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3.
Rev. Esc. Enferm. USP ; 55: e03763, 2021.
Article in Portuguese | LILACS (Americas) | ID: covidwho-1341560

ABSTRACT

RESUMO Objetivo: Compreender os sentidos e significados atribuídos por homens ao período vivido na pandemia da Covid-19. Método: Estudo qualitativo estruturado nos conceitos da fenomenologia, embasada na interpretação ôntica heideggeriana, realizado com 400 homens residentes no Brasil. A produção de dados foi por meio de um formulário disponibilizado online. As respostas foram processadas no software NVIVO12 e analisadas segundo o discurso do sujeito coletivo. Resultados: Emergiram duas unidades de significados analíticos acomodados em discursos-sínteses, sustentadas por ideias centrais, ordenadas em cinco subunidades que representam a coletividade do fenômeno investigado, quais sejam: Ser e estar no mundo no contexto da pandemia vivenciando suas possibilidades e O vigor de ter sido e a atualidade se apresentam como possibilidades de um novo "porvir" para além da pandemia. Conclusão: Os sentidos e significados revelaram um estar no contexto da pandemia a partir deles próprios com modificações da rotina, dos sentimentos e do abrir-se à novas possibilidades e transformações, o que gerou impactos psicossociais e estratégias de enfrentamento e cuidado no período do processo pandêmico. Como implicações, há que se ter uma nova compreensão do ser-homem, pois demonstrou precisar de cuidado, o qual está para além do físico.


RESUMEN Objetivo: Comprender los sentidos y significados atribuidos por hombres al período vivido en la pandemia de Covid-19. Método: Es un estudio cualitativo estructurado a partir de los conceptos de la fenomenología, basado en la interpretación óntica heideggeriana, realizado con 400 hombres residentes en Brasil. La producción de datos se realizó con un formulario disponible en línea. Las respuestas se procesaron en el programa informático NVIVO12 y se analizaron según el discurso del sujeto colectivo. Resultados: Surgieron dos unidades de significados analíticos acomodados en síntesis discursivas, apoyadas en ideas centrales, organizadas en cinco subunidades que representan la colectividad del fenómeno investigado, a saber: Ser y estar en el mundo en el contexto de la pandemia, experimentando sus posibilidades y El vigor de haber sido y la actualidad se presentan como posibilidades de un nuevo "porvenir" más allá de la pandemia. Conclusión: Los sentidos y significados revelaron un estar en el contexto de la pandemia a partir de ellos mismos con modificaciones de la rutina, de los sentimientos y la apertura a nuevas posibilidades y transformaciones, lo que generó impactos psicosociales y estrategias de afrontamiento y cuidado en el período del proceso pandémico. Como implicaciones, es necesario entender al ser-hombre desde una nueva perspectiva, ya que ha quedado demostrado que necesita cuidados más allá de lo físico.


ABSTRACT Objective: To understand the meanings and perspectives attributed by men to the period lived in the Covid-19 pandemic. Method: Qualitative study structured on the concepts of phenomenology, based on Heidegger's ontic interpretation, carried out with 400 men residing in Brazil. Data was produced through a form made available online. The responses were processed in the NVIVO12 software and analyzed according to the Discourse of the Collective Subject. Results: Two units of analytical meanings revealed in discourse-synthesis emerged. These units were supported by central ideas and ordered in five subunits that represent the collectivity of the investigated phenomenon. The units are: Being and being-in-the-world in the context of the pandemic - experiencing its possibilities and The vigor of the past and the present are presented as possibilities for a new future in the face of the pandemic. Conclusion: The meanings and perspectives revealed a being-there in the context of the pandemic based on themselves, with changes in the routine and feelings and willingness to new possibilities and transformations, which generated psychosocial impact and coping and care strategies in the period of the pandemic. As implications, it is necessary to have a new understanding of the man-being, as they demonstrate the need for care, and for a care that goes beyond physical health.


Subject(s)
Nursing , Men's Health , COVID-19 , Existentialism , Pandemics , Humanism
4.
JAMA ; 326(2): 127-128, 2021 Jul 13.
Article in English | MEDLINE | ID: covidwho-1328582
5.
Hosp Pediatr ; 11(6): 636-649, 2021 06.
Article in English | MEDLINE | ID: covidwho-1238799

ABSTRACT

CONTEXT: Pediatric family-centered rounds (FCRs) have been shown to have benefits in staff satisfaction, teaching, and rounding efficiency, but no systematic review has been conducted to explicitly examine the humanistic impact of FCRs. OBJECTIVE: The objective with this review is to determine if FCRs promote the core values of humanism in medicine by answering the question, "Do FCRs promote humanistic pediatric care?" DATA SOURCES: Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a search of PubMed, Web of Science, Cumulative Index of Nursing and Allied Health Literature, and Dissertation Abstracts for peer-reviewed pediatric studies through January 1, 2020. We used search terms including FCRs, communication, humanism, and the specific descriptors in the Gold Foundation's definition of humanism. STUDY SELECTION: Abstracts (n = 1003) were assessed for 5 primary outcomes: empathy, enhanced communication, partnership, respect, and satisfaction and service. We evaluated 158 full-text articles for inclusion, reconciling discrepancies through an iterative process. DATA EXTRACTION: Data abstraction, thematic analysis, and conceptual synthesis were conducted on 29 studies. RESULTS: Pediatric family-centered rounds (FCRs) improved humanistic outcomes within all 5 identified themes. Not all studies revealed improvement within every category. The humanistic benefits of FCRs are enhanced through interventions targeted toward provider-family barriers, such as health literacy. Patients with limited English proficiency or disabilities or who were receiving intensive care gained additional benefits. CONCLUSIONS: Pediatric FCRs promote humanistic outcomes including increased empathy, partnership, respect, service, and communication. Limitations included difficulty in defining humanism, variable implementation, and inconsistent reporting of humanistic outcomes. Future efforts should include highlighting FCR's humanistic benefits, universal implementation, and adapting FCRs to pandemics such as coronavirus disease 2019.


Subject(s)
Attitude of Health Personnel , Humanism , Pediatrics/methods , Professional-Family Relations , Teaching Rounds/methods , Child , Child, Hospitalized , Communication , Empathy , Humans
8.
Surg Radiol Anat ; 43(4): 523-527, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-1100959

ABSTRACT

PURPOSE: Due to COVID-19 pandemic, Thanks giving ceremony to cadaver was different this year in two ways: the students were partially exposed to cadaveric dissections (for 7 months) and later learned Anatomy via online classes due to lockdown (for 5 months) and secondly it was not feasible to gather for the ceremony so virtual platform was preferred. The purpose of this study was to discern the gratitude for cadaver and to recognize the importance of cadaveric dissection from the reflection of students who experienced hybrid anatomy learning amidst COVID-19. METHODS: The study was conducted on 48 first year medical students who were admitted to the college in August 2019 and were willing to participate. An online invitation was sent to students to participate in virtual thanks giving to cadaver ceremony on the last day of their anatomy class (August 2020). RESULTS: Though the students partially studied gross anatomy with the aid of dissections on the cadaver; however, they expressed respect and gratitude to the silent mentor in the form of a card, poem, drawing or paragraph and shared it via google classroom platform. The students wished if they could continue their anatomy course in dissection hall as paused due to COVID-19 pandemic. CONCLUSIONS: Reflection of these students may mark impact on future anatomy students who may or may not get the chance for dissections. The thanks-giving gesture will also help to bind medical science and humanity especially during the crisis of pandemic.


Subject(s)
Anatomy/education , COVID-19/prevention & control , Dissection/ethics , Education, Medical, Undergraduate/ethics , Students, Medical/psychology , Anatomy/ethics , Bioethical Issues , COVID-19/epidemiology , COVID-19/transmission , Cadaver , Communicable Disease Control/standards , Curriculum , Education, Distance/ethics , Education, Distance/methods , Education, Medical, Undergraduate/methods , Humanism , Humans , Learning , Pandemics/prevention & control , Respect
10.
Nurs Sci Q ; 34(1): 81-87, 2021 01.
Article in English | MEDLINE | ID: covidwho-1067078

ABSTRACT

The purpose of this article is to report the details of the humanbecoming hermeneutic sciencing of presence in In Harm's Way. Humanbecoming hermeneutic sciencing is dialoguing with an artform by discoursing with penetrating engaging, interpreting with quiescent beholding, and understanding with inspiring envisaging. The artform explored in this article is the comments and images of 60 nurses from around the world included in The New York Times story titled "In Harm's Way." The report is on the meaning of presence as lived and talked about by nurses on the front lines at the peak of the COVID-19 outbreak.


Subject(s)
COVID-19/nursing , Hermeneutics , Humanism , COVID-19/epidemiology , Global Health , Humans , Newspapers as Topic
11.
Acta Biomed ; 91(4): e2020167, 2020 11 10.
Article in English | MEDLINE | ID: covidwho-1060359

ABSTRACT

The Covid-19 pandemic has been the most defining event of our era. The world of healthcare has experienced first-hand the dramatic situation of treating patients in the face of the dangers of contagion and limited resources. Difficult choices have everywhere been made alongside ethical reflection. Now that, at least in our part of the world, viral infection seems to be broadly on the decline, there is an urgent need for fresh, anthropological, ethical reflection. It is important to avoid being unprepared in the event of further occasions, but above all, to now think in global terms. This is because the pandemic has forced us to recognise the urgency of building alliance in healthcare and a balanced relationship with the environment.


Subject(s)
COVID-19 , Ethics, Medical , Humanism , Bioethical Issues , Forecasting , Humans
12.
Acad Med ; 96(5): 668-670, 2021 05 01.
Article in English | MEDLINE | ID: covidwho-998487

ABSTRACT

Morbidity and mortality conferences (MMCs) are a long-held legacy institution in academic medicine that enable medical providers and hospital administrators to learn from systemic and individual errors, thereby leading to improved medical care. Originally, this forum had 1 major role-education. The MMC evolved and a second key role was added: quality improvement. In the wake of the 2020 COVID-19 pandemic, a second evolution-one that will humanize the MMC-is required. The pandemic emphasizes the need to use MMCs not only as a place to discuss errors but also as a place for medical providers to reflect on lives lost. The authors' review of the literature regarding MMCs indicates that most studies focus on enabling MMCs to become a forum for quality improvement, while none have emphasized the need to humanize MMCs to decrease medical provider burnout and improve patient satisfaction. Permitting clinicians to be human on the job requires restructuring the MMC to provide a space for reflection and, ultimately, defining a new purpose and charge for the MMC. The authors have 3 main recommendations. First, principles of humanism such as compassion, empathy, and respect, in particular, should be incorporated into traditional MMCs. Second, shorter gatherings devoted to giving clinicians the opportunity to focus on their humanity should be arranged. Third, an MMC focused entirely on the human aspects of medical care should be periodically arranged to provide an outlet for storytelling, artistic expression, and reflection. Humanizing the MMC-a core symposium in clinical medicine worldwide-could be the first step in revitalizing the spirit at the heart of medicine, one dedicated to health and healing. This spirit, which has been eroding as the field of medicine becomes increasingly corporate in structure and mission, is as essential during peaceful times in health care as during a pandemic.


Subject(s)
Congresses as Topic/organization & administration , Hospital Administration/standards , Humanism , Quality Improvement , Burnout, Professional/prevention & control , COVID-19 , Hospital Mortality , Humans , Morbidity , Pandemics , Patient Satisfaction , SARS-CoV-2
13.
Clin J Oncol Nurs ; 24(6): 711, 2020 12 01.
Article in English | MEDLINE | ID: covidwho-937154

ABSTRACT

Because of the COVID-19 pandemic, we are at an unprecedented time in history. We practice at Monter Cancer Center in Lake Success, New York, which is part of Northwell Health, the largest health system in New York state, located in the initial epicenter of COVID-19 in the United States.


Subject(s)
COVID-19/nursing , COVID-19/psychology , Humanism , Nursing Staff, Hospital/psychology , Oncology Nursing/ethics , Oncology Nursing/methods , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Pandemics , SARS-CoV-2 , United States
15.
Nurs Sci Q ; 33(4): 303-306, 2020 10.
Article in English | MEDLINE | ID: covidwho-791086

ABSTRACT

Language provides cadences of sounds, silences, and movements that bring to light meaning, which in turn transforms human connections, understanding, and knowledge. When coupled with disciplinary knowledge and opportunities to illuminate with simulation, there are opportunities to influence human connectedness, which is meaningful even in times of a pandemic.


Subject(s)
Humanism , Language , Pandemics/prevention & control , Humans , Interpersonal Relations
16.
Nurs Sci Q ; 33(4): 297-298, 2020 10.
Article in English | MEDLINE | ID: covidwho-791084

ABSTRACT

Living the art of nursing during the challenging times of a pandemic has profound implications for the discipline of nursing. Opportunities and limitations coexist with persons who shelter in place while others continue to practice amid personal risk in institutions where vital healthcare services are provided. This article illustrates potential lessons to be learned for future nurse practice and the ethos or straight-thinking implications for living quality during a global health crisis.


Subject(s)
Humanism , Nursing/methods , Pandemics/prevention & control , Humans , Nursing/trends
17.
J Public Health (Oxf) ; 43(2): e246-e247, 2021 06 07.
Article in English | MEDLINE | ID: covidwho-772651
18.
Nurs Sci Q ; 33(4): 293-296, 2020 10.
Article in English | MEDLINE | ID: covidwho-772079

ABSTRACT

Consideration of the impact of COVID-19 on conducting research studies is the subject of this column. First, it is argued that presence is critical to some qualitative methods and especially for those who use the Parse methods. Second, the use of e-mail, telephone, and videoconferencing is examined in terms of their advantages and disadvantages in relation to obtaining knowledge about a phenomenon of interest.


Subject(s)
Telemedicine , Videoconferencing , Betacoronavirus/isolation & purification , COVID-19 , Coronavirus Infections/epidemiology , Humanism , Humans , Pandemics , Pneumonia, Viral/epidemiology , Qualitative Research , SARS-CoV-2
19.
Nurs Sci Q ; 33(4): 309-314, 2020 10.
Article in English | MEDLINE | ID: covidwho-772078

ABSTRACT

This article describes some of the changes occurring with community in the advent of the COVID-19 pandemic. The humanbecoming community change model along with other views on community are presented to address some of the living quality questions and challenges of a community in flux.


Subject(s)
Coronavirus Infections , Humanism , Pandemics , Pneumonia, Viral , Betacoronavirus/isolation & purification , COVID-19 , Global Health , Humans , Nursing Theory , Public Health , SARS-CoV-2
20.
Nurs Sci Q ; 33(4): 286-292, 2020 10.
Article in English | MEDLINE | ID: covidwho-772077

ABSTRACT

In this article, the author examines fragility and vitality as it relates to the COVID-19 pandemic. Fear and courage are also explored from a humanbecoming paradigm perspective as well as from philosophical perspectives. Humanbecoming inquiries related to these topics are presented along with personal experiences of the author.


Subject(s)
Coronavirus Infections/epidemiology , Fear , Humanism , Nursing Theory , Pandemics , Pneumonia, Viral/epidemiology , Betacoronavirus/isolation & purification , COVID-19 , Humans , SARS-CoV-2 , Uncertainty
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