Occupational Stress in Healthcare During Covid 19

Several studies dedicated to the risk of work-related stress have already shown for some time that healthcare workers are subjected to multiple sources of stress. Recent literature has shown that the SARS CoV 2 pandemic has subjected healthcare workers in emergency/urgent departments and Covid −19 departments to work-related stress risk. In a Sicilian hospital, a sample of 50 health workers (25 men/25 women) was given the "INAIL questionnaire work-related stress risk” structured in 35 items to investigate 7 dimensions of occupational stress (1) Question, (2) Control, (3) Management support, (4) Support from colleagues, (5) Relationships, (6) Role, (7) Change. The results show in 27% of the sample a high level of occupational stress and in 62% an average level of occupational stress with little control and emotional exhaustion, especially in women. In conclusion, to avoid the chronicization of dysfunctional pictures, health institutions must provide staff with psychosocial support services to protect them from the risk of work-related stress. AD -, Messina, Italy ;, Messina, Italy

Relationship of Stressors and Psychosocial Support with Occurrence of Post-Traumatic Stress Disorder in Patients with Covid-19

Post Traumatic Stress Disorder (PTSD) is common in COVID-19 survivors and can be caused by a variety of stressors, including the duration of infection, severity, and location of isolation when infected with COVID-19. Furthermore, public anxiety caused by the rapid increase in the number of cases and deaths caused by COVID-19 plays a role in the occurrence of PTSD. To reduce the risk of mental disorders, psychosocial support is required. The purpose of this study was to describe the incidence of PTSD in COVID-19 survivors, to describe aspects of psychosocial support for COVID-19 survivors, and to assess the relationship between stressor factors and psychosocial support and the occurrence of PTSD in COVID-19 survivors. This research used an analytical observational research design with a cross sectional approach, involving 149 respondents aged 17-65 years, 52 men and 97 women from the COVID-19 survivor community known as COVID Survivor Indonesia (CSI) in DKI Jakarta. The Medical Outcomes Study-Social Support Survey (MOS-SSS) and The Impact Of Event Scale-Revised (IES-R) questionnaires were distributed via Google Form to collect data. Data was processed and analyzed using the Statistical Package for Social Sciences (SPSS) for Windows version 26.0, and results were analyzed using descriptive univariate and bivariate using Chi Square. There is a significant relationship between stressor factors and the occurrence of PTSD, specifically the duration of infection with COVID-19 (P = 0,026), severity when infected with COVID-19 (P = 0,027), and place of isolation when infected with COVID-19 (P = 0,023). Furthermore, there was a significant relationship between psychosocial support and the occurrence of PTSD (p = 0,001). Management of COVID-19 patients is required to detect stressor factors and provide psychosocial support so that COVID-19 survivors can return physical and psychological health. [ FROM AUTHOR] Copyright of International Journal of Multidisciplinary: Applied Business & Education Research is the property of Future Science 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.)

EMPOWERING TEACHERS AND STUDENTS TO COPE WITH THE STRESS OF ONLINE TEACHING AND LEARNING: FINDINGS FROM A PILOT PROJECT ON PSYCHOSOCIAL SUPPORT IN THE LANGUAGE AND TRANSLATION CLASSROOM

In times of crisis, emergency education makes significant contributions to individuals and societies by providing a sense of normality (Johannes 2012). As teachers facilitate the learning process and are expected to support students emotionally, Muldong, Garcia & Gozum (2021) suggest that work-from-home teachers should be provided with psychosocial support to address the mental and emotional stress caused by the Covid-19 pandemic. El-Monshed, El-Adl, Ali and Loutfy (2021) and Carreon & Manansala (2021) suggest that educational institutions should also take measures to improve students' mental health and academic performance and make it a priority in the current context. This paper reports the findings of a project on psychosocial support at Blaze Koneski Faculty in Skopje from March to June 2021 involving 15 language and translation teachers and 121 students. The teachers attended a series of workshops guided by a trained clinical psychologist. The workshops aimed at providing immediate psychosocial assistance to teachers to cope with the stress of the pandemic, to sensitise teachers to the students' needs in an emerging crisis and to empower them to employ new ways of student engagement in the online classroom. The training concept was based on the assumption that one's self-care and well-being are prerequisites for one to be able to care about others (in this context the students). The teachers tested various methods at two levels of classroom communication. They engaged in informal communication and introduced well-being techniques to create a relaxing class atmosphere and to facilitate the learning process. They also involved students in participative activities to help them take hold of their learning. Teacher and student feedback has been positive and points to the encouraging effect of this approach in the online environment and beyond it. It shows that the modern translation classroom, be it physical or virtual, requires giving students an active voice and a sense of control over their learning. It also shows that moving away from adhering to technical material to enrich the curriculum with topics and methods that address well-being and mental health is beneficial. © 2023 by University of Niš, Serbia.

Faith Communities Contribute to COVID-19 Relief: Global and Local Responses of Churches Belonging to a World Communion in Accompaniment with the Evangelical Lutheran Church in America

The Evangelical Lutheran Church in America (ELCA) has long been engaged in relief and development work. Internationally, the ELCA engages in this work through relationships with national churches and as a member of a global Lutheran communion. As COVID-19 emerged and then spread into a pandemic affecting people and communities around the world, this network positioned us to respond. As of January 2021, the ELCA supported responses of churches and local organizations, all embedded as integral parts of their communities, in more than 45 countries. We present narratives collected from COVID-19 response participants in Brazil, India, and Sierra Leone to demonstrate the unique contribution that local churches made in addressing the impacts of COVID-19 in their contexts and convey the collective impact of this work through participating in relationship and mission together. We aim to show that these responses are effective, relevant, build resilience, and address injustice, both by focusing immediate relief where, and with whom the greatest injustice of the pandemic is directly felt, and with an eye toward working for justice for the longer term. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Reimagining communities of care in the performing arts: A call for a community-based task-sharing approach to address the mental health needs of performing artists

Performing artists are known for playing a critical role in the cultural and intellectual richness and wellbeing of society. Additionally, whereas engaging in art and performance can offer a myriad of mental health benefits, mental health and substance abuse disorders are common in this industry yet significant barriers, such as stigma, financial constraints, and lack of relevant training, appear to negatively impact access to mental healthcare. Moreover, the profound changes and uncertainty in the performing arts sector throughout the COVID-19 pandemic highlighted the need to enhance systems of mental health support in this community. Although changing perceptions around mental health and increasing access to care are complex and multi-faceted, approaches from global mental health may offer novel solutions to promote greater access and equity to mental healthcare for performing artists. In particular, capacity building strategies, such as task-sharing, may help to facilitate both the identification of individuals in need of care, and the delivery of basic forms of support, through training of individuals working in the performing arts community. If adopted, task-sharing approaches in the performing arts, could lead to the introduction of new roles that performers can adopt, which in turn, may lead to new job categories within this industry, while still contributing to the sociocultural fabric of the arts. Efforts to engage performing artists in the co-design and adaptation of materials and intervention strategies will play a critical role in the translation of current evidence-based and evidence-informed interventions to contexts and cultures within the arts. Importantly, while certain aspects of the entertainment industry have long been associated with poor mental health, movements among artists and performers are calling for a change in culture. Integrating scalable mental health strategies into the spaces in which the performing arts take place, may offer a critical framework for reimagining mental health support within the arts community.

Research Report: Exploring Needs, Impediments and Perspectives for a Digital Mental Health Tool in Psychiatric Settings.

The COVID-19 pandemic brought forth rapid responses and changes in the acceptance of digital health interventions. Digital solutions appear increasingly promising, yet little is known about the peculiarities in the psychiatric context, contrary to other medical branches. The project MeHealth aimed at disclosing specific needs and reservations of patients and professionals in the psychiatric field. Apprehensions towards technology were found to be held on both sides. Cooperating with a psychiatric hospital in Austria, through a transdisciplinary research approach including focus groups and workshops, a framework for an integrated Digital Mental Health Tool was established. The findings leading to the framework show a strong need for patient-empowerment, enhancement of trust in technology and the need for multi-stakeholder cooperation. Digital tools should be designed to enhance the continuity of care and information exchange on behalf of the patient. Learnings were gained, which prove recommendable for future R&D projects on digitalization in the delicate field of psychiatry.

Corrigendum: First do no harm overlooked: Analysis of COVID-19 clinical guidance for maternal and newborn care from 101 countries shows breastfeeding widely undermined.

[This corrects the article DOI: 10.3389/fnut.2022.1049610.].

Investigating social support among adolescent and young adult palliative care patients using an online gaming network from the patient perspective

Adolescent and young adult (AYA) patients facing chronic and life-limiting illnesses are a unique population who experience complex health concerns and barriers to accessing psychosocial and palliative care. Research has shown AYAs who receive psychosocial and palliative care can experience numerous benefits from these services;however, there remains a lack of research investigating age-appropriate palliative care programs and interventions targeting the psychosocial needs for AYAs. Streetlight is a peer support palliative care program designed for AYA patients with chronic and life-limiting illnesses. The Streetlight Gaming League (SGL) is an innovative psychosocial intervention aimed at facilitating online social support through an online gaming network. Guided by a phenomenological approach and qualitative methods, the study was developed to investigate AYA patient experiences with an online psychosocial intervention (the SGL) and subsequent experiences of online social support, as well as to add a deeper understanding into how participation style influences online social support among SGL participants. The study utilized questionnaires and semi-structured interviews to examine online social support among SGL patient participants. Findings demonstrate the existence and enactment of online social support among AYA patients using the SGL platform, especially in the form of emotional/esteem, social companionship/belonging, and distraction support. AYA patients reported experiencing positive impacts and psychosocial benefits of online social support through the SGL, such as sense of camaraderie, continuity of relationships, mental health support, and connection during the COVID-19 pandemic. Findings highlight the relevance and meaningfulness of these psychosocial support to AYA patients living with chronic and life-limiting illnesses. They also highlight important implications of participation style. These findings have implications for palliative care programs, as well as future health outcomes research, for the AYA patient population. This study expands the body of knowledge regarding palliative care and psychosocial support interventions for AYAs living with chronic and life-limiting illnesses. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

THE PSYCHOSOCIAL SUPPORT NEEDED BY NURSES CARING FOR PATIENTS DIAGNOSED WITH COVID-19 INFECTION IN THE NORTH WEST PROVINCE, SOUTH AFRICA

Nurses caring for patients diagnosed with COVID-19 infection are exposed to many psychosocial challenges. Exploring and describing the psychosocial support needed for the nurses caring for patients diagnosed with COVID-19 is significant to determine what type of support is needed by the nurses. The objective of this study was to describe the psychosocial support needed by the nurses caring for patients diagnosed with COVID-19 infection in the North West Province of South Africa. A qualitative, descriptive phenomenological, contextual design was used to collect data. The study used a non-probability sampling approach and purposive sampling technique to select four focus group discussions (FGDs) from the four hospitalsselected for this study. Data were collected through semi-structured interviews and analysis was done using descriptive phenomenological data analysis to develop themes and categories. Measures to ensure trustworthiness were considered throughout the study. The finding indicated that it is difficult for nurses to care for COVID-19 patients because it is a novel disease. There is no specific treatment for COVID-19 and most patients who were diagnosed with COVID-19 were demised. Shortages of human and material resources to care for COVID-19 patients were also reported. Nurses caring for COVID-19 patients are at risk of being infected and they are physically and psychologically affected. The study shows that nurses caring for COVID-19 patients are physically, psychologically and socially affected by the disease. Therefore, they need the support of their managers through the appreciation of their work, provision of adequate Personal protective equipment (PPE) and human capital to provide quality patient care. Nurses caring for COVID-19 patients need psychological support when they are depressed. They also need colleagues from other wards to encourage them and not see them as the carriers of the disease. Also, the community needs to understand the risks that nurses caring for COVID-19 patients take and support them.

'Feel like going crazy': Mental health discourses in an online support group for mothers during COVID-19

COVID-19 has become a mental health pandemic. The impact on vulnerable demographic groups has been particularly severe. This paper focuses on women in employment in Hong Kong who have had to balance remote work and online schooling for over 2 years. Using semi-ethnography and theme-oriented discourse analysis, we examine 200 threads that concern members' mental health on a popular Facebook support group for mothers. We demonstrate that mental health messages are typically framed as 'troubles talk'. Other support group members actively align with a trouble-teller through 'caring responses', namely expressions of empathy and sympathy. These are realized through assessments of the trouble-teller's experience, reports of similar experiences;expressions of compassion and advice-giving. Mental health talk online is heavily mitigated, nevertheless the medium provides a space for expressing mental health troubles and providing informal psychosocial support. We advocate the importance of microanalytic discourse studies for mental health research to get insights into people's lived experiences during the pandemic. [ABSTRACT FROM AUTHOR] Copyright of Discourse & Society is the property of Sage Publications, Ltd. 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 abstract 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 abstract. (Copyright applies to all Abstracts.)

‘SAANTHWANA'—A Psychosocial Support Helpline for Health Care Workers during the COVID 19 pandemic at NIMHANS

Introduction: Covid – 19 has impacted all nations across the world, disrupting lives, economies, and societies. Working during this pandemic has placed frontline workers, especially health care personnel under immense and unprecedented pressure, putting their physical, mental, and social well-being at risk (WHO 2020). During this pandemic, the National Institute of Mental Health and Neurosciences (NIMHANS) launched a helpline called SAANTHWANA (meaning consoling people in distress) for its staff, students, and employees who were involved in health care services for the patients and their families. Objectives: The main objectives of the SAANTHWANA helpline are to identify psychosocial issues of the health care workers, to provide them with psychosocial interventions, and to create supportive networking in the hospital. Methods: SAANTHWANA helpline services were started in June 2020 and calls are answered by mental health professionals. It is a 24 x 7 hours toll-free helpline exclusively dedicated to the health care professionals working in the hospital. The calls received from June 2020 to March 2021 (N = 327) have been considered for the current study. The data was collected from the helpline records using a semi-structured questionnaire. Results: Most of the callers reported psychosocial issues such as distress, social stigma, confusion, lack of motivation, worries about their family, work stress, confusion, sleep disturbance, fear, being unable to look after the family, uncertainty, and lack of concentration on the work and daily activities. These issues of the health care workers were addressed by mental health professionals with psychosocial interventions such as proving correct information, ventilation, activity scheduling, guidance, social support, sleep hygiene, active listening, relaxation, and spirituality. The callers reported positive changes in their attitude and behaviour towards the pandemic as well as work. The SANTHWAANA helpline has been able to reach out to the health care workers who required not only administrative support but also psychosocial care. The helpline team is following up on all these cases to provide them with regular intervention required at different phases of the pandemic. There is a need to start such services for health care workers and other frontline workers across India. © 2023 DMICS.

Psychosocial crisis intervention for coronavirus disease 2019 patients and healthcare workers. / æ–°åž‹å† çŠ¶ç— æ¯’è‚ºç‚Žæ‚£è€ å’ŒåŒ»åŠ¡äººå‘˜çš„å¿ƒç†ç¤¾ä¼šå±æœºå¹²é¢„ï¼ˆè‹±æ–‡ï¼‰.

OBJECTIVES: Shelter hospital was an alternative way to provide large-scale medical isolation and treatment for people with mild coronavirus disease 2019 (COVID-19). Due to various reasons, patients admitted to the large shelter hospital was reported high level of psychological distress, so did the healthcare workers. This study aims to introduce a comprehensive and multifaceted psychosocial crisis intervention model. METHODS: The psychosocial crisis intervention model was provided to 200 patients and 240 healthcare workers in Wuhan Wuchang shelter hospital. Patient volunteers and organized peer support, client-centered culturally sensitive supportive care, timely delivery of scientific information about COVID-19 and its complications, mental health knowledge acquisition of non-psychiatric healthcare workers, group activities, counseling and education, virtualization of psychological intervention, consultation and liaison were exhibited respectively in the model. Pre-service survey was done in 38 patients and 49 healthcare workers using the Generalized Anxiety Disorder 7-item (GAD-7) scale, the Patient Health Questionnaire 2-item (PHQ-2) scale, and the Primary Care PTSD screen for the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (PC-PTSD-5). Forty-eight healthcare workers gave feedback after the intervention. RESULTS: The psychosocial crisis intervention model was successfully implemented by 10 mental health professionals and was well-accepted by both patients and healthcare workers in the shelter hospital. In pre-service survey, 15.8% of 38 patients were with anxiety, 55.3% were with stress, and 15.8% were with depression; 16.3% of 49 healthcare workers were with anxiety, 26.5% were with stress, and 22.4% were with depression. In post-service survey, 62.5% of 48 healthcare workers thought it was very practical, 37.5% thought more practical; 37.5% of them thought it was very helpful to relief anxiety and insomnia, and 27.1% thought much helpful; 37.5% of them thought it was very helpful to recognize patients with anxiety and insomnia, and 29.2% thought much helpful; 35.4% of them thought it was very helpful to deal with patients' anxiety and insomnia, and 37.5% thought much helpful. CONCLUSIONS: Psychological crisis intervention is feasible, acceptable, and associated with positive outcomes. Future tastings of this model in larger population and different settings are warranted.

First do no harm overlooked: Analysis of COVID-19 clinical guidance for maternal and newborn care from 101 countries shows breastfeeding widely undermined.

Background: In March 2020, the World Health Organization (WHO) published clinical guidance for the care of newborns of mothers with COVID-19. Weighing the available evidence on SARS-CoV-2 infection against the well-established harms of maternal-infant separation, the WHO recommended maternal-infant proximity and breastfeeding even in the presence of maternal infection. Since then, the WHO's approach has been validated by further research. However, early in the pandemic there was poor global alignment with the WHO recommendations. Methods: We assessed guidance documents collected in November and December 2020 from 101 countries and two regional agencies on the care of newborns of mothers with COVID-19 for alignment with the WHO recommendations. Recommendations considered were: (1) skin-to-skin contact; (2) early initiation of breastfeeding; (3) rooming-in; (4) direct breastfeeding; (5) provision of expressed breastmilk; (6) provision of donor human milk; (7) wet nursing; (8) provision of breastmilk substitutes; (9) relactation; (10) psychological support for separated mothers; and (11) psychological support for separated infants. Results: In less than one-quarter of country guidance were the three key breastfeeding facilitation practices of skin-to-skin contact, rooming-in, and direct breastfeeding recommended. Donor human milk was recommended in under one-quarter of guidance. Psychological support for mothers separated from their infants was recommended in 38%. Few countries recommended relactation, wet nursing, or psychological support for infants separated from mothers. In three-quarters of country guidance, expressed breastmilk for infants unable to directly breastfeed was recommended. The WHO and the United Kingdom's Royal College of Obstetricians and Gynecologists were each cited by half of country guidance documents with the United States Centers for Disease Control and Prevention directly or indirectly cited by 40%. Conclusion: Despite the WHO recommendations, many COVID-19 maternal and newborn care guidelines failed to recommend skin-to-skin contact, rooming-in, and breastfeeding as the standard of care. Irregular guidance updates and the discordant, but influential, guidance from the United States Centers for Disease Control may have been contributory. It appeared that once recommendations were made for separation or against breastfeeding they were difficult to reverse. In the absence of quality evidence on necessity, recommendations against breastfeeding should not be made in disease epidemics.

Conceptual Framework for the Psychosocial Support of Nurses Caring for Patients Diagnosed with COVID-19 Infection in North West Province, South Africa.

INTRODUCTION: A conceptual framework provides the detailed components or concepts identifying the interrelationships in and across a project's components. Due to a lack of psychosocial support, nurses caring for patients diagnosed with COVID-19 are physically, psychologically and socially affected. However, there are no conceptual frameworks for the psychosocial support of nurses caring for patients diagnosed with COVID-19 infection in North West Province, South Africa. The purpose of this study was to develop a conceptual framework for the psychosocial support of these nurses. DESIGN: A qualitative, descriptive phenomenological and contextual research design was followed to conduct this study. Six questions were used to classify concepts and develop the proposed framework. These six crucial questions are based on the agent, recipient, context, procedure, dynamics and terminus. FINDINGS: The results of the framework involved the mobilisation of effective managerial support, the provision of adequate human medical healthcare resources and the mobilisation of support from nurses working in non-COVID wards and family members in the provision of psychological support systems (procedure). The newly developed conceptual framework aims to support nurses caring for patients diagnosed with COVID-19 infection in North West Province (terminus) and to improve their wellbeing. CONCLUSION: The developed framework provides information that can assist nurses in providing quality care to patients. Contribution: The framework will provide solutions for healthcare institutions to respond effectively to similar pandemics in the future, improving the psychosocial wellbeing of nurses caring for patients diagnosed with COVID-19.

Recruitment of Adolescent Young Carers to a Psychosocial Support Intervention Study in Six European Countries: Lessons Learned from the ME-WE Project.

Young carers provide a substantial amount of care to family members and support to friends, yet their situation has not been actively addressed in research and policy in many European countries or indeed globally. Awareness of their situation by professionals and among children and young carers themselves remains low overall. Thus, young carers remain a largely hidden group within society. This study reports and analyses the recruitment process in a multi-centre intervention study offering psychosocial support to adolescent young carers (AYCs) aged 15-17 years. A cluster-randomised controlled trial was designed, with recruitment taking place in Italy, the Netherlands, Slovenia, Sweden, Switzerland and the United Kingdom exploiting various channels, including partnerships with schools, health and social services and carers organisations. In total, 478 AYCs were recruited and, after screening failures, withdrawals and initial dropouts, 217 were enrolled and started the intervention. Challenges encountered in reaching, recruiting and retaining AYCs included low levels of awareness among AYCs, a low willingness to participate in study activities, uncertainty about the prevalence of AYCs, a limited school capacity to support the recruitment; COVID-19 spreading in 2020-2021 and related restrictions. Based on this experience, recommendations are put forward for how to better engage AYCs in research.

Ensuring equity in mental health and psychosocial support during the COVID-19 pandemic and beyond.

Populations affected by armed conflict and other humanitarian crises are at elevated risk for mental health problems. While the COVID-19 pandemic has had broadly deleterious effects on livelihoods, economic well-being, and population health worldwide, vulnerable groups have been disproportionately impacted by the pandemic. Providing mental health and psychosocial support (MHPSS) services during these times to vulnerable groups, especially in low- and middle-income countries and humanitarian settings, is essential. In an effort to comply with the public health response to the pandemic and mitigate COVID-19 transmission, significant implementation adaptations were made to service delivery during the pandemic. This short report describes several strategies to ensure that equity was central to these adaptations and public health responses, and provides recommendations for ensuring continuity of this progress post-pandemic. Examples and key lessons learned are given related to strategies to increase access to MHPSS services, improve meaningful stakeholder engagement, develop and support community networks, and implement community-based psychosocial support groups. They come from diverse settings of Bangladesh, Colombia, Ecuador, and Lebanon. The COVID-19 pandemic has highlighted the importance of preventing and treating MHPSS issues. It also has created opportunities for innovative programming to address overlooked problems, improve the quality of services provided, and increase focus on equity. It is vital that we use the momentum and attention generated around MHPSS services during the COVID-19 pandemic to continue to build and improve existing MHPSS services in more equitable ways for vulnerable populations.

Online collective care spaces: health promotion in times of isolation due to COVID-19 / Espaços on-line de cuidados coletivos: promoção da saúde em tempos de isolamento pela COVID-19 / Espacios en línea de cuidados colectivos: promoción de la salud en tiempos de aislamiento por COVID-19

Objetivo: Relatar a experiência das ações de cuidado on-line realizadas pelo Grupo de Trabalho Promoção e Prevenção à Saúde da Universidade de Brasília (UnB) no contexto da pandemia da COVID-19. Síntese dos Dados: Trata-se de um relato de experiência das ações de promoção e prevenção da saúde mental para a comunidade acadêmica da UnB, no período de março a julho de 2020. Adotou-se a metodologia da sistematização de experiência utilizando registros das observações em diários de campo das ações de cuidado on-line: terapia comunitária, técnica de relaxamento, bate-papo literário e cartas solidárias. Assim, com base na empatia, solidariedade, cuidado e interatividade, as ações desenvolvidas envolveram vários atores sociais com experiências diversas, visando à cooperação em busca de soluções possíveis para promoção da saúde da comunidade acadêmica, em tempos de pandemia. Conclusão: A descoberta de espaços virtuais como potencialidades terapêuticas revelou ser um caminho possível para o fortalecimento das redes de cuidado, conexões e laços afetivos entre a comunidade acadêmica num momento de restrição social devido à COVID-19, apesar das inúmeras limitações impostas pelo uso da tecnologia.

Objective: To report the experience of online care actions carried out by the Health Promotion and Prevention Working Group of the University of Brasília (Universidade de Brasília ­ UnB) in the context of the COVID-19 pandemic. Data Synthesis: This is an experience report on mental health promotion and disease prevention actions developed for the academic community of UnB from March to July 2020. The methodology of systematization of experience was adopted using records of observations of online care actions in field journals: community therapy, relaxation technique, literary chat and solidarity letters. Thus, based on empathy, solidarity, care and interactivity, the actions developed involved several social actors with different experiences aiming at cooperation in search for possible solutions to promote the health of the academic community in times of pandemic. Conclusion: The discovery of virtual spaces as therapeutic potentialities proved to be a possible way to strengthen care networks, connections and affective bonds among the academic community at a time of social restriction due to COVID-19, despite the numerous limitations imposed by the use of the technology

Objetivo: Informar la experiencia de las acciones de cuidado en línea realizadas por el Grupo de Trabajo, Promoción y prevención a la Salud de la Universidad de Brasilia (UnB) en el contexto de la pandemia de COVID-19. Síntesis de los Datos: Se trata de un informe de experiencia de las acciones de promoción de la salud mental para la comunidad académica de la UnB, en el período de marzo a julio de 2020. Se adoptó la metodología de sistematización de experiencia utilizando registros de las observaciones en diarios de campo de las acciones de cuidado en línea: terapia comunitaria, técnica de relajamiento, charla literaria y cartas solidarias. Así, con base en la empatía, solidaridad, cuidado e interactividad, las acciones desarrolladas envolvieron varios actores sociales con diversas experiencias, buscando la cooperación para encontrar posibles soluciones para promoción de la salud de la comunidad académica, en tiempos de pandemia. Conclusión: El descubrimiento de espacios virtuales como potencialidades terapéuticas reveló ser un camino posible para el fortalecimiento de las redes de cuidado, conexiones y lazos afectivos entre la comunidad académica en un momento de restricción social debido a COVID-19, a pesar de las innúmeras limitaciones impuestas por el uso de la tecnología.

National survey of sibling support services in children's hospitals

Nearly a quarter-million children are siblings to children living with serious illness. Intense physical, emotional, social and psychological concerns are introduced when a brother or sister is diagnosed with a serious illness or disease. Support services for siblings are critical to promote positive outcomes and decrease negative consequences and align with parents' desires to support all of their children. These include services offered to the sibling or family to provide comfort or enhance the quality of life during a child's serious illness. Despite national standards, sibling support services are often difficult for families to access. The aim of this study was to describe sibling support activities provided through teaching children's hospitals across the United States using a cross-sectional, descriptive design. Results indicate most hospitals surveyed offer sibling support services that focus on sibling education about the illness;parent education on how to anticipate the siblings needs;and activities for families to do together, yet face barriers to delivery. Services focused directly on siblings and actively supporting their adaptation were least often provided and less than half reported screening siblings for psychosocial distress. Findings suggest that sibling support services may be an important resource to minimize distress and promote adaptation for siblings. This description of current and available sibling support services is an important starting point for enhancing services, policies, and institutions that fully envelope siblings into patient- and family-centered care. Copyright © 2022 Informa UK Limited, trading as Taylor & Francis Group.

A Hospital-Based Online Patients Support Program, Online Adolescent and Young Adult Hiroba, for Adolescent and Young Adult Cancer Patients at a Designated Cancer Center in Japan.

Adolescent and young adult (AYA) patients with cancer have few opportunities to interact with peers in their lives. To meet peers safely during the coronavirus disease 2019 (COVID-19) pandemic, a hospital-based online patients support program called Online AYA Hiroba was launched for AYA patients with cancer and held regularly by the National Cancer Center Hospital in Japan. This retrospective study suggested the degree of satisfaction with this program and issues about facilitating the sessions that are unique to the online environment. Our findings potentially contribute to the establishment of a hospital-based online patients support program for AYA patients with cancer at other hospitals.