Strengthening Primary Health Care for Epidemic and Pandemic Response: A Scoping Review

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 22, 2025

ABSTRACT Aims Epidemics strain healthcare systems and reduce care quality, making primary a crucial frontline component in combating pandemics. The aim of this paper was to explore the experiences countries strengthening health address epidemics pandemics infectious diseases. Design It scoping review conducted 2024. research qualitative nature. Methods Multiple databases were searched including PubMed, Scopus, ProQuest. Upon screening references, Boyatzis approach thematic analysis utilised analyse categorise acquired data based on fundamental building blocks as presented by World Health Organisation (WHO). Results Sixty‐seven studies included study, reporting widespread strategies interventions implemented around globe. majority these within context service delivery, leadership/governance, workforce. Conclusion worldwide during pandemic crisis are extensive varied. Further is required provide comprehensive understanding potential impacts such interventions. Implications for Profession and/or Patient Care There numerous reported literature epidemic response, which policymakers managers can utilise improve patient times crisis. Impact study examined challenges crises, identified various aimed at addressing challenges, primarily workforce management. Healthcare leverage findings enhance crises. Reporting Method PRISMA 2020 guideline studies. or Public Contribution No Contribution.

Language: Английский

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The role of ethical leadership and social networks in the promotion of workplace happiness and quality of care: A cross‐sectional study

The International Journal of Health Planning and Management, Journal Year: 2023, Volume and Issue: 38(5), P. 1330 - 1344

Published: May 19, 2023

Abstract This study examines the sequential effects of perceived ethical leaders and strength social networks among healthcare professionals on workplace happiness its impacts quality provided care. We conduct a partial least squares (PLS) analysis to estimate relationship between variables. Data comes from survey conducted 321 with primary/direct contact patients working at Portuguese hospitals. use previously validated scales in literature for measuring variables; leadership, network context workplace; satisfaction, engagement, commitment as proxies happiness, and, care (the outcome research model). Results show that leadership positively influences networks, Social also have positive Additionally, patients. Our work addresses diverse gap regarding hospitals' environment hospital performance. Specifically, empirical operationalisation fights management. Moreover, we report evidence influence antecedents, but performance consequences, environments. findings contribute while providing managerial implications settings.

Language: Английский

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Primary healthcare in the aftermath of the COVID-19 pandemic: a qualitative interview study in Sweden

BMJ Open, Journal Year: 2024, Volume and Issue: 14(7), P. e085527 - e085527

Published: July 1, 2024

Objective To explore how primary healthcare workers in Sweden experienced and perceived the long-term impact of pandemic on their work. Design This is a descriptive qualitative study with individual semistructured interviews conducted 2 years after onset COVID-19. Data were analysed using an inductive thematic approach. Setting Swedish units rural urban locations. Participants 29 providers (6 registered nurses, 7 assistant 8 physicians managers) healthcare. Results analysis yielded three overarching themes: (1) still affected by pandemic; (2) changes made permanent; (3) lessons learnt for handling future crises affecting The participants high workload, even pandemic, concluded that it would take to catch up both mentally workwise. Four might affect healthcare: importance creating cohesive management system provide clarity regarding recommendations personnel should work, need support at all levels, restricting adapting flow information ascertaining necessary resources if additional tasks. Conclusion Two COVID-19 work was pandemic. Our findings highlight ensuring sufficient recovery time providing opportunities reflection experiences personnel. also includes preparedness managing heavy workload strained energy levels aftermath crisis.

Language: Английский

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Hasselt Corona Impact Study: Impact of COVID-19 on healthcare seeking in a small Dutch town

npj Primary Care Respiratory Medicine, Journal Year: 2025, Volume and Issue: 35(1)

Published: April 5, 2025

Abstract We investigated healthcare avoidance during the first COVID-19 wave in a Dutch region with high infection rates. A mixed-method, multiphase study used (1) primary care electronic health records to identify patients, (2) questionnaires capture patients unreported symptoms, and (3) interviews om avoidance. Additionally, natural language model estimated incidence from routine data. Of 2361 respondents (39% response rate), 535 (23%) reported symptoms; 180 sought help, mainly GPs. Care-seeking rates did not differ significantly between those or without relatives who experienced severe illness death before their own (p = 0.270). Interviews showed main barriers were feeling ill enough concerns about an overstressed system, especially Only third of participants symptoms mostly Serious loved ones had no significant impact. Findings highlight need for clear communication accessible healthcare, including telemedicine, future pandemics.

Language: Английский

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Digital chat-based care assessments in primary healthcare: nurses’ work experiences and training needs

Scandinavian Journal of Primary Health Care, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 13

Published: June 1, 2025

The digital transformation of society has significant implications for healthcare. Despite a growing body research on telemedicine implementation, studies specifically examining chat-based care assessments by primary nurses remain limited. aim the present study was to explore nurses' work experiences and training needs regarding in This qualitative exploratory employed semi-structured in-depth interviews with six trained chat technique. Data were analysed inductively using reflexive thematic analysis. findings indicated that could lead prolonged assessment processes, needed proficiency techniques effective communication skills ensure clarity conversations accurate medical history acquisition. Training gaps noted, particularly fostering patient-professional relationships through brief text exchanges chat. process had both advantages disadvantages. Although it more time-consuming, got better opportunities consider their responses consult colleagues, which thought improve accuracy assessments. Further benefits included access history, ability share informational links, professional development. Nurses pointed need system improvements, such as auto-anamnesis auto-triage features, support future. offers valuable insights healthcare professionals, technology designers, policymakers nuances interactions patients settings. results can inform development targeted programs skills, enhancing effectiveness consultations therapeutic patients. Chat-based offer clear within but also come challenges.

Language: Английский

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Techno-social systems and conservation of resources theory for workplace happiness: Evidence of linear and non-linear influences in healthcare

Technological Forecasting and Social Change, Journal Year: 2024, Volume and Issue: 212, P. 123910 - 123910

Published: Dec. 6, 2024

Language: Английский

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Primary care occupational, physical, and respiratory therapy role adaptation in the first year of the COVID-19 pandemic

BMC Primary Care, Journal Year: 2024, Volume and Issue: 25(1)

Published: Jan. 2, 2024

Abstract Background Occupational, physical and respiratory therapists are relatively new to primary care settings, thus their roles still emerging. The COVID-19 pandemic was a time of abrupt changes in professional roles. Professional role adaptations integral the ability health teams respond day-to-day delivery challenges, such as current physician nurse shortage, well disaster situations. This study explored adaptation occupational, physical, Canadian settings throughout first year pandemic, barriers facilitators adaptation. Methods longitudinal interpretative descriptive purposively sampled from two provinces (Manitoba Ontario). We asked participants prepare at least 10 semi-structured audio-diary entries during 12-week period (April – Oct 2020), followed by interviews (Dec 2020, Apr 2021). Questions focused on happening practice over time. Analysis iterative, including developing individual summaries coding data using both inductive pre-determined codes. then entered an immersion/crystallization process develop key themes related Results represent our findings with metaphor game Role Adaptation Snakes Ladders ( aka Chutes Ladders) . certainly not game, but this represents tension being pawn circumstance while also expected take control one’s personal life disaster. object is move through three phases adaptation, Disorienting , Coping Waiting Adapting In phase, creatively found ways provide vital services for response. were influenced negatively positively (snakes ladders) circumstances, meso macro contexts. Each therapist moved across board unique trajectory timeline based these Conclusions Rehabilitation professionals, adequate system supports, can maximize adapting work full scope practice.

Language: Английский

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Brief interventions for smoking and alcohol associated with the COVID-19 pandemic: a population survey in England

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 3, 2024

Abstract Background Following the onset of COVID-19 pandemic, in March 2020 health care delivery underwent considerable changes. It is unclear how this may have affected Brief Interventions (BIs) for smoking and alcohol. We examined impact pandemic on receipt BIs alcohol primary England whether certain priority groups (e.g., less advantaged socioeconomic positions, or a history mental condition) were differentially affected. Methods used nationally representative data from monthly cross-sectional survey between 03/2014 06/2022. Monthly trends using generalised additive models among adults who smoked past-year (weighted N = 31,390) those at increasing higher risk levels (AUDIT score 3 8, weighted 22,386), respectively. Interactions tested social grade change slope after results reported stratified by grade. Further logistic regression assessed changes alcohol, respectively, 12/2016 to 01/2017 10/2020 06/2022 (or 03/2022 case alcohol), depended condition. Results The declined an average prevalence 31.8% (95%CI 29.4–35.0) pre-March 24.4% 23.5–25.4) post-March 2020. best-fitting model found that there was 12-month decline before stabilising June 2022 ABC1 lower level (~ 20%) rebounding C2DE 27%). Receipt low (overall: 4.1%, 95%CI 3.9–4.4) similar pre- Conclusions following but rebounded people smoked. use no appreciable over time. Maintaining BI smokers users important support reductions related inequalities.

Language: Английский

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Hasselt Corona Impact Study: Impact of COVID-19 on healthcare seeking in a small Dutch town

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 14, 2024

Introduction We explored reasons for healthcare avoidance during the first COVID-19 wave in a region with high infection rates. Methods conducted mixed-method study using primary care electronic health records (n=5,980), questionnaires (n=2,361), semi-structured interviews (n=12), and an AI model to identify patients Dutch small town. Results Of 2,391 respondents (39% response rate), 535 (23%) reported COVID-19-related symptoms. these, 180 sought help, mostly from their GP. The care-seeking rate did not differ significantly between those or without relatives who experienced severe illness death before own (p=0.270). Interviews revealed that reason seeking help was perception of being ill enough overstressed system, especially GP services. Conclusion Only third participants symptoms GPs. No significant difference related serious loved ones.

Language: Английский

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‘Death on an industrial scale’- general practice trainees’ perceptions and experiences of dying and death during covid-19: an interpretative phenomenological analysis

BMC Medical Education, Journal Year: 2024, Volume and Issue: 24(1)

Published: Dec. 23, 2024

Abstract Context The COVID-19 pandemic led to an increase in numbers of patients dying at home the UK, meaning that general practitioners (GPs) were exposed more patient death than would be pre-COVID. This project aimed gain insight into GP trainees’ experiences between March and July 2020. can inform support for GPs, leading improved wellbeing, workforce retention ultimately, better patient-centred care. Methods Interpretative Phenomenological Analysis (IPA) semi-structured interviews was used explore one region England. Results Seven trainees, two male five female, participated. They working both rural urban community settings different stages training. Group experiential themes related heightened emotional responses death, managing uncertainty increased salience relationships. Most appreciated positive teamworking solidarity, though some had felt isolated within their surgery wider community. There unforeseen individual organisational healthcare changes, including a perceived new appreciation NHS equality, diversity inclusion (EDI) by actions identify reduce occupational hazards at-risk staff. potential effects on career choice with participants feeling changes during offered flexibility arrangements opportunity sub-specialise GP. Conclusion More help navigate amplified is needed. Some experiences, particularly around uncertainty, cause moral injury if not managed safe supportive environment.

Language: Английский

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