COVID-19 Pandemic Healthcare Resource Allocation, Age and Frailty

Smithard, David; Haslam, James D.

doi:10.1080/20502877.2021.1917101

Cited by 9 publications

(7 citation statements)

References 14 publications

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“…Previous studies reported similar findings when health care professionals felt unable to care for all patients equally due to resource issues and had to choose between the well-being of one patient over another. In line with other studies, the triage criteria for prioritizing patient care based on age or health state during the pandemic caused ethical conflicts and dilemmas for participants (Booke & Booke, 2021;Palacios-Ceña et al, 2022;Smithard & Haslam, 2021).…”

Section: Discussionsupporting

confidence: 57%

End of life care during the COVID‐19 pandemic: A qualitative study on the perspectives of nurses and nurse assistants

Podgorica

Rungg

Bertini³

et al. 2023

Nursing Open

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Aim To explore nurses’ and nurse assistants’ experiences of providing end‐of‐life care during the COVID‐19 pandemic in Austria, Germany and Northern Italy. Design A qualitative explorative interview study. Method Data were collected between August and December 2020 and analysed using content analysis. Healthcare professionals (nurses ( n = 30), nurse coordinators ( n = 6) and nurse assistants ( n = 5)) from hospitals ( n = 32) and long‐term care facilities ( n = 9) in Austria, Germany and Northern Italy were interviewed for this study. Results Five main categories were identified as follows: (i) end‐of‐life care involves love and duty, (ii) last wishes and dignity of the patient, (iii) communication with the family, (iv) organizational and religious aspects and (v) personal emotions. Results indicate that more training and guidelines are needed to prepare nurses and nurse assistants for end‐of‐life care during pandemics. Public contribution This research can help prepare nurses and nurse assistants for end‐of‐life care in pandemics and will be of value for improving the institutional and government health policies. Furthermore, it can be of value in preparing training for healthcare professionals patient–relatives.

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Section: Discussionsupporting

confidence: 57%

End of life care during the COVID‐19 pandemic: A qualitative study on the perspectives of nurses and nurse assistants

Podgorica

Rungg

Bertini³

et al. 2023

Nursing Open

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“…Moreover, previous studies 29,30 have described a great variability in the criteria for prioritizing patient care during the COVID-19 pandemic, which can lead to conflicts and ethical dilemmas among healthcare professionals. 31,32 For example, showing differences in triage between older and younger patients. 31 Due to the existence of differences in models and approaches regarding prehospital and hospital triage, we believe there is an important need for ethical frameworks to clarify the values and principles that will guide caregivers while addressing the unique societal needs.…”

Section: Communitymentioning

confidence: 99%

“…31,32 For example, showing differences in triage between older and younger patients. 31 Due to the existence of differences in models and approaches regarding prehospital and hospital triage, we believe there is an important need for ethical frameworks to clarify the values and principles that will guide caregivers while addressing the unique societal needs.…”

Section: Communitymentioning

confidence: 99%

Ethical challenges during the COVID-19 pandemic: Perspectives of nursing students

Palacios‐Ceña

Velarde‐García

Espejo³

et al. 2021

Nurs Ethics

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Background: The first wave of the COVID-19 pandemic caused a shortage of qualified nurses in Spain. As a result, the government authorized the hiring of senior students. Objectives: To explore the ethical dilemmas and ethical conflicts experienced by final-year nursing students who worked during the first outbreak of the COVID-19 pandemic in Spain. Research design: A qualitative exploratory study was conducted using purposive sampling. Semi-structured interviews were carried out using a question guide. Interviews took place via a private video chat room platform. A thematic, inductive analysis was performed of the information gathered. Participants and research context: Eighteen nursing students were recruited from two universities of Madrid, aged between 18 and 65 years old, enrolled in the fourth year of nursing studies and who were hired under a relief contract for health professionals during the pandemic. Ethical considerations: The present study was carried out in accordance with the Declaration of Helsinki, and the study was approved by the Local Ethics Committee of Universidad Rey Juan Carlos. Results: Three specific themes emerged: (a) coping with patient triage, (b) difficulties in providing end-of-life care, and (c) coping with patient death. Nursing students participated in the process of patient selection for resource allocation and ICU bed occupancy. They were shown how to care for patients who were not admitted to the ICU, in their last moments and were faced with the difficulties of applying end-of-life care. Finally, the nursing students were confronted with the death of their patients, in overwhelming numbers and under adverse conditions. Conclusions: These findings can help shed light on the ethical dilemmas and ethical conflicts faced by novice nursing students, incorporated into the workforce during the COVID-19 pandemic. Moreover, it was described that students may normalize the death due to the exhaustion and overwhelmed routine.

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“…The Coronavirus disease 2019 (COVID-19) pandemic resulted in the reconfiguration of health service provision in England and worldwide [ 1 , 2 ]. Health services were re-purposed, clinicians redeployed, and non-emergency treatments delayed.…”

Section: Introductionmentioning

confidence: 99%

The projected impact of the COVID-19 lockdown on breast cancer deaths in England due to the cessation of population screening: a national estimation

et al. 2022

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Background Population breast screening services in England were suspended in March 2020 due to the COVID-19 pandemic. Here, we estimate the number of breast cancers whose detection may be delayed because of the suspension, and the potential impact on cancer deaths over 10 years. Methods We estimated the number and length of screening delays from observed NHS Breast Screening System data. We then estimated additional breast cancer deaths from three routes: asymptomatic tumours progressing to symptomatically diagnosed disease, invasive tumours which remain screen-detected but at a later date, and ductal carcinoma in situ (DCIS) progressing to invasive disease by detection. We took progression rates, prognostic characteristics, and survival rates from published sources. Results We estimated that 1,489,237 women had screening delayed by around 2–7 months between July 2020 and June 2021, leaving 745,277 outstanding screens. Depending on how quickly this backlog is cleared, around 2500–4100 cancers would shift from screen-detected to symptomatic cancers, resulting in 148–452 additional breast cancer deaths. There would be an additional 164–222 screen-detected tumour deaths, and 71–97 deaths from DCIS that progresses to invasive cancer. Conclusions An estimated 148–687 additional breast cancer deaths may occur as a result of the pandemic-related disruptions. The impact depends on how quickly screening services catch up with delays.

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COVID-19 Pandemic Healthcare Resource Allocation, Age and Frailty

Cited by 9 publications

References 14 publications

End of life care during the COVID‐19 pandemic: A qualitative study on the perspectives of nurses and nurse assistants

End of life care during the COVID‐19 pandemic: A qualitative study on the perspectives of nurses and nurse assistants

Ethical challenges during the COVID-19 pandemic: Perspectives of nursing students

The projected impact of the COVID-19 lockdown on breast cancer deaths in England due to the cessation of population screening: a national estimation

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