Cultura y seguridad de los profesionales sanitarios en los servicios de urgencia y emergencia durante la pandemia
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v16.13349Palabras clave:
DESCRIPTORES: COVID-19; Pandemias; Seguridad; Servicios Médicos de Urgencia; Personal de Salude.Resumen
Objetivo: mapear la evidencia científica sobre la cultura de seguridad de los profesionales de la salud ante la pandemia de COVID-19 en los servicios móviles de emergencia y urgencias y atención de emergencia. Métodos: Scoping Review, desarrollado según lineamientos del JBI. Se realizó una búsqueda en siete bases de datos y los hallazgos se enviaron a una carpeta de archivos en la plataforma Rayyan. Resultados: 7.357 publicaciones de las cuales se seleccionaron 19 artículos y 03 documentos de literatura gris. Conclusiones: hubo un aumento exponencial de casos de infección entre profesionales de la salud en momentos críticos de la pandemia, repercusiones en la salud mental de los profesionales y altas cargas físicas y sociales. La cultura de seguridad se vio afectada por la falta de infraestructura, desprotección y abandono por parte de las instituciones de salud y los gobiernos. Proteger a los profesionales de urgencias/emergencias debe ser una prioridad en la lucha contra las pandemias.
DESCRIPTORES: COVID-19; Pandemias; Seguridad; Servicios médicos de urgencia; Personal de salude.
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- Ilczak T, Rak M, Ćwiertnia M, Mikulska M, Waksmańska W, Krakowiak A, et al. Predictors of stress among emergency medical personnel during the COVID-19 pandemic. Int J Occup Med Environ Health [Internet]. 2021 [cited 2022 aug 22];34(2). Available from: https://doi.org/10.13075/ijomeh.1896.01688
- Canan A, Murat C, Cetin T. The analysis of emergency medicine professionals’ occupational anxiety during the COVID-19 pandemic. Signa Vitae [Internet]. 2021 [cited 2022 aug 22];17(3). Available from: https://www.signavitae.com/articles/10.22514/sv.2021.023
- Bijani M, Abedi S, Karimi S, Tehranineshat B. Major challenges and barriers in clinical decision-making as perceived by emergency medical services personnel: a qualitative content analysis. BMC Emerg Med [Internet]. 2021 [cited 2022 aug 22];21(11). Available from: https://doi.org/10.1186/s12873-021-00408-4
- Cheraghi F, Chosari MRY, Jam MB, Afshari A. Emergency medical technicians’ ethical challenges in the prehospital emergency services: a review article. Health Emerg Disasters Q [Internet]. 2019 [cited 2022 aug 22];5(1). Available from: https://hdq.uswr.ac.ir/article-1-222-en.html
- Dal Pai D, Gemelli MP, Boufleuer E, Finckler PVPR, Miorin JD, Tavares JP, et al. Repercussões da pandemia pela COVID-19 no serviço pré-hospitalar de urgência e a saúde do trabalhador. Esc. Anna Nery Rev. Enferm. [Internet]. 2021 [acesso em 22 de agosto de 2022];25(spe). Disponível em: https://doi.org/10.1590/2177-9465-EAN-2021-0014
- Brasil. Ministério da Saúde. Portaria nº 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP) [portaria na internet]. Diário Oficial da União 2 abr 2013 [acesso em 10 de setembro de 2022]. Seção 1 (43). Disponível em: https://www.jusbrasil.com.br/diarios/52582397/dou-secao-1-02-04-2013-pg-43
- Brasil. Ministério da Saúde, Fundação Oswaldo Cruz, Agência Nacional de Vigilância Sanitária. Documento de Referência para o Programa Nacional de Segurança do Paciente [Internet]. Brasília: Ministério da Saúde [acesso em 10 de setembro de 2022]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf
- Soto-Cámara R, García-Santa-Basilia N, Onrubia-Baticón H, Cárdaba-García RM, Jiménez-Alegre JJ, Reques-Marugán AM, et al. Psychological Impact of the COVID-19 Pandemic on Out-of-Hospital Health Professionals: A Living Systematic Review. J Clin Med [Internet]. 2021 [cited 2022 aug 22];10(23). Available from: https://doi.org/10.3390/jcm10235578
- World Health Organization (WHO). WHO Director-General's opening remarks at the media briefing – 5 May 2023 [Internet]. 2023 [cited 2024 mar 01]. Available from: https://www.who.int/news-room/speeches/item/who-director-general-s-opening-remarks-at-the-media-briefing---5-may-2023
- Cabore JW, Karamagi HC, Kipruto HK, Mungatu JK, Asamani JA, Droti B, Titi-Ofei R, Seydi ABW, Kidane SN, Balde T, Gueye AS, Makubalo L, Moeti MR. COVID-19 in the 47 countries of the WHO African region: a modelling analysis of past trends and future patterns. Lancet Glob Health [Internet]. 2022 [cited 2022 aug 22];10(8). Available from: 10.1016/S2214-109X(22)00233-9.
- Aromataris E, Munn Z (Editors). JBI Evid Synth [Internet]. 2020 [cited 2022 aug 22]. Available from: https://jbi-global-wiki.refined.site/space/MANUAL
- Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol [Internet]. 2005 [cited 2022 aug 22];8(1). Available from: https://www.tandfonline.com/doi/abs/10.1080/1364557032000119616
- Pollock D, Peters MDJ, Khalil H, McInerney P, Alexander L, Tricco AC, et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evid Synth [Internet]. 2023 [cited 2022 aug 22];21(3). Available from: https://doi.org/10.11124/JBIES-22-00123
- Muir Gray JA. Evidence-based public health – what level of competence is required? J. Public Health Med [Internet]. 1997 [cited 2022 aug 22];19(1). Available from: https://academic.oup.com/jpubhealth/article/19/1/65/1512169
- Rodriguez RM, Montoy JCC, Hoth KF, Talan DA, Harland KK, Eyck PT, et al. Symptoms of Anxiety, Burnout, and PTSD and the Mitigation Effect of Serologic Testing in Emergency Department Personnel During the COVID-19 Pandemic. Ann Emerg Med [Internet]. 2021 [cited 2022 aug 22];78(1). Available from: 10.1016/j.annemergmed.2021.01.028
- Li C, Sotomayor-Castillo C, Nahidi S, Kuznetsov S, Considine J, Curtis K, et al. Emergency clinicians' knowledge, preparedness and experiences of managing COVID-19 during the 2020 global pandemic in Australian healthcare settings. Australas Emerg Care [Internet]. 2021 [cited 2022 aug 22];24(3). Available from: https://doi.org/10.1016/j.auec.2021.03.008
- Firew T, Sano ED, Lee JW, Flores S, Lang K, Salman K, et al. Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers infection and psychological distress during the COVID-19 pandemic in the USA. BMJ Open [Internet]. 2020 [cited 2022 aug 22];10(10). Available from: https://doi.org/10.1136/bmjopen-2020-042752
- Said RM, El-Shafei DA. Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt. Environ Sci Pollut Res Int [Internet]. 2021 [cited 2022 aug 22];28(7). Available from: https://doi.org/10.1007/s11356-020-11235-8
- Blanchard J, Li Y, Bentley SK, Lall MD, Messman AM, Liu YT, et al. The perceived work environment and well-being: A survey of emergency health care workers during the COVID-19 pandemic. Acad Emerg Med [Internet]. 2022 [cited 2022 aug 22];29(7). Available from: https://doi.org/10.1111/acem.14519
- Friedrichson B, Lotz G, Naujoks, F, Zacharowski K, Piekarski F. Health and personal safety at work during the SARS-CoV-2 pandemic. A Germany-wide survey of the emergency medical and rescue services. Anasthesiol Intensivmed [Internet]. 2020 [cited 2022 aug 22];61. Available from: https://doi.org/10.19224/ai2020.295
- Kayama M, Aoki Y, Matsuo T, Kobayashi D, Taki F. Concerns and desires of healthcare workers caring for patients with COVID-19 in April and July 2020 in Japan: a qualitative study of open-ended survey comments. BMJ Open [Internet]. 2022 [cited 2022 aug 22];12(1). Available from: https://bmjopen.bmj.com/content/12/1/e051335
- Spoelder EJ, Tacken MCT, Van Geffen GJ, Slagt C. Helicopter transport of critical care COVID-19 patients in the Netherlands: protection against COVID-19 exposure-a challenge to critical care retrieval personnel in a novel operation. Scand J Trauma Resusc Emerg Med [Internet]. 2021 [cited 2022 aug 22];29(1). Available from: https://doi.org/10.1186/s13049-021-00845-x
- Mohammadi F, Tehranineshat B, Bijani M, Khaleghi AA. Management of COVID-19-related challenges faced by EMS personnel: a qualitative study. BMC Emerg Med [Internet]. 2021 [cited 2022 aug 22];21(1). Available from: https://doi.org/10.1186/s12873-021-00489-1
- Rees N, Smythe L, Hogan C, Williams J. Paramedic experiences of providing care in wales (UK) during the 2020 COVID-19 pandemic (PECC-19): a qualitative study using evolved grounded theory. BMJ Open [Internet]. 2021 [cited 2022 aug 22];11(6). Available from: https://doi.org/10.1136/bmjopen-2021-048677
- Soto-Cámara R, Navalpotro-Pascual S, Jiménez-Alegre JJ, García-Santa-Basilia N, Onrubia-Baticón H, Navalpotro-Pascual JM, et al. Influence of the Cumulative Incidence of COVID-19 Cases on the Mental Health of the Spanish Out-of-Hospital Professionals. J Clin Med [Internet]. 2022 [cited 2022 aug 22];11(8). Available from: https://doi.org/10.3390/jcm11082227
- Li X, Li S, Xiang M, Fang Y, Qian K, Xu J, et al. The prevalence and risk factors of PTSD symptoms amon medical assistance workers during the COVID-19 pandemic. J Psychosom Res [Internet]. 2020 [cited 2022 aug 22];139. Available from: https://doi.org/10.1016/j.jpsychores.2020.110270
- Yeo IH, Kim YJ, Kim JK, Lee DE, Choe JY, Kim CH, et al. Impact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area. Medicina (Kaunas) [Internet]. 2021 [cited 2022 aug 22];57(11). Available from:10.3390/medicina57111274
- Song X, Fu W, Liu X, Luo Z, Wang R, Zhou N, et al. Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China. Brain Behav Immun [Internet]. 2020 [cited 2022 aug 22];88. Available from: https://doi.org/10.1016/j.bbi.2020.06.002
- Şayık D, Acikgoz A, Kaya Ş. Anxiety and Sleep Quality Levels of Emergency Medical Personnel and Factors Affecting Them During the Coronavirus Disease-2019 Pandemic. J Turk Sleep Med [Internet]. 2022 [cited 2022 aug 22];9(1). Available from: https://jtsm.org/articles/doi/jtsm.galenos.2021.20982
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