Damion J. Grasso, Matthew Lewin, Basia Adams, G. Lapidus
SUMMARY Goal: COVID-19 has imposed unique challenges for healthcare workers who have faced increased risk of exposure to the virus, heightened work demands, and disruptions in work–life balance. For some healthcare workers, these challenges may have contributed to increased stress, burnout, and psychosocial impairment, including symptoms of depression and anxiety. The current study addresses a knowledge gap of associations between pandemic-related experiences and psychosocial risk among medical and nonmedical pediatric healthcare staff. Methods: A sample of 369 staff (90% female) employed at an acute care, freestanding pediatric hospital in Connecticut completed an online survey. The survey assessed specific pandemic-related experiences and perceived impact with the Epidemic-Pandemic Impacts Inventory, and depression and anxiety risk with the 2-item Patient Health Questionnaire depression screen and 2-item Generalized Anxiety Disorder screen, respectively. Enrollment and survey completion occurred over a 6-week period during the pandemic (summer 2020). Principal Findings: High rates of adverse pandemic-related experiences included workplace experiences (e.g., inadequate support, interpersonal difficulties), home life (e.g., childcare difficulties, partner conflict), and experiences reflecting social isolation and quarantine, child and adult mental health difficulties, increased alcohol or substance use, and unhealthy lifestyle behaviors. Medical relative to nonmedical staff reported significantly more adverse and fewer positive experiences, and a significantly higher perceived negative impact of workplace experiences. A positive screen for depression or anxiety was significantly predicted by cumulative adverse workplace experiences (OR = 1.15), changes in emotional/physical health (OR = 1.35), and perceived negative impact of workplace experiences (OR = 1.32). Applications to Practice: The present study joins recent reports of increased adverse experiences and psychosocial outcomes among healthcare workers during the COVID-19 pandemic. Findings underscore the need for pediatric hospitals to innovate ways to reduce burden and connect staff to mental health services during similar public health crises. Such services might include (1) assisting healthcare staff to navigate disruptions in their home and social lives as a result of new challenges faced at work, (2) adapting the hospital environment and culture to mitigate stress experienced by staff because of these challenges, and (3) bolstering mental health screening and services to address exacerbated or emerging mental health symptoms, such as depression and anxiety.
{"title":"Pandemic-Related Experiences and Stress Among Children’s Hospital Staff Predict Psychosocial Risk","authors":"Damion J. Grasso, Matthew Lewin, Basia Adams, G. Lapidus","doi":"10.1097/JHM-D-21-00022","DOIUrl":"https://doi.org/10.1097/JHM-D-21-00022","url":null,"abstract":"SUMMARY Goal: COVID-19 has imposed unique challenges for healthcare workers who have faced increased risk of exposure to the virus, heightened work demands, and disruptions in work–life balance. For some healthcare workers, these challenges may have contributed to increased stress, burnout, and psychosocial impairment, including symptoms of depression and anxiety. The current study addresses a knowledge gap of associations between pandemic-related experiences and psychosocial risk among medical and nonmedical pediatric healthcare staff. Methods: A sample of 369 staff (90% female) employed at an acute care, freestanding pediatric hospital in Connecticut completed an online survey. The survey assessed specific pandemic-related experiences and perceived impact with the Epidemic-Pandemic Impacts Inventory, and depression and anxiety risk with the 2-item Patient Health Questionnaire depression screen and 2-item Generalized Anxiety Disorder screen, respectively. Enrollment and survey completion occurred over a 6-week period during the pandemic (summer 2020). Principal Findings: High rates of adverse pandemic-related experiences included workplace experiences (e.g., inadequate support, interpersonal difficulties), home life (e.g., childcare difficulties, partner conflict), and experiences reflecting social isolation and quarantine, child and adult mental health difficulties, increased alcohol or substance use, and unhealthy lifestyle behaviors. Medical relative to nonmedical staff reported significantly more adverse and fewer positive experiences, and a significantly higher perceived negative impact of workplace experiences. A positive screen for depression or anxiety was significantly predicted by cumulative adverse workplace experiences (OR = 1.15), changes in emotional/physical health (OR = 1.35), and perceived negative impact of workplace experiences (OR = 1.32). Applications to Practice: The present study joins recent reports of increased adverse experiences and psychosocial outcomes among healthcare workers during the COVID-19 pandemic. Findings underscore the need for pediatric hospitals to innovate ways to reduce burden and connect staff to mental health services during similar public health crises. Such services might include (1) assisting healthcare staff to navigate disruptions in their home and social lives as a result of new challenges faced at work, (2) adapting the hospital environment and culture to mitigate stress experienced by staff because of these challenges, and (3) bolstering mental health screening and services to address exacerbated or emerging mental health symptoms, such as depression and anxiety.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"67 1","pages":"75 - 88"},"PeriodicalIF":1.8,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41343745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: A novel severe acute respiratory syndrome (SARS)-like coronavirus (SARS-CoV-2) has emerged as a human pathogen, causing global pandemic and resulting in over 400,000 deaths worldwide. In the literature, there are several reports in patients with cancer and COVID-19 infection. These studies demonstrated that patients with solid tumors had a higher risk of contracting SARS-CoV-2 infection, because of their systemic immunosuppressive state, caused by the malignancy and anticancer treatments, such as chemo therapy or surgery. On the contrary, very few data are available on COVID-19 outcomes in patients with hematologic diseases. Methods: We report data on 5 patients with hematological disease referred to a single medical hematology unit of a general hospital from January and October, 2020. During 2020, no vaccines were available. Results: Five patients were on active cancer therapy during the infection. Overall 5 patients developed pneumonia and all patients are alive. Conclusion: In conclusion, our study, which describes a small local experience, show how patients suffering from hematological diseases can contract covid infection and that in times of pandemic, it is important to maintain social distancing and think about a reduction in hospital visits. In this out-patient setting, it is important to reduce hospital admission as it is a potential risk factors for SARS-CoV-2 infection.
{"title":"Covid-19 in Patients with Hematological Disorders: An Italian Single Center Experience before Covid-19 Vaccination","authors":"A. Rago, T. Caravita di Toritto","doi":"10.36959/569/473","DOIUrl":"https://doi.org/10.36959/569/473","url":null,"abstract":"Background: A novel severe acute respiratory syndrome (SARS)-like coronavirus (SARS-CoV-2) has emerged as a human pathogen, causing global pandemic and resulting in over 400,000 deaths worldwide. In the literature, there are several reports in patients with cancer and COVID-19 infection. These studies demonstrated that patients with solid tumors had a higher risk of contracting SARS-CoV-2 infection, because of their systemic immunosuppressive state, caused by the malignancy and anticancer treatments, such as chemo therapy or surgery. On the contrary, very few data are available on COVID-19 outcomes in patients with hematologic diseases. Methods: We report data on 5 patients with hematological disease referred to a single medical hematology unit of a general hospital from January and October, 2020. During 2020, no vaccines were available. Results: Five patients were on active cancer therapy during the infection. Overall 5 patients developed pneumonia and all patients are alive. Conclusion: In conclusion, our study, which describes a small local experience, show how patients suffering from hematological diseases can contract covid infection and that in times of pandemic, it is important to maintain social distancing and think about a reduction in hospital visits. In this out-patient setting, it is important to reduce hospital admission as it is a potential risk factors for SARS-CoV-2 infection.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"8 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74829557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The objective of this paper is to analyze and evaluate public policies in the fight against the COVID-19 pandemic in the world through publications and recommendations issued by countries and international organizations. Method: We have suggested a research methodology based on expert opinion on the critical factors that determine the outcomes of national pandemic policies. Based on comprehensive literature review, three independent variables were calculated: The reach of public policy pandemic interventions, the timing of public policy interventions, and the success of public policy in motivating compliance with pandemic measures (e.g. Communication, safety and security coordination). The variables that ultimately condition the current mortality and morbidity rates of COVID-19 worldwide. We have collected information from various national and international health care guidelines and publications. Results: Given the variability in growth rates of COVID-19 cases in different regions and countries, a number of criteria are proposed for the evaluation of quality improvement plans for COVID control: Potential for rapid implementation and completion; minimization of administrative and manpower burden required from stressed HCWs and healthcare institutions; effectiveness of and potential for revealing occupational risks; ability to identify inefficiencies in the management of known risks; and to monitor risks associated with transmission routes. Conclusion: The COVID pandemic experience has taught us that the expansion of health systems requires the development of health practices based on an interdisciplinary vision, with outcomes oriented towards the dynamics of actions and the management of health problems. The central role of leadership and a strong organization are paramount in managing such crises.
{"title":"Strategy Management of COVID-19 Pandemic: An Integrative Review","authors":"B. Zaadoud, EL Rhazi Karima","doi":"10.36959/569/469","DOIUrl":"https://doi.org/10.36959/569/469","url":null,"abstract":"Objective: The objective of this paper is to analyze and evaluate public policies in the fight against the COVID-19 pandemic in the world through publications and recommendations issued by countries and international organizations. Method: We have suggested a research methodology based on expert opinion on the critical factors that determine the outcomes of national pandemic policies. Based on comprehensive literature review, three independent variables were calculated: The reach of public policy pandemic interventions, the timing of public policy interventions, and the success of public policy in motivating compliance with pandemic measures (e.g. Communication, safety and security coordination). The variables that ultimately condition the current mortality and morbidity rates of COVID-19 worldwide. We have collected information from various national and international health care guidelines and publications. Results: Given the variability in growth rates of COVID-19 cases in different regions and countries, a number of criteria are proposed for the evaluation of quality improvement plans for COVID control: Potential for rapid implementation and completion; minimization of administrative and manpower burden required from stressed HCWs and healthcare institutions; effectiveness of and potential for revealing occupational risks; ability to identify inefficiencies in the management of known risks; and to monitor risks associated with transmission routes. Conclusion: The COVID pandemic experience has taught us that the expansion of health systems requires the development of health practices based on an interdisciplinary vision, with outcomes oriented towards the dynamics of actions and the management of health problems. The central role of leadership and a strong organization are paramount in managing such crises.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"43 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80925086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The size will be approximately 5100 ± 130 cases. The discrepancy of actual and forecasted number of cases is within 3%. However, actual and predicted daily new cases are scattered and vary between 26% to 600%. Prediction is cumulative 3993 cases and 29 daily cases. The errors are 7.413% and 48.276% for cumulative and daily cases, respectively.
{"title":"Logistic Growth Model and Modeling of Factors for Community Transmission of COVID-19 in Senegal","authors":"Diouf Massamba, Ndiaye Babacar Mbaye, Dieng Amadou","doi":"10.36959/569/468","DOIUrl":"https://doi.org/10.36959/569/468","url":null,"abstract":"The size will be approximately 5100 ± 130 cases. The discrepancy of actual and forecasted number of cases is within 3%. However, actual and predicted daily new cases are scattered and vary between 26% to 600%. Prediction is cumulative 3993 cases and 29 daily cases. The errors are 7.413% and 48.276% for cumulative and daily cases, respectively.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"20 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89038330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Over this last decade, the South African government has implemented major health service reforms to move towards a universal system. With many questions surrounding the future of the healthcare system, it is important to understand the impact of health insurance on the demand for specialized health services. This paper investigates the impact of hospitalization and dental insurances on health care utilization.
{"title":"Impact of Hospitalization and Dental Insurances on the Health Care Utilization in South Africa","authors":"O. Ernest, Dembélé Alou, Bationo Justin Lwungili","doi":"10.36959/569/467","DOIUrl":"https://doi.org/10.36959/569/467","url":null,"abstract":"Over this last decade, the South African government has implemented major health service reforms to move towards a universal system. With many questions surrounding the future of the healthcare system, it is important to understand the impact of health insurance on the demand for specialized health services. This paper investigates the impact of hospitalization and dental insurances on health care utilization.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"22 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83483442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The HIV infection and the use of antiretroviral drugs is associated with side effects which may lead to mental health disorders. Mental health challenges may cause exaggerated health outcomes and negatively affect patients' self-care, leading to poor adherence to treatment.
{"title":"Attitudes and Perceptions of Health Care Practitioners Towards the Implementation of Integrating Mental Care into HIV Services At Primary Health Care Settings","authors":"Cele Winnie Baphumelele, Mhlongo Euphemia Mbali","doi":"10.36959/569/466","DOIUrl":"https://doi.org/10.36959/569/466","url":null,"abstract":"The HIV infection and the use of antiretroviral drugs is associated with side effects which may lead to mental health disorders. Mental health challenges may cause exaggerated health outcomes and negatively affect patients' self-care, leading to poor adherence to treatment.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"893 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72619265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Various studies have drawn similarities between respiratory conditions such as pneumonia and COVID-19. Respiratory disease (e.g., viral pneumonia J12.8) or signs or symptoms of respiratory disease (e.g., shortness of breath R06.0, cough R05) a respiratory disease (e.g., viral pneumonia J12.8) are the most notable symptoms that are associated with COVID-19. Pneumonia is also among the top five most prevalent reasons for admissions in medical schemes and is one of the expensive conditions to treat. This further accounts for a significant portion of hospitalisation expenditure.
{"title":"Descriptive Analysis of Factors Associated with COVID-19 (U07.1, U07.2), Viral Pneumonia (J12.8 and J12.9) and other Types of Admission Diagnosis","authors":"Willie Michael Mncedisi","doi":"10.36959/569/465","DOIUrl":"https://doi.org/10.36959/569/465","url":null,"abstract":"Various studies have drawn similarities between respiratory conditions such as pneumonia and COVID-19. Respiratory disease (e.g., viral pneumonia J12.8) or signs or symptoms of respiratory disease (e.g., shortness of breath R06.0, cough R05) a respiratory disease (e.g., viral pneumonia J12.8) are the most notable symptoms that are associated with COVID-19. Pneumonia is also among the top five most prevalent reasons for admissions in medical schemes and is one of the expensive conditions to treat. This further accounts for a significant portion of hospitalisation expenditure.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"223 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79992109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aims: This study aimed to explore factors associated with decision-making among college students on taking the coronavirus disease 2019 (COVID-19) vaccine using the Health Belief Model. Materials and methods: This study used a web-based questionnaire to assess college students’ intention to take the COVID-19 vaccine and their beliefs about COVID-19 and the vaccine. Descriptive statistics were used to characterize the sample. Independent group t-tests and one-way analysis of variance were used to assess the differences in intention to take the COVID-19 vaccine based on demographics. Pearson correlation was used to assess the associations among continuous variables. Multiple linear regression analysis was used to identify the factors associated with college students’ intention to take the COVID-19 vaccine. Results: The score for intention to take the COVID-19 vaccine was 3.76 ± 1.12. Scores for perceived susceptibility, perceived benefits, and perceived barriers were associated with the intention to take the vaccine. Conclusion: Important predictors of college students’ intention to take the COVID-19 vaccine included perceived high susceptibility to inflection, perceived high benefits, and perceived low barriers to receiving the vaccine. Interventions targeting these factors may be useful in facilitating acceptance of the COVID-19 vaccine.
{"title":"Intention to Take COVID-19 Vaccine and the Associations among College Students","authors":"Dengxin He, Xiaolan Yuan, Minghao Pan, Liang Zhi, Lihong Niu, Mao Qiyue","doi":"10.36959/569/463","DOIUrl":"https://doi.org/10.36959/569/463","url":null,"abstract":"Aims: This study aimed to explore factors associated with decision-making among college students on taking the coronavirus disease 2019 (COVID-19) vaccine using the Health Belief Model. Materials and methods: This study used a web-based questionnaire to assess college students’ intention to take the COVID-19 vaccine and their beliefs about COVID-19 and the vaccine. Descriptive statistics were used to characterize the sample. Independent group t-tests and one-way analysis of variance were used to assess the differences in intention to take the COVID-19 vaccine based on demographics. Pearson correlation was used to assess the associations among continuous variables. Multiple linear regression analysis was used to identify the factors associated with college students’ intention to take the COVID-19 vaccine. Results: The score for intention to take the COVID-19 vaccine was 3.76 ± 1.12. Scores for perceived susceptibility, perceived benefits, and perceived barriers were associated with the intention to take the vaccine. Conclusion: Important predictors of college students’ intention to take the COVID-19 vaccine included perceived high susceptibility to inflection, perceived high benefits, and perceived low barriers to receiving the vaccine. Interventions targeting these factors may be useful in facilitating acceptance of the COVID-19 vaccine.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"40 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90490767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachdi Imène, Daoud Fatma, Somai Mehdi, Zoubeidi Hana, Dhaou Besma Ben, A. Zohra, B. Fatma
The aim of this work was to specify the frequency and the peculiarities of facial paralysis (FP) during in Tunisian patients. It's a retrospective and descriptive study during a period of 14 years concerning patients affected by sarcoidosis and having a facial nerve involvement. Among 160 patients affected by systemic sarcoidosis, we counted sevencases of FP (3,1%) mainly women with a meanage at the diagnosis offacial nerve involvement of 52,2 years. FP revealed the disease in six cases.
{"title":"Facial Paralysis during Sarcoidosis: About Seven Cases","authors":"Rachdi Imène, Daoud Fatma, Somai Mehdi, Zoubeidi Hana, Dhaou Besma Ben, A. Zohra, B. Fatma","doi":"10.36959/569/464","DOIUrl":"https://doi.org/10.36959/569/464","url":null,"abstract":"The aim of this work was to specify the frequency and the peculiarities of facial paralysis (FP) during in Tunisian patients. It's a retrospective and descriptive study during a period of 14 years concerning patients affected by sarcoidosis and having a facial nerve involvement. Among 160 patients affected by systemic sarcoidosis, we counted sevencases of FP (3,1%) mainly women with a meanage at the diagnosis offacial nerve involvement of 52,2 years. FP revealed the disease in six cases.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"46 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87110621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：