Abstract:Resumo Objetivo avaliar a relação entre sintomas psicopatológicos e a situação laboral de profissionais de enfermagem da Região Sudeste do Brasil, no contexto da pandemia da COVID-19. Método estudo observacional e transversal com coleta de dados virtual e por meio de snowball nos meses de abril a julho de 2020. Aplicou-se um questionário contendo dados sociodemográficos, laborais e a escala de avaliação de sintomas psicopatológicos (psicoticismo, obsessividade/compulsividade, somatização e ansiedade). Fora… Show more
“…The manual search yielded two additional studies and the updated database search resulted in five more studies. Overall, 38 studies were eligible for both the qualitative and quantitative analysis of our review (Abdelhafiz et al 2020 ; Alameddine et al 2021 ; Alfuqaha et al 2022 ; Alves et al 2022 ; Angwenyi et al 2021 ; Asaoka et al 2021 ; Aspera-Campos et al 2020 ; Bitencourt et al 2021 ; Buran and Altın, 2021 ; Byon et al 2021 ; Chowdhury et al 2022 , 2021 ; De la Cerda-Vargas et al 2022 ; Dopelt et al 2022 ; El Ghaziri et al 2022 ; García-Zamora et al 2022 ; Garg et al 2020 ; Ghareeb et al 2021 ; Guo et al 2022 ; Iida et al 2022 ; Kashtanov et al 2022 ; Khatatbeh et al 2021 ; Kuhlmann et al 2021 ; Kurzthaler et al 2021 ; Lafta et al 2021 ; McGuire et al 2022 ; Mediavilla et al 2021 ; Muñoz Del Carpio-Toia et al 2021 ; Özkan Şat et al 2021 ; Qi et al 2022 ; Sarfraz et al 2022 ; Serafin et al 2022 ; Somville et al 2021 ; Xie et al 2021 ; Yang et al 2021a , b , 2022 ; Zhizhong et al 2020 ). Fig.…”
Workplace violence (WPV) is a prevalent phenomenon, especially in the healthcare setting. WPV against healthcare workers (HCWs) has increased during the COVID-19 epidemic. This meta-analysis determined the prevalence and risk factors of WPV. A database search was conducted across six databases in May 2022, which was updated in October 2022. WPV prevalence among HCWs was the main outcome. Data were stratified by WPV/HCW type, pandemic period (early, mid, late), and medical specialty. WPV risk factors were the secondary outcome. All analyses were conducted through STATA. Newcastle Ottawa Scale evaluated the quality. Sensitivity analysis identified effect estimate changes. A total of 38 studies (63,672 HCWs) were analyzed. The prevalence of WPV of any kind (43%), physical (9%), verbal (48%), and emotional (26%) was high. From mid-pandemic to late-pandemic, WPV (40–47%), physical violence (12–23%), and verbal violence (45–58%) increased. Nurses had more than double the rate of physical violence (13% vs. 5%) than physicians, while WPV and verbal violence were equal. Gender, profession, and COVID-19 timing did not affect WPV, physical, or verbal violence risk. COVID-19 HCWs were more likely to be physically assaulted (logOR = 0.54; 95% CI: 0.10: 0.97). Most healthcare employees suffer verbal violence, followed by emotional, bullying, sexual harassment, and physical assault. Pandemic-related workplace violence increased. Nurses were twice as violent as doctors. COVID-19 healthcare employees had a higher risk of physical and workplace violence.
Supplementary Information
The online version contains supplementary material available at 10.1007/s11356-023-27317-2.
“…The manual search yielded two additional studies and the updated database search resulted in five more studies. Overall, 38 studies were eligible for both the qualitative and quantitative analysis of our review (Abdelhafiz et al 2020 ; Alameddine et al 2021 ; Alfuqaha et al 2022 ; Alves et al 2022 ; Angwenyi et al 2021 ; Asaoka et al 2021 ; Aspera-Campos et al 2020 ; Bitencourt et al 2021 ; Buran and Altın, 2021 ; Byon et al 2021 ; Chowdhury et al 2022 , 2021 ; De la Cerda-Vargas et al 2022 ; Dopelt et al 2022 ; El Ghaziri et al 2022 ; García-Zamora et al 2022 ; Garg et al 2020 ; Ghareeb et al 2021 ; Guo et al 2022 ; Iida et al 2022 ; Kashtanov et al 2022 ; Khatatbeh et al 2021 ; Kuhlmann et al 2021 ; Kurzthaler et al 2021 ; Lafta et al 2021 ; McGuire et al 2022 ; Mediavilla et al 2021 ; Muñoz Del Carpio-Toia et al 2021 ; Özkan Şat et al 2021 ; Qi et al 2022 ; Sarfraz et al 2022 ; Serafin et al 2022 ; Somville et al 2021 ; Xie et al 2021 ; Yang et al 2021a , b , 2022 ; Zhizhong et al 2020 ). Fig.…”
Workplace violence (WPV) is a prevalent phenomenon, especially in the healthcare setting. WPV against healthcare workers (HCWs) has increased during the COVID-19 epidemic. This meta-analysis determined the prevalence and risk factors of WPV. A database search was conducted across six databases in May 2022, which was updated in October 2022. WPV prevalence among HCWs was the main outcome. Data were stratified by WPV/HCW type, pandemic period (early, mid, late), and medical specialty. WPV risk factors were the secondary outcome. All analyses were conducted through STATA. Newcastle Ottawa Scale evaluated the quality. Sensitivity analysis identified effect estimate changes. A total of 38 studies (63,672 HCWs) were analyzed. The prevalence of WPV of any kind (43%), physical (9%), verbal (48%), and emotional (26%) was high. From mid-pandemic to late-pandemic, WPV (40–47%), physical violence (12–23%), and verbal violence (45–58%) increased. Nurses had more than double the rate of physical violence (13% vs. 5%) than physicians, while WPV and verbal violence were equal. Gender, profession, and COVID-19 timing did not affect WPV, physical, or verbal violence risk. COVID-19 HCWs were more likely to be physically assaulted (logOR = 0.54; 95% CI: 0.10: 0.97). Most healthcare employees suffer verbal violence, followed by emotional, bullying, sexual harassment, and physical assault. Pandemic-related workplace violence increased. Nurses were twice as violent as doctors. COVID-19 healthcare employees had a higher risk of physical and workplace violence.
Supplementary Information
The online version contains supplementary material available at 10.1007/s11356-023-27317-2.
“…Among the program users, 67% and 21% received medications for hypertension and diabetes, respectively, and 92% of users considered the program satisfactory. 116…”
Summary Background The COVID-19 pandemic disrupted care for non-communicable diseases globally. This study synthesizes evidence on disruptions to primary care, focusing on hypertension and diabetes care and mitigation approaches taken during the pandemic in Latin America and the Caribbean (LAC). Methods We conducted a scoping review, searching nine electronic databases for studies from January 2020 to December 2022 on COVID-19-related primary care disruptions and interventions, including studies on hospital-based interventions given their relevance to the pandemic response in LAC. We adapted the Primary Health Care Performance Initiative framework to develop our search strategy and synthesize data. For studies reporting interventions, we included studies conducted outside of LAC. Findings Of 33,510 references screened, 388 studies were included (259 reported disruptions in LAC, 61 interventions in LAC, 63 interventions outside LAC, and five interventions from countries within and outside LAC), with three-quarters presenting data from Brazil, Argentina, Mexico, and Peru; few studies focused on rural areas. Additionally, the few studies that adequately quantified care disruptions reported a reduction in hypertension and diabetes control during the pandemic (e.g., hypertension control rate decreased from 68% to 55% in Mexico). Frequently reported causes of disruption included burnout and mental health challenges among healthcare workers (with disproportionate effects by type of worker), reduced medication supplies, and reduced frequency of clinic visits by patients (e.g., due to financial constraints). The most reported interventions included remote care strategies (e.g., smartphone applications, virtual meeting platforms) and mental health programs for healthcare workers. Remote care strategies were deemed feasible for care delivery, triaging, and clinical support for non-physicians. Patients were generally satisfied with telemedicine, whereas providers had mixed perceptions. Robust evidence on the effectiveness of remote care strategies for diabetes and hypertension care was unavailable in LAC. Interpretation Hypertension and diabetes control appeared to worsen in LAC during the pandemic. Major reported causes of care disruptions were workforce issues, reduced medication supply, and changes in patient perceptions of seeking and receiving primary healthcare. Remote care strategies were feasible for various purposes and were well received by patients. However, the lack of data on intervention effectiveness underscores the importance of strengthening research capacity to generate robust evidence during future pandemics. Developing resilient healthcare systems able to provide care for hypertension and diabetes during future pandemics will depend on investment in the healthcare workforce, medical supply chain, health data and research infrastructure, and technology readiness.
“…Durante esse período, vários profissionais atuaram na linha de frente do combate ao vírus; dentre estes, a categoria da Enfermagem desempenhou papel fundamental no combate à disseminação do coronavírus, mesmo diante dos desafios impostos pelo cenário epidemiológico. A sobrecarga de trabalho, ambiente insalubre e condições precárias, desgaste emocional, falta de equipamento de proteção individual, entre outros problemas expuseram esses profissionais e os mantiveram à frente do combate ao novo vírus (Alves et al, 2022). Humerez et al (2020) apontam que todos esses fatores desencadeiam situações de extremo estresse e esgotamento físico resultante de situações de trabalho desgastante, que demandam muita responsabilidade.…”
A presente pesquisa tem por objetivo verificar na literatura os reflexos da pandemia da Covid-19 na saúde mental dos profissionais de Enfermagem. Realizou-se uma revisão integrativa da literatura atual, por meio da análise de estudos publicados entre os anos de 2019 e 2021, utilizando as bases de dados National Library of Medicine, Base de Dados de Enfermagem e Scientific Eletrônic Library Online. Foi possível identificar que a pandemia de Covid-19 teve impacto direto na saúde mental dos trabalhadores de enfermagem, a literatura evidencia como principais problemas ocasionados pelo contexto pandêmico: depressão, ansiedade, sentimento de angústia, tristeza e culpabilidade, alterações no apetite e no sono, além de níveis elevados de estresse e irritabilidade. Neste contexto, ações de políticas públicas de saúde que visem à proteção dos trabalhadores de enfermagem no período pandêmico e pós-pandemia por Covid-19 se tornaram essenciais para a manutenção do bem-estar psicológico desses profissionais. Todavia, considera-se a imprescindibilidade de novos estudos que investiguem quais as ações implementadas que visem à proteção dos trabalhadores, bem como à garantia de condições laborais e de estrutura física à continuidade da oferta da proteção social em diferentes níveis de atenção mesmo após pandemia.
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