Social Determinants of Health and Satisfaction With Sources of Information About COVID-19 Related to Vaccine Uptake in a Safety Net Healthcare System.

BACKGROUND: Vaccination is a critical tool to combat the COVID-19 pandemic. Yet, vaccine uptake varies across communities and is often affected by sociodemographic factors and accessibility. OBJECTIVES: This article outlines a pilot study aimed to examine factors associated with COVID-19 patients within one of the nation's largest safety net healthcare systems. METHODS: A cross-sectional survey design was conducted with adults over 18 years of age eligible to receive the COVID-19 vaccine. Descriptive analysis of survey data collected in 2021-2022 was employed. Unconditional and multivariate logistic regression analyses were conducted to examine associations between sociodemographics, social factors, and COVID-19 vaccine uptake. RESULTS: Study participants ( N = 280) were a diverse patient population, primarily low-income and majority Hispanic/Latinx, with low education levels, but with a high level of COVID-19 vaccine uptake and a high rate of intent to vaccinate again. Approximately 22% report having unstable housing, and 46% experiencing food insecurity. Most trusted sources for COVID-19 data included mainstream media, including TV, radio, and newspapers, and friends, family, or other informal networks. We found that respondents who were satisfied or very satisfied with COVID-19 information received from healthcare providers or the government had higher odds of vaccine uptake rates. DISCUSSION: These findings highlight the critical role of access to the COVID-19 vaccine and sources of information as an independent factor in COVID-19 vaccine uptake among patients within a safety net healthcare system. This study expands the literature on COVID-19 vaccine uptake, particularly in an underresourced region of the South Los Angeles community. Future research is needed to better understand the mechanisms between social determinants of health, perceived discrimination, and vaccine uptake.

Diverse perspectives on unit-level nurse staffing ratios in medical-surgical units: A Delphi policy analysis.

BACKGROUND: Appropriate staffing is essential to acute care delivery. Staffing ratio policy generates controversy. PURPOSE: This study examines perspectives on unit-level nurse-to-patient ratio policy in adult medical-surgical units. METHOD: Delphi methodology uses an invited diverse panel to analyze a policy's effects. Panelists completed iterative surveys about the impact they expect from unit-level ratio policy. FINDINGS: Panelists demonstrated moderate agreement that the proposed policy could increase staffing levels, decrease patient length of stay, and reduce nurse attrition. Other potential outcomes included reducing staffing in units above the minimum and increasing short-term costs. Panelists agreed that the policy could increase patient safety and nurse satisfaction and did not agree about the effect on long-term cost and innovation. Panelists also anticipated a mostly positive effect on patients and nurses. DISCUSSION: Policies that set unit-level nurse-to-patient ratios offer a potential strategy to improve medical-surgical staffing. Policy design should consider the range of expected outcomes.

¿Qué quiere una madre? Comentario sobre Todo sobre mi madre, de Pedro Almodóvar / What does a mother? Review of All About My Mother by Pedro Almodóvar

El film de Almodóvar ha cobrado notoriedad a partir de obtener el premio Oscar en 2000. Se han elogiados sus hallazgos estéticos y actorales pero no siempre se ha advertido su carácter visionario en materia de neoparentalidades. Este trabajo da cuenta de esa dimensión, identificando la lógica contemporánea de los trasplantes y otras transformaciones del cuerpo, analizadas a la luz de la teoría performativa de Judith Butler, las modernas perspectivas de género, y la teoría psicoanalítica de Jacques Lacan. También a partir de las referencias a las artes plásticas, a la tragedia griega y al teatro contemporáneo como fuentes para pensar el problema más allá de los cánones tradicionales...

Almodóvar's film has gained notoriety when it obtained the Oscar prize in 2000. Public and critic praised its aesthetic and acting findings but not always warned his visionary character. This work gives account of that dimension, identifying the logic of contemporary transplants and other body transformations, analyzed in light of performative theory of Judith Butler, the modern gender perspectives, psychoanalytic theory of Jacques Lacan. Also from references to the visual arts, to Greek tragedy and contemporary theater as sources to think the problem beyond of traditional perspectives.