Bakgrund: Tidigare forskning har belyst sjukvårdspersonalens upplevelser under Covid-19 pandemin. Artiklarna visar på den pressade situationen hälso- och sjukvårdspersonal arbetade under med påverkan på omvårdanden och patientsäkerheten. Mot den bakgrunden är det viktigt att även få patienternas upplevelser beskrivna. Syfte: Att beskriva upplevelser under isoleringstiden på sjukhus hos patienter med Covid-19. Metod: En kvalitativ litteraturstudie med beskrivande syntes enligt Evans (2002). Resultat: I resultatet beskrivs patienternas olika upplevelser i två teman; uppgivenhet och hoppfullhet, med subteman; att ha skuldkänslor, att bli berövad sin frihet, att ha tankar på döden, att inte få tillfredställande vård och att ha tillit till hälso- och sjukvårdspersonalen, att få stöd från omgivningen, att få mening genom livsåskådning. Slutsats: Den nya kunskapen om patienters upplevelser under isoleringstiden kan tas tillvara då liknande situation uppstår i framtiden samt hos de patienter med Covid-19 som vårdas isolerade för närvarande. Examensarbetets resultat kan användas av sjuksköterskor och annan sjukvårdspersonal för reflektion kring patienters lidande och den vårdande relationens betydelse i liknande pandemier med isolering och rädsla för smitta. / Background: Previous research has shed light on healthcare staff's experiences during the Covid-19 pandemic and the pressured situation healthcare staff worked under with an impact on nursing care and patient safety. Hence, it is important to have the patients' experiences described. Aim: To describe experiences during the isolation period in hospitals for patients with Covid-19. Method: A qualitative literature study with descriptive synthesis according to Evans (2002). Results: In the results, the patients' different experiences are described in two themes; resignation and hopefulness, with sub-themes; to have feelings of guilt, to be deprived of one's freedom, to have thoughts of death, to not receive adequate care and to have trust in the healthcare staff, to receive support from the surrounding, to gain meaning through a conception of life. Conclusion: The new knowledge about patients' experiences during the isolation period can be used in similar future situations and for the Covid-19 patients who are currently being cared for in isolation. The thesis result can be used by nurses and other healthcare personnel for reflection on patients' suffering and the importance of caring relationships in similar pandemics with isolation and fear of infection.

Bakgrund: Efter den nyligen uppkomna virussjukdomen Covid-19 har hälso- och sjukvården kraftigt belastats på grund av antal patienter som sökt vård. Sjuksköterskan är den som varit i frontlinjen när det kommer till att ta hand om covid-19 patienter vilket har lagt enorm press på det bristande antalet sjuksköterskor som redan fanns. Det finns många faktorer som påverkat sjuksköterskan och det har även rapporterats att sjuksköterskor har haft det väldigt ansträngt på grund av alla belastningar. Dessa belastningar har i sin tur haft en negativ påverkan på patientomvårdnaden som sjuksköterskan utövar. Syfte: Syftet med denna studie var att beskriva sjuksköterskors upplevelser av hur arbetsbelastningen har påverkat patientomvårdnaden under covid-19 pandemin inom hälso- och sjukvården. Metod: Allmän litteraturöversikt med induktiv ansats baserad på nio vetenskapliga artiklar med kvalitativ metod och en vetenskaplig artikel med mixad metod. Analys utfördes enligt Fribergs (2022) analysmodell för kvalitativ forskning. Resultat: Efter analys av samtliga artiklar presenterades två huvudteman: En hotad omvårdnadskvalité för patienter och Risker för bristande patientsäkerhet. Slutsats: Sjuksköterskor runt om i världen har belastats av den plötsliga Covid-19 pandemin. Dessa belastningar som sjuksköterskor upplevt har haft en negativ påverkan påpatientomvårdnaden vilket har hotat patientsäkerhet och omvårdnadskvalitén som sjuksköterskan erbjuder.

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Covid-19-pandemin påverkade respondenterna på så sätt att undervisningen plötsligt behövde ställas om till distans, vilket medförde en hastigt förändrad arbetssituation. En del respondenter saknade kunskaper och erfarenheter kring användandet av digitala plattformar, vilket bidrog med att arbetssituationen blev svårhanterlig och obegriplig samtidigt som hälsan och deras hanterbarhet, begriplighet och meningsfullhet påverkades till viss del negativt. Syftet med studien var att undersöka i vilken utsträckning gymnasielärares hälsa och arbetssätt påverkades under covid-19-pandemin. Utgångspunkten i studien är den tidigare forskningen, teorierna sense of coherence (SOC) samt transformativt lärande. För att ta reda på detta har en kvantitativ forskningsmetod använts, där en webbenkät skickats ut till olika gymnasieskolor för att nå ut till deras lärare. Resultatet i studien visade att respondenternas hantering av pandemin varit till viss del utmanande för de flesta samt att de befunnit sig i en främmande situation. Slutsatsen i studien är att respondenternas hälsa påverkades till en viss del negativt, där majoriteten upplevde en sämre arbetssituation. Respondenterna har upplevt en utmanande arbetssituation där de genomgått en transformativ lärprocess som bidragit med nya kunskaper, erfarenheter och nya synvinklar som utvecklats i samband med hanteringen av distansundervisningen.

No description available.

Bakgrund: I slutet av 2019 fick sjukdomen Covid-19 en snabb spridning världen över och resulterade i en global pandemi. Tillgängliga vacciner som framställdes mot Covid-19 sågs som den främsta åtgärden för att stoppa pandemins utveckling liksom ger vaccinet ett personligt skydd varpå detta förhindrar allvarlig sjukdom och död. En del av sjuksköterskans profession är att skydda sig själv och skydda vårdtagare som är i behov av omvårdnad. Trots att vaccinet anses effektivt och säkert uttrycker vissa sjuksköterskor och sjuksköterskestudenter som utbildar sig inom professionen vaccinationstveksamheter. Syfte: Syftet var att beskriva faktorer som påverkar sjuksköterskor och sjuksköterskestudenters vaccinationstveksamhet kopplat till Covid-19. Metod: Arbetet är en icke-systematisk litteraturstudie med utgångspunkt i en strukturerad litteratursökning i databaserna Cinahl och PubMed som resulterat i en sammanställning av resultaten från kvantitativa vetenskapliga artiklar mellan år 2020–2022.  Resultat: I resultatet identifierades fyra övergripande kategorier som beskrev vaccinationstveksamheter bland sjuksköterskor och sjuksköterskestudenter; upplevda rädslor, insamlad information och befintlig kunskap, tvivel på vaccinets effekt och effektivitet samt vaccinet anses inte nödvändigt. Slutsats: Trots den professionella roll som följer yrket som sjuksköterska påvisar resultatet vaccinationstveksamhet bland sjuksköterskor och sjuksköterskestudenter, som utbildar sig inom yrket. Fynden i litteraturstudien kan användas som grund för att skapa interventioner. Genom att rikta interventionerna mot faktorer som leder fram till vaccinationstveksamhet bland sjuksköterskor och sjuksköterskestudenter kan vaccinationsintresset öka, både kopplat till Covid-19 och framtidens eventuella virusutbrott.

This qualitative phenomenological study explored the experiences of students working as resident assistants (RAs) in college or university housing departments during the March 2020 COVID-19 shutdown. Twelve current and former RAs participated in qualitative interviews exploring their experience as their institutions shut down because of COVID-19. Three broad categories of experience were found: RAs who were considered essential employees and required to work during the pandemic, RAs who were given the option of working during the pandemic, and RAs who were laid off at the beginning of their pandemic. The central research question was regarding the perceived experience of RAs during the pandemic. RA job duties were detailed from before the pandemic and after the shutdown had taken place. Subquestions regarding RAs’ experiences with their supervisors, their experiences with their peers, their experiences with support systems at their university, and their academic experiences were also detailed. Coding and subsequent analysis yielded the following themes: role of communication, motivation, confusion, disappointment, negative stress, residential life, and unexpected positives. The research includes a discussion about the differing outcomes based on whether or not RAs had choice in their decision to continue to work during the COVID-19 shutdown. The project concludes with recommendations for practice for staff and administrators in housing and residence life, student affairs, academic affairs, and human resource services. These recommendations included implications for RAs and their relationships, RAs as college students, the mental health of RAs, and RAs as essential personnel. Implications for further research included exploring the role of college student supervisor as advocate and caretaker, the services offered by universities during times of crisis, and the exploration of being essential personnel and student employees.

TITLE: Intent to Vaccinate Children Against COVID-19 by Caregiver Vaccination Status in Northeast Tennessee AUTHOR INFO Yordanos Tafesse MD1 tafesse@etsu.edu Olivia A. Sullivan, EMT, MPH1 sullivano@etsu.edu Samuel Pettyjohn, DrPH, MPH1 pettyjohns@etsu.edu 1 Center for Rural Health Research, East Tennessee State University, Johnson City, TN. Addressing vaccine hesitancy is crucial in mitigating the spread of the ongoing COVID-19 pandemic. Children are mostly asymptomatic or have milder symptoms of COVID-19 than adults, and thus may remain undiagnosed, allowing the disease to spread to a large number of people; they are also at a high risk of long-term morbidity from as-of-yet undetermined effects of “long COVID.” Therefore, this analysis sought to examine caregivers’ intent to have their children vaccinated against COVID-19 based on the caregivers’ vaccination status and the age of the children. Using a secondary dataset from a survey in Northeast Tennessee, researchers found a significant difference between vaccinated and unvaccinated caregivers in intent to vaccinate their children in all age groups. Among caregivers with vaccine-eligible (12+ years children), unvaccinated caregivers (n=16) were significantly more likely than vaccinated caregivers (n=71) to not have had their child vaccinated (X2=24, df=1, p=7.8x10-7). Among caregivers who had not yet had their children vaccinated, unvaccinated caregivers (n=23) were significantly more likely to indicate they would “definitely not” get their children vaccinated than vaccinated caregivers (n=76) among all age groups of children: 0-4 years (X2=7.8, df=1, p=5.1x10-3), 5-9 years (X2=28, df=1, p=1.4x10-7), 10-13 years (X2=30, df=1, p=3.6x10-8), and 14+ years (X2=16, df=1, p=6.1x10-5) (Figure 2). The percentage of caregivers indicating they would “definitely not” get their child vaccinated differed by age of children among vaccinated caregivers (X2=11, df=3, p=0.011) but not unvaccinated caregivers (X2=5.1, df=3, p=0.16). Limitations include a small number of unvaccinated caregivers in the sample and the inability to account for correlation in the data. These results corroborate other findings nationwide, and demonstrate the need to provide high-quality education to address vaccine hesitancy in Northeast Tennessee.

Purpose: The purpose of the study was to explore the impact of COVID-19 on undergraduate students’ well-being and the inter-relationships of emotional resilience, physical health, perceived stress, anxiety, quality of life, and perceived social support of undergraduate college students in the Appalachian region during COVID. Aim: The inter-relatedness of the six well-being variables was assessed in a convenience sample (N = 1203) of undergraduate students at an academic institution in the Appalachian region to answer the research question: what is the inter-relationship of undergraduate students’ levels of emotional resilience, physical health, perceived stress, anxiety, quality of life, and perceived social support during the COVID-19 pandemic. Methods: A cross-sectional descriptive design was used to delineate the inter-relationship of areas of well-being. The researcher received approval from the university’s IRB. Participants completed demographic questions, five measurement instruments related to five of the variables, and three physical-health-related items from the Infectious Disease Measurement tool. The survey was published using the online survey platform Qualtrics. SPSS version 28 was used to perform descriptive statistics on the six well-being variable and the correlations between them. A one-way ANOVA test was used to determine the variance between levels of study and between age groups. Results: There were significant statistical differences between participants’ levels of study in the 4-year programs and the following four areas: emotional resilience, perceived stress, quality of life, and perceived social support. Conclusions: This study reveals that students’ emotional resilience and perceived social support are instrumental in promoting students’ mental and physical health.

Medical students are more susceptible to experiencing stress, anxiety, depression, and subsequent burnout relative to their peers in other professional fields. The Medical Student Well-Being Index (MSWBI) is a standardized and validated survey that represents the percentage of medical students “at risk” for adverse psychological outcomes, including but not limited to depression, anxiety, suicidal thoughts. At Quillen College of Medicine (QCOM), the MSWBI data has been collected annually in an attempt to better understand the factors that contribute to and mitigate medical student burnout. Through the use of the Medical Student Well-Being Index (MSWBI), we compared the changes in the percentage “at risk for adverse psychological outcomes” of first-year medical student responses at Quillen College of Medicine over several years. MSWBI is composed of a seven-item survey. Student responses were summed to total scores then categorized as “at risk” or not “at risk”. We used a two-sided Chi-square Fisher’s exact test analysis. Results demonstrated a statistically significant increase in “at risk” students of MS1s for the Classes of 2024 and 2025 relative to the prior Class of 2021 (MS1 ’21 vs ’24: p-value = 0.0191; MS1 ’21 vs ’25: p-value = 0.0103). The data demonstrate that during the COVID-19 pandemic, there has been an increasing percentage of M1 students found to be “at risk for adverse psychological outcomes” such as burnout, depression, and suicide. By finding those at risk, we can then start to determine the modifiable factors contributing to burnout to mitigate downstream consequences. With increasing rates of burnout among medical students and physicians during the COVID-19 pandemic, albeit for varying reasons, there is an urgency and demand for medical schools to foster competent, compassionate doctors to enter the workforce.