Exploring the implementation of health impact assessment in Portuguese Public Health System

Impact Assessment and Project Appraisal, Journal Year: 2025, Volume and Issue: 43(1), P. 57 - 69

Published: Jan. 2, 2025

Health Impact Assessment (HIA) is a proactive, evidence-based approach that integrates health considerations into decision-making across sectors to prevent adverse effects and promote equity. While global interest in HIA growing, its implementation varies by country. In Portugal, despite existing legal frameworks some previous capacity-building efforts, not fully institutionalized, practice within the Public System (PHS) remains largely undocumented. To address this, we conducted an online survey targeting regional local PHS professionals assess their awareness, experience, perceptions of barriers facilitators effective implementation. The results obtained from 187 valid answers gathered revealed strikingly low level awareness Portuguese PHS, underscoring urgent need for improved training capacity building. Furthermore, identified strong professional initiatives, suggesting significant potential developing specialized educational programs. Overall, findings call stronger political leadership at governmental establish as key tool achieving sustainable development goals. Finally, study emphasizes international collaboration, particularly with Portuguese-speaking countries, adapt these insights own contexts.

Language: Английский

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Covid-19 pandemic? Mental health implications among nurses and Proposed interventions

AIMS Public Health, Journal Year: 2024, Volume and Issue: 11(1), P. 273 - 293

Published: Jan. 1, 2024

<abstract><sec> <title>Background</title> <p>With its abrupt and huge health socio-economic consequences, the coronavirus disease (COVID-19) pandemic has led to a uniquely demanding, intensely stressful, even traumatic period. Healthcare workers (HCW), especially nurses, were exposed mental challenges during those challenging times.</p> </sec><sec> <title>Objectives</title> <p>Review current literature on problems among nurses caring for COVID-19 patients.</p> <title>Methods</title> <p>This is narrative review critical evaluation of relevant publications.</p> <title>Results</title> <p>Nurses experienced higher levels stress, burnout, anxiety, depression, frustration, stigma, depersonalization compared other HCW. Factors that increased this symptomatology included concerns about infection or family members, inadequate staff protective equipment, extended working hours, insufficient information, reduced sense security, post-traumatic stress disorder. The factors improved psychopathology general positive attitude, job satisfaction, adequate information education, harmonious group relationships, development, emotional intelligence, psychological counseling, mindfulness-based reduction, stable leadership, guidance, moral practical administrative support.</p> <title>Conclusions</title> <p>Recent studies clearly show women, are most vulnerable subgroup HCW particularly prone impacts pandemic. documented vulnerability frontline nursing requires preventive management actions increase resilience develop defense mechanisms.</p> </sec></abstract>

Language: Английский

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Dynamic changes of complete blood cell count parameters among airport workers during the COVID-19 pandemic in Chongqing, China: A retrospective longitudinal study

Heliyon, Journal Year: 2024, Volume and Issue: 10(12), P. e32734 - e32734

Published: June 1, 2024

This study aimed to examine the dynamic changes in complete blood counts of airport staff from 2019 2021 and assess impact coronavirus disease (COVID-19) on their overall health status during first pandemic wave.

Language: Английский

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Anxiety Evolution among Healthcare Workers—A Prospective Study Two Years after the Onset of the COVID-19 Pandemic Including Occupational and Psychoemotional Variables

Medicina, Journal Year: 2024, Volume and Issue: 60(8), P. 1230 - 1230

Published: July 29, 2024

Although previous research has found a high prevalence of anxiety during the COVID-19 pandemic among healthcare workers, longitudinal studies on post-pandemic and predictor variables have been less abundant. To examine evolution in workers from beginning until one half years later, analyzing influence occupational psychosocial variables, as well their possible predictors.

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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Weight and Lifestyle Behavior Changes in Chinese Health Care Workers During the COVID-19 Pandemic: 3-Year Retrospective Survey

Interactive Journal of Medical Research, Journal Year: 2024, Volume and Issue: 13, P. e50754 - e50754

Published: Dec. 10, 2024

Background Health care workers (HCWs) played a key role in preventing and controlling COVID-19. Higher infection risks intensive work led to occupational burnout for many HCWs, which may affect their lifestyle behaviors weight. Objective This study aimed assess HCWs’ self-rated health status, overweight obesity rates, behaviors, psychoemotional changes from 2019 2022 across China analyze the factors associated with underweight or normal weight obese 2022. Methods In this retrospective study, 100 institutions were randomly selected 5 provinces regions China. All HCWs who worked at ≥3 years invited complete electronic questionnaire participate online survey August 1, 2022, 31, Collected data included (dietary habits, physical activity, sleep quality, smoking, alcohol consumption), conditions (persistent stress recurrent anxiety depressed mood), chronic disease control December Height retrieved annual examination records. Overweight defined as 24.0 kg/m2≤BMI<28.0 kg/m2 (overweight) BMI≥28.0 (obesity). Chi square tests ANOVAs used associations between groups. Logistic regression models becoming Results The was submitted by 23,234 HCWs. Of 2019, 12.67% (1486/23,234) became 2022; change following factors: 34-43 old (OR 0.843, 95% CI 0.740-0.960), 44-53 0.738, 0.635-0.960), 54-63 0.503, 0.368-0.685; reference: 24-33 old), reduction never rarely engaging activity 1.201, 1.055-1.368; increase activity; P=.006), increased appetite 2.043, 1.788-2.034; no appetite; P<.001). From 51.29% (11,917/23,234) of respondents experienced persistent mood; 44.38% (10,311/23,234) stayed up late more often. Increased mood 0.421, 0.398-0.447; P<.001) 1.601, 1.483-1.728; Conclusions pandemic due especially reduced related caused excessive workload. An integrated approach is needed address among releasing negative through workload future stressful events.

Language: Английский

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Progression of the COVID-19 pandemic, Brazilian healthcare workers’ emotional burden and the effects on professional fulfillment at the end of the third wave: a longitudinal study

Frontiers in Psychiatry, Journal Year: 2023, Volume and Issue: 14

Published: Nov. 3, 2023

Introduction Even though the long-term effects of COVID-19 pandemic on healthcare workers’ mental health remain unknown, such might negatively impact services and patient safety, especially in countries like Brazil, where there is little investment public policies. Objectives To assess how indicators Brazilian workers progressed between beginning 2 years after (at end third wave when was a significant decrease number new cases deaths). Methods The sample comprised whose have been monitored since Brazil. potential participants were addressed via social media contacted through class councils institutions across A total 165 answered instruments at baseline pandemic. Data collected online using Redcap platform symptoms anxiety, depression, post-traumatic stress, insomnia, burnout (emotional exhaustion, depersonalization, professional fulfillment). Results faced three periods intensified incidence deaths due to for years. Approximately one-third still experiences high levels stress. Insomnia remained most prevalent compared assessment, while stress ( p = 0.04) fulfillment 0.005) decreased. Conclusion lack positive changes coupled with decreased over time highlights pandemic’s chronic need organizations monitor these health, developing demand policies are poorly structured unstable.

Language: Английский

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Insights from the EQUALS4COVID19 study on migrant mental health in Portugal: a cross-sectional mixed-methods approach

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

Published: July 29, 2024

The COVID-19 pandemic and related disruptive consequences in the economic, health, educational sectors have impacted people's lives, contributing to a context of increased economic social vulnerability. has revealed accentuated inequalities discrimination based on racial or ethnic origin. This study aimed contribute promotion mental health well-being migrant populations living Portugal via definition an analytical framework recommendations emerging from EQUALS4COVID19 project. To gather information impact resilience determinants among immigrants, mixed-methods approach was implemented 2022, combining cross-sectional survey targeting immigrant adults Portugal, focus groups with healthcare professionals, in-depth individual interviews stakeholders involved implementation measures during pandemic. analysis followed integrated framework; quantitative data informed script qualitative collection methods, reinterpretation data. 604 Brazilian Cape Verdean immigrants that gender (being woman) associated both psychological distress depression-related symptomatology perception major risk factor for suffering, while perceived support individuals' characteristics were protective factors. Qualitative provided deeper insights into these findings, revealing ways is affected by structures, such as hierarchies. Migrants tend work precarious jobs requiring physical presence, which, together dense housing conditions, puts them at higher infection. deterioration conditions general population also ethnic-racial discrimination, which found be increase insecurity anxiety-related population. Newly arrived migrants, reduced networks, experienced greater sense well concern anguish regarding relatives who live far away, their home country. Migrant women reported family-related distress, including work-life balance problems. Proposals address should considered necessary global changes societal level delivery services. Additionally, they active involvement families, communities design care processes.

Language: Английский

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Resiliência entre profissionais de saúde brasileiros durante a primeira onda da pandemia da COVID-19

Published: June 5, 2023

Results: Among the 9,945 Brazilian health professionals, it is observed that those who are female and aged between 18 30 years have a lower chance of showing strong resilience.While in Northeast North regions, psychologists, professionals children more likely to show resilience during COVID-19 pandemic.Introduction: Society experienced pandemic scenario alerted on December 31, 2019, caused by New Coronavirus.Considering context experienced, necessary target coping processes, such as resilience, which emerges behavior resistance stress related recovery overcoming processes.Objective: To analyze levels among their association with sociodemographic data.Methods: Crosssectional analytical study, quantitative approach, developed according an online survey.Brazilian were recruited using adaptation Respondent Driven Sampling method virtual environment, application used was WhatsApp from October 1st 31st, 2020.The instrument Brief Resilient Coping Scale, validated for Portuguese language consists four items.The response options distributed Likert-type scale, one-dimensional self-response scale.Data analyzed SPSS version 20.0 statistical program.Conclusions: Regarding 8,055 classified having low infers behavioral changes, beliefs mood swings becoming matter relevant importance care individuals underwent changes biopsychosocial functioning, may reflect future, thus requiring restructuring services focus reception promotion mental health.

Language: Английский

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The prevalence and associated factors of job burnout among medical workers at COVID-19 vaccination sites: A cross-sectional study

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Sept. 25, 2023

Background Medical workers at COVID-19 vaccination sites are exposed to burnout syndrome due repetitive and overload work. The purpose of our study was investigate the prevalence among these medical explore its associated factors. Methods A cross-sectional conducted in May 2021 Nanjing, China. online questionnaire included demographic, job related characteristics, Chinese Maslach Burnout Inventory, Social Support Rating Scale. Hierarchical multiple regression model used identify risk factors for workers. Results overall symptoms 44.5% with a breakdown severity as follows: 122 (28.7%) mild, 53 (12.5%) moderate, 14 (3.3%) severe cases. linear analysis indicated that education level, health condition, titles, self-reported increased work intensity, monthly income social support were significantly (p < 0.05), which explained 37.6% variance score (F = 16.046,p 0.01). Conclusion relatively common sites. More attention should be paid master degree or higher, poor junior middle lower low level support. Interventions aim reduce workload increase can effective approaches prevent during controlled period.

Language: Английский

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