ABSTRACT
OBJECTIVES: To report the experience of quarantine for international arrivals to South Australia requiring quarantine in a medi-hotel setting during the COVID-19 pandemic and to describe the range of evidence-based support services to mitigate the mental health impacts of quarantine. METHODS: A range of services targeted at physical and mental wellbeing were provided. Data from 533 adult respondents out of 721 passengers were included. The Kessler 10 was used to measure psychological distress at two time points. RESULTS: About 7.1% of respondents reported psychological distress at time one, reduced to 2.4% at time two. There was no significant difference in psychological distress by gender at either time point. The mean K10 score at time one was 13.6 (standard deviation=5.2) and the mean score at time two was 11.5 (standard deviation=3.1), with a significant reduction in mean scores (p<0.001) between the two time points. CONCLUSIONS: The level of psychological stress in repatriated Australians was low at arrival and improved further at the time of release from quarantine. Implications for public health: A collaborative multi-sector approach to provide support services for individuals in quarantine can mitigate risks to mental wellbeing.
Subject(s)
COVID-19/psychology , Health Status , Holistic Health , Mental Disorders/therapy , Psychological Distress , Quarantine/psychology , Stress, Physiological , Transients and Migrants/psychology , Adolescent , Adult , Aged , Aged, 80 and over , COVID-19/epidemiology , Female , Humans , Male , Mental Disorders/epidemiology , Middle Aged , Pandemics , SARS-CoV-2 , South Australia , Young AdultABSTRACT
ABSTRACT: With COVID-19 affecting millions of people around the globe, quarantine of international arrivals is a critical public health measure to prevent further disease transmission in local populations. This measure has also been applied in the repatriation of citizens, undertaken by several countries as an ethical obligation and legal responsibility. This article describes the process of planning and preparing for the repatriation operation in South Australia during the COVID-19 pandemic. Interagency collaboration, development of a COVID-19 testing and quarantining protocol, implementing infection prevention and control, and building a specialised health care delivery model were essential aspects of the repatriation operational planning, with a focus on maintaining dignity and wellbeing of the passengers as well as on effective prevention of COVID-19 transmission. From April 2020 to mid-February 2021, more than 14,000 international arrivals travellers have been repatriated under the South Australian repatriation operations. This paper has implications to inform ongoing repatriation efforts in Australia and overseas in a pandemic situation.
Subject(s)
COVID-19/epidemiology , Infection Control/legislation & jurisprudence , Public Health/legislation & jurisprudence , Quarantine/legislation & jurisprudence , COVID-19/diagnosis , COVID-19/transmission , COVID-19 Testing/methods , COVID-19 Testing/standards , Delivery of Health Care , Humans , Infection Control/methods , International Health Regulations , Pandemics , Public Health/methods , Quarantine/methods , Risk Assessment , Risk Factors , SARS-CoV-2/isolation & purification , South Australia/epidemiology , TravelABSTRACT
Introduction: The Registered Nurses' Association of Ontario's flagship Best Practice Spotlight Organization® Program is scaling up implementation around the globe. The Australian Nursing and Midwifery Federation has successfully partnered with the Registered Nurses' Association of Ontario's to become a Best Practice Spotlight Organization Host, and establish an evidence-based culture in South Australia. Australian Nursing and Midwifery Federation is the largest professional organisation and trade union for nurses, midwives and assistants in nursing in Australia with a commitment to high standards of professional practice, effective bargaining and industrial representation of members as well as a progressive, social justice based approach to policy issues facing the health system (Australian Nursing and Midwifery Federation 2017). Objective: Reflect on the experience of Australian Nursing and Midwifery Federation in implementing the Best Practice Spotlight Organization Program in nursing in South Australia. Methodology: To describe the process of scaling up the Registered Nurses' Association of Ontario's Best Practice Guidelines program in South Australia through its Best Practice Spotlight Organizations world renowned feature, barriers and opportunities to its uptake and its evaluation. Conclusions: Evaluation of the Best Practice Spotlight Organizations program demonstrates the value of practice reforms, which were implemented and improved outcomes for patients/clients, improved professional satisfaction and capacity, and created cost efficiencies in the pilot sites. [Hurley J, Dabars E, Bonner R. The Best Practice Spotlight Organizations (BPSO) Program Experience in Australia. MedUNAB 2017; 20(2): 215-223].
Introducción: La asociación de enfermeras registradas de Ontario y su programa principal de mejores prácticas de las organizaciones más destacadas está ampliando su implementación alrededor del mundo. La Federación Australiana de Enfermería y Obstetricia se ha asociado exitosamente con la asociación de enfermeras registradas de Ontario para convertirse en anfitriona de Las mejores prácticas de las organizaciones más destacadas y establecer una cultura basada en la evidencia en Australia del Sur. Federación Australiana de Enfermería y Obstetricia es el sindicato y la organización profesional más grande para enfermeras, parteras y asistentes en enfermería en Australia, con un compromiso con altos estándares de práctica profesional, negociación efectiva y representación industrial de sus miembros, así como un enfoque progresivo basado en la justicia social a los problemas políticos que enfrentan el sistema de salud (Federación Australiana de Enfermería y Obstetricia 2017). Objetivo: Reflexionar sobre la experiencia de la Federación Australiana de Enfermería y Obstetricia en la implementación del Programa Las mejores prácticas de las organizaciones más destacadas en enfermería en el sur de Australia. Metodología:Describir el proceso de escalamiento en el programa, Guía para las Buenas Prácticas de la asociación de enfermeras registradas de Ontario en el sur de Australia a través de las mejores prácticas de las organizaciones más destacadas y de renombre mundial, características, barreras y oportunidades para su adopción y su evaluación. Conclusiones: La evaluación del programa Las mejores prácticas de las organizaciones más destacadas demuestra el valor de las reformas en la práctica, las cuales fueron implementadas y los resultados para los pacientes/clientes mejoraron; al igual que la satisfacción y la capacidad profesional mejoraron, y la creación de eficiencias en los costos de los sitios piloto también. [Hurley J, Dabars E, Bonner R. Experiencia en el programa: Las mejores prácticas de las organizaciones más destacadas (BPSO) en Australia. MedUNAB 2017; 20(2): 215-223].
Introdução: A associação de enfermeiras registradas de Ontário e seu principal programa de melhores práticas das principais organizações, está expandindo sua implementação em todo o mundo. A Federação Australiana de Enfermagem e Obstetrícia fez uma parceria de sucesso com a Registered Nurses Association of Ontario para sediar as melhores práticas das organizações líderes e estabelecer uma cultura baseada em evidências, no sul da Austrália. A Federação Australiana de Enfermagem e Obstetrícia é o sindicato e a maior organização profissional para enfermeiras, parteiras e assistentes de enfermagem na Austrália, com um compromisso de altos padrões de prática profissional, de negociação eficaz e representação Industrial de seus membros, bem como uma abordagem progressiva com base na justiça social para os problemas políticos que enfrenta o sistema de saúde (Federação Australiana de Enfermagem e Obstetrícia 2017). Objetivo: Refletir sobre a experiência da Federação Australiana de Enfermagem e Obstetrícia na implementação do Programa As melhores práticas das mais destacadas organizações de enfermagem no sul da Austrália. Metodologia: Descrever o processo de encaminhamento no programa, Guia de Boas Práticas da Associação de Enfermeiras Registradas de Ontário, na Austrália do Sul, através das melhores práticas das organizações, lideres e de renome mundial, suas caraterísticas barreiras e oportunidades, para sua adoção e avaliação. Conclusões: A avaliação do programa, As melhores práticas das organizações mais destacadas, demonstra o valor das reformas na prática, as quis foram implementadas e os resultados para pacientes/ clientes melhoraram; bem como a satisfação e capacidade profissional melhorada, e a criação de eficiências nos custos dos locais piloto também. [Hurley J, Dabars E, Bonner R. Experiência no programa: Melhores práticas de organizações líderes (BPSO) na Austrália. MedUNAB 2017; 20(2): 215-223].
