messages services, phone calls and e-visits were set up. This brought new risks such as patient' images diffusion on social networks. In addition, relatives, caught with contradictory stressful information provided by medias, did not always understand that they could not have a direct access to patients and put psychological pressure on healthcare providers. Considering that previous recommendations support an unrestricted access of relatives to the ICU patients, caregivers have had to deal with new rules and have got experience that will be useful in case of the occurrence of comparable events.

Effects of the COVID-19 pandemic on quality of life among relatives of individuals with intellectual disabilities: A longitudinal study.

BACKGROUND: The COVID-19 pandemic poses risks to the quality of life (QoL) of relatives of individuals with intellectual disabilities. This paper investigates relatives' QoL and associated risk and buffering factors before and during the pandemic. METHOD: Surveys were administered to three samples of relatives in the Netherlands in 2019 (N = 105) and during the first waves of COVID-19 in June (N = 207) and October 2020 (N = 332). Associations between QoL and care burden, care competence, social support, and resilience, and changes over time were analysed using (logistic) regressions. RESULTS: No significant changes in overall QoL nor its domains were found. Care burden was negatively associated with QoL and increased during the pandemic. Care competence was lower than in 2019. Competence, social support, and resilience were positively associated with QoL. CONCLUSIONS: Although relatives' QoL remained stable, the pandemic poses non-negligible risks to their wellbeing. It is, therefore, crucial to provide relatives with adequate support.

Privileged dependence, precarious autonomy: Parent/young adult relationships through the lens of COVID-19

Objective: This article identifies how social class differences in undergraduates' relationships with their parents shaped their responses to educational disruptions caused by the COVID-19 pandemic. Background: The mechanisms through which parents transmit class advantages to children are often hidden from view and therefore remain imperfectly understood. This study uses the case of the COVID-19 pandemic to examine how young adults from different social class backgrounds expect, negotiate, and attach meaning to parental support. Methods: This study draws from in-depth interviews with 48 Black and White upper-middle and working-class undergraduates from a single elite university, along with 10 of their mothers. Results: Facing pandemic-related disruptions, upper-middle-class students typically sought substantial direction and material assistance from parents. In contrast, working-class students typically assumed more responsibility for their own-and sometimes other family members'-well-being. These classed patterns of "privileged dependence" and "precarious autonomy" were shaped by students' understandings of family members' authority, needs, and responsibilities. Conclusion: Upper-middle-class students' greater dependence on parents functioned as a protective force, enabling them to benefit from parents' material and academic support during the transition to remote instruction. These short-term protections may yield long-term payoffs denied their working-class peers. Beyond the immediate context of the COVID-19 pandemic, the concepts of "privileged dependence" and "precarious autonomy" offer scholars a set of theoretical tools for understanding class inequality in other young adult contexts.

The whiteboard: visualising personal agency in a lockdown microcosm

This visual-essay is based in the domestic space during Covid-19 lockdown in NSW, Australia, from 24 March to 25 May 2020. It is an auto-ethnographic documentation of how one family managed living with ADHD under lockdown. Assumptions and stereotypes about ADHD are broken down and challenged in the supporting narrative. These explain the complexity of living with ADHD and illustrate how very small, seemingly insignificant acts can have a large impact on managing the compounding effect an unprecedented situation like lockdown, on issues prevalent in those with ADHD such as anxiety, organisation, and lack of control over in personal circumstances. These are framed within the larger context of preceding catastrophic 2019/2020 summer bushfires that occurred in Australia, to provide the reader with insights into the emotional states in which many people in Australia entered lockdown. The author invites the reader to pay attention to the details of each of these images, to observe the visual communication cues that appear on the whiteboards, such handwriting by different people, doodles, illustrations, colour coding, and the layout that evolved over time, as personal agency within the family members developed.

‘Wait! Don't touch me!': Police uniforms, family anxiety, and rituals of purification in the COVID-19 pandemic

Emblematic power is entrenched in the uniform and bodily image of the police. The COVID-19 pandemic has afforded a new layer of understandings of ‘dirty work' with police officers, and has shown how the police uniform is perceived to be an involuntary vehicle for physical contamination and symbolic taint. This article is based on interviews with 18 police officers from 11 UK police forces over the summer of 2020 and explores how the COVID-19 pandemic caused increased fear and anxiety about virus contraction, particularly when officers were not prioritised for testing and vaccinations at the time. The possibility of transmitting COVID-19 to family members motivated officers to treat their uniforms differently, and they undertook purification rituals to mitigate violations of the physical and symbolic space around the body. Fear and anxiety of ‘the unknown' is a motivator for discussions about long-term effects of officer well-being, and the significance of learning to prepare for future pandemics.