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  1. Article ; Online: COVID-19 in Healthcare Workers and Serving Safe Healthcare During the Pandemic.

    Al-Maani, Amal S / Al-Abri, Seif S

    Sultan Qaboos University medical journal

    2021  Volume 21, Issue 1, Page(s) e1–e3

    MeSH term(s) COVID-19 ; Coronavirus ; Delivery of Health Care ; Health Personnel ; Humans ; Pandemics ; Risk Factors ; SARS-CoV-2
    Language English
    Publishing date 2021-03-15
    Publishing country Oman
    Document type Editorial ; Comment
    ZDB-ID 2650196-X
    ISSN 2075-0528 ; 2075-0528
    ISSN (online) 2075-0528
    ISSN 2075-0528
    DOI 10.18295/squmj.2021.21.01.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Physical, Psychological and Social Impact of COVID-19 Pandemic on Healthcare Workers at a COVID Designated Bangladeshi Public Hospital.

    Haque, N / Siddiqua, S S / Hosain, N / Asaduzzaman, M / Jahan, S / Ibrahim, M / Bari, M S / Khan, A I / Hoque, M M / Anwar, M A

    Mymensingh medical journal : MMJ

    2023  Volume 32, Issue 3, Page(s) 732–742

    Abstract: ... by the healthcare workers serving in public hospitals of Bangladesh. This prospective cross-sectional observational ... health care workers, who are directly involved in the diagnosis, treatment and care of patients with COVID-19 ... boys and ailed healthcare workers were included in this study via purposive sampling. The study found ...

    Abstract The world has been devastated facing the outbreak of a novel infectious disease known as Corona virus disease (COVID-19). This has been declared as a pandemic by the World Health Organization. The frontline health care workers, who are directly involved in the diagnosis, treatment and care of patients with COVID-19, are taking significant personal risks on their own health and those of their family members. Objectives of the study include establishing the physical, psychological and social impact experience by the healthcare workers serving in public hospitals of Bangladesh. This prospective cross-sectional observational study was carried out at Kuwait Bangladesh Friendship Government Hospital, the first Covid-19 designated hospital of Bangladesh between the 1st June and the 31st August, 2020. A total of 294 doctors, nurses, ward boys and ailed healthcare workers were included in this study via purposive sampling. The study found statistically significant (p value 0.024) difference of medical co-morbidities between Covid-19 positive and Covid-19 negative groups of health care professionals. Significant association was found between duration of work and presence during aerosol generating procedure with COVID infectivity of the study subjects. 72.8% respondents experienced public fear of contracting the virus from them and 69.0% noticed negative attitude of the society towards them. Eighty five percent (85.0%) did not get any community support during this pandemic crisis. The health care professionals engaged in COVID-19 treatment have been taking significant personal risk on their life in terms of physical, psychological and social perspective. Providing safeguard to the health care workers are integral components of public health measures for addressing the COVID-19 pandemic. Special interventions to promote their physical wellbeing and arrangement of adequate psychological training need to be immediately implemented to cope up this critical situation.
    MeSH term(s) Male ; Humans ; Pandemics ; COVID-19/epidemiology ; COVID-19 Drug Treatment ; Cross-Sectional Studies ; Prospective Studies ; Social Change ; Virus Diseases ; Hospitals, Public ; Health Personnel
    Language English
    Publishing date 2023-06-30
    Publishing country Bangladesh
    Document type Observational Study ; Journal Article
    ZDB-ID 2435083-7
    ISSN 2408-8757 ; 1022-4742
    ISSN (online) 2408-8757
    ISSN 1022-4742
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Psychological distress in healthcare workers during COVID-19 pandemic: A systematic review.

    Arias-Ulloa, Cristian Arturo / Gómez-Salgado, Juan / Escobar-Segovia, Kenny / García-Iglesias, Juan Jesús / Fagundo-Rivera, Javier / Ruiz-Frutos, Carlos

    Journal of safety research

    2023  Volume 87, Page(s) 297–312

    Abstract: Objectives: Healthcare workers serving during the COVID-19 pandemic may have been exposed to high ... distress among healthcare staff working during the COVID-19 pandemic. ... serving during the COVID-19 pandemic from January 2020 to December 2022.: Methods: A systematic review ...

    Abstract Objectives: Healthcare workers serving during the COVID-19 pandemic may have been exposed to high work overload, which may have had an impact on their physical, mental, and social health. The aim of this study was to assess the risk factors associated with psychological distress among healthcare workers serving during the COVID-19 pandemic from January 2020 to December 2022.
    Methods: A systematic review was conducted based on the 2020 PRISMA statement. Articles were searched in the Pubmed, Scopus, Web of Science, CINAHL, and PsycINFO databases.
    Results: A total of 59 articles were included in this systematic review. It was observed that the prevalence of psychological distress during the COVID-19 pandemic was high. Female sex, being a nurse, being young, living alone/being single, and having a chronic disease or psychiatric disorder history are the main risk factors at the personal level. Other occupational and pandemic-related factors such as having many years of work experience, the presence of COVID-19 symptoms and contact history, not enough sleep, having lower family support and limited social relationships, fear of infecting friends and family, having a reduced perception of protection by personal protective equipment, working on the frontline, and having longer service duration were found to be factors influencing the development of psychological distress during the COVID-19 pandemic.
    Conclusions: There are personal, interpersonal, and organizational risk factors that can lead to the occurrence of psychological distress among healthcare staff working during the COVID-19 pandemic.
    MeSH term(s) Female ; Humans ; COVID-19/epidemiology ; Pandemics ; SARS-CoV-2 ; Health Personnel ; Psychological Distress
    Language English
    Publishing date 2023-08-07
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2015321-1
    ISSN 1879-1247 ; 0022-4375
    ISSN (online) 1879-1247
    ISSN 0022-4375
    DOI 10.1016/j.jsr.2023.07.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Ethics of ICU triage during COVID-19.

    Vinay, Rasita / Baumann, Holger / Biller-Andorno, Nikola

    British medical bulletin

    2021  Volume 138, Issue 1, Page(s) 5–15

    Abstract: ... the prioritization of healthcare workers and the reassessment of triage decisions.: Growing points: Improve outcome predictions ... quality-adjusted life-years and (ii) to rely on medical prognosis, maximizing lives saved, justice as fairness and non ... at the center of bioethical discussions. National and international triage guidelines emerged from professional ...

    Abstract Introduction: The coronavirus disease 2019 pandemic has placed intensive care units (ICU) triage at the center of bioethical discussions. National and international triage guidelines emerged from professional and governmental bodies and have led to controversial discussions about which criteria-e.g. medical prognosis, age, life-expectancy or quality of life-are ethically acceptable. The paper presents the main points of agreement and disagreement in triage protocols and reviews the ethical debate surrounding them.
    Sources of data: Published articles, news articles, book chapters, ICU triage guidelines set out by professional societies and health authorities.
    Areas of agreement: Points of agreement in the guidelines that are widely supported by ethical arguments are (i) to avoid using a first come, first served policy or quality-adjusted life-years and (ii) to rely on medical prognosis, maximizing lives saved, justice as fairness and non-discrimination.
    Areas of controversy: Points of disagreement in existing guidelines and the ethics literature more broadly regard the use of exclusion criteria, the role of life expectancy, the prioritization of healthcare workers and the reassessment of triage decisions.
    Growing points: Improve outcome predictions, possibly aided by Artificial intelligence (AI); develop participatory approaches to drafting, assessing and revising triaging protocols; learn from experiences with implementation of guidelines with a view to continuously improve decision-making.
    Areas timely for developing research: Examine the universality vs. context-dependence of triaging principles and criteria; empirically test the appropriateness of triaging guidelines, including impact on vulnerable groups and risk of discrimination; study the potential and challenges of AI for outcome and preference prediction and decision-support.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/therapy ; COVID-19/transmission ; Clinical Protocols ; Critical Care/ethics ; Humans ; Triage/ethics
    Language English
    Publishing date 2021-05-30
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 213294-1
    ISSN 1471-8391 ; 0007-1420
    ISSN (online) 1471-8391
    ISSN 0007-1420
    DOI 10.1093/bmb/ldab009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Frontline healthcare workers' perspectives on interprofessional teamwork during COVID-19.

    Jordan, Sarah R / Connors, Susan C / Mastalerz, Katarzyna A

    Journal of interprofessional education & practice

    2022  Volume 29, Page(s) 100550

    Abstract: ... of interprofessional teamwork, communication, patient care, and organizational response during the initial COVID-19 ... healthcare worker (HCW) resiliency. To understand interprofessional interactions and perceptions of teamwork ... during the COVID-19 response, we conducted in-depth semi-structured interviews with 18 inpatient HCWs (11 ...

    Abstract Effective interprofessional teamwork serves an important role in successful crisis response. Responses to past public health crises have relied on interprofessional communication and trust to support healthcare worker (HCW) resiliency. To understand interprofessional interactions and perceptions of teamwork during the COVID-19 response, we conducted in-depth semi-structured interviews with 18 inpatient HCWs (11 bedside nurses, 5 care coordinators, and 2 pharmacists) from one VA Medical Center between March and June 2020. Using thematic analysis, we identified four key themes that describe the strengths and challenges of interprofessional teamwork, communication, patient care, and organizational response during the initial COVID-19 surge. Interprofessional teams were fragmented. HCWs who transitioned to remote work lost their status on inpatient teams and struggled to provide pre-pandemic levels of quality of care. Conversely, interprofessional teamwork improved for HCWs who continued to work on inpatient units, where study participants described a decline in interprofessional hierarchies and an increase in mutual support. Participants described the need for timely, accurate, transparent communication as they faced new patient safety and communication challenges brought on by the pandemic. HCWs expressed a desire for sustained leadership support and inclusion in institutional decision-making. The challenges to teamwork, communication, and patient care reported in this study highlight the need for consistent, transparent communication and organizational response from hospital leadership during times of crisis.
    Language English
    Publishing date 2022-09-12
    Publishing country United States
    Document type Journal Article
    ISSN 2405-4526
    ISSN 2405-4526
    DOI 10.1016/j.xjep.2022.100550
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Design, Implementation, and Evaluation of an N95 Respirator Decontamination and Reuse Program for Healthcare Workers During the COVID-19 Pandemic.

    Ntiforo, Corrie A / McDougal, April N / DeMaet, Mary Ann / Mayer-Diaz, Malissa A / Newton, Je T'Aime M / Dacso, Matthew M

    Health security

    2023  Volume 21, Issue 1, Page(s) 11–21

    Abstract: ... supply chains forced healthcare systems to become resourceful to ensure PPE availability for healthcare workers ... the Department of Infection Control and Healthcare Epidemiology and the Department of Biosafety at the University ... Early in the COVID-19 pandemic, substantial disruptions in personal protective equipment (PPE ...

    Abstract Early in the COVID-19 pandemic, substantial disruptions in personal protective equipment (PPE) supply chains forced healthcare systems to become resourceful to ensure PPE availability for healthcare workers. Most worrisome was the global shortage of N95 respirators. In response, a collaboration between the Department of Infection Control and Healthcare Epidemiology and the Department of Biosafety at the University of Texas Medical Branch developed a PPE recycling program guaranteeing an adequate supply of respirators for frontline staff. The team successfully developed and implemented a novel workflow that included validated decontamination procedures, education, and training programs as well as transportation, labeling, and storage logistics. In total, 15,995 respirators of various types and sizes were received for recycling. Of these, 12,752 (80%) were recycled. Following the program's implementation, we surveyed 134 frontline healthcare workers who overwhelmingly graded our institution's culture of safety positively. Overall impressions of the N95 respirator recycling program were mixed, although interpretation of those results was limited by a lower survey response rate. In an era of increasing health security threats, innovative recycling programs like this one may serve as a model for other health systems to respond to future PPE supply chain disruptions.
    MeSH term(s) Humans ; COVID-19 ; N95 Respirators ; SARS-CoV-2 ; Decontamination/methods ; Pandemics ; Health Personnel
    Language English
    Publishing date 2023-01-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2823049-8
    ISSN 2326-5108 ; 2326-5094
    ISSN (online) 2326-5108
    ISSN 2326-5094
    DOI 10.1089/hs.2022.0086
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Group Home Staff Experiences With Work and Health in the COVID-19 Pandemic in Massachusetts.

    Donelan, Karen / Wolfe, Jessica / Wilson, Anna / Michael, Carie / Chau, Cindy / Krane, David / Silverman, Paula / Becker, Jessica E / Cheng, David / Cella, Elizabeth / Bird, Bruce / Levison, Julie H / Skotko, Brian G / Bartels, Stephen J

    JAMA health forum

    2023  Volume 4, Issue 4, Page(s) e230445

    Abstract: ... serious personal health and access to health care barriers during the first year of the COVID-19 pandemic ... Hearing from workers about their experiences in the COVID-19 pandemic may inform future workforce and ... of COVID-19 and to measure differences in worker experience by gender, race, ethnicity, education, and ...

    Abstract Importance: Direct reports of the experiences of staff working in group homes for people with serious mental illness (SMI) and/or intellectual or developmental disabilities (ID/DD) are rarely reported. Hearing from workers about their experiences in the COVID-19 pandemic may inform future workforce and public policy.
    Objective: To gather baseline data on worker experience with the perceived effects of COVID-19 on health and work in the pandemic prior to initiating an intervention to mitigate the spread of COVID-19 and to measure differences in worker experience by gender, race, ethnicity, education, and resident population served (persons with SMI and/or IDD/DD).
    Design, setting, and participants: This mixed-mode, cross-sectional survey study was conducted using online then paper-based self-administration from May to September 2021 at the end of the first year of the pandemic. Staff working in 415 group homes that provided care within 6 Massachusetts organizations serving adults aged 18 years or older with SMI and/or ID/DD were surveyed. The eligible survey population included a census of staff who were currently employed in participating group homes during the study period. A total of 1468 staff completed or partially completed surveys. The overall survey response rate was 44% (range by organization, 20% to 52%).
    Main outcomes and measures: Self-reported experiential outcomes were measured in work, health, and vaccine completion. Bivariate and multivariate analyses explore experiences by gender, race, ethnicity, education, trust in experts and employers, and population served.
    Results: The study population included 1468 group home staff (864 [58.9%] women; 818 [55.7%] non-Hispanic Black; 98 [6.7%] Hispanic or Latino). A total of 331 (22.5%) group home staff members reported very serious perceived effects on health; 438 (29.8%) reported very serious perceived effects on mental health; 471 (32.1%) reported very serious perceived effects on health of family and friends; and 414 reported very serious perceived effects (28.2%) on access to health services, with statistically significant differences observed by race and ethnicity. Vaccine acceptance was higher among persons with higher educational attainment and trust in scientific expertise and lower among persons who self-reported as Black or Hispanic/Latino. A total of 392 (26.7%) respondents reported needing support for health needs, and 290 (19.8%) respondents reported needing support for loneliness or isolation.
    Conclusions and relevance: In this survey study, approximately one-third of group home workers reported serious personal health and access to health care barriers during the first year of the COVID-19 pandemic in Massachusetts. Addressing unmet health needs and access to health and mental health services, including inequities and disparities by race, ethnicity, and education, should benefit staff health and safety, as well as that of the individuals with disabilities who rely on them for support and care.
    MeSH term(s) Adult ; Humans ; Female ; Male ; COVID-19/epidemiology ; Pandemics ; Group Homes ; Cross-Sectional Studies ; Massachusetts/epidemiology
    Language English
    Publishing date 2023-04-07
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Research Support, Non-U.S. Gov't
    ISSN 2689-0186
    ISSN (online) 2689-0186
    DOI 10.1001/jamahealthforum.2023.0445
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Filtering Facepiece Respirators for Healthcare Workers Protection in the Time of COVID-19 Pandemic.

    Chang, Chee Tao / Rajan, Philip / Hoe, Victor Chee Wai

    The Malaysian journal of medical sciences : MJMS

    2021  Volume 28, Issue 3, Page(s) 151–154

    Abstract: Protecting healthcare workers (HCWs) who are in the frontline during the time of the COVID-19 ... without causing additional health and safety hazards for the HCWs. The following commentary will provide ... some basic information on selecting correct FFRs and conducting fitness test. ...

    Abstract Protecting healthcare workers (HCWs) who are in the frontline during the time of the COVID-19 pandemic is paramount. The filtering facepiece respirators (FFRs) or N95 respirator is one of the personal protective equipment (PPE) used to protect HCWs exposed to airborne pathogens in clinical practice or when performing aerosol generating procedures. The FFRs should be able to serve the intended purpose without causing additional health and safety hazards for the HCWs. The following commentary will provide some basic information on selecting correct FFRs and conducting fitness test.
    Language English
    Publishing date 2021-06-30
    Publishing country Malaysia
    Document type Journal Article
    ZDB-ID 2197205-9
    ISSN 2180-4303 ; 1394-195X
    ISSN (online) 2180-4303
    ISSN 1394-195X
    DOI 10.21315/mjms2021.28.3.14
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: COVID-19 Airway Management Isolation Chamber.

    Blood, Timothy C / Perkins, Jonathan N / Wistermayer, Paul R / Krivda, Joseph S / Fisher, Nathan T / Riley, Charles A / Ruhl, Douglas S / Hong, Steven S

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2020  Volume 164, Issue 1, Page(s) 74–81

    Abstract: Objective: During the coronavirus pandemic (COVID-19), health care workers are innovating ... as an adjunct to improve health care worker safety and patient outcomes. ... The objective of this study was to determine the efficacy of the novel COVID-19 Airway Management Isolation ...

    Abstract Objective: During the coronavirus pandemic (COVID-19), health care workers are innovating patient care and safety measures. Unfortunately, many of these are not properly tested for efficacy. The objective of this study was to determine the efficacy of the novel COVID-19 Airway Management Isolation Chamber (CAMIC) to contain and evacuate particulate.
    Study design: Multi-institutional proof-of-concept study.
    Setting: Two academic institutions: Walter Reed National Military Medical Center (WRNMMC) and Madigan Army Medical Center (MAMC).
    Subjects and methods: Smoke, saline nebulizer, and simulated working port models were developed to assess the efficacy of the CAMIC to contain and remove ultrafine particles. Particulate counts were collected at set time intervals inside and outside the system.
    Results: With the CAMIC on, smoke particulate counts inside the chamber significantly decreased over time:
    Conclusions: The CAMIC system appears to provide a barrier that actively removes particles from within the chamber and limits egress. Further studies are necessary to determine clinical applicability. The CAMIC may serve as an adjunct to improve health care worker safety and patient outcomes.
    MeSH term(s) Airway Management/instrumentation ; COVID-19/epidemiology ; COVID-19/therapy ; Disease Transmission, Infectious/prevention & control ; Equipment Design ; Humans ; Nebulizers and Vaporizers ; Pandemics ; Personal Protective Equipment ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-14
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599820942500
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  10. Article ; Online: An ethnographic study of a community dentistry network serving Latine migrant farmworkers in Vermont: Barriers and access to care during the COVID-19 pandemic and beyond.

    Bright, Kristin L / Lichtman, Kayla

    Community dentistry and oral epidemiology

    2023  Volume 52, Issue 1, Page(s) 59–67

    Abstract: ... emphasize the role of community dentistry in bridging gaps in migrant healthcare during and beyond the COVID ... barriers experienced at the network during the COVID-19 pandemic.: Methods: Semi-structured ethnographic ... Background and objectives: Primary dental healthcare services are not accessible for a majority ...

    Abstract Background and objectives: Primary dental healthcare services are not accessible for a majority of Latino/a/e migrant farmworkers in the United States. Unmet dental health needs are well documented in larger states like California, Florida and New York, but the dental healthcare picture in smaller states is not well understood. The goal of this qualitative ethnographic study was to understand the delivery model of a free dentistry network serving Latine farmworkers in rural Vermont and specific barriers experienced at the network during the COVID-19 pandemic.
    Methods: Semi-structured ethnographic interviews were carried out with clinicians and transcripts were analysed using the constant comparison method to identify salient concerns and recommendations about barriers and delivery of care.
    Results: Clinicians highlighted structural issues including farmworkers' lack of time off work and absence of transportation to attend appointments, concerns about COVID-19 safety, concerns about immigration surveillance and language barriers. Providers outlined steps for improved service delivery including mobile care at local farms, enhanced intercultural training for providers, recognizing dentistry as essential healthcare at the state level and the leverage of existing appointments for preventive health. Drawing on anthropological frameworks of place-based care and deservingness of healthcare, our ethnographic findings emphasize the role of community dentistry in bridging gaps in migrant healthcare during and beyond the COVID-19 pandemic.
    MeSH term(s) Humans ; United States ; Transients and Migrants ; Health Services Accessibility ; Farmers ; Vermont/epidemiology ; Community Dentistry ; Pandemics ; COVID-19
    Language English
    Publishing date 2023-07-28
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 189172-8
    ISSN 1600-0528 ; 0301-5661
    ISSN (online) 1600-0528
    ISSN 0301-5661
    DOI 10.1111/cdoe.12901
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