Background:The global healthcare system is continuing to confront major challenges during the current COVID-19 pandemic, with the second wave the deadliest one to date. This study aimed to identify and explore the challenges and burdens of frontline healthcare workers during the current pandemic, and to help prepare workforce support plans for them now and in the future. Methods: A qualitative systematic review method involving thematic synthesis without meta-analysis was used to analyze relevant studies from five databases from November 2020 to February 2021: MEDLINE via PubMed, CINAHL Complete, Embase through Ovid, Scopus, and Web of Science. The quality of the studies was evaluated using the Critical Appraisal Skills Program Qualitative Research Checklist appraisal tools. This systematic review was conducted in accordance with the PRISMA statement. The informants are healthcare workers working at the frontlines and providing care to COVID-19 patients. Results: Ten studies revealed the burden of healthcare providers during the COVID-19 pandemic, with having the related challenges experienced by 498 participants (doctors, nurses, pediatric nurses, paramedical staff, support staff, and physiotherapists). Our findings fell into four main themes as follows: inadequate preparedness; emotional challenges; insufficient equipment and information; and work burnout. Conclusion:The study results demonstrate that the COVID-19 pandemic has had an impact on all aspects of life, especially for healthcare providers, who work on the frontlines. The pandemic has affected the frontline workers' physical and psychological health, causing them to experience emotional distress such as fear, anxiety, depression, and stress. In addition, the pandemic can increase posttraumatic stress disorder, leading to burnout and discontinuity of healthcare workloads to ensure the patients' safety and the high quality of care provided to the patients.

Background The coronavirus disease 2019 (COVID-19) pandemic has affected the health-related behaviors of patients with non-communicable diseases (NCDs). Thus, the factors predicting the health-promoting behaviors (HPBs) of hospitalized patients with NCDs during the second wave of COVID-19 should be examined. Objective The aims of this study were to determine the relationships among the patients’ characteristics, perceived self-efficacy, social support, perception of the benefits of and barriers, and HPBs, and to determine the predictive factors of HPBs among hospitalized patients with NCDs during the second wave of COVID-19. Patients and Methods The study had a cross-sectional predictive correlational design and included 250 patients with NCDs 18 years of age or older hospitalized in a tertiary hospital in Thailand. Descriptive statistics, the chi-square test, the Pearson’s correlation coefficient, and stepwise multiple linear regression were used for data analysis. Results Most of the participants had a cardiovascular disease (34.0%). Followed by diabetes (28.8%), cancer (11.2%), hypertension (10.0%), heart disease (9.6%), or chronic obstructive pulmonary disease (6.4%) and had a moderate level of overall HPBs (M = 106.09; SD = 4.66). Among the six components of the HPBs, the participants achieved the moderate levels in nutrition, interpersonal relations, spiritual growth, and stress management, and low levels in physical-activity and health responsibility. The patients’ perception of the benefits and barriers to the adoption of HPBs and perceived self-efficacy and social support were able to predict their HPBs, accounting for approximately 38.0% of the variance of such behaviors. Conclusion On the basis of our study’s results, we suggest that researchers, multidisciplinary teams, the government, and policymakers establish effective interventions, guidelines, and policies for the development of HPBs to prevent and control the spread of COVID-19 particularly among patients with NCDs, and to improve their capacity for high-quality and continuing self-care.

Because of their social vulnerabilities, older persons are among the most affected special population during the coronavirus disease 2019 (COVID-19) pandemic. 1) Moreover, this population has higher risks of acquiring such illnesses owing to their advanced age and the presence of chronic comorbidities. 2) In the Philippines, there were 1,276,004 confirmed cases of COVID-19, with 21,969 deaths, with a high mortality rate disproportionately affecting older Filipinos. 3) This health crisis has a notable disproportionate impact on most marginalized and vulnerable individuals, including older adults. 4) The incidence of diseases, such as hypertension, diabetes mellitus, heart failure, and some respiratory problems, in most older people has greatly affected the prognosis of most patients with COVID-19, especially those aged 60 years and above. 5) Moreover, compared to younger adults, older people affected by this illness have higher numbers of documented cases and risk of

Resiliency for older people represents the capacity to return to equilibrium when difficulties arise and was found as integral predictor of their health status. This study aims to develop a theory that attempts to explain the older adults’ resiliency perspectives during crisis and how it has affected their well-being and quality of life as population group. Deductive theory generation using axiomatic approach was adopted resulting to five axioms that served as basis for the generation of three propositions such as: (1) An older person’s health needs have tendencies to develop into a health threat, (2) when the threat is perceived, older persons developed a sense of internal control and adaptation to the changes it creates known as internal resiliency, and (3) internal resiliency can influence the quality of life in old age. The evolved theory suggests that in times of crisis (e.g., COVID-19 pandemic), health needs develop into a health threat that compels older persons to develop internal resiliency in order to preserve their integrity, wellbeing and quality of life. This study widens the nursing perspectives in addressing older persons’ resiliency by the unique condition at which older clients are placed affecting both the pathological nature of the illness as well as the preventive interventions which the society is forced to implement.

El brote de COVID-19 puso de relieve no solo la seguridad sino también el bienestar mental de los estudiantes de enfermería. En la actualidad, no se comprende bien el nivel de miedo al COVID-19 y los factores asociados entre los estudiantes de enfermería en Filipinas. Esta encuesta transversal en línea determinó la relación entre el uso de Internet y la alfabetización en eSalud con el miedo al COVID-19. Mil trescientos sesenta y siete (n = 1.367) respondieron una encuesta en línea utilizando la Escala de alfabetización en salud electrónica (eHEALS) y la Escala de miedo a COVID-19 (FCV-19S) administradas del 1 al 15 de mayo de 2020. Estadísticas descriptivas, se realizaron pruebas de diferencias y análisis correlacional. Los resultados indicaron que la puntuación compuesta del FCV-19S fue de 3,65, lo que indica niveles de miedo de moderados a altos. El miedo al COVID-19 difirió significativamente según el sexo, el año y la ubicación. Se encontró una relación inversa significativa entre el uso diario promedio de Internet y el miedo al COVID-19. Por otro lado, no se observó una asociación significativa entre la alfabetización en eSalud y el miedo al COVID-19. La primera ola del brote de COVID-19 ha tenido un impacto de gran alcance en el bienestar psicológico de los estudiantes de enfermería. Este estudio destaca el valor de Internet y su uso durante el brote no siempre puede generar un mayor temor relacionado con el COVID-19. Las escuelas de enfermería pueden necesitar crear estrategias para promover el uso de Internet regulado y responsable, abordar las preocupaciones de salud mental de los estudiantes y desarrollar intervenciones para responder de manera proactiva para mitigar o reducir el miedo entre los estudiantes de enfermería durante la pandemia.