Protection des soignants dans un CHU au temps du Covid-19 : entre surprotection et sous-protection ou entre abandon et affaiblissement des forces vives ?

Richard, Pascal; Pougnet, Laurence; Eniafe-Eveillard, B.M.; Ouedraogo, S.; Lucas, David; Dewitte, Jean‐Dominique; Loddé, Brice

doi:10.1016/j.etiqe.2022.09.007

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…The constant flow of new SARS-CoV-2 medical information (such as transmission modes, the R0 reproduction number, and evolving SARS-CoV-2 virulence) combined with Europe's PPE shortage [16,17] made risk assessment more difficult for biosafety experts [18]. As a result, inappropriate biosafety guidelines or outdated guidelines may exacerbate EMS staff fatigue and stress [19], induce over-protection or under-protection against the biological threat [20], and reduce trust in biosafety advisories [21]. Our findings also suggest that healthcare workers who have only received "basic life support" training may struggle with complex biosafety terminology.…”

Section: Discussionmentioning

confidence: 99%

Biosafety Issues in Patient Transport during COVID-19: A Case Study on the Portuguese Emergency Services

Vandenberghe,

Ladeira,

Gil

et al. 2024

IJERPH

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During the COVID-19 pandemic, first responders faced significant biosafety challenges, especially while handling patient transport, potentially exposing them to infection. The PANDEM-2 (European project on pandemic preparedness and response) project, funded by the Horizon 2020 program, sought to investigate the challenges confronting Emergency Medical Systems throughout the EU. First responders from Portugal’s National Institute of Medical Emergency (INEM) were considered as a representative operational model of the national first responder agencies of European member states because they played a critical role during the COVID-19 pandemic. As a result, they were asked to complete an online survey about their COVID-19 pandemic-related professional activities. The survey focused on their perspectives on current biosafety guidelines and their operational practices. It covered opinions on existing protocols, technical concerns during patient transport, and issues after the patients arrived at the hospital. The key findings revealed concerns about risk assessment, the inadequacy of guidelines, and disparities in equipment access. This survey emphasizes the importance of developing streamlined, adaptable biosafety protocols, better coordination between prehospital and in-hospital services, and the development of scalable, cost-effective biosafety solutions. Based on our findings, we propose improvements to national and European biosafety directives and advocate for streamlined adaptation during pandemics.

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Section: Discussionmentioning

confidence: 99%

Biosafety Issues in Patient Transport during COVID-19: A Case Study on the Portuguese Emergency Services

Vandenberghe,

Ladeira,

Gil

et al. 2024

IJERPH

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“…In addition, ethical conflicts related to decision-making about the management of COVID-19 patients persisted over time (T2). While ethical issues already represented risk factors for burnout and brownout prior to the COVID-19 health crisis, they were exacerbated in the times of the pandemic [30,72].…”

Section: Discussionmentioning

confidence: 99%

Burnout and Brownout in Intensive Care Physicians in the Era of COVID-19: A Qualitative Study

Baillat,

Vayre,

Préau

et al. 2023

IJERPH

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The health crisis has had a strong impact on intensive care units. The objective of this study was to investigate the experience of resuscitation physicians during the COVID-19 health crisis to understand the associated determinants of quality of life, burnout, and brownout. This qualitative, longitudinal study covered two periods (T1, February 2021, and T2, May 2021). The data were collected in individual semi-directed interviews with 17 intensive care physicians (ICPs) (T1). Nine of the latter also participated in a second interview (T2). The data were examined using grounded theory analysis. We identified a multiplication of burnout and brownout indicators and factors already known in intensive care. In addition, burnout and brownout indicators and factors specific to the COVID-19 crisis were added. The evolution of professional practices has disrupted the professional identity, the meaning of work, and the boundaries between private and professional life, leading to a brownout and blur-out syndrome. The added value of our study lies in identifying the positive effects of the crisis in the professional domain. Our study revealed indicators and factors of burnout and brownout associated with the crisis among ICPs. Finally, it highlights the beneficial effects of the COVID-19 crisis on work.

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From uncertainty to the experience of collective care: Immersion in a hospital COVID-19 unit during the ‘first wave’ of the epidemic in Marseille, France

Mininel,

Egrot,

Sams

2023

SSM - Qualitative Research in Health

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Protection des soignants dans un CHU au temps du Covid-19 : entre surprotection et sous-protection ou entre abandon et affaiblissement des forces vives ?

Cited by 3 publications

References 23 publications

Biosafety Issues in Patient Transport during COVID-19: A Case Study on the Portuguese Emergency Services

Biosafety Issues in Patient Transport during COVID-19: A Case Study on the Portuguese Emergency Services

Burnout and Brownout in Intensive Care Physicians in the Era of COVID-19: A Qualitative Study

From uncertainty to the experience of collective care: Immersion in a hospital COVID-19 unit during the ‘first wave’ of the epidemic in Marseille, France

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