Community health workers and Covid-19: Cross-country evidence on their roles, experiences, challenges and adaptive strategies

PLOS Global Public Health, Год журнала: 2023, Номер 3(1), С. e0001447 - e0001447

Опубликована: Янв. 4, 2023

Community health workers (CHWs) are a key part of the workforce, with particular importance for reaching most marginalised. CHWs' contributions during pandemics have received growing attention, including COVID-19. This paper contributes to learning about experiences COVID-19, based on evidence from India, Bangladesh, Pakistan, Sierra Leone, Kenya and Ethiopia. The synthesises set research projects undertaken over 2020-2021. A thematic framework focus related literature was used code material reports. Following further analysis, interpretations were verified original teams. CHWs made important COVID-19 response, in surveillance, community education, support people There some work, training, personal protective equipment financial incentives. However, varied between countries, cadres individual CHWs, there significant gaps, leaving vulnerable infection stress. also faced range other challenges, system issues such as disrupted medical supply chains, insufficient staff high workloads, difficulty female who balancing domestic responsibilities. Their work affected by public measures, restrictions gatherings travel; supply-side constraints access attitudes, distrust stigmatization infectious or informers. demonstrated commitment adapting their example ensuring patients had adequate drugs advance lockdowns, using own money time address increased transport costs higher workloads. Effectiveness these adaptations varied, involved coping context inadequate support. CHW critical effective response disease outbreaks, like To contribution protect wellbeing, need resources, managerial support, motivation.

Язык: Английский

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Healthcare Workers after Two Years of COVID-19: The Consequences of the Pandemic on Psychological Health and Sleep among Nurses and Physicians

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(2), С. 1410 - 1410

Опубликована: Янв. 12, 2023

COVID-19 has challenged the health workforce worldwide. In this cross-sectional study with a retrospective assessment, we explored impact of pandemic on mental and sleep among sample Italian nurses medical doctors. A total 287 healthcare workers (212 75 physicians) completed web survey socio-demographic, psychological, sleep-related aspects referring to period before present February June 2022. Comparisons between physicians revealed that former had greater distress in response pandemic. Consistently, multivariate analysis covariance showed even if both groups were negatively impacted by pandemic, presented worsening over time regarding several psychological symptoms. Furthermore, observed working frontline represented an additional risk factor for nurses. line previous evidence, also found personal experiences are significant predictors current status. Our results underscore urgent need preventive programs operators increase their coping skills prevent long-term consequences chronic stress, especially high-risk professionals. Specific attention should be devoted improve quality reduce traumatic

Язык: Английский

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Exploring the relationships between resilience, burnout, work engagement, and intention to leave among nurses in the context of the COVID-19 pandemic: a cross-sectional study

BMC Nursing, Год журнала: 2024, Номер 23(1)

Опубликована: Апрель 29, 2024

Abstract Background Nurses have faced significant personal and professional stressors during the COVID-19 pandemic that contributed to increased rates of burnout, intention leave, poorer work engagement. Resilience has been identified as a critical factor influencing job outcomes; however, dynamics this association not yet investigated within context Thai workforce. The study objective was determine associations between resilience outcomes, including engagement among nurses working in Thailand pandemic. Methods This cross-sectional gathered data from sample 394 registered employed across 12 hospitals. research instruments comprised Connor–Davidson Scale (CD-RISC), Maslach Burnout Inventory-Health Services Survey (MBI-HSS), questionnaire assessing leave job, Utrecht Work Engagement (UWES). To measured variables, multivariate logistic regression analyses were conducted. Results One-third experienced emotional exhaustion depersonalization, about half reduced accomplishment; one-tenth intended their job. who exhibited higher levels found significantly likelihood experiencing high exhaustion, diminished sense accomplishment. Conversely, these more likely report than less resilience. Conclusion offers important lessons learned promoting well-being nursing workforce protecting against adverse outcomes. While we predictor several nurse other environment factors should be considered. Government hospital administrations allocate resources for individual organizational-level interventions promote frontline so hospitals will better prepared next public health emergency patient outcomes can optimized.

Язык: Английский

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Evaluation of the effectiveness of a Strengths-Based Nursing and Healthcare Leadership program aimed at building leadership capacity: A concurrent mixed-methods study

International Journal of Nursing Studies Advances, Год журнала: 2024, Номер 6, С. 100184 - 100184

Опубликована: Фев. 6, 2024

Targeted interventions have been found effective for developing leadership practices in nurses. However, to date, no training program based on the Strengths-Based Nursing and Healthcare Leadership approach exists.

Язык: Английский

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Listening to the Voices of Health Care Workers During the COVID-19 Pandemic: A Qualitative Study Providing In-Depth Insights Into Ethical and Individual Challenges

Qualitative Health Research, Год журнала: 2024, Номер 34(11), С. 1029 - 1038

Опубликована: Фев. 26, 2024

In their daily practice, health care workers (HCWs) experience the effects of tensions between professional ethos and work realities, which can lead to ethical dilemmas. We aim explore dilemmas that affected HCWs in Germany during COVID-19 pandemic understand these context German system. Between April December 2022, we interviewed from various levels key informants responsible for decisions related Germany. Three themes were identified data analyzed 78 participants. The first highlighted potency pre-existing system problems pandemic. second captured described as having arisen due tension structural constraints. third included factors increasing or diminishing implications A lack opportunities participate political managerial was suggested result policies do not meet needs patients. Positive interpersonal interactions helpful when coping with dilemmatic decision-making situations. order avoid negative consequences caused by unresolved dilemmas, including moral distress, among HCWs, staff shortages urgently need be addressed. HCWs' working conditions regularly evoke particularly public emergencies. Together decision-makers must develop new models settings are line ethos.

Язык: Английский

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Moving toward a Healthy Eating Pattern: Exploring the Interrelationship of Knowledge, Attitudes, and Behavior in Young Adults

Indonesian Journal of Education Research (IJoER), Год журнала: 2024, Номер 5(2), С. 69 - 75

Опубликована: Апрель 1, 2024

Purpose of the study: The main aim this research is to evaluate relationship between knowledge, attitudes and dietary behavior in young adults area around Pondok Tinggi health center.. Methodology: Correlational type quantitative methods were used research. sampling technique simple random sampling. collecting a questionnaire on behavior. Data analysis uses correlation hypothesis testing with prerequisite tests for normality linearity. Main Findings: results show that there significant people's knowledge These findings indicate better about healthy eating patterns positive towards significantly contribute adoption adults. Thus, provides evidence education increasing awareness importance can be an effective strategy improving public health. Novelty/Originality This offers holistic approach evaluating aged 20-44 years Community Health Center, Sungai Banyak City, Jambi province, highlighting these factors community promotion.

Язык: Английский

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From Patient Voices to Policy: Data Analytics Reveals Patterns in Ontario’s Hospital Feedback

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2025, Номер unknown

Опубликована: Янв. 7, 2025

Abstract Patient satisfaction is a central measure of high-performing healthcare systems, yet real-world evaluations at scale remain challenging. In this study, we analyzed over 120,000 de-identified patient reviews from 45 Ontario hospitals between 2015 and 2022. We applied natural language processing (NLP), including named entity recognition (NER), to extract insights on hospital wards, health outcomes, medical conditions. also examined regional demographic data identify potential disparities emerging during the COVID-19 pandemic. Our findings show that nearly 80% studied had fewer than 50% positive reviews, exposing systemic gaps in meeting needs. particular, negative decreased COVID-19, suggesting possible shifts expectations or increased appreciation for strained workers; however, certain units, such as intensive care cardiology, experienced ratings, reflecting pandemic related pressures critical services. ‘Anxiety’ emerged recurrent concern pointing growing awareness mental Furthermore, located regions with higher percentages visible minority low-income populations initially saw review rates before but trend reversed after 2020. Collectively, these results demonstrate how large-scale unstructured can fundamental drivers satisfaction, while underscoring urgent need adaptive strategies address anxiety combat inequalities. Author Summary Understanding what patients think feel about lead better services outcomes. more study combined techniques key concerns, anxiety, billing difficulties, interactions staff. compared experiences pandemic, uncovering drop rise though units—such care—faced pressure. A particularly revealing finding was numbers groups received feedback These patterns hint deeper issues, especially times crisis. By pinpointing main dissatisfaction, our work highlights prioritize kindness, clear communication, efficient operations, equitable access all. Lessons research could guide targeted improvements, ensuring every patient, regardless background income, receives compassionate timely they deserve. hope policymakers, administrators, community advocates will use shape policies improve trust well-being.

Язык: Английский

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The importance of organisational culture for health system resilience: A qualitative analysis of factors that supported health care workers in Germany during the COVID-19 pandemic

PLoS ONE, Год журнала: 2025, Номер 20(1), С. e0317231 - e0317231

Опубликована: Янв. 14, 2025

Health system resilience is defined as the ability of a to prepare, manage, and learn from shocks. This study investigates German health by analysing system-related factors that supported care workers, key building block system, during COVID-19 pandemic. We thematically analysed data 18 semi-structured interviews with informants management, policy academia, 17 in-depth 10 focus group discussions workers. identified six categories which workers pandemic: (1) appreciation encouragement; (2) team support communication; (3) collaboration across professions institutions; (4) informational, material technical support; (5) leadership participation; (6) creativity innovation. The analysis highlights importance systemic organisational for maintaining resilience. need improvise develop pragmatic solutions deal COVID-related challenges offered ample opportunities participation, self-determination, innovation, alternative work processes. Learning adaptations made pandemic implementing sustainable changes increase conducive cultures, non-hierarchical working styles hold promising potential transformation strengthening.

Язык: Английский

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The Influence of the Covid-19 Pandemic on the Professional Identities of Health Care Workers

SAGE Open, Год журнала: 2025, Номер 15(1)

Опубликована: Янв. 1, 2025

The professional identity of health care workers is in constant reconstruction. Since fluid, it easily influenced and the Covid-19 pandemic created change which affected workers. Based on structuration positioning theories, purpose this paper to answer question: how has workers? methodology applied was qualitative. Six individuals participated 60-min semi-structured interviews. Three themes emerged from study. These are; strain management, crisis reconstruction experiences Covid-19. study found that through challenges Covid-19, strained. To support identities workers, recommended policies creating promoting need be guided.

Язык: Английский

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COVID-19 outbreak management in Western Sydney residential aged care homes: A mixed-methods Donabedian evaluation

PLoS ONE, Год журнала: 2025, Номер 20(3), С. e0318490 - e0318490

Опубликована: Март 20, 2025

Outbreaks of the novel respiratory viral disease, SARS-CoV-2 (COVID-19), have caused disproportionate morbidity and mortality for older people living in residential aged care homes. Between June 2021 December 2022, Delta Omicron variants COVID-19 were responsible widespread outbreaks homes across Western Sydney, New South Wales, Australia. To manage affected homes, a targeted response strategy was prepared deployed form outbreak management teams. This study utilised Donabedian framework two-phase mixed methods design to evaluate structures, processes outcomes teams at level local health district. Phase 1 involved descriptive analysis data from Sydney created between 2022. 2 completion in-depth semi-structured interviews with 35 participants explore team perspective its members staff there 281 outbreaks, 4113 resident cases, 346 hospitalisations 127 deaths Sydney. Structural factors that facilitated improved included smaller home sizes, absence shared rooms bathrooms, adequate staffing resources, suitable infrastructure, integration wider public systems. Process facilitators multi-disciplinary membership, open communication channels, structured streamlined procedures roles, onsite infection control support education, long-term capability building. The lessons drawn participants’ experiences aim improve sustainability current future strategies.

Язык: Английский

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