Neurological Consequences of COVID-19: A Systematic Review of the Pandemic’s Impact on Neurology Training

Ercoli, Tommaso; Barbato, Francesco; Bombaci, Alessandro; Cuffaro, Luca; Lorenzo, Francesco Di; Iodice, Francesco; Romoli, Michele; Solla, Paolo; Defazio, Giovanni

doi:10.3390/brainsci13081188

Cited by 6 publications

(7 citation statements)

References 34 publications

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“…Our results align with a recent European survey reporting that 41.9% of residents were confronted with suspended or delayed (63.4%) classes, and reduced time spent with neurological patients because of reassignments to clinical work in COVID‐19 units [54]. Moreover, a systematic review of the pandemic's impact on neurology residency revealed increased stress levels among trainees, which points to the need for psychological support [55]. A cutback in postgraduate training is not specific to neurology and was observed across other specialties.…”

Section: Discussionsupporting

confidence: 88%

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The COVID‐19 pandemic and neurology: A survey on previous and continued restrictions for clinical practice, curricular training, and health economics

Rakusa,

Moro,

Akhvlediani

et al. 2023

Euro J of Neurology

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Background and PurposeThe COVID‐19 pandemic has significantly impacted health systems worldwide. Here, we assessed the pandemic's impact on clinical service, curricular training, and financial burden from a neurological viewpoint during the enforced lockdown periods and the assumed recovery by 2023.MethodsAn online 18‐item survey was conducted by the European Academy of Neurology (EAN) NeuroCOVID‐19 Task Force among the EAN community. The survey was online between February and March 2023. Questions related to general, demographic, clinical, work, education, and economic aspects.ResultsWe collected 430 responses from 79 countries. Most health care professionals were aged 35–44 years, with >15 years of work experience. The key findings of their observations were as follows. (i) Clinical services were cut back in all neurological subspecialties during the most restrictive COVID‐19 lockdown period. The most affected neurological subspecialties were services for patients with dementia, and neuromuscular and movement disorders. The levels of reduction and the pace of recovery were distinct for acute emergencies and in‐ and outpatient care. Recovery was slow for sleep medicine, autonomic nervous system disorders, neurorehabilitation, and dementia care. (ii) Student and residency rotations and grand rounds were reorganized, and congresses were converted into a virtual format. Conferences are partly maintained in a hybrid format. (iii) Affordability of neurological care and medication shortage are emerging issues.ConclusionsRecovery of neurological services up to spring 2023 has been incomplete following substantial disruption of neurological care, medical education, and health economics in the wake of the COVID‐19 pandemic. The continued limitations for the delivery of neurological care threaten brain health and call for action on a global scale.

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Section: Discussionsupporting

confidence: 88%

“…Moreover, a systematic review of the pandemic's impact on neurology residency revealed increased stress levels among trainees, which points to the need for psychological support [55]. A cutback in postgraduate training is not specific to neurology and was observed across other specialties.…”

Section: Discussionmentioning

confidence: 99%

The COVID‐19 pandemic and neurology: A survey on previous and continued restrictions for clinical practice, curricular training, and health economics

Rakusa,

Moro,

Akhvlediani

et al. 2023

Euro J of Neurology

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“…Due to institutional adjustments and cost considerations, the public health committee did not collect data independently and develop an information system. Online communication also enables the transmission of more effective information ( 30 ). However, the public health committee also faces difficulties with data latency, data collection, and data exchange.…”

Section: Resultsmentioning

confidence: 99%

How will the public health committees develop after COVID-19 pandemic in China? Exploration from mixed methods study in Pingshan District, Shenzhen

Shao,

2024

Front. Public Health

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IntroductionThe Public Health Committee has a long-standing presence in the Chinese Constitution. During the pandemic, it served as a grassroots self-governance organization and made significant contributions to China's community epidemic prevention and control system. Currently, 24 provinces in China have promoted the establishment of community public health committees.MethodsTo gather data, we conducted semi-structured interviews (n = 48) with the heads of superior departments of public health committees, the heads of public health committees, and the heads of community health centers, exploring aspects such as organizational structure, job responsibilities, and job security. In parallel, we administered a capacity-building survey to a sample of 23 community residents (n = 1,986) and performed regression analysis. Finally, we examined the impact of gender, age, and education level on the development of public health committees.ResultsOur study reveals that the development of public health committees displays features of administration across various dimensions, including personnel appointment, top-level design, medical professionalism, funding path dependence, and data path dependence. However, the decision-making function of the organization does not exhibit a significant impact.DiscussionThe construction of the Public Health Committee should demonstrate an “autonomization-administration” pendulum effect. Currently, due to the absence of decision-making functions within the Public Health Committee, autonomous organizations are exhibiting characteristics of administration. To prevent excessive autonomization or administrative nature in the development of committees, public health policies are continuously being refined based on the unique characteristics of public health committee construction. During exceptional circumstances or the initial stages of development, the establishment of public health committees should be primarily guided by administrative principles, utilizing political momentum to drive their progress. In contrast, during routine establishment phases or later stages of development, the establishment of public health committees should be primarily led by autonomization, restoring their capacity for self-decision making. It is essential to fully leverage the role of grassroots self-governance organizations, relying on the community to engage in self-management, self-education, and self-service within public health committees.

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“…The impacts of the COVID-19 pandemic on the mental health and wellbeing of the healthcare workforce have been extensively highlighted [14][15][16][17][18]. A recent review on COVID-19 implications on neurology residents revealed the impact of the COVID-19 pandemic on experiencing psychological issues [19].…”

Section: Introductionmentioning

confidence: 99%

Identifying the Key Elements of Psychologically Safe Workplaces in Healthcare Settings

Hallam,

Popovic,

Karimi

2023

Brain Sciences

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Background: Psychological safety is a key concern in the workplace as organisations continue to see increases in psychological injuries that have significant ramifications on individuals and workplaces. The COVID-19 pandemic has exacerbated this issue in healthcare workforces facing extraordinary pressures. This preliminary study aims to enhance our understanding of the factors that healthcare workers value in relation to psychological safety in their respective healthcare settings. Methods: To achieve the research objective, qualitative self-reflection examples were conducted with 12 participants from various health professional backgrounds across public, private, and aged-care settings. The data obtained were thematically analysed using NVivo software (V 12), enabling the identification of key elements associated with psychologically safe workplaces. Results: The results revealed several significant elements that contribute to psychologically safe workplaces in healthcare settings. These elements include effective communication, organisational culture, leadership practices, performance feedback mechanisms, respect among colleagues, staff development opportunities, teamwork, and trust. The findings underscore the critical importance of these foundational elements in fostering psychological safety within healthcare. Conclusion: This study contributes to the existing body of knowledge by specifically identifying the key elements that healthcare workers value in terms of psychological safety. By exploring a wide range of healthcare professionals’ perspectives, this research offers valuable insights into the unique challenges faced by healthcare workforces and the necessary conditions for fostering psychological safety. The implications of these findings are discussed in relation to the lessons they provide for healthcare employers, highlighting the potential for improving workplace wellbeing and performance.

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Neurological Consequences of COVID-19: A Systematic Review of the Pandemic’s Impact on Neurology Training

Cited by 6 publications

References 34 publications

The COVID‐19 pandemic and neurology: A survey on previous and continued restrictions for clinical practice, curricular training, and health economics

The COVID‐19 pandemic and neurology: A survey on previous and continued restrictions for clinical practice, curricular training, and health economics

How will the public health committees develop after COVID-19 pandemic in China? Exploration from mixed methods study in Pingshan District, Shenzhen

Identifying the Key Elements of Psychologically Safe Workplaces in Healthcare Settings

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