The Unpreparedness of the Healthcare System for the Management of COVID-19 Pandemic Leading to the Mistreatment of the Elderly: A Newly Emerging Moral Dilemma

Chehrehgosha, Maryam

doi:10.1007/s12603-020-1505-2

Cited by 8 publications

(4 citation statements)

References 8 publications

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“…Such a waiting period was considered not effective to prevent the spread of the virus due to patient’s impatience to know the result and to engage with family or community. The current findings also reflect a bigger picture of the unpreparedness of the healthcare system in the study setting to respond to the pandemic, which seems to negatively affect the work of HCPs and be a part of slow response during the early stages of the pandemic [ 39 , 40 ]. The findings indicate the need for the provision of adequate laboratories in all hospitals in East Nusa Tenggara and other parts of Indonesia to face the current and future outbreaks.…”

Section: Discussionmentioning

confidence: 66%

The impact of working in COVID-19 hospital on indonesian nurses’ mental health and wellbeing: a qualitative study

et al. 2022

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Background The outbreak of coronavirus disease (COVID-19) has impacted the lives of more than 580 million people and killed more than six million people globally. Nurses are one of the most impacted groups as they are at the frontline to fight against the virus and to try to save the lives of everyone affected. The present study aimed to explore the impact of working in COVID-19 wards on the mental health and wellbeing of nurses in the early stage of the pandemic in a hospital in East Nusa Tenggara, Indonesia. Methods A qualitative study was conducted with 22 nurses, recruited using purposive sampling. Data collection was conducted from April to May 2022 and data analysis was guided by qualitative framework analysis. Results The findings show that nurses experienced a range of mental health impacts including fear of being infected and infecting loved ones; fear of early death; psychological distress related to the conflict between the lack of personal protective equipment (PPE) and both professionalism and moral responsibility for patients; stress due to long waiting period to know the result of the COVID-19 tests; stress and worry due to public indifference and lack of role models; the negative impact of community doubt and distrust around COVID-19; and distress due to stigma and discrimination towards nurses caring for COVID-19 patients and their families. Conclusions The current findings indicate further psychological intervention programs to support nurses, especially the ones in resource poor settings and enhance their psychological resilience.

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Section: Discussionmentioning

confidence: 66%

The impact of working in COVID-19 hospital on indonesian nurses’ mental health and wellbeing: a qualitative study

et al. 2022

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“…The fact that most health systems around the world were not prepared for this enormous challenge can certainly be considered one of the most important aspects that have contributed to increasing the morbidity, mortality, and resulting chronic disability caused by SARS-CoV-2 infections [2]. This refers specifically to the enormous burden placed on healthcare facilities by the pandemic, which exponentially increased shortages of beds, staff, and equipment [3], dramatically exacerbated by previous inadequacies in hospital funding. An interesting analysis conducted by Arsenault et al in 10 different countries [4] shows that significant disruption occurred in almost all countries, characterized by a specific magnitude and duration, with no pattern related to income or pandemic burden.…”

Section: Introductionmentioning

confidence: 99%

Disruption of Laboratory Activities during the COVID-19 Pandemic: Results of an EFLM Task Force Preparation of Labs for Emergencies (TF-PLE) Survey

Lippi¹,

Cadamuro²,

Danese³

et al. 2023

Preprint

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Background: The EFLM Task Force Preparation of Labs for Emergencies (TF-PLE) created a survey that has been distributed to its members for gathering information on the key hazards experienced by European medical laboratories during the COVID-19 pandemic. Methods: The survey was distributed to over 12,000 potential contacts (laboratory workers) via an EFLM newsletter, with responses collected between May 8 and June 8, 2023. Results: Two hundred replies were collected and examined from European laboratories. 69.7% and 78.1% of all responders said they were short on non-COVID and COVID reagents, respectively. Exactly half of respondents (50.0%) said that they could not complete all laboratory tests required for a specific period, but this figure climbed to 61.2% for COVID tests. Finally, 72.3% of respondents expressed exhaustion during the pandemic, and 61.2% reported increasing patient hostility. Conclusions: The COVID-19 pandemic had a significant impact on laboratory medicine in Europe. Cultural change, proactive planning, and even re-engineering in some parts of the laboratory industry may thus be necessary to prepare for future challenges.

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“…Outbreak of the Coronavirus disease in 2019 (COVID-19) has spread rapidly across the world evidencing the weakness of the public health system worldwide [1,2]. Free access to scientific information related to COVID-19, facilitates the understanding of epidemiological, clinical, and molecular aspects of the new virus, which can help to contain the disease and to give alternatives for treatment [3].…”

Section: Introductionmentioning

confidence: 99%

Immune Response to SARS-CoV-2 Infection in Obesity and T2D: Literature Review

et al. 2021

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In December 2019, a novel coronavirus known as SARS-CoV-2 was first detected in Wuhan, China, causing outbreaks of the coronavirus disease COVID-19 that has now spread globally. For this reason, The World Health Organization (WHO) declared COVID-19 a public health emergency in March 2020. People living with pre-existing conditions such as obesity, cardiovascular diseases, type 2 diabetes (T2D), and chronic kidney and lung diseases, are prone to develop severe forms of disease with fatal outcomes. Metabolic diseases such as obesity and T2D alter the balance of innate and adaptive responses. Both diseases share common features characterized by augmented adiposity associated with a chronic systemic low-grade inflammation, senescence, immunoglobulin glycation, and abnormalities in the number and function of adaptive immune cells. In obese and T2D patients infected by SARS-CoV-2, where immune cells are already hampered, this response appears to be stronger. In this review, we describe the abnormalities of the immune system, and summarize clinical findings of COVID-19 patients with pre-existing conditions such as obesity and T2D as this group is at greater risk of suffering severe and fatal clinical outcomes.

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The Unpreparedness of the Healthcare System for the Management of COVID-19 Pandemic Leading to the Mistreatment of the Elderly: A Newly Emerging Moral Dilemma

Cited by 8 publications

References 8 publications

The impact of working in COVID-19 hospital on indonesian nurses’ mental health and wellbeing: a qualitative study

The impact of working in COVID-19 hospital on indonesian nurses’ mental health and wellbeing: a qualitative study

Disruption of Laboratory Activities during the COVID-19 Pandemic: Results of an EFLM Task Force Preparation of Labs for Emergencies (TF-PLE) Survey

Immune Response to SARS-CoV-2 Infection in Obesity and T2D: Literature Review

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