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COVID-19 和全球对护士健康知识的需求。

COVID-19 and the global need for knowledge on nurses' health.

机构信息

Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.

The Johns Hopkins-UPF Public Policy Center (JHU-UPF PPC, Barcelona, Spain.

出版信息

Int Nurs Rev. 2022 Jun;69(2):196-200. doi: 10.1111/inr.12722. Epub 2021 Oct 6.

DOI:10.1111/inr.12722
PMID:34614229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8652808/
Abstract

AIM

To emphasize that nurses need to be fully protected to carry out their vital role, particularly during pandemics, yet the lack of a standardized and systematic collection of high-quality disaggregated data on nurses health inhibits our ability to assess this within and across countries.

BACKGROUND

Nurses are the largest workforce group in the health sector, yet only 59 countries worldwide report on nurse COVID-19 infections and related deaths, and the standardized, systematic collection of disaggregated health data is not yet in place.

SOURCES OF EVIDENCE

Medline, International Council of Nurses, World Health Organization, Centers of Disease Control and Prevention and the experiences of the authors.

DISCUSSION

Inconsistent recording and definitions of nurses, precarious and informal employment conditions, limited transparent and reliable data, lack of mass testing and long-standing structural issues and biases have affected nursing for too long.

CONCLUSIONS

These issues are reflected in the limited capacity of many national public health information systems to collect, monitor and report on the health of the largest group of health workers. Political will, accountability and public data transparency at different levels are essential to adequately protect nurses at work.

IMPLICATIONS FOR NURSING PRACTICE, AND NURSING AND HEALTH POLICY: Building on current momentum in the nursing field, immediate political action is required to strengthen existing nursing and midwifery policies, standards and regulatory capacity, as well as existing public health services and information and surveillance systems. The generation of up-to-date, context-specific knowledge is needed to inform and monitor political decisions related to the protection of nurses, and the improvement of their employment conditions, as well as to strengthen accountability for these areas at various levels.

摘要

目的

强调护士在履行其重要职责时需要得到充分保护,尤其是在大流行病期间,但由于缺乏对护士健康状况进行标准化和系统收集高质量分类数据,我们无法在国家内部和国家之间评估这一点。

背景

护士是卫生部门最大的劳动力群体,但全球只有 59 个国家报告了护士 COVID-19 感染和相关死亡情况,并且尚未建立标准化、系统的分类健康数据收集系统。

证据来源

Medline、国际护士理事会、世界卫生组织、疾病控制和预防中心以及作者的经验。

讨论

对护士的记录和定义不一致、不稳定和非正式的就业条件、有限的透明和可靠数据、缺乏大规模检测以及长期存在的结构问题和偏见,这些问题长期以来一直影响着护理。

结论

这些问题反映在许多国家公共卫生信息系统收集、监测和报告最大卫生工作者群体健康状况的能力有限。不同层面的政治意愿、问责制和公共数据透明度对于在工作中充分保护护士至关重要。

对护理实践、护理和卫生政策的影响:利用当前护理领域的势头,需要立即采取政治行动,加强现有的护理和助产政策、标准和监管能力,以及现有的公共卫生服务和信息及监测系统。需要生成最新的、特定于背景的知识,为与保护护士以及改善其就业条件相关的政治决策提供信息和监测,并加强各级对这些领域的问责制。

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本文引用的文献

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Int J Health Serv. 2021 Jul;51(3):300-304. doi: 10.1177/0020731421993939. Epub 2021 Mar 8.
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Covid-19: North Dakota and Belgium have let infected health staff work on wards.新冠疫情:北达科他州和比利时让感染新冠病毒的医护人员继续在病房工作。
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Understanding Mexican health worker COVID-19 deaths.了解墨西哥医护人员的新冠死亡情况。
Lancet. 2020 Sep 19;396(10254):807. doi: 10.1016/S0140-6736(20)31955-3.
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Lancet Infect Dis. 2020 Oct;20(10):e261-e267. doi: 10.1016/S1473-3099(20)30458-8. Epub 2020 Jul 23.
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Comparisons between countries are essential for the control of COVID-19.国家之间的比较对于控制新冠疫情至关重要。
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Accurate Statistics on COVID-19 Are Essential for Policy Guidance and Decisions.准确的新冠疫情统计数据对政策指导和决策至关重要。
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