ABSTRACT
Introduction: Nursing professionals who contracted Covid-19 went from being caregivers to victims of the infection, and they knew first-hand how dangerous it could be. The impact on these health care professionals stayed with them even after their physical health recovered. Objective: To understand the experiences of nursing professionals hospitalized with COVID-19, regarding their illness, hospitalization and care received. Methods: Qualitative phenomenological study, with two in-depth interviews each with six nursing professionals who had representative cases from public hospitals in Lima, Peru, was chosen until theoretical saturation was achieved. Results: Four main themes emerged from the transcripts of the 12 interviews conducted: self-assessment about the form of infection, identification and complications of the disease, feelings about the disease-hospitalization, and perception of the care received as a patient. Conclusion: Being hospitalized as COVID-19 patients has been a difficult experience for nursing professionals, characterized by fear of dying; where the emotional support of their family and colleagues, as well as their spiritual strength, have allowed them to achieve their recovery, so they feel satisfied with the care received.
ABSTRACT
INTRODUCTION: Peru's health infrastructures, particularly hospitals, are exposed to disaster threats of different natures. Traditionally, earthquakes have been the main disaster in terms of physical and structural vulnerability, but the coronavirus disease 2019 (COVID-19) pandemic has also shown their functional vulnerability. Public hospitals in Lima are very different in terms of year constructed, type of construction, and number of floors, making them highly vulnerable to earthquakes. In addition, they are subject to a high demand for care daily. Therefore, if a major earthquake were to occur in Lima, the hospitals would not have the capacity to respond to the high demand. OBJECTIVE: The aim of this study was to analyze the Hospital Safety Index (HSI) in hospitals in Lima (Peru). MATERIALS AND METHODS: This was a cross-sectional observational study of 18 state-run hospitals that met the inclusion criteria; open access data were collected for the indicators proposed by the Pan American Health Organization (PAHO) Version 1. Associations between variables were calculated using the chi-square test, considering a confidence level of 95%. A P value less than .05 was considered to determine statistical significance. RESULTS: The average bed occupancy rate was 90%, the average age was 70 years, on average had one bed per 25,126 inhabitants, and HSI average score was 0.36 with a vulnerability of 0.63. No association was found between HSI and hospital characteristics. CONCLUSION: Most of the hospitals were considered Category C in earthquake and disaster safety, and only one hospital was Category A. The hospital situation needs to be clarified, and the specific deficiencies of each institution need to be identified and addressed according to their own characteristics and context.
Subject(s)
COVID-19 , Disaster Planning , Disasters , Humans , Aged , Peru/epidemiology , Hospitals, State , Cross-Sectional Studies , COVID-19/epidemiology , HospitalsABSTRACT
Introducción: La pandemia COVID-19 evidenció que los profesionales de Enfermería necesitan desarrollar, entre otras habilidades, la inteligencia emocional suficiente para enfrentar la carga laboral compleja que la situación demanda. Objetivo: Relacionar la inteligencia emocional y la carga laboral en los profesionales de Enfermería, en tiempos de COVID-19. Métodos: Estudio cuantitativo, transversal, no experimental, correlacional, desarrollado con una muestra de 197 enfermeras de un hospital del Callao en Perú, marzo-julio 2021. Mediante encuesta virtual, se aplicaron la Escala de Inteligencia Emocional -TMMS-24 y el Cuestionario de valoración de carga laboral. Se efectuó análisis de correlación con la prueba no paramétrica Rho de Spearman. Resultados: Un 34 por ciento de profesionales presentaron carga laboral media e inteligencia emocional adecuada y un 19,30 por ciento presentó carga laboral media e inteligencia emocional que debe mejorar. El valor Rho de Spearman de 0,047 determinó que entre ambas variables existe correlación positiva muy baja. Conclusiones: Los profesionales de Enfermería, durante la COVID-19, han demostrado poseer inteligencia emocional adecuada y sobrecarga laboral media, con una relación muy baja entre las variables. Existe muy baja incidencia de inteligencia emocional excelente y no existe carga laboral baja en ninguno de los servicios(AU)
Introduction: The COVID-19 pandemic evidenced that nursing professionals need to develop, among other skills, sufficient emotional intelligence to face the complex workload demanded by the situation. Objective: To relate emotional intelligence and workload in nursing professionals in times of COVID-19. Methods: A quantitative, cross-sectional, nonexperimental and correlational study was developed with a sample of 197 nurses from a hospital in Callao, Peru, in the period of March-July 2021. By means of a virtual survey, the TMMS-24 emotional intelligence scale and the Workload Assessment Questionnaire were applied. Correlation analysis was performed using Spearman's nonparametric rho test. Results: 34 percent of professionals presented average workload and adequate emotional intelligence, while 19.30 percent presented average workload and emotional intelligence to be improved. Spearman's rho value of 0.047 determined that there is very low positive correlation between both variables. Conclusions: During COVID-19, nursing professionals have demonstrated that they have adequate emotional intelligence and average work overload, with a very low relationship between the variables. There is a very low incidence of excellent emotional intelligence and no low workload in any of the services(AU)
Subject(s)
Humans , Emotional Intelligence , Cross-Sectional StudiesABSTRACT
Objetivo principal: Relacionar el deterioro de la salud mental, la resiliencia y los estresores laborales en enfermeros de áreas Covid-19. Metodología: Estudio básico, transversal y correlacional con 150 enfermeros de dos hospitales de Lima, Perú. Se utilizaron la escala de resiliencia RS-14, el Test de Goldberg y the Nursing stress Scale, cuyos resultados se analizaron con estadística descriptiva y la prueba Rho de Spearman. Resultados principales: Existe bajo deterioro de salud mental (84%), muy alta resiliencia (64,7%), exposición mínima a estresores laborales (60,7%), correlación positiva entre deterioro de salud mental y estresores laborales (sig 0,000), correlación negativa entre deterioro de salud mental y resiliencia (sig 0,000). Conclusión principal: El deterioro de la salud mental de los enfermeros en áreas Covid-19 está inversamente relacionado a su nivel de resiliencia y directamente relacionado a la presencia de estresores laborales.(AU)
Objective: To relate resilience, mental health and work stressors in nurses in Covid -19 areas. Methods: Basic study, cross-sectional and correlational design, with 150 nurses in Covid-19 areas in two hospitals in Lima, Peru. The RS-14 resilience scale, the Goldberg Test and the Nursing stress Scale were used, the results of which were analyzed with descriptive statistics and Spearman's Rho test. Results: Nurses from Covid -19 areas have a very high level of resilience (64.7%), low mental health deterioration (84%) and minimal exposure to work stressors (60.7%). There is a positive correlation between mental health impairment and work stressors (sig 0,000), negative correlation between mental health impairment and resilience (sig 0,000). Conclusions: The deterioration of nurses' mental health in Covid -19 areas is inversely related to their level of resilience and directly related to the presence of work stressors.(AU)
Subject(s)
Humans , Male , Female , /nursing , Nurses/psychology , Mental Health , Burnout, Professional , Resilience, Psychological , Stress, Psychological , Nursing , Nursing Care , /epidemiology , Cross-Sectional StudiesABSTRACT
Objetivo principal: Determinar las principales acciones de Teletriaje/teleorientación de enfermería pediátrica durante la pandemia por Covid-19. Metodología: Estudio exploratorio, longitudinal, documental, con 349 fichas de registro, en un instituto especializado de Lima, Perú, durante los meses de mayo a julio del 2020. Resultados principales: 28,4% de los atendidos fueron lactantes; 54,4% de sexo masculino; 47,3% con Seguro Integral de Salud; 89,1% procedentes de la capital; 66,9% se conectaron por llamada telefónica; 20,9% presentó problemas dérmicos. El principal diagnóstico de enfermería identificado fue seguridad y protección (38,1%); 87,4% fueron derivados a especialidades médicas y 100% de usuarios manifestaron su conformidad. Conclusión principal: El Teletriaje/teleorientación de enfermería pediátrica es un eficiente procedimiento asistencial que inicia la consulta externa virtual o presencial, seleccionando especialidades pediátricas y brindando consejería. Este procedimiento alcanzó reconocimiento social.(AU)
Primary Objective: Determine the principal actions of Teletriage /teleorientation of pediatric nursing during the Covid-19 pandemic. Method: Exploratory, longitudinal, documentary study, with 349 registration cards, in a specialized institute from Lima, Peru, during the months of May to July in the year 2020. Principal results: 28.4% of the patients attended were breastfeeding; 54.4% were male; 47.3% with Insurance (Seguro Integral de Salud); 89.1% were from the capital; 66.9% were connected through a phone call; 20.9% presented skin problems. The primary identified diagnostic of nursing was Safety and Protection (38.1%); 87.4% were referred to medical specialties and 100 % of users expressed their agreement. Main conclusion: Pediatric nursing teletriage/teleorientation, efficient assistance procedure that initiates virtual or face-to-face outpatient consultation, selecting pediatric specialties and providing counseling. This procedure achieved social recognition.(AU)
