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Copyright of Medicina y Seguridad del Trabajo is the property of Escuela Nacional de Medicina del Trabajo - Instituto de Salud Carlos III and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Copyright of Hospital a Domicilio is the property of Centro Internacional Virtual de Investigacion en Nutricion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Mental health is an integral part of health. Having some psychiatric condition without treatment predisposes to a poor quality of life. These alterations have been found with an incidence of up to 50% in the general population. There are very few studies in Mexico on these conditions in health workers during the COVID-19 pandemic. Objective: To determine the prevalence of stress, anxiety, and depression during the COVID-19 pandemic in health workers. Material and methods: A descriptive, cross-sectional observational study was conducted on health workers in a tertiary hospital, through the application of randomized and self-completed surveys, in search of levels of stress, anxiety, and depression during the COVID-19 pandemic. Results: 44.7% of those surveyed showed depression, 83.1% anxiety, and 66.3% stress. The main groups affected were female staff, singles, and medical residents. Those with type 2 diabetes mellitus had higher anxiety and depression. Conclusion: The prevalence of stress, anxiety, and depression in health workers is similar to that of the general population in our study. Depression was the alteration most found. The scrutiny of alterations in mental health in health workers is of the utmost importance, with greater emphasis in the context of the aforementioned pandemic. [ABSTRACT FROM AUTHOR]

Healthcare workers have been under intense stress in the coronavirus disease 2019 (Covid-19) pandemic when they faced situations that threatened or challenged their basic psychological needs for autonomy, competence, and relatedness, and they may present mental health problems. Seeking to help these professionals in the hospital context, this article presents the theoretical bases and procedures for the development of a psychoeducational booklet for coping with stress. An integrative literature review and an online survey with 141 healthcare workers from hospitals in Brazil, Colombia, Peru, and Argentina were carried out to identify the main stressors and coping strategies. This material was organized according to the motivational theory of coping into charts with recommendations on what to do and avoid and boards for alternative communication. The booklet was evaluated by 17 expert health judges, obtaining good correlation coefficients for relevance content (.98) and for clarity of language (.92). With a Spanish version, its application possibilities are expanded. [ABSTRACT FROM AUTHOR]

Background: health workers are the ones who remained on the front line of the response to COVID-19, so they were in greater danger in situations of potential exposure. Objective: to characterize health workers sick with COVID-19, from March 2020 to September the 30th, 2021, according to sociodemographic and epidemiological variables. to characterize sociodemographically and epidemiologically health workers sick with COVID-19, from March 2020 to September the 30th, 2021. Methods: Observational, descriptive cross-sectional study carried out in Cienfuegos. The universe was made up of all health workers diagnosed with COVID-19, during the study period. The variables were: age, sex, municipality of origin, occupational profile, clinical status at diagnosis, source of infection. The primary source for obtaining information was the database of the Health Surveillance Department of the Provincial Health Directorate. The processing was done using SPSS version 21.0. Results: the months with the highest diagnosis were July and August. The female sex was the most represented and the age groups of 25-34 and 45-54 years old. The Cienfuegos municipality was the one with the highest number of cases. Doctors and nurses were the most represented. The possible source of infection was extrainstitutional. 83.7% of the total cases showed some symptom. Conclusions: the largest number of health workers were infected in the peak months of the pandemic, but in most of them the infection occurred extra-institutionally. [ABSTRACT FROM AUTHOR]

Introduction: Introduction: the consumption of non-nutritive sweeteners (NNS) has increased. Recent studies have reported possible metabolic effects of NNS, and this may influence the perception regarding their consumption in the general population and health professionals. Objective: to describe and compare the beliefs about NNS in consumers, non-consumers, and health professionals; and to explore the reasons and opinions of health professionals for recommending or not their consumption. Methods: surveys were applied to 100 consumers, 100 non-consumers and 100 health professionals (dietitians and physicians) to evaluate a positive, negative, or neutral attitude towards certain beliefs regarding NNS, including the information they have, safety, price, side effects and taste. In addition, the opinion of health professionals for recommending or not the consumption of NNS and the related reasons was evaluated. Results: statistically significant differences regarding the safety, side effects and taste of NNS were found between the three groups (p < 0.01). The most frequent opinion of health professionals (48 %) is that NNS should be limited, used as a transition and in certain patients. Consumers tend to have a more positive opinion about NNS except for the price, non-consumers have a more neutral position except for taste, and health professionals have a more negative perception of NNS in all aspects. Conclusions: the beliefs regarding NNS differed among the studied groups, which might influence their consumption or recommendation of its use. [ABSTRACT FROM AUTHOR]

Copyright of Investigacion & Educacion en Enfermeria is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To describe the practices and knowledge of Nursing Technicians and Community Health Agents of Primary Health Care for the transgender population., Design: Descriptive research with a qualitative approach. SITE: The study was developed in a digital environment., Participants: 18 Community Health Agents and 12 Nursing Technicians who worked in Primary Health Care Units from several Brazilian states., Method: Sampling technique by chain indication or networks (snowball), data production by Google Forms form. The theoretical saturation technique was used to close the interviews. Categorical thematic content analysis with IRAMUTEQ software support., Results: Professionals' lack of knowledge about policies and terms was evidenced; there were conceptual confusions, inadequate associations, and a restricted approach to the prevention of sexually transmitted infections., Conclusions: The lack of training reflects a cisnormative and binary approach, compromising the assistance to the transgender population. Disrespect for the social name persists, highlighting the need for permanent education for health professionals, aiming at an inclusive and respectful care practice., (Copyright © 2024 The Authors. Publicado por Elsevier España S.L.U. All rights reserved.)

El Síndrome de Burnout se encuentra compuesto por tres dimensiones: agotamiento emocional, despersonalización y realización personal. Altos niveles en las dos primeras y bajos en la última hacen el diagnóstico. Este estudio tuvo como objetivo determinar la prevalencia del Síndrome de Burnout y sus dimensiones en el personal de salud activo de las áreas de emergencias (adultos, obstétrica y pediátrica) del Instituto Autónomo Hospital Universitario de Los Andes (IAHULA) del estado Mérida-Venezuela, durante los meses de septiembre y octubre del año 2020 en el contexto de la pandemia por COVID-19. Se realizó una investigación observacional, analítica y transversal; en la cual se incluyeron 227 médicos residentes y especialistas, personal de enfermería, obrero y técnico que laboraron en el área. Se utilizó un cuestionario para la recolección de datos socio-demográficos y el Maslach Burnout Inventary – Human Services Survey (MBI-HSS) para determinar la presencia de Síndrome de Burnout a través de encuesta física y digital. Del total de los trabajadores entrevistados, el 18,9% presentaron criterios completos para ser diagnosticados con Síndrome de Burnout; con niveles altos globales de Agotamiento Emocional (34%), Despersonalización (30,8%) y bajos de Realización Personal (52%), se observó mayor frecuencia de síndrome en médicos o técnicos (p=0,001), y personal perteneciente al servicio de emergencia pediátrica (p=0,0001), así como en individuos con menor edad (p=0,012). La prevalencia de Síndrome de Burnout es mayor que la observada en estudios anteriores en la misma población, pero impresiona que este aumento no se relaciona con la pandemia de COVID-19. Burnout Syndrome is composed of three dimensions: emotional exhaustion, depersonalization and personal achievement. High levels in the first two and low levels in the last one make the diagnosis. The purpose of this study was to determine the prevalence of Burnout Syndrome and its dimensions in the active health personnel of the emergency areas (adults, obstetric and pediatric) of the Autonomous Institute University Hospital of Los Andes (IAHULA) in Mérida-Venezuela, during the months from September to October 2020 within the context of the COVID-19 pandemic. An observational, descriptive and cross-sectional research study was carried out among 227 resident doctors and specialists, nursing staff, workers and technicians who worked in the area. A questionnaire was used to collect socio-demographic data and the Maslach Burnout Inventory - Human Services Survey (MBI-HSS) was used to determine the presence of Burnout Syndrome through a physical and digital survey. According to the workers interviewed, 18.9% presented complete criteria to be diagnosed with Burnout Syndrome; with global high levels of Emotional Exhaustion (34%), Depersonalization (30.8%), and low levels of Personal Achievement (52%). A higher frequency of syndrome was observed in doctors or technicians (p = 0.001), and personnel belonging to the pediatrics emergency service (p = 0.0001), as well as in younger individuals (p = 0.012). The prevalence of Burnout Syndrome is higher than what was observed in previous studies in the same population, but the impression is that this increase is not related to the COVID-19 pandemic.

Introduction: Healthcare workers (HCWs) are considered an at-risk population for hepatitis C virus (HCV) transmission. Seroprevalence of HCV in Mexico is 1.4% and is similar in HCWs at 0.5–2%. Aim: To determine the seroprevalence of HCV in HCWs at the Hospital de Especialidades Centro Médico Nacional La Raza (HECMNR) and correlate the positive cases with the viral load. Materials and methods: An observational, longitudinal, descriptive study was conducted on HCWs at the HECMNR that voluntarily answered a risk factor questionnaire and gave a capillary blood sample for detecting antibodies to HCV. Anti-HCV antibody detection was performed through the rapid colloidal gold-enhanced immunochromatographic assay for the qualitative identification of antibodies to HCV. When positive, quantitative HCV RNA PCR testing was carried out. Results: A total of 391 rapid anti-HCV tests were performed and the mean participant age was 32 years. A total of 214 (54.73%) of the HCWs belonged to clinical services, 120 (30.69%) to surgical services, and 57 (14.57%) to the nursing service; 254 (64.96%) participants were medical residents and 137 (35%) were staff personnel. The most prevalent risk factors were accidental puncture wounds (n = 261, 66.75%) and dental procedures (n = 229, 58.56%). Four samples (1.02%) were positive for anti-HCV antibodies and the HCV RNA PCR test was not positive in any of the samples. Conclusions: HCWs did not have a greater seroprevalence for HCV, compared with the general population, and no cases of viremia were reported. Resumen: Introducción y objetivo: Los trabajadores de la salud (TS) se consideran población en riesgo de transmisión del Virus de la Hepatitis C (VHC). La seroprevalencia del VHC en México es del 1.4 % y en los TS es del 0.5 a 2%, siendo similares. Objetivo: Determinar la seroprevalencia de VHC en los TS del Hospital de Especialidades Centro Médico Nacional la Raza (HECMNR) y correlacionar los casos reactivos con la carga viral. Material y métodos: Estudio observacional, longitudinal y descriptivo. Se incluyeron a TS adscritos al HECMNR, quienes de manera voluntaria se sometieron a un cuestionario de factores de riesgo y se les tomó muestra de sangre capilar para detectar anti-VHC. La determinación de anti-VHC fue realizada mediante pruebas rápidas inmunocromatográficas de oro coloidal para la identificación cualitativa de anti-VHC. En caso de reactividad, se realizó PCR cuantitativa de ARN-VHC. Resultados: Se realizaron un total de 391 pruebas rápidas anti-VHC, la edad promedio fue de 32 años, 214 (54.73%) pertenecientes a servicios clínicos, 120 (30.69%) a quirúrgicos y 57 (14.57%) a enfermería; 254 médicos residents (64.96%) y 137 (35%) personal de base. Los factores de riesgo más prevalentes fueron: accidentes con punzocortantes (n = 261, 66.75%) e intervenciones odontológicas (n = 229, 58.56%). Cuatro muestras (1.02%) fueron reactivas a anti-VHC, ninguna de las muestras fue positiva para el ARN del VHC por PCR. Conclusiones: Se observó que los TS no poseen mayor seroprevalencia para VHC en comparación con la población en general, así mismo, no se reportó ningún caso de viremia.

Introducción: Para reducir la transmisión de la enfermedad y la mortalidad ligadas a la COVID-19, la planificación de la preparación a corto plazo debe incluir la aplicación a gran escala de medidas como la detección y aislamiento de casos, el rastreo y seguimiento de contactos y su puesta en cuarentena. Los trabajadores del sector sanitario, muchos de ellos en la zona roja, suelen estar sujetos a la exposición laboral de fuentes conocidas o sospechosas de COVID-19 durante procedimientos médicos específicos, trabajos mortuorios o procedimientos de laboratorio. El Ministerio de Salud Pública ha implementado un protocolo de actuación que contempla la protección de la salud de los trabajadores ocupacionalmente expuestos, los que deben someterse a controles médicos para detectar precozmente manifestaciones de contagio. Objetivo: Contribuir a la vigilancia del estado de salud del personal sanitario posexposición ocupacional al coronavirus SARS-CoV-2. Material y método: Se revisó la literatura sobre manifestaciones somáticas y funcionales, psíquicas, psicofísicas y psicosociales de personas que padecieron COVID-19, que fuera útil para el diseño de una metodología de evaluación médica preventiva orientada a la detección precoz de manifestaciones negativas atribuibles a la exposición ocupacional al virus SARS-CoV-2. Resultados: Se elaboró una metodología de examen médico preventivo que pesquisa manifestaciones clínicas y subclínicas ocasionadas por el coronavirus SARS-CoV-2 y de los riesgos psicosociales asociados a la presencia del biocontaminante en el ambiente laboral. Además de identificar daños, el examen será útil para determinar la aptitud del personal para continuar desempeñándose en laborales con exposición al coronavirus SARS-CoV-2. Introduction: To reduce disease transmission and mortality associated with COVID-19, planning for short-term preparedness should include the large-scale application of measures such as case detection and isolation, contact tracing, and follow-up quarantine. Healthcare workers, many of them in the red zone, are often subject to occupational exposure from known or suspected sources of COVID-19 during specific medical procedures, mortuary work, or laboratory procedures. The Ministry of Public Health has implemented an Action Protocol that provides for the protection of the health of occupationally exposed workers who must undergo medical controls to detect early manifestations of COVID. Objective: To contribute to surveillance of the health of sanitary personnel after occupational exposition to SARS-CoV-2 coronavirus. Material and method: It was review some literature about symptoms and clinical signs frequently in patients who were with COVID-19 to design a methodology for a medical assessment to detect early pathological effects related with the occupational exposition to SARS-CoV-2 coronavirus. Results: A form for a preventive medical exam was developed considering somatic and functional pathological signs that are usually caused by the SARS-CoV-2 coronavirus infection and/or the psychosocial risks associated with work performance.

Objetivo: sistematizar buenas prácticas de atención prenatal en un servicio de referencia para adolescentes embarazadas en Campinas, São Paulo, Brasil, desde la perspectiva de profesionales de la salud. Materiales y métodos: estudio cualitativo desarrollado entre junio y julio de 2017, se emplearon entrevistas semiestructuradas y se realizó un grupo focal con 10 profesionales de la salud que prestaban atención a adolescentes embarazadas en una unidad hospitalaria del sistema público de la región de Campinas, São Paulo, Brasil. Los datos fueron examinados mediante la técnica de análisis de contenido temático de donde surgieron nuevas categorías de análisis. Se hizo validación a través de triangulación de los resultados. Se identificó la aplicabilidad teórica y práctica de los principales hallazgos. Resultados: fueron elaboradas tres categorías emergentes del discurso de los profesionales y de las evidencias en la literatura: 1) análisis integral de las adolescentes en situación de embarazo; 2) experiencias profesionales en la atención a las adolescentes embarazadas que evidencian calidad en el servicio; 3) fortalezas y oportunidades del servicio con posibilidades de replicación como modelo asistencial. Son consideradas buenas prácticas durante el cuidado prenatal aquellas que priorizan la atención integral a las adolescentes embarazadas; estas son coordinadas por un equipo multidisciplinario, y consiguen tener un abordaje multidimensional, sobre todo, valorando la complejidad que supone la maternidad en la adolescencia. Conclusiones: dentro de los servicios de salud sexual y reproductiva es recomendable el desarrollo de estrategias educativas, el fortalecimiento de la atención en grupos y la inclusión de la red de apoyo de las adolescentes en la atención, con el fin de favorecer una experiencia positiva durante el cuidado prenatal cuando el proceso de volverse madre acontece durante la adolescencia.

Introducción: La calidad de vida en el trabajo (CVT) o calidad de vida laboral (CVL) expresa la satisfacción de los trabajadores, en este caso enfermeras, que está directamente relacionada con la seguridad y calidad del cuidado del paciente. Objetivo: Identificar, desde la literatura científica, niveles de satisfacción con la calidad de vida en el trabajo de las enfermeras latinoamericanas, factores de riesgo asociados y repercusiones en la salud. Metodología: Se realizó una revisión integrativa en bases de datos PubMed, SciELO, BVS y Google Académico relacionado con estudios publicados en el período enero 2011 - agosto 2021, en inglés, portugués y español. Resultados: Se seleccionaron 13 artículos que cumplieron los criterios de inclusión, realizados en personal de salud que incluyeron a enfermeras. Se establecieron tres categorías de análisis: Satisfacción e insatisfacción con la calidad de vida en el trabajo por niveles, dimensiones y dominios; Factores sociolaborales asociados a la CVT, y Calidad de vida en el trabajo y sus repercusiones en salud. Conclusión: La revisión permitió identificar aun de forma limitada que la calidad de vida en el trabajo de las enfermeras latinoamericanas mayoritariamente alcanzó niveles medio a bajo, con influencia de factores sociodemográficos y laborales, y con repercusiones en la salud de las enfermeras. Por lo tanto, es emergente profundizar en el estudio del tema, considerando que la insatisfacción con la calidad de vida en el trabajo de estas profesionales puede repercutir tanto en su propia salud como en la calidad del cuidado. Palabras claves: Calidad de vida, trabajo, enfermera, personal de salud

Se recomienda con fundamentos indagar la objeción de conciencia de las y los futuros ingresantes del personal de salud a nuestra Institución, no como un acto de discriminación, sino para promover el mejor cuidado hacia las y los pacientes. La experiencia a un año de la legalización del aborto visibilizó la importancia e interés en su implementación.

Resumen Introducción: El personal de salud es uno de los más propensos a contagiarse con el COVID-19 por su exposición durante la relación con los pacientes. Objetivo: Determinar las características clínicas y epidemiológicas del COVID-19 en trabajadores del Hospital Pediátrico de Camagüey en el período de enero a diciembre de 2021. Métodos: Se realizó un estudio descriptivo, transversal en un universo constituido por 238 trabajadores con diagnóstico confirmado por Reacción en Cadena a la Polimerasa (PCR), durante el período antes señalado, y registrado en base de datos. Las variables estudiadas incluyeron: grupo etario, sexo, categoría ocupacional, servicio de procedencia, manifestaciones clínicas, trimestre del año y posible fuente de infección. Los datos fueron procesados mediante el programa estadístico SPSS (Statistical Package for Social Sciences) versión 25.0 en computadora Pentium IV. Para realizar la investigación se tuvieron en cuenta el consentimiento informado y los principios bioéticos de confidencialidad de la información. Resultados: Predominó el sexo femenino (54,7 %) en las edades comprendidas entre 50-59 años, en su mayoría personal de enfermería (29,4 %), que se contagiaron durante el tercer trimestre (39,9 %) en la comunidad (59,3 %), presentando síntomas como secreción nasal (32,8 %) y fiebre (17,6 %), que resultaron trabajadores de salas de Medicina Pediátrica (28,2 %). Conclusiones: A pesar de la difícil situación epidemiológica, la principal fuente de infección fue comunitaria. No se produjo ningún evento de transmisión institucional ni hubo fallecidos. Abstract Introduction: The health workers are one of the most prone to becoming infected with COVID-19, due to their exposure during their relationship with patients. Objective: To determine the clinical and epidemiological characteristics of COVID-19 in workers of the Pediatric Hospital of Camagüey in the period from January to December 2021. Methods: A descriptive and cross-sectional study was carried out in a universe of 238 workers with a polymerase chain reaction–confirmed diagnosis during the aforementioned period; registered in a database. The variables studied included age group, sex, occupational category, service of origin, clinical manifestations, quarter of the year, and possible source of infection. The data were processed using the statistical program SPSS (Statistical Package for Social Sciences), version 25.0, on a Pentium IV computer. Informed consent and the bioethical principles of confidentiality of information were taken into account in the research. Results: The female sex predominated (54.7%) at ages 50-59 years. They were mostly nursing staff (29.4%), infected during the third trimester (39.9%) in the community (59.3%), presenting symptoms such as nasal discharge (32.8%) and fever (17.6%), working in the pediatric medicine wards (28.2%). Conclusions: Despite the difficult epidemiological situation, the main source of infection was the community. There were no institutional transmission events and there were no deaths.

Introducción: fundada en 1950, la Asociación Colombiana de Endocrinología, Diabetes y Metabolismo (ace) cumple 72 años y se posiciona como una de las asociaciones científicas más sólidas y exitosas de Colombia, la cual basa su actuar en el desarrollo de tres pilares estratégicos: liderazgo académico, empoderamiento de comunidades de pacientes y participación en decisiones de políticas públicas que involucren a la especialidad. Contenidos: en este artículo se describe, de forma cronológica, todo el quehacer de la ace a lo largo de sus 72 años de funcionamiento, destacando sus modificaciones nominales y estatutarias, el desarrollo de sus eventos académicos ininterrumpidos, congresos, cursos nacionales e internacionales, simposios, seminarios y, recientemente, todas las estrategias digitales de difusión en educación médica, la creación de la revista Colombiana de Endocrinología, Diabetes y Metabolismo, la conformación de sus capítulos y el apoyo de sus miembros al desarrollo de los diferentes programas académicos de formación en la especialidad. Conclusiones: la ace ha sido reconocida en la comunidad médica como una de las asociaciones con mejores logros y ha entrado en la modernidad fortaleciéndose en la modalidad virtual, con el objetivo de beneficiar al máximo a la comunidad de profesionales de la salud y especialmente a los pacientes.

Introducción: La enfermedad COVID-19 cambió la vida de muchas personas en el mundo. Como la percepción de la necesidad de bioseguridad y la evaluación adecuada de los riesgos biológicos, especialmente en las unidades médicas. La evaluación de riesgo de infección para COVID-19 en las áreas de trabajo en los hospitales es una necesidad en la actualidad, ya que el poder tomar medidas correctivas y preventivas oportunamente nos permite reducir el riesgo de infección para COVID-19 para disminuir los casos de infección dentro de las unidades médicas e incluso su probable transmisión a colaboradores o pacientes. Objetivos: Evaluar el riesgo de infección para COVID-19 en diversas áreas hospitalarias y administrativas. Métodos: Se realizó una medición del riesgo de infección para COVID-19 en el hospital Teodoro Maldonado Carbo, Guayaquil, Ecuador. Se evaluaron 35 áreas, subdivididas en siete grupos. Se utilizó como herramienta de evaluación el protocolo de evaluación de riesgos COVID-19. Resultados: Los resultados indicaron que el 86 % de las áreas evaluadas tenían riesgo alto y el 14 % riesgo medio. Siendo las áreas administrativas las de riesgo más bajo y las áreas críticas las de riesgo más elevado. Conclusión: Las áreas críticas del hospital presentaron un riesgo alto de infección para Sars-Cov-2 según la medición del PER-COVID-19, esto representa un peligro importante de morbilidad y mortalidad para los trabajadores del hospital Teodoro Maldonado Carbo que podría traducirse en un importante ausentismo temporal e incluso permanente y la posibilidad de secuelas (enfermedades profesionales).

Objetivo: analizar los fallecimientos por COVID-19 entre profesionales de Enfermería brasileños, con diagnóstico confirmado de la enfermedad y en cuarentena, internados o fallecidos, en el Observatorio del Consejo Federal de Enfermería. Método: estudio transversal realizado en Brasil entre marzo de 2020 y agosto de 2021 a través del Observatorio del Consejo Federal de Enfermería. Los datos se analizaron por medio de estadística descriptiva e inferencial. Resultados: la prevalencia de fallecimientos por COVID-19 entre profesionales de Enfermería brasileños fue del 2,5% (825/32.560) y en auxiliares de enfermería fue del 4,9% (109/2.224), estos últimos con mayor media de edad (p

Introduction: Health personnel represent the first response of the health system in the COVID-19 pandemic. Therefore, it is important to assess their knowledge about the identification and care of patients with COVID-19. Objective: To identify the factors associated with the perception of knowledge of Peruvian resident physicians regarding the care of patients with COVID-19 and to describe the perception of mental health during the COVID-19 pandemic. Methods: Cross-sectional study, carried out in 2020 in hospitals in Peru. The "Perception of Knowledge in Health Workers" scale was used (Cronbach's Alpha: 0.77). And also, the "Mental Health COVID-19" scale was used (Cronbach's Alpha: 0.88). Bivariate and multivariate statistics were performed. Results: Of the 200 respondents, 12% and 5% stated that they were able to recognize a suspected case and care for a diagnosed patient, respectively; 41% and 35% strongly agreed with the fear/concern of infecting their family and feeling mistreatment due to the lack of personal protective equipment, respectively. In the multivariate analysis, the perception of knowledge was associated with working in emergencies (p= 0.007), with the number of positive friends for COVID-19 (p= 0.012) and with having recently undergone intubation (p= 0.035); these were adjusted by the mental health perception score. Conclusions: Working in emergencies, having had contact with infected patients and having performed medical-surgical procedures influence the perception of knowledge of doctors about the care of patients with COVID-19.

Introduction: although healthcare personnel in Colombia have experienced changes in their living and health conditions in times of pandemic, the information generated from their own point of view is scarce. Objective: explore in a group of public health professionals in training, who are in care activity, their personal, family and work experiences in times of pandemic. Medellín-Colombia 2021. Methodology: qualitative exploratory study, with a cohort of health professionals in training. Data taken through the Focus Group, after obtaining consent. Analysis; textual transcription, open and axial coding, texts presented in prose. Study approved by the Institutional Research Committee of the University-CES. Results: they experienced amazement, bewilderment, uncertainty, disbelief, and fear. They faced their personal and work limits. Although they considered abandoning their work, the duty and necessity of their employment got the better of them. Their life was quiet, they had the dream job and they were happy, even though their jobs were demanding. The generalized fear and stigmatization on the part of patients, relatives and health personnel, facilitate social and mental health problems. Your stress and workload increased; “Deal with the emotional situation of patients; with ethics and professionalism, three and four patients can die in turn ”. They strengthened their resilience, they live in uncertainty, and they recognize that their working conditions have not improved, nor will they improve. Conclusion: they experienced emotional and mental health changes due to physical isolation, relationship limitation, fear, anxiety and vulnerability, affecting their life project. They had to adapt to new forms of work and education, however, they developed qualities and skills for resilience and solidarity. [ABSTRACT FROM AUTHOR]

Objective. To identify how the strategy of providing contraceptive methods after any obstetric event (APEO, its Spanish acronym) is implemented and to analyze the barriers, actions and recommendations to prevent subsequent pregnancies in adolescents. Materials and methods. Qualitative study through content analysis of 21 semi-structured interviews with health services providers from two Mexican states. Results. The provision of contraceptives after any obstetric event is promoted during pregnancy, childbirth, postabortion, puerperium and up to 12 months after the obstetric event. Counseling should address, in addition to technical information on contraceptive methods, other key issues related to the sexual and reproductive rights of adolescents. We identified personal, institutional and social barriers in the implementation of the strategy. Health staff provided specific recommendations and actions for consolidate this strategy. Conclusion. The APEO strategy must be strengthened to guarantee the supply of services according to the needs of women under 20, as well as to design interventions based on good practices and health providers' recommendations to overcome barriers and have longer birth intervals that imply further births beyond adolescence. [ABSTRACT FROM AUTHOR]

The aim of the study was to analyze the perception of primary care workers about the interprofessional performance of the oral health teams (OHT). With a descriptive and qualitative approach, semi-structured and audio-recorded interviews, were conducted individually in a closed environment, with professionals from the Family Health Strategy (FHS) and the Expanded Nucleus of Family Health and Primary Care (ENFH-PC) from the city of Londrina, PR, Brazil. Thus, the sample consisted of: two dentists, two nurses, two pharmacists, two physiotherapists, two physicians, two nutritionists, two physical education professionals and two psychologists. The semi-structured script consisted of two parts: the first with questions about the professional profile of respondents and the second with guiding questions about the perception of interprofessional work, knowledge of the activities performed by the dentist and OHT, as well as the integration and articulation of OHT with other health professionals (potentialities and weaknesses). Using the Bardin Content Analysis technique, the answers were grouped into analysis categories: a) workers' perceptions regarding interprofessional work, b) integration between Dentistry and c) FHS/ENFH-PC, and Dentistry's potentialities and weaknesses in interprofessional practice. With the insertion of Dentistry in the FHS expanded access to dental services, a point highlighted as potentiality. However, the activities developed by OHT remained associated with the technical and individual procedures. It was concluded that interprofessional practices are still a challenge for dental workers in the FHS. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic has had repercussions in the social, economic, psychological and health spheres, for which risk and exposure groups have been identified. Health workers are distinguished from the rest of the population by constant contact with patients carrying the SARS-CoV-2 virus. Objetive: To determine the difference in the incidence of COVID-19 in health workers who remain in work activity and those who shelter at home. Material and methods: Cohort study in health workers from March 2020 to January 2021. Two groups were integrated, the exposed group made up of workers who remained working in the health unit (n = 4650) and the non-exposed group, those who carried out home protection (n = 337). When the groups were integrated, none had a diagnosis of COVID-19, they were followed up for 11 months and when COVID-19 was diagnosed, it was done with a PCR test. Statistical analysis included incidence rate, confidence intervals, Chi square, relative risk, and confidence interval for relative risk. Results: The incidence of COVID-19 in workers in home shelter was 39.8% (95% CI: 34.6-45.0) and in workers who remained in the medical unit 16.0% (95% CI: 14.9-17.1). The relative risk was 0.40 (95% CI: 0.34-0.47) for workers who remained working in the health unit. Conclusion: The incidence of COVID-19 was higher in health workers with home protection than in those who continued with normal activities in the medical unit. [ABSTRACT FROM AUTHOR]

Objective: To describe the sociodemographic characteristics and determine the factors associated with psychological manifestations of depression, anxiety, and stress in healthcare workers in the context of COVID-19 pandemic in health facilities in Peru during the month of May 2020. Methods: An analytical cross-sectional study was conducted out in healthcare workers of hospital establishments in Peru. To evaluate the outcome of interest, we administered a structured questionnaire that asked about type of healthcare personnel; sociodemographic characteristics; Generalized Anxiety Disorder scale (GAD-7); Patient Health Questionnaire scale (PHQ-9); and the Revised Stressor Impact scale (IES-R). We used generalized linear Poisson models, with a logarithmic link function and robust variance. Results: Out of 258 respondents, 254 completed the survey; 61.8% were women; the most common work area was emergency department or hospitalization (inpatient) services (62.2%). The median PHQ-9 score was 4 points (IQR: 2-7); for the GAD-7, it was 6 points (IQR: 4-8), and for the IES-R, 16 points (IQR: 8-24). The multivariate analysis showed that being a physician was associated with less anxiety (PR: 0.77; 95% CI: 0.62-0.94), whereas living alone was associated with a greater risk of depression (PR: 1.46; 95% CI: 1.11-1.92). Conclusions: Healthcare personnel are at risk of manifesting psychological alterations, mainly associated with the female gender, non-medical personnel and living alone. [ABSTRACT FROM AUTHOR]

Objective: To identify strategies available in the scientific literature on effective communication among health professionals in Neonatology. Methods: This is an integrative review carried out from April to August 2021, by consulting the following databases: BDEnf, LILACS, IBECS, MEDLINE/PUBMED, Scopus and Science Direct. Studies whose titles and abstracts were related to effective communication strategies among health professionals to promote safety in Neonatology were included, and duplicates and integrative/systematic/bibliographic/narrative reviews were excluded. Results: The strategies aimed at promoting effective communication found in this review were SBAR, P.U.R.E and handoffs. Conclusions: These strategies are configured as effective in improving communication between the multidisciplinary teams in Neonatology, reflecting positively on quality of care and on patient safety. [ABSTRACT FROM AUTHOR]

Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cultura del Cuidado Enfermería is the property of Revista Cultura del Cuidado Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Usta Salud is the property of Revista UstaSalud de la Division de Ciencias de la Salud de la Universidad Santo Tomas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To identify factors associated with non-adherence to hand hygiene by health professionals. Integrative review of eight selected studies using a search strategy based on health descriptors (DeCs), in the databases BDENF, LILACS, Medline via VHL. Factors are evidenced such as work overload, skin irritation, infrastructure, replacement of MH by gloves, knowledge gaps, forgetfulness, lack of incentive, lack of input and the divergence of professional categories. Factors related to the system and the work environment were also highlighted. HM and ARIs are still a multifactorial root problem, so intervention actions should be aimed both at the professional who works directly with the patient, as well as for hospital managers. In addition, further studies that address this issue are needed, so that it is possible to promote more effective strategies for proper hand hygiene. [ABSTRACT FROM AUTHOR]

Debido a la extensión del contexto pandémico por segundo año, es preciso establecer no solo una cobertura universal para la creciente demanda en cuidados paliativos, sino también estructurar estrategias de intervención para los profesionales de salud de la atención primaria que los desarrollan. Ante esta realidad el presente artículo pretende reflexionar sobre la Calidad de Vida del Personal de Salud de APS en Cuidados Paliativos postpandemia. La necesidad de cuidados paliativos crece a diario para evitar el sufrimiento de las personas que no lo reciben a nivel mundial. Por lo cual, es vital el desarrollo de estas prestaciones para los individuos en su hogar junto a su familia desde el nivel primario de atención. Los trabajadores de la atención primaria de salud ya presentaban altos niveles de burnout antes de la pandemia debido a las exigencias propias del trabajo. Con estos antecedentes es preciso apoyar en las relaciones significativas y redes de apoyo, así como favorecer el trabajo en equipo, entre otras posibles intervenciones. Entendiendo en la pandemia actual con escases de recursos y creciente presión sobre los profesionales, es crítico establecer acciones concretas que impacten en las condiciones laborales de los trabajadores de atención primaria de salud que prestan cuidados paliativos, de tal forma, impactar positivamente en su calidad de vida. Así, ellos cuenten con las herramientas precisas para enfrentarse a la situación de atender a personas con una enfermedad potencialmente mortal, sin tener influencia negativa en su propia salud. Es decir, ser capaces de ofrecer cuidados paliativos de calidad a personas y familias atendidas en la atención primaria de salud, con una buena calidad de vida tanto para quien otorga como para quien recibe la atención.

Background: COVID-19 involves specific challenges for healthcare workers, which represent a greater burden of stress. This confers interest and relevance to the study of the affective sphere in this sector, a protagonist in the positive COVID-19 patient’s care.Objective: to characterize affective symptoms in professionals who work in the positive COVID-19 cases care.Methods: a cross-sectional descriptive study was carried out in health professionals who work in the positive COVID-19 patient’s care; between April and July 2020, at the Manuel Fajardo Rivero hospital in Santa Clara. 82 workers (nurses and health technologists) were the study population. The variables studied were sex, professional category and range of severity of affective symptoms (depression and anxiety).Results: all the professionals presented some degree of anxiety, with a predominance of the moderate form (64.6%). The 63.4% did not show depression, however, 43.47% of those who had this symptom were women, and 52.63% were professional nurses. Anxiety moderately affected 72.22% of men, 58.69% of women, and 68.42% of nurses.Conclusion: Among the affective symptoms in professionals who work in the positive COVID 19 cases care, a predominance of anxiety was observed. This study explores aspects of mental health that foresee the importance of future interventions.