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1.
Journal of Clinical Oncology ; 40(28 Supplement):41, 2022.
Article in English | EMBASE | ID: covidwho-2109215

ABSTRACT

Background: The COVID-19 pandemic led to the rapid implementation of remote work, but few studies have evaluated the impact on staff and care delivery in healthcare settings. Utilizing a cross-sectional survey, we evaluated the experience of working remotely among clinical staff at the Princess Margaret Cancer Centre, Toronto, Canada. Method(s): Remote work was defined as any work (tasks, projects, healthcare delivery) performed from home. A Qualtrics survey was disseminated via email three times from June-August 2021 to 1,168 physicians, nurses, allied health, and administrative staff involved in patient care. The survey evaluated staff perceptions of productivity, efficiency, patient safety, quality, and personal experiences. Results were summarized using descriptive statistics. Associations between respondent demographics and responses on perceived efficiency, desire to work remotely, support and safety/quality were evaluated using multivariable binary logistic regression models. Freetext responses were categorized into facilitators and barriers, and summarized using qualitative descriptive analysis. Result(s): Most respondents (n = 333;response rate: 28.5%) were female (61.3%) and physicians (23.1%). Few respondents (1.5%) worked remotely more than half the time pre-COVID which increased to 66.6% during COVID-19. Majority reported that remote work positively impacted productivity (61.8%) and efficiency (57.6%) and expressed interest in continuing (79.0%) beyond the pandemic. While most respondents agreed with the switch to remote work (89.2%), few were provided with the necessary equipment (14.1%). Some respondents perceived a negative impact on the safety (13.8%) or quality of care (18.6%) delivered remotely. Across clinical roles, compared to administrative staff, physicians were more likely to report remote work having a negative impact on productivity (OR = 24.04, 95% CI: 2.71-213.00), being dissatisfied with remote work (OR: 8.41, 95% CI: 1.37- 51.64), being dissatisfied with training available (OR: 2.70, 95% CI: 0.95-7.67), and disagreed with continuing to utilize remote work beyond the pandemic (OR: 16.61, 95% CI: 1.45-190.14). Improved efficiency, less commuting, and improved work-life balance were perceived as facilitators of remote work. Barriers included a lack of clear role expectations, issues accessing clinical applications and out-of-pocket expenses. Conclusion(s): Our findings indicate that remote work may be a viable model in hospitals beyond the pandemic. Given the variation in experience and perceptions depending on clinical role, addressing barriers and formal evaluation of the impact of working remotely on productivity, efficiency and quality of care should be considered to inform long-term adoption.

2.
Can J Psychiatry ; : 7067437211004881, 2021 Apr 01.
Article in English | MEDLINE | ID: covidwho-2108543

ABSTRACT

OBJECTIVE: New coronavirus (COVID-19) pandemic socioeconomically affected the world. In this study, we measured the perceived stress in response to the COVID-19 pandemic among Iranians to determine the groups at both extremes of the spectrum followed by identifying the stressors and coping mechanisms. METHODS: This study was a mixed-methods study. We distributed a web-based 10-item perceived stress scale (PSS-10), to measure perceived stress score (PSS), through social networks from March 12 to 23, 2020. Then, we interviewed 42 students, 31 homemakers, 27 healthcare providers, and 21 male participants to identify the sources of stress and coping mechanisms. RESULTS: Finally, 13,454 participants completed the questionnaires. The median and interquartile range (IQR) of the participants' PSS was 21 (15-25). Students, homemakers, and healthcare workers (HCWs) showed a higher median (IQR) of PSS compared to other groups (23 [18 to 27], 22 [16 to 26], and 19 [14 to 24], respectively). Male participants showed a lower median (IQR) PSS (17 [12 to 23]). Content analysis of 121 participants' answers showed that the most common stressors were school-related issues mentioned by students, family-related issues mentioned by homemakers, and COVID-19-related issues mentioned by healthcare providers. Male participants' coping mechanisms were mostly related to the perception of their abilities to cope with the current crisis. CONCLUSION: Our participants clinically showed a moderate level of PSS. The main stressors among students, homemakers, and HCWs were related to their principal role in this period, and male participants' coping mechanisms were inspired by the self-image retrieved from the social perspectives.

4.
Nutrients ; 14(19)2022 Sep 21.
Article in English | MEDLINE | ID: covidwho-2099676

ABSTRACT

Increasing participation rates are crucial to ensure the representativeness of national survey results of the population. This study aimed to identify measures that could be taken by local government personnel in charge of the National Health and Nutrition Survey (NHNS), Japan, to improve participation rates. The subjects were twenty-one health personnel who worked in 19 local governments and participated in the training course at the National Institute of Public Health. Qualitative data were collected through a workshop. They discussed the problems that seem to affect participation rates and identified possible solutions. The contents were coded and grouped to create categories, using the Jiro Kawakita (KJ) method. For data analysis, researchers combined and reviewed all codes and categories. The measures that could improve participation rates were divided into the following 12 categories: 1. standardization of survey methods, 2. investigator skills, 3. survey organization, 4. venue setting, 5. accessing target households, 6. time of survey, 7. responses during the investigation, 8. confirming meal contents reported in the nutritional intake status survey, 9. rewards/incentives, 10. possible rewards, 11. feedback on survey results, and 12. survey practices during the COVID-19 pandemic. These findings represent viable initiatives for local health personnel to increase participation rates for the NHNS.


Subject(s)
COVID-19 , Local Government , COVID-19/epidemiology , Humans , Japan , Pandemics , Surveys and Questionnaires
5.
Health Technol Assess ; 26(41): 1-118, 2022 10.
Article in English | MEDLINE | ID: covidwho-2099087

ABSTRACT

BACKGROUND: Corticosteroids are a mainstay of the treatment of moderately severe relapses of ulcerative colitis, yet almost 50% of patients do not respond fully to these and risk prolonged steroid use and side effects. There is a lack of clarity about the definitions of steroid resistance, the optimum choice of treatment, and patient and health-care professional treatment preferences. OBJECTIVES: The overall aim of this research was to understand how steroid-resistant ulcerative colitis is managed in adult secondary care and how current practice compares with patient and health-care professional preferences. DESIGN: A mixed-methods study, including an online survey, qualitative interviews and discrete choice experiments. SETTING: NHS inflammatory bowel disease services in the UK. PARTICIPANTS: Adults with ulcerative colitis and health-care professionals treating inflammatory bowel disease. RESULTS: We carried out a survey of health-care professionals (n = 168), qualitative interviews with health-care professionals (n = 20) and patients (n = 33), discrete choice experiments with health-care professionals (n = 116) and patients (n = 115), and a multistakeholder workshop (n = 9). The interviews with and survey of health-care professionals showed that most health-care professionals define steroid resistance as an incomplete response to 40 mg per day of prednisolone after 2 weeks. The survey also found that anti-tumour necrosis factor drugs (particularly infliximab) are the most frequently offered drugs across most steroid-resistant (and steroid-dependent) patient scenarios, but they are less frequently offered to thiopurine-naive patients. Patient interviews identified several factors influencing their treatment choices, including effectiveness of treatment, recommendations from health-care professionals, route of administration and side effects. Over time, depending on the severity and duration of symptoms and, crucially, as medical treatment options become exhausted, patients are willing to try alternative treatments and, eventually, to undergo surgery. The discrete choice experiments found that the probability of remission and of side effects strongly influences the treatment choices of both patients and health-care professionals. Patients are less likely to choose a treatment that takes longer to improve symptoms. Health-care professionals are willing to make difficult compromises by tolerating greater safety risks in exchange for therapeutic benefits. The treatments ranked most positively by patients were infliximab and tofacitinib (each preferred by 38% of patients), and the predicted probability of uptake by health-care professionals was greatest for infliximab (62%). LIMITATIONS: The survey and the discrete choice experiments with patients and health-care professionals are limited by their relatively small sample sizes. The qualitative studies are subject to selection bias. The timing of the different substudies, both before and during the COVID-19 pandemic, is a potential limitation. CONCLUSIONS: We have identified factors influencing treatment decisions for steroid-resistant ulcerative colitis and the characteristics to consider when choosing treatments to evaluate in future randomised controlled trials. The findings may be used to improve discussions between patients and health-care professionals when they review treatment options for steroid-resistant ulcerative colitis. FUTURE WORK: This research highlights the need for consensus work to establish an agreed definition of steroid resistance in ulcerative colitis and a greater understanding of the optimal use of tofacitinib and surgery for this patient group. A randomised controlled trial comparing infliximab with tofacitinib is also recommended. FUNDING: This project was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 26, No. 41. See the NIHR Journals Library website for further project information.


Steroids are one of the main treatments for ulcerative colitis; however, steroids work well for only about 50% of people who take them. There are many other treatments that can be given when steroids do not work, but evidence is limited about how these treatments are best used. To carry out better research about the best treatment options and to improve clinical practice in the future, this study aimed to find out how adults with steroid-resistant ulcerative colitis are managed in hospital and why patients and health-care professionals prefer different treatments. The study combined various methods of research, including an online survey of health-care professionals (n = 168), interviews with health-care professionals (n = 20) and patients (n = 33), a survey of health-care professionals (n = 116) and patients (n = 115) to ask them about treatment preferences, and a multistakeholder workshop (n = 9). The interviews with and survey of health-care professionals found that most health-care professionals define steroid resistance as an incomplete response to 40 mg per day of prednisolone after 2 weeks. The survey also found that the most frequently offered drugs are anti-tumour necrosis factor drugs (particularly infliximab). Patient interviews found that several factors influenced treatment choices, including effectiveness of treament, guidance from health-care professionals, route of administration and side effects. Patients were willing to try alternative treatments and surgery over time. The survey found that a higher level of remission and a lower chance of side effects strongly influenced treatment choices. Patients are less likely to choose a treatment that takes longer to improve symptoms. Health-care professionals are willing to make difficult compromises by tolerating greater safety risks in exchange for therapeutic benefits. Infliximab and tofacitinib were ranked most positively by patients, and the predicted uptake by health-care professionals was greatest for infliximab. The results of this study help improve understanding of why people choose certain treatments, improve decision-making in partnership and inform the design of future research.


Subject(s)
COVID-19 , Colitis, Ulcerative , Adult , Humans , Colitis, Ulcerative/drug therapy , Colitis, Ulcerative/surgery , Infliximab/therapeutic use , Patient Preference , Pandemics , Neoplasm Recurrence, Local , Prednisolone/therapeutic use , Cost-Benefit Analysis , Randomized Controlled Trials as Topic
6.
J Nurs Manag ; 2022 Nov 03.
Article in English | MEDLINE | ID: covidwho-2097834

ABSTRACT

AIM: To evaluate the perception of bedside nurses regarding the implementation of solutions proposed by nurse leaders for patient and employee care during the COVID-19 pandemic. BACKGROUND: Nurse leaders have proposed solutions to better manage the challenges of the pandemic. However, multiple factors influence the transposal of actions from the tactical to the operational levels. METHOD: This cross-sectional study was carried out in a 620-bed non-profit institution. Participants were bedside nurses who completed an online survey. RESULTS: One hundred sixty-eight nurses participated in the study. Most of the proposed solutions were very effective and easily identified by the nurses. These solutions included adaptations of the physical structure, availability of medical supplies and adequacy of institutional protocols. The actions that stood out with low perception were adequate integration of new employees and the availability of remote work, hotel accommodations for frontline health care workers and day care for children whose parents worked at the hospital. CONCLUSION: Bedside nurses were able to recognize most of the solutions proposed by their nurse leaders during the COVID-19 pandemic. IMPLICATIONS FOR NURSING MANAGEMENT: Tactical-level nurse leaders need constant proximity to bedside nurses and continuous elucidation of the objectives to be achieved by the strategies adopted.

7.
Inform Med Unlocked ; 34: 101119, 2022.
Article in English | MEDLINE | ID: covidwho-2095505

ABSTRACT

Introduction: The prevalence of COVID-19 as pandemic disease and efforts to control it have caused extensive changes in work methods and the global growth of teleworking, especially in health. This study aimed to investigate the advantages and disadvantages of teleworking in healthcare institutions during the Covid-19 era. Methods: This systematic review was conducted up to January 1, 2022, by searching the relevant keywords in PubMed, Scopus, Web of Science, and ProQuest databases. Study selection has been conducted based on inclusion and exclusion criteria. Data extraction was done using the data extraction form based on the study objectives. Results: From all 276 articles retrieved, 14 studies were included in the study. The results show that England had the highest number of articles (6 articles). The advantages of teleworking have ten categories, and the disadvantages have nine categories. The most important benefits of teleworking include facilitating service delivery, increasing satisfaction, supporting healthcare providers, and reducing costs. The most important disadvantages of using teleworking have been the lack of facilities and support, the lack of technology acceptance, and reduced interactions between healthcare providers. Conclusion: Although teleworking was a suitable solution for some problems in healthcare institutions during COVID-19, it is also associated with obstacles. It is recommended that managers make policies and guidelines to use appropriate technologies, provide facilities, and have continuous support and increased interactions between healthcare providers and patients.

8.
Medical Journal of Malaysia ; 77(Supplement 3):4, 2022.
Article in English | EMBASE | ID: covidwho-2093022

ABSTRACT

Patient healthcare and management has taken leaps and bounds in advancement with the myriad technological innovations available to us now. The COVID-19 pandemic, while initially a setback, proved to be a springboard for the adoption and adaptation of cutting-edge technology that is crucial to our survival as a species. Examples of such are MySejahtera, vaccine production, genomic studies, contact tracing devices, alternative and green modes of transportation, increasing use of contactless food delivery services, and many more. The main challenges to hospital service providers are to integrate digital healthcare technologies into traditional hospital services with the aim to create a transparent and highly efficient healthcare system without walls or barriers. Hospital executives should be planning on how to integrate technology into newly built facilities and retrofit older facilities to enable a seamless integration between all components in healthcare services. As a healthcare administrator, minimization of patient safety-related risks is my foremost priority. While the benefits of health information technology are legion and can be used to enhance patient safety to an unprecedented level, I believe we should proceed with caution to ensure that patient welfare is our utmost priority, whilst also upgrading our services alongside our healthcare technology. The spread of COVID-19 stretched healthcare operational systems to their limits not only in Malaysia, but worldwide as well. Shortages and shortfalls had to be swiftly addressed, and as the director of the main COVID-19 hospital, the speaker has had a wealth of experience optimizing and modernizing response mechanisms. The speaker will share examples of improvements made for crisis response during the peak of the COVID-19 pandemic, for example, centralized clinical command centers, hospital dashboards, virtual conferences, virtual learning, and many more. The speaker will also share some of the roles that a healthcare leader must focus on to prepare an organization for the adoption and use of future technology as well as readiness of organizational capabilities for long-term success. Technology for healthcare must be balanced by an appropriate level of human clinical expertise for final decision-making to ensure that patients receive high quality and safe care.

9.
Int J Environ Res Public Health ; 19(21)2022 Oct 25.
Article in English | MEDLINE | ID: covidwho-2090129

ABSTRACT

The duration of protection of vaccines against SARS-CoV-2 infection has been evaluated in previous studies, but uncertainty remains about the persistence of effectiveness over time and the ideal timing for booster doses. Therefore, the aim of this study was to evaluate BNT162b2 vaccine effectiveness against SARS-CoV-2 infection in health care workers (HCWs) at a tertiary hospital depending on time elapsed since the completion of a two-dose vaccination regimen. We conducted a case-control with negative test study between 25 January and 12 December 2021 that included 1404 HCWs who underwent an active infection diagnostic test (AIDT) to rule out SARS-CoV-2 infection due to COVID-19 suspicion or prior close contact with patients diagnosed with COVID-19. The adjusted vaccine effectiveness (aVE) for the prevention of SARS-CoV-2 infection 12 to 120 days after completing the full two-dose vaccination regimen was 91.9%. Then, aVE decreased to 63.7% between 121 to 240 days after completing the full two-dose regimen and to 37.2% after 241 days since the second dose. Vaccination against SARS-CoV-2 infection in HCWs remains highly effective after 12 to 120 days have elapsed since the administration of two doses of the BNT162b2 vaccine; however, effectiveness decreases as time elapses since its administration.


Subject(s)
COVID-19 , Viral Vaccines , Humans , COVID-19/epidemiology , COVID-19/prevention & control , BNT162 Vaccine , COVID-19 Vaccines/therapeutic use , Vaccine Efficacy , SARS-CoV-2 , Health Personnel
10.
Developmental Medicine and Child Neurology ; 64(Supplement 4):69-70, 2022.
Article in English | EMBASE | ID: covidwho-2088155

ABSTRACT

Background and Objective(s): Congregate living settings supporting individuals with neurodevelopmental disabilities (NDD) have experienced unprecedented challenges during the COVID-19 pandemic. Infection control policies in these living settings can impact on health and well-being and occupational engagement of individuals with NDD. This study aimed to explore the development and utilization of infection control policies in congregate living settings supporting individuals living with NDD during the COVID-19 pandemic. Study Design: Qualitative research. Study Participants & Setting: This qualitative study interviewed senior administrative personnel from agencies assisting adults living with NDD residing in Developmental Services community-based congregate living settings in Ontario, Canada. Materials/Methods: A qualitative approach using Interpretive Description guided this study. Data were gathered from participants using a one-hour interview conducted online. Thematic analysis was used to analyze the data. Result(s): Semi-structured interviews were conducted with 30 individuals from 22 agencies. Participating agencies were diverse in size and geographic location. Three categories emerged through thematic analysis -Development of Infection Control Policies, Implementation of Infection Control Policies, and Impact of Infection Control Policies. Each category yielded subsequent themes. The two themes from the Development of Infection Control Policies category included New Responsibilities and Interpreting the Grey Areas, and Feeling Disconnected and Forgotten. Four themes within Implementation of Infection Control Policies included, It's Their Home (i.e., balancing public health guidance and organizational values), Finding Equipment and Resources, Information Overload (i.e., challenges with policy implementation), and Emerging Vaccination (i.e., navigating vaccination for clients and staff). The category of Impact of Infection Control Policies had one theme -Fatigue and Burnout, capturing the impact of policies on stakeholders in congregate living settings. Conclusions/Significance: Agencies experienced difficulties developing and implementing infection control policies, adversely impacting their clients, families of clients and staff. Public health guidance should be tailored to congregate settings supporting those living with NDD instead of a universal approach for all congregate settings, because many individuals living with childhood disabilities will require support from living settings of the congregate nature. Providing public health with an understanding of developmental disabilities and the supports required by individuals living in these settings can aid in the implementation of supports that better align with the human rights of individuals living with disabilities into adulthood. To address this knowledge gap, rehabilitation professionals can use a life course focus to increase knowledge and provide insights within public health institutions to enhance community capacity to support those living with NDD.

12.
Vaccine ; 2022 Oct 26.
Article in English | MEDLINE | ID: covidwho-2086815

ABSTRACT

AIM: We assessed the impact of COVID-19 vaccination status and time elapsed since the last vaccine dose on morbidity and absenteeism among healthcare personnel (HCP) in the context of a mandatory vaccination policy. METHODS: We followed 7592 HCP from November 15, 2021 through April 17, 2022. Full COVID-19 vaccination was defined as a primary vaccination series plus a booster dose at least six months later. RESULTS: There were 6496 (85.6 %) fully vaccinated, 953 (12.5 %) not fully vaccinated, and 143 (1.9 %) unvaccinated HCP. A total of 2182 absenteeism episodes occurred. Of 2088 absenteeism episodes among vaccinated HCP with known vaccination status, 1971 (94.4 %) concerned fully vaccinated and 117 (5.6 %) not fully vaccinated. Fully vaccinated HCP had 1.6 fewer days of absence compared to those not fully vaccinated (8.1 versus 9.7; p-value < 0.001). Multivariable regression analyses showed that full vaccination was associated with shorter absenteeism compared to not full vaccination (OR: 0.56; 95 % CI: 0.36-0.87; p-value = 0.01). Compared to a history of ≤ 17.1 weeks since the last dose, a history of > 17.1 weeks since the last dose was associated with longer absenteeism (OR: 1.22, 95 % CI:1.02-1.46; p-value = 0.026) and increased risk for febrile episode (OR: 1.33; 95 % CI: 1.09-1.63; p-value = 0.004), influenza-like illness (OR: 1.53, 95 % CI: 1.02-2.30; p-value = 0.038), and COVID-19 (OR: 1.72; 95 % CI: 1.24-2.39; p-value = 0.001). CONCLUSIONS: The COVID-19 pandemic continues to impose a considerable impact on HCP. The administration of a vaccine dose in less than four months before significantly protected against COVID-19 and absenteeism duration, irrespective of COVID-19 vaccination status. Defining the optimal timing of boosters is imperative.

13.
Journal of the American Society of Cytopathology ; 11(6):S14-S15, 2022.
Article in English | EMBASE | ID: covidwho-2086369

ABSTRACT

Introduction: The telemedicine center of our hospital provides expert consultation services to two rural districts of Punjab. The aim of this study was to assess its utility in Fine needle aspiration Cytology (FNAC) diagnostic service. Material(s) and Method(s): A 2-year retrospective audit from April 2020-2022 covering the COVID pandemic time was carried out on all cases of telecytopathology consultation files of the E-sanjeevani platform. A total of 75 cases whose FNAC smear images clicked by android smartphones with 48MP cameras and sent by Whatsapp to the E-Sanjeevani administrator were included. The images along with brief case clinical details were e-mailed for expert opinion to the cytopathologist (RS). The image quality, ability to provide a diagnosis, site-wise differences and comparison of the referral and expert review diagnosis was made. Result(s): The ages of the patients ranged from 4-80 years (2 children, 73 adults), with 25 males and 50 females. The sites of FNA performed at the district hospital were lymph nodes (22), breast (21), thyroid (15), soft tissue (8), salivary gland (2), skin (4), lip (2) and glans penis(1). The number of Whatsapp images evaluated ranged from 3-20 with median of 11 per case. They were in JPEG file format with size ranging from 40-163kb. Image quality was rated visually as good, medium, and poor in 46 (61%), 21m (28%) and 8(11%) cases respectively. There was no distortion of images upon enlarging them for better visualization on a large monitor. Best accuracy was obtained in breast and lymph nodes FNA. Soft tissue FNA was difficult to interpret and was inconclusive in 3/8 cases. Conclusion(s): Telecytopathology by Whatsapp is simple, quick, feasible and very useful to provide expert opinion in FNAC of various sites thereby enabling the pathologist in the district hospital setting. [Formula presented] Copyright © 2022

14.
West Indian Medical Journal ; 70(Supplement 1):47, 2022.
Article in English | EMBASE | ID: covidwho-2083467

ABSTRACT

Objective: To understand how non-clinical healthcare workers at the University Hospital of the West Indies, Jamaica experience occupational stress during the COVID- 19 pandemic. Design and Methods: This qualitative exploratory study was conducted using semi-structured interviews and a focus group. The 12 research participants were employees at the University Hospital of the West Indies who were nonclinical healthcare professionals such as housekeepers and administrative staff. Data analysis was completed manually in Microsoft Excel concurrently with QCAmap using the principles of qualitative content analysis. Ethical approval was granted for this study by the University of Essex Online Ethics Committee and the Mona Campus Research Ethics Committee. Result(s): There were three significant findings in this study. First, the events and conditions in the workplace which cause occupational stress among the sample during the pandemic occurred in three layers, latent, manifest, and antecedent. Secondly, there is an interrelation between occupational stress and the cultural, social, and financial situations in the participants' lives. That is, each component is related to one another which altogether contributes to the overall experience of occupational stress. Third, managers should demonstrate their interest in the well-being of non-clinical healthcare professionals by taking a risk-based approach to provide effective psychological support during the COVID- 19 pandemic. Conclusion(s): Non-clinical healthcare workers experience occupational stress similar to clinical healthcare workers and their psychological needs should be given similar priority.

15.
Japanese Railway Engineering ; 62(2):14-16, 2022.
Article in English | Scopus | ID: covidwho-2083419

ABSTRACT

COVID-19 significantly affects lifestyles in society and there have also been notable changes in the use of railways. To cope with such a situation, West Japan Railway Company (JR West) is engaged in the effort for safety and security for customers under four basic policies: "Fulfilling the mission for the social infrastructure enterprise";"Securing safety of customers and employees' "Securing employment of employeesand "Protecting the supply chain." This article describes the countermeasures and efforts for coping with new lifestyles. © 2022 Japan Railway Engineers' Association. All rights reserved.

16.
Int J Environ Res Public Health ; 19(21)2022 Oct 22.
Article in English | MEDLINE | ID: covidwho-2082286

ABSTRACT

BACKGROUND: During the COVID-19 pandemic, in the Italian prison of Santa Maria Capua Vetere (SMCV), prison police repressed a riot with extreme violence, bringing the state of prisons and the conditions of prisoners back to the attention of the Italian public opinion. OBJECTIVE: This exploratory study aimed to collect the experiences and the competent opinions of the social and health personnel of Italian prisons regarding the episode of violence that happened in SMCV; the general state of health of the Italian prison system was explored, too, together with the collection of proposals for interventions aimed at the eradication of violence in prison. METHOD: The study employed a qualitative research design. Eighteen social-health workers from 12 Italian prisons were interviewed using in-depth interviews of ~60 min each that were conducted and recorded via Skype video calls. The interview transcripts were analyzed with qualitative reflexive thematic analysis (RTA) to identify the most relevant and recursive themes. RESULTS: Four themes were identified: (1) reactions and thoughts about the events of SMCV; (2) structural problems of Italian prison police; (3) Italian prison system; and (4) reform proposals. CONCLUSIONS: A new and deeper awareness of the suffering of the current Italian penitentiary system emerged, together with courageous reform proposals that can restore dignity and centrality to the re-education of the detainees, preventing further future violence.


Subject(s)
COVID-19 , Prisoners , Humans , Prisons , COVID-19/epidemiology , Pandemics , Italy/epidemiology , Violence
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