Impacts for health and care workers of Covid-19 and other public health emergencies of international concern: living systematic review, meta-analysis and policy recommendations

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Vydáno v:Human Resources for Health vol. 22 (2024), p. 1
Hlavní autor: Fronteira, Inês
Další autoři: Mathews, Verona, Ranailla Lima Bandeira dos Santos, Matsumoto, Karen, Amde, Woldekidan, Pereira, Alessandra, Ana Paula Cavalcante de Oliveira, Craveiro, Isabel, Chança, Raphael, Boniol, Mathieu, Ferrinho, Paulo, Dal Poz, Mario Roberto
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Springer Nature B.V.
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022 |a 1478-4491 
024 7 |a 10.1186/s12960-024-00892-2  |2 doi 
035 |a 2925641664 
045 2 |b d20240101  |b d20241231 
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100 1 |a Fronteira, Inês 
245 1 |a Impacts for health and care workers of Covid-19 and other public health emergencies of international concern: living systematic review, meta-analysis and policy recommendations 
260 |b Springer Nature B.V.  |c 2024 
513 |a Journal Article 
520 3 |a BackgroundHealth and care workers (HCW) faced the double burden of the SARS-CoV-2 pandemic: as members of a society affected by a public health emergency and as HWC who experienced fear of becoming infected and of infecting others, stigma, violence, increased workloads, changes in scope of practice, among others. To understand the short and long-term impacts in terms of the COVID-19 pandemic and other public health emergencies of international concern (PHEICs) on HCW and relevant interventions to address them, we designed and conducted a living systematic review (LSR).MethodsWe reviewed literature retrieved from MEDLINE—PubMed, Embase, SCOPUS, LILACS, the World Health Organization COVID-19 database, the ClinicalTrials.org and the ILO database, published from January 2000 until December 2021. We included quantitative observational studies, experimental studies, quasi-experimental, mixed methods or qualitative studies; addressing mental, physical health and well-being and quality of life. The review targeted HCW; and interventions and exposures, implemented during the COVID-19 pandemic or other PHEICs. To assess the risk of bias of included studies, we used the Johanna Briggs Institute (JBI) Critical Appraisal Tools. Data were qualitatively synthetized using meta-aggregation and meta-analysis was performed to estimate pooled prevalence of some of the outcomes.ResultsThe 1013 studies included in the review were mainly quantitative research, cross-sectional, with medium risk of bias/quality, addressing at least one of the following: mental health issue, violence, physical health and well-being, and quality of life. Additionally, interventions to address short- and long-term impact of PHEICs on HCW included in the review, although scarce, were mainly behavioral and individual oriented, aimed at improving mental health through the development of individual interventions. A lack of interventions addressing organizational or systemic bottlenecks was noted.DiscussionPHEICs impacted the mental and physical health of HCW with the greatest toll on mental health. The impact PHEICs are intricate and complex. The review revealed the consequences for health and care service delivery, with increased unplanned absenteeism, service disruption and occupation turnover that subvert the capacity to answer to the PHEICs, specifically challenging the resilience of health systems. 
653 |a Observational studies 
653 |a Pandemics 
653 |a Mental disorders 
653 |a Quasi-experimental methods 
653 |a Databases 
653 |a Public health 
653 |a Data collection 
653 |a Absenteeism 
653 |a Mental health 
653 |a Qualitative research 
653 |a Systematic review 
653 |a Health services 
653 |a Bias 
653 |a COVID-19 
653 |a Meta-analysis 
653 |a Well being 
653 |a Resilience (Psychology) 
700 1 |a Mathews, Verona 
700 1 |a Ranailla Lima Bandeira dos Santos 
700 1 |a Matsumoto, Karen 
700 1 |a Amde, Woldekidan 
700 1 |a Pereira, Alessandra 
700 1 |a Ana Paula Cavalcante de Oliveira 
700 1 |a Craveiro, Isabel 
700 1 |a Chança, Raphael 
700 1 |a Boniol, Mathieu 
700 1 |a Ferrinho, Paulo 
700 1 |a Dal Poz, Mario Roberto 
773 0 |t Human Resources for Health  |g vol. 22 (2024), p. 1 
786 0 |d ProQuest  |t Healthcare Administration Database 
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