Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 22.577
Filtrar
1.
Rev. enferm. UERJ ; 28: e45920, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1097273

RESUMO

Objetivo: analisar a associação entre os riscos ocupacionais e os danos relacionados ao trabalho de enfermagem em sala de vacinação. Método: estudo transversal analítico realizado em salas de vacinação de unidades de atenção primária à saúde entre junho e julho de 2017, com 171 trabalhadores de enfermagem. Utilizou-se um instrumento com informações sobre dados sociodemográficos, laborais e riscos ocupacionais e a Escala de Avaliação dos Danos Relacionados ao Trabalho. Estudo aprovado pelo Comitê de Ética em Pesquisa. Resultados: a exposição ocupacional aos riscos físico e ergonômico esteve associada a todas as formas de adoecimento investigadas, enquanto que a exposição ao risco mecânico às formas de adoecimento relacionadas aos danos físicos e psicológicos. A exposição ao risco químico associou-se ao adoecimento físico. Conclusão: as condições de trabalho a que os profissionais da enfermagem são expostos nas salas de vacinação, expressadas em riscos ocupacionais, são associadas a danos à sua saúde.


Objective: to analyze the association between occupational risks and damages related to nursing work in the vaccination room. Method: analytical cross-sectional study conducted in the vaccination rooms of primary health care units in the city of Rio de Janeiro between June and July 2017, with 171 nursing workers. An instrument was used with information on sociodemographic, occupational and occupational risk data and the Work-Related Damage Assessment Scale. The study was approved by the research ethics committee. Results: occupational exposure to physical and ergonomic risk were associated with all forms of illness investigated, while exposure to mechanical risk to forms of illness related to Physical and Psychological Damage Exposure to chemical risk was associated to physical illness. Conclusion: the working conditions to which nursing professionals are exposed in vaccination room, expressed in occupational risks, negatively affect their health.


Objetivo: analizar la asociación entre riesgos laborales y daños relacionados con el trabajo de enfermería en la sala de vacunación. Método: estudio transversal analítico realizado en las salas de vacunación de las unidades de atención primaria de salud de la ciudad de Río de Janeiro entre junio y julio de 2017, con 171 trabajadores de enfermería. Se utilizó un instrumento con información sobre datos sociodemográficos, laborales y de riesgos laborales y la Escala de evaluación de daños relacionados con el trabajo. El estudio fue aprobado por el comité de ética de investigación. Resultados: la exposición ocupacional al riesgo físico y ergonómico se asoció con todas las formas de enfermedad investigadas, mientras que la exposición al riesgo mecánico a las formas de enfermedad relacionadas con el daño físico y psicológico La exposición al riesgo químico se asoció a la enfermedad física. Conclusión: las condiciones de trabajo a las que están expuestos los profesionales de enfermería en la sala de vacunación, expresados en riesgos laborales, afectan negativamente su salud.


Assuntos
Humanos , Masculino , Feminino , Adulto , Atenção Primária à Saúde , Exposição Ocupacional , Vacinação , Recursos Humanos de Enfermagem , Doenças Profissionais , Condições de Trabalho , Brasil , Estudos Transversais , Técnicos de Enfermagem , Enfermeiras e Enfermeiros , Assistentes de Enfermagem
2.
Arch Psychiatr Nurs ; 34(5): 427-433, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33032769

RESUMO

PURPOSE: The study was carried out to determine the psychological impact levels of nurses and midwives due to the COVID-19 outbreak. METHODS: The research is planned in a descriptive type. Nurses and midwives working in any health institution in Turkey constituted the population of the research. The questionnaire form of the study was shared on social media tools between 01 and 14 April 2020 and a total of 758 nurses and midwives were included in the study sample. Personal Information Form, State-Trait Anxiety Inventory and Intolerance of Uncertainty Scale were used as data collection tools. RESULTS: Participants who attended the study were 56.9% of nurses and 43.1% of midwives. Approximately half of the nurses and midwives (48.8%) participating in our study contacted the patient with suspected COVID-19, and 29.8% provided care to the patient diagnosed with COVID-19. Nurses and midwives were scored 52.75 ± 9.80 for State Anxiety, 44.87 ± 7.92 for Trait Anxiety Inventory and 35.16 ± 9.42 for Intolerance of Uncertainty Scale. It has been determined that 54.5% of nurses and midwives have been making their lives worse since the outbreak started, 62.4% had difficulties in dealing with the uncertain situation in the outbreak, 42.6% wanted psychological support and 11.8% had alienated from their profession. It was determined that there was a difference between scale scores and difficulties in work, family and private life due to COVID-19. CONCLUSION: As a result, it is seen that the midwives and nurses in our country have high psychological effects due to the COVID-19 outbreak.


Assuntos
Transtornos de Ansiedade/psicologia , Esgotamento Profissional/psicologia , Infecções por Coronavirus/psicologia , Enfermeiras Obstétricas/psicologia , Recursos Humanos de Enfermagem/psicologia , Pneumonia Viral/psicologia , Complicações Infecciosas na Gravidez/psicologia , Adulto , Transtornos de Ansiedade/epidemiologia , Atitude do Pessoal de Saúde , Betacoronavirus , Esgotamento Profissional/epidemiologia , Surtos de Doenças , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Inquéritos e Questionários , Turquia/epidemiologia
3.
J Nurs Adm ; 50(10): 505-507, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925662

RESUMO

Nursing leaders have voiced concern about the health and well-being of nurses and other healthcare providers during the recovery phase of disaster response after the coronavirus pandemic. There is much that can be learned from the experiences of our military colleagues. Behavioral health military nurses serving on readiness teams have educated leaders on how to apply psychological first aid (PFA) within their units during the recovery phase of disasters. This article will describe how nursing leaders can use PFA to enhance psychological support and resilience in their staff.


Assuntos
Infecções por Coronavirus/epidemiologia , Liderança , Enfermeiras Administradoras/psicologia , Recursos Humanos de Enfermagem/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Humanos , Relações Interprofissionais , Enfermagem Militar , Resiliência Psicológica , Apoio Social
7.
J Am Med Dir Assoc ; 21(10): 1371-1377, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32981663

RESUMO

OBJECTIVES: During the Coronavirus Disease 2019 (COVID-19) pandemic, US nursing homes (NHs) have been under pressure to maintain staff levels with limited access to personal protection equipment (PPE). This study examines the prevalence and factors associated with shortages of NH staff during the COVID-19 pandemic. DESIGN: We obtained self-reported information on staff shortages, resident and staff exposure to COVID-19, and PPE availability from a survey conducted by the Centers for Medicare and Medicaid Services in May 2020. Multivariate logistic regressions of staff shortages with state fixed-effects were conducted to examine the effect of COVID-19 factors in NHs. SETTING AND PARTICIPANTS: 11,920 free-standing NHs. MEASURES: The dependent variables were self-reported shortages of licensed nurse staff, nurse aides, clinical staff, and other ancillary staff. We controlled for NH characteristics from the most recent Nursing Home Compare and Certification and Survey Provider Enhanced Reporting, market characteristics from Area Health Resources File, and state Medicaid reimbursement calculated from Truven data. RESULTS: Of the 11,920 NHs, 15.9%, 18.4%, 2.5%, and 9.8% reported shortages of licensed nurse staff, nurse aides, clinical staff, and other staff, respectively. Georgia and Minnesota reported the highest rates of shortages in licensed nurse and nurse aides (both >25%). Multivariate regressions suggest that shortages in licensed nurses and nurse aides were more likely in NHs having any resident with COVID-19 (adjusted odds ratio [AOR] = 1.44, 1.60, respectively) and any staff with COVID-19 (AOR = 1.37, 1.34, respectively). Having 1-week supply of PPE was associated with lower probability of staff shortages. NHs with a higher proportion of Medicare residents were less likely to experience shortages. CONCLUSIONS/IMPLICATIONS: Abundant staff shortages were reported by NHs and were mainly driven by COVID-19 factors. In the absence of appropriate staff, NHs may be unable to fulfill the requirement of infection control even under the risk of increased monetary penalties.


Assuntos
Betacoronavirus , Infecções por Coronavirus/enfermagem , Casas de Saúde/organização & administração , Recursos Humanos de Enfermagem/provisão & distribução , Reorganização de Recursos Humanos/estatística & dados numéricos , Pneumonia Viral/enfermagem , Recursos Humanos/organização & administração , Infecções por Coronavirus/terapia , Feminino , Humanos , Controle de Infecções/organização & administração , Masculino , Casas de Saúde/estatística & dados numéricos , Pandemias , Pneumonia Viral/terapia , Qualidade da Assistência à Saúde , Estados Unidos
8.
JNMA J Nepal Med Assoc ; 58(228): 550-553, 2020 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-32968286

RESUMO

INTRODUCTION: COVID-19 is a pandemic disease first detected in Wuhan, China on last December 2019. Many doctors and nurses, were infected and lost their life by COVID-19 around the world. Therefore COVID-19 brought unbearable psychological pressure on doctors, and nurses. The objective of this study is to find the prevalence of anxiety among medical doctors and nurses. METHODS: This is a descriptive cross-sectional study of 101 doctors and nurses carried out in a tertiary care center. Convenience sampling was done with the study period from April to May 2020. Ethical approval was taken from the institutional review board of NAMS (IRB reference no. 1076). The collected data stored and analyzed with statistical software (SPSS version 26.0). Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. RESULTS: Out of 101 participants prevalence of anxiety was found to be 74 (73.3%) (64.68-81.33 at 95% Confidence Interval). Among them, 9 (8.9%) of participants experienced sever types of generalized anxiety disorder, 23 (22.8%) moderate, and 42 (41.6%) mild type. Similarly, 18 (17.8%) and 10 (9.9%) of participants felt very difficult and extreme difficulty at the workplace and home respectively. CONCLUSIONS: The mental health of medical doctors and nurses is significantly affected during the COVID-19 pandemic. Hospital administration should conduct psychological preparedness training to the medical profession before posting on duty to provide quality health services to the patients.


Assuntos
Ansiedade/epidemiologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Corpo Clínico/psicologia , Recursos Humanos de Enfermagem/psicologia , Estresse Ocupacional/epidemiologia , Pneumonia Viral/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Estudos Transversais , Feminino , Humanos , Masculino , Saúde Mental , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Prevalência
10.
Epidemiol Serv Saude ; 29(5): e2020277, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32997079

RESUMO

OBJECTIVE: To describe COVID-19 hospitalized health worker cases in Brazil. METHODS: This was a descriptive case series study; it included cases that became ill between February 21st and April 15th, 2020 registered on the Influenza Surveillance Information System (SIVEP-Gripe, acronym in Portuguese). RESULTS: Of the 184 cases, 110 (59.8%) were female and median age was 44 years (min-max: 23-85); 89 (48.4%) were nursing professionals and 50 (27.2%) were doctors. Ninety-two (50.0%) presented comorbidity, with heart disease predominating (n=37; 40.2%). Of the 112 professionals with a record of case progression, 85 (75.9%) were cured and 27 (24.1%) died, 18 of whom were male. CONCLUSION: The profile of COVID-19 hospitalized health workers is similar to that of the general population with regard to age and comorbidities, but different in relation to sex. The most affected areas were nursing and medicine.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Pessoal de Saúde/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Comorbidade , Infecções por Coronavirus/mortalidade , Progressão da Doença , Feminino , Cardiopatias/epidemiologia , Humanos , Masculino , Corpo Clínico/estatística & dados numéricos , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem/estatística & dados numéricos , Pandemias , Pneumonia Viral/mortalidade , Distribuição por Sexo , Fatores de Tempo , Adulto Jovem
13.
Cochrane Database Syst Rev ; 9: CD011860, 2020 09 08.
Artigo em Inglês | MEDLINE | ID: mdl-32898304

RESUMO

BACKGROUND: Workplace aggression constitutes a serious issue for healthcare workers and organizations. Aggression is tied to physical and mental health issues at an individual level, as well as to absenteeism, decreased productivity or quality of work, and high employee turnover rates at an organizational level. To counteract these negative impacts, organizations have used a variety of interventions, including education and training, to provide workers with the knowledge and skills needed to prevent aggression.  OBJECTIVES: To assess the effectiveness of education and training interventions that aim to prevent and minimize workplace aggression directed toward healthcare workers by patients and patient advocates. SEARCH METHODS: CENTRAL, MEDLINE, Embase, six other databases and five trial registers were searched from their inception to June 2020 together with reference checking, citation searching and contact with study authors to identify additional studies. SELECTION CRITERIA: Randomized controlled trials (RCTs), cluster-randomized controlled trials (CRCTs), and controlled before and after studies (CBAs) that investigated the effectiveness of education and training interventions targeting aggression prevention for healthcare workers. DATA COLLECTION AND ANALYSIS: Four review authors evaluated and selected the studies resulting from the search. We used standard methodological procedures expected by Cochrane. We assessed the certainty of evidence using the GRADE approach. MAIN RESULTS: We included nine studies-four CRCTs, three RCTs, and two CBAs-with a total of 1688 participants. Five studies reported episodes of aggression, and six studies reported secondary outcomes. Seven studies were conducted among nurses or nurse aides, and two studies among healthcare workers in general. Three studies took place in long-term care, two in the psychiatric ward, and four in hospitals or health centers. Studies were reported from the United States, Switzerland, the United Kingdom, Taiwan, and Sweden. All included studies reported on education combined with training interventions. Four studies evaluated online programs, and five evaluated face-to-face programs. Five studies were of long duration (up to 52 weeks), and four studies were of short duration. Eight studies had short-term follow-up (< 3 months), and one study long-term follow-up (> 1 year). Seven studies were rated as being at "high" risk of bias in multiple domains, and all had "unclear" risk of bias in a single domain or in multiple domains. Effects on aggression Short-term follow-up The evidence is very uncertain about effects of education and training on aggression at short-term follow-up compared to no intervention (standardized mean difference [SMD] -0.33, 95% confidence interval [CI] -1.27 to 0.61, 2 CRCTs; risk ratio [RR] 2.30, 95% CI 0.97 to 5.42, 1 CBA; SMD -1.24, 95% CI -2.16 to -0.33, 1 CBA; very low-certainty evidence). Long-term follow-up Education may not reduce aggression compared to no intervention in the long term (RR 1.14, 95% CI 0.95 to 1.37, 1 CRCT; low-certainty evidence). Effects on knowledge, attitudes, skills, and adverse outcomes Education may increase personal knowledge about workplace aggression at short-term follow-up (SMD 0.86, 95% CI 0.34 to 1.38, 1 RCT; low-certainty evidence). The evidence is very uncertain about effects of education on personal knowledge in the long term (RR 1.26, 95% CI 0.90 to 1.75, 1 RCT; very low-certainty evidence). Education may improve attitudes among healthcare workers at short-term follow-up, but the evidence is very uncertain (SMD 0.59, 95% CI 0.24 to 0.94, 2 CRCTs and 3 RCTs; very low-certainty evidence). The type and duration of interventions resulted in different sizes of effects. Education may not have an effect on skills related to workplace aggression (SMD 0.21, 95% CI -0.07 to 0.49, 1 RCT and 1 CRCT; very low-certainty evidence) nor on adverse personal outcomes, but the evidence is very uncertain (SMD -0.31, 95% CI -1.02 to 0.40, 1 RCT; very low-certainty evidence). Measurements of these concepts showed high heterogeneity. AUTHORS' CONCLUSIONS: Education combined with training may not have an effect on workplace aggression directed toward healthcare workers, even though education and training may increase personal knowledge and positive attitudes. Better quality studies that focus on specific settings of healthcare work where exposure to patient aggression is high are needed. Moreover, as most studies have assessed episodes of aggression toward nurses, future studies should include other types of healthcare workers who are also victims of aggression in the same settings, such as orderlies (healthcare assistants). Studies should especially use reports of aggression at an institutional level and should rely on multi-source data while relying on validated measures. Studies should also include days lost to sick leave and employee turnover and should measure outcomes at one-year follow-up. Studies should specify the duration and type of delivery of education and should use an active comparison to prevent raising awareness and reporting in the intervention group only.


Assuntos
Agressão , Pessoal de Saúde/educação , Violência no Trabalho/prevenção & controle , Viés , Estudos Controlados Antes e Depois , Exposição à Violência/prevenção & controle , Humanos , Assistentes de Enfermagem/educação , Recursos Humanos de Enfermagem/educação , Ensaios Clínicos Controlados Aleatórios como Assunto
14.
Rev Bras Enferm ; 73(suppl 2): e20200469, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32965404

RESUMO

OBJECTIVE: To report the experience of the Nursing Committee for Coping with COVID-19 in Bahia. METHODS: The experience report describes motivation, objectives, representatives, organization, working groups, activities and impact of the Committee actions. RESULTS: The Committee consists of educational institutions and class representation. It accepts demands, questions and complaints from nursing workers, acts in favor of safe care and inspection of health and safety conditions at work. Five working groups and six technical support groups were formed. These groups address Communication, Review of Health Services Contingency Plans, Assistance to Long-Term Institutions, Epidemiology and External Activities. An Instagram account was created for quick and reliable access to information, and also an email to meet demands and monitor COVID-19 cases. CONCLUSION: The results of the Committee work contribute to guide, support, value and defend nursing workers in coping with COVID-19.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Recursos Humanos de Enfermagem , Saúde do Trabalhador , Pneumonia Viral/epidemiologia , Comitê de Profissionais/organização & administração , Brasil/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Motivação , Assistentes de Enfermagem , Doenças Profissionais/epidemiologia , Doenças Profissionais/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Fatores Socioeconômicos
15.
Rev Lat Am Enfermagem ; 28: e3367, 2020 Sep 07.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-32901774

RESUMO

OBJECTIVE: to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic. METHOD: qualitative study, using a semi-structured electronic form applied to nursing workers from pediatric services in the state of Rio de Janeiro, Brazil. Data were submitted to lexicographic analysis using the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires, Word Cloud technique, and Similitude Analysis. RESULTS: different challenges concerning the COVID-19 pandemic were reported, including the need to promote comprehensive and quality care while being concerned with protecting oneself and others, with an emphasis on fear. A lack of protective equipment, training, diagnostic tests, and knowledge/information concerning the disease was also reported, in addition to a reduced number of nursing workers and a lack of appreciation for the profession. CONCLUSION: managerial guidelines need to be adopted for properly allocating human and material resources in the health field, including the pediatric services, in addition to providing training on standard precautions. Actions to encourage, value, motivate, and support the nursing staff are needed during and after the pandemic to protect the physical and mental health of these professionals.


Assuntos
Infecções por Coronavirus/enfermagem , Recursos Humanos de Enfermagem/psicologia , Enfermagem Pediátrica , Pneumonia Viral/enfermagem , Betacoronavirus , Brasil , Criança , Medo , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pandemias , Equipamento de Proteção Individual/provisão & distribução
16.
J Nurs Adm ; 50(10): 499-501, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925660

RESUMO

DAISY stories express gratitude from patients and families for extraordinary and compassionate nursing care. These stories share what extraordinary care looks like to the nominator as they describe their relationship with their nurse and communicate a profound sense of gratitude that goes beyond the moment of care. This sense of gratitude can have a transcending impact on others, including healthcare organizations, as demonstrated by one family's experience.


Assuntos
Empatia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/psicologia , Humanos , Papel do Profissional de Enfermagem , Estados Unidos
17.
J Nurs Adm ; 50(10): 502-504, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925661

RESUMO

Appropriate nurse staffing to provide high-quality care was a hot topic before the pandemic challenged healthcare organizations across the nation. In a report released earlier this year, the subject is explored by 3 coauthors: Robyn Begley, DNP, RN, NEA-BC, chief executive officer of American Organization for Nursing Leadership and chief nursing officer of the American Hospital Association; Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, University of Virginia School of Nursing Sadie Heath Cabaniss professor and dean and former president of the American Nurses Association; and Todd Nelson, FHFMA, MBA, Healthcare Financial Management Association director of partnership relationships and chief partnership executive. The report was excerpted in the June issue of Nurse Leader and can be read in full at the Healthcare Financial Management Association website. The authors delve into the report's insights, generated by questions from Terese Hudson Thrall, managing editor at the American Organization for Nursing Leadership.


Assuntos
Alocação de Recursos para a Atenção à Saúde , Recursos Humanos de Enfermagem , Admissão e Escalonamento de Pessoal , Humanos , Estados Unidos
18.
An. psicol ; 36(2): 242-246, mayo 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-192060

RESUMO

El objetivo de la investigación fue estudiar los hábitos de sueño y la salud psicológica de profesionales del sector sanitario, así como analizar las relaciones entre ambas variables. La muestra contó con 511 trabajadores de hospitales públicos de la Comunidad de Madrid. La salud psicológica fue evaluada con el Cuestionario GHQ-28; los hábitos de sueño a través del Cuestionario CHAS, además, se recogieron datos sociodemográficos como edad, sexo, puesto de trabajo, categoría profesional. Los resultados mostraron diferencias estadísticamente significativas en síntomas somáticos, salud psicológica y estabilidad en hábitos de sueño. Los análisis de regresión indicaron que calidad del sueño y somnolencia diurna son las variables más relacionadas con las dimensiones de salud, especialmente con la ansiedad/insomnio y síntomas somáticos. Estos los resultados ponen de manifiesto las diferencias entre hábitos de sueño y salud percibida en personal de enfermería y facultativos. En conclusión, la población sanitaria presenta mayor prevalencia en malestar psicológico, peor calidad de sueño e inestabilidad en las horas de sueño. Deterioro del sueño, somnolencia y síntomas somáticos son más frecuentes en personal de enfermería que en el resto de profesionales sanitarios


The aim was to study the sleep habits and the psychological health of professionals in the health sector, as well as to analyze the relationships between both variables. The sample consisted of 511 workers from public hospitals in the Community of Madrid. Psychological health was evaluated using the GHQ-28 Questionnaire; and sleep habits with the CHAS Questionnaire. In addition, sociodemographic data were collected, such as age, sex, job position, professional category. The results showed statistically significant differences in somatic symptoms, psychological health and stability in sleep habits. Regression analysis indicated that sleep quality and daytime sleepiness are the variables most related to health dimensions, especially with anxiety/insomnia and somatic symptoms. These results reveal the differences between sleep habits and perceived health in nursing staff and physicians. Finally, the health workers present a higher prevalence of psychological distress, and poor sleep quality and instability in sleep hours. Sleep impairment, somnolence and somatic symptoms are more frequent in nursing staff than in other health professionals


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Higiene do Sono/fisiologia , Pessoal de Saúde/psicologia , Saúde Mental , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia , Inquéritos e Questionários , Análise de Regressão , Recursos Humanos de Enfermagem/psicologia , Recursos Humanos de Enfermagem/estatística & dados numéricos
19.
JAMA Netw Open ; 3(8): e2017533, 2020 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-32789517

RESUMO

Importance: Coronavirus disease 2019 (COVID-19) is a major threat to nursing homes. During the COVID-19 pandemic wave that hit France in March and April 2020, staff members of some French nursing homes decided to confine themselves with their residents on a voluntary basis to reduce the risk of entry of the severe acute respiratory syndrome coronavirus 2 into the facility. Objective: To investigate COVID-19-related outcomes in French nursing homes that implemented voluntary staff confinement with residents. Design, Setting, and Participants: This retrospective cohort study was conducted in French nursing homes from March 1 to May 11, 2020. Participants included residents and staff members of the nursing homes where staff participated in voluntary self-confinement as well as those of the facilities for elderly people where staff did not practice self-confinement. Rates of COVID-19 cases and mortality in the cohort of nursing homes with self confinement were compared with those derived from a population-based survey of nursing homes conducted by French health authorities. Exposures: Nursing homes with staff who self-confined were identified from the media and included if the confinement period of staff with residents was longer than 7 days. Main Outcomes and Measures: Mortality related to COVID-19 among residents and COVID-19 cases among residents and staff members. COVID-19 was diagnosed by primary care or hospital physicians on the basis of fever and respiratory signs (eg, cough, dyspnea) or a clinical illness compatible with COVID-19; COVID-19 diagnoses were considered confirmed if real-time reverse transcriptase-polymerase chain reaction testing for severe acute respiratory syndrome coronavirus 2 on nasopharyngeal swab was positive and considered possible if the test had not been performed or results were negative. Cases of COVID-19 were recorded by a telephone interview with the directors of nursing homes with staff who self-confined and by a nationwide declaration survey to health authorities for all facilities. Results: This study included 17 nursing homes in which 794 staff members confined themselves to the facility with their 1250 residents. The national survey included 9513 facilities with 385 290 staff members and 695 060 residents. Only 1 nursing home with staff who self-confined (5.8%) had cases of COVID-19 among residents, compared with 4599 facilities in the national survey (48.3%) (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined had confirmed COVID-19, compared with 30 569 residents (4.4%) with confirmed COVID-19 in the national survey (P < .001); no residents of facilities with self-confinement had possible COVID-19, compared with 31 799 residents (4.6%) with possible COVID-19 in the national survey (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined died of COVID-19, compared with 12 516 (1.8%) in the national survey (odds ratio, 0.22; 95% CI, 0.09-0.53; P < .001). Twelve staff members (1.6%) from the facilties with self-confinement had confirmed or possible COVID-19, compared with 29 463 staff members (7.6%) in the national survey (P < .001). Conclusions and Relevance: In this cohort study of French nursing homes during the COVID-19 pandemic, mortality rates related to COVID-19 were lower among nursing homes that implemented staff confinement with residents compared with those in a national survey. These findings suggest that self-confinement of staff members with residents may help protect nursing home residents from mortality related to COVID-19 and residents and staff from COVID-19 infection.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Instituição de Longa Permanência para Idosos , Casas de Saúde , Recursos Humanos de Enfermagem , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Isolamento Social , Adulto , Idoso , Idoso de 80 Anos ou mais , Coronavirus , Infecções por Coronavirus/mortalidade , Infecções por Coronavirus/virologia , França/epidemiologia , Humanos , Pneumonia Viral/mortalidade , Pneumonia Viral/virologia , Estudos Retrospectivos , Instituições de Cuidados Especializados de Enfermagem , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA