The shortage of skilled workers in Europe: its impact on geriatric medicine

Michel, Jean Pierre; Ecarnot, Fiona

doi:10.1007/s41999-020-00323-0

Cited by 61 publications

(39 citation statements)

References 12 publications

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“…Ageing of the society and the increasing number of chronically ill persons are the challenges to the health care systems, due to insufficient human resources and relatively high staff turnover. The shortage of skilled professionals working in LTC concerns not only physicians, but also nurses and care assistants [12]. Therefore, in the last two decades, the registered nurses have been gradually replaced by care assistants in many LTC facilities all over the world.…”

Section: Insufficient Human Resourcesmentioning

confidence: 99%

Could we have done better with COVID-19 in nursing homes?

Szczerbińska

2020

Eur Geriatr Med

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According to a communication published on June 4, 2020 by The European Centre for Disease Prevention and Control (ECDC), 31-66% of all deaths, depending on country, due to COVID-19 were among residents in long-term care facilities (LTCF) [1]. The COVID-19 pandemic has uncovered many challenges that have probably existed in LTCF for years, yet few people would have thought they could lead to such dramatic effects. One may blame the new coronavirus for the tragic outcomes, but the bottom line is that LTCFs were simply not prepared for the outbreak, and they were "abandoned" at the time when all health care settings struggled with shortage of personal protective equipment (PPE) and testing [2]. The epidemic is not over yet. Moreover, during the potential next wave, we may once again witness a disaster, if we do not back-reflect on the events of the past months and learn a lesson on how to avoid such a scenario. Therefore, right now is the time to analyse which features of LTC did and did not work, and specify which measures may be undertaken in the nearest weeks, and in the future.

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Section: Insufficient Human Resourcesmentioning

confidence: 99%

Could we have done better with COVID-19 in nursing homes?

Szczerbińska

2020

Eur Geriatr Med

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“…Nurses as an occupational category, are found to be particularly exposed to PSR [ 18 , 19 , 20 ]. Exposure to physical hazards and psychosocial risks in healthcare arises from working overtime, work overload, and time pressure [ 21 , 22 , 23 ], an insufficient number of rest breaks and days away from work, leading to poor work-life balance [ 14 , 24 ], shiftwork [ 25 , 26 ], low wages and job insecurity [ 27 , 28 , 29 ], and exposure to adverse social behaviour, such as violence and harassment [ 30 , 31 ]. Precarious employment is increasing, particularly in the elderly- and long-term care sector with many migrant workers [ 32 , 33 ]; this type of employment is a source of financial stress due to income insecurity which can affect the health of workers [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review of Psychosocial Risks to Health Workers during the Covid-19 Pandemic

Franklin

Gkiouleka

2021

IJERPH

104

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The Covid-19 pandemic has exposed health workers to a diverse set of hazards impacting their physical, psychological and social wellbeing. This review aims to provide an overview of the categories of the psychosocial risk factors and hazards affecting HCWs during the Covid-19 pandemic and the recommendations for prevention. We used the scoping review methodology to collate categories of psychosocial risks, the related health outcomes, interventions, and data gaps. The review was conducted on global peer-reviewed academic and authoritative grey literature, published between 1. January–26. October 2020; in total, 220 articles were included into the review and the subsequent analysis. Analysis of the extracted data found PSRs related to four sources: personal protective equipment (PPE), job content, work organisation, and social context. is. Women health workers and nurses reported worst health outcomes. Majority of the research to date concerns health workers in secondary care, while data on psychosocial risks at primary and community-based settings are scarce. However, the emerging research implies that the pandemic creates psychosocial risks also to non-clinical health workers. The intervention and mitigation measures address individual and organisational levels. Preventative and mitigating measures for social and societal risks—such as staff shortages, intersecting inequalities, and financial stressors require further research.

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“…The transnational European dimension is also highly relevant, 26 as Romania is still losing high numbers of qualified health professionals and carers. No functional governance mechanisms are in place at a European level to manage these trends and, as a consequence, the Romanian health system continues to be at high risk of losing the very few professionals providing geriatrics care.…”

Section: Discussionmentioning

confidence: 99%

The geriatric workforce in Romania: the need to improve data and management

Ungureanu

Brinzac

Forray

et al. 2020

European Journal of Public Health

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Facing severe under-funding and significant workforce maldistribution, the health system in Romania is challenged to provide adequate care for the ageing population. The aim of this article is to connect health labour market data of the geriatrics workforce in Romania with individual perceptions of front-line workers in geriatrics in order to better understand the ‘human’ factors of effective health workforce development. Comprehensive health workforce data are not available; we therefore used a rapid scoping review and interviews to combine quantitative and qualitative data sources, such as the ‘Healthcare Facility Activity Report’, policy documents and available reports. They show that despite a consistent increase in the overall number of geriatricians, their majority is based in Bucharest, the capital city. The initial review points to possible geriatrician burnout, caused in part by high workload. The geriatrics workforce in Romania is poorly developed. Significant efforts are still needed to create policies addressing inflows and outflows, training, maldistribution and inefficiencies related to their practice. Addressing burnout by improving teamwork and collaboration is vital for maintaining and improving the workforce morale and motivation. Two major policy recommendations emerged: an urgent need for better health workforce data in Romania and development of more effective workforce management.

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The shortage of skilled workers in Europe: its impact on geriatric medicine

Cited by 61 publications

References 12 publications

Could we have done better with COVID-19 in nursing homes?

Could we have done better with COVID-19 in nursing homes?

A Scoping Review of Psychosocial Risks to Health Workers during the Covid-19 Pandemic

The geriatric workforce in Romania: the need to improve data and management

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