scholarly journals Differences in Attitudes of Front-Line Clinicians, Healthcare Workers, and Non-Healthcare Workers Toward COVID-19 Safety Protocols

Cureus ◽  
2022 ◽  
Author(s):  
Megan Young ◽  
Riley Marotta ◽  
Isaac Lee ◽  
James Phan ◽  
Robin J Jacobs
Keyword(s):  
Healthcare Workers ◽  
Front Line

Front-line Healthcare Workers in COVID-19: The Way from Elbow-Bump Greeting to Closing Body Bags

2020 ◽  
Author(s):  
Stefan Bittmann
Keyword(s):  
Health Service ◽  
Healthcare Workers ◽  
Well Being ◽  
The United States ◽  
Angiotensin Ii Receptor ◽  
Front Line ◽  
Resource Center ◽  
Research Activities ◽  
The World ◽  
The Usa

COVID-19 is a serious coronavirus disease that is spreading all over the world. As of the date of this publication, 2.834.134 people have been infected with COVID-19 and 197.924 deaths have been recorded in 185 countries (John Hopkins Corona Resource Center, 25th April 2020) [1]. This overwhelming mortality rate requires intensive research activities around the world. To date, the number of deaths per day in the United States is still killing, indicating an uncontrollable state of infection spread. SARS-CoV-2 binds to the angiotensin II receptor in various tissues of the human body, particularly in the oral cavity and tongue. SARS-CoV-2 requires the cheerful TMPRSS2 to activate this inertia. SARS-CoV-2 uses the ACE2 receptor as a gateway to the lungs. The SARS-CoV-2 virus binds with the spike protein to the ACE2 receptor. COVID-19 is more common among African Americans in the USA (Science 10th April 2020). The comfort and the emotional loading capacity of the employees in the health service are key components for the maintenance of the essential health services during the outbreak of the COVID-19 virus (Coronavirus) [2,3]. Hence, it will be important to anticipate the charges linked with this work and to release support for employees in the health service. The supervision and assessment of the psychic health and the well-being of the employees in the health service will be important, just as the efforts to guarantee a successful reunion with colleagues if they are infected.

scholarly journals P87 Paradigms about the COVID-19 pandemic: knowledge, attitudes and practices from medical students

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Eddy Lincango-Naranjo ◽  
Paola Solis-Pazmino ◽  
Eddy Lincango-Naranjo
Keyword(s):  
Medical Students ◽  
Healthcare Workers ◽  
Online Survey ◽  
National Curriculum ◽  
Negative Attitude ◽  
Front Line ◽  
Macroeconomic Factors ◽  
Attitudes And Practices ◽  
And Behavior ◽  
Knowledge Attitudes And Practices

Abstract Introduction As new coronavirus has spread globally, economic instability in healthcare systems has been significant. This reality is especially accentuated in Ecuador where, the shortage of healthcare workers combined with cultural and macroeconomic factors have led it to face the most aggressive outbreak in Latin America. In this context, the participation of medical students on the front line is indispensable. Appropriate training on COVID-19 is an urgent need that universities and health systems must guarantee. We aimed to describe the knowledge, attitudes and practices in Ecuadorian final year medical students in order to identify the knowledge gaps, perceptions and behavior patterns which could guide the desig3n of better medical education curricula regarding COVID-19. Methods This descriptive 33-item online survey conducted between April 6 to April 20 sent by email and by Facebook and WhatsApp. Results 309 students responded to the survey. 88% scored high (≥ 70% correct) for knowledge of the disease. The majority of students were pessimistic about possible government actions, which is reflected in the negative attitude towards the control of COVID19 in Ecuador and volunteering during the outbreak (77%, and 58% of the students, respectively). Moreover, 91% of students said they did not have adequate protective equipment or training in their health facilities. Conclusions Ecuador has a capable upcoming workforce that could benefit from an opportunity to strengthen, improve and advance their training in preparation for COVID-19. Creating a national curriculum may be one of the most effective ways for all students to be trained, while simultaneously focusing on the students’ most pressing concerns.

scholarly journals COVID-19 confessions: a qualitative exploration of healthcare workers experiences of working with COVID-19

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043949
Author(s):  
Paul Bennett ◽  
S Noble ◽  
Stephen Johnston ◽  
David Jones ◽  
Rachael Hunter
Keyword(s):  
Healthcare Workers ◽  
Improve Patient Care ◽  
Front Line ◽  
High Profile ◽  
The Face ◽  
Discharged Patients ◽  
Front Line Workers ◽  
Long Term Impact ◽  
Qualitative Exploration

ObjectivesTo gain insight into the experiences and concerns of front-line National Health Service (NHS) workers while caring for patients with COVID-19.DesignQualitative analysis of data collected through an anonymous website (www.covidconfidential) provided a repository of uncensored COVID-19 experiences of front-line NHS workers, accessed via a link advertised on the Twitter feed of two high profile medical tweeters and their retweets.SettingCommunity of NHS workers who accessed this social media.Participants54 healthcare workers, including doctors, nurses and physiotherapists, accessed the website and left a ‘story’.ResultsStories ranged from 1 word to 10 min in length. Thematic analysis identified common themes, with a central aspect being the experience and psychological consequence of trauma. Specific themes were: (1) the shock of the virus, (2) staff sacrifice and dedication, (3) collateral damage ranging from personal health concerns to the long-term impact on, and care of, discharged patients and (4) a hierarchy of power and inequality within the healthcare system.ConclusionsCOVID-19 confidential gave an outlet for unprompted and uncensored stories of healthcare workers in the context of COVID-19. In addition to personal experiences of trauma, there were perceptions that many operational difficulties stemmed from inequalities of power between management and front-line workers. Learning from these experiences will reduce staff distress and improve patient care in the face of further waves of the pandemic.

scholarly journals Covid-19 Related Depression, Anxiety and Stress among Nurses Working as Front Line Workers in a Selected Hospital in Mumbai City

2021 ◽  
Vol 11 (5) ◽  
pp. 163-168
Author(s):  
Sheryl Cornelio ◽  
Saly Suseel ◽  
Valsa Thomas
Keyword(s):  
Healthcare Workers ◽  
Positive Impact ◽  
Vital Role ◽  
Emotional Impact ◽  
Front Line ◽  
Stress Scale ◽  
Symptoms Of Depression ◽  
Rapid Spread ◽  
Front Line Workers ◽  
Mumbai City

Background: Healthcare workers getting exposed to Covid-19 patients could be psychologically stressed. With the rapid spread of the disease, tremendous pressure and challenges are faced by the nurses. Purpose: The purpose/aim of the study was to assess the level of depression, anxiety and stress among Nurses working in the Covid-19 ICU and wards and Covid-19 clinic. Method: Quantitative approach with descriptive design was used for the study and convenient sampling was used with the sample size being 83. Standardized scale known as DASS-21 (Depression, Anxiety and stress scale) scale was used for the collection of data. Results: To analyze the data, inferential statistics was used. The major findings of the study showed that majority of the Nurses (34%) (N=28) had moderate anxiety. Also, majority of them (75%) (N=63) did not find any symptoms of depression. A majority of (48%) (N=40) had moderate level of stress. Conclusion/Implications: The findings of the study suggest that working in the Covid-19have both negative and positive impact on the emotional impact of the Nurses. Providing required basic needs and support both physical and psychological plays a vital role in maintaining the mental health of the Nurses. Key words: Depression, Anxiety, Stress, Nurses, Covid-19.

scholarly journals Sense of Coherence and Psychological Distress Among Healthcare Workers During the COVID-19 Pandemic in Spain

2020 ◽  
Vol 12 (17) ◽  
pp. 6855 ◽  
Author(s):  
Juan Gómez-Salgado ◽  
Sara Domínguez-Salas ◽  
Macarena Romero-Martín ◽  
Mónica Ortega-Moreno ◽  
Juan Jesús García-Iglesias ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Sense Of Coherence ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Psychological Impact ◽  
Front Line ◽  
Cross Sectional ◽  
Test Analysis ◽  
Health Crisis ◽  
Bonferroni Test

The health crisis triggered by COVID-19 and the preventive measures taken to control it have caused a strong psychological impact on the population, especially on healthcare professionals. Risk exposure, uncertainty about how to approach the disease, care and emotional overburden, lack of resources, or unclear ever-changing protocols are, among others, psychological distress risk factors for the healthcare professionals who have faced this dramatic scenario on the front line. On the other hand, the Sense of Coherence (SOC) is a competence that could help these professionals perceive the situation as understandable, manageable, and meaningful, facilitating the activation of their resilience. This work aims to describe the levels of psychological distress and SOC of healthcare professionals during the crisis caused by COVID-19, the relationship between both variables, and their health status. A cross-sectional descriptive study with a sample of 1459 currently active healthcare workers was developed. GHQ-12 and SOC-13 were used for data collection. Bivariate analyses were performed, including Chi-Squared Test, Student’s T-Test, Analysis of Variance—ANOVA (with Bonferroni test for multiple comparisons), and correlations. Cohen’s d or Cramer’s V effect size measurements were also provided. The results showed that 80.6% of healthcare professionals had psychological distress, and the mean score on the SOC-13 scale was 62.8 points (SD = 12.02). Both psychological distress and SOC were related to the presence of COVID-19 symptoms, as well as with contact history. Professionals with psychological distress showed a lower SOC. Taking care of the mental health of healthcare professionals is essential to effectively cope with the COVID-19 pandemic. Given the psychological impact of working in the current menacing scenario, people on the front line against the disease should be protected, minimizing risks, providing them with resources and support, and fostering their coping skills.

scholarly journals The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Nader Salari ◽  
Habibolah Khazaie ◽  
Amin Hosseinian-Far ◽  
Behnam Khaledi-Paveh ◽  
Mohsen Kazeminia ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sample Size ◽  
Healthcare Workers ◽  
Meta Analysis ◽  
Research Work ◽  
Hospital Staff ◽  
Anxiety And Depression ◽  
Front Line ◽  
Prevalence Of Depression ◽  
Meta Regression

Abstract Background Stress, anxiety, and depression are some of the most important research and practice challenges for psychologists, psychiatrists, and behavioral scientists. Due to the importance of issue and the lack of general statistics on these disorders among the Hospital staff treating the COVID-19 patients, this study aims to systematically review and determine the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients. Methods In this research work, the systematic review, meta-analysis and meta-regression approaches are used to approximate the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients. The keywords of prevalence, anxiety, stress, depression, psychopathy, mental illness, mental disorder, doctor, physician, nurse, hospital staff, 2019-nCoV, COVID-19, SARS-CoV-2 and Coronaviruses were used for searching the SID, MagIran, IranMedex, IranDoc, ScienceDirect, Embase, Scopus, PubMed, Web of Science (ISI) and Google Scholar databases. The search process was conducted in December 2019 to June 2020. In order to amalgamate and analyze the reported results within the collected studies, the random effects model is used. The heterogeneity of the studies is assessed using the I2 index. Lastly, the data analysis is performed within the Comprehensive Meta-Analysis software. Results Of the 29 studies with a total sample size of 22,380, 21 papers have reported the prevalence of depression, 23 have reported the prevalence of anxiety, and 9 studies have reported the prevalence of stress. The prevalence of depression is 24.3% (18% CI 18.2–31.6%), the prevalence of anxiety is 25.8% (95% CI 20.5–31.9%), and the prevalence of stress is 45% (95% CI 24.3–67.5%) among the hospitals’ Hospital staff caring for the COVID-19 patients. According to the results of meta-regression analysis, with increasing the sample size, the prevalence of depression and anxiety decreased, and this was statistically significant (P < 0.05), however, the prevalence of stress increased with increasing the sample size, yet this was not statistically significant (P = 0.829). Conclusion The results of this study clearly demonstrate that the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients is high. Therefore, the health policy-makers should take measures to control and prevent mental disorders in the Hospital staff.

scholarly journals SARS-CoV-2 and Anti-Cardiolipin Antibodies

2020 ◽  
Vol 13 ◽  
pp. 117954762098038
Author(s):  
Mazen Jizzini ◽  
Mohsin Shah ◽  
Kehua Zhou
Keyword(s):  
Antiphospholipid Antibodies ◽  
Inflammatory Markers ◽  
Healthcare Workers ◽  
Acute Pulmonary Embolism ◽  
Viral Infections ◽  
Management Strategies ◽  
Front Line ◽  
Antibody Testing ◽  
Coagulation Activation ◽  
Cardiolipin Antibodies

The current COVID-19 pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to distinct diagnostic and management challenges for front-line healthcare workers. The risk of excessive coagulation activation leading to a cascade of thrombotic events in critically ill patients with SARS-CoV-2 is now well reported. We discuss a recent case of COVID-19 with concurrent acute pulmonary embolism and a positive cardiolipin antibody (IgM). The presence of antiphospholipid antibodies is key to diagnosing antiphospholipid syndrome (APS). However, their presence can be transient or persistent after viral infections. Serial inflammatory markers in conjunction with anti-phospholipid antibody testing is critical for the diagnosis of APS in this emerging patient population. Our case report reviews details suggestive of APS in the setting of SARS-CoV-2 and aims to provide clinical diagnostic clues that could help warrant further workup and assist with management strategies.

scholarly journals Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e042752 ◽  
Author(s):  
Tsion Firew ◽  
Ellen D Sano ◽  
Jonathan W Lee ◽  
Stefan Flores ◽  
Kendrick Lang ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Healthcare Workers ◽  
Anxiety Symptoms ◽  
Front Line ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Burn Out ◽  
The Usa

ObjectiveThe COVID-19 pandemic has been associated with significant occupational stressors and challenges for front-line healthcare workers (HCWs), including COVID-19 exposure risk. Our study sought to assess factors contributing to HCW infection and psychological distress during the COVID-19 pandemic in the USA.DesignWe conducted a cross sectional survey of HCWs (physicians, nurses, emergency medical technicians (EMTs), non-clinical staff) during May 2020. Participants completed a 42-item survey assessing disease transmission risk (clinical role, work environment, availability of personal protective equipment) and mental health (anxiety, depression and burn-out).SettingThe questionnaire was disseminated over various social media platforms. 3083 respondents from 48 states, the District of Columbia and US territories accessed the survey.ParticipantsUsing a convenience sample of HCWs who worked during the pandemic, 3083 respondents accessed the survey and 2040 participants completed at least 80% of the survey.Primary outcomePrevalence of self-reported COVID-19 infection, in addition to burn-out, depression and anxiety symptoms.ResultsParticipants were largely from the Northeast and Southern USA, with attending physicians (31.12%), nurses (26.80%), EMTs (13.04%) with emergency medicine department (38.30%) being the most common department and specialty represented. Twenty-nine per cent of respondents met the criteria for being a probable case due to reported COVID-19 symptoms or a positive test. HCWs in the emergency department (31.64%) were more likely to contract COVID-19 compared with HCWs in the ICU (23.17%) and inpatient settings (25.53%). HCWs that contracted COVID-19 also reported higher levels of depressive symptoms (mean diff.=0.31; 95% CI 0.16 to 0.47), anxiety symptoms (mean diff.=0.34; 95% CI 0.17 to 0.52) and burn-out (mean diff.=0.54; 95% CI 0.36 to 0.71).ConclusionHCWs have experienced significant physical and psychological risk while working during the COVID-19 pandemic. These findings highlight the urgent need for increased support for provider physical and mental health well-being.

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