Cardiovascular diseases (CVDs) are the main cause of death in Romania. The objective of the paper is to explain the number of deaths caused by the diseases of circulatory system in relation to health expenditures per capita, the number of public hospitals with cardiology sections and the number of cardiologists. The analysis in the paper is based on panel data models and Bayesian linear models. A panel data approach for Romanian macro-regions in the period from 1995–2016 was used to show that an increase in the number of cardiologists would reduce the number of deaths caused by the diseases of circulatory system. The Bayesian approach to national data indicated that the increase in expenditures per capita would alleviate the incidence of deaths caused by CVD. The public health policies in relation to patients with CVD should focus on the future on higher expenditures per person, but the number of public hospitals and doctors treating these diseases should also continue to grow. Future healthcare policies should be also focused on reducing the number of specialists migrating to wealthier countries.
Nursing has always been a stressful job affecting the physical and mental health of the nurses, but the new medical context of the COVID-19 pandemic has enhanced this issue. The objective of this paper is to study differences between non-employed and employed nursing students in the medical system of Romania before and during the epidemic using matching methods and a sample of 526 nursing students. Stressors and strategies for coping with stress were also identified during the pandemic. The results indicated that employed students were more vulnerable to stress compared to non-employed ones before and during the pandemic. Females registered significantly higher stress scores compared to males in the period of the epidemic. The analysis of the overall sample suggested that gender and environment were significant stress factors during the pandemic, but living conditions were not relevant. The most effective coping strategies against stress for nurses during the COVID-19 crisis were based on self-control and the spiritual dimension, unlike the previous period when other colleagues’ support helped most nurses to overcome difficult working conditions. The implications of this study might help medical management in ensuring a less stressful environment for nurses during the epidemic.
In the light of the current COVID-19 pandemic, being considered a present challenge for public health, the main purpose of this work is to analyze the vulnerability to stress of a sample of nursing students in Romania considering their status on labour market (employed students in the medical system and non-employed students) before and during the COVID-19 pandemic. Employed students were more vulnerable to stress comparing to non-employed ones during the pandemic. In addition to this, the nursing students working in the medical system experienced medium vulnerability to stress during the pandemic comparing to those working before the pandemic who experienced a low vulnerability to stress. Excepting the non-employed students before the pandemic, the females were more vulnerable to stress comparing to the males in the sample and the students living in the country experienced a higher level of stress comparing to those living in the urban area. During the pandemic, most of the employed nursing students expressed their fear of getting infected with COVID-19, this representing the most stressful factor for them, while most of them mentioned the self-control as being the most proper strategy for them to cope with stress. These empirical findings have practical implications for stress control among present and future nurses, for management of medical units and for higher education nursing.
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