[Mental Health Care of Health Workers During Covid-19: Recommendations Based on Evidence and Expert Consensus]. / Cuidado de la salud mental del personal de salud durante COVID-19: recomendaciones basadas en evidencia y consenso de expertos.

INTRODUCTION: The crisis situation generated by COVID-19 and the measures adopted have generated social changes in the normal dynamics of the general population and especially for health workers, who find themselves caring for patients with suspected or confirmed infection. Recent studies have detected in them depression and anxiety symptoms and burnout syndrome, with personal and social conditions impacting their response capacity during the health emergency. Our aim was to generate recommendations for the promotion and protection of the mental health of health workers and teams in the first line of care in the health emergency due to COVID-19. METHODS: A rapid literature search was carried out in PubMed and Google Scholar, and an iterative expert consensus and through electronic consultation, with 13 participants from the areas of psychology, psychiatry and medicine; the grading of its strength and directionality was carried out according to the international standards of the Joanna Briggs Institute. RESULTS: Thirty-one recommendations were generated on self-care of health workers, community care among health teams, screening for alarm signs in mental health and for health institutions. CONCLUSIONS: The promotion and protection activities in mental health to face the health emergency generated by COVID-19 worldwide can include coordinated actions between workers, health teams and health institutions as part of a comprehensive, community care, co-responsible and sustained over time.

Mental health care of health workers during Covid-19: Recommendations based on evidence and expert consensus.

INTRODUCTION: The crisis situation generated by COVID-19 and the measures adopted have generated social changes in the normal dynamics of the general population and especially for health workers, who find themselves caring for patients with suspected or confirmed infection. Recent studies have detected in them depression and anxiety symptoms and burnout syndrome, with personal and social conditions impacting their response capacity during the health emergency. Our aim was to generate recommendations for the promotion and protection of the mental health of health workers and teams in the first line of care in the health emergency due to COVID-19. METHODS: A rapid literature search was carried out in PubMed and Google Scholar, and an iterative expert consensus and through electronic consultation, with 13 participants from the areas of psychology, psychiatry and medicine; the grading of its strength and directionality was carried out according to the international standards of the Joanna Briggs Institute. RESULTS: Thirty-one recommendations were generated on self-care of health workers, community care among health teams, screening for alarm signs in mental health and for health institutions. CONCLUSIONS: The promotion and protection activities in mental health to face the health emergency generated by COVID-19 worldwide can include coordinated actions between workers, health teams and health institutions as part of a comprehensive, community care, co-responsible and sustained over time.

Cuidado de la salud mental del personal de salud durante COVID-19: recomendaciones basadas en evidencia y consenso de expertos / Mental Health Care of Health Workers During Covid-19: Recommendations Based on Evidence and Expert Consensus

RESUMEN Introducción: La situación de crisis generada por la COVID-19 y las medidas adoptadas han generado cambios sociales en las dinámicas normales de la población general y en especial para los trabajadores de la salud, que se encuentran en atención del paciente con infección sospechada o confirmada. Estudios recientes han detectado en ellos síntomas depresivos y ansiosos y síndrome de burnout, afecciones personales y sociales que alteran su capacidad de respuesta durante la emergencia sanitaria. El objetivo es generar recomendaciones de promoción y protección de la salud mental de los trabajadores y equipos de salud dispuestos como primera línea de atención en la emergencia sanitaria por COVID-19. Métodos: Se realizó una búsqueda rápida de literatura en PubMed y Google Scholar, y un consenso de expertos iterativo y mediante consulta electrónica, con 13 participantes de las áreas de psicología, psiquiatría y medicina; la gradación de su fuerza y direccionalidad se realizó según las normas internacionales del Joanna Briggs Institute. Resultados: Se generaron 31 recomendaciones sobre el autocuidado del trabajador de la salud, el cuidado comunitario entre los equipos de salud, el cribado de signos de alarma en salud mental y para las instituciones sanitarias. Conclusiones: Las actividades de promoción y protección en salud mental para el afrontamiento de la emergencia sanitaria generada por la COVID-19 en todo el mundo pueden abarcar acciones articuladas entre el trabajador, los equipos de salud y las instituciones sanitarias como parte de un cuidado integral, comunitario, corresponsable y sostenidas en el tiempo.

ABSTRACT Introduction: The crisis situation generated by COVID-19 and the measures adopted have generated social changes in the normal dynamics of the general population and especially for health workers, who find themselves caring for patients with suspected or confirmed infection. Recent studies have detected in them depression and anxiety symptoms and burnout syndrome, with personal and social conditions impacting their response capacity during the health emergency. Our aim was to generate recommendations for the promotion and protection of the mental health of health workers and teams in the first line of care in the health emergency due to COVID-19. Methods: A rapid literature search was carried out in PubMed and Google Scholar, and an iterative expert consensus and through electronic consultation, with 13 participants from the areas of psychology, psychiatry and medicine; the grading of its strength and directionality was carried out according to the international standards of the Joanna Briggs Institute. Results:Thirty-one recommendations were generated on self-care of health workers, community care among health teams, screening for alarm signs in mental health and for health institutions. Conclusions: The promotion and protection activities in mental health to face the health emergency generated by COVID-19 worldwide can include coordinated actions between workers, health teams and health institutions as part of a comprehensive, community care, co-responsible and sustained over time.

Comunidades compasivas en Colombia para el apoyo a personas con enfermedad avanzada y al final de la vida: uniendo esfuerzos / Compassionate communities in colombia to support people facing advanced illness and the end of life: joining efforts

Diversos países de medianos ingresos se encuentran en un proceso de transición demográfica avanzado hacia el envejecimiento. Atender esta población heterogénea implica un reto a los sistemas de salud y demanda una mayor participación de la comunidad, dada la alta prevalencia de enfermedades crónicas en adultos mayores y su frecuente dependencia funcional y fragilidad, que impactan en la calidad de vida e incrementan los costos asistenciales. En los años 90, la Organización Mundial de la Salud adoptó un modelo comunitario de salud pública que busca empoderar a las comunidades respecto al cuidado de la salud. Ello ha permitido el surgimiento de las comunidades compasivas, un movimiento social que parte de una filosofía en la cual la prioridad es el bienestar común. Algunos ejemplos de ello son las iniciativas que buscan promover e integrar socialmente los cuidados paliativos en la vida cotidiana de las personas creando "comunidades que cuidan" y que enseñan a cuidar a las personas al final de la vida. El presente artículo presenta los antecedentes del movimiento de ciudades compasivas en el mundo, su importancia para los cuidados paliativos y describe el desarrollo de este movimiento en Colombia, detallando acciones individuales y conjuntas de las ciudades que buscan aunar esfuerzos en pro del bienestar de las personas que enfrentan enfermedades avanzadas y el final de vida. Colombia ha logrado, en un periodo relativamente corto, promover acciones compasivas en siete de sus ciudades y comenzar a tejer redes no solo a nivel local sino también nacional. Se espera que muchos más se unan en este esfuerzo y que esto permita complementar la atención que se brinda por cuidados paliativos y potenciarla

Many middle-income countries are facing an advanced demographic change towards ageing. Caring for this heterogeneous population represents a challenge for health systems and requires a growing participation of the community, considering the high prevalence of chronic diseases in the elderly, and their frequent functional dependence and fragility, which altogether impacts their quality of life and increases health costs. The World Health Organization adopted in the 1990s a community public health approach seeking to empower the society in the care of their health. Since then, a social movement known as "Compassionate communities" has emerged, based on a principle that prioritizes the community's wellbeing. The initiatives that promote the social inclusion of palliative care in everyday life are an example of these "communities that care" and that teach others how to care for a person facing the end of life. This article presents the background of compassionate communities and their importance to palliative care. It also describes the development of this movement in Colombia and details the individual and collective actions of the cities interested in joining efforts toward the wellbeing of people facing advanced illness and the end of life. In a relatively short period, Colombia has successfully promoted compassionate actions in seven cities and has begun to develop networks not only locally but also nationally. It is hoped that many more will join this effort to complement and strengthen palliative care