Emotional care is an important part of the holistic labor and should be considered when providing care to people affected by perinatal losses. To synthesize the findings from recently published scientific evidence on the emotional care needed following perinatal loss, a search in PubMed, CINAHL, SCOPUS, and Web of Science was carried out in January 2020 yielding 22 studies which met the inclusion criteria and were analyzed following Whittemore and Knafl’s (2005) methodology. One category on “offering emotional care” was identified: “Aspects influencing the psychosocial well-being of women after perinatal loss,” comprising eight themes: risk of complicated grief, cultural values, perinatal losses in multiple pregnancies, experience of subsequent pregnancies, need of information, contact with the deceased baby, impact on relatives, and strategies for emotional care. In conclusion, the evidence highlights the need of specific emotional grief care.
Introdução: Inúmeros são os motivos das suspensões cirúrgicas, que importam ser conhecidos para dar maior organicidade e qualidade aosprocessos gerenciais e assistenciais. Objetivos: Identificar a taxa de suspensão de cirurgias eletivas de hospital público do Estado do Rio de Janeiro e analisaras principais causas de suspensão, estratificando os achados pelas clínicas cirúrgicas. Método: Estudo quantitativo, descritivo, retrospectivo, que utilizou7.931 formulários de suspensão cirúrgica de janeiro de 2015 a dezembro de 2017. Excluíram-se 28 formulários que não apresentavam o motivo dasuspensão, analisando-se 7.903. Realizou-se a análise por meio de estatística descritiva e cálculo da taxa de suspensão cirúrgica. Resultados: A taxa desuspensão cirúrgica do hospital foi de 18,5% em 2015, 20,5% em 2016 e 16,8% em 2017. A condição clínica do paciente desfavorável para a realização dacirurgia foi o motivo mais evidente nas clínicas de Cirurgia Geral, Urologia e Ginecologia no período analisado. Conclusão: Vários são os reflexos dasuspensão cirúrgica, tanto para o paciente quanto para a instituição. A adoção de medidas para a redução dessas taxas implica melhora da gestão e daorganização do serviço de saúde.
Accessible Summary
What is Known on the subject?
Working on the frontline during the pandemic has had a negative impact on the mental health of health professionals. A significant proportion experienced anxiety, insomnia, posttraumatic stress or depression.
What the paper adds to existing knowledge?
Analysis and synthesis of the evidence of the impact of the COVID‐19 pandemic on the mental health of nurses based on their work context. There exists a gap in the literature as no studies were found that analysed the effects on nurses' mental health according to the level of care they worked in (hospital–primary care–nursing home).
What are the implications for practice?
There is an urgent need to assess and respond to the impact of COVID‐19 on the physical and mental well‐being of nurses, and to monitor international policies for the improvement of nurses' working conditions.
Abstract
Introduction
Health professionals have suffered negative consequences during the COVID‐19 pandemic. No review has specifically addressed the impact of the pandemic on the mental health of nurses exclusively according to the work context.
Aim
To analyse the impact of the COVID‐19 pandemic on the mental health of nurses who have worked in hospitals, primary care centres and social health centres.
Method
PubMed, CINAHL, PsychINFO and Cochrane databases were searched (Prospero number: CRD42021249513). Out of 706 papers, 31 studies (2020–2021) were included in the systematic review. A qualitative synthesis method was used to analyse the data.
Results
Most studies were conducted in hospitals or frontline settings. The prevalence of moderate‐to‐severe symptoms was for anxiety 29.55%, depression 38.79%, posttraumatic stress disorder 29.8%, and insomnia 40.66%.
Discussion
This review highlights the mental health effects among nurses working in acute hospital settings. It also evidences a data gap on mental health effects among nurses working in primary health care and in nursing homes.
Implications for practice
In the post phase of the pandemic, there is an urgent need to assess and respond to the impact on the mental well‐being of nurses, and to monitor international policies for the improvement of nurses’ working conditions.
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