RESUMO
The purpose of this study was to analyze occupational and personal stressors, mental health indicators, perceived discrimination and help-seeking behaviors among healthcare workers and providers (HCWPs) serving socially vulnerable groups such as immigrants, refugees, farmworkers, homeless individuals, people living in poverty, and other disadvantaged populations in the United States (U.S.) during the COVID-19 pandemic. Using a cross-sectional descriptive approach, we gathered information between July and September 2020, from a sample of 407 affiliates of two national organizations of clinic-based HCWPs who worked at federally funded and community safety-net clinics. Informed consent was obtained from all participants who completed a self-administered online survey available in English and Spanish. Our results indicated that the HCWPs serving vulnerable groups in the midst of the pandemic experienced high levels of occupational and personal stressors as well as anxiety and depressive symptomology. Major occupational stressors were excessive workload, long working-hours, and institutional barriers to refer and follow-up on their clients' access to needed social services. High-rated personal stressors included sleep disorders, lack of and child-care, partner's loosing job, and other family related situations. Our findings suggest that HCWPs working with vulnerable populations need specialized interventions that bolster their mental health and well-being as the pandemic continues to unfold. We recommend implementing initiatives that encourage HCWPs' to be actively involved in clinic decisions regarding employee safety and protection as well as in management decisions to improve work place infrastructure and capacity to respond to the social needs of their clients. Lessons learned from the pandemic are useful tools in designing protocols for addressing the mental-health needs of HCWPs in health-care organizations that attend to socially underprivileged populations.
Assuntos
COVID-19 , Estresse Ocupacional , Estudos Transversais , Pessoal de Saúde , Humanos , Saúde Mental , Estresse Ocupacional/epidemiologia , Pandemias , Discriminação Percebida , SARS-CoV-2 , Estados Unidos , Populações VulneráveisRESUMO
Se hizo un estudio descriptivo y transversal de 128 pacientes ingresados con fractura de cadera en el Servicio de Ortopedia y Traumatología del Hospital Clinicoquirúrgico Docente "Dr. Ambrosio Grillo" de Santiago de Cuba, desde junio del 2008 hasta mayo del 2009, con vistas a caracterizarles según determinadas variables clinicoepidemiológicas. Dichas lesiones resultaron más frecuentes en el grupo etario de 80-89 años y el sexo femenino, con predominio de las fracturas traumáticas extracapsulares, tratadas quirúrgicamente con reducción y osteosíntesis en 45,3 % de los afectados durante las primeras 24 horas de hospitalización. En 61,4 % del total se presentó alguna complicación como la anemia aguda e infección de la herida; no obstante, la mayoría de los integrantes de la casuística (96,9 %) egresó con vida.
A descriptive and cross-sectional study was carried out in 128 patients with hip fractures admitted to the Orthopedics and Traumatology Department at "Dr. Ambrosio Grillo" Teaching Clinical Surgical Hospital in Santiago de Cuba from June 2008 to May 2009, in order to characterize them according to certain clinical epidemiological variates. These injuries were more frequent in the age group of 80-89 years and in female sex, with a predominance of extracapsular traumatic fractures, treated surgically with reduction and osteosynthesis in 45,3 % of patients during the first 24 hours of hospitalization. There were some complications as acute anemia and wound infection in 61,4 % of the total; however, most cases (96,9 %) were discharged alive.