Insights on COVID-19 From Community Health Worker State Leaders

Mayfield-Johnson, Susan; Smith, Denise O; Crosby, Sara A; Haywood, Catherine; Castillo, J. P. Pumagalli; Bryant-Williams, Dolontria; Kim, Jay; Seguinot, Milagrosa; Smith, Treva; Moore, Nicole M.; Wennerstrom, Ashley

doi:10.1097/jac.0000000000000351

Cited by 35 publications

(47 citation statements)

References 10 publications

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“…Nurses who work casually, make up a sizable proportion of many nations’ nursing workforce, and these staff are a vital workforce capacity to healthcare systems during pandemics [ 70 ]. Temporary, or travel/contract nurses without a core group of in-person colleagues, may feel less prepared for the challenges of the public health emergency [ 71 ], and have lower risk awareness, while having a higher risk of burnout and feelings of isolation [ 72 ].…”

Section: Resultsmentioning

confidence: 99%

A Scoping Review of Psychosocial Risks to Health Workers during the Covid-19 Pandemic

Franklin

Gkiouleka

2021

IJERPH

101

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The Covid-19 pandemic has exposed health workers to a diverse set of hazards impacting their physical, psychological and social wellbeing. This review aims to provide an overview of the categories of the psychosocial risk factors and hazards affecting HCWs during the Covid-19 pandemic and the recommendations for prevention. We used the scoping review methodology to collate categories of psychosocial risks, the related health outcomes, interventions, and data gaps. The review was conducted on global peer-reviewed academic and authoritative grey literature, published between 1. January–26. October 2020; in total, 220 articles were included into the review and the subsequent analysis. Analysis of the extracted data found PSRs related to four sources: personal protective equipment (PPE), job content, work organisation, and social context. is. Women health workers and nurses reported worst health outcomes. Majority of the research to date concerns health workers in secondary care, while data on psychosocial risks at primary and community-based settings are scarce. However, the emerging research implies that the pandemic creates psychosocial risks also to non-clinical health workers. The intervention and mitigation measures address individual and organisational levels. Preventative and mitigating measures for social and societal risks—such as staff shortages, intersecting inequalities, and financial stressors require further research.

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Section: Resultsmentioning

confidence: 99%

A Scoping Review of Psychosocial Risks to Health Workers during the Covid-19 Pandemic

Franklin

Gkiouleka

2021

IJERPH

101

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“…This is an important aspect, as many of the communities served by these workers may be hesitant to engage with outsiders. Moreover, hiring CHWs and promotores (and training new individuals in this job) would contribute to job development—especially in communities hardest hit by the pandemic [ 36 , 62 , 64 , 65 ].…”

Section: Discussionmentioning

confidence: 99%

Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud

Logan

Castañeda

2020

IJERPH

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Rural populations in the United States are faced with a variety of health disparities that complicate access to care. Community health workers (CHWs) and their Spanish-speaking counterparts, promotores de salud, are well-equipped to address rural health access issues, provide education, and ultimately assuage these disparities. In this article, we compare community health workers in the states of Indiana and Texas, based on the results of two separate research studies, in order to (1) investigate the unique role of CHWs in rural communities and (2) understand how their advocacy efforts represent a central form of caregiving. Drawing on ethnographic, qualitative data—including interviews, photovoice, and participant observation—we analyze how CHWs connect structurally vulnerable clients in rural areas to resources, health education, and health and social services. Our primary contribution to existing scholarship on CHWs is the elaboration of advocacy as a form of caregiving to improve individual health outcomes as well as provoke structural change in the form of policy development. Finally, we describe how CHWs became especially critical in addressing disparities among rural populations in the wake of COVID-19, using their advocacy-as-caregiving role that was developed and well-established before the pandemic. These frontline workers are more vital than ever to address disparities and are a critical force in overcoming structural vulnerability and inequities in health in the United States.

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“…Specifically, CHW have experienced challenges with telehealth and videoconferencing technology and require resources to provide their services virtually to reach potential clients [13].…”

Section: Community Health Workersmentioning

confidence: 99%

“…CHWs have experienced a lack of resources and technology to support and refer clients with limited access to testing and hindered dissemination of services because of social distancing. Specifically, CHWs have experienced challenges with telehealth and videoconferencing technology and require resources to provide their services virtually to reach potential clients [13].…”

Section: Community Health Workersmentioning

confidence: 99%