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Al Qaf'an E, Alford S, Porteous K, Lim D. Healthcare Decision-Making in a Crisis: A Qualitative Systemic Review Protocol. Emerg Med Int 2024; 2024:2038608. [PMID: 38715979 PMCID: PMC11074907 DOI: 10.1155/2024/2038608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Revised: 02/16/2024] [Accepted: 03/23/2024] [Indexed: 05/12/2024] Open
Abstract
Background. Throughout history, communities have faced outbreaks of infectious diseases and other natural and man-made disasters that pose significant threats to lives, public health, and business continuity. Many of these disasters are crises that require critical decisions to be made in a short, crucial time with limited information and unforeseen circumstances amidst panic, fear, and shock. The COVID-19 pandemic is a recent example, with public leaders responding to and formulating strategies to attenuate the relentless waves of transmission and surges in resource demands. The pandemic underscored the importance of understanding how healthcare leaders make decisions in-crisis and what factors healthcare leaders prioritize in their decision-making process. Methods/Design. PubMed(NLM), Embase(Ovid), Scopus(Elsevier), Business Source(EBSCOhost), and ProQuest will be searched for primary qualitative studies published in English to explore the multi-faceted decision-making processes of healthcare leaders during a public health crisis. A meta-ethnographic approach will synthesize insights into healthcare leaders' experiences and perspectives and generate a conceptual theory of decision-making in crisis. Discussion. Understanding how healthcare leaders make critical decisions during public health crises takes advantage of the lessons learned to inform how future health crises are managed. (This systematic review is registered in PROSPERO: CRD42023475382).
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Affiliation(s)
- Ehmaidy Al Qaf'an
- Centre for Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Broadway, Ultimo, Australia
| | - Stewart Alford
- Kaplan Business School, Kaplan Australia, Brisbane, Australia
| | - Kimberley Porteous
- Education and Research Services (Health), UTS Library, University of Technology Sydney, Broadway, Ultimo, Australia
| | - David Lim
- Centre for Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Broadway, Ultimo, Australia
- Mparntwe Centre for Evidence in Health: A JBI Centre of Excellence, Alice Springs, Australia
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Madkhali NAB, Ameri A, Al-Naamani ZY, Alshammari B, Madkhali MAB, Jawed A, Alfaifi F, Kappi AA, Haque S. COVID-19 Linked Social Stigma Among Arab Survivors: A Cross-Sectional Experiences from the Active Phase of the Pandemic. J Multidiscip Healthc 2024; 17:805-823. [PMID: 38434483 PMCID: PMC10906728 DOI: 10.2147/jmdh.s450611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Accepted: 02/09/2024] [Indexed: 03/05/2024] Open
Abstract
Objective This study aimed to explore the magnitude and variability of the disease-linked stigma among COVID-19 survivors and their experiences of social stigma, coping strategies, contextual challenges, and preferences for support. Methods An Arabic version of the social stigma survey questionnaire was designed and validated to obtain socio-demographic characteristics and quantitative measures of stigma encountered by the survivors. 482 COVID-19 survivors completed the survey, and the data were analyzed using descriptive statistics and thematic analysis. Results The results of this study revealed the prevalence of high levels of both perceived external stigma and enacted stigma among participants. Enacted and Internalized stigma were associated with survivors' educational background/ status. The participants suggested three levels of support: organizational, social, and personal. Establishing an online stigma reduction program and national psychological crisis interventions at the organizational level. It is crucial to assist coping mechanisms and societal reintegration techniques at the social level. Conclusion These results provide valuable insights for holistic health policy formation and preparedness strategies for future pandemics, helping survivors promote health and reintegrate into society, where stigma reduction and psychological crisis interventions are underdeveloped.
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Affiliation(s)
| | | | | | - Bushra Alshammari
- Department of Medical-Surgical Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia
| | | | - Arshad Jawed
- Department of Nursing, College of Nursing, Jazan University, Jazan, 45142, Saudi Arabia
| | - Faten Alfaifi
- Department of Nursing, College of Nursing, Jazan University, Jazan, 45142, Saudi Arabia
| | - Amani Ali Kappi
- Department of Nursing, College of Nursing, Jazan University, Jazan, 45142, Saudi Arabia
| | - Shafiul Haque
- Research and Scientific Studies Unit, College of Nursing, Jazan University, Jazan, 45142, Saudi Arabia
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Lim D, Grady A, Liu KPY. Public Mixed Funding for Residential Aged Care Facilities Residents' Needs in the Asia-Pacific Region: A Scoping Review. Int J Environ Res Public Health 2023; 20:7007. [PMID: 37947564 PMCID: PMC10648075 DOI: 10.3390/ijerph20217007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 10/25/2023] [Accepted: 10/30/2023] [Indexed: 11/12/2023]
Abstract
Due to population aging and sociodemographic change, there is an increasing reliance on residential aged care facilities in the Asia-Pacific region. Most countries have adopted taxation as the primary means to levy capital for funding universal health services and means-testing of benefits may be further incorporated as a policy balance between horizontal equity and fiscal sustainability. It was hypothesized that residential care needs are evaluated by assessments relating to funding; this scoping review seeks to synthesize how such assessments relate to the care needs of residents. Searches were conducted in concordance with a priori protocol for English-language literature published since 2008 in Embase, CINAHL, PubMed, Scopus, JBI, TROVE, and four peak international organizations for studies and reports that describe the assessment of residents' needs in Asia-Pacific countries that used a mixture of taxation and means-testing to publicly fund residential aged care. One paper and 47 reports were included. Australia, New Zealand, and Singapore utilize a taxation and means-tested user charge approach to fund residential aged care needs. The common care needs assessed include health conditions, daily activities, cognition, psychiatric, and behavioral needs. While essential care needs are publicly funded, other holistic care needs, such as spirituality and autonomy-based needs, still need to be covered for meaningful occupation by the residents.
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Affiliation(s)
- David Lim
- Centre for Improving Palliative, Aged and Chronic Care through Clinical Research and Translation, University of Technology Sydney, Ultimo, NSW 2007, Australia
| | - Ashley Grady
- School of Health Sciences, Western Sydney University, Campbelltown, NSW 2560, Australia
| | - Karen P. Y. Liu
- School of Health Sciences, Western Sydney University, Campbelltown, NSW 2560, Australia
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong;
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Mistry SK, Ali ARMM, Yadav UN, Das S, Akter N, Huda MN, Hadisuyatmana S, Rahman S, Lim D, Rahman MM. COVID-19 related anxiety and its associated factors: a cross-sectional study on older adults in Bangladesh. BMC Psychiatry 2022; 22:737. [PMID: 36443729 PMCID: PMC9702614 DOI: 10.1186/s12888-022-04403-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Accepted: 11/17/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic has resulted in serious mental health conditions, particularly among older adults. This research explored the prevalence of COVID-19-related anxiety and its associated factors among older adults residing in Bangladesh. METHODS This cross-sectional study was conducted among 1,045 older Bangladeshi adults aged ≥ 60 years through telephone interviews in September 2021. A semi-structured interview schedule was used to collect data on participants' characteristics and COVID-19-related anxiety. The anxiety level was measured using the Bengali version of the five-point Coronavirus Anxiety Scale (CAS). A linear regression model explored the factors associated with COVID-19-related anxiety. RESULTS Overall, the prevalence of COVID-19-related anxiety was 23.2%. The regression analysis revealed that the average COVID-19-related anxiety score was significantly higher among females (β: 0.43, 95% CI: 0.05 to 0.81), and among those who faced difficulty getting medicine (β: 0.57, 95% CI: 0.16 to 0.97), felt isolated (β: 0.60, 95% CI: 0.24 to 0.95), and felt requiring additional care during the pandemic (β: 0.53, 95% CI: 0.16 to 0.91). Alternatively, the average COVID-19-related anxiety score was significantly lower among those who were widowed (β: -0.46, 95% CI: -0.87 to -0.04) and living distant from the health centre (β: -0.48, 95% CI: -0.79 to -0.17). CONCLUSION The findings of the present study suggest providing immediate psychosocial support package to the older adults, particularly females and those who are vulnerable to receive health and social care support during the COVID-19 pandemic in Bangladesh.
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Affiliation(s)
- Sabuj Kanti Mistry
- ARCED Foundation, 13/1 Pallabi, Mirpur-12, Dhaka, 1216, Bangladesh. .,Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW, 2052, Australia. .,Department of Public Health, Daffodil International University, Dhaka, 1207, Bangladesh.
| | - ARM Mehrab Ali
- ARCED Foundation, 13/1 Pallabi, Mirpur-12, Dhaka, 1216 Bangladesh
| | - Uday Narayan Yadav
- grid.1005.40000 0004 4902 0432Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW 2052 Australia ,grid.1001.00000 0001 2180 7477National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, ACT Australia
| | - Sukanta Das
- grid.443106.40000 0004 4684 0312Department of Statistics, Begum Rokeya University, Rangpur, Bangladesh
| | - Nahida Akter
- grid.414142.60000 0004 0600 7174 Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, (ICDDR,B), Dhaka, Bangladesh
| | - Md. Nazmul Huda
- ARCED Foundation, 13/1 Pallabi, Mirpur-12, Dhaka, 1216 Bangladesh ,grid.1029.a0000 0000 9939 5719 School of Medicine, Translational Health Research Institute, Western Sydney University, Campbeltown, NSW Australia
| | - Setho Hadisuyatmana
- grid.440745.60000 0001 0152 762XThe Faculty of Nursing, Universitas Airlangga, Surabaya, 60115 Indonesia
| | - Sajedur Rahman
- grid.492922.6Save the Children in Bangladesh, Dhaka, 1212 Bangladesh
| | - David Lim
- grid.1029.a0000 0000 9939 5719 School of Medicine, Translational Health Research Institute, Western Sydney University, Campbeltown, NSW Australia ,grid.1029.a0000 0000 9939 5719School of Health Sciences, Western Sydney University, Campbeltown, NSW Australia
| | - Mohammad Mahmudur Rahman
- grid.8198.80000 0001 1498 6059Department of Clinical Psychology, University of Dhaka, Dhaka, Bangladesh
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