Building Perspectives for Resilient Health System: Lessons Learned from the Experience of Patients and Health Professionals during COVID-19

V. Dsouza, Jestina Rachel Kurian, Brayal D'Souza, V. Sekaran, Lena Ashok
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Abstract

The study seeks to explore experiences and perceived needs of patients in source isolation and healthcare professionals’ management of COVID-19 patients to inform practice in the event of emerging health disaster. Participants were recruited through snowball and purposive sampling strategy. We conducted semi-structured telephone interviews to understand their subjective evaluations of these events. We applied inductive thematic analysis, which yielded six themes. The health events resulting from COVID-19 varied and shaped patient perspectives. Response to care received and trust in healthcare providers was encouraging, including expressions of gratitude and resilience towards discomfort brought on by isolation. Processing COVID-19 in isolation describes how patients cognitively and psychologically dealt with the illness. Clinicians’ experiences of working in isolation centred around workflow management, maintaining safety, focus on patient-centric approach and expanding roles of health workers, even as complacency towards COVID-19 was on the rise. Effective deployment of resources, efforts of experienced clinicians and staff, along with cooperation and resilience of patients, paves the way for the system to endure through the crisis. These lessons can be preserved for practice as global health entities are pushing for pandemic response, preparedness and prevention through measures such as the pandemic treaty.
建立具有抗灾能力的医疗系统:从 COVID-19 期间患者和卫生专业人员的经验中汲取教训
本研究旨在探讨处于病源隔离状态的患者的经历和感知需求,以及医护人员对 COVID-19 患者的管理情况,以便在发生新的健康灾难时为实践提供参考。我们通过 "滚雪球 "和有目的的抽样策略招募参与者。我们进行了半结构化电话访谈,以了解他们对这些事件的主观评价。我们采用归纳式主题分析法,得出了六个主题。COVID-19 导致的健康事件各不相同,并影响了患者的观点。患者对所接受的护理和对医疗服务提供者的信任反应令人鼓舞,包括对隔离带来的不适表达感激之情和恢复能力。在隔离状态下处理 COVID-19 说明了患者在认知和心理上是如何应对疾病的。临床医生在隔离状态下的工作经验主要集中在工作流程管理、维护安全、注重以患者为中心的方法以及扩大医务工作者的角色等方面,尽管对 COVID-19 的自满情绪正在上升。有效的资源调配、经验丰富的临床医生和工作人员的努力以及患者的合作和恢复能力,为该系统渡过危机铺平了道路。全球卫生机构正在通过大流行病条约等措施推动大流行病的应对、准备和预防工作,这些经验教训可以在实践中加以保留。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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