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1.
PLoS One ; 16(9): e0257109, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34478470

RESUMO

INTRODUCTION: Health care workers are the most affected part of the world population due to the COVID-19 pandemic. Countries prioritize vaccinating health workers against COVID-19 because of their susceptibility to the virus. However, the acceptability of the vaccine varies across populations. Thus, this study aimed to determine the health care worker's intentions to accept the COVID-19 vaccine and its associated factors in southwestern Ethiopia, 2021. METHODS: A facility-based cross-sectional study was conducted among health care workers in public hospitals in southwestern Ethiopia from March 15 to 28, 2021. A simple random sampling method was used to select 405 participants from each hospital. Data were collected using self-administered questionnaires. Descriptive statistics, such as frequency and percentage, were calculated. Multivariable logistic regression was also performed to identify factors associated with health care worker's intention to accept the COVID-19 vaccine. Statistically significant variables were selected based on p-values (<0.05) and the adjusted odds ratio was used to describe the strength of association with 95% confidence intervals. RESULT: Among the respondents, 48.4% [95% CI: 38.6, 58.2] of health care workers intended to accept COVID-19. Intention to accept COVID-19 vaccination was significantly associated with physicians (AOR = 9.27, 95% CI: 1.27-27.32), professionals with a history of chronic illness (AOR = 4.07, 95% CI: 2.02-8.21), perceived degree of risk of COVID-19 infection (AOR = 4.63, 95% CI: 1.26-16.98), positive attitude toward COVID-19 prevention (AOR = 6.08, 95% CI: 3.39-10.91) and good preventive practices (AOR = 2.83, 95% CI: 1.58-5.08). CONCLUSION: In this study, the intention of health care workers to accept the COVID-19 vaccine was low. Professional types, history of chronic illness, perceived degree of risk to COVID-19 infection, attitude toward COVID-19 and preventive practices were found to be factors for intention to accept COVID-19 vaccine in professionals. It is important to consider professional types, history of chronic illness, perceived degree of risk to COVID-19, attitude of professionals and preventive behaviors to improve the intention of professionals' vaccine acceptance.


Assuntos
Vacinas contra COVID-19/uso terapêutico , COVID-19/psicologia , Pessoal de Saúde/psicologia , Pandemias , Adulto , Idoso , COVID-19/epidemiologia , COVID-19/prevenção & controle , Etiópia/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Médicos/psicologia , Fatores de Risco , SARS-CoV-2 , Inquéritos e Questionários
2.
PLoS One ; 16(9): e0257064, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34478482

RESUMO

The pandemic of Coronavirus disease 2019 (COVID-19) has brought significant pressure on nurses globally as they are the frontline of care. This study aimed to explore the experiences and challenges of nurses who worked with hospitalised patients with COVID-19. In this qualitative study, a purposive sample of 14 nurses participated in in-depth telephone interviews. Data were analysed using Colaizzi's phenomenological method. Five key themes emerged: (1) physical and psychological distress of nurses, (2) willingness to work, (3) the essential role of support mechanisms, (4) educational and informational needs of nurses and (5) the role of modern technology in COVID-19 care. Although the provision of care led to physical and psychological distress among nurses, with their commitment and professional obligation, it is a new experience that leads to personal satisfaction. Guilty feeling related to inefficiency of care, witnessing the suffering of patients, discomfort associated with wearing personal protective equipment (PPE), work-related issues (e.g., long hour shifts), negative impact to the family and rejection by others are the leading distress factors. Religious beliefs, including keeping trust in good and bad merits, have become a strong coping mechanism. Addressing distress among nurses is essential. The reported learning needs of nurses included skills related to donning and doffing PPE, skills in performing nursing procedures and breaking bad news. Nurse managers need to pay special attention to expanding training opportunities as well as support mechanisms, for example, welfare, appreciations and counselling services for nurses. Modern technology, particularly robots and telecommunication, can perform an essential role in COVID-19 care. The establishment of timely policies and strategies to protect health workers during a national disaster like COVID-19 is needed.


Assuntos
COVID-19/psicologia , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Adaptação Psicológica , Ansiedade/epidemiologia , Ansiedade/psicologia , COVID-19/epidemiologia , COVID-19/virologia , Medo/psicologia , Feminino , Pessoal de Saúde/psicologia , Humanos , Entrevistas como Assunto , Masculino , Equipamento de Proteção Individual/normas , Angústia Psicológica , Psicologia Clínica , Robótica/normas , SARS-CoV-2/patogenicidade , Telecomunicações
3.
PLoS One ; 16(9): e0255340, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34520471

RESUMO

OBJECTIVE: This study aimed to assess the prevalence and associated factors of post-traumatic stress disorder among health professionals working in South Gondar Zone hospitals in the era of the COVID-19 pandemic, Amhara Ethiopia 2020. METHODS: Institutional based cross-sectional study design was conducted. A total of 396 respondents completed the questionnaire and were included in the analysis. A previously adapted self-administered pretested standard questionnaire, Impact of Event Scale-Revised (IES-R-22) was used to measure post-traumatic stress disorder. Data was entered into Epi data version 4.4.2 then exported to SPSS version 24 for analysis. Descriptive and analytical statistical procedures, bivariate, and multivariate binary logistic regressions with odds ratios and 95% confidence interval were employed. The level of significance of association was determined at a p-value < 0.05. RESULTS: The prevalence of post-traumatic stress disorder among health care providers in this study was 55.1% (95% CI: 50.3, 59.6). Lack of standardized PPE supply (AOR = 2.5 7,95CI;1.37,4.85), respondents age > 40 years (AOR = 3.95, 95CI; 1.74, 8.98), having medical illness (AOR = 4.65, 95CI;1.65,13.12), perceived stigma (AOR = 1.97, 95CI;1.01, 3.85), history of mental illness(AOR = 8.08,95IC;2.18,29.98) and having poor social support (AOR = 4.41,95CI;2.65,7.3) were significantly associated with post-traumatic stress disorder at p-value < 0.05. Conversely, being a physician (AOR = 0.15, 95CI; 0.04, 0.56) was less affected by PTSD. CONCLUSIONS: The prevalence of post-traumatic stress disorder among health care providers in this study was high. Adequate and standardized PPE supply, giving especial emphasis to those care providers with medical illness, history of mental illness, and having poor social support, creating awareness in the community to avoid the stigma faced by health care providers who treat COVID patients is recommended.


Assuntos
COVID-19/psicologia , Pessoal de Saúde/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , COVID-19/epidemiologia , Estudos Transversais , Etiópia/epidemiologia , Humanos , Prevalência , Fatores de Risco , Inquéritos e Questionários
4.
PLoS One ; 16(9): e0256454, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34473755

RESUMO

BACKGROUND: The COVID-19 pandemic has placed a significant burden on the mental health and wellbeing of frontline health and social care workers. The need to support frontline staff has been recognised. However, there is to date little research specifically on how best to support the mental health needs of frontline workers, and none on their own experiences and views about what might be most helpful. AIMS: We set out to redress this research gap by qualitatively exploring UK frontline health and social care workers' own experiences and views of psychosocial support during the pandemic. METHOD: Frontline health and social care workers were recruited purposively through social media and by snowball sampling via healthcare colleagues. Workers who volunteered to take part in the study were interviewed remotely following a semi-structured interview guide. Transcripts of the interviews were analysed by the research team following the principles of Reflexive Thematic Analysis. RESULTS: We conducted 25 interviews with frontline workers from a variety of professional groups working in health and social care settings across the UK. Themes derived from our analysis showed that workers' experiences and views about psychosocial support were complex. Peer support was many workers' first line of support but could also be experienced as a burden. Workers were ambivalent about support shown by organisations, media and the public. Whilst workers valued psychological support services, there were many disparities in provision and barriers to access. CONCLUSIONS: The results of this study show that frontline health and social care workers are likely to need a flexible system of support including peer, organisational and professional support. More research is needed to fully unpack the structural, systemic and individual barriers to accessing psychosocial support. Greater collaboration, consultation and co-production of support services and their evaluation is warranted.


Assuntos
COVID-19/prevenção & controle , Pessoal de Saúde/psicologia , Sistemas de Apoio Psicossocial , Pesquisa Qualitativa , Assistentes Sociais/psicologia , COVID-19/epidemiologia , COVID-19/virologia , Feminino , Humanos , Entrevistas como Assunto , Masculino , Saúde Mental , Pandemias/prevenção & controle , Equipamento de Proteção Individual/provisão & distribuição , SARS-CoV-2/fisiologia , Apoio Social
5.
Artigo em Russo | MEDLINE | ID: mdl-34486846

RESUMO

The article considers various mental reactions of psychiatrists and narcologists against the background of the SARS-CoV-2 pandemic, based on a brief scientific analysis of publications and experimental psychological research methods. The purpose of study was to identify impact of the COVID-19 pandemic on mental health of psychiatrists and psychiatrists-narcologists. The results of survey of psychiatrists and narcologists are presented. The study was carried out using such test techniques as life quality scale SF-36 (Health Status Survey), Lazarus questionnaire "Coping Behaviors" adjusted to conditions of Russia and Hamilton scales to assess depression and anxiety (HDRS, HARS). The results.The low level of psychological well-being, moderate degree of preference for all coping strategies were established. The anxiety was determine in 34.8% of respondents and depression in 8.7%. It was established that actually, the impact of the COVID-19 pandemic on medical workers is conditioned by complex of mental reactions (from anosognosia to expressed anxiety and depressive disorders) and is accompanied by increasing general anxiety.


Assuntos
COVID-19 , Pessoal de Saúde/psicologia , Estresse Psicológico , COVID-19/psicologia , Depressão/epidemiologia , Humanos , Pandemias , Psiquiatria
6.
Rev Esp Salud Publica ; 952021 Sep 01.
Artigo em Espanhol | MEDLINE | ID: mdl-34465717

RESUMO

OBJECTIVE: Female genital mutilation is present in 31 countries, affecting 200 million women and girls. Due to migratory movements, cases have been described in western countries which receive part of this immigration. Spain gets an important migratory flow from countries at risk, and the Canary Islands represents an important route of entry. The main goal of this study was to evaluate the knowledge, attitudes and practices about FGM among health professionals in the island of Tenerife. METHODS: A cross-sectional descriptive study about the level of knowledge, attitudes and practices among health professionals in the Island of Tenerife was conducted based on an online questionnaire. Gynaecologists, family doctors, paediatricians, nurses, midwives and social workers were included in the study. Frequency and percentage were calculated to describe the nominal variables and mean ± standard deviation for the quantitative variables. For the statistical treatment of the data, the R software was used. RESULTS: 142 questionnaires were analysed. A total of 19.7% of the professionals surveyed responded that they had found a case during their professional practice, 19% claimed to have received training, 26.8% correctly recognized the typology and 15.5% the countries of prevalence. Only 6.3% claimed to know a specific protocol for action. CONCLUSIONS: There are cases of FGM in the Island of Tenerife. In general, the respondents show a lack of knowledge about the practice, its typology, the countries where it takes place, or the reasons why it is carried out. Specific training on the subject increased the rate of case detection and the knowledge of the practice.


Assuntos
Circuncisão Feminina , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde , Estudos Transversais , Feminino , Pessoal de Saúde/psicologia , Humanos , Espanha , Inquéritos e Questionários
7.
Rev Environ Health ; 36(3): 345-357, 2021 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-34469639

RESUMO

OBJECTIVES: This study aimed to evaluate the knowledge, attitude, practice, and clinical recommendations of health care workers (HCWs) towards COVID-19. METHODS: In this systematic review study, international databases (Web of Science, PubMed, and Scopus) were searched for the relevant studies published in English from the inception of databases until July 30, 2020. Hoy et al.'s tool was used to evaluate the quality of studies. All search steps, screening, selection of studies, quality assessment, and data extraction were performed separately by two researchers. RESULTS: Out of 3460 articles searched, 28 articles conducted on 16,427 HCWs were included in the study. Most of the HCWs had good knowledge (72.2%), a positive attitude (70.9%), and good practice (78.8%) towards COVID-19. The most important clinical recommendation to improve knowledge, attitude, and practice (KAP) was to provide HCWs with a periodic training program regarding COVID-19. The most important source of information for HCWs on COVID-19 was social networks. CONCLUSIONS: Despite HCWs' good knowledge, attitude, and practice (KAP), it is recommended to periodically review KAP and carry out further studies in different countries as well. It is also recommended to use social media to improve KAP.


Assuntos
Atitude do Pessoal de Saúde , COVID-19/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Comunicação , Estudos Transversais , Humanos , Controle de Infecções/normas , Capacitação em Serviço , SARS-CoV-2
8.
Rev Esp Salud Publica ; 952021 Sep 07.
Artigo em Espanhol | MEDLINE | ID: mdl-34489393

RESUMO

In 2014, the first case of secondary Ebola infection outside Africa detected in Spain, caused a sense of global threat. This study assess Risk Perception amongst the health personnel and identify the agents that amplified or reduced it. Through a snowball sampling, 5 in-depth interviews were carried out. Inclusion´s criteria: treating the patient suspected of Ebola and/or of having been actively involved in the management of the crisis. Triangulation and member checking were used to validate findings. Field work was between February and June 2015. In Risk Perception´s construction were involved Formation, Management of Information and Trust. Political and Health Authorities, Media and Unions acted as amplifiers whereas the Expert Committee and Hospital Management as reducers. Peer-to-peer behavior acted as a reducer amongst the medical staff and as an amplifier between the nursing and cleaning staff. This information would be relevant to better manage a health crisis of this characteristics.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde , Doença pelo Vírus Ebola , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Doença pelo Vírus Ebola/epidemiologia , Doença pelo Vírus Ebola/terapia , Humanos , Medição de Risco , Espanha/epidemiologia
9.
J Occup Health ; 63(1): e12247, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34375497

RESUMO

OBJECTIVES: To determine the prevalence of burnout according to job category after the first wave of COVID-19 in Japan and to explore its association with certain factors. METHODS: An online cross-sectional survey of health care workers (HCWs) from June 15 to July 6, 2020, was conducted at a tertiary hospital in Tokyo, Japan. Demographic characteristics, results of the Japanese version of the Maslach Burnout Inventory-General Survey, types of anxiety and stress, changes in life and work after the peak of the pandemic, and types of support aimed at reducing the physical or mental burden, were determined. RESULTS: Of 672 HCWs, 149 (22.6%) met the overall burnout criteria. Burnout was more prevalent in women (OR, 3.11; 95% CI, 1.45-6.67, P = .003), anxiety due to unfamiliarity with personal protective equipment (PPE) (OR, 1.98; 95% CI, 1.20-3.27, P = .007), and decreased sleep duration (OR, 1.96; 95% CI, 1.20-3.20, P = .008). Conversely, participants who felt that the delivery of COVID-19-related information (OR, .608; 95% CI, .371-.996, P = .048) and PPE education opportunities (OR, .484; 95% CI, .236-.993, P = .048) and messages of encouragement at the workplace (OR, .584; 95% CI, .352-.969; p = .037) was helpful experienced less burnout. CONCLUSIONS: There is a need to focus on the above factors to maintain the mental health of HCWs. The delivery of COVID-19-related information and educational interventions for PPE and messages of encouragement at the workplace may be needed to reduce the mental burden.


Assuntos
Esgotamento Psicológico/epidemiologia , COVID-19 , Pessoal de Saúde/psicologia , Carga de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2 , Inquéritos e Questionários , Tóquio/epidemiologia , Adulto Jovem
10.
Artigo em Inglês | MEDLINE | ID: mdl-34444162

RESUMO

This study compared the impact on mental health and the psychosocial perceptions of medical residents and healthcare workers (HCWs) in a hospital after the first peak of the SARS-CoV2 outbreak in France. A validated version of the SATIN questionnaire with a modified scoring system was used to collect data on health and psychosocial factors. This questionnaire was sent to all workers at the hospital in July 2020 and was self-administered online. Using a multivariate multinomial regression model, the study included demographic variables such as age, gender, years at workplace and the relevant of covariate as HCW status. One thousand, four hundred and six questionnaires were available for analysis including 393 non-HCWs, 891 HCWs and 122 medical residents. Medical resident status is a risk factor for stress (OR 4.77 [2.48-9.18] p < 0.001), worse global health (OR 4 [1.7-9.6] p < 0.001) and mental health (OR 2.58 [1.3-5.1] p = 0.02), negative perception of work demand (OR 8.25 [3.5-19.6] p <0.001), work activity environment (OR 3.18 [1.5-6.7] p = 0.02) and organizational context (OR 4.9 [2.38-10.4] p <0.001). Action on collective support, protection equipment, organizational context and framework are important.


Assuntos
COVID-19 , Pessoal de Saúde/psicologia , Internato e Residência , Estresse Ocupacional/epidemiologia , Estudos Transversais , Surtos de Doenças , França , Humanos
12.
BMC Infect Dis ; 21(1): 762, 2021 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-34353279

RESUMO

BACKGROUND: Coronavirus disease 2019 (COVID-19) vaccination has raised concerns about vaccine hesitancy in general and COVID-19 vaccine hesitancy in particular. Understanding the factors driving the uncertainty regarding vaccination against COVID-19 is crucial. METHODS: This cross-sectional study was designed to identify the perceptions and attitudes of healthcare workers (HCWs) towards COVID-19 vaccines and determine the predictive factors that affect their willingness to receive the COVID-19 vaccine. An online survey was distributed among HCWs to collect data assessing demographic and general characteristics of the participants and vaccine-related characteristics, including source of information about the vaccine. In addition to items assessing the perception of COVID-19, there were items on COVID-19 vaccines and attitude towards vaccination in general and towards COVID-19 vaccines in particular. RESULTS: The participants were classified according to their willingness to take the COVID-19 vaccine as follows: hesitant (41.9%), refusing (32.1%), and willing (26%). Statistically significant differences were observed among the three groups for the perception of COVID-19 vaccines, attitude towards vaccination in general, and COVID-19 vaccines in particular (p < 0.01). CONCLUSIONS: Although the participants adequately perceived COVID-19 severity, prevention, and COVID-19 vaccine safety, they were widely hesitant or refused to be vaccinated. A multidimensional approach is required to increase the vaccine acceptability rate. Higher income and increased years of work experience are positive predictors of willingness to receive a vaccine. Thus, further studies addressing the scope of COVID-19 vaccine hesitancy are warranted as an initial step to build trust in COVID-19 vaccination efforts with continuous monitoring of attitudes and practices of HCWs towards COVID-19 vaccines in the future.


Assuntos
Vacinas contra COVID-19/administração & dosagem , COVID-19 , Pessoal de Saúde/psicologia , Recusa de Vacinação/psicologia , Vacinação/psicologia , Adulto , COVID-19/prevenção & controle , Estudos Transversais , Egito , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
13.
Malawi Med J ; 33(1): 48-53, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-34422233

RESUMO

Background and purpose: Students from different health disciplines should learn together during certain periods of their education to acquire skills necessary for solving the health problems. The Faculty of Health Sciences of University of the Witwatersrand created inter-professional education (IPE) activities for students to assess clinical IPE groups' perceptions of IPE experiences and to identify lessons learnt during IPE sessions. Methods: This was a qualitative study with review of the students' post IPE feedback forms. The students were granted 'protected time' of three full days over a period of two months to participate in IPE activities. Results: Students felt that knowledge about health team members was gained and that IPE groups should have more than one person from each field with the same level of clinical exposure. The students indicated the need to have regular IPE activities and if possible to incorporate this into clinical practice for them to experience it in daily clinical practice. Conclusion: Participating in the IPE activity made students gain appreciation and respect for other health professionals' roles and scope. When student groups are big, patient observations can be done as this does not compromise IPE learning outcomes. Group composition should be kept in mind to cater for the learning needs of all students. If it is not possible to meet the needs of all professions, smaller groups with professions applicable to case can be created.


Assuntos
Educação Profissionalizante , Ocupações em Saúde , Pessoal de Saúde/psicologia , Relações Interprofissionais , Estudantes de Ciências da Saúde/psicologia , Atitude do Pessoal de Saúde , Humanos , Entrevistas como Assunto , Pesquisa Qualitativa
14.
Front Health Serv Manage ; 38(1): 14-19, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34431814

RESUMO

SUMMARY: Enhancing employee well-being and creating a distinct employee experience are crucial to the success of Atrium Health. Our strategies for listening, well-being, and experience have always been deep-rooted in our culture, and the COVID-19 pandemic brought extraordinary opportunities to refresh those strategies as we carried out our mission during a time of uncertainty, crisis, and disruption to our everyday lives. From the start of the pandemic, we have deliberately anticipated the needs of our employees to provide support when they need it most. As the pandemic eases, we continue to make relevant and timely resources available to increase resilience and overall well-being. Our efforts have evolved to support our heroes-including our nonclinical workers-and to better position Atrium Health for future challenges that come our way. Although we are constantly changing, our primary focus remains the same. Employee well-being and experience are a significant part of who we are and an essential element of the care we all provide at Atrium Health.


Assuntos
Atitude do Pessoal de Saúde , COVID-19/psicologia , COVID-19/terapia , Atenção à Saúde/organização & administração , Instalações de Saúde , Pessoal de Saúde/psicologia , Cultura Organizacional , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , North Carolina , Pandemias , SARS-CoV-2
15.
Front Health Serv Manage ; 38(1): 20-26, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34431815

RESUMO

SUMMARY: At Texas Health Resources, the well-being of our patients, our workforce, and our communities has long been at the core of who we are and the driving force behind business decisions, employee interactions, programs, practices, and the patient care we deliver. It is in our DNA, from our vision "to partner with you for a lifetime of health and well-being" to Our Texas Health Promise: Individuals Caring for Individuals, Together. That solid foundation-always the basis of our business preparations-made it possible for us to weather the challenges brought by the COVID-19 pandemic and to prepare ourselves for what comes next, emerging stronger and with sustained energy to transform the enterprise on the other end.


Assuntos
COVID-19/psicologia , COVID-19/terapia , Cuidadores/psicologia , Atenção à Saúde/organização & administração , Pessoal de Saúde/psicologia , Objetivos Organizacionais , Apoio Social , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , SARS-CoV-2 , Texas
16.
Front Health Serv Manage ; 38(1): 27-31, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34431816

RESUMO

SUMMARY: Critical access hospitals (CAHs) serve their rural communities as the main access points and communication centers for healthcare, typically with very limited financial, staffing, and support resources. Local residents rely on their CAHs as the only providers for many miles around. When the COVID-19 pandemic hit in early 2020, CAH leaders had to rethink operations and priorities, both internally with staffs and externally with community leaders and organizations. Few critical care beds were available when the need was greatest. Testing was problematic, and cultural barriers complicated care. Now, as virus variants strike where vaccination numbers are low, CAH leaders remain wary of financial hits to elective procedure income, limited resources, and added stress for their staffs. Working with community service organizations and larger regional healthcare centers is a crucial strategy for CAHs as they address care delivery issues and ensure that their caregivers can do their jobs now and in the future.


Assuntos
COVID-19/terapia , Cuidados Críticos/organização & administração , Atenção à Saúde/organização & administração , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Administradores Hospitalares/psicologia , Serviços de Saúde Rural/organização & administração , Adulto , Animais , Atitude do Pessoal de Saúde , Feminino , Administração Hospitalar , Humanos , Illinois , Liderança , Masculino , Pessoa de Meia-Idade , Objetivos Organizacionais , Pandemias , SARS-CoV-2
17.
Front Health Serv Manage ; 38(1): 32-38, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34431817

RESUMO

SUMMARY: Fighting the global COVID-19 pandemic has shifted from immediate response efforts to recognition of the long-term effects on the mental health and well-being of the general population and healthcare workforce. Leaders need to understand the vital role of behavioral health services in a population-based, integrated healthcare framework and address the needs of the behavioral health workforce to successfully deploy services in their organizations and communities.During the ongoing national response to COVID-19, three major trends have emerged: (1) a shift to telehealth and digital care, (2) greater awareness of the impact on the workforce of the shift to digital care, and (3) an open dialogue to counteract the stigma and discrimination related to mental illness and to emphasize mental well-being instead. When they address stigma and discrimination, healthcare leaders embrace a more holistic approach that welcomes behavioral health professionals as equal, vital members of the care team. They help their organizations advance the mental well-being of all.


Assuntos
COVID-19/psicologia , COVID-19/terapia , Pessoal de Saúde/psicologia , Promoção da Saúde/organização & administração , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Estigma Social , Telemedicina/organização & administração , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Objetivos Organizacionais , Pandemias , SARS-CoV-2 , Estados Unidos
18.
Front Health Serv Manage ; 38(1): 39-44, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34431818

RESUMO

SUMMARY: Well-being, engagement, and burnout among clinicians are interconnected, and the common denominator is energy. Decades of research show that employees' energy is a decisive factor in achieving organizational outcomes. Knowing this, healthcare leaders can create well-being programs with measurable outcomes that make a positive impact on the bottom line. Just as important, leaders can avoid wasting money on fruitless efforts. How can clinician well-being be incorporated in organizational culture and strategic and operational plans? What are the special challenges to achieving clinician well-being? What key leadership actions promote and protect the well-being of clinicians? Which approaches are most effective during a crisis such as the COVID-19 pandemic? This article addresses those questions by presenting the rationale and methodology behind well-being programs that also address engagement and burnout so that clinicians can succeed in times of crisis and beyond.


Assuntos
Atitude do Pessoal de Saúde , Esgotamento Profissional/psicologia , COVID-19/terapia , Atenção à Saúde/organização & administração , Pessoal de Saúde/psicologia , Promoção da Saúde/organização & administração , Engajamento no Trabalho , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Objetivos Organizacionais , Pandemias , SARS-CoV-2
19.
Int J Public Health ; 66: 633917, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34434083

RESUMO

Objectives: Existing evidence suggests that drug-resistant tuberculosis (DR-TB) remains a huge public health threat in high-burden TB countries such as Ethiopia. The purpose of this qualitative study was to explore the challenges of healthcare workers (HCWs) involved in providing DR-TB care in Addis Ababa, Ethiopia. Methods: We conducted in-depth interviews with 18 HCWs purposively selected from 10 healthcare facilities in Addis Ababa, Ethiopia. We then transcribed the audiotaped interviews, and thematically analysed the transcripts using Braun and Clark's reflexive thematic analysis framework. Results: We identified five major themes: 1) inadequate training and provision of information on DR-TB to HCWs assigned to work in DR-TB services, 2) fear of DR-TB infection, 3) risk of contracting DR-TB, 4) a heavy workload, and 5) resource limitations. Conclusion: Our findings highlight major human resource constraints that current DR-TB care policies need to foresee and accommodate. New evidence and best practices on what works in DR-TB care in such resource-limited countries are needed in order to address implementation gaps and to meet global TB strategies.


Assuntos
Pessoal de Saúde , Tuberculose Resistente a Múltiplos Medicamentos , Etiópia/epidemiologia , Feminino , Instalações de Saúde , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Recursos em Saúde/provisão & distribuição , Mão de Obra em Saúde , Humanos , Masculino , Pesquisa Qualitativa , Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia , Tuberculose Resistente a Múltiplos Medicamentos/terapia
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