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      Reactions and feelings of health professionals in the care of hospitalized patients with suspected covid-19 Translated title: Reações e sentimentos dos profissionais de saúde no cuidado de pacientes hospitalizados com suspeita covid-19 Translated title: Reacciones y sentimientos de profesionales de la salud en la atención de pacientes hospitalizados con sospecha de covid-19

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          Abstract

          ABSTRACT Objective: To understand the reactions and feelings of professionals in the frontline of care for inpatients with suspected COVID-19. Method: Qualitative approach study with 19 health team professionals from a teaching hospital located in the hinterland of the state of Paraná. Data were collected in March and April 2020. For data analysis, content analysis was used. Results: Of all professionals, 89.5% were female, 57.8% were between 20 and 30 years old. The following emotions and feelings were highlighted by the content analysis: Motivation; willingness to contribute; feelings of fear, anxiety; obligation; preoccupation with death; sadness; discrimination; isolation; prejudice; uncertainty; and doubts about the future. Conclusion: The research showed workers' reactions/feelings, which were ambivalent both as a motivating impulse and as self-care, such as in the case of isolation/fear in coping with COVID-19.

          Translated abstract

          RESUMO Objetivo: Compreender reações e sentimentos de profissionais da linha de frente, no atendimento a pacientes internados com suspeita de COVID-19. Método: Estudo de abordagem qualitativa realizado em hospital do interior do estado do Paraná, Brasil. A coleta de dados ocorreu entre março e abril de 2020, por meio de entrevistas com 19 profissionais da equipe de saúde. Para análise dos dados, utilizou-se a análise de conteúdo. Resultados: Da totalidade dos profissionais, 89,5% eram do sexo feminino e 57,8% com idade entre 20 e 30 anos. Da análise qualitativa, destacaram-se as emoções e sentimentos: motivado pela experiência; medo e ansiedade; obrigação; preocupação com a morte, tristeza; discriminação; isolamento; preconceito; incerteza e dúvidas em relação ao futuro. Conclusão: A pesquisa evidenciou reações/sentimentos dos trabalhadores revelando ambivalência tanto como impulso motivador e cuidados de si, como de reclusão/temor no enfrentamento do COVID-19.

          Translated abstract

          RESUMEN Objetivo: Comprender las reacciones y sentimientos de los profesionales de primera línea en la atención de pacientes hospitalizados con sospecha de COVID-19. Método: Estudio de un enfoque cualitativo. Participaron 19 profesionales del equipo de salud de un hospital universitario en el interior del estado de Paraná. Los datos se recopilaron en marzo y abril de 2020. Para el análisis de datos, se utilizó el análisis de contenido. Resultados: Del total de profesionales, 89.5% eran mujeres, 57.8% tenían entre 20 y 30 años. En el análisis cualitativo, destacamos: Motivado por la experiencia; Miedo y ansiedad; obligación; Preocupación por la muerte, tristeza; Discriminación; Aislamiento; Preconcepción; Insomnio; Actividad física, lectura, series de televisión; Incertidumbre y dudas sobre el futuro. Conclusión: La investigación mostró las reacciones/sentimientos de los trabajadores, revelando la ambivalencia tanto como un impulso motivador y autocuidado, como también el confinamiento/miedo al hacer frente a COVID-19.

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          Most cited references14

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          Origin and evolution of pathogenic coronaviruses

          Severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) are two highly transmissible and pathogenic viruses that emerged in humans at the beginning of the 21st century. Both viruses likely originated in bats, and genetically diverse coronaviruses that are related to SARS-CoV and MERS-CoV were discovered in bats worldwide. In this Review, we summarize the current knowledge on the origin and evolution of these two pathogenic coronaviruses and discuss their receptor usage; we also highlight the diversity and potential of spillover of bat-borne coronaviruses, as evidenced by the recent spillover of swine acute diarrhoea syndrome coronavirus (SADS-CoV) to pigs.
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            SARS and MERS: recent insights into emerging coronaviruses

            Key Points Severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) are zoonotic pathogens that can cause severe respiratory disease in humans. Although disease progression is fairly similar for SARS and MERS, the case fatality rate of MERS is much higher than that of SARS. Comorbidities have an important role in SARS and MERS. Several risk factors are associated with progression to acute respiratory distress syndrome (ARDS) in SARS and MERS cases, especially advanced age and male sex. For MERS, additional risk factors that are associated with severe disease include chronic conditions such as diabetes mellitus, hypertension, cancer, renal and lung disease, and co-infections. Although the ancestors of SARS-CoV and MERS-CoV probably circulate in bats, zoonotic transmission of SARS-CoV required an incidental amplifying host. Dromedary camels are the MERS-CoV reservoir from which zoonotic transmission occurs; serological evidence indicates that MERS-CoV-like viruses have been circulating in dromedary camels for at least three decades. Human-to-human transmission of SARS-CoV and MERS-CoV occurs mainly in health care settings. Patients do not shed large amounts of virus until well after the onset of symptoms, when patients are most probably already seeking medical care. Analysis of hospital surfaces after the treatment of patients with MERS showed the ubiquitous presence of infectious virus. Our understanding of the pathogenesis of SARS-CoV and MERS-CoV is still incomplete, but the combination of viral replication in the lower respiratory tract and an aberrant immune response is thought to have a crucial role in the severity of both syndromes. The severity of the diseases that are caused by emerging coronaviruses highlights the need to develop effective therapeutic measures against these viruses. Although several treatments for SARS and MERS (based on inhibition of viral replication with drugs or neutralizing antibodies, or on dampening the host response) have been identified in animal models and in vitro studies, efficacy data from human clinical trials are urgently required. Supplementary information The online version of this article (doi:10.1038/nrmicro.2016.81) contains supplementary material, which is available to authorized users.
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              Análise de conteúdo: exemplo de aplicação da técnica para análise de dados qualitativos

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                Author and article information

                Journal
                rgenf
                Revista Gaúcha de Enfermagem
                Rev. Gaúcha Enferm.
                Universidade Federal do Rio Grande do Sul. Escola de Enfermagem (Porto Alegre, RS, Brazil )
                0102-6933
                1983-1447
                2021
                : 42
                : spe
                : e20200160
                Affiliations
                [1] Cascavel Paraná orgnameUniversidade Estadual do Oeste do Paraná orgdiv1Residência Gerenciamento de Enfermagem em Clínica Médica e Cirúrgica Brazil
                [4] Cascavel Paraná orgnameUniversidade Estadual do Oeste do Paraná orgdiv1Colegiado de Enfermagem Brazil
                [3] Cascavel Paraná orgnameHospital Universitário do Oeste do Paraná Brasil
                [2] Cascavel Paraná orgnameUniversidade Estadual do Oeste do Paraná orgdiv1Farmácia Hospital Brazil
                Article
                S1983-14472021000200404 S1983-1447(21)04200000404
                10.1590/1983-1447.2021.20200160
                7033dd73-8d6b-45dd-9cc4-01eb24d6622a

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 22 June 2020
                : 05 October 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 14, Pages: 0
                Categories
                Original Article

                Pessoal de saúde,Infecções por coronavírus,Health personnel,Emociones,Emotions,Coronavirus infections,Personal de salud,Grupo de atención al paciente,Patient care team,Emoções,Infecciones por coronavírus,Equipe de assistência ao paciente

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