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Dadich A, Wells R, Williams SJ, Taskin N, Coskun M, Grenier C, Ponsignon F, Scahill S, Best S. Cues Disseminated by Professional Associations That Represent 5 Health Care Professions Across 5 Nations: Lexical Analysis of Tweets. J Med Internet Res 2023; 25:e42927. [PMID: 36920443 PMCID: PMC10131722 DOI: 10.2196/42927] [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: 09/24/2022] [Revised: 01/09/2023] [Accepted: 01/27/2023] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND Collaboration across health care professions is critical in efficiently and effectively managing complex and chronic health conditions, yet interprofessional care does not happen automatically. Professional associations have a key role in setting a profession's agenda, maintaining professional identity, and establishing priorities. The associations' external communication is commonly undertaken through social media platforms, such as Twitter. Despite the valuable insights potentially available into professional associations through such communication, to date, their messaging has not been examined. OBJECTIVE This study aimed to identify the cues disseminated by professional associations that represent 5 health care professions spanning 5 nations. METHODS Using a back-iterative application programming interface methodology, public tweets were sourced from professional associations that represent 5 health care professions that have key roles in community-based health care: general practice, nursing, pharmacy, physiotherapy, and social work. Furthermore, the professional associations spanned Australia, Canada, New Zealand, the United Kingdom, and the United States. A lexical analysis was conducted of the tweets using Leximancer (Leximancer Pty Ltd) to clarify relationships within the discourse. RESULTS After completing a lexical analysis of 50,638 tweets, 7 key findings were identified. First, the discourse was largely devoid of references to interprofessional care. Second, there was no explicit discourse pertaining to physiotherapists. Third, although all the professions represented in this study support patients, discourse pertaining to general practitioners was most likely to be connected with that pertaining to patients. Fourth, tweets pertaining to pharmacists were most likely to be connected with discourse pertaining to latest and research. Fifth, tweets about social workers were unlikely to be connected with discourse pertaining to health or care. Sixth, notwithstanding a few exceptions, the findings across the different nations were generally similar, suggesting their generality. Seventh and last, tweets pertaining to physiotherapists were most likely to refer to discourse pertaining to profession. CONCLUSIONS The findings indicate that health care professional associations do not use Twitter to disseminate cues that reinforce the importance of interprofessional care. Instead, they largely use this platform to emphasize what they individually deem to be important and advance the interests of their respective professions. Therefore, there is considerable opportunity for professional associations to assert how the profession they represent complements other health care professions and how the professionals they represent can enact interprofessional care for the benefit of patients and carers.
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Affiliation(s)
- Ann Dadich
- School of Business, Western Sydney University, Parramatta, Australia
| | - Rebecca Wells
- Department of Management, Policy and Community Health, University of Texas, Texas, TX, United States
| | - Sharon J Williams
- School of Health & Social Care, Swansea University, Swansea, United Kingdom
| | - Nazim Taskin
- Department of Management Information Systems, Boğaziçi University, Istanbul, Turkey
| | - Mustafa Coskun
- Department of Management Information Systems, Boğaziçi University, Istanbul, Turkey
| | | | | | - Shane Scahill
- Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
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Cipolletta S, Previdi S, Martucci S. The Healthcare Relationship during the Second Wave of the COVID-19 Pandemic: A Qualitative Study in the Emergency Department of an Italian Hospital. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2072. [PMID: 36767436 PMCID: PMC9916165 DOI: 10.3390/ijerph20032072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/17/2023] [Accepted: 01/18/2023] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic had an impact not only on people's lives but also on the healthcare system. This study aimed to investigate the healthcare relationship in the Emergency Department (ED) of a hospital in northern Italy, during the second wave of the COVID-19 pandemic. The participants (N = 43) consisted of 16 nurses, 6 doctors from the hospital ED, and 21 patients who accessed this department. Semi-structured interviews were carried out and a thematic analysis was conducted. The findings suggest that the COVID-19 pandemic brought both positive and negative changes to the healthcare relationship that are linked to changes in the organization of the ED and to participants' various experiences of the pandemic. The changes in this relationship should be monitored because they could have long-term effects on healthcare professionals' wellbeing, treatment outcomes, and the healthcare system. The findings from this study could be used to understand these changes and inform intervention strategies to improve the healthcare relationship.
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Muacevic A, Adler JR, Edel K, Prabhakaran M, Steffl ML, Shelton J, Pace J, Poolman AE, Anderson SE. Between a Rock and a Hard Place: COVID-19 Lessons Learned From Providers Rounding at Skilled Nursing Facilities in the Rural Midwest. Cureus 2022; 14:e32157. [PMID: 36601216 PMCID: PMC9807139 DOI: 10.7759/cureus.32157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/03/2022] [Indexed: 12/07/2022] Open
Abstract
On March 11, 2020, coronavirus disease 2019 (COVID-19) was classified as a pandemic, setting in motion unprecedented practice changes across the healthcare industry. Never was this more evident than in Skilled Nursing Facilities (SNFs). SNFs were tested on multiple fronts, requiring innovation and perseverance at levels never before seen. Lessons learned from this setting to better prepare for the next pandemic include: updating and standardizing infection control and prevention policies, ensuring the supply chain keeps up with demand, updating infrastructure, creating a work environment that promotes well-being, and having clear communication plans.
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Akbolat M, Durmuş A, Ünal Ö, Ezen M. The influences of corporate policies for COVID-19 on work stress and anxiety among healthcare employees. Work 2022; 73:1125-1133. [DOI: 10.3233/wor-205197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: During the coronavirus disease (COVID-19) pandemic, if it is considered that educated manpower is the most valuable resource of countries, it can be thought that various policies should be developed both at the macro- and micro-levels to minimize the loss of healthcare employees. OBJECTIVE: This study aims to determine the effects of the corporate policies for COVID-19 on the work stress and anxiety of healthcare employees. METHOD: The sample of the study consists of 136 of 265 healthcare employees in Sakarya Provincial Health Directorate Emergency Health Services in Turkey. The average age of the participants was 34.43 years old; the average duration of professional experience was 12.12 years. Approximately 61% of the participants are male and 51% have a bachelor’s degree or higher level. A questionnaire form was used in the study as the data collection tool consisting of socio-demographic characteristics, institutional policies on COVID-19, work stress, and the Status Anxiety Scale. Process Macro Model 4, descriptive statistics and correlation analysis were used for the data analysis. RESULTS: According to the results of the study, the corporate policies for COVID-19 perception of participants was above average (3.30±0.82) while work stress (2.99±0.88) and anxiety (2.65±0.56) were below average. The corporate policies for COVID-19 perception of participants reduced their work stress (β= – 0.430) and anxiety (β= – 0.361). Additionally, anxiety played a mediating role in the effect of the corporate policies for COVID-19 perception on work stress, and it further raised the impact of corporate policies for COVID-19 perception on the work stress reduction (β= – 0.169). CONCLUSIONS: During the COVID-19 pandemic, health managers should determine and control the anxiety and stress levels of the health employees on their staff and take a number of steps to reduce their anxiety and stress.
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Affiliation(s)
- Mahmut Akbolat
- Health Care Management Department, Sakarya Business School, Sakarya University, Sakarya, Turkey
| | - Ayhan Durmuş
- Emergency Aid and Disaster Management Department, Faculty of Health Sciences, Yozgat Bozok University, Yozgat, Turkey
| | - Özgün Ünal
- Health Care Management Department, Sakarya Business School, Sakarya University, Sakarya, Turkey
| | - Mustafa Ezen
- Sakarya Provincial Health Directorate, Sakarya, Turkey
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5
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Saleh R, Martins RS, Saad M, Fatimi AS, Kumar G, Abbas M, Akbar I, Jehanzeb H, Ladak S, Kaleem S, Nadeem S. The impact of the COVID-19 pandemic on the career choice of medicine: A cross-sectional study amongst pre-medical students in Pakistan. Ann Med Surg (Lond) 2022; 81:104219. [PMID: 35957649 PMCID: PMC9357277 DOI: 10.1016/j.amsu.2022.104219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 07/19/2022] [Accepted: 07/20/2022] [Indexed: 11/25/2022] Open
Abstract
Background The COVID-19 pandemic has significantly affected the lives of healthcare workers due to the frontline nature of their work. Their hard work and sacrifice have forged new perceptions of healthcare workers. These changes may potentially influence students' interest in medicine. This study explores how the COVID-19 pandemic has affected premedical students' decisions to pursue medicine as a career. Methods A cross-sectional study using a self-designed online questionnaire was carried out amongst pre-medical students across Pakistan. Results A total of 1695 students from 93 public and private schools filled in the survey. After the onset of the COVID-19 pandemic, significantly more pre-medical students want to pursue medicine (60.7%-62.9%) and less are unsure (20.2%-17%). Students are significantly more likely to be motivated to pursue medicine due to altruistic benefits to society (57% vs. 62.7%) and be deterred by the risk of contracting infections on duty (10%-14.6%). There is a minor but significant increase in the popularity of internal medicine (17.1%-18.9%), public health (4.1% vs. 5.7%), emergency medicine (3.8% vs. 5.7%), pediatrics (3.8% vs. 4.7%), and radiology (2.1% vs. 2.9%). Most pre-medical students felt that doctors routinely undergo physical and emotional turmoil (84%). Conclusions Although awareness of hardships faced by medical professionals has increased, motivation to pursue medicine has grown. Through understanding trends in the motivations of students to pursue medicine, medical schools can accommodate the expectations of incoming students and reach out to potential applicants.
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Affiliation(s)
- Raisa Saleh
- Medical College, Aga Khan University Hospital, Karachi, Pakistan
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
| | - Russell Seth Martins
- Medical College, Aga Khan University Hospital, Karachi, Pakistan
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
| | - Muhammad Saad
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
- Nixor College, Karachi, Pakistan
| | - Asad Saulat Fatimi
- Medical College, Aga Khan University Hospital, Karachi, Pakistan
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
| | - Gaurav Kumar
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
- Medical College, Dow University of Health Sciences, Karachi, 74200, Pakistan
| | - Manzar Abbas
- Medical College, Aga Khan University Hospital, Karachi, Pakistan
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
| | - Inaara Akbar
- Medical College, Aga Khan University Hospital, Karachi, Pakistan
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
| | - Hamzah Jehanzeb
- Medical College, Aga Khan University Hospital, Karachi, Pakistan
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
| | - Shamila Ladak
- Medical College, Aga Khan University Hospital, Karachi, Pakistan
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
| | - Shamama Kaleem
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
- Medical College, Dow University of Health Sciences, Karachi, 74200, Pakistan
| | - Sarah Nadeem
- Society for Promoting Innovation in Medicine (SPIE), Center for Innovation in Medical Education (CIME), Aga Khan University, Karachi, Pakistan
- Section of Endocrinology, Department of Medicine, Aga Khan University, Karachi, 74800, Pakistan
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6
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Zerden LDS, Richman EL, Lombardi B, Forte AB. Frontline, Essential, and Invisible: The Needs of Low-Wage Workers in Hospital Settings During COVID-19. Workplace Health Saf 2022; 70:509-514. [PMID: 35848495 PMCID: PMC9630952 DOI: 10.1177/21650799221108490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Background: Frontline health care workers are particularly vulnerable to burnout and
diminished well-being as they endure COVID-19 pandemic-related stressors.
While physicians and nurses are the public face of those experiencing
burnout in hospitals, these stressors also affect low-wage workers such as
food and housekeeping/janitorial service workers whose roles largely remain
“invisible” when conceptualizing the essential health workforce and
understanding their needs. This study sought to understand the experiences
of frontline essential workers to better support them and prevent
burnout. Methods: Using a semi-structured interview guide, we conducted 20 in-depth qualitative
interviews with workers in three U.S. states. Thematic content analysis was
conducted to code and analyze interviews. Results: Workers had an average of 5.8 years in their jobs, which included food
services, housekeeping/janitorial, and patient transport roles. Analysis
revealed four prominent stressors contributing to worker burnout: changes in
duties and staff shortages, fear of contracting or transmitting COVID-19,
desire for recognition of their job-related risk, and unclear communication
on safety precautions and resources. Protective factors included paid
time-off, mental health supports, sense of workplace pride, and self-coping
strategies. Conclusion/Application to Practice: As health systems continue to grapple with care delivery in the context of
COVID-19, identifying best practices to support all workers
and prevent burnout is vital to the functioning and safety of hospitals.
Further consideration is warranted to create policies and multipronged
interventions to meet workers’ tangible needs while shifting the culture, so
all members of the health workforce are seen and valued.
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Affiliation(s)
| | - Erica L Richman
- Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill
| | - Brianna Lombardi
- Department of Family Medicine, Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill
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Morath LP, Burström B, Liljas AEM. Care home managers' views on the media coverage of COVID-19 outbreaks in care homes for older adults: A case study in Stockholm. Int J Older People Nurs 2022; 17:e12483. [PMID: 35699305 PMCID: PMC9350000 DOI: 10.1111/opn.12483] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 05/17/2022] [Accepted: 05/16/2022] [Indexed: 12/01/2022]
Abstract
The COVID‐19 pandemic has particularly affected older adults and resulted in high rates of infections and deaths in care homes. We have conducted a case study in which three managers of care homes for older adults in central Stockholm have shared their thoughts on the media coverage of care homes for older adults during the COVID‐19 pandemic. We analysed the data using conventional content analysis and identified three themes and five categories. The results show that the managers experienced the media coverage of care homes during the pandemic to be negative and incomplete, causing feelings of sadness and shame amongst themselves and their staff. The negative media coverage further generated added workload as they had to arrange for discussions to answer questions by staff and close relatives of the residents. Informants also thought that there is a lack of knowledge about the role of care homes and subsequently what to expect of them. Finally, informants reported that the pandemic might create an opportunity for system‐level policy changes. In light of this, we discuss possible victim blaming of staff and how greater public awareness of the care home sector could facilitate for a debate on policy changes and the low social status of caring for older adults.
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Affiliation(s)
- Lenke P Morath
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
| | - Bo Burström
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
| | - Ann E M Liljas
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
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8
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Hales S, Tyler M. Heroism and/as injurious speech: Recognition, precarity, and inequality in health and social care work. GENDER WORK AND ORGANIZATION 2022. [DOI: 10.1111/gwao.12832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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9
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Benedictis FM, Bush A. Science, medicine and ethics during COVID-19 pandemic. Acta Paediatr 2022; 111:213-214. [PMID: 34757627 DOI: 10.1111/apa.16180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 11/08/2021] [Accepted: 11/09/2021] [Indexed: 11/29/2022]
Affiliation(s)
| | - Andrew Bush
- Department of Paediatric Respiratory Medicine Royal Brompton Hospital London UK
- Imperial School of Medicine National Heart and Lung Institute London UK
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10
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Torijano Casalengua ML, Maderuelo-Fernández JA, Astier Peña MP, Añel Rodríguez R. [Health worker safety as an essential condition for patient safety]. Aten Primaria 2021; 53 Suppl 1:102216. [PMID: 34961585 PMCID: PMC8709022 DOI: 10.1016/j.aprim.2021.102216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 10/03/2021] [Indexed: 12/03/2022] Open
Abstract
El mayor activo de cualquier sistema sanitario son sus profesionales, y estos deben ser cuidados para poder cuidar. Es necesario resaltar que son clave para la resiliencia de nuestros sistemas de salud. Esto es particularmente importante en momentos de crisis, y especialmente trascendente para la atención primaria de salud. Durante la pandemia de la COVID-19, las condiciones de trabajo han sido el principal factor latente común para los incidentes de seguridad del paciente. Los profesionales de atención primaria han trabajado en condiciones laborales inseguras, con escasez de medios de protección, gran incertidumbre, falta de conocimiento científico y protocolos de trabajo rápidamente cambiantes para el abordaje de los casos y contactos de infección por la COVID-19, con una alta presión asistencial, largas jornadas de trabajo, suspensión de permisos y vacaciones, e incluso cambios de sus puestos de trabajo. Todo ello ha contribuido a que se conviertan, no solo en primeras víctimas de la pandemia, sino también en segundas víctimas de los eventos adversos sucedidos durante la misma. Por ello, en este artículo analizamos los principales riesgos y daños sufridos por los profesionales en atención primaria y aportamos claves para contribuir a su protección en futuras situaciones parecidas.
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Affiliation(s)
- María Luisa Torijano Casalengua
- Servicio de Salud de Castilla-La Mancha (SESCAM), Castilla la Mancha, España; Grupo de Trabajo de Seguridad del Paciente de semFYC.
| | - Jose Angel Maderuelo-Fernández
- Unidad de Investigación en Atención Primaria de Salamanca (APISAL), Instituto de Investigación Biomédica de Salamanca (IBSAL), Gerencia de Atención Primaria de Salamanca, Gerencia Regional de Salud de Castilla y León (SACyL), Salamanca, España; Grupo de Trabajo de Seguridad del Paciente de semFYC
| | - María Pilar Astier Peña
- Servicio Aragonés de Salud. Profesora de la Universidad de Zaragoza, GIBA-IIS Aragón, España; Grupo de Trabajo de Seguridad del Paciente de semFYC
| | - Rosa Añel Rodríguez
- Grupo de Trabajo de Seguridad del Paciente de semFYC, Centro de Salud Landako, Osakidetza/Servicio Vasco de Salud, Durango, País Vasco, España; Grupo de Trabajo de Seguridad del Paciente de semFYC
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11
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Boulton M, Garnett A, Webster F. A Foucauldian discourse analysis of media reporting on the nurse-as-hero during COVID-19. Nurs Inq 2021; 29:e12471. [PMID: 34729856 PMCID: PMC8646255 DOI: 10.1111/nin.12471] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2021] [Revised: 10/17/2021] [Accepted: 10/18/2021] [Indexed: 01/13/2023]
Abstract
This study uses a Foucauldian discourse analysis to explore media reporting on the role of nurses as being consistently positioned ‘heroes’ during COVID‐19. In so doing, it highlights multiple intersecting discourses at play, with the caring discourse acting as a central one in negatively impacting nurses' ability to advocate for safe working conditions during a public health emergency. Drawing on media reports during the outbreak of COVID‐19 in Ontario, Canada in the spring of 2020 and on historical information from SARS, this study seeks to establish caring as a discourse and examine if the caring discourse impedes nurses' ability to protect themselves from harm. The results of this analysis explicate how public media discourses that position nurses as caring, sacrificial and heroic may have impacted their ability to maintain their personal safety as a result of the expectations put upon the nursing profession.
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Affiliation(s)
- Maggie Boulton
- Arthur and Sonia Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada
| | - Anna Garnett
- Arthur and Sonia Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada
| | - Fiona Webster
- Arthur and Sonia Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada
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Abushaikha L, Edwards JE, Cesario S. "Moms and babies first"-A historical overview of the Association of Women's Health Obstetric and Neonatal Nurses. Nurs Outlook 2021; 69:1049-1057. [PMID: 34334190 DOI: 10.1016/j.outlook.2021.05.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 05/12/2021] [Accepted: 05/25/2021] [Indexed: 11/30/2022]
Abstract
Professional nursing bodies have had a well-established, collective history of advancing the nursing profession through career development, advocacy, and continuing education. The purpose of this review paper is to provide a historical overview of these entities, leading up to the formation of specialty nursing associations and the emergence of the Association of Women's Health Obstetric and Neonatal Nurses (AWHONN). The Association of Women's Health Obstetric and Neonatal Nurses is a leader in research, education, and advocacy in the field of women's health, obstetric, and neonatal nursing that has focused on promoting the health and well-being of women, newborns, and their families for the past fifty years.
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Affiliation(s)
- Lubna Abushaikha
- Maternal and Child Health Department, School of Nursing, The University of Jordan, Amman, Jordan.
| | - Joan Elaine Edwards
- College of Nursing, Center for Global Nursing, Texas Woman's University, Houston, TX
| | - Sandra Cesario
- College of Nursing, Texas Woman's University, Houston, TX
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13
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Affiliation(s)
- Urmimala Sarkar
- Center for Vulnerable Populations, Division of General Internal Medicine, Zuckerberg San Francisco General Hospital, University of California, San Francisco
- Department of Medicine, University of California, San Francisco
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14
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Aaronson EL, Daubman BR, Petrillo L, Bowman J, Ouchi K, Gips A, Traeger L, Jackson V, Grudzen C, Ritchie CS. Emerging Palliative Care Innovations in the ED: A Qualitative Analysis of Programmatic Elements During the COVID-19 Pandemic. J Pain Symptom Manage 2021; 62:117-124. [PMID: 33161031 PMCID: PMC7645272 DOI: 10.1016/j.jpainsymman.2020.10.035] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 10/29/2020] [Accepted: 10/30/2020] [Indexed: 11/18/2022]
Abstract
CONTEXT Health systems have aspired to integrate palliative care (PC) into the emergency department (ED) to improve care quality for over a decade, yet there are very few examples of implemented models in the literature. The coronavirus disease 2019 (COVID-19) pandemic led to an increase in the volume of seriously ill patients in EDs and a consequent rapid increase in PC integration in many EDs. OBJECTIVES To describe the new PC-ED delivery innovations that emerged during the COVID-19 pandemic. METHODS For this qualitative study of PC programs in EDs, semistructured interviews were conducted with ED and PC clinicians between June 30, 2020 and August 18, 2020. Participants were asked about PC-ED integration before, during, and after COVID. We conducted a two-phased rapid analysis using a rapid analysis template and consolidated matrix to identify innovations. RESULTS Using purposive and snowball sampling, we interviewed 31 participants, representing 52 hospitals. Several new innovations in care delivery were identified. These included elements of fully embedded PC, the use of PC extenders, technology both within the electronic medical record and outside it, and innovations in training emergency clinicians in primary PC skills to support care delivery. Most PC efforts focused on increasing goals-of-care conversations. Institutions that implemented these programs reported that they increased PC utilization in the ED, were well received by clinicians, and changed patient's care trajectories. CONCLUSION Several new innovations in PC-ED care delivery emerged during COVID. Many innovations leveraged different types of clinicians to deliver care, an increased physical presence of PC in the ED, and used technology to enhance care delivery. These innovations may serve as a framework for institutions as they plan for evolving needs in the ED during and after COVID. Additional research is needed to evaluate the impact of these programs and understand their applicability beyond the pandemic.
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Affiliation(s)
- Emily Loving Aaronson
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Lawrence Center for Quality and Safety, Massachusetts General Hospital and Massachusetts General Physicians' Organization, Boston, Massachusetts, USA.
| | - Bethany-Rose Daubman
- Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Laura Petrillo
- Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Jason Bowman
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Kei Ouchi
- Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Alexa Gips
- Department of Emergency Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA; Palliative Care Service, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | - Lara Traeger
- Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Vicki Jackson
- Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Corita Grudzen
- Department of Emergency Medicine, NYU Langone Health/Bellevue Hospital Center, NYU Grossman School of Medicine, New York, USA
| | - Christine Seel Ritchie
- Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts, USA
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15
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Garibaldi BT, Chisolm MS, Berkenblit GV, Feller-Kopman D, Stephens RS, Stewart RW, Wright SM. Review of the published literature to characterise clinical excellence in COVID-19 care. Postgrad Med J 2021; 98:880-886. [PMID: 37063034 DOI: 10.1136/postgradmedj-2021-140002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 04/13/2021] [Accepted: 04/16/2021] [Indexed: 11/04/2022]
Abstract
COVID-19 continues to be a major source of global morbidity and mortality. It abruptly stressed healthcare systems early in 2020 and the pressures continue. Devastating hardships have been endured by individuals, families and communities; the losses will be felt for years to come. As healthcare professionals and organisations stepped up to respond to the overwhelming number of cases, it is understandable that the focus has been primarily on coping with the quantity of the demand. During a pandemic, it is not surprising that few papers have drawn attention to the quality of the care delivered to those afflicted with illness. Despite the challenges, clinicians caring for patients with COVID-19 have risen to the occasion. This manuscript highlights aspirational examples from the published literature of thoughtful and superb care of patients with COVID-19 using an established framework for clinical excellence (formulated by the Miller-Coulson Academy of Clinical Excellence).
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Affiliation(s)
- Brian T Garibaldi
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Margaret S Chisolm
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.,Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Gail V Berkenblit
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - David Feller-Kopman
- Section of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical Center, Hancock, New Hampshire, USA
| | - R Scott Stephens
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Rosalyn W Stewart
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.,Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Scott M Wright
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
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16
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Fontanarosa PB, Bauchner H, Golub R. To JAMA Authors, Reviewers, and Especially Physician Readers-A Profound Thank You. JAMA 2021; 325:1263-1265. [PMID: 33821914 DOI: 10.1001/jama.2021.3860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Phil B Fontanarosa
- Dr Fontanarosa is Executive Editor, Dr Bauchner is Editor in Chief, and Dr Golub is Deputy Editor, JAMA
| | - Howard Bauchner
- Dr Fontanarosa is Executive Editor, Dr Bauchner is Editor in Chief, and Dr Golub is Deputy Editor, JAMA
| | - Robert Golub
- Dr Fontanarosa is Executive Editor, Dr Bauchner is Editor in Chief, and Dr Golub is Deputy Editor, JAMA
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17
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Gur-Arie R, Jamrozik E, Kingori P. No Jab, No Job? Ethical Issues in Mandatory COVID-19 Vaccination of Healthcare Personnel. BMJ Glob Health 2021; 6:e004877. [PMID: 33597280 PMCID: PMC7893205 DOI: 10.1136/bmjgh-2020-004877] [Citation(s) in RCA: 54] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Accepted: 01/14/2021] [Indexed: 12/23/2022] Open
Affiliation(s)
- Rachel Gur-Arie
- Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA
- Oxford-Johns Hopkins Global Infectious Disease Ethics Collaborative, Oxford, UK, Baltimore, Maryland, USA
| | - Euzebiusz Jamrozik
- Oxford-Johns Hopkins Global Infectious Disease Ethics Collaborative, Oxford, UK, Baltimore, Maryland, USA
- Wellcome Centre for Ethics and Humanities, University of Oxford, Oxford, UK
| | - Patricia Kingori
- Oxford-Johns Hopkins Global Infectious Disease Ethics Collaborative, Oxford, UK, Baltimore, Maryland, USA
- Wellcome Centre for Ethics and Humanities, University of Oxford, Oxford, UK
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18
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Naldi A, Vallelonga F, Di Liberto A, Cavallo R, Agnesone M, Gonella M, Sauta MD, Lochner P, Tondo G, Bragazzi NL, Botto R, Leombruni P. COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy. BJPsych Open 2021; 7:e27. [PMID: 33407989 PMCID: PMC7844147 DOI: 10.1192/bjo.2020.161] [Citation(s) in RCA: 65] [Impact Index Per Article: 21.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 11/20/2020] [Accepted: 12/03/2020] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic caused drastic changes in healthcare and severe social restrictions. Healthcare workers (HCWs) are on the front line against the virus and have been highly exposed to pandemic-related stressors, but there are limited data on their psychological involvement for a large sample in Italy. AIMS To investigate the prevalence of anxiety, distress and burnout in HCWs of North-West Italy during the COVID-19 pandemic, and to detect potential psychosocial factors associated with their emotional response. METHOD This cross-sectional, survey-based study enrolled 797 HCWs. Participants completed the Impact of Event Scale - Revised, the State-Trait Anxiety Inventory - Form Y and the Maslach Burnout Inventory; demographic, family and work characteristics were also collected. Global psychological outcome, differences among professions and independent factors associated with worst psychological outcome were assessed. RESULTS Almost a third of the sample had severe state anxiety and distress, high emotional exhaustion and depersonalisation, and low personal accomplishment. Distress was higher in women and nurses, whereas depersonalisation was higher in men. Family division, increased workload, job changes and frequent contact with COVID-19 were associated with worst psychological outcome. Trait anxiety was associated with significantly higher risk for developing state anxiety, distress and burnout. CONCLUSIONS An elevated psychological burden related to the COVID-19 pandemic was observed in HCWs of North-West Italy. The identification of family and work characteristics and a psychological pre-existing condition as factors associated with worst psychological outcome may help provide a tailored, preventive, organisational and psychological approach in counteracting the psychological effects of future pandemics.
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Affiliation(s)
- Andrea Naldi
- Rita Levi Montalcini Department of Neuroscience, University of Turin, Italy; and Neurology Unit, San Giovanni Bosco Hospital, Italy
| | | | | | | | - Monica Agnesone
- Psychology Unit, Local Health Authority of the City of Turin, Italy
| | - Marco Gonella
- Psychology Unit, Local Health Authority of the City of Turin, Italy
| | | | | | - Giacomo Tondo
- School of Psychology, Vita-Salute San Raffaele University, Italy
| | - Nicola Luigi Bragazzi
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Ontario, Canada
| | - Rossana Botto
- Department of Neuroscience, University of Turin, Italy; and Clinical Psychology Unit, City of Health and Science University Hospital of Turin, Italy
| | - Paolo Leombruni
- Department of Neuroscience, University of Turin, Italy; and Clinical Psychology Unit, City of Health and Science University Hospital of Turin, Italy
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19
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Marron JM, Dizon DS, Symington B, Thompson MA, Rosenberg AR. Waging War on War Metaphors in Cancer and COVID-19. JCO Oncol Pract 2020; 16:624-627. [DOI: 10.1200/op.20.00542] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Jonathan M. Marron
- Dana-Farber/Boston Children’s Cancer and Blood Disorders Center, Harvard Medical School, Boston, MA
- Center for Bioethics, Harvard Medical School, Boston, MA
- Office of Ethics, Boston Children’s Hospital, Boston, MA
| | - Don S. Dizon
- Lifespan Cancer Institute, Providence, RI
- Brown University, Providence, RI
| | | | | | - Abby R. Rosenberg
- Seattle Children’s Hospital, Seattle, WA
- Seattle Children’s Research Institute, University of Washington School of Medicine, Seattle, WA
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20
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Guimarães RB, Savaris SL, Gomes HB, Miglioranza MH. Difficult Times: The Coronavirus Pandemic and Cardiology Residency – The Experience of the Rio Grande do Sul Cardiology Institute. INTERNATIONAL JOURNAL OF CARDIOVASCULAR SCIENCES 2020. [DOI: 10.36660/ijcs.20200114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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21
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El-Awaisi A, O’Carroll V, Koraysh S, Koummich S, Huber M. Perceptions of who is in the healthcare team? A content analysis of social media posts during COVID-19 pandemic. J Interprof Care 2020; 34:622-632. [DOI: 10.1080/13561820.2020.1819779] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Alla El-Awaisi
- College of Pharmacy, QU Health, Qatar University, Doha, Qatar
| | | | - Somaya Koraysh
- College of Pharmacy, QU Health, Qatar University, Doha, Qatar
| | - Sarra Koummich
- College of Pharmacy, QU Health, Qatar University, Doha, Qatar
| | - Marion Huber
- ZHAW School of Health Professions, Zurich University of Applied Sciences, Zurich, Switzerland
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22
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Serpa Jr. ODD, Muñoz NM, Silva ACM, Leal BMPDS, Gomes BR, Cabral CC, Vargas MTT, Giuntini MB, Lopes R, Leal EM. Escrita, memória e cuidado - testemunhos de trabalhadores de saúde na pandemia. REVISTA LATINOAMERICANA DE PSICOPATOLOGIA FUNDAMENTAL 2020. [DOI: 10.1590/1415-4714.2020v23n3p620.10] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Apresentamos, no presente artigo, o percurso teórico e prático que envolveu a criação do projeto Pausas e Pousos - Vivências do Trabalhador de Saúde em Tempos de Pandemia. A inciativa tem por objetivo conhecer as vivências dos trabalhadores de saúde na pandemia de COVID-19, no cenário nacional. Apresentamos o modo de conhecimento narrativo e o testemunho como uma modalidade particular de produção narrativa, examinando modalidades morais da recepção de testemunhos de profissionais de saúde. Discutimos ainda como o uso de plataformas digitais pode servir como recurso para a produção de memória. Por último, descrevemos a construção de um espaço de escrita, memória, cuidado e diálogo através de intervenções artísticas em ferramentas digitais, afirmando a aposta no poder que o compartilhamento de histórias pode exercer sobre as angústias e sofrimentos emocionais dos trabalhadores de saúde.
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23
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Robert R, Kentish-Barnes N, Boyer A, Laurent A, Azoulay E, Reignier J. Ethical dilemmas due to the Covid-19 pandemic. Ann Intensive Care 2020; 10:84. [PMID: 32556826 PMCID: PMC7298921 DOI: 10.1186/s13613-020-00702-7] [Citation(s) in RCA: 150] [Impact Index Per Article: 37.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 06/11/2020] [Indexed: 01/04/2023] Open
Abstract
The devastating pandemic that has stricken the worldwide population induced an unprecedented influx of patients in ICUs, raising ethical concerns not only surrounding triage and withdrawal of life support decisions, but also regarding family visits and quality of end-of-life support. These ingredients are liable to shake up our ethical principles, sharpen our ethical dilemmas, and lead to situations of major caregiver sufferings. Proposals have been made to rationalize triage policies in conjunction with ethical justifications. However, whatever the angle of approach, imbalance between utilitarian and individual ethics leads to unsolvable discomforts that caregivers will need to overcome. With this in mind, we aimed to point out some critical ethical choices with which ICU caregivers have been confronted during the Covid-19 pandemic and to underline their limits. The formalized strategies integrating the relevant tools of ethical reflection were disseminated without deviating from usual practices, leaving to intensivists the ultimate choice of decision.
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Affiliation(s)
- René Robert
- Université de Poitiers, Poitiers, France.
- Inserm CIC 1402, Axe Alive, Poitiers, France.
- Service de Médecine Intensive Réanimation, CHU Poitiers, Poitiers, France.
| | - Nancy Kentish-Barnes
- Service de Réanimation Médicale, APHP, CHU Saint-Louis, Paris, France
- Groupe de Recherche Famiréa, Paris, France
| | - Alexandre Boyer
- Université de Bordeaux, Bordeaux, France
- Service de Médecine Intensive Réanimation, CHU Bordeaux, Bordeaux, France
| | - Alexandra Laurent
- Laboratoire psy-DREPI, Université de Bourgogne Franche-Comté, 7458, Dijon, France
- Service de Réanimation Chirurgicale, Dijon, France
| | - Elie Azoulay
- Service de Réanimation Médicale, APHP, CHU Saint-Louis, Paris, France
- Groupe de Recherche Famiréa, Paris, France
| | - Jean Reignier
- Université de Nantes, Nantes, France
- Service de Médecine Intensive Réanimation, CHU de Nantes, Nantes, France
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24
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Affiliation(s)
- Rochelle Einboden
- Associate Editor, Health Lecturer, The University of Sydney Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, Sydney, Australia
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25
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Sanfilippo F, Bignami E, Lorini FL, Astuto M. The importance of a "socially responsible" approach during COVID-19: the invisible heroes of science in Italy. CRITICAL CARE : THE OFFICIAL JOURNAL OF THE CRITICAL CARE FORUM 2020; 24:261. [PMID: 32456692 PMCID: PMC7250282 DOI: 10.1186/s13054-020-02998-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 05/18/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Filippo Sanfilippo
- Department of Anesthesiology and Intensive Care, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.
| | - Elena Bignami
- Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Parma, Italy
| | | | - Marinella Astuto
- Department of Anesthesiology and Intensive Care, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy
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26
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Risk and Financial Management of COVID-19 in Business, Economics and Finance. JOURNAL OF RISK AND FINANCIAL MANAGEMENT 2020. [DOI: 10.3390/jrfm13050102] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The SARS-CoV-2 coronavirus that causes the COVID-19 disease led to the most significant change in the world order over the past century, destabilizing the global economy and financial stock markets, the world’s economy, social development, business, risk, financial management and financial markets, among others. COVID-19 has generated great uncertainty, and dramatically affected tourism, travel, hospitality, supply chains, consumption, production, operations, valuations, security, financial stress and the prices of all products, including fossil fuel and renewable energy sources. This Editorial introduces a Special Issue of the Journal of Risk and Financial Management (JRFM) on the “Risk and Financial Management of COVID-19 in Business, Economics and Finance”. This Special Issue will attract practical, state-of-the-art applications of mathematics, probability and statistical techniques on the topic, including empirical applications. This paper investigates important issues that have been discussed in tourism, global health security and risk management in business as well as the social and medical sciences.
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