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Minehmorad M, Nemati-Vakilabad R, Badpeyma M, Mirzaei A. Examining nurses' understanding and knowledge about preparation for COVID-19 in Ardabil hospitals in Iran. BMC Health Serv Res 2024; 24:312. [PMID: 38454446 PMCID: PMC10921800 DOI: 10.1186/s12913-024-10826-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Accepted: 03/05/2024] [Indexed: 03/09/2024] Open
Abstract
AIMS The purpose of this study was to evaluate the preparedness of Iranian nurses for potential pandemics. BACKGROUND Nurses play a critical role in managing pandemics. They require adequate training, proper equipment, and organizational support to be well-prepared. METHODS A descriptive cross-sectional study was conducted in Ardabil, Iran, from July to September 2023, involving 233 nurses from five hospitals. The number of nurses required for each hospital was calculated based on the proportion of nurses in each hospital. Data was collected through a paper-based form that included information about the participants' demographic characteristics and their level of pandemic preparedness in health services. The collected data was analyzed using descriptive statistics to determine the demographic characteristics and levels of pandemic preparedness. Pearson's test was also conducted to establish a relationship between different dimensions of pandemic preparedness. RESULTS Most participants relied on clinical measures and supported using human resources and environmental methods to curb the transmission of a pandemic. They felt assured in their ability to explain the preventive measures against the pandemic. However, fewer respondents had access to healthcare improvement programs, and only a few worked remotely from home. CONCLUSIONS According to our study, 90.1% of nurses believe hand washing is the most effective way to prevent spreading infections. Additionally, healthcare professionals can use various tools to respond to the pandemic, including screening for COVID-19 at work, health and wellness programs, telecommuting, COVID-19 Safe programs, social media, and posters. Nurses need continuous education in hand hygiene, health programs, remote work options, and pandemic-safe programs to control infections, reduce risks, and optimize patient care during the pandemic.
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Affiliation(s)
- Milad Minehmorad
- Students Research Committee, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Reza Nemati-Vakilabad
- Students Research Committee, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
- Student Research Committee, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Mohammad Badpeyma
- Students Research Committee, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Alireza Mirzaei
- Department of Emergency Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
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Panchyrz I, Hoffmann J, Harst L, Pohl S, Bauer M, Blaschke S, Bodenstein M, Engelhart S, Gärtner B, Graf J, Hanses F, Held HC, Hinzmann D, Khan N, Kleber C, Kolibay F, Kubulus D, Liske S, Oberfeld J, Pletz MW, Prückner S, Rohde G, Spinner CD, Stehr S, Willam C, Schmitt J. [Measures and Recommendations for Ensuring Adequate Inpatient Care Capacities for Pandemic Management within a Region: Results of a Hybrid Delphi Method]. DAS GESUNDHEITSWESEN 2023; 85:1173-1182. [PMID: 37604173 PMCID: PMC11248767 DOI: 10.1055/a-2109-9882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
INTRODUCTION Since the beginning of the pandemic in spring 2020, inpatient healthcare has been under enormous burden, which is reflected especially in overworked staff, imprecise bed planning and/or data transfer. According to the recommendation of the Science Council, university clinics should play a controlling role in regional healthcare and act in conjunction with surrounding hospitals and practices. METHODS In September 2021, 31 representatives from 18 university hospitals were invited to a hybrid Delphi study with a total of 4 survey rounds to discuss criteria for effective inpatient care in a pandemic situation, which were extracted from previous expert interviews. Criteria that were classified as very important/relevant by≥75% of the participants in the first round of the survey (consensus definition) were then further summarized in 4 different small groups. In a third Delphi round, all participants came together again to discuss the results of the small group discussions. Subsequently, these were prioritized as Optional ("can"), Desirable ("should") or Necessary ("must") recommendations. RESULTS Of the invited clinical experts, 21 (67.7%) participated in at least one Delphi round. In an online survey (1st Delphi round), 233 criteria were agreed upon and reduced to 84 criteria for future pandemic management in four thematic small group discussions (2nd Delphi round) and divided into the small groups as follows: "Crisis Management and Crisis Plans" (n=20), "Human Resources Management and Internal Communication" (n=16), "Regional Integration and External Communication" (n=24) and "Capacity Management and Case & Care" (n=24). In the following group discussion (3rd Delphi round), the criteria were further modified and agreed upon by the experts, so that in the end result, there were 23 essential requirements and recommendations for effective inpatient care in a pandemic situation. CONCLUSION The results draw attention to key demands of clinical representatives, for example, comprehensive digitization, standardization of processes and better (supra) regional networking in order to be able to guarantee needs-based care even under pandemic conditions. The present consensus recommendations can serve as guidelines for future pandemic management in the inpatient care sector.
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Affiliation(s)
- Ivonne Panchyrz
- TU Dresden, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
| | - Julia Hoffmann
- TU Dresden, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
| | - Lorenz Harst
- TU Dresden, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
| | - Solveig Pohl
- TU Dresden, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
| | - Michael Bauer
- Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Jena, Germany
| | - Sabine Blaschke
- Zentrale Notaufnahme (ZNA), Universitätsmedizin Göttingen, Gottingen, Germany
| | - Marc Bodenstein
- Klinik für Anästhesiologie, JGU Universitätsmedizin Mainz, Mainz, Germany
| | - Steffen Engelhart
- Institut für Hygiene und Public Health, Universitätsklinikum Bonn, Bonn, Germany
| | - Barbara Gärtner
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Homburg, Germany
| | - Jürgen Graf
- Ärztlicher Direktor und Vorstandsvorsitzender des Universitätsklinikum Frankfurt, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Frank Hanses
- Abteilung für Krankenhaushygiene und Infektiologie, Universitätsklinikum Regensburg, Regensburg, Germany
| | - Hanns-Christoph Held
- Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Germany
| | - Dominik Hinzmann
- Klinik für Anästhesiologie und Intensivmedizin, Klinikum rechts der Isar der Technischen Universität München, Munchen, Germany
| | - Naseer Khan
- Stabsstelle Zentrales Patientenmanagement, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Christian Kleber
- Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Germany
| | - Felix Kolibay
- Stabsabteilung Klinikangelegenheiten und Krisenmanagement, Uniklinik Köln, Koln, Germany
| | - Darius Kubulus
- Zentrales OP-Management (ZOPM), Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Homburg, Germany
| | - Stefanie Liske
- Stabsstelle Unternehmensentwicklung und Prozessmanagement, Universitätsklinikum Magdeburg, Magdeburg, Germany
| | - Jörg Oberfeld
- Geschäftsbereich Medizinisches Management, Universitätsklinikum Münster, Münster, Germany
| | - Mathias Wilhelm Pletz
- Institut für Infektionsmedizin und Krankenhaushygiene, Universitätsklinikum Jena, Jena, Germany
| | - Stephan Prückner
- Institut für Notfallmedizin und Medizinmanagement (INM), Klinikum der Ludwig-Maximilians-Universität München (LMU), Munchen, Germany
| | - Gernot Rohde
- Medizinische Klinik 1 - Pneumologie und Allergologie, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Christoph D Spinner
- Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universitat Munchen, München, Germany
| | - Sebastian Stehr
- Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig, Leipzig, Germany
| | - Carsten Willam
- Nephrologie und Intensivmedizin, Universitätsklinikum Erlangen, Erlangen, Germany
| | - Jochen Schmitt
- Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
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Gomes Chaves B, Alami H, Sonier-Ferguson B, Dugas EN. Assessing healthcare capacity crisis preparedness: development of an evaluation tool by a Canadian health authority. Front Public Health 2023; 11:1231738. [PMID: 37881342 PMCID: PMC10594116 DOI: 10.3389/fpubh.2023.1231738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 09/21/2023] [Indexed: 10/27/2023] Open
Abstract
Introduction The COVID-19 pandemic presented health systems across the globe with unparalleled socio-political, ethical, scientific, and economic challenges. Despite the necessity for a unified, innovative, and effective response, many jurisdictions were unprepared to such a profound health crisis. This study aims to outline the creation of an evaluative tool designed to measure and evaluate the Vitalité Health Network's (New Brunswick, Canada) ability to manage health crises. Methods The methodology of this work was carried out in four stages: (1) construction of an evaluative framework; (2) validation of the framework; (3) construction of the evaluative tool for the Health Authority; and (4) evaluation of the capacity to manage a health crisis. Results The resulting evaluative tool incorporated 8 dimensions, 74 strategies, and 109 observable elements. The dimensions included: (1) clinical care management; (2) infection prevention and control; (3) governance and leadership; (4) human and logistic resources; (5) communication and technologies; (6) health research; (7) ethics and values; and (8) training. A Canadian Health Authority implemented the tool to support its future preparedness. Conclusion This study introduces a methodological strategy adopted by a Canadian health authority to evaluate its capacity in managing health crises. Notably, this study marks the first instance where a Canadian health authority has created a tool for emergency healthcare management, informed by literature in the field and their direct experience from handling the SARS-CoV-2 pandemic.
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Affiliation(s)
- Breitner Gomes Chaves
- Vitalité Health Network, Dr. Georges-L.-Dumont University Hospital Centre, Moncton, NB, Canada
| | - Hassane Alami
- École de Santé Publique, Université de Montréal, Montreal, QC, Canada
| | | | - Erika N. Dugas
- Vitalité Health Network, Dr. Georges-L.-Dumont University Hospital Centre, Moncton, NB, Canada
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Wilson GJ, Wordley V, Grocock R, Shah S, Devalia U, Iricijan J, Sayma M, Adelaja I, MacLachlan G, Ormond M, Hurley S. Utilising the Dental Workforce in England, United Kingdom, to optimise the response to COVID-19. Health Policy 2023; 131:104760. [PMID: 36990044 PMCID: PMC10017174 DOI: 10.1016/j.healthpol.2023.104760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 02/20/2023] [Accepted: 02/28/2023] [Indexed: 03/17/2023]
Abstract
COVID-19 presents a unique and significant challenge to healthcare systems across the globe. Dental workforce redeployment, in England, during the response to Coronavirus (COVID-19), is the first reported national effort to redeploy a professional body into new clinical environments. The policy decision to facilitate redeployment of the dental workforce, in March 2020, by the Office of the Chief Dental Officer (OCDO), increased flexibility within workforce systems and allowed increasing demand on healthcare services to be managed safely and effectively. This paper outlines how this policy change was achieved via a multi-professional approach, mapping competencies of the dental workforce to high-priority areas of healthcare need. The dental workforce has a varied and often specialised skill set, offering expertise in infection prevention and control, airway management and often, behaviour management. These skills can be an important contribution to tackling a pandemic where expertise in these areas is vital. This increase in workforce supply allows healthcare systems to improve their surge response capabilities. Additionally, redeployment presents an opportunity to create greater and sustained collaboration between the medical and dental professions, leading to greater understanding of the contribution of oral health to wider medical wellbeing.
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Affiliation(s)
- Gavin J Wilson
- NHS England & NHS Improvement, London, United Kingdom,CORRESPONDING AUTHOR: Gavin J Wilson, Chief Dental Officer's Clinical Fellow, NHS England & NHS Improvement, London, United Kingdom, +447733318782
| | | | - Ryan Grocock
- NHS England & NHS Improvement, London, United Kingdom
| | - Sagar Shah
- NHS England & NHS Improvement, London, United Kingdom
| | | | | | - Meelad Sayma
- NHS England & NHS Improvement, London, United Kingdom
| | - Ini Adelaja
- NHS England & NHS Improvement, London, United Kingdom
| | | | - Martyn Ormond
- NHS England & NHS Improvement, London, United Kingdom
| | - Sara Hurley
- NHS England & NHS Improvement, London, United Kingdom
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Cinaroglu S. Does increasing the number of beds or health workers contribute to the rational use of scarce public health resources? Glob Health Med 2023; 5:23-32. [PMID: 36865894 PMCID: PMC9974230 DOI: 10.35772/ghm.2023.01006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 02/07/2023] [Accepted: 02/21/2023] [Indexed: 02/27/2023]
Abstract
Turkey makes substantial investments to increase the number of qualified beds in hospitals, the shortage in health professionals remains one of the main obstacles of the health system in the country. To address this research gap, the study aims to formulate a rational solution for the dilemma on whether to invest in beds or health professionals contribute to the rational use of scarce public health resources. Data for testing the model were derived from the Turkish Statistical Institute across 81 provinces in Turkey. The path analytic approach was used to determine the associations among hospital size, utilization/facility, health workforce, and indicators of health outcomes. The results point to a strong link between quantity of qualified beds, utilization of health services, and facility indicators, and health workforce. Rational use of scarce resources, optimal capacity planning, and increased quantity of health professionals will be beneficial for the sustainability of health care services.
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Affiliation(s)
- Songul Cinaroglu
- Address correspondence to:Songul Cinaroglu, Department of Health Care Management, Hacettepe University Faculty of Economics & Administrative Sciences, 06800, Ankara, Turkey. E-mail:
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Boggon A, Poole A, Smith S, Burns A, Dilworth P. Medical students as health workers during the COVID-19 pandemic. BMJ LEADER 2022:leader-2022-000597. [DOI: 10.1136/leader-2022-000597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 07/29/2022] [Indexed: 11/04/2022]
Abstract
BackgroundWe describe efforts at one tertiary university teaching hospital to rapidly recruit, train and deploy medical students into paid clinical support worker roles during the COVID-19 pandemic.MethodsRecruitment was conducted by means of a single email outlining the emergent clinical situation and specifying role descriptions, terms and conditions, and temporary staff enrolment paperwork. Applicants could begin work provided they were in good standing and received departmental orientation. Student representatives liaised with teaching faculty and participating departments. Roles were modified in response to student and departmental feedback.ResultsBetween 25 December 2020 and 9 March 2021, 189 students contributed 1335 shifts, providing 10 651 hours of clinical care in total. The median number of shifts worked per student was 6 (mean: 7; range: 1–35). Departmental leaders attested that the student workers eased the burden on hospital nursing teams.ConclusionMedical students contributed usefully and safely to the provision of healthcare within well-defined and supervised clinical support worker roles. We propose a model of working which could be adapted in the event of future pandemics or major incidents. The pedagogical value to medical students of working in clinical support roles warrants closer evaluation.
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McLean J, Clark C, McKee A, Legue S, Cocking J, Lamarche A, Heerschap C, Morris S, Fletcher T, McKee C, Kennedy K, Gross L, Broeren A, Forder M, Barner W, Tebbutt C, Kings S, DiDiodato G. Pandemic Responsiveness in an Acute Care Setting: A Community Hospital's Utilization of Operational Resources During COVID-19. J Multidiscip Healthc 2022; 15:1309-1321. [PMID: 35726265 PMCID: PMC9206458 DOI: 10.2147/jmdh.s361896] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 06/02/2022] [Indexed: 11/23/2022] Open
Abstract
Background To ensure continuity of services while mitigating patient surge and nosocomial infections during the coronavirus disease 2019 (COVID-19) pandemic, acute care hospitals have been required to make significant operational adjustments. Here, we identify and discuss key administrative priorities and strategies utilized by a large community hospital located in Ontario, Canada. Methods Guided by a qualitative descriptive approach, we performed a thematic analysis of all COVID-19-related documentation discussed by the hospital’s emergency operation centre (EOC) during the pandemic’s first wave. We then solicited operational strategies from a multidisciplinary group of hospital leaders to construct a narrative for each theme. Results Seven recurrent themes critical to the hospital’s pandemic response emerged: 1) Organizational structure: a modified EOC structure was adopted to increase departmental interoperability and situational awareness; 2) Capacity planning: Design Thinking guided rapid infrastructure decisions to meet surge requirements; 3) Occupational health and workplace safety: a multidisciplinary team provided respirator fit-testing, critical absence adjudication, and wellness needs; 4) Human resources/workforce planning: new workforce planning, recruitment, and redeployment strategies addressed staffing shortages; 5) Personal protective equipment (PPE): PPE conservation required proactive sourcing from traditional and non-traditional suppliers; 6) Community response: local partnerships were activated to divert patients through a non-referral-based assessment and treatment centre, support long-term care and retirement homes, and establish a 70-bed field hospital; and 7) Corporate communication: a robust communication strategy provided timely and transparent access to rapidly evolving information. Conclusion A community hospital’s operational preparedness for COVID-19 was supported by inter-operability, leveraging internal and external expertise and partnerships, creative problem solving, and developing novel tools to support occupational health and community initiatives.
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Affiliation(s)
- Jesse McLean
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Cathy Clark
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Aidan McKee
- Royal Victoria Regional Health Centre, Barrie, ON, Canada.,School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Suzanne Legue
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Jane Cocking
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | | | | | - Sarah Morris
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | | | - Corey McKee
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | | | - Leigh Gross
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Andrew Broeren
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Matthew Forder
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Wendy Barner
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Chris Tebbutt
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Suzanne Kings
- Royal Victoria Regional Health Centre, Barrie, ON, Canada
| | - Giulio DiDiodato
- Royal Victoria Regional Health Centre, Barrie, ON, Canada.,Department of Health Research Methods, Evidence & Impact, McMaster University, Hamilton, ON, Canada
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McGill N, Weller-Newton J, Lees C. A new survey tool for evaluating pandemic preparedness in health services. BMC Health Serv Res 2022; 22:708. [PMID: 35624506 PMCID: PMC9136193 DOI: 10.1186/s12913-022-08067-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 04/28/2022] [Indexed: 02/06/2023] Open
Abstract
Background Rapid decision-making with limited resources and prior research to draw upon posed challenges for health service leaders globally when preparing for COVID-19. How do health services prepare for a pandemic and evaluate if the preparation has been effective? This study aimed to explore health workers’ perceptions and knowledge regarding preparedness for COVID-19 at a regional health service in Australia. Methods A 32-item online survey was developed to evaluate preparedness across five scales: 1) Clinical, 2) Communication, 3) Environment, 4) Human Resources, and 5) General Preparedness. Data were analyzed using parametric and non-parametric statistics and qualitative content analysis. Results Ninety-three employees completed the survey, with most working in clinical roles (58.1%). Respondents largely felt the health service was well-prepared (84.0%) and they were personally prepared (74.4%) to respond to COVID-19. Clinical and communication scale scores varied by role type. Respondents faced personal risk and resource shortages impacted their sense of safety; others felt adequately supported. Conclusions A coordinated “whole hospital response”, accessible and inclusive communication, education, adequate resourcing, and employee wellbeing supports are necessary when preparing health services for sentinel events. This survey tool offers health services an approach to evaluating pandemic preparation. Continued advocacy for resources and wellbeing needs of health workers is paramount in future preparations.
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Affiliation(s)
- Nicole McGill
- Department of Rural Health; Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, 49 Graham St, Shepparton, Victoria, Australia. .,Department of Education, Training and Research, Echuca Regional Health, 226 Service St, Echuca, Victoria, Australia.
| | - Jennifer Weller-Newton
- Department of Rural Health; Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, 49 Graham St, Shepparton, Victoria, Australia
| | - Catherine Lees
- Department of Education, Training and Research, Echuca Regional Health, 226 Service St, Echuca, Victoria, Australia
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Papadopoulos I, Lazzarino R, Koulouglioti C, Ali S, Wright S. Towards a national strategy for the provision of spiritual care during major health disasters: A qualitative study. Int J Health Plann Manage 2022; 37:1990-2006. [PMID: 35194827 PMCID: PMC9544579 DOI: 10.1002/hpm.3443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 01/12/2022] [Accepted: 02/08/2022] [Indexed: 11/17/2022] Open
Abstract
Background Spirituality is beneficial to health. Evidence around the benefits of Spiritual care (SC) is advancing, and training is becoming part of healthcare professional development. As the COVID‐19 crisis showed, during major health disasters (MHDs), the demand for SC grows exponentially, while the burden of care and focus on preserving life often hamper its provision. Nonetheless, existing health emergency strategic frameworks lack preparedness for the provision of SC. Aim The aim of this study was to identify the components for a National Strategy (NS) for the provision of SC during MHDs. Methods Descriptive, cross‐sectional, qualitative phenomenological design based on individual, semi‐structured e‐interviews with nursing managers and National Health Service/volunteer chaplains based in England. Thematic analysis of 25 e‐interview data was performed based on a dialogic collaborative process. Results and Discussion Eleven themes were identified as components of the proposed NS. From these components, specific recommendations for practical actions are provided. An integrated framework approach and smart investments in resources, staff training and technologies should be led by the paradigm of culturally competent and compassionate care. Conclusion The need to have strategic frameworks, both national and local, that better equip a country healthcare sector to prevent, face, and recover from MHDs is paramount. Catering for the spiritual needs of the affected population should be a key aspect of any health emergency strategy to ensure the preservation of quality care. Adequate provision of Spiritual care (SC) is more needed yet challenging during health disasters. With the COVID‐19 crisis, SC strategic planning proved essential. Collaboration, communities' inclusivity, and training are key strategic elements. Governments investments should look at advanced technologies, and material and human resources.
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Affiliation(s)
- Irena Papadopoulos
- Department of Mental Health and Social Work, Research Centre for Transcultural Studies in Health, School of Health and Education, Middlesex University, London, UK
| | - Runa Lazzarino
- Research Centre for Transcultural Studies in Health, Middlesex University, London, UK
| | - Christina Koulouglioti
- Research Centre for Transcultural Studies in Health, Middlesex University, London, UK.,University Hospitals Sussex NHS Foundation Trust, Worthing, UK
| | - Sheila Ali
- Research Centre for Transcultural Studies in Health, Middlesex University, London, UK
| | - Steve Wright
- Department of Mental Health and Social Work, Middlesex University, London, UK
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Abstract
PURPOSE OF REVIEW The recent COVID-19 outbreak has clearly shown how epidemics/pandemics can challenge developed countries' healthcare systems. Proper management of equipment and human resources is critical to provide adequate medical care to all patients admitted to the hospital and the ICU for both pandemic-related and unrelated reasons. RECENT FINDINGS Appropriate separate paths for infected and noninfected patients and prompt isolation of infected critical patients in dedicated ICUs play a pivotal role in limiting the contagions and optimizing resources during pandemics. The key to handle these challenging events is to learn from past experiences and to be prepared for future occurrences. Hospital space should be redesigned to quickly increase medical and critical care capacity, and healthcare workers (critical and noncritical) should be trained in advance. SUMMARY A targeted improvement of hospital and ICU protocols will increase medical care quality for patients admitted to the hospital for any clinical reasons during a pandemic.
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Affiliation(s)
- Gaetano Florio
- Department of Pathophysiology and Transplantation, University of Milan
| | - Alberto Zanella
- Department of Pathophysiology and Transplantation, University of Milan
- Dipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Antonio Pesenti
- Department of Pathophysiology and Transplantation, University of Milan
- Dipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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Abstract
COVID-19 continues to exert unprecedented challenges for society and it is now well recognised that mental health is a key healthcare issue related to the pandemic. The current edition of the Irish Journal of Psychological Medicine focusses on the impact of COVID-19 on mental illness by combining historical review papers, current perspectives and original research. It is important that psychiatrists leading mental health services in Ireland continue to advocate for mental health supports for healthcare workers and their patients, while aiming to deliver services flexibly. As the pandemic evolves, it remains to be seen whether the necessary funding to deliver effective mental healthcare will be allocated to psychiatric services. Ongoing service evaluation and research is needed as the myriad impacts of the pandemic continue to evolve. In a time of severe budgetary constraints, ensuring optimum use of scare resources becomes an imperative.
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Grech V, Borg D, Agius S, Scherb H. WITHDRAWN: Sharp decline in acute and elective hospital attendances and admissions due to COVID-19 in Malta (Q1 2020) - A population-based study. Early Hum Dev 2020:105250. [PMID: 33213969 PMCID: PMC7660966 DOI: 10.1016/j.earlhumdev.2020.105250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
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Llorente-Parrado C, Mejon-Berges R, Cossio-Gil Y, Romea-Lecumberri MS, Roman-Broto A, Barba-Flores MA, Salazar-Soler A. [Assessment model for evaluating the preparedness plan for COVID-19 in a tertiary care hospital]. J Healthc Qual Res 2020; 35:339-347. [PMID: 33127345 PMCID: PMC7547629 DOI: 10.1016/j.jhqr.2020.10.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 10/01/2020] [Accepted: 10/01/2020] [Indexed: 11/25/2022]
Abstract
Antecedentes y objetivo Durante la primera onda epidémica del SARS-CoV-2, los hospitales han soportado una importante presión asistencial. Este escenario de incertidumbre, baja evidencia científica y medios insuficientes ha generado una importante variabilidad de la práctica entre diferentes centros sanitarios. En este contexto, planteamos desarrollar un modelo basado en estándares para la evaluación del sistema de preparación y respuesta frente a la COVID-19 en un hospital terciario. Materiales y métodos El estudio se llevó a cabo en el Hospital Universitario Vall d’Hebron de Barcelona en dos fases: 1) desarrollo de modelo de estándares mediante revisión narrativa de la literatura, análisis de planes y protocolos del hospital, método Delphi por profesionales expertos y plan de actualización y 2) validación de aplicabilidad y utilidad del modelo mediante autoevaluación y auditoría. Resultados El modelo consta de 208 estándares distribuidos en nueve criterios: liderazgo y estrategia; prevención y control de la infección; gestión de profesionales y competencias; áreas públicas comunes; áreas asistenciales; áreas de apoyo asistencial; logística, tecnología y obras; comunicación y atención al paciente; sistemas de información e investigación. La evaluación alcanza un 85,2% de cumplimiento, y se identifican 42 áreas de mejora y 96 buenas prácticas. Conclusiones La implementación de un modelo basado en estándares es útil para identificar áreas de mejora y buenas prácticas en los planes de preparación y respuesta frente a la COVID-19 en un hospital. En el actual contexto, proponemos la conveniencia de adaptar esta metodología a otros ámbitos de atención sanitaria no hospitalaria o de salud pública.
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Affiliation(s)
- C Llorente-Parrado
- Dirección de Sistemas de Información, Unidad de Apoyo a las Acreditaciones, Hospital Universitario Vall d'Hebron, Barcelona, España; Grupo de investigación en Servicios Sanitarios, Hospital Universitario Vall d'Hebron, Barcelona, España.
| | - R Mejon-Berges
- Dirección de Sistemas de Información, Unidad de Apoyo a las Acreditaciones, Hospital Universitario Vall d'Hebron, Barcelona, España
| | - Y Cossio-Gil
- Dirección de Sistemas de Información, Unidad de Apoyo a las Acreditaciones, Hospital Universitario Vall d'Hebron, Barcelona, España; Grupo de investigación en Servicios Sanitarios, Hospital Universitario Vall d'Hebron, Barcelona, España
| | - M S Romea-Lecumberri
- Grupo de investigación en Servicios Sanitarios, Hospital Universitario Vall d'Hebron, Barcelona, España; Dirección de Procesos, Calidad e Innovación, Hospital Universitario Vall d'Hebron, Barcelona, España
| | - A Roman-Broto
- Grupo de investigación en Servicios Sanitarios, Hospital Universitario Vall d'Hebron, Barcelona, España; Dirección Asistencial, Hospital Universitario Vall d'Hebron, Barcelona, España
| | - M A Barba-Flores
- Dirección de Enfermería, Hospital Universitario Vall d'Hebron, Barcelona, España
| | - A Salazar-Soler
- Grupo de investigación en Servicios Sanitarios, Hospital Universitario Vall d'Hebron, Barcelona, España; Dirección Gerencia, Hospital Universitario Vall d'Hebron, Barcelona, España
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Henderson D, Woodcock H, Mehta J, Khan N, Shivji V, Richardson C, Aya H, Ziser S, Pollara G, Burns A. Keep calm and carry on learning: using Microsoft Teams to deliver a medical education programme during the COVID-19 pandemic. Future Healthc J 2020; 7:e67-e70. [PMID: 33094260 DOI: 10.7861/fhj.2020-0071] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The outbreak of COVID-19 in the UK in March 2020 required a radical remodelling of the medical workforce at Royal Free London NHS Foundation Trust to prepare for the anticipated surge of hospital admissions. The provision of relevant teaching and training was immediately identified as a priority, particularly for staff due to work outside their regular medical specialty. Rather than deliver face-to-face teaching, doctors at the Trust utilised Microsoft Teams, an online communications and collaboration platform, to deliver a multi-disciplinary Trust-wide education programme responsive to the needs of surveyed medical staff. To date members of 18 departments across the Trust have delivered 51 virtual teaching sessions which have been viewed 3,814 times. During this pandemic the virtual education programme has facilitated rapid dissemination of new information and provided a platform for discussion and unity amongst colleagues with overwhelmingly positive feedback from both learners and teachers.
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Affiliation(s)
- Daisy Henderson
- Sheila Sherlock Postgraduate Medical Education Centre, London, UK
| | | | - Jay Mehta
- Royal Free London NHS Foundation Trust, London, UK
| | - Nuzhath Khan
- Royal Free London NHS Foundation Trust, London, UK
| | | | | | - Haleema Aya
- Sheila Sherlock Postgraduate Medical Education Centre, London, UK
| | - Shier Ziser
- Sheila Sherlock Postgraduate Medical Education Centre, London, UK
| | - Gabriele Pollara
- Royal Free London NHS Foundation Trust, London, UK and University College London, London, UK
| | - Aine Burns
- Sheila Sherlock Postgraduate Medical Education Centre, London, UK and Royal Free London NHS Foundation Trust, London, UK
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Fox K. There has never been a more important time to think about our future healthcare. Future Healthc J 2020; 7:97. [PMID: 32550650 PMCID: PMC7296563 DOI: 10.7861/fhj.ed-7-2-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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