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
El estrés es uno de los problemas de salud más graves en la actualidad, que no solo afecta a los trabajadores de salud, al provocarles incapacidad física o mental, sino también a los empleados de las diferentes áreas y funcionarios del gobierno. Uno de los grupos profesionales más afectados por el estrés en su trabajo diario, lo constituye el personal de enfermería por la gran responsabilidad que asume en la atención a pacientes críticos y otros. Objetivo: Describir los factores que desencadenan estrés y sus consecuencias en el desempeño laboral en los servicios de emergencia. Método: Incluyó búsqueda electrónica y manual de diferentes instituciones educativas y sociedades científicas a nivel nacional e internacional, durante el período de junio a octubre de 2006. Conclusiones: Las causas del estrés son: la sobrecarga de trabajo, presión del tiempo, ambigüedad de roles, clima organizacional, inestabilidad laboral, problema de interrelación con el equipo multidisciplinario afectando en el desempeño laboral y disminuyendo la calidad de los cuidados y la productividad. La situación de estrés permanente si no se controla puede llevar al síndrome de Burnout.
The stress is one of the more serious problems of health at the present time, that not only affects the workers of health, provoking them mental and physical inability, but also damages the employees of the different areas and offices of the government. One of the professional groups more affected by stress in their dayly job, is the nursing personnel, because of the great responsibility it has in the care of critical patients and others. Objective: To describe the factors that generate stress and its consequences during work in the Emergency Area. Method: Included electronic and manual search of different educational institutions and scientific societies at national and international level, during the period between June and October 2006. Conclusions: the causes of stress are: the overload of work, time pressure, role ambiguity, labor climate, labor instability, problems of interrelation with the multidisciplinary equipment affecting labor performance and diminishing the quality of cares and productivity. If the situation of permanent stress is not controlled, this can generate the burnout syndrome.
