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Reports from the frontline: health workers describe COVID-19 risks and fears in five cities in Brazil.
Kendall, Carl; Ellery, Ana Ecilda Lima; Carneiro Junior, Nivaldo; da Silva Santana, Rosane; Cruz, Luciane Nascimento; Cohen, Mírian; Leal, Marto; Lima, Luana Nepomuceno Gondim Costa; de Sousa Mascena Veras, Maria Amélia; de Fátima Pessoa Militão de Albuquerque, Maria; Lima, Karla Valéria Batista; Martelli, Celina Maria Turchi; Kerr, Ligia Regina Franco Sansigolo.
Afiliación
  • Kendall C; School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA. ckendall@tulane.edu.
  • Ellery AEL; Federal University of Ceará, Programa de Pós-Graduação Em Saúde Pública, Fortaleza, Brazil. ckendall@tulane.edu.
  • Carneiro Junior N; Federal University of Ceará, Programa de Pós-Graduação Em Saúde Pública, Fortaleza, Brazil.
  • da Silva Santana R; Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, Brazil.
  • Cruz LN; Federal University of Ceará, Programa de Pós-Graduação Em Saúde Pública, Fortaleza, Brazil.
  • Cohen M; Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Leal M; Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Lima LNGC; Federal University of Ceará, Programa de Pós-Graduação Em Saúde Pública, Fortaleza, Brazil.
  • de Sousa Mascena Veras MA; Instituto Evandro Chagas, Belem, PA, Brazil.
  • de Fátima Pessoa Militão de Albuquerque M; Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, Brazil.
  • Lima KVB; Brazil, Oswaldo Cruz Foundation - Pernambuco (FIOCUZ-PE), Recife, Brazil.
  • Martelli CMT; Instituto Evandro Chagas, Belem, PA, Brazil.
  • Kerr LRFS; Brazil, Oswaldo Cruz Foundation - Pernambuco (FIOCUZ-PE), Recife, Brazil.
BMC Health Serv Res ; 23(1): 276, 2023 Mar 22.
Article en En | MEDLINE | ID: mdl-36949423
BACKGROUND: Health providers are under unprecedented pressures to perform in the COVID-19 health crisis and under unprecedented risks. We initiated a large mixed-method survey of health professionals in five large metropolitan areas in Brazil to document the risks and needs of health professionals. To initiate the study, we conducted formative research. METHODS: We conducted 77 open-ended semi-structured interviews online in a convenience sample of physicians, nurses, nurse technicians, and physiotherapists in Belem, Fortaleza, Porto Alegre, Recife, and São Paulo, Brazil. Design, data collection, and analysis were informed by Rapid Ethnographic Analysis (REA). RESULTS: Responses are organized into three themes that emerged in the interviews: the lack of preparation - both locally and nationally-for the pandemic and its effects on staffing and training; the overlap of personal, family, and professional risk and consequences; and inadequately addressed anxiety and suffering among health staff. CONCLUSIONS: Our respondents were unprepared for the epidemic, especially the institutional sequelae and psychological cost. These consequences were exacerbated by both lack of leadership and sweeping changes undercutting the Brazilian health system noted by almost all participants.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Etiology_studies / Qualitative_research / Risk_factors_studies Límite: Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Etiology_studies / Qualitative_research / Risk_factors_studies Límite: Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido