You knew you had to be there, it had to be done: Experiences of health professionals who faced the COVID-19 pandemic in one public hospital in Spain

Página do item simplificado
dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorRODRIGUEZ-MADRID, Maria Nieves
dc.contributor.authorPASTOR-MORENO, Guadalupe
dc.contributor.authorALBERT-LOPEZ, Enrique
dc.contributor.authorPASTOR-VALERO, Maria
dc.date.accessioned2024-04-05T19:42:45Z
dc.date.available2024-04-05T19:42:45Z
dc.date.issued2023
dc.description.abstractIntroductionThe COVID-19 pandemic highlighted the lack of a government contingency plan for an effective response to an unexpected health crisis. This study uses a phenomenological approach to explore the experience of healthcare professionals during the first three waves of the COVID-19 pandemic in a public health hospital in the Valencia region, Spain. It assesses the impact on their health, coping strategies, institutional support, organizational changes, quality of care, and lessons learned. MethodsWe carried out a qualitative study with semi-structured interviews with doctors and nurses from the Preventive Medicine, Emergency, and Internal Medicine Services and the Intensive Care Unit, using the Colaizzi's 7-step data analysis method. ResultsDuring the first wave, lack of information and leadership led to feelings of uncertainty, fear of infection, and transmission to family members. Continuous organizational changes and lack of material and human resources brought limited results. The lack of space to accommodate patients, along with insufficient training in treating critical patients, and the frequent moving around of healthcare workers, reduced the quality of care. Despite the high levels of emotional stress reported, no sick leave was taken; the high levels of commitment and professional vocation helped in adapting to the intense work rhythms. Healthcare professionals in the medical services and support units reported higher levels of stress, and a greater sense of neglect by their institution than their colleagues in managerial roles. Family, social support, and camaraderie at work were effective coping strategies. Health professionals showed a strong collective spirit and sense of solidarity. This helped them cope with the additional stress and workload that accompanied the pandemic. ConclusionIn the wake of this experience, they highlight the need for a contingency plan adapted to each organizational context. Such a plan should include psychological counseling and continuous training in critical patient care. Above all, it needs to take advantage of the hard-won knowledge born of the COVID-19 pandemic.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.identifier.citationFRONTIERS IN PUBLIC HEALTH, v.11, article ID 1089565, 12p, 2023
dc.identifier.doi10.3389/fpubh.2023.1089565
dc.identifier.eissn2296-2565
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59259
dc.language.isoeng
dc.publisherFRONTIERS MEDIA SAeng
dc.relation.ispartofFrontiers in Public Health
dc.rightsopenAccesseng
dc.rights.holderCopyright FRONTIERS MEDIA SAeng
dc.subjectCOVID-19 pandemiceng
dc.subjecthealth professionalseng
dc.subjectcontingency planeng
dc.subjectorganizational changeseng
dc.subjectquality of care provisioneng
dc.subjectcoping strategieseng
dc.subjectqualitative researcheng
dc.subject.othercareeng
dc.subject.othercrisiseng
dc.subject.otherimpacteng
dc.subject.otherchinaeng
dc.subject.otherwaveeng
dc.subject.wosPublic, Environmental & Occupational Healtheng
dc.titleYou knew you had to be there, it had to be done: Experiences of health professionals who faced the COVID-19 pandemic in one public hospital in Spaineng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEspanha
hcfmusp.affiliation.countryisoes
hcfmusp.author.externalRODRIGUEZ-MADRID, Maria Nieves:Univ Seville, Programa Doctorado Ciencias Salud, Seville, Spain
hcfmusp.author.externalPASTOR-MORENO, Guadalupe:Escuela Andaluza Salud Publ, Granada, Spain; Inst Salud Carlos III, Minist Ciencia & Innovac Gobierno Espana, Grp 50 CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain; Inst Invest Biosanit ibs GRANADA, Granada, Spain
hcfmusp.author.externalALBERT-LOPEZ, Enrique:Hosp Univ Basurto, Dept Med Interna, Bilbao, Spain
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcMARIA ASUNCION PASTOR VALERO
hcfmusp.description.articlenumber1089565
hcfmusp.description.volume11
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1157385832
hcfmusp.origem.pubmed37181727
hcfmusp.origem.scopus2-s2.0-85159095529
hcfmusp.origem.wosWOS:000983658400001
hcfmusp.publisher.cityLAUSANNEeng
hcfmusp.publisher.countrySWITZERLANDeng
hcfmusp.relation.referenceAlonso J, 2021, REV PSIQUIATR SALUD, V14, P90, DOI 10.1016/j.rpsm.2020.12.001eng
hcfmusp.relation.referenceAlquézar-Arbé A, 2020, EMERGENCIAS, V32, P320eng
hcfmusp.relation.reference[Anonymous], 2021, El Paiseng
hcfmusp.relation.referenceBegun JW, 2004, ADV HEALTH CARE MANA, V4, P163, DOI 10.1016/S1474-8231(04)04007-8eng
hcfmusp.relation.referenceBegun JW., 2020, NEJM CATAL INNOV CAReng
hcfmusp.relation.referenceChemali S, 2022, HUM RESOUR HEALTH, V20, DOI 10.1186/s12960-022-00724-1eng
hcfmusp.relation.referenceChen QN, 2020, LANCET PSYCHIAT, V7, pE15, DOI 10.1016/S2215-0366(20)30078-Xeng
hcfmusp.relation.referenceCohen J, 2020, PREV MED, V141, DOI 10.1016/j.ypmed.2020.106263eng
hcfmusp.relation.referenceDagyaran I, 2021, BMC HEALTH SERV RES, V21, DOI 10.1186/s12913-021-06637-4eng
hcfmusp.relation.referenceDe Kock JH, 2021, BMC PUBLIC HEALTH, V21, DOI 10.1186/s12889-020-10070-3eng
hcfmusp.relation.referenceDi Giuseppe M, 2021, INT J ENV RES PUB HE, V18, DOI 10.3390/ijerph18105258eng
hcfmusp.relation.referenceGarcía-Fernández L, 2022, PSYCHOL MED, V52, P195, DOI 10.1017/S0033291720002019eng
hcfmusp.relation.referenceGil GR, 2021, ABOUT USeng
hcfmusp.relation.referenceHou YC, 2020, J EMERG NURS, V46, P848, DOI 10.1016/j.jen.2020.07.008eng
hcfmusp.relation.referenceInternational Q, 2022, NVIVOeng
hcfmusp.relation.referenceKang LJ, 2020, BRAIN BEHAV IMMUN, V87, P11, DOI 10.1016/j.bbi.2020.03.028eng
hcfmusp.relation.referenceKhatatbeh M, 2021, INT J ENV RES PUB HE, V18, DOI 10.3390/ijerph18179002eng
hcfmusp.relation.referenceKim J, 2021, INT J ENV RES PUB HE, V18, DOI 10.3390/ijerph181910141eng
hcfmusp.relation.referenceLai JB, 2020, JAMA NETW OPEN, V3, DOI 10.1001/jamanetworkopen.2020.3976eng
hcfmusp.relation.referenceLiu Q, 2020, LANCET GLOB HEALTH, V8, pE790, DOI 10.1016/S2214-109X(20)30204-7eng
hcfmusp.relation.referenceLupu D, 2022, HEALTH ECON REV, V12, DOI 10.1186/s13561-022-00358-yeng
hcfmusp.relation.referenceMental Health America, 2022, MENT HLTH HEALTHC WOeng
hcfmusp.relation.referenceMian A, 2020, BMC MED, V18, DOI 10.1186/s12916-020-01556-3eng
hcfmusp.relation.referenceMorrow R., 2015, The Psychologist, V28, P643eng
hcfmusp.relation.referenceNelson Taylor, 2020, Mo Med, V117, P510eng
hcfmusp.relation.referenceNiu AF, 2022, J NURS MANAGE, V30, P1115, DOI 10.1111/jonm.13620eng
hcfmusp.relation.referenceO'Brien N, 2022, GLOBALIZATION HEALTH, V18, DOI 10.1186/s12992-022-00818-4eng
hcfmusp.relation.referenceOrganizacion Panamericana de Salud, 2020, NOTICIASeng
hcfmusp.relation.referencePraveena K.R., 2021, MEDICO LEGAL UPDATE, V21, P914, DOI [10.37506/mlu.v21i2.2800, DOI 10.37506/MLU.V21I2.2800]eng
hcfmusp.relation.referenceRoyo S, 2020, EUR POLICY ANAL, V6, P180, DOI 10.1002/epa2.1099eng
hcfmusp.relation.referenceSanghera J, 2020, J OCCUP HEALTH, V62, DOI 10.1002/1348-9585.12175eng
hcfmusp.relation.referenceSituacion de COVID-19 en Espana a 17 de mayo de 2022, 2022, SIT COVID 19 ESP 17eng
hcfmusp.relation.referenceSun NN, 2020, AM J INFECT CONTROL, V48, P592, DOI 10.1016/j.ajic.2020.03.018eng
hcfmusp.relation.referenceTong A, 2007, INT J QUAL HEALTH C, V19, P349, DOI 10.1093/intqhc/mzm042eng
hcfmusp.relation.referenceTorrent-Ramos P, 2021, NURS REP, V11, P536, DOI 10.3390/nursrep11030051eng
hcfmusp.relation.referenceTort-Nasarre G, 2021, J NURS MANAGE, V29, P1983, DOI 10.1111/jonm.13362eng
hcfmusp.relation.referenceTrumello C, 2020, INT J ENV RES PUB HE, V17, DOI 10.3390/ijerph17228358eng
hcfmusp.relation.referenceVan Manen M., 2016, Researching lived experience: Human science for an action sensitive pedagogyeng
hcfmusp.relation.referenceSan Juan NV, 2022, BMJ OPEN, V12, DOI 10.1136/bmjopen-2021-050038eng
hcfmusp.relation.referenceXiao H, 2020, MED SCI MONITOR, V26, DOI 10.12659/MSM.923549eng
hcfmusp.relation.referenceXie JF, 2020, INTENS CARE MED, V46, P837, DOI 10.1007/s00134-020-05979-7eng
hcfmusp.relation.referenceYin X, 2020, Int J Nurs Sci, V7, P157, DOI 10.1016/j.ijnss.2020.04.002eng
hcfmusp.scopus.lastupdate2024-05-17
relation.isAuthorOfPublication336792da-767c-4596-9cc2-7014fa47a494
relation.isAuthorOfPublication.latestForDiscovery336792da-767c-4596-9cc2-7014fa47a494
Arquivos
Coleções
Artigos e Materiais de Revistas Científicas - LIM/38
Artigos e Materiais de Revistas Científicas - COVID-19