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Journal ArticleDOI

Propuestas de la SECA para la recuperación del Sistema Nacional de Salud tras la pandemia por SARS-CoV-2

TL;DR: SECA responds to its commitment to society with recommendations to ensure quality of healthcare and patient safety in the COVID-19 Era.
About: This article is published in Journal of Healthcare Quality Research.The article was published on 2021-01-01 and is currently open access. It has received 4 citations till now.
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Journal ArticleDOI
15 Dec 2020
TL;DR: The impact of the COVID-19 pandemic on Portuguese rehabilitation nurses was assessed in this article, with a non-probabilistic sample consisting of 146 nurses specialized in rehabilitation nursing, of which 31% (n = 45) had to cease providing specialized care during the pandemic.
Abstract: Introduction: The COVID-19 pandemic has had a significant global impact on health and socioeconomic status. At the same time, it has caused an overload on health systems and their professionals, including rehabilitation nurses. The real expression of this impact at the level of rehabilitation nurses is unknown. Objective: To assess the impact of the COVID19 pandemic on Portuguese rehabilitation nurses. Method: Observational, descriptive and cross-sectional study, with a non-probabilistic sample of Portuguese rehabilitation nurses who performed functions in any type of service in the three months prior to data collection. Data collection took place at the beginning of the third quarter of 2020 through an online questionnaire provided by email. Results: Sample consisting of 146 nurses specialized in Rehabilitation Nursing (EEER), of which 31% (n = 45) had to cease providing specialized care during the pandemic (increase of 2.7x). Regarding satisfaction with the quality of care provided, the average before the start of the pandemic was 3.95 (SD ± 0.75) and during the pandemic it dropped to 2.9 (SD ± 1.11) (scale of 5-point Likert). Of the participants. 73.3% (n = 107) refer that they had, at some point, to follow institutional guidelines in disagreement with their ethical and deontological principles, with 69.9% (n = 102) reporting having had a need, at least a situation, to prioritize which sick people to care for. During the pandemic, the EEER relied on expert colleagues and online resources to increase knowledge and skills regarding the care inherent in the pandemic. Conclusion: During the first pandemic peak by COVID 19, a significant part of the EEERs had to ensure only general care. The main challenges faced by EEER were in the field of organization and management of care due to the greater complexity of patients, the greater bureaucratic burden, changes in the relationship with co-workers and the need to balance professional and personal life. There was a decrease in satisfaction with the quality of care provided, as well as a high percentage of EEER who experienced ethical and deontological challenges. In order to ensure their continuous training and to update their skills and guarantee the quality and safety of nursing care, the EEERs have shown dynamism and a willingness to use information and communication technologies.

1 citations

Journal ArticleDOI
TL;DR: The authors of the paper as mentioned in this paper presented a panel of experts with the aim of defining and prioritizing health policy proposals, from the perspective of the Spanish State as a whole, to adapt the National Health System to current risks and to contemporary/present-day society.
Journal ArticleDOI
TL;DR: The authors of the paper as discussed by the authors presented a panel of experts with the aim of defining and prioritizing health policy proposals, from the perspective of the Spanish State as a whole, to adapt the National Health System to current risks and to contemporary/present-day society.
References
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Journal ArticleDOI
TL;DR: The epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of patients with laboratory-confirmed 2019-nCoV infection in Wuhan, China, were reported.

36,578 citations

Journal ArticleDOI
TL;DR: Wang et al. as discussed by the authors used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death, including older age, high SOFA score and d-dimer greater than 1 μg/mL.

20,189 citations

Journal ArticleDOI
TL;DR: The authors summarize lessons learned and offer some best practices for facilitating organizational resilience and supporting health care workers during the COVID-19 pandemic.
Abstract: Caring for patients with COVID-19 is placing great stress on health care systems and health care workers. The authors summarize lessons learned from responding to other pandemics and offer best pra...

157 citations

Journal ArticleDOI
14 Jul 2020-BMJ
TL;DR: Recovering health systems can prioritise genuine need in order to be able to respond to real-time needs.
Abstract: Recovering health systems can prioritise genuine need

59 citations