Cited by 1,498Healthcare Systems and ChallengesInfection Control and VentilationInfection Control in Healthcare

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Supporting the Health Care Workforce During the COVID-19 Global Epidemic

Adams, James G., Walls, Ron M.·2020·JAMA

DOI 10.1001/jama.2020.3972

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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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Crossref · 10.1001/jama.2020.3972

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Del Rio, COVID-19—new insights on a rapidly changing epidemic., JAMA
Bai, Presumed asymptomatic carrier transmission of COVID-19., JAMA
Radonovich, 2019, N95 respirators vs medical masks for preventing influenza among health care personnel: a randomized clinical trial., JAMA, 322, 824, 10.1001/jama.2019.11645 · DOI · Paper page
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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Surya, P. A., Mustikaningtyas, M. H., Thirafi, S. Z. T., Pramitha, A. D., Mahdy, L. T., Munthe, G. M., Dwiantoro, A. C., & Budiono, B. (2021) · The Indonesian Journal of Occupational Safety and Health · doi:10.20473/ijosh.v10i1.2021.144-152 · Cited by 6
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“Research shreds of evidence found that the primary factor associated with infecting family, friends, and colleagues is lack of quarantine to separate them with a sufficient number of days after COVID-19 duty [15].”
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“33 On April 9, thejournal Nature reported that 78 vaccine projects had been launched around the globe, with a further 37 under development.”
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“В другом исследовании, призванном определить способы поддержки работников здравоохранения во время глобальной эпидемии COVID-19, были сформулированы рекомендации по освобождению медицинских сотрудников от задач и обязательств, не связанных с непосредственным выполнением профессиональных обязанностей; подчеркивалась зн…”
[Provisioning of personal protective equipment in hospitals in preparation for a pandemic].
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Urban-rural divide in COVID-19 infection and vaccination rates in healthcare workers in British Columbia, Canada
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“are able to attain critical personal needs, such as care of family members [59].”
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An application to support COVID-19 occupational health and patient tracking at a Veterans Affairs medical center
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Harky, A., Chor, C. Y. T., & Khare, Y. (2020) · Acta bio-medica : Atenei Parmensis · doi:10.23750/abm.v91i4.9828 · Cited by 5
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Background
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“With the growing complexities in healthcare, these professionals face unprecedented demands that require adaptability, resilience, and collaboration across disciplines (Adams et al., 2020).”
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“Telemedicine has proven crucial in maintaining continuity of care during lockdowns and restrictions, underscoring its importance in public health emergencies [11].”
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The Moral Obligation Toward Adopt Halal Practices
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O'Donnell, C., Markey, K., Murphy, L., Turner, J., & Doody, O. (2023) · Nursing Open · doi:10.1002/nop2.1800 · Cited by 4
“Nurse leaders are uniquely placed to emphasise the importance of self- care for nurses and students' well- being at the centre of the response to COVID- 19 (Adams & Walls, 2020; Labrague, 2021) and nurse educators supporting the delivery of clinical supervision can aid this.”
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A cross-sectional study factors associated with resilience among medical staff in radiology departments during COVID-19, Riyadh, Kingdom of Saudi Arabia
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The Impaired Nurse.
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“…COVID-19-related fear, experience of discrimination, and demographic factors, such as sex, age group, and occupation (physician, nurse, or others) (Adams and Walls., 2020; Magill et al., 2020; Muller et al., 2020; Sahashi et al., 2021; Sirois and Owens, 2021; Abdel Wahed et al., 2020; Cabarkapa…”
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“The pandemic will not end in the short term [93].”
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“Since the beginning of the COVID-19 pandemic, a growing concern raised surrounding the management of health care systems [1].”
Care Home and Home Care Staff’s Learning during the COVID-19 Pandemic and Beliefs about Subsequent Changes in the Future: A Survey Study in Sweden, Italy, Germany and the United Kingdom
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“Crisis management requires decisive, visible, and communicative leadership [41] with a focus on collaboration, coordination, and support [42].”
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Individual and working experiences of healthcare workers infected with COVID‐19 : A qualitative study
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Fleuren, B. P. I., Stephenson, A. L., Sullivan, E. E., Raj, M., Tietschert, M. V., Sriharan, A., Lai, A. Y., DePuccio, M. J., Thomas, S., & McAlearney, A. S. (2021) · Emerald Group Publishing Limited eBooks · doi:10.1108/s1474-823120210000020010 · Cited by 5
Lessons learnt from emergency medicine services during the COVID-19 pandemic: A case study of India and the United States
Sarfraz, Z., Sarfraz, A., Sarfraz, M., Chohan, F. A., Stringfellow, C., Jain, E., Hange, N., Loh, H., Félix, M., & Chérrez-Ojeda, I. (2021) · Annals of Medicine and Surgery · doi:10.1016/j.amsu.2021.103197 · Cited by 5
“Globally, healthcare systems have been constrained, despite trying to adapt to the ongoing COVID-19 pandemic [17,18].”
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Lugo, G. F. O., Uribe-Restrepo, J. M., Pinto-Álvarez, M., Trejos, J. A. P., & Gómez-Chiappe, N. (2021) · Revista Colombiana de Psiquiatría · doi:10.1016/j.rcp.2021.10.012 · Cited by 10
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Dyson, J., & Lamb, D. (2021) · International Nursing Review · doi:10.1111/inr.12731 · Cited by 4
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“The cardiac catherization lab and surgical operating theatres should be converted into negative pressure areas to minimize the risk of SARS-CoV-2 infection to the healthcare professionals [26, 27].”
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Compliance with safety measures and risk of COVID-19 transmission among healthcare workers
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“In China, around 3000 healthcare workers have been reported COVID-19-positive, more than 22 of them lost their lives and there are reports of family transmission as well (Adams & Walls, 2020).”
Background
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“During the COVID-19 pandemic, due to the high risk of infection, frontline HWs reduced the contact with their families (7, 35), thus leading to the loss of familial support and increased dissatisfaction of the spouse.”
Background
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“Nonacademic 8 (27) 3 (20) 0 (0) 3 (21) 2 (9) 23 (52) 14 (21)”
Influential
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“Stigma associated with pandemics (such as COVID-19) is reported to have the risk of increasing mental illnesses, self-harm and suicide.(6) It is rational to believe that the social consequences associated with the virus may have replicative effects on the (1)Department of Geography and Rural Development, Kwame Nkrumah”
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“Therefore, adequate PPE is crucial for reducing morbidity and potential mortality and maintaining healthcare system capacity[1,4,5].”
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Method
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“It directly impacts the adequate supply of key medical equipment and supplies for the healthcare professionals as well as the COVID 19 patients (Peto, 2020; Ranney, Griffeth and Jha, 2020) (Adams and Walls, 2020).”
Background
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“Masks should be good quality and designed with advanced technology to seal around the nose and mouth to achieve a very close facial fit and very efficient filtration of air born particles to reduce the chance of breathlessness and other skin infection [8].”
Background
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“In this regard, a study showed that supportive conversations and recommendations, such as separating the living space, changing clothes and taking shower immediately after work, may help o reduce nurses’ concern and anxiety (29).”
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“…health-care workers who are at the front line of treatment of this disease are often concerned about the increased risk of transmitting the infection to their family members, especially those who are elderly, immunocompromised, or have underlying chronic medical conditions (Adams & Walls, 2020).”
Background
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“Concerns about delivering patient care during the COVID-19 pandemic relate to, among other issues, high rates of asymptomatic infection, shortages in personal protective equipment, and high volumes of patients seeking emergency and acute levels of care (Adams & Walls, 2020).”
Background
COVID-19 challenge: proactive management of a Tertiary University Hospital in Veneto Region, Italy
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“In China, an estimated 3000 healthcare workers were infected and at least 22 have died [6].”
Background
Water, Sanitation, Hygiene and Covid-19 pandemic: a global socioeconomic analysis
Roy, A., Basu, A., & Pramanick, K. (2020) · medRxiv · doi:10.1101/2020.08.11.20173179 · Cited by 4
Impact of Coronavirus and Covid-19 on Present and Future Anesthesiology Practices
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“Issue 6: What Are the Measures to Support Anesthesia Providers? Every effort needs be made to protect frontline providers (19).”
Background

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
DOI: 10.1001/jama.2020.3972
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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Supporting the Health Care Workforce During the COVID-19 Global Epidemic

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