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      Trabalhadores(as) da saúde e a COVID-19: condições de trabalho à deriva? Translated title: Health workers and COVID-19: flailing working conditions?

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          Abstract

          Resumo Objetivos: analisar as condições de trabalho dos profissionais de saúde que atuam na pandemia de COVID-19, no Brasil, com base em reportagens publicadas na internet por veículos de comunicação jornalística. Métodos: análise qualitativa de 22 reportagens selecionadas de dois dos principais portais de notícias brasileiros, publicadas entre 20 e 30 de abril de 2020. Por meio da análise temática de conteúdo, foram definidas cinco categorias: Equipamento de Proteção Individual (EPI); profissionais de saúde com comorbidade na linha de frente; adoecimento e morte pelo trabalho; acesso ao tratamento e afastamento do trabalho; desistência do trabalho e atualização profissional. Resultados: as reportagens evidenciaram condições de trabalho inadequadas por ausência e/ou precariedade dos EPI; continuidade do trabalho de profissionais de saúde com comorbidades; adoecimento e mortes pela COVID-19; tensão e medo de serem infectados(as) e de lidar com o adoecimento e morte de colegas; dificuldades no acesso aos testes de COVID-19 e para afastamento do trabalho para tratamento; desistências de trabalhar na atividade; necessidade de atualização rápida para o cuidado em saúde na COVID-19. Conclusão: o cenário pandêmico deixa evidente a necessidade primordial de investimento público no cuidado daqueles(as) que estão à frente dos atendimentos à população.

          Translated abstract

          Abstract Objectives: to analyze the working conditions of health professionals facing the COVID-19 pandemic in Brazil based on online media reports published in prominent news portals. Methods: qualitative analysis of 22 news stories selected from two of the main Brazilian news portals, published between April 20 and 30, 2020. Based on thematic content analysis, we defined five categories: Personal Protective Equipment (PPE) and COVID-19; health workers with comorbidities working on the front line; illness and death due to work; access to treatment and work leave due to COVID-19; resigning from work and professional updating. Results: the news stories reported inadequate working conditions due to lack of and/or inadequate PPE; health care workers with comorbidities remaining at work; sickness and death from COVID-19; strain and fear of being infected, and having to deal with co-workers’ sickness and death; difficulties in getting tested for COVID-19 and obtaining sick leave for treatment; resigning from health care work; need for fast professional updating for COVID-19 health care. Conclusion: the pandemic clearly evidences the need for public investment in health care for workers in charge of caring for the population.

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          Most cited references55

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          COVID-19: protecting health-care workers

          The Lancet (2020)
          Worldwide, as millions of people stay at home to minimise transmission of severe acute respiratory syndrome coronavirus 2, health-care workers prepare to do the exact opposite. They will go to clinics and hospitals, putting themselves at high risk from COVID-2019. Figures from China's National Health Commission show that more than 3300 health-care workers have been infected as of early March and, according to local media, by the end of February at least 22 had died. In Italy, 20% of responding health-care workers were infected, and some have died. Reports from medical staff describe physical and mental exhaustion, the torment of difficult triage decisions, and the pain of losing patients and colleagues, all in addition to the infection risk. As the pandemic accelerates, access to personal protective equipment (PPE) for health workers is a key concern. Medical staff are prioritised in many countries, but PPE shortages have been described in the most affected facilities. Some medical staff are waiting for equipment while already seeing patients who may be infected or are supplied with equipment that might not meet requirements. Alongside concerns for their personal safety, health-care workers are anxious about passing the infection to their families. Health-care workers who care for elderly parents or young children will be drastically affected by school closures, social distancing policies, and disruption in the availability of food and other essentials. Health-care systems globally could be operating at more than maximum capacity for many months. But health-care workers, unlike ventilators or wards, cannot be urgently manufactured or run at 100% occupancy for long periods. It is vital that governments see workers not simply as pawns to be deployed, but as human individuals. In the global response, the safety of health-care workers must be ensured. Adequate provision of PPE is just the first step; other practical measures must be considered, including cancelling non-essential events to prioritise resources; provision of food, rest, and family support; and psychological support. Presently, health-care workers are every country's most valuable resource. © 2020 Denis Lovrovic/AFP/Getty Images 2020 Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
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            Attending to the Emotional Well-Being of the Health Care Workforce in a New York City Health System During the COVID-19 Pandemic

            The COVID-19 pandemic has placed an enormous strain on health care workers, and its potential impact has implications for the physical and emotional well-being of the work force. As hospital systems run far over capacity, facing possible shortages of critical care medical resources and personal protective equipment as well as clinician deaths, the psychological stressors necessitate a strong well-being support model for staff. At the Mount Sinai Health System (MSHS) in New York City, health care workers have been heroically providing frontline care to COVID-19 patients while facing their own appropriate fears for their personal safety in the setting of contagion. This moral obligation cannot be burdened by unacceptable risks; the health system’s full support is required to address the needs of its workforce. In this Invited Commentary, the authors describe how an MSHS Employee, Faculty, and Trainee Crisis Support Task Force—created in early March 2020 and composed of behavioral health, human resources, and well-being leaders from across the health system—used a rapid needs assessment model to capture the concerns of the workforce related to the COVID-19 pandemic. The task force identified 3 priority areas central to promoting and maintaining the well-being of the entire MSHS workforce during the pandemic: meeting basic daily needs; enhancing communications for delivery of current, reliable, and reassuring messages; and developing robust psychosocial and mental health support options. Using a work group strategy, the task force operationalized the rollout of support initiatives for each priority area. Attending to the emotional well-being of health care workers has emerged as a central element in the MSHS COVID-19 response, which continues to be committed to the physical and emotional needs of a workforce that courageously faces this crisis.
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              Factors Associated with Compassion Satisfaction, Burnout, and Secondary Traumatic Stress Among Chinese Nurses in Tertiary Hospitals: A Cross-Sectional Study

              Compassion fatigue is a work-related professional hazard acquired when providing healthcare for patients. This hazard can lead to physical and mental health problems for nurses and may also affect the nursing care quality for patients. However, studies on Chinese nurses' compassion fatigue are scarce, especially large sampled, multi-center empirical research.
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                Author and article information

                Journal
                rbso
                Revista Brasileira de Saúde Ocupacional
                Rev. bras. saúde ocup.
                Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho - FUNDACENTRO (São Paulo, SP, Brazil )
                0303-7657
                2317-6369
                2021
                : 46
                : e1
                Affiliations
                [1] Campinas São Paulo orgnamePontifícia Universidade Católica de Campinas Brazil
                [4] Cuiabá Mato Grosso orgnameUniversidade Federal de Mato Grosso orgdiv1programa de pós-graduação em Sociologia Brazil
                [3] Petrópolis RJ orgnameCentro Universitário Arthur Sá Earp Neto Brasil
                [5] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro Brazil
                [2] Rio de Janeiro orgnameFundação Oswaldo Cruz orgdiv1Centro Latino-Americano de Estudos de Violência e Saúde Jorge Careli Brazil
                [6] Rio de Janeiro RJ orgnamePrefeitura do Rio de Janeiro Brasil
                Article
                S0303-76572021000101200 S0303-7657(21)04600001200
                10.1590/2317-6369000028520
                828c4159-9926-4c26-8fc2-d422f0345664

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

                History
                : 09 November 2020
                : 22 August 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 55, Pages: 0
                Product

                SciELO Brazil

                Categories
                Artigo de pesquisa / Dossiê COVID-19 e Saúde do Trabalhador

                mass media,condições de trabalho,working conditions,infection by coronavirus,occupational health,personal protective equipment,saúde do trabalhador,meios de comunicação de massa,infecção por coronavírus,equipamentos de proteção

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