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Supporting the Health Care Workforce During the COVID-19 Global Epidemic
Abstract
This Viewpoint discusses the importance of protecting health care workers caring for patients with coronavirus disease 2019 (COVID-19) and measures that can be taken in and out of the hospital to prevent their and their families' exposure to SARS-CoV-2.
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“This is known to lead to immense pressure on all health care workers (HCW) due to increased workload, anxiety regarding acquiring infection or passing it on to a family member and fears of death (Chen et al., 2020; Adams and Walls, 2020)”
From Integrating mental health in COVID-19 crisis: Staff mental health referral pathway (2020) · cites this paper as Adams and Walls, 2020
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Research works printed but not linked: 5
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- Ong, Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient., JAMA
- JAMA Network. Coronavirus disease 2019 (COVID-19). https://jamanetwork.com/journals/jama/pages/coronavirus-alert
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“Deaths of healthcare providers due to Covid-19 illness have been reported in large numbers in Italy, China, the United States and many other countries (14).”
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“The use of technologies in health care system, such as digital health, tele-medicine, mobile health, big data, and electronic health records, has become a driving force in responding to a global health crisis caused by Covid-19 (Adams & Walls, 2020; Booth et al., 2021; Portnoy et al., 2020; Shruti et al., 2023; Tebeje…”
BackgroundGhosh, K., Nanda, S., Hurt, R., Schroeder, D., West, C., Fischer, K. M., Bauer, B., Fokken, S. C., Ganesh, R., Hanson, J. L., et al. (2023) · Journal of Primary Care & Community Health · doi:10.1177/21501319231162308 · Cited by 16
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“Several studies are available, which provide accurate reports of the situation for each country regarding infections by health care professionals, as stated by WHO, particularly among dental professionals [11].”
BackgroundNxumalo, C., & Mchunu, G. (2021) · African Journal of Primary Health Care & Family Medicine · doi:10.4102/phcfm.v13i1.3084 · Cited by 16
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BackgroundOgboghodo, E., Osaigbovo, I., Obarisiagbon, O. O., Okwara, B., Obaseki, D., Omo-Ikirodah, O. T., Ehinze, E., Adio, F., Nwaogwugwu, J. C., & Eseigbe, E. (2021) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.20-1402 · Cited by 16
“Furthermore, infectedHCWscan transmit the disease to close family contacts, other HCWs, and the community, thereby worsening the pandemic.(1,8) To protect HCWs and prevent secondary transmission”
BackgroundKelker, H., Yoder, K., Musey, P., Harris, M., Johnson, O., Sarmiento, E., Vyas, P., Henderson, B., Adams, Z., & Welch, J. (2020) · Research Square · doi:10.21203/rs.3.rs-87786/v1 · Cited by 16
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“Então, o uso de máscaras e outras precauções de barreira, a higiene das mãos aprimorada e a descontaminação da superfície são fundamentais para a segurança(7).”
BackgroundRewarding and recognizing frontline staff for success in infection prevention
Gaughan, A., Walker, D., Depuccio, M. J., MacEwan, S. R., & McAlearney, A. (2020) · American Journal of Infection Control · doi:10.1016/j.ajic.2020.06.208 · Cited by 16
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“Therefore, it is important to prepare and support health professionals through the present, sensitive and proactive action of the leaderships, sharing decision making, and also actions directed towards listening, transparent communication, protection at work (rest and decompression times), implementation of protocols,…”
BackgroundInfluentialRahmanian, M., Kamali, A. R., Mosalanezhad, H., Foroughian, M., Kalani, N., Hatami, N., Heidarnezhad, M., Rayatdoost, E., & Abiri, S. (2020) · مجله دانشگاه علوم پزشکی اراک · doi:10.32598/jams.23.cov.3577.3 · Cited by 19
Alqurashi, H., Mohammed, R., AlGhanmi, A. S., & Alanazi, F. (2023) · JMIR Formative Research · doi:10.2196/47065 · Cited by 15
“The entire world is currently facing a new disease, the novel COVID-19, which started its journey in China in 2019 [9] and spread all over the world in an explosive pandemic [10].”
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“In the current pandemic environment, it is critical to determine and understand the factors influencing the nursing staff's compliance and adherence to infection prevention and control procedures (Adams & Walls, 2020; Bani-Issa et al., 2021).”
BackgroundCosta, C., Teodoro, M., Vita, A. D., Giambò, F., Mento, C., Muscatello, M. R. A., Alibrandi, A., Italia, S., & Fenga, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191711104 · Cited by 19
“Despite these initial measures, HCWs had to work in a shortage of reliable personal protective equipment [6], a lack of specific COVID-19 protocols, and unsatisfactory instructions [7], with a higher risk of contracting COVID-19 than the general population [8].”
BackgroundPataka, A., Kotoulas, S., Tzinas, A., Kasnaki, N., Sourla, E., Chatzopoulos, E., Grigoriou, I., & Argyropoulou, P. (2022) · Healthcare · doi:10.3390/healthcare10081395 · Cited by 15
Acute Stress in Health Workers during Two Consecutive Epidemic Waves of COVID-19
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“…should advance the pandemic prevention system while supporting the health care workforce during the COVID-19 pandemic, through such means as the cultivation of public health talent, a flexible medical personnel distribution system, reasonable financial reward policies etc. (Adams & Walls, 2020).”
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“They must also be provided with adequate personal protective equipment, including surgical masks, disposable medical protective clothing and latex gloves [23].”
BackgroundZhang, L., Wu, L., Xu, X., Yuan, Y., Jiang, R., Yan, X., Zhang, X., Gao, Y., Shang, H., Lian, B., et al. (2022) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2022/8733598 · Cited by 13
“([1])Definition of severity: mild, confirmed cases with fever (measured or subjective) or respiratory symptoms;moderate, confirmed caseswith fever (measured or subjective) or respiratory symptoms and radiographic evidence of pneumonia; severe, confirmed cases with evidence including fever, respiratory symptoms, radiog…”
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“Authorities should engage in honest and meaningful discussions, without false reassurances [15, 16].”
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Nasrullah, D., Natsir, M., Twistiandayani, R., Rohayani, L., Siswanto, S., Sumartyawati, N. M., Hasanah, U., & Direja, A. H. S. (2021) · International Journal of Public Health Science (IJPHS) · doi:10.11591/ijphs.v10i1.20524 · Cited by 15
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“Avoid admittance to health services because of the fear of illness during treatment [2]”
BackgroundRamírez-Rivas, C., Alfaro-Perez, J. L., Ramírez-Correa, P., & Mariano-Melo, A. (2021) · Journal of Information Systems Engineering & Management · doi:10.29333/jisem/9618 · Cited by 14
“In terms of the COVID-19 pandemic, this would minimize exposure of patients (Portnoy, Waller, and Elliott, 2020) and increase the amount of available medical resources as quarantined staff could still carry-out telemedicine consultations (Adams and Walls, 2020; Hollander and Carr, 2020).”
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Park, E. R., Sylvia, L., Streck, J. M., Luberto, C. M., Stanton, A. M., Perez, G. K., Baim, M., Bliss, C. C., Convery, M. S., Crute, S., et al. (2020) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2020.10.005 · Cited by 14
“COVID-19 has caused an unprecedented healthcare crisis, which has taken a toll on frontline clinicians (FC) [1,2], The MassGeneral Brigham (MGB) hospital system launched an FC resiliency group program and assessed its feasibility, acceptability, and efficacy.”
BackgroundTong, X., Ning, M.-Z., Huang, R., Jia, B., Yan, X.-M., Xiong, Y.-L., Wu, W.-H., Liu, J.-C., Chen, Y.-X., & Wu, C. (2020) · Immunity, Inflammation and Disease · doi:10.1002/iid3.340 · Cited by 14
“Because of efficient transmission of SARS‐CoV‐2, health care workers (HCWs) on frontline directly involved in the diagnosis and treatment of coronavirus disease 2019 (COVID‐19) patients are at high risk of getting an infection of SARS‐CoV‐2.(2) The ever‐increasing number of COVID‐ 19 cases, overwhelming workload, the…”
BackgroundInfluentialLeading with inclusion during the COVID-19 pandemic
Warrior, L., Kim, C. Y., Burdick, D., Ackerman, D. J., Bartolini, L., Cagniart, K., Dangayach, N. S., Dawson, E. T., Orjuela, K., Perue, G. L. G., et al. (2020) · Neurology · doi:10.1212/wnl.0000000000010641 · Cited by 14
Impact of COVID-19 pandemic on patients with Fabry disease: An Italian experience
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“Telemedicine, including both video and telephone-only contacts, is emerging as an important tool for maintaining outpatient care while limiting direct patient contact [4].”
Banjar, W. M., & Alaqeel, M. (2020) · Journal of Taibah University Medical Sciences · doi:10.1016/j.jtumed.2020.06.006 · Cited by 11
“However, while HCWs accept the higher risk of infection as part of their profession, they are concerned about the risk of transmission to their families.(7) HCWs might suffer from comorbidities that put them at a higher risk of infection and mortality.”
BackgroundInfluentialPsychosocial aspects of COVID-19 in the context of palliative care – A quick review
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BackgroundBarrier device prototype for open tracheotomy during COVID-19 pandemic
Alves, W., Teles, T. S. P. G., da Fonseca, M. R. S., Pereira, F. J. F., Pereira, G., Pontes, A., de Paula, E. M. D. S., Nunes, A. A. A., & Ferreira, L. A. A. (2020) · Auris, nasus, larynx · doi:10.1016/j.anl.2020.05.003 · Cited by 14
The impact of COVID-19 on vascular training
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“Although health professionals recognize that occupational risk is part of the chosen profession, it is necessary to develop psychological support systems for those who, naturally, fear the risk of transmitting the disease to their families, especially those who live with individuals high risk, such as elderly people,…”
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“…hospitals lack routine training for major infectious disease outbreaks, which may lead to inadequate protection by medical staff, increased transmission risks, decreased work efficiency, and ultimately exacerbate the difficulty of epidemic control and the risk of personnel infections [2,36,37].”
Prevalence and Causes of Diagnostic Errors in Hospitalized Patients Under Investigation for COVID-19
Auerbach, A. D., Astik, G. J., O’Leary, K. J., Barish, P. N., Kantor, M. A., Raffel, K. E., Ranji, S. R., Mueller, S. K., Burney, S. N., Galinsky, J., et al. (2023) · Journal of General Internal Medicine · doi:10.1007/s11606-023-08176-6 · Cited by 15
Recognition of radiographers in the workplace: Why it matters
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“This requirement has been emphasized in some other studies (5).”
BackgroundResultCoppeta, L., Ferrari, C., Mazza, A., Aurilio, M. T., & Rizza, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413053 · Cited by 13
“Since the first emergency of the SARS-CoV-2 pandemic in December 2019, HCWs have been identified at high risk to be infected and to become a vehicle of contagion for their patients, colleagues, family members and external contacts [1].”
BackgroundA Modern Perspective on Vaccinating Healthcare Service Providers in India: A Narrative Review
Surendranath, M., Wankhedkar, R., Lele, J., Cintra, O., Kolhapure, S., Agrawal, A., & Dewda, P. (2021) · Infectious Disease and Therapy · doi:10.1007/s40121-021-00558-9 · Cited by 13
“An additional burden on healthcare services is the transmission of infections from HCPs to family members, which has been observed in the recent COVID-19 pandemic [6].”
BackgroundCOVID-19 Prevention Behaviors among Health Staff: Data from a Large Survey in the West of Iran
Bashirian, S., Khazaei, S., Barati, M., Jenabi, E., Soltanian, A., Shirahmadi, S., Karimi-Shahanjarini, A., Zareian, S., Rezapur-Shahkolai, F., & Moeini, B. (2021) · Journal of research in health sciences · doi:10.34172/jrhs.2021.43 · Cited by 13
Addressing Challenges in Humanistic Communication During COVID-19 Through Medical Education
Amin, S., Chin, J., Terrell, M. A., & Lomiguen, C. M. (2021) · Frontiers in Communication · doi:10.3389/fcomm.2021.619348 · Cited by 13
Exploring the Experience of the Surgical Workforce During the Covid-19 Pandemic
Mavroudis, C. L., Landau, S. I., Brooks, E. S., Bergmark, R. W., Berlin, N. L., Blumenthal, B., Cooper, Z. R., Hwang, E. K., Lancaster, E. M., Waljee, J. F., et al. (2020) · Annals of Surgery · doi:10.1097/sla.0000000000004690 · Cited by 16
Kumar, D., Saghir, T., Ali, G., Yasin, U., Furnaz, S., Karim, M., Hussain, M., Kumari, R., Bai, R., & Kumar, H. (2020) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000002094 · Cited by 13
“Although, global communities have appraised the efforts of healthcare workers during these critical situations and shown empathy and compassion.(20) But it is also important to understand the underlying sources of fear and anxiety among the healthcare workers that can potentially weaken self-confidence to reassure the…”
BackgroundKarakose, T. (2020) · Educational Process International Journal · doi:10.22521/edupij.2020.94.1 · Cited by 13
Bates, A., Ottaway, J., Moyses, H., Perrrow, M., Rushbrook, S., & Cusack, R. (2020) · Journal of the Intensive Care Society · doi:10.1177/1751143720965109 · Cited by 13
“The Covid-19 pandemic has placed frontline healthcare workers at risk of physical and psychological harm.(1) Following the Severe Acute Respiratory Syndrome (SARS) epidemic in 2003, acute psychological symptoms were reported in up to 45% of healthcare staff.”
BackgroundCOVID‐19: Current and future challenges in spine care and education ‐ a worldwide study
Nolte, M. T., Harada, G., Louie, P. K., McCarthy, M., Sayari, A. J., Mallow, G. M., Siyaji, Z. K., Germscheid, N., Cheung, J. P., Neva, M., et al. (2020) · JOR Spine · doi:10.1002/jsp2.1122 · Cited by 13
“This practice of attempting a longer course of conservative therapy was more likely to be adopted by those with a spouse at home, likely reflective of an overarching desire to avoid spreading COVID-19 to the home environment.(11,12) Interestingly, this practice was also more likely to be adopted by clinicians who iden…”
BackgroundHamdy, S. A., Naseer, M. M. A., Shehata, H., Hassan, A., Elmazny, A. N., Shalaby, N., Abokrysha, N. T., Kishk, N. A., Nada, M., Ahmed, S. M., et al. (2020) · Therapeutics and Clinical Risk Management · doi:10.2147/tcrm.s257714 · Cited by 15
Paybast, S., Baghalha, F., Emami, A., & Koosha, M. (2020) · International Clinical Neuroscience Journal · doi:10.34172/icnj.2020.11 · Cited by 12
Price, A., Kim, H. J., Henke, L. E., Knutson, N. C., Spraker, M. B., Michalski, J. M., Hugo, G. D., Robinson, C. G., & Green, O. (2020) · Advances in Radiation Oncology · doi:10.1016/j.adro.2020.05.007 · Cited by 12
“This underscores the importance of developing novel approaches to provide care for patients while minimizing the risk to patients and staff.(8) Radiation oncology departments have responded to the global pandemic through restructuring of staffing, reducing patient volume, and implementing triage processes for COVID-19…”
New protection barrier for endoscopic procedures in the era of pandemic COVID-19
Luis, S., Margarita, H., Javier, P., & Daniela, S. (2020) · VideoGIE · doi:10.1016/j.vgie.2020.05.006 · Cited by 13
“Recently, the Journal of the American Medical Association reported more than 3000 infected health professionals in China, with more than 22 deceased.(6) On April 13, the Argentinian newspaper Mundo reported more”
BackgroundAddressing Burnout: Symptom Management Versus Treating the Cause
Houtrow, A. (2020) · Jornal de Pediatria · doi:10.1016/j.jpeds.2020.04.068 · Cited by 13
“moral injury play out in real time during this pandemic.(13,17,18) Healthcare providers are putting their own health (and subsequently their families’ health) at risk when treating patients without proper personal protective equipment.”
BackgroundGriffin, C. L., Sharma, V., Sarfati, M., Smith, B. K., Kraiss, L., McKellar, S., Koliopoulou, A., Brooke, B. S., Selzman, C., & Glotzbach, J. P. (2020) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2020.04.487 · Cited by 13
“The novel coronavirus disease 2019 (COVID-19) has on the cardiovascular systemdwe must proceed in imposed a severe strain on healthcare systems worldwide and is now affecting all hospitals in the United States.(1) As of this writing in early April 2020, most large medical centers in the United States have either restr…”
Rashid, F., Uddin, R. A. M. E., Mehedi, H. M. H., Dhar, S., Bhuiyan, N. H., Sattar, M. A., & Chowdhury, S. (2022) · PLoS ONE · doi:10.1371/journal.pone.0277875 · Cited by 15
“Worldwide disruption of the health system [24] during the COVID pandemic increased morbidity and mortality even in developed countries, adding to the psychological distress of the HCWs.”
BackgroundMagri, G., Fernandez, M., & Lotta, G. (2022) · Ciência & Saúde Coletiva · doi:10.1590/1413-812320222711.01992022 · Cited by 12
“Male 235 (24,9) 58 (29,3) 25 (7,9) 76 (20,5)”
InfluentialUrological Safety and COVID-19 Vaccinations
Foschi, N., Santoro, P. E., Borrelli, I., Gavi, F., Amantea, C., Russo, P., & Moscato, U. (2022) · Vaccines · doi:10.3390/vaccines10111887 · Cited by 13
“The higher risk of infection among the medical workforce facilitated healthcare worker burnout, and patients in some cases were left without proper care [8,9].”
Würtz, A. M. L., Kinnerup, M. B., Pugdahl, K., Schlünssen, V., Vestergaard, J. M., Nielsen, K. J., Cramer, C., Bonde, J. P., Biering, K., Carstensen, O., et al. (2022) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.4049 · Cited by 15
Cox, M., Sharma, D., Phillips, G. A., Mitchell, R. D., Herron, L., Brolan, C. E., O’Reilly, G. M., Körver, S., Kendino, M., Poloniati, P., et al. (2022) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2022.100516 · Cited by 14
Moyo, I., Mavhandu‐Mudzusi, A. H., & Haruzivishe, C. (2022) · Curationis · doi:10.4102/curationis.v45i1.2292 · Cited by 16
“These findings are similar to those of Adams and Walls (2020) and Liu et al. (2020), where frontline healthcare providers who lived at home had concerns about transmitting the virus to family members.”
ResultInfluentialExploring the Experience of Nurses in Providing Care to Patients With COVID-19: A Qualitative Study
Shahoei, R., Nemati, S. M., & Valiee, S. (2022) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000498 · Cited by 12
“In addition to regularly providing care to patients, the necessity of using protective equipment for long hours also leads to physical distress, especially in nurses who must stay in isolation wards for their entire shift (Adams & Walls, 2020).”
BackgroundSPINE20 recommendations 2021: spine care for people’s health and prosperity
Costanzo, G., Misaggi, B., Ricciardi, L., AlEissa, S., Tamai, K., Alhelal, F. H., Alqahtani, Y., Alsobayel, H., Arand, M., Balsano, M., et al. (2022) · European spine journal · doi:10.1007/s00586-022-07194-y · Cited by 12
The impact of COVID-19 on the patterns of emergency department visits among pediatric patients
Kim, S., Ro, Y., Ko, S.-K., Kim, T., Pak, Y., Han, S.-H., & Moon, S. (2022) · American Journal of Emergency Medicine · doi:10.1016/j.ajem.2022.02.009 · Cited by 12
“4 million cumulative deaths were reported by the WHO in December 2021 [3,4].”
Covid-19 Front-Liners: Experiences of Palliative Care Providers in a Tertiary Hospital
Okyere, J., Mensah, A. B., & Kissah-Korsah, K. (2022) · SAGE Open Nursing · doi:10.1177/23779608221132172 · Cited by 12
“Also, adverse changes would certainly affect the quality of patient–service provider communication (Adams & Walls, 2020; Fadul et al., 2021).”
BackgroundGhazanfarpour, M., Ashrafinia, F., Zolala, S., Ahmadi, A., Jahani, Y., & Hosseininasab, A. (2020) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089-2020-0176 · Cited by 14
Experiences of Home Care Nurses During the COVID-19 Pandemic
Fernández, M. D. R., Fernández‐Medina, I. M., Ramírez, F. G., Granero‐Molina, J., Fernández‐Sola, C., & Hernández‐Padilla, J. M. (2021) · Nursing Research · doi:10.1097/nnr.0000000000000566 · Cited by 21
“Nevertheless, the satisfaction of home care nurses with the use of telehealth could be related to the lack of physical contact with home care patients (Adams & Walls, 2020) and inadequate training in utilizing telehealth devices (Gagnon et al., 2012).”
BackgroundBashkin, O., Davidovitch, N., Asna, N., Schwartz, D., & Dopelt, K. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18115544 · Cited by 12
“They must cope with a crisis with personal health and occupational ramifications, implement variegated organizational changes, and cope with ongoing job stressors, which may lead to adverse mental health symptoms and may affect the quality of medical care provided to patients [2].”
Background
Metadata
- Authors
- Adams, J. G., & Walls, R. M.
- Affiliations
- Northwestern University (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Adams, James G.
- ORCID
- Adams, James G.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2020-04-21
- Volume
- 323
- Issue
- 15
- Pages
- 1439
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W3010574983
- Cited by
- 1,498
- References
- 0
- Citations by year
- 2026: 18 · 2025: 41 · 2024: 79 · 2023: 142 · 2022: 265 · 2021: 420 · 2020: 526
- FWCI
- 353.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Challenges
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Keywords
- COVID-19 pandemic, SARS-CoV-2, healthcare workers, occupational exposure, infection control, personal protective equipment, family exposure
- MeSH terms
- Betacoronavirus, Workforce, COVID-19, SARS-CoV-2, Health Personnel, Humans, Pneumonia, Viral, Infectious Disease Transmission, Patient-to-Professional, Coronavirus Infections, Disease Transmission, Infectious, Pandemics
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