scholarly journals Analysis of Aggressive Behavior Towards Healthcare Workers Before and During the Sars-Cov-2 Epidemic in Poland. Part 1

2021 ◽  
Vol 8 (3) ◽  
pp. 130-143
Author(s):  
Aleksandra Joanna Kuć ◽  
Daria Małgorzata Kubik ◽  
Klaudia Ewa Kościelecka ◽  
Wojciech Piotr Szymanek ◽  
Tomasz Męcik-Kronenberg ◽  
...  
Keyword(s):  
Aggressive Behavior ◽  
Medical Staff ◽  
Healthcare Workers ◽  
Research Tool ◽  
Healthcare Personnel ◽  
Scientific World ◽  
False Sense ◽  
Violence In The Workplace ◽  
Frequent Offenders ◽  
Legal Consequences

Aim: To analyze aggressive behavior towards healthcare workers before and during the SARS-CoV-2 epidemic in Poland and confront the obtained results with reports on this phenomenon from the scientific world. Material and methods: The study included 999 respondents constituting healthcare workers from all over Poland. The proprietary questionnaire consisting of three parts was the research tool. Results: 86% of healthcare personnel encountered violence in the workplace before announcing the epidemic state, and 81% – during the epidemic state. Respondents indicated that the frequency of this phenomenon increased significantly after that date. Patients were the most frequent offenders. Conclusions: Aggression being a relatively constant and unchanging problem in healthcare, according to the authors, requires the development of new, more effective solutions to improve the situation of victims. Encouraging staff to report aggressive behaviors and actively supporting them in these actions could lead to more frequent legal consequences for aggressors, increasing the chance for more respectful treatment of medical staff and disrupting the false sense of impunity in perpetrators.

scholarly journals ANALYSIS OF AGGRESSIVE BEHAVIOR TOWARDS HEALTHCARE WORKERS BEFORE AND DURING THE SARS-COV-2 EPIDEMIC IN POLAND. PART 2

2021 ◽  
Vol 8 (4) ◽  
pp. 203-212
Author(s):  
Aleksandra Joanna Kuć ◽  
Daria Małgorzata Kubik ◽  
Klaudia Ewa Kościelecka ◽  
Wojciech Piotr Szymanek ◽  
Tomasz Męcik-Kronenberg ◽  
...  
Keyword(s):  
Aggressive Behavior ◽  
Healthcare System ◽  
Waiting Time ◽  
Medical Staff ◽  
Healthcare Workers ◽  
Similar Rate ◽  
Research Tool ◽  
Scientific World ◽  
False Sense ◽  
Legal Consequences

Aim: To analyze aggressive behavior towards healthcare workers before and during the SARS-CoV-2 epidemic in Poland and confront the obtained results with reports on this phenomenon from the scientific world. Material and methods: The study included 999 respondents constituting healthcare workers from all over Poland. The proprietary questionnaire consisting of three parts was the research tool. Results: Only 1% of healthcare workers indicated that they informed the Healthcare Aggression Monitoring Registry. A similar rate was observed during the pandemic. The predominant reason was “long waiting time”. Conclusions: Aggression being a relatively constant and unchanging problem in the healthcare system, according to the authors, requires the development of new, more effective solutions to improve the situation of victims. Encouraging staff to report aggressive behaviors and actively supporting them in these actions could lead to more frequent legal consequences for aggressors, increasing the chance for more respectful treatment of medical staff and disrupting the false sense of impunity in perpetrators of these acts.

Accidental Exposures to Biological Products – A Risk for Medical Staff and Patients

2020 ◽  
Vol 65 (1-2) ◽  
pp. 21-31
Author(s):  
Erzsébet Kálmán ◽  
Amanda Rădulescu ◽  
Andreea Hăngănuţ ◽  
Vlad Bocăneţ ◽  
Cristina Borzan
Keyword(s):  
Medical Staff ◽  
Healthcare Workers ◽  
Hiv Transmission ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
Post Exposure Prophylaxis ◽  
Carrier Status ◽  
Cross Sectional ◽  
Healthcare Facilities

"Hypothesis: While performing professional activities, the healthcare workers (HCW) can be exposed to blood and other potentially infectious materials from the patients they are taking care of. In order to minimize the risk of Hepatitis B virus (HBV), Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) transmission, these accidental exposures should be reported and followed by post-exposure prophylaxis. If seroconversion of the injured person occurs, the healthcare unit intervenes by various methods to ensure that the infected HCW does not represent a source of infection for other patients [1]. Objective: Through this study we aimed to assess the perception of different categories of healthcare personnel about their testing for their carrying of HBV, HCV and HIV at the time of employment in a healthcare facility and their right to confidentiality regarding their health status. We also wanted to evaluate the opinion of the medical staff about the patient’s right to be informed about the risk of HBV, HCV and HIV transmission, if there is an infected person in the medical team. Method: A multicentric cross-sectional study was performed, by applying an original pre-tested questionnaire to different professional categories of medical staff from different categories of healthcare facilities. Results: Over 20% of respondents declared they were not tested at the time of employment, but almost 40% claimed that they were tested every year since employment. Only 20% of the participants considered they have the right to confidentiality regarding the state of viral carrying, but ⅓ consider that there is no discrimination if a healthcare facility refuses to hire a HBV, HCV, HIV carrier. Out of all participants questioned, ½ of the respondents agree that the medical staffs who are a carrier for a transmissible virus can be detached in a less dangerous healthcare department in order to avoid the transmission of the virus to patients. Almost equally, there were participants who believed that they could not be compelled to reveal their carrier status to the patient, and those who would have no hesitation in informing their patient about their status Keywords: Blood and other potentially infectious materials, exposure, healthcare workers, patient, confidentiality. "

scholarly journals A narrative review of research on healthcare staff’s burnout during the COVID-19 pandemic

2021 ◽  
pp. 201010582110405
Author(s):  
Mohsen Khosravi ◽  
Zahra Ghiasi ◽  
Alireza Ganjali
Keyword(s):  
Medical Staff ◽  
Healthcare Workers ◽  
Preliminary Evidence ◽  
Burnout Syndrome ◽  
Healthcare Personnel ◽  
Material Synthesis ◽  
Treatment And Prevention ◽  
Search Terms ◽  
Context Specific ◽  
Hospital Medical Staff

Background During the 2019 coronavirus disease (COVID-19) pandemic, burnout emerges as a critical health problem that might involve workers in many occupations, particularly healthcare personnel. Although burnout syndrome is not necessarily proved to be nosologic, it yields serious physical, mental, and social outcomes. However, it is essential to provide practical strategies and effective instruments for people so that they can adapt to such highly stressful conditions. Objectives The present review was conducted to explore preliminary evidence for nature, treatment, and prevention of burnout among healthcare workers during the COVID-19 pandemic. Methods Related English literatures published from the beginning of January 2020 to the end of September 2020 were searched in PubMed, Web of Science, Scopus, and Google scholar databases. “Burnout,” “COVID-19,” “healthcare workers,” “medical staff,” and “pandemic” constituted the search terms. A narrative technique was implemented for material synthesis and creating a compelling and cohesive story. Results Final results provided the burnout history and its major effects, causes, and prevalence among healthcare workers. Also, some strategies were listed to be employed by hospital medical staff and organizations to deal with the COVID-19 pandemic. Conclusions Recent evidence demonstrated that healthcare staff could gain significant benefits from interventions to modify burnout syndrome, especially from organization-directed interventions. So, health policymakers and practitioners should adopt such interventions and develop context-specific approaches promoting a healthy workplace and averting burnout during the COVID-19 crisis.

Healthcare-workers’ Aggressive Behavior Scale-Users--Mental Health Version

2019 ◽  
Author(s):  
José Antonio Ruiz-Hernández ◽  
María Sánchez-Muñoz ◽  
José Antonio Jiménez- Barbero ◽  
David Pina López ◽  
Inmaculada Galían-Muñoz ◽  
...  
Keyword(s):  
Mental Health ◽  
Aggressive Behavior ◽  
Healthcare Workers ◽  
Behavior Scale

scholarly journals SARS-CoV-2 Ig G among Healthcare Workers and the General Population

Pathogens ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 465
Author(s):  
Gregorio P. Milani ◽  
Mario G. Bianchetti ◽  
Giuseppe Togni ◽  
Andreas W. Schoenenberger ◽  
Franco Muggli
Keyword(s):  
General Population ◽  
Healthcare Workers ◽  
Geographical Area ◽  
Healthcare Personnel ◽  
Protein Subunit ◽  
Positive Serology ◽  
Seroprevalence Data ◽  
And Gender ◽  
Few Data ◽  
Ig G

It is assumed that healthcare workers are at the highest risk to be infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, few data from healthcare workers who do not primarily take care of patients with SARS-CoV-2 infection support this assumption. We investigated the prevalence of immunoglobulin G (Ig G) against SARS-CoV-2 among healthcare workers who do not primarily take care of patients with SARS-CoV-2 infection and the general population in a well-defined geographical area. The first part of the study was conducted in May 2020 in Val Mesolcina (Southern Switzerland), a valley with ~8000 inhabitants. All healthcare workers were invited. All participants (n = 488) of the Swiss Longitudinal Cohort Study (SWICOS), a cohort representative of the general population, were also invited. Circulating Ig G against spike protein subunit 1 of SARS-CoV-2 were tested in each subject. Subjects with positive Ig G were tested again after 6 months. The condition of being a healthcare worker, rather than a part of the general population, was tested as a predictor of seroprevalence positivity by both simple and multiple (adjusted for age and sex) logistic regression. Eleven (2.6%) of the 423 SWICOS participants and 46 (16%) out of 289 healthcare workers were positive for antibodies against SARS-CoV-2. The seroprevalence OR was 7.01 (95% CI: 3.53–15.47) for healthcare workers as compared to SWICOS participants. After adjusting for age and gender, the seroprevalence OR was 5.13 (95% CI: 2.54–10.40). About three quarters of the subjects in the SWICOS (73%) and in healthcare (79%) group with a previous positive serology still presented positive Ig G against the SARS-CoV-2 after 6 months. The present seroprevalence data point out that the SARS-CoV-2 infection is seven times higher among healthcare workers than in the general population of Val Mesolcina. Efforts to effectively protect all the healthcare personnel are needed.

scholarly journals Adherence of Healthcare Workers to Saudi Management Guidelines of Heat-Related Illnesses during Hajj Pilgrimage

2021 ◽  
Vol 18 (3) ◽  
pp. 1156
Author(s):  
Yasir Almuzaini ◽  
Nour Abdulmalek ◽  
Sujoud Ghallab ◽  
Abdulaziz Mushi ◽  
Yara Yassin ◽  
...  
Keyword(s):  
Medical Staff ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
National Guidelines ◽  
Cross Sectional ◽  
Management Guidelines ◽  
Survey Results ◽  
Case Assessment ◽  
Hajj Season

Heat-related illnesses (HRIs), such as heatstroke (HS) and heat exhaustion (HE), are common complications during Hajj pilgrims. The Saudi Ministry of Health (MoH) developed guidelines on the management of HRIs to ensure the safety of all pilgrims. This study aimed to assess healthcare workers’ (HCWs) adherence to the updated national guidelines regarding pre-hospital and in-hospital management of HRIs. This was a cross-sectional study using a questionnaire based on the updated HRI management interim guidelines for the Hajj season. Overall, compliance with HE guidelines scored 5.5 out of 10 for basic management and 4.7 out of 10 for advanced management. Medical staff showed an average to above average adherence to pre-hospital HS management, including pre-hospital considerations (7.2), recognition of HS (8.1), case assessment (7.7), stabilizing airway, breathing, and circulation (8.7), and cooling (5). The overall compliance to in-hospital guidelines for HS management were all above average, except for special conditions (4.3). In conclusion, this survey may facilitate the evaluation of the adherence to Saudi HRIs guidelines by comparing annual levels of compliance. These survey results may serve as a tool for the Saudi MoH to develop further recommendations and actions.

Quality of Life of Healthcare Workers Suffering from Occupational Contact Dermatitis

2021 ◽  
Vol 15 ◽  
Author(s):  
Amira Omrane ◽  
Asma Khedher ◽  
Chayma Harrathi ◽  
Maher Maoua ◽  
Taoufik Khalfallah ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Contact Dermatitis ◽  
Healthcare Workers ◽  
Female Gender ◽  
Public Hospitals ◽  
Healthcare Personnel ◽  
Related Factors ◽  
Cross Sectional ◽  
Occupational Contact Dermatitis

Background: Healthcare workers are at a high risk of developing Occupational Dermatitis (OD). Affected workers often experience severe impairment of their Quality of Life (QoL). This study aimed to assess the skin-related QoL of healthcare workers with OD and to explore its related factors. Methods: A cross-sectional and exhaustive study was conducted among healthcare personnel of four public hospitals in the central region of Tunisia. All the cases of OD declared were included. Skin-related QoL was assessed using the validated Tunisian version of the “Dermatology Life Quality Index” (DLQI). Some related patents were discussed. Results: A total of 37 cases of OD were collected with an annual incidence of 4.2 cases per 10000 workers. The population was predominantly female (73%) and mean aged 44.7±9.4 years. Nurses were the most represented occupational category (38%). Allergic contact dermatitis was the most frequent diagnosis (96%). Use of gloves was the most frequently reported occupational hazard (86%). The most frequently affected sites were hands (97%). The median score of DLQI was five. Multivariate analysis showed an association between the impairment of skin-related QoL and female gender (p = 0.04; OR = 19.3,84), exposure to disinfecting chemicals in the workplace (p = 0.01; OR = 17,306) and the absence of occupational reclassification (p = 0.01; OR = 21,567). Conclusion: About one third of the population had an impaired quality of life. The score impairment was significantly related to female gender, exposure to disinfecting chemicals and the absence of occupational reclassification.

Coronaviruses: A Scientist’s Race Against Time

2020 ◽  
Author(s):  
Saloni Chaurasia ◽  
Keyword(s):  
Healthcare Workers ◽  
Vaccine Development ◽  
Drug Repurposing ◽  
Alveolar Epithelial Cells ◽  
Contact Tracing ◽  
Medical Innovation ◽  
Alveolar Epithelial ◽  
Treatment And Prevention ◽  
Scientific World ◽  
Respiratory Droplets

As the clock ticks, more and more people are falling victim to COVID-19, and scientists are racing against time to find treatment and prevention strategies. But what’s stopping them? The answer comes from two primary problems. Firstly, coronaviruses (CoVs) are transmitted from person-to-person via respiratory droplets from an infected person’s coughs or sneezes, which makes them highly contagious (CDC, How COVID-19 Spreads, 2020). This can happen in minutes, and up to 25% of patients remain asymptomatic (Du, et al., 2020). This makes it difficult for healthcare workers and researchers to contain patients and establish contact tracing to isolate the infected population. Secondly, it is hard to target CoVs without damaging our cells. CoVs infect via spike protein, which binds to the ACE2 receptor located on the lung alveolar epithelial cells (Hoffmann, et al., 2020). Once they invade the cell, CoVs hijack the host cell’s mechanisms to replicate. Thus, it is hard to combat the virus without damaging the host cell. On the other hand, recent understanding of CoVs structure and mechanism of action enables the scientific world to create a cure or vaccine. The bad news is that these efforts will likely face the perennial hurdles of medical innovation and discovery, long timelines of clinical trials for drug repurposing, and vaccine development, sometimes fickle funding, and changing governmental priorities.

scholarly journals Epidemiological model of COVID-19 in healthcare workers: occupational vs. environmental disease

2021 ◽  
Vol 72 (1) ◽  
pp. 6-11
Author(s):  
Mihaela Stoia
Keyword(s):  
Occupational Exposure ◽  
Healthcare Workers ◽  
Strong Predictor ◽  
Epidemiological Model ◽  
Healthcare Sector ◽  
Healthcare Personnel ◽  
Nursing Assistant ◽  
Term Care ◽  
Frontline Staff ◽  
Infection Age

Abstract This study aims to estimate the occupational etiology of COVID-19 in the healthcare sector and obtain a risk matrix for the burden of disease across occupations and specific activities. The study population included 4515 cases and 133077 controls. We have used an epidemiological model that included data collected over one year from employed persons with confirmed SARS-CoV-2 infection, age group 20-64, and residing in Sibiu County. We measured the incidence rate (IR), relative risk (RR), and risk of COVID-19 attributable to the occupational exposure (AR), respectively, statistical analysis based on frequency distribution and the portion of cases to compute the risk levels in social- and healthcare workers. According to this model, approximately 70.5% of COVID-19 risk could be attributable to occupational exposure. The workplace is a strong predictor of infection risk (RR 3.4), particularly in residential long-term care facilities, hospitals, and ambulance services. The highest-risk job functions are nurse, nursing assistant, ambulance worker, and dentist. In conclusion, we believe in having demonstrated that epidemiological modeling may be helpful for risk management and notification of COVID-19 as an occupational disease in frontline staff and essential healthcare personnel.

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