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1.
J Clin Med ; 11(7)2022 Mar 26.
Article in English | MEDLINE | ID: covidwho-2216396

ABSTRACT

Hospital-at-home (HaH) care is useful for patients with COVID-19 and an alternative strategy when hospital capacity is under pressure due to patient surges. However, the efficacy and safety of HaH in elderly patients with COVID-19 remain unknown. In Kyoto city, we conducted a retrospective medical record review of HaH care focused on elderly COVID-19 patients from 4 February to 25 June 2021. Eligible patients were (1) COVID-19 patients aged ≥70 years and those who lived with them or (2) COVID-19 patients aged <70 years with special circumstances and those who lived with them. During the study period, 100 patients received HaH care. Their median age was 76 years (interquartile range 56-83), and 65% were over 70 years. Among 100 patients, 36 (36%) had hypoxia (oxygen saturation ≤ 92%), 21 (21%) received steroid medication, and 34 (34%) received intravenous fluids. Although 22 patients were admitted to the hospital and 3 patients died there, no patients died during HaH care. HaH care may be safe and effective in elderly patients with COVID-19. Our study shows that HaH provides an alternative strategy for treating COVID-19 patients and can reduce the healthcare burden at hospitals.

2.
Autism ; : 13623613221080315, 2022 Mar 14.
Article in English | MEDLINE | ID: covidwho-2214398

ABSTRACT

LAY ABSTRACT: Autistic people are more likely to have a gender identity which does not match their sex assigned at birth. Some people experience distress about their sex and gender not matching, which is called gender dysphoria. Such individuals may wish to attend a gender clinic to access healthcare support for gender dysphoria. Currently, there is limited evidence to help clinicians best support autistic people who need healthcare for gender dysphoria. We wanted to find out what healthcare clinicians think about working with autistic patients with gender dysphoria. We interviewed 16 clinicians who work in healthcare services with adults and young people who are autistic and experience gender dysphoria. We recorded the interviews and carefully analysed the content to find key themes. We found that clinicians worked with patients to try and better understand their experiences of gender dysphoria. Clinicians identified features of autism that they believed were related to gender identity and dysphoria including different thinking styles, social differences, and sensory sensitivities. Clinicians noticed that autistic people spoke about their gender in different ways to non-autistic people. Clinicians tried to adapt their practice to better meet the needs of their autistic patients. These adaptations tended to focus on differences in the assessment process, for example, offering longer or shorter appointments and changing their communication style. We conclude that clinicians were offering an individualised approach to autistic patients experiencing gender dysphoria. However, these clinicians were particularly interested in working with autistic people, and so may not be representative of the wider clinician population. Clinicians working in this area should receive training on autism adaptations and the intersection of autism and gender dysphoria.

3.
Open Forum Infect Dis ; 9(10): ofac510, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-2212862

ABSTRACT

Background: Outbreaks of healthcare-associated mucormycosis (HCM), a life-threatening fungal infection, have been attributed to multiple sources, including contaminated healthcare linens. In 2020, staff at Hospital A in Arkansas alerted public health officials of a potential HCM outbreak. Methods: We collected data on patients at Hospital A who had invasive mucormycosis during January 2017-June 2021 and calculated annual incidence of HCM (defined as mucormycosis diagnosed within ≥7 days after hospital admission). We performed targeted environmental assessments, including linen sampling at the hospital, to identify potential sources of infection. Results: During the outbreak period (June 2019-June 2021), 16 patients had HCM; clinical features were similar between HCM patients and non-HCM patients. Hospital-wide HCM incidence (per 100 000 patient-days) increased from 0 in 2018 to 3 in 2019 and 6 in 2020. For the 16 HCM patients, the most common underlying medical conditions were hematologic malignancy (56%) and recent traumatic injury (38%); 38% of HCM patients died in-hospital. Healthcare-associated mucormycosis cases were not epidemiologically linked by common procedures, products, units, or rooms. At Hospital A and its contracted offsite laundry provider, suboptimal handling of laundered linens and inadequate environmental controls to prevent mucormycete contamination were observed. We detected Rhizopus on 9 (9%) of 98 linens sampled at the hospital, including on linens that had just arrived from the laundry facility. Conclusions: We describe the largest, single-center, HCM outbreak reported to date. Our findings underscore the importance of hospital-based monitoring for HCM and increased attention to the safe handling of laundered linens.

4.
Jpn J Infect Dis ; 2022 Aug 31.
Article in English | MEDLINE | ID: covidwho-2217570

ABSTRACT

Since February 2021, healthcare workers in Japan have been preferentially vaccinated with a messenger RNA vaccine (BNT162b2/Pfizer) against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). While many studies have confirmed that this vaccine is highly effective in reducing hospitalizations and deaths from coronavirus disease 2019 (COVID-19), antibody titers tend to decline at 3 months, leading to a risk of breakthrough infections. Thus, information is needed to support decision making regarding the third vaccination. In this study, we investigated transition of the anti-SARS-CoV-2 spike protein receptor-binding domain (RBD) IgG and neutralizing antibody titers of 37 vaccinated Japanese healthcare workers. Samples were collected six times starting prevaccination until 6 months after the second vaccination. Anti-SARS-CoV-2 RBD IgG levels peaked at 1 week after the second vaccination, then declined over time and decreased to <10% at 6 months after the second vaccination. Additionally, approximately one third of subjects at 6 months after the second vaccination were seronegative for the Omicron variant. Workers with low anti-SARS-CoV-2 RBD IgG levels also had low neutralizing antibody titers. These data support the active use of boosters for healthcare workers, especially for those with low anti-SARS-CoV-2 RBD IgG levels.

5.
Elife ; 112022 09 13.
Article in English | MEDLINE | ID: covidwho-2217486

ABSTRACT

Background: Viral sequencing of SARS-CoV-2 has been used for outbreak investigation, but there is limited evidence supporting routine use for infection prevention and control (IPC) within hospital settings. Methods: We conducted a prospective non-randomised trial of sequencing at 14 acute UK hospital trusts. Sites each had a 4-week baseline data collection period, followed by intervention periods comprising 8 weeks of 'rapid' (<48 hr) and 4 weeks of 'longer-turnaround' (5-10 days) sequencing using a sequence reporting tool (SRT). Data were collected on all hospital-onset COVID-19 infections (HOCIs; detected ≥48 hr from admission). The impact of the sequencing intervention on IPC knowledge and actions, and on the incidence of probable/definite hospital-acquired infections (HAIs), was evaluated. Results: A total of 2170 HOCI cases were recorded from October 2020 to April 2021, corresponding to a period of extreme strain on the health service, with sequence reports returned for 650/1320 (49.2%) during intervention phases. We did not detect a statistically significant change in weekly incidence of HAIs in longer-turnaround (incidence rate ratio 1.60, 95% CI 0.85-3.01; p=0.14) or rapid (0.85, 0.48-1.50; p=0.54) intervention phases compared to baseline phase. However, IPC practice was changed in 7.8 and 7.4% of all HOCI cases in rapid and longer-turnaround phases, respectively, and 17.2 and 11.6% of cases where the report was returned. In a 'per-protocol' sensitivity analysis, there was an impact on IPC actions in 20.7% of HOCI cases when the SRT report was returned within 5 days. Capacity to respond effectively to insights from sequencing was breached in most sites by the volume of cases and limited resources. Conclusions: While we did not demonstrate a direct impact of sequencing on the incidence of nosocomial transmission, our results suggest that sequencing can inform IPC response to HOCIs, particularly when returned within 5 days. Funding: COG-UK is supported by funding from the Medical Research Council (MRC) part of UK Research & Innovation (UKRI), the National Institute of Health Research (NIHR) (grant code: MC_PC_19027), and Genome Research Limited, operating as the Wellcome Sanger Institute. Clinical trial number: NCT04405934.


Subject(s)
COVID-19 , Cross Infection , Humans , SARS-CoV-2/genetics , COVID-19/epidemiology , COVID-19/prevention & control , Prospective Studies , Infection Control/methods , Cross Infection/epidemiology , Cross Infection/prevention & control , Hospitals
6.
Contemporary Family Therapy: An International Journal ; : 1-12, 2023.
Article in English | Academic Search Complete | ID: covidwho-2209396

ABSTRACT

Attrition in psychotherapy has been identified as a significant obstacle in the productive delivery of mental health services. Defined generally as the ending of a treatment prior to proper optimal benefit, attrition both hinders treatment efficacy and costeffectiveness in therapy. With the demands for quality mental health services increasing, resources must be identified to reduce barriers to such services. The COVID-19 pandemic has resulted in the emergence of one potential resources: telehealth services. The current study aims to identify how COVID-19 and telehealth services have influenced attrition by analyzing attrition rates from both before and during the pandemic in a community health center where a transition to telehealth was made at the start of the pandemic. In addition, the variables of age, gender, socioeconomic status, and insurance coverage were also tested as potential predictors of attrition. Using de-identified patient information, clients who had participated in therapy services within a six-month period at a community health center (N = 329) were selected. A survival analysis was used to assess the time taken from initial appointment to the point of attrition. Results indicated that those who attended therapy via telehealth were less likely to stop attending treatment than those who participated in therapy in person. Individuals who used both in-person and telehealth visits were the least likely to terminate treatment prematurely. Clinical implications include the need for therapists to offer both telehealth and in-person services in order to give clients more resources to reduce a large barrier to needed mental healthcare treatment. [ FROM AUTHOR]

7.
Journal of Public Health ; 2023.
Article in English | EMBASE | ID: covidwho-2209370

ABSTRACT

Aim: Medicines non-adherence is associated with poorer outcomes and higher costs. COVID-19 affected access to healthcare, with increased reliance on remote methods, including medicines supply. This study aimed to identify what affected people's adherence to medicines for long-term conditions (LTCs) during the pandemic. Subject and methods: Cross-sectional online survey of UK adults prescribed medicines for LTCs assessing self-reported medicines adherence, reasons for non-adherence (using the capability, opportunity and motivation model of behaviour [COM-B]), medicines access and COVID-19-related behaviours. Result(s): The 1746 respondents reported a mean (SD) of 2.5 (1.9) LTCs, for which they were taking 2.4 (1.9) prescribed medicines, 525 (30.1%) reported using digital tools to support ordering or taking medicines and 22.6% reported medicines non-adherence. No access to at least one medicine was reported by 182 (10.4%) respondents;1048 (60.0%) reported taking at least one non-prescription medicine as a substitute;409 (23.4%) requested emergency supply from pharmacy for at least one medicine. Problems accessing medicines, being younger, male, in the highest socioeconomic group and working were linked to poorer adherence. Access problems were mostly directly or indirectly related to the COVID-19 pandemic. Respondents were generally lacking in capabilities and opportunities, but disruptions to habits (automatic motivation) was the major reason for non-adherence. Conclusion(s): Navigating changes in how medicines were accessed, and disruption of habits during the COVID-19 pandemic, was associated with suboptimal adherence. People were resourceful in overcoming barriers to access. Solutions to support medicines-taking need to take account of the multiple ways that medicines are prescribed and supplied remotely. Copyright © 2023, The Author(s).

8.
Global Business and Organizational Excellence ; 2023.
Article in English | Scopus | ID: covidwho-2209125

ABSTRACT

The Covid-19 pandemic transformed the global entrepreneurship arena. The healthcare sector also transitioned from the traditional in-person patient-physician interaction to the virtual telemedicine healthcare delivery system with global outreach. The entrepreneur alliances in the healthcare sector almost doubled during the pandemic with maximum tie-ups with international healthcare institutions. The study takes a bibliometric perspective by analyzing articles on global entrepreneurship in healthcare. It provides the most influential authors and institutions, the thematic structure through cluster analysis, co-word network analysis, and co-citation analysis related to the literature on global entrepreneurship in the healthcare domain. The findings emphasized the importance of local alliances compared to global alliances in healthcare service delivery, especially during a pandemic. Technology was found to be a great enabler for global entrepreneurship. The study also highlights the emerging research themes for scholars working on global entrepreneurship in the healthcare sector. © 2023 Wiley Periodicals LLC.

9.
Pakistan Journal of Medical and Health Sciences ; 16(12):144-146, 2022.
Article in English | EMBASE | ID: covidwho-2218329

ABSTRACT

Aim: To assess the psychological impact of COVID-19 on mental status of undergraduate medical students, after reopening of educational institutions. Method(s): This descriptive, online cross-sectional study was conducted on medical students of Combined Military Hospital Lahore Medical College & Institute of Dentistry, Lahore Pakistan for 6 months from 1st June to 30th November, 2021. Generalized Anxiety Disorder Scale (GAD-7) was used as the study tool. Data was analyzed by using statistical software SPSS - 23. Frequencies and percentages were used for descriptive variables. A univariate analysis was utilized to identify the noticeable associations between traits of sample and the anxiety level in current scenario of COVID-19 pandemic. Finally multivariate logistic regression analyses, odds ratio (OR), and Spearman's correlation coefficient, r, was used to evaluate the association between COVID-19-related stressors and anxiety level. Result(s): Of the 324 respondents, majority were females residing in urban areas with their parents. Severe anxiety was experienced by 23.8% of students. Female respondents were found to have more anxiety as compared to males (OR = 1.81;95% CI = 1.173 - 2.815). Moreover, respondents having a relative or an acquaintance infected with COVID-19 reported to have more anxiety (OR = 3.007, 95% CI = 2.377 - 3.804). Conclusion(s): A significant number of students are experiencing anxiety in the post COVID-19 phase, especially those that had an acquaintance infected with COVID-19. There is a need to look after student's mental health and to implement appropriate psychological strategies and interventions to deal with this level of psychological distress in the students at this phase of pandemic for optimum training of future health professionals. Copyright © 2022 Lahore Medical And Dental College. All rights reserved.

10.
Pakistan Journal of Medical and Health Sciences ; 16(12):59-62, 2022.
Article in English | EMBASE | ID: covidwho-2218325

ABSTRACT

Background: The specialty of dentistry was being reassembled in its response to Covid-19 pandemic. Teledentistry proved to be a promising way to reach the marginalized population, therefore providing effective substitute of physical dentist-patient interaction with minimal risk of cross infection. Aim(s): To assess the level of knowledge regarding teledentistry among urban population of Lahore. Moreover it was also focused to analyze the experience and satisfaction of patients regarding the use of virtual dental platforms. Methodology: A cross-sectional study was conducted from April 2022 to June 2022 among 125 general dental patients visiting University Dental Hospital, University of Lahore who have used the virtual dental platforms. The sampling was done with non-probability convenience sampling technique. A self-structured questionnaire with 21 close ended questions was used. Questionnaire was divided into two sections. The first section consisted of 5 questions regarding patient's demographic data, how did they get to know about teledentistry and for who didthey used teledentistry platform. Result(s): A total of 125 patients participated in the study, out of which 38(30.4%) were male and 87(69.6%) were female. A large majority 120(96%) of patients were in the age category of 20-40 years. In reference to education, majority of the participants were graduates 107(85.6%). According to our study 14(11.2%) participants wereextremely familiar with the term teledentistry compared to 42(33.6%) who were slightly familiar and only 12(9.6%) were extremely unfamiliar. Regarding familiarity about different platforms of teledentistry (e.g., Marham, Oladoc etc. 30(24%) were moderately familiar 13(10.4%) were extremely familiar and 30(24%) were extremely unfamiliar. About satisfaction, majority 62(49.6%) of people were satisfied with the increasing trend of teledentistry. Conclusion(s): The majority of the survey participants expressed positive responses towards teledentistry in all domains. This study found high levels of patient satisfaction with virtual consultation.There is a further need to improve the knowledge and promote teledentistry. Copyright © 2022 Lahore Medical And Dental College. All rights reserved.

11.
Malaysian Journal of Medicine & Health Sciences ; 19:205-214, 2023.
Article in English | Academic Search Complete | ID: covidwho-2218304

ABSTRACT

Introduction: This study measured the outcome of the Optimal Health Program (OHP) among frontline healthcare workers during the COVID-19 pandemic. The OHP is a wellness-based self-management intervention focused on well-being to gain optimal health. OHP is originally from Australia and has been translated, culturally adapted and branded as the Program Kesihatan Optimum Sanubari (SANUBARI). The program was conducted as a psychosocial intervention and the outcomes measured were self-efficacy, coping styles and well-being. Methods: Eligible participants were nurses who actively managed COVID-19 inpatients in Hospital Kuala Lumpur and committed to complete the intervention. Those who did not provide consent or had comorbidity, unstable medical or psychiatry illnesses were excluded. 43 nurses were recruited through convenience sampling method and completed outcome measures from General Self-Efficacy Scale, Brief COPE and WHO-5 Well-being Index, before and 1-month after the intervention. The OHP was conducted via group-based, using OHP Sanubari workbook with 5 weekly sessions by trained facilitators and lasted for 60 to 90 minutes per session. Results: Significant improvement was observed 1-month post intervention for self-efficacy (t(42)=5.64, p <0.001) and well-being(t(42)=2.14, p<0.05);different approach coping strategies(acceptance, use of informational support, positive reframing, active coping, and planning) and avoidant coping strategies(distraction, venting, denial, and substance use). Whilst, humor coping reduced significantly 1-month post-intervention (t(42)=3.66, p<0.05). Conclusion: This study reports the positive outcome of OHP on the mental health status of healthcare workers during the pandemic. This program can be considered as a tool towards optimal health throughout their career. [ FROM AUTHOR]

12.
Indo Global Journal of Pharmaceutical Sciences ; 12:265-272, 2022.
Article in English | EMBASE | ID: covidwho-2218124

ABSTRACT

Over the past few years, the countries of the world have been afflicted with numerous infectious ailments. As the terror of the COVID-19 disease widespread decreases, nations throughout the world are facing the terror of the epidemic surrounding the pervasiveness of the geographical spread of human monkeypox cases worldwide. Thus, several approaches to decimate the rising spread of the monkeypox virus (MPXV) are warranted. MPXV cases received global attention during the 1970s, emanating from Africa has fully-fledged to be a universal concern with MPXV cases reported in Israel, Singapore, the United Kingdom, and the United States. Monkeypox appears as a zoonotic viral disease that is instigated via the monkeypox virus recognized as the most critical orthopoxviral infection in humans. Transmission of the monkeypox virus to human beings is alleged to occur via direct exposure to infected animals or it can probably be transmitted via consuming infected meat, or blood. The transmission from human to human takes place through the respiratory route (droplets), virus-contaminated material, and direct contact (skin-to-skin or sexual). This disease may be caused several difficulties including, headache, fever, malaise, back pain, rash, and lymphadenopathies. Presently, there is no proven therapy for its treatment, thus monkeypox virus is considered a major threat to global health security. In this review, we discussed the transmission potential of the monkeypox virus on the healthcare system, its epidemiology, mode of transmission, and different diagnostic, preventive, and treatment approaches. Copyright © 2022 Caproslaxy Media. All rights reserved.

13.
Galen Medical Journal ; 11, 2022.
Article in English | Web of Science | ID: covidwho-2218082

ABSTRACT

Background: During the Coronavirus 2019 (COVID-19) outbreak, Iranian medical sciences students were at higher risk of contracting this virus because they were in infected environments. So, they are predisposed to high levels of anxiety that could worsen their lives. The determent of factors and levels of anxiety could be helpful to reduce anxiety and control its worse effects. Hence, this study aimed to measure the anxiety index and its factors among medical sciences students during the COVID-19 pandemic in Iran. Materials and Methods: In this cross-sectional study, an online survey was sent to students from 27 medical sciences universities in Iran from 20th December 2020 to 10th March 2021. The online survey consists of the Health Anxiety Inventory (HAI) for measured general health anxiety as well as the baseline characteristics of students. Results: 723 students responded, including 483 (66.8%) females and mean HAI score was 16.76 +/- 8.35. Based on our findings, gender, past medical, and drug history were significantly related to the high level of anxiety. However, there was no coloration between HAI scores with age, the field of study, study duration, university location, and attendance in the hospital and/ or COVID-19 ward (P>0.05). Conclusions: Students with notable past medical history and/or drug history and female students more than others were predisposed to anxiety in a pandemic such as COVID-19. Hence, in a pandemic situation, psychological care should concern them. [GMJ.2022;11:e2537] DOI:10.31661/gmj.v11i.2537

14.
Epidemiologiya i Vaktsinoprofilaktika ; 21(6):13-23, 2022.
Article in Russian | Scopus | ID: covidwho-2218080

ABSTRACT

Relevance. Due to the COVID-19 pandemic a infectious diseases hospitals nationwide network has been deployed to treat patients infected with SARS-CoV-2. The principles of their formation with a strict division into «infectious» and «clean» zones, despite the epidemiological justification, lead to the formation of a dynamic artificially created closed ecosystem. In such an ecosystem, on the one hand, patients who undergo a wide range of invasive and aggressive therapeutic and diagnostic manipulations, and medical personnel stay for a long time, on the other hand, pathogens of a viral and bacterial nature that can adapt to hospital conditions and form resistant strains circulate. As a result, high risks of contamination of environmental objects of hospitals and patients themselves are created, which can lead to the development of exogenous nosocomial infection. Aims. To study the features of viral and bacterial contamination of objects in the hospital environment of the infectious diseases hospital for the treatment of patients infected with SARS-CoV-2 during the COVID-19 pandemic. Materials and methods. A study was conducted on 343 samples from the external environment of the infectious diseases hospital for COVID-19 patients' treatment during its planned work. Sample collection was performed during three days (Tuesday, Thursday, Sunday) at 20 unified sampling points: in the area where patients general hospital area as well as from the outer surface of personal protective equipment for medical personnel (overalls, gloves). The study used epidemiological (descriptive-evaluative and analytical), molecular genetic (SARS-CoV-2 PCR-RT, sequencing), bacteriological (isolation, cultivation and MALDI-TOF identification of bacterial cultures) methods. Statistical significance of differences was assessed by Fisher's point test (φ). Differences were considered significant at p≤0.05. Statistical data processing was carried out using the Microsoft Office 2010 application package, the online resource https://medstatistic. ru/, ST Statistica 10. Results. The study demonstrated a high level of viral and bacterial contamination of environmental objects in the intensive care unit of the infectious diseases hospital for COVID-19 patients treatment – 11.1%, incl. objects of the general hospital environment – 9.3% (doctor's workplace – 16.7%);patient location area – 13.9% (electric pump – 27.8%, mechanical ventilation, manipulation table – 16.7% each);the outer surface of personnel gloves – 21.1–38.9%;the outer surface of protective overalls for personnel – 44.4–50.0%. SARS-CoV-2 isolated from the objects of the external environment of the hospital belonged to the genetic variant B.1.617.1 DELTA, which corresponded to the epidemiological situation at sampling collection period. The opportunistic microflora structure was dominated by Enterococcus faecalis (38.1%), Klebsiella pneumoniaе (21.4%) and Escherichia coli (16.7%), which demonstrated a high level of resistance (to 3 or more groups of antibiotics). Conclusion. Initially, the main sources of the infectious diseases hospital environmental objects contamination with SARS-CoV-2 are most likely patients. Further contamination of the infectious diseases hospital environmental objects with viruses and opportunistic microflora occurs with the medical personnel direct participation. The current situation requires a review of approaches to the rules for disinfection, the PPE use and employees hands antiseptic treatment in infectious diseases hospital during the COVID-19 pandemic, as well as the length of staff work period length. © 2022, Numikom. All rights reserved.

15.
Administratie si Management Public ; 2022(39):40-62, 2022.
Article in English | Scopus | ID: covidwho-2217975

ABSTRACT

Healthcare is a key element of the state's national security. The effectiveness of the healthcare industry functioning is a relevant object of research today, especially after the outbreak of the COVID-19 pandemic, during which this sector globally demonstrated its potential and problems. It necessitates a comprehensive assessment of the competitiveness of the healthcare industry and institutions as an important component of their effective management. The objects of the research are public healthcare and institutions as service organizations. The purpose is to develop a scientific-methodical approach to managing the competitiveness in the country's healthcare industry. That is, the research is aimed at developing a market-oriented competitiveness management mechanism for public healthcare institutions. The construction of the mechanism is based on the analysis of statistical data on Ukrainian healthcare institutions according to indicators based on the "7P" marketing concept. Clustering methods, an integral indicator of competitiveness, and multidimensional methods of taxonomic analysis were also used for assessing the level of competitiveness of healthcare institutions and the comparative effectiveness of alternative measures to increase it. © 2022, Bucharest University of Economic Studies Publishing House. All rights reserved.

16.
Journal of Hospital Management and Health Policy ; 6, 2022.
Article in English | Scopus | ID: covidwho-2217862

ABSTRACT

Background: During the coronavirus disease 2019 (COVID-19) pandemic one responsive strategy to ensure hospital staff capacity was reallocation of staff between departments. Unpredicted factors may influence how such a strategy is executed and knowledge of potential moderating factors is essential to improve future staff contingency plans. The aim of this study was to explore the dynamics of reallocating non-clinical staff from departments with low activity to clinical practice during the first wave of the COVID-19 pandemic at a 530-bed university hospital in the Capital Region of Denmark. Methods: This was a qualitative study based on six individual semi-structured interviews with non-clinical staff who were reallocated during the first wave of the COVID-19 pandemic, and eight interviews with leaders from departments reallocating staff. Data was analyzed using inductive content analysis. Results: The results showed that implementation of a staff contingency plan is influenced by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Even though staff felt obligated and motivated to work and intended to cover shifts, reallocation was influenced by several other factors related to the contingency plan set-up, how the contingency plan and roles were interpreted by staff and leaders, how the leaders prioritized tasks and staff time, and the feeling of psychological safety. We found that staff and leaders interpreted the contingency plan in a social context, navigated the system, and made individual adjustments. Conclusions: This study sheds light on the dynamics of a reallocation process of non-clinical staff during the first wave of the COVID-19 pandemic. Reallocation is affected by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Future staff contingency plans should take these factors into consideration to make better use of human resources in times of crisis and to improve staff experience with reallocation. © 2022 The authors.

17.
Acta Medica Iranica ; 60(11):675-679, 2022.
Article in English | EMBASE | ID: covidwho-2217804

ABSTRACT

The pandemic caused by Coronavirus-19 Disease (COVID-19) is having negative effects on healthcare workers (HCW) mental health due to the tremendous amount of stress to which they are exposed to. We aimed to assess the number of mental health outcomes among HCW treating patients with COVID-19. This cross-sectional study collected demographic data and mental health measurements from HCW in different hospitals using an online questionnaire. Participants were asked to complete the 9-item Patient Health Questionnaire (PHQ-9), the 7-item Insomnia Severity Index (ISI), and the 7-item Generalized Anxiety Disorder scale (GAD-7). One hundred and forty-one participants with a mean age of 30.6+/-25 years and a sex ratio of 0.3 completed the online questionnaire. Participants from major university-hospital centers of northern Tunisia were divided into two groups: 78% medical and 22% paramedical staff. Twenty-two participants (15.6%) had a chronic disease, and 21 (14.9%) had a history of depression. Nineteen (13.4%) of the participants were infected with COVID-19. Thirteen percent of participants experienced the same anxiety level as the first-time taking care of COVID-19 patients, while 65% were rather an at ease compared to the first time. Forty-seven percent of participants felt the need for psychological support, and 16.7% of them had consulted a psychiatrist. Mild depression was detected in 14.1% of cases, moderate depression in 4.2% of cases, and severe depression in 2.1% of cases. As for anxiety, 36.1% of participants suffered from mild anxiety, 14.9% from moderate anxiety, and 4.9% from severe anxiety. Mild insomnia was detected in 44.6% of cases, moderate insomnia in 14.9% of cases, and severe insomnia in 9.9% of cases. Female gender (depression: P=0.05;anxiety: P=0.05;insomnia: P=0.02), having friends or relatives with COVID (depression: P=0.01;anxiety: P=0.05), psychiatric illness (depression: P=0.05;anxiety: P=0.01;insomnia: P=0.01), and chronic disease (depression: P=0.02;anxiety: P=0.03) were significantly associated with more severe mental health symptoms. Tunisian HCW experienced psychological burdens and a high rate of anxiety, depression, and insomnia. HCW should be protected in order to promote mental well-being. Copyright © 2022 Tehran University of Medical Sciences. All rights reserved.

18.
Erciyes Medical Journal ; 45(1):84-89, 2023.
Article in English | EMBASE | ID: covidwho-2217690

ABSTRACT

Objective: The global healthcare system was severely impacted by the coronavirus disease 2019 (COVID-19). Healthcare professionals, especially doctors, faced a tremendous amount of responsibility irrespective of the specialty and levels of ex-perience. The majority of nations saw physicians from all medical specialties relocate to COVID-19 wards. Working outside of one's comfort zone would have a significant psychosocial impact, especially in a crisis like the pandemic. To describe the experience of noninfectious disease physicians redeployed to COVID-19 duties. Material(s) and Method(s): All noninfectious disease physicians who were redeployed to COVID-19 duties received a Google form with 25 questions. Using the Pearson chi-squared test and the Fisher exact test, the relationship between survey responses and working experience and department was investigated. Statistical threshold was set at p<0.05. Result(s): Out of 180 respondents, 114 completed the survey in total. Most of the participants were female (64.9%) aged between 31-40 years old (86.8%) with 64.9% having 5-10 years of working experience. During the redeployment, 57% of respondents reported experiencing psychological effects, and 73.7% felt underprepared. However, 71.1% said their assign-ment to COVID-19 wards was beneficial, and 38.4% were willing to receive redeployment. Conclusion(s): The results of the survey indicate that COVID-19 ward redeployment was successful because participants believed their participation was important and the lead team in the COVID-19 wards offered enough direction and assistance. Doctors are prepared to safely treat COVID-19 patients, thanks to the intensive crash course and their fundamental medical knowledge. Copyright © 2023 by Erciyes University Faculty of Medicine.

19.
International Journal of Virtual and Personal Learning Environments ; 13(1), 2022.
Article in English | Scopus | ID: covidwho-2217199

ABSTRACT

The COVID-19 outbreak has greatly forced the education systems around the world to undergo rapid change. Given today's uncertainty, it is essential to understand students' online learning experiences during the COVID-19 pandemic. Despite the fact that many studies were investigated in this area, there is limited available information about the barriers, challenges, and the difficulties students face during online learning. This paper studies the online learning platforms' utilization during the COVID-19 pandemic for students' engagement in the Medical Technology and Allied Healthcare education. This paper looks at studying the various benefits of imparting education through e-learning, identifying the challenges faced by learners, and measures the satisfaction levels of learners. From the study, it emerged that students' satisfaction index in using e-learning technologies is high for courses in Medical Technology and Allied Healthcare education. Copyright © 2023, IGI Global.

20.
International Journal of E-Health and Medical Communications ; 13(5), 2022.
Article in English | Scopus | ID: covidwho-2217191

ABSTRACT

One of the most difficult tasks for the physicians is to analyze, manage, and plan suitable diagnoses and treatments for society, especially in an epidemic situation like Corona virus disease (COVID-19). Hence, the mortality rate shoots up. The ultimate reason for such pathetic situation is due to large mass of people being infected, lack of physicians and testing staff, and the threat of physicians themselves being infected while testing patients. This article proposes a solution to tackle this major issue worldwide. This article portrays the methodology of an IoT-interfaced epidemic healthcare kiosk (EHK)-intelligent monitoring system to plan and manage epidemics. The EHK is a non-invasive data acquisition system that consists of several sensors that can record the physiological measurements of the EHK user. The measured parameters are computed using quantum machine learning techniques. The proposed ideology can reduce the mortality rate, control the epidemic, and moreover, provide safety to citizens and physicians. © 2022 IGI Global. All rights reserved.

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