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2.
Rev Lat Am Enfermagem ; 28: e3380, 2020.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-33084779

RESUMO

OBJECTIVE: to understand from the complex perspective the connections established between the Strategic Directions for Strengthening Nursing and Midwifery, delimited by the World Health Organization; to discuss the implications of these strategies for the investment of human resources in nursing and midwifery, with a view to strengthening the technical health capacity to face global health demands. METHOD: a documentary research, carried out from official WHO documents, from September to October 2019. A categorical analysis technique was performed, and the interpretation of the data was achieved based on the theoretical framework of Complexity. RESULTS: three interdependent categories were defined, namely: challenges for the training of human resources in nursing and midwifery in order to meet the needs for global health; challenges for the development of the work of nursing and midwifery professionals in different contexts of practice; challenges for governments, leaders and health services to strengthen human resources in nursing and midwifery. CONCLUSION: the strategic directions corroborate the complex perspective because they value multidimensionality in the challenges for the professional practice of nurses and obstetricians. However, these challenges are also related to contextual, political, and leadership factors.


Assuntos
Tocologia , Saúde Global , Humanos , Liderança , Gravidez , Recursos Humanos , Organização Mundial da Saúde
3.
N Z Med J ; 133(1523): 29-40, 2020 10 09.
Artigo em Inglês | MEDLINE | ID: mdl-33032301

RESUMO

AIM: The aim of the survey was to describe the demographics, distribution, clinical settings and employment arrangements of the New Zealand nurse practitioner workforce in primary healthcare settings; and organisational factors limiting their practice. METHOD: An online survey was developed and sent to all NPs in mid-2019. RESULTS: The survey was completed by 160 nurse practitioners who worked in settings broadly defined as primary healthcare (response rate 71.4%). In addition to clinical work, nurse practitioners engaged in teaching and clinical supervision; leadership and management; policy development; locum work; and research; but 14% continued to do at least some work as a registered nurse. One hundred and fifty-one respondents were working clinically and 48% of these worked in more than one clinical setting. General practice-type settings (39%), of which over 40% were very low-cost access practices, and aged residential care (19%) were most commonly identified as the main clinical setting. Others included long-term conditions; mental health and addiction; sexual health/family planning; whanau ora; child/youth health; and various community nursing service roles. Seventy-three percent of nurse practitioners earned less than $120,000 per annum for full-time work; and 60% had $2,000 or less available for professional development. Three quarters had worked in the same setting for at least two years, and 60% intended to stay a further three years. Fourteen percent worked rurally. Employment models, models of care, and access to diagnostics, particularly radiology, were most limiting to their practice. CONCLUSION: The nurse practitioner workforce offers stability and flexibility in working across multiple clinical settings in primary healthcare. They provide the potential solution to the general practitioner workforce shortage by improving access to primary healthcare and reducing health inequalities. As authorised prescribers able to enrol patients, receive capitation payments and claim general medical services, it is timely to facilitate the expansion of the nurse practitioner workforce in New Zealand.


Assuntos
Profissionais de Enfermagem/estatística & dados numéricos , Atenção Primária à Saúde/organização & administração , Recursos Humanos/estatística & dados numéricos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Inquéritos e Questionários
4.
Psychiatr Danub ; 32(Suppl 1): 64-69, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890365

RESUMO

BACKGROUND: According to an estimate by IATA (International Air Transport Association), people who decided to use the plane, during the year before the Covid-19 pandemic, amounted to more than four billion. People working inside airports face every day challenges and difficulties that not insiders cannot even imagine, but which have to be considered in strategic training projects, where people has to be placed at the centre of the training action. SUBJECTS AND METHODS: The GHA project (Genius Handling and Academy) was born with the aim of increasing the quality of the professional commitment made by airport professionals, preparing them to adequately face not only the technical-operational challenges but also the psychological ones underlying a complex and particular environment. such as the airport one. The year 2018 has been the starting point of this training project, the bettering of professional qualification has been the goal during the year 2019, up to the first part of 2020 (March). The headquarters of the pilot project was the 'Leonardo Da Vinci' Rome International Airport. The sample was composed by 25 employees of the 'Genius Handling' , a company operating inside the airport. RESULTS: The results collected at the end of the training period recorded a 37% increase in the quality of professional performance compared to the previous period in which no training activity was carried out. CONCLUSIONS: When the airport world had to stop in order to take the restrictive measures for containing contagion, the importance of the airport reality in everyone's economic and professional life has become immediately evident. So, it has become even more urgent to work in implementation and encouraging research and experimentation, with the aim not only to promote the well-being of people who are in transit, but of its 'permanent residents' as well, that is, people who spend their working days there.


Assuntos
Aeroportos , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Recursos Humanos , Betacoronavirus , Humanos , Pandemias , Projetos Piloto
5.
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
6.
Ann Ist Super Sanita ; 56(3): 365-372, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32959803

RESUMO

INTRODUCTION: On 21 February 2020, Schiavonia Hospital (SH) detected the first 2 cases of COVID-19 in Veneto Region. As a result of the underlying concomitant spread of infection, SH had to rearrange the clinical services in terms of structural changes to the building, management of spaces, human resources and supplies, in order to continue providing optimal care to the patients and staff safety. The aim of this article is to describe how SH was able to adjust its services coping with the epidemiological stages of the pandemic. MATERIAL AND METHODS: Three periods can be identified; in each one the most important organizational modifications are analyzed (hospital activities, logistical changes, communication, surveillance on HCW). RESULTS: The first period, after initial cases' identification, was characterized by the hospital isolation. In the second period the hospital reopened and it was divided into two completely separated areas, named COVID-19 and COVID-free, to prevent intra-hospital contamination. The last period was characterized by the re-organization of the facility as the largest COVID Hospital in Veneto, catching exclusively COVID-19 patients from the surrounding areas. CONCLUSIONS: SH changed its organization three times in less than two months. From the point of view of the Medical Direction of the Hospital the challenges had been many but it allowed to consolidate an organizational model which could answer to health needs during the emergency situation.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Hospitais Estaduais/organização & administração , Pandemias , Pneumonia Viral , Conversão de Leitos , Betacoronavirus/isolamento & purificação , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Infecção Hospitalar/prevenção & controle , Infecção Hospitalar/transmissão , Fechamento de Instituições de Saúde , Sistemas de Comunicação no Hospital , Departamentos Hospitalares , Hospitais Estaduais/estatística & dados numéricos , Humanos , Controle de Infecções , Unidades de Terapia Intensiva , Itália/epidemiologia , Nasofaringe/virologia , Doenças Profissionais/prevenção & controle , Política Organizacional , Ambulatório Hospitalar/organização & administração , Pandemias/prevenção & controle , Isolamento de Pacientes , Equipamento de Proteção Individual , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Gestão de Riscos , Recursos Humanos
7.
Pflege ; 33(5): 289-298, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32996862

RESUMO

The COVID-19-pandemic in acute inpatient setting from nursing managers' and hygiene specialists' perspective - A qualitative study Abstract. Background: The COVID-19-pandemic is an unprecedented, exceptional situation and necessitates numerous adaptations of structures and processes in the acute inpatient setting. AIM: The aim of this study was to explore how acute inpatient care was influenced by the pandemic and which implications may result for the future from nursing managers' and hygiene specialists' point of view. METHODS: Qualitative study based on semi-structured interviews with five nursing managers and three hygiene specialists in four German acute care hospitals. Interviews were interpreted by using content analysis. RESULTS: Interviewees described how everyday routines in their hospitals were adapted to the prioritized care for COVID-19 patients. Main challenges were uncertainty and anxiety among staff, relative scarcity of equipment and workforce resources and rapid implementation of new requirements for treatment capacities. This was addressed by targeted communication and information, large efforts to ensure resources and coordinated control of all processes by cross-department, interprofessional task forces. CONCLUSIONS: Adaptations made to the structures and procedures of care delivery during the pandemic hold potential for future improvements of routine care, e. g. new workplace and skill mix models. To identify detailed practical implications, a renewed and deepened data analysis is needed at a later point of time, with a larger distance to the period of the pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Enfermeiras Administradoras , Pneumonia Viral/epidemiologia , Betacoronavirus , Alemanha , Recursos em Saúde , Humanos , Pacientes Internados , Pandemias , Pesquisa Qualitativa , Recursos Humanos
8.
Physiother Theory Pract ; 36(10): 1069-1076, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32896203

RESUMO

The pandemic caused by SARS-CoV-2 that leads to COVID-19 has had an incalculable impact on society, services, and health professionals, including physiotherapists. The field of physiotherapy is currently facing ongoing challenges and pandemic-related repercussions, with Brazilian physiotherapists being especially affected. This article describes the current scenario in Brazil which has exposed the shortage of professionals and resources and reinforces the need for professional recognition, especially of those working in intensive care units. Barriers and challenges faced by Brazilian physiotherapists during the COVID-19 pandemic are described, followed by innovative solutions. Remote physiotherapy prior to the pandemic was merely one of many patient care options, but now has become a necessity, and several international organizations have provided guidelines for physiotherapists to follow, including guidelines on offering digital physiotherapy. Related demands, challenges, and perspectives of physiotherapy practice are likely to emerge amid the current uncertainties of the COVID-19 crisis, as well as during the post-pandemic period. The lessons learned by the Brazilian physiotherapy community may be of assistance to physiotherapists in other countries particularly those with comparable social and demographic characteristics.


Assuntos
Infecções por Coronavirus , Pandemias , Fisioterapia , Pneumonia Viral , Betacoronavirus , Brasil , Humanos , Telemedicina , Recursos Humanos
11.
Pediatrics ; 146(4)2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32900876

RESUMO

BACKGROUND: State mandates have required insurance companies to provide coverage for autism-related child health care services; however, it has not been determined if insurance mandates have improved the supply of child health care providers. We investigate the effect of state insurance mandates on the supply of child psychiatrists, pediatricians, and board-certified behavioral analysts (BCBAs). METHODS: We used data from the National Conference of State Legislatures and Health Resources and Services Administration's Area Health Resource Files to examine child psychiatrists, pediatricians, and BCBAs in all 50 states from 2003 to 2017. Fixed-effects regression models compared change in workforce density before versus one year after mandate implementation and the effect of mandate generosity across 44 US states implementing mandates between 2003 and 2017. RESULTS: From 2003 to 2017, child psychiatrists increased from 7.40 to 10.03 per 100 000 children, pediatricians from 62.35 to 68.86, and BCBAs from 1.34 to 29.88. Mandate introduction was associated with an additional increase of 0.77 BCBAs per 100 000 children (95% confidence interval [CI]: 0.18 to 1.42) one year after mandate enactment. Mandate introduction was also associated with a more modest increase among child psychiatrists (95% CI: 0.10 to 0.91) and was not associated with the prevalence of pediatricians (95% CI: -0.76 to 1.13). We also found evidence that more generous mandate benefits were associated with larger effects on workforce supply. CONCLUSIONS: State insurance mandates were associated with an ∼16% increase in BCBAs from 2003 to 2017, but the association with child psychiatrists was smaller and nonsignificant among pediatricians. In these findings, it is suggested that policies are needed that specifically address workforce constraints in the provision of services for children with autism spectrum disorder.


Assuntos
Transtorno do Espectro Autista/terapia , Psiquiatria Infantil/estatística & dados numéricos , Cobertura do Seguro/legislação & jurisprudência , Pediatras/provisão & distribução , Psicologia da Criança/estatística & dados numéricos , Criança , Intervalos de Confiança , Estudos Transversais , Regulamentação Governamental , Humanos , Análise de Regressão , Estudos Retrospectivos , Estados Unidos , Recursos Humanos/estatística & dados numéricos
13.
Surg Clin North Am ; 100(5): 869-877, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32882169

RESUMO

Rural hospitals are closing at an increasing rate. From 2010 to 2014, 47 rural hospitals closed, affecting 1.5 million people. The presence of surgeons is critical to keeping these hospitals open; to provide initial trauma care, cancer screening, and care to populations that cannot easily travel; and to provide solid general surgery procedures to almost 60 million Americans. Actions to provide surgeons trained for rural practice include exposure of surgery to students in high school (and earlier), recruitment of rural students into medical school, rural rotations in medical school, rural tracts within surgical residencies, and programs to support and retain rural surgeons.


Assuntos
Cirurgia Geral/estatística & dados numéricos , Fechamento de Instituições de Saúde/estatística & dados numéricos , Hospitais Rurais/estatística & dados numéricos , Serviços de Saúde Rural , Recursos Humanos , Currículo , Cirurgia Geral/educação , Estados Unidos
14.
Washington, D.C.; OPS; 2020-09-24. (OPS/IMS/HSS/COVID-19/20-0033).
Não convencional em Espanhol | PAHO-IRIS | ID: phr-52732

RESUMO

Para hacer frente a la pandemia de COVID-19, los países y las instituciones de salud deben disponer de la capacidad de responder con recursos humanos en cantidad, capacidad y destrezas adecuadas a las necesidades de la población de manera oportuna, pertinente, eficiente y eficaz. La gestión eficaz de los recursos humanos permitirá a los sistemas de salud responder de manera oportuna, mejorando los resultados de la atención, racionalizando el consumo de insumos y disminuyendo el estrés del personal.


Assuntos
Infecções por Coronavirus , Recursos Humanos , Saúde do Trabalhador
15.
Rev Panam Salud Publica ; 44, sept. 2020
Artigo em Espanhol | PAHO-IRIS | ID: phr-52651

RESUMO

Objetivo. Identificar y sistematizar la evidencia empírica disponible sobre factores e intervenciones que inciden en las condiciones y medio ambiente de trabajo para incrementar la atracción, captación y retención de recursos humanos en salud en el primer nivel de atención de áreas rurales, remotas o desatendidas. Métodos. Revisión rápida de revisiones, seleccionadas según criterios de pertinencia, elegibilidad e inclusión con búsquedas en bases de datos electrónicas, de literatura gris y manual. Se empleó el AMSTAR I para evaluar la calidad de revisiones sistemáticas y un análisis temático para síntesis de resultados. Resultados. Se incluyeron 16 revisiones, una de las cuales contenía a su vez 14 revisiones. Del total, 20 revisiones analizaron factores y 9 evaluaron efectividad de intervenciones. La evidencia sobre factores es abundante, pero de limitada calidad. Los factores individuales, familiares y la “exposición rural previa” se asociaron a mayor captación; factores organizacionales y del contexto externo fueron gravitantes en la retención. El trabajo en red y el apoyo profesional incidieron en la captación y retención. La evidencia sobre efectividad de intervenciones fue limitada, en cantidad y calidad. El tipo de intervención más frecuentemente empleada fueron los incentivos. Conclusiones. La evidencia sobre factores que se relacionan positivamente con la captación y retención de trabajadores en el primer nivel de atención de áreas rurales, remotas o desatendidas es suficiente y debería ser tenida en cuenta al diseñar intervenciones. La evidencia de calidad sobre la efectividad de intervenciones es escasa. Se requieren más estudios controlados con rigurosidad metodológica, particularmente en las Américas. Palabras clave Condiciones de trabajo


Objective. To identify and systematize available empirical evidence on factors and interventions that affect working conditions and environment in order to increase the attraction, recruitment and retention of human resources for health at the primary care level in rural, remote or underserved areas. Methods. Rapid review of reviews selected according to relevance, eligibility and inclusion criteria. The search was conducted on electronic and manual databases, including grey literature. AMSTAR I was used to assess the quality of systematic reviews and a thematic analysis for synthesis of the results. Results. Sixteen reviews were included, one of which contained 14 reviews. Of the total, 20 reviews analyzed factors and 9 evaluated the effectiveness of interventions. The evidence on factors is abundant, but of limited quality. Individual, family and “previous exposure to a rural setting” factors were associated with higher recruitment; organizational and external context factors were important for human resource retention. Networking and professional support influenced recruitment and retention. Evidence on the effectiveness of interventions was limited, both in quantity and quality. The most frequently used intervention was incentives. Conclusions. Evidence on factors that are positively related to recruitment and retention of workers at the first level of care in rural, remote or underserved areas is sufficient and should be taken into account when designing interventions. Quality evidence on the effectiveness of interventions is scarce. More controlled studies with methodological rigor are needed, particularly in the Americas.


Assuntos
Condições de Trabalho , Zona Rural , Zonas Remotas , Área Carente de Assistência Médica , Recursos Humanos , Atenção Primária à Saúde , Seleção de Pessoal , Condições de Trabalho , Zona Rural , Zonas Remotas , Seleção de Pessoal , Atenção Primária à Saúde
16.
Artigo em Inglês | MEDLINE | ID: mdl-32947859

RESUMO

The current COVID-19 pandemic has evolved to unprecedented proportions. This research aimed to gain a deeper understanding of the psychological effects of the COVID-19 pandemic on cruise ship employees stuck at sea. Using an inductive qualitative approach, a synchronous online focus group was conducted with nine cruise ship employees who were stuck at sea during COVID-19 pandemic. The findings revealed that COVID-19 pandemic has managed to erase the feeling of joy from cruise ship employees who were stuck at sea while exposing weakness of cruise line companies such as poor human resource management leadership. Moreover, COVID-19 pandemic demonstrated that it is of paramount importance that cruise line companies create a comprehensive strategy in assisting their employees who are experiencing an anxiety disorder and depression. The managerial implications are outlined.


Assuntos
Infecções por Coronavirus/psicologia , Medo , Pneumonia Viral/psicologia , Navios , Recursos Humanos , Betacoronavirus , Humanos , Pandemias , Viagem
18.
Rev. SOBECC ; 25(3): 179-186, 30-09-2020.
Artigo em Português | LILACS | ID: biblio-1122818

RESUMO

Objetivo: Analisar as produções científicas sobre cancelamento de cirurgias eletivas pelas causas institucionais. Método: Revisão integrativa da literatura, sistematizada pelo acrônimo Participante, Interesse e Contexto (PICo), de acordo com a estratégia PICo e procedimentos definidos pelo Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A busca bibliográfica foi realizada em setembro de 2018 e atualizada em maio de 2020, nas bases de dados Sistema Online de Busca e Análise de Literatura Médica (MEDLINE)/PubMed, Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) e Base de Dados em Enfermagem (BDEnf ) da Biblioteca Virtual em Saúde (BVS), Scopus (Elsevier) do Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) e Biblioteca Eletrônica Científica Online (SciELO). Foram consideradas publicações de 2008 até 2020, nos idiomas português, inglês e espanhol. Resultados: Foram identificados, na busca bibliográfica, 920 estudos, sendo 263 duplicados, restando 657 para seleção. Ao final, foram incluídos 15 estudos na síntese. Conclusão: As causas institucionais identificadas foram o avanço de horário da cirurgia anterior, gerando a indisponibilidade de salas cirúrgicas, problemas estruturais, falta ou defeitos em equipamentos e recursos humanos insuficientes.


Objective: To analyze scientific productions about elective surgery cancellation due to institutional causes. Method: Integrative literature review, systematized by the acronym Problem, Interest, and Context (PICo), according to PICo strategy and procedures defined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Bibliographic search was carried out in September 2018 and updated in May 2020 in the following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE)/PubMed, Latin American and Caribbean Health Sciences Literature (Lilacs), Nursing Database (BDEnf ) of the Virtual Health Library (VHL), Scopus (Elsevier) of the Periodical Portal of the Coordination for the Improvement of Higher Education Personnel (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior ­ CAPES), and Scientific Electronic Library Online (SciELO). Publications from 2008 to 2020 in Portuguese, English, and Spanish were retrieved. Results: We found 920 studies in the bibliographic search, 263 of them were duplicates, and 657 remained for selection. In the end, 15 studies were included in the review. Conclusion: The institutional causes identified were delay in the previous surgery, leading to unavailability of operating rooms, structural problems, lack of or defects in equipment, and insufficient human resources.


Objetivo: Analizar producciones científicas sobre la cancelación de cirugías electivas por causas institucionales. Método: Revisión bibliográfica integral, sistematizada por el acrónimo Participante, Interés y Contexto (PICo), de acuerdo con la estrategia y los procedimientos PICo definidos por el Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). La búsqueda bibliográfica se realizó en septiembre de 2018 y se actualizó en mayo de 2020, en las bases de datos MEDLINE/Pubmed, LILACS y BDEnf de la Biblioteca Virtual en Salud, SCOPUS (Elsevier) del Portal de revistas Capes y SciELO. Consideró publicaciones de 2008 a 2020, en portugués, inglés y español. Resultados: En la búsqueda bibliográfica, se identificaron 920 estudios, 263 de los cuales se duplicaron, dejando 657 para la selección. Al final, se incluyeron 15 estudios en la síntesis. Conclusión: Las causas institucionales identificadas fueron el tiempo de avance de la cirugía previa, generando la falta de disponibilidad de quirófanos, problemas estructurales, falta o defectos en los equipos y recursos humanos insuficientes.


Assuntos
Humanos , Cirurgia Geral , Enfermagem , Indicadores de Qualidade em Assistência à Saúde , Salas Cirúrgicas , Equipamentos e Provisões , Recursos Humanos
19.
Front Health Serv Manage ; 37(1): 14-19, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32842084

RESUMO

As the CEO of a firm that helps organizations improve performance through culture and learning, and as someone who has spent the past 12 years coaching thousands of individual leaders, staff members, and physicians at hundreds of hospitals and health systems, I have seen both the positive effects of resilience and the negative effects of a lack of resilience. During the COVID-19 pandemic, I and my team have worked with organizations to find ways to help their distressed employees take better care of themselves and, in turn, help their patients as our collective recovery continues.


Assuntos
Adaptação Psicológica , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/terapia , Pessoal de Saúde/psicologia , Pneumonia Viral/psicologia , Pneumonia Viral/terapia , Resiliência Psicológica , Estresse Psicológico/prevenção & controle , Adulto , Betacoronavirus , Connecticut , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Estados Unidos , Recursos Humanos
20.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 28(Special Issue): 674-679, 2020 Aug.
Artigo em Russo | MEDLINE | ID: mdl-32856807

RESUMO

The article deals with changes in the human resources potential in the Russian health care system, which are the result of the reform of the medical sphere carried out in recent years. The COVID-19 pandemic, which began in early 2020, exposed significant shortcomings of the Russian healthcare reform, showing serious problems in the shortage of specialists, hospital beds, protective equipment, ventilators, tests, and medicines. The reduction of hospital beds and the number of infectious diseases doctors in order to increase the average salary in healthcare has led to the inability of the Russian healthcare system to cope with the spread of coronavirus infection without involving residents, professors, teachers and students of medical organizations. At the present stage of development, the issues of combating the spread of coronavirus infection, mobilization and professional training of medical workers are of particular relevance. Nevertheless, despite the results of the health care reform, which led to a massive reduction of medical organizations in our country, the number of doctors per 10,000 people in 2018 was 47.9 employees, over the past 20 years, has not changed much in the direction of reduction. In our view, we should not talk about a global reduction in human resources in healthcare. The existing personnel problems in healthcare are the low qualification of medical personnel and the General shortage of specialists in the labor market.


Assuntos
Infecções por Coronavirus/epidemiologia , Pessoal de Saúde , Pneumonia Viral/epidemiologia , Recursos Humanos , Betacoronavirus , Reforma dos Serviços de Saúde , Humanos , Pandemias , Federação Russa
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