Preparing for the Next Pandemic: Has COVID-19 Changed American Attitudes?

OBJECTIVE: Coronavirus disease 2019 (COVID-19) and future pandemics have become a reality, and planners must understand how attitudes during COVID-19 may influence future preparedness activities. This study explores how personal experiences of Americans during the pandemic, attitudes about institutions, and views of social change could either pose challenges or help with planning for the next pandemic. METHODS: A longitudinal survey capturing health attitudes and COVD-19-related experiences was fielded 3 times over the course of the pandemic among historically underserved individuals in US society (racial/ethnic minority and low-income populations). RESULTS: COVID-19-related experiences increased over time. Attitudes about federal and state government and businesses' ability to respond to the pandemic varied by COVID-19-related experience and having any COVID-19-related experience was associated with a lower likelihood of reporting positive attitudes about institutions. Respondents generally perceived that COVID-19 presented an opportunity for positive social change, and those with COVID-19-related experiences had the greatest likelihood of selecting "reduce income inequality" as their top prioritized change. Those with COVID-19-related experiences were less likely to endorse other policy priorities such as protecting freedoms. CONCLUSIONS: Anticipating potential backlash or other sentiments could improve pandemic responsiveness. Strengthening public institutions is crucial to ensuring their effectiveness during a pandemic. Pandemic planning could exploit opportunities to take other social policy actions where views seem to converge.

Innovative nursing care models and culture of health: Early evidence.

BACKGROUND: The Robert Wood Johnson Foundation is committed to advancing a national movement to create a "culture of health." Nurses are especially well positioned to contribute to the culture of health in their communities. PURPOSE: The purpose was to examine the extent to which nurse-designed care models focus on the culture of health to better understand how nurses may function as exemplars for other providers. METHODS: Qualitative content review of documents describing nurse-designed care models that are designated by the American Academy of Nursing as "Edge Runners." DISCUSSION: Nurse-designed models focus extensively on issues related to a culture of health, making them a potentially useful context for examining how other providers might contribute to a culture of health. CONCLUSION: Future work should focus on gathering more detailed information about nurses' culture of health efforts. Such information can inform recommendations for health care providers as they contribute to culture of health efforts.