bluuebunny/crossref_metadata_2025_split huggingface dataset:
Challenges Introducing a Novel Health Assessment System in Disaster-prone Japan: Community-Oriented Approach for Comprehensive Healthcare in Emergency Situations (COACHES)
Authors: Kinoshita Mari , Nakai Mikiko , Shimada Ikuko 
Published: June 2023

Introduction:Collecting real-time individual health data of all disaster-affected populations is usually considered impossible. The University of Kochi's team and its partners conceived a novel health assessment system named "Community Oriented Approach for Comprehensive Healthcare in Emergency Situations (COACHES)." It collects individual health data anonymously and records such data in a cloud-based database. The system runs on any personal mobile device by scanning a personal identification code (QR code). It is expected that anyone on site with qualifications in healthcare will run this system as a volunteer to ensure data reliability. The COACHES app development is in process, and its prototype is currently available. This study aimed to assess how people react to the novel system and see the feasibility of installation in Japan.Method:Two focus group interviews (FGI) were conducted in a small coastal village in western Japan. The village anticipates severe damages with days of isolation once a large-scale earthquake followed by a tsunami hits the area. The first FGI was held with nine purposively recruited participants. The second FGI was held one month after and included seven of the first FGI participants with one of the absent participants providing a written response. FGI was for one-hour each, with discussion following the system demonstration. The voice data during the FGI were recorded and analyzed. The research was approved by the University of Kochi IRB.Results:Some showed intense interest in the system, whereas concerns such as the privacy violation for using personal devices, the availability of healthcare personnel, or a fear that anonymous data collection may delay identifying a person in need of assistance.Conclusion:Further studies are proposed, particularly in recruiting volunteers, data storage in case of technical damage, and how to make people with limited IT literacy comfortable using the new system.
Attitudes and Knowledge of Emergency Physicians Towards End-of-Life Care in the Emergency Department. A National Survey
Authors: Saeed Saema , Mulcaire Jeffrey , Umana Etimbuk , Foley James , Browne Leonard , Keane Owen , Chionh Wen Wei , O'Leary Mary Jane , Deasy Conor 
Published: June 2023

Introduction:With an aging population and patients on end-of-life care (EOL) pathways, emergency departments (ED) are seeing an increase in patients requiring EOL care. There is paucity of data of attitudes and knowledge of physicians providing EOL care in the ED both internationally and in Ireland. The aim of this project was to assess the attitudes and knowledge of ED physicians towards EOL care.Method:This was a cross-sectional electronic survey of ED physicians working in Irish Eds, facilitated through the Irish Trainee Emergency Research Network (ITERN) over six weeks from September 27, 2021, to November 8, 2021. The questionnaire covered the following domains: Demographic data, Awareness of EOL Care, Views, and attitudes towards EOL care.Results:A total of 311 completed questionnaires across 23 participant sites were analyzed, with a response rate of 45%. The majority of the respondents were under the age of 35 (62%), were male (58%) and at SHO level (36%). In terms of awareness 32% (98) of respondents were not aware of palliative care services in their hospitals while only 29% (91) were aware of national EOL guidance. Fifty-five percent (172) reported commencing EOL care in the ED, however 75.5% (234) respondents reported their knowledge of EOL care to be limited or non-existent. Few (30.2%) respondents felt comfortable commencing EOL care in the ED without speciality team input. There appears to be a lack of clarity on the roles and responsibilities of ED nurses and doctors in the care of the dying patients in ED with only 31.2% (95) being clear on this role. Significant differences were observed with regards to clinical experience and physician grade.Conclusion:This study has highlighted a lack of awareness and knowledge of EOL care, particularly among less experienced ED physicians. However, there was a willingness to commence EOL care in the ED.
“We decide according to the protocol”: Humanitarian Healthcare Workers’ Moral Experiences of Palliative Care-Related Decision-Making in Cox’s Bazar, Bangladesh
Authors: Yantzi Rachel , Hadiuzzaman Md , Gupta Pradip Sen , Lamrous Amin , Richardson Kathryn , Pringle John , Schwartz Lisa , Hossain Puspita , Kizito David , Burza Sakib 
Published: June 2023

Introduction:919,000 Rohingya refugees live in overcrowded camps in Cox’s Bazar, Bangladesh after fleeing violence in Myanmar. The Médecins Sans Frontières (MSF) Goyalmara Hospital offers the highest level of pediatric and neonatal care serving the Rohingya refugees and palliative care is gradually being integrated due to high mortality and medical complexity of patients. The purpose of this study was to understand the moral experiences of staff involved in providing palliative care to inform program implementation at Goyalmara Hospital and in other humanitarian contexts.Method:This focused ethnography was conducted between March-August 2021 at Goyalmara Hospital. Data collection involved participant-observation, individual interviews (22), focus group discussions (5), and analysis of protocols and other documents. Interviews and focus groups were audio-recorded, translated, and transcribed. A coding scheme was developed, and data coded using NVivo 11.Results:A key finding of this study was the important yet contested role of clinical guidelines and policies in palliative care related decision-making which was shaped by the authority and impermanent presence of international staff in the project. Staff saw clinical guidelines as a valuable resource that supported a consistent approach to care over time, and some locally hired staff used clinical guidelines as a tool to support their point of view during care planning discussions with international staff. Others felt that palliative care guidelines and other policies were inappropriately or rigidly applied, particularly surrounding decisions to refer (or not refer) patients to a higher level of care, or to discontinue certain medical treatments at end of life.Conclusion:MSF staff experienced tension between the need for clarity and consistency, and the need to tailor guidelines to the context, patient, and family. Open discussion of staff concerns may alleviate moral distress and alert teams to areas where advocacy, staff psycho-social support, training, or clinical mentoring are needed.
Investigating the Natural Disaster Preparedness of Hospital Pharmacists Across Four Hospitals in Australia
Authors: McCourt Elizabeth , Anderson Amelia , Hollingworth Samantha , Barras Michael 
Published: June 2023

Introduction:In a climate where natural disasters are becoming progressively more frequent and severe, there is a greater need for healthcare resilience. Hospital pharmacists are important healthcare responders during disasters, but little is known about how prepared pharmacists are to fill roles in disasters or how prepared pharmacy departments are to support their response. The aim of this study was to determine the disaster preparedness of pharmacists and pharmacy departments in a Metropolitan Health Service in Australia and investigate any relationship between the two.Method:This research utilized two surveys to determine the individual preparedness of registered pharmacists within the eligible hospitals and the preparedness of pharmacy departments (this information was obtained through the Directors of Pharmacy).Results:In total, 68 individual pharmacists participated in the study. It was found that individuals were moderately prepared (preparedness score 19.98). Interventions, such as education, improved individual preparedness scores, though these had poor uptake, where only 17.4% (n=12/68) of participants had received disaster education or training. Individual preparedness was unaffected by facility preparedness and provision of comprehensive resources.The preparedness of hospital pharmacy departments was generally low, where two hospitals were rated as ‘somewhat prepared’, due to the presence of a mostly comprehensive plan and a moderate engagement in activities that contributed to preparedness. The third hospital was ‘poorly prepared’, as it did not have a disaster plan and had low engagement in preparedness activities.Conclusion:This study shows that a substantial improvement in pharmacy preparedness is required to achieve healthcare resilience and quality patient outcomes in disaster aftermath–further reinforcing the need for national and pharmacy-specific guidance, complemented by standardized preparedness interventions such as education and training. There is also a glaring disconnect between the preparedness of pharmacy facilities and their workforce, which demonstrates a culture of disaster preparedness.
A PhotoVoice Exploration of Pharmacists’ Lived Experiences Working During the COVID-19 Pandemic
Authors: Watson Kaitlyn , Schindel Theresa , Tsuyuki Ross , Hamarneh Yazid Al 
Published: June 2023

Introduction:Pharmacists’ pivotal role during the COVID-19 pandemic has been widely recognized, as they adapted to continue to provide an even higher level of care to their patients. We sought to gain deeper understanding of frontline pharmacists’ lived experiences of the COVID-19 pandemic and its impact on their roles and professional identity (what they do and what it means to them).Method:Photovoice was used, a visual research method that uses participant-generated photographs to articulate their experiences, and semi-structured interviews. This approach allowed us to explore the subjectivity of professional identity from the pharmacists’ lived experiences. Participants were asked to provide 3-5 photos that reflected on how they see themselves as a pharmacist and/or represents what they do as a pharmacist. The semi-structured interview guide asked open-ended questions about their photos, included a photo-elicitation exercise, and additional questions based on a recent scoping review. We recruited frontline community pharmacists who provided direct patient care during the COVID-19 pandemic in Alberta, Canada through social media and relevant pharmacy organizations. Data analysis incorporated content, thematic and visual analysis and was facilitated using NVivo software. Ethics approval was obtained from the University of Alberta ethics board.Results:Five primary themes emerged from the photographs and interviews: (1) autonomy, (2) clinical courage, (3) leadership, (4) safety, and (5) value and support. The photographs identified symbols participants associated with their lived experiences (e.g., worn shoes illustrate the relentless pace of pharmacists, a messy bed representing work-life balance out of control).Conclusion:This study identified that pharmacists’ felt the pandemic made them visible to the public and made them feel valued as a trusted resource and a safe-haven for ongoing healthcare. Additionally, it was highlighted how participants demonstrated clinical courage and led their communities by adapting their roles and using their autonomy to fulfil community needs.
Veterinary Behavioral Health Issues Associated with Disaster Response-Results of Global Survey
Authors: Vroegindewey Gary 
Published: June 2023

Introduction:Veterinarians have been identified as a professional group at elevated risk for behavioral health issues associated with an emergency response. Prior studies demonstrate the significant and long-lasting mental health effects experienced by veterinary responders. To examine the scale and scope of behavioral health issues exhibited by veterinary responders, an online anonymous survey was conducted.Method:A Qualtrics® survey was conducted to identify the scope and scale of behavioral health issues of veterinarians responding to disasters. Informed consent language and the survey included stress warnings for participants to stop the survey and seek support if needed. A link to the survey was sent to veterinarians from contact lists and the survey link was coded for reuse so it could be forwarded to others. Sending emails announcing the survey were sent and the survey was open for one month following the second notice. The results were tabulated and analyzed by the authors.Results:Fifty-one percent of respondents reported experiencing at least one behavioral health symptom during the disaster response and 34% reported at least one behavioral health symptom six months after the event. Milder symptoms such as loss of sleep and anxiety decreased significantly after six months, however more severe symptoms such as mood swings (24/22), depression (21/21), nightmares (18/20), and suicidal thoughts (5/5) did not significantly decrease. Sixteen percent reported support during the event and 13% reported support after.Conclusion:Survey analysis indicated that the scale and scope of veterinary responders’ behavioral health issues are significant, and the findings indicate that further study and action to improve health outcomes is warranted. Recommendations include developing standards and guidelines, incorporating behavioral health training into response activities, developing assessment and reporting protocols, collaborating with other professions to determine best practices, and providing funding for further research on behavioral health.
“I’ve become very introverted”: Long-term Social and Psychological Effects of the COVID-19 Pandemic
Authors: Leersum-Bekebrede Lydia van , Vetten-McMahon Marjonneke de , Haagen Joris , Tak Nannah , Dückers Michel , Marra Elske 
Published: June 2023

Introduction:Internationally, COVID-19 has impacted populations because of both infections and measures to prevent the spread of the virus. The pandemic's long-term social and psychological effects on the Dutch population were studied.Method:The GOR-COVID-19 health monitor1 includes quarterly measurements among youth (12- to 24-year-olds) and adult (25 and older) panels. The measurements of June and September 2022 included the open-ended question, ‘In your life at this moment, do you still feel the effects of the corona pandemic from the last 2.5 years?’ The first author qualitatively analyzed the responses (7.171 in total) through descriptive coding. A team member did a co-coder reliability check.Results:In the questionnaire, various people name positive effects of the pandemic, such as being able to spend time alone or feeling more confident. However, many respondents describe how the pandemic negatively affected their social life, mental health, personal development, financial situation, and perception of society. People who experienced life transitions show vulnerability to social isolation while working and learning online because they missed the opportunity to establish a new social network. Among them are young people who started secondary school, university, or their first job during the pandemic. The youth also often describe having difficulty with social interaction, feeling they have ‘unlearned’ to be in large groups or interact with strangers. Older generations, in contrast, comment on their own continued cautiousness.Conclusion:After years of pandemic, fear of contamination and social distancing measures have impacted society and individuals. The findings raise the question, ‘How will the experience of a pandemic continue to shape society and, in particular, what will be the lasting effects on the social networks and mental health of generation Z?’1 See Integrated GOR-COVID-19 health monitor and The Dutch GOR-Covid-19 health monitor, both in the European Journal of Public Health (2022) 32:3.
The Evolution of an Unintended Peer Support Group
Authors: McLean Andrew 
Published: June 2023

Introduction:This presentation provides a review of a case report regarding the often unrecognized emotional support experienced among leaders during crisis management.Method:Members of a statewide COVID-19 advisory group were surveyed as to their level of participation and perceived emotional wellness benefit resulting from group membership.Results:A majority of members across all disciplines and agencies reported a benefit of emotional wellness from group membership.Conclusion:It is important in disaster settings, regardless of the labeled group function, to be mindful of the potential benefits to group members from not only a task standpoint but a process standpoint as well. In addition, it is important to recognize the multiple benefits of interdisciplinary interaction and inclusion.
Assessing Trends and Risk Factors of Suicidal Ideation in Young People During the COVID-19 Pandemic Through Quarterly Monitoring in The Netherlands.
Authors: Rahmon Imme , Leersum-Bekebrede Lydia van , Mahon Marjonneke de Vetten-Mc , Postema Abigail , Bosmans Mark , Meerdink Anne , Jansen Noortje , Marra Elske 
Published: June 2023

Introduction:The COVID-19 pandemic has impacted populations internationally, through infections and consequences of infections, and by the countermeasures to prevent the spread of the coronavirus. Concerns exist surrounding the impact of the COVID-19 pandemic on the mental health of youths in the Netherlands. Consequently, we studied quarterly trends and risk factors of suicidal ideation among Dutch youths from September 2021 onwards.Method:The Network GOR-COVID-19, a research group consisting of different organizations, monitors the effect of the COVID-19 pandemic on population health. As one element of this monitoring, quarterly data collections have been undertaken since September 2021 from a panel of youths (12 – 25 years of age) representative of the Dutch population. Online questionnaires collect data on self-reported health and wellbeing. We analyzed a selection of demographic, social activity, and mental health variables as potential risk factors for self-reported suicidal ideation in the previous three months. We assessed trends, performed longitudinal analyses, and conducted logistic and random forest regressions per quarterly round of data collection. Analyses were weighted for age, sex, educational level, and province where appropriate.Results:Approximately 4,500 youths participated in each quarterly questionnaire, with some participating more than once. Results showed substantial increases in self-reported suicidal ideation during and immediately after the third lockdown in the Netherlands in December 2021, rising from 9% to 17%, then slowly decreasing to 16% in May/June 2022, and to 13% in September 2022. In all multivariable analyses variables relating to mental health were indicated as risk factors. The strongest associations were seen in those experiencing mental health complaints and loneliness. Demographic variables were not strongly associated with suicidal ideation.Conclusion:The monitoring conducted by The Network GOR-COVID-19 enables the tracking of trends in the impact of the COVID-19 pandemic on the mental health of Dutch youths in The Netherlands.
Evidence-informed Mental Health and Psychosocial Support (MHPSS) Guidelines: Are They Any Good and Where DoThey Lead Us When Disaster Strikes?
Authors: Dückers Michel , Willems Andrea , Steen Charlie , Hoof Wera van , Te Brake Hans 
Published: June 2023

Introduction:Disasters and humanitarian crises can have a tremendous impact on the mental health and psychosocial well-being of affected populations. Reliable and practical evidence-informed mental health and psychosocial support (MHPSS) guidelines are indispensable for policy and practice to address the mental health impact. Our objective was to review the quality of available guidelines and to explore similarities and differences in content.Method:The review was conducted in two steps. Firstly, MHPSS guidelines, frameworks, manuals and toolkits were selected via a systematic literature review as well as a search in the grey literature. A total of 13 MHPSS guidelines were assessed independently by 3–5 raters using the Appraisal of Guidelines for Research and Evaluation–Health Systems (AGREE-HS) instrument. Secondly, we analyzed the content of the highest-ranking guidelines.Results:Guideline quality scores varied substantially, ranging between 21.3 and 67.6 (range 0–100, M= 45.4), with four guidelines scoring above midpoint (50). Overall, guidelines scored highest (on a 1–7 scale) on topic (M = 5.3) and recommendations (M = 4.2), while implementability (M = 2.7) is arguably the area where most of the progress is to be made. The four guidelines proved largely similar, overlapping or at least complementary in their MHPSS definitions, stated purpose of the guidelines, user and target groups, terminology, and models used. Many recommended MHPSS measures and interventions were found in all of the guidelines and could be categorized. The guidelines stress the importance of monitoring needs and problems, evaluating the effect of service delivery, deliberate implementation and preparation, and investments in proper conditions and effective coordination across professions, agencies, and sectors.Conclusion:The MHPSS knowledge base embedded in guidelines is rich and contains invaluable content for disaster risk reduction. Although application contexts differ geographically, available guidelines should allow policymakers and practitioners globally to plan, implement, and evaluate MHPSS actions.
Psychosocial Support Interventions for Children During Ongoing War in Ukraine: A Pilot Study
Authors: Nitza Amy , O'Meara Andrew , Leon Gloria , Vysotska Krystyna , Prokhorov Alexander , Surinon Cassandre , O'Connor Taylor 
Published: June 2023

Introduction:This presentation describes an initiative to provide psychosocial support to children in Ukraine during the ongoing war using a children’s storybook, coloring book, and activity book. The resources promote emotion identification, self-expression, coping skills, and social support–variables with empirical support in promoting children’s mental health in response to trauma.Method:The book: “An Unusual Situation” is a bibliotherapy intervention for children struggling with difficult situations. By identifying with the characters, children learn about their own struggles, they learn that other children share similar concerns, and learn important coping skills.The book was translated into Ukrainian and Russian; supplementary materials including a coloring book, activity book and a guidebook were developed. Following a three-hour training, Ukrainian mental health professionals worked with children on the materials in their respective wartime settings.Results:Results of the following research questions will be presented:
1)How do mental health professionals working with children in Ukraine utilize the associated book resources measured by a survey and completed by the professionals engaged in the project.2)What do children who use these resources report about their experiences coping with the ongoing war, measured by:
a)Collecting children’s responses in the activity book.b)Surveying the mental health professionals about their observations of the children during the intervention process.3)Does the intervention reduce children’s distress, interpersonal functioning, or problematic behaviors, measured by pre-post scores on the Youth Outcome Questionnaire 2.0.Conclusion:This pilot study will provide information to guide the implementation of a broad psychosocial support intervention for children living in the setting of the ongoing war in Ukraine. Conclusions to be presented include:
1)Tailoring the intervention to the current needs of Ukrainian children2)Designing a wide-scale implementation plan tailored to Ukrainian mental health professionals’ recommendations3)Addressing barriers to implementation.