The supervisor conundrum Knight, Kate H; Leigh, Jacqueline; Whaley, Victoria ...
British journal of nursing (Mark Allen Publishing),
11/2021, Letnik:
30, Številka:
20
Journal Article
The exponential growth in coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) across the UK has been successfully reversed by social distancing ...and lockdown.1 RNA testing for prevalent infection is a key part of the exit strategy, but the role of testing for asymptomatic infection remains unclear.2 Understanding the determinants of asymptomatic or pauci-symptomatic infection will provide new opportunities for personalised risk stratification and reveal much-needed correlates of protective immunity, whether induced by vaccination or natural exposure. To address this, we set up COVIDsortium (NCT04318314), a bioresource focusing on asymptomatic health-care workers (HCWs—doctors, nurses, allied health professionals, administrators, and others) at Barts Health NHS Trust, London, UK, to collect data through 16 weekly assessments (unless ill, self-isolating, on holiday, or redeployed) with a health questionnaire, nasal swab, and blood samples and two concluding assessments at 6 month and 12 months. HCWs have been particularly hard hit by the COVID-19 pandemic, with high reported rates of infection from Italian data,3 raising concerns about the effectiveness of personal protective equipment and of nosocomial transmission.4 Public fear of hospitals is also currently high, and many serious and treatable diseases are presenting late with adverse outcomes.5 Testing of HCWs has so far been restricted to symptomatic individuals, and no studies have reported serial testing in high-exposure asymptomatic volunteers.
What is it that really gets people better? With practical information on how to support clients' healing processes, this book helps practitioners across a wide range of physical and medical ...therapies, as well as psychotherapists, to improve their practice and get better at what they do. Getting to the core of true healing, Noah Karrasch explores the essentials of effective practice that apply across all healing modalities and expands on a four step formula based on these essentials: caring about patrons, providing a safe setting, communicating with clients, and encouraging their participation in their own healing. The book also discusses the practitioner's self- understanding and self-healing work as a vital part of becoming a better provider of health and healing, and Karrasch presents a model of communication focused on recognising which of four centers (head, heart, gut, or groin) both practitioners and their clients operate from to strength ties between healing partners. Revealing the fundamentals of effective practice drawn from a wide range of therapies, this book provides practical advice, as well as points of reflection, for all those seeking to deepen their therapeutic practice.
•A procedure for recovering personnel task schedules is proposed.•We consider three different types of operational variability.•A new meta-heuristic perturbation meta-heuristic is proposed based on ...local branching.•A new local search method for personnel re-rostering is proposed.•The impact of different local neighbourhood structures and sizes is analysed.
In this paper, we propose a heuristic optimisation procedure for the integrated personnel shift and task re-scheduling problem. We assume that schedule disruptions arise as the baseline personnel roster is subject to three sources of operational variability, i.e. uncertainty of capacity, uncertainty of demand and uncertainty of arrival. In order to restore the feasibility of the personnel roster and to minimise the number of deviations compared to the original roster, we propose a heuristic re-scheduling procedure that thrives on a perturbation mechanism to diversify the search and a variable neighbourhood search to intensify the search in the region of a solution point. In the computational experiments, we assess the contribution of the different algorithmic building blocks and benchmark our algorithm with other optimisation procedures.
This study aimed to evaluate the comfort of personal protective equipment (PPE) used during the COVID-19 and attitudes of healthcare professionals regarding the use of PPE. Descriptive research was ...conducted with 553 healthcare professionals, who work in pandemic centers in Turkey. Findings showed that all participants used masks, 99.3% wore gloves, 89% wore protective glasses, and 89% wore aprons during the COVID-19. The most-reported physical complaints have been dryness, irritation, and wound on the hands. Age and gender, as well as PPE discomfort, has been determined to affect the use of PPE. It might be concluded that age and sex, as well as the discomfort caused by PPE, affected the use of PPE and the attitudes of healthcare professionals.
Les récits d’accouchement montrent régulièrement un décalage entre le vécu de la douleur par les femmes, les couples et les réponses des soignants. Si une équipe ajustée à leurs besoins soutient et ...redonne confiance aux couples, on voit combien la réaction des professionnels peut porter atteinte à leur sentiment de sécurité, à leur image personnelle et au ressenti même de la douleur. Nous explorons, grâce aux témoignages des femmes, l’impact de la posture des professionnels dans l’anténatal et pendant l’accouchement sur le vécu de la douleur, les jugements portés sur les femmes selon l’expression de ces douleurs et les situations où celles-ci sont niées ou minimisées. Se dessine la place qui peut être prise, dans les attitudes des soignants, par des représentations et projections personnelles et les entraves mises par ces dernières à une réponse ajustée aux besoins des femmes et des couples.
The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic.
...This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th–April 24th 2020) at a large medical center in NYC (n = 657).
Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaff's rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest.
NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.
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