The Crucial Role of Nurses and Social Workers in Initiating End-of-Life Communication to Reduce Overtreatment in the Midst of the COVID-19 Pandemic

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Abstract

The large scale and rapid spread of the current COVID-19 pandemic has changed the way hospitals and other health services operate. Opportunities for patient-centered decision-making at the end of life are being jeopardized by a scarcity of health system resources. In response, the traditional doctor-initiated advanced care planning (ACP) for critical illness may also need to be readjusted. We propose nurse-led and allied health-led ACP discussions to ensure patient and family inclusion and understanding of the disease prognosis, prevention of overtreatment, and potential outcomes in crisis times. We highlight known barriers and list enablers, long-term and short-term opportunities to assist in the culture change.

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Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

Jianbo Lai, Simeng Ma, Ying Wang … (2020)

Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.

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Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

Sofia Pappa, Vasiliki Ntella, Timoleon Giannakas … (2020)

Highlights • At least one in five healthcare professionals report symptoms of depression and anxiety. • Almost four in 10 healthcare workers experience sleeping difficulties and/or insomnia. • Rates of anxiety and depression were higher for female healthcare workers and nursing staff. • Milder mood symptoms are common and screening should aim to identify mild and sub-threshold syndromes.

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The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19)

J Randall Curtis, Erin K Kross, Renee D Stapleton (2020)

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Author and article information

Journal

Journal ID (nlm-ta): Gerontology

Journal ID (iso-abbrev): Gerontology

Journal ID (publisher-id): GER

Title: Gerontology

Publisher: S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.com )

ISSN (Print): 0304-324X

ISSN (Electronic): 1423-0003

Publication date (Electronic): 9 June 2020

Pages: 1-4

Affiliations

[1] ^aGold Coast Hospital and Health Service, Southport, Queensland, Australia

[2] ^bSchool of Public Health and Community Medicine, The University of New South Wales, Randwick, New South Wales, Australia

[3] ^cSchool of Psychology, The University of New South Wales, Randwick, New South Wales, Australia

[4] ^dInstitute for Evidence-Based Healthcare, Bond University, Robina, Queensland, Australia

Author notes

*Magnolia Cardona, Institute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, 14 University Dr., Level 4, Building E, Robina, QLD 4226 (Australia), mcardona@ 123456bond.edu.au

Article

Publisher ID: ger-0001

DOI: 10.1159/000509103

PMC ID: 7316661

PubMed ID: 32516766

SO-VID: 35b46ba4-2565-4056-af4c-498113f45919

License:

This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

History

Date received : 25 April 2020

Date accepted : 30 May 2020

Page count

Tables: 1, References: 17, Pages: 4

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