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      Experiencia del personal sanitario durante la primera ola de Covid-19 en España: un estudio cualitativo con grupos focales Translated title: Experience of health workers during the first wave of Covid-19 in Spain: a qualitative study with focus groups

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          Abstract

          RESUMEN. Objetivo: Analizar la experiencia de los profesionales que atendieron en primera línea a los pacientes infectados durante la primera ola de la pandemia de COVID-19. Material y Métodos: Los participantes fueron reclutados entre médicos y enfermeras de varios hospitales y centros de salud en España. Sus narrativas se obtuvieron a través de tres grupos focales. Se empleó la metodología cualitativa, de acuerdo con sus principios exploratorios, inductivos y etnográficos. Resultados: La experiencia del personal sanitario se clasificó en seis categorías: La reacción y organización de los sanitarios, el material y las pruebas, los aspectos emocionales en relación con la asistencia, los conflictos éticos, la gestión sanitaria de la pandemia y el papel social de los sanitarios. Conclusiones: Los sanitarios adoptaron un rol proactivo durante la pandemia. Se señalan las vulnerabilidades y las fortalezas de la asistencia. Los aspectos que tiene que ver con la regulación emocional de los sanitarios resultan claves para el funcionamiento asistencial.

          Translated abstract

          ABSTRACT Objectives: to analyze the experience of health professionals who provided first-line care to infected patients during the COVID-19 pandemic during the first wave. Material and Methods: Participants were recruited from among physicians and nurses in several hospitals and health centers in Spain. Narratives were obtained through three focus groups. Qualitative methodology was used according to exploratory, inductive, and ethnographic principles. Results: The experience of the health personnel was classified into six categories: The reaction and organization of health workers, materials and tests, emotional aspects of care, ethical conflicts, health management of the pandemic, and the social role of health workers. Conclusions: Healthcare workers took a proactive approach during the pandemic. Weaknesses and strengths in the provision of health care were. The capacity of emotional self-regulation of the health care workers is shown to be key to the ability of the health care system to continue operating.

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          Most cited references31

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

          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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            A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak

            Highlights • Commonly reported symptoms are headache, throat pain and lethargy. • A large number of healthcare workers report more than four symptoms. • Those with physical symptoms had higher rates of depression, anxiety, stress, PTSD. • Those with physical symptoms had higher mean scores in the IES-R, DASS subscales. • Association between physical symptoms and psychological outcomes may be bidirectional.
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              Psychosocial impact of COVID-19

              Background Along with its high infectivity and fatality rates, the 2019 Corona Virus Disease (COVID-19) has caused universal psychosocial impact by causing mass hysteria, economic burden and financial losses. Mass fear of COVID-19, termed as “coronaphobia”, has generated a plethora of psychiatric manifestations across the different strata of the society. So, this review has been undertaken to define psychosocial impact of COVID-19. Methods Pubmed and GoogleScholar are searched with the following key terms- “COVID-19”, “SARS-CoV2”, “Pandemic”, “Psychology”, “Psychosocial”, “Psychitry”, “marginalized”, “telemedicine”, “mental health”, “quarantine”, “infodemic”, “social media” and” “internet”. Few news paper reports related to COVID-19 and psychosocial impacts have also been added as per context. Results Disease itself multitude by forced quarantine to combat COVID-19 applied by nationwide lockdowns can produce acute panic, anxiety, obsessive behaviors, hoarding, paranoia, and depression, and post-traumatic stress disorder (PTSD) in the long run. These have been fueled by an “infodemic” spread via different platforms social media. Outbursts of racism, stigmatization, and xenophobia against particular communities are also being widely reported. Nevertheless, frontline healthcare workers are at higher-risk of contracting the disease as well as experiencing adverse psychological outcomes in form of burnout, anxiety, fear of transmitting infection, feeling of incompatibility, depression, increased substance-dependence, and PTSD. Community-based mitigation programs to combat COVID-19 will disrupt children's usual lifestyle and may cause florid mental distress. The psychosocial aspects of older people, their caregivers, psychiatric patients and marginalized communities are affected by this pandemic in different ways and need special attention. Conclusion For better dealing with these psychosocial issues of different strata of the society, psychosocial crisis prevention and intervention models should be urgently developed by the government, health care personnel and other stakeholders. Apt application of internet services, technology and social media to curb both pandemic and infodemic needs to be instigated. Psychosocial preparedness by setting up mental organizations specific for future pandemics is certainly necessary.
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                Author and article information

                Journal
                medtra
                Revista de la Asociación Española de Especialistas en Medicina del Trabajo
                Rev Asoc Esp Espec Med Trab
                Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
                1132-6255
                3020-1160
                2022
                : 31
                : 2
                : 155-166
                Affiliations
                [6] Bilbao orgnameHospital Universitario de Basurto orgdiv1Servicio de psiquiatría España
                [1] Vizcaya orgnameHospital universitario de Galdakao orgdiv1Servicio de psiquiatría España
                [2] Madrid orgnameInstituto de investigación del hospital universitario La Paz (IdiPaz) España
                [4] Madrid orgnameInstituto de investigación del hospital universitario La Paz (IdiPaz) España
                [5] Londres orgnameUniversity College London orgdiv1Departamento de investigación Clínica, Educativa y Psicología de la Salud United Kingdom
                [3] Madrid orgnameInstituto de investigación del hospital universitario La Paz (IdiPaz) España
                Article
                S3020-11602022000200004 S3020-1160(22)03100200004
                d86bf10b-f9ed-4c4b-bb67-aa627cfd587d

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

                History
                : 04 July 2022
                : 16 March 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 12
                Product

                SciELO Spain

                Categories
                Textos Originales

                COVID-10,pandemics,health personnel,qualitative research,COVID-19,pandemia,personal sanitario,estudio cualitativo

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