Search Results (52)

Background: The COVID-19 pandemic had a significant impact on nursing students by intertwining academic demands with health concerns, a situation that had effects on their emotional well-being and academic engagement. Factors such as sociodemographic characteristics and health status determined their experiences. Understanding these dynamics is crucial, especially in the context of the Spanish health and education systems. The present study aimed to adapt and assess the psychometric properties of the AMICO scale in the context of nursing students in Spain. Methods: Cross-sectional descriptive study. The study was carried out in University Nursing Centers in Spain using a non-probabilistic snowball sampling method. The total sample consisted of 1197 nursing students. Sociodemographic variables were included, as well as questions related to general health and some more specific questions about COVID-19. For the reliability study, Cronbach’s alpha was calculated. An exploratory factor analysis using principal components and varimax rotation was applied, excluding items with loadings below 0.05. Results: In this study, 1197 nursing students residing in Spain participated, of whom 85% were female, with a mean age of 22.35 years. Despite 73.9% of the students being isolated due to exposure to COVID-19, they rated their general health positively (7.86). Females reported higher levels of anxiety. The AMICO scale revealed significant differences according to gender, health, and vaccination history, showing high reliability (Cronbach’s alpha = 0.913). Conclusions: The two-factor structure of the AMICO scale was validated, confirming its suitability for assessing anxiety and fear among nursing students in Spain. The study revealed significant emotional distress during the COVID-19 pandemic, particularly among women, high-risk individuals, and those fully vaccinated. These findings accentuate the need for higher education institutions to implement targeted mental health interventions during public health emergencies. Future longitudinal research should examine the evolving psychological impact of such crises and the mitigating roles of quality of life, sleep, and physical activity. Full article

Background: The COVID-19 pandemic has significantly impacted the mental health of healthcare professionals, particularly nurses and paramedics. This study investigates the prevalence of Post-Traumatic Stress Disorder (PTSD) and the impact of social ostracism on psychological distress among healthcare workers (HCWs) in Poland, with a focus on exploring the interplay between professional and social factors contributing to their stress. Methods: A cross-sectional survey was conducted between March 2021 and February 2022 with 852 HCWs from four Polish provinces. PTSD symptoms were measured using the PTSD Checklist—Civilian Version (PCL-C), and social ostracism was assessed through a custom-designed questionnaire. Results: Of the participants, 14.1% reported experiencing social ostracism, and 4.9% observed such experiences among colleagues. Those who experienced or witnessed ostracism reported significantly higher PTSD symptoms (p < 0.001). Concerns about personal health and the well-being of older individuals were strongly associated with increased PTSD severity, while concerns for household members were not. Conclusions: Social ostracism exacerbates the psychological burden on healthcare workers, contributing to higher levels of PTSD. This study highlights the need for targeted mental health interventions and support systems, including resilience training and stigma reduction initiatives, to address these challenges. Future research should explore cross-national comparisons and long-term psychological effects among diverse healthcare populations. Full article

This study examines the global health implications of extreme drought events from 2000 to 2023. Utilizing data from the International Disaster Database (EM-DAT), we analyzed the number of people affected and the total deaths attributed to drought. Our findings reveal that over 1.6 billion people have been impacted by drought globally, with Southern Asia and Sub-Saharan Africa being the most severely affected regions. India and China account for a significant portion of the affected population, with 688.2 million and 327.35 million impacted people, respectively. Drought-related mortality has also been substantial, with over 24,000 deaths recorded globally, including more than 20,000 in Somalia alone. The study highlights the uneven distribution of drought impacts, underscoring the need for targeted interventions and comprehensive drought preparedness strategies. Our analysis also reveals the critical role of socio-economic factors in exacerbating the health impacts of drought, particularly in regions with inadequate healthcare infrastructure and limited access to resources. This study provides novel insights into the specific health impacts of drought, including the correlation between drought frequency and mortality rates, and offers actionable recommendations for improving future emergency responses and health system preparedness. These recommendations are tailored to address the unique challenges faced by the most vulnerable regions, emphasizing the importance of context-specific strategies to enhance resilience against the growing threat of climate-induced droughts. Full article

The United Nations’ Sustainable Development Goals (UN’s SDG) are a set of actionable frameworks, which can be achieved through collaboration among nations, emphasizing the significant role of leadership. Recent geopolitical trends have spotlighted leaders with pronounced sociopathic narcissistic characteristics, opposing any collaborative approach to achieving the UN’s SDGs. This study used a mix method (a scoping review and action research), to critically investigate the impact of leadership, narcissistic leadership in particular, on achieving the UN’s SDGs. The results showed that publications discussing the impacts of narcissism on achieving interconnected SDGs are scarce. The systemic negative factors enabling narcissistic leaders to rise above and keep power, and potential strategies to inhibit such leadership styles were critically discussed. The loss of the Sustainable Development Goals remains the best indicator of the global negative impact of narcissistic leadership and its influence on global health systems. It is not country-specific and is the only legitimate global measure available. Preventing the rise of such leadership, particularly in low- and middle-income countries may avert wars, conflicts, and their deadly outcomes from national and global perspectives. Novel global policies are urgently needed to safeguard global peace, health, and security. Full article

This study investigates the relationship between dietary habits and metabolic health among women, emphasizing the role of anthropometric parameters as proxies for insulin resistance. We analyzed data from 443 women categorized into two groups based on the presence or absence of clinically diagnosed insulin resistance. Our assessments included dietary quality, socio-demographic characteristics, and a series of anthropometric measurements such as body weight, Body Mass Index (BMI), Waist-Hip Ratio (WHR), Abdominal Volume Index (AVI), and Body Adiposity Index (BAI). The results indicated significant disparities in these parameters, with the insulin-resistant group exhibiting higher average body weight (78.92 kg vs. 65.04 kg, p < 0.001), BMI (28.45 kg/m² vs. 23.17 kg/m², p < 0.001), and other related measures, suggesting a strong influence of dietary patterns on body composition and metabolic risk. The study underscores the importance of dietary management in addressing insulin resistance, advocating for personalized dietary strategies to improve metabolic health outcomes in women. This approach highlights the need for integrating dietary changes with lifestyle modifications and socio-demographic considerations to combat metabolic risks effectively. Full article

This comprehensive rapid review meticulously evaluates the transformative influence of Vision 2030 on the healthcare sector in Saudi Arabia. Vision 2030, with its broad scope, targets an extensive overhaul of healthcare through infrastructure enhancement, digital health adoption, workforce empowerment, innovative public health initiatives, and advancements in quality of care and patient safety. By employing a rigorous analytical approach, this review synthesizes a broad spectrum of data highlighting Saudi Arabia’s significant progress toward establishing an accessible, efficient, and superior healthcare system. It delves into the kingdom’s alignment with global healthcare trends and its distinctive contributions, notably in digital health and public health, illustrating a proactive stance on future healthcare challenges. The analysis rigorously explores Vision 2030’s ambitious objectives and the concrete outcomes achieved, providing deep insights into the evolving healthcare landscape in Saudi Arabia. Furthermore, it assesses the global ramifications of these reformative efforts, emphasizing the pivotal themes of innovation, equity, and excellence as the foundation for future healthcare advancements. This review not only sheds light on Vision 2030’s extensive impact on Saudi healthcare but also positions the kingdom as an exemplar of healthcare innovation and reform on the global stage, offering valuable lessons for healthcare policy and practice around the world. Full article

This study investigates the effectiveness of the Script Concordance Test (SCT) in enhancing clinical reasoning skills within paramedic education. Focusing on the Medical University of Lublin, we evaluated the SCT’s application across two cohorts of paramedic students, aiming to understand its potential to improve decision-making skills in emergency scenarios. Our approach, informed by Van der Vleuten’s assessment framework, revealed that while the SCT’s correlation with traditional methods like multiple-choice questions (MCQs) was limited, its formative nature significantly contributed to improved performance in summative assessments. These findings suggest that the SCT can be an effective tool in paramedic training, particularly in strengthening cognitive abilities critical for emergency responses. The study underscores the importance of incorporating innovative assessment tools like SCTs in paramedic curricula, not only to enhance clinical reasoning but also to prepare students for effective emergency responses. Our research contributes to the ongoing efforts in refining paramedic education and highlights the need for versatile assessment strategies in preparing future healthcare professionals for diverse clinical challenges. Full article

Introduction: Traumatic injuries are a significant global health concern, with profound medical and socioeconomic impacts. This study explores the patterns of trauma-related hospitalizations in the Lublin Province of Poland, with a particular focus on the periods before and during the COVID-19 pandemic. Aim of the Study: The primary aim of this research was to assess the trends in trauma admissions, the average length of hospital stays, and mortality rates associated with different types of injuries, comparing urban and rural settings over two distinct time periods: 2018–2019 and 2020–2021. Methods: This descriptive study analyzed trauma admission data from 35 hospitals in the Lublin Province, as recorded in the National General Hospital Morbidity Study (NGHMS). Patients were classified based on the International Classification of Diseases Revision 10 (ICD-10) codes. The data were compared for two periods: an 11-week span during the initial COVID-19 lockdown in 2020 and the equivalent period in 2019. Results: The study found a decrease in overall trauma admissions during the pandemic years (11,394 in 2020–2021 compared to 17,773 in 2018–2019). Notably, the average length of hospitalization increased during the pandemic, especially in rural areas (from 3.5 days in 2018–2019 to 5.5 days in 2020–2021 for head injuries). Male patients predominantly suffered from trauma, with a notable rise in female admissions for abdominal injuries during the pandemic. The maximal hospitalization days were higher in rural areas for head and neck injuries during the pandemic. Conclusions: The study highlights significant disparities in trauma care between urban and rural areas and between the pre-pandemic and pandemic periods. It underscores the need for healthcare systems to adapt to changing circumstances, particularly in rural settings, and calls for targeted strategies to address the specific challenges faced in trauma care during public health crises. Full article

In a world increasingly vulnerable to environmental and health crises, sustainable healthcare systems are crucial. This study focuses on the resilience and sustainability of healthcare services in Saudi Arabia’s Eastern Province, assessing their readiness to endure and adapt amidst disaster scenarios. Conducted through a cross-sectional survey involving 522 hospital employees, the research provides an in-depth analysis of various sustainability-related aspects of healthcare preparedness. This includes examining both structural and non-structural safety elements, standard operating procedures, staff training in disaster response, data security, and sustainable management of resources during emergencies. The results reveal a noteworthy commitment to sustainable disaster preparedness: 53.7% of hospitals, predominantly governed by the Ministry of Health, have implemented comprehensive disaster recovery plans. Furthermore, the study found a strong representation of female participants (54.2%) in these hospitals. A significant 64.1% of respondents confirmed the existence of disaster recovery plans in their workplaces, and an even higher percentage, 70.6%, reported receiving specific training in disaster response. These findings underscore the proactive efforts of Eastern Province hospitals in fostering a sustainable and resilient healthcare framework, demonstrating an approach that prioritizes preparedness beyond immediate crisis response. This proactive stance is pivotal in ensuring the continuity of healthcare services amidst the ever-evolving nature of global disasters. Full article

Background: Amidst a rising tide of trauma-related emergencies, emergency departments worldwide grapple with the challenges of overcrowding and prolonged patient wait times. Addressing these challenges, the integration of prehospital intensive care units has appeared as a promising solution, streamlining trauma care and enhancing patient safety. Nevertheless, the feasibility of such an initiative becomes murky when considered globally. This review delves into the intricacies of prehospital intensive care units’ deployment for trauma care, scrutinizing their configurations, operational practices, and the inherent challenges and research priorities. Methods: A scoping review was performed for eligible studies. The result was uploaded to the RAYYAN research platform, facilitating simultaneous evaluation of the studies by all researchers. Results: A total of 42 studies were initially selected. Four studies were duplicates, and 25 studies were unanimously removed as irrelevant. The remaining studies (n = 13) were included in the review, and the outcomes were categorized into diverse subgroups. Conclusions: A country’s emergency medical services must achieve specific milestones in education, competency, resource availability, and performance to effectively harness the potential of a prehospital intensive care unit. While certain nations are equipped, others lag, highlighting a global disparity in readiness for such advanced care modalities. Full article

(1) Background: Military personnel and veterans meet unique health challenges that stem from the complex interplay of their service experiences, the nature of warfare, and their interactions with both military and civilian healthcare systems. This study aims to examine the myriad of injuries and medical conditions specific to this population, encompassing physical and psychological traumas. (2) Methods: A scoping review (systematic search and non-systematic review) was performed to evaluate the current landscape of military healthcare. (3) Results: A significant change in the injury profile over time is identified, linked to shifts in combat strategies and the integration of advanced technologies in warfare. Environmental exposures to diverse chemical or natural agents further complicate the health of service members. Additionally, the stressors they face, ranging from routine stress to traumatic experiences, lead to various mental health challenges. A major concern is the gap in healthcare accessibility and quality, worsened by challenges in the civilian healthcare system’s capacity to address these unique needs and the military healthcare system’s limitations. (4) Conclusions: This review underscores the need for holistic, integrated approaches to care, rigorous research, and targeted interventions to better serve the health needs of military personnel and veterans. Full article

Introduction: The COVID-19 pandemic brought about significant challenges for health systems globally, with medical professionals at the forefront of this crisis. Understanding their organizational expectations and well-being implications is crucial for crafting responsive healthcare environments. Methods: Between 2021 and 2022, an online survey was conducted among 852 medical professionals across four provinces in Poland: Mazovia, Łódź, Świętokrzyskie, and Lublin. The survey tool, based on a comprehensive literature review, comprised dichotomous questions and specific queries to gather explicit insights. A 5-point Likert scale was implemented to capture nuanced perceptions. Additionally, the Post-Traumatic Stress Disorder Checklist-Civilian (PCL-C) was utilized to ascertain the correlation between workplace organization and post-traumatic stress symptoms. Results: A noteworthy 84.6% of participants believed their employers could enhance safety measures, highlighting a discrepancy between healthcare workers’ expectations and organizational implementations. Major concerns encompassed the demand for improved personal protective equipment (44.6%), structured debriefing sessions (40%), distinct building entrances and exits (38.8%), and psychological support (38.3%). Statistical analyses showcased significant variations in ‘Avoidance’ and ‘Overall PTSD Score’ between individuals who had undergone epidemic safety procedure training and those who had not. Conclusions: The results illuminate the imperative for healthcare organizations to remain agile, attentive, and deeply compassionate, especially during worldwide health emergencies. Despite showcasing remarkable resilience during the pandemic, medical professionals ardently seek an environment that underscores their safety and mental well-being. These findings reinforce the call for healthcare institutions and policymakers to champion a forward-thinking, employee-focused approach. Additionally, the data suggest a potential avenue for future research focusing on specific demographic groups, further enriching our understanding and ensuring a more comprehensive readiness for impending health crises. Full article

Introduction: Out-of-hospital cardiac arrests (OHCAs) represent critical medical emergencies in which timely interventions can make a significant difference in patient outcomes. Despite their importance, the role of on-scene witnesses during such events remains relatively unexplored. Aim of the Study: This research seeks to shed light on the influence of witnesses, especially family members, during OHCAs and the effect of their interventions, or the absence thereof, on outcomes. Drawing from existing literature, our working hypothesis suggests that the presence of a witness, particularly one who is knowledgeable about CPR, can increase the likelihood of obtaining the return of spontaneous circulation (ROSC), potentially enhancing overall survival rates. Methods: Using a retrospective analytical method, we thoroughly reviewed medical records from the Lublin Voivodeship between 2014–2017. Out of 5111 events identified using ICD-10 diagnosis codes and ICD-9 medical procedure codes, 4361 cases specifically related to sudden cardiac arrest were chosen. Concurrently, 750 events were excluded based on predefined criteria. Results: Both basic and advanced EMS teams showed higher rates of CPR initiation and an increased likelihood of obtaining ROSC. Notably, the presence of a trained EMS professional as a witness significantly increased the chances of CPR initiation. The presenting rhythms most often detected were ventricular tachycardia (VT) and ventricular fibrillation (VF). Different urgency codes were directly linked to varying ROSC outcomes. When witnesses, especially family members, began chest compressions, the use of amiodarone was notably higher. A significant finding was that 46.85% of OHCA patients died without witnesses, while family members were present in 23.87% of cases. Actions taken by witnesses, especially chest compressions, generally extended the overall duration of patient care. Conclusion: The crucial influence of witnesses, particularly family members, on OHCA outcomes is evident. Therefore, it is essential to increase public awareness of CPR techniques and rapid intervention strategies to improve outcomes in emergency situations. Full article

This rapid review critically evaluates the impact of climate change on Saudi Arabia, elucidating its adaptive measures and the ensuing global ramifications. Using a structured framework, we conducted exhaustive database searches spanning 2010–2023, focusing on articles pertinent to Saudi Arabia’s climate adaptation and disaster readiness. Through a rigorous dual-reviewer process, the data was systematically synthesized. Our findings reveal that Saudi Arabia confronts pressing water scarcity issues, particularly highlighted by a surge in desalination dependence, which presents both sustainability and adaptability challenges. Infrastructure resilience in key cities such as Riyadh and Jeddah stands out, emphasizing innovative solutions imperative to counteracting unforeseen environmental disruptions. Furthermore, the nation’s endeavor to meld its deep-rooted cultural legacy with emergent environmental imperatives is distinctive, representing a confluence of tradition and contemporaneity that resonates globally. The geopolitical dynamics, accentuated by Saudi Arabia’s dominant role in international arenas, bring to the fore the socio-political and economic shifts induced by climate change. Additionally, the dawn of technological advancements underscores the pivotal role of robust digital frameworks in countering climatic challenges. Saudi Arabia’s policy and governance undertakings furnish salient insights into adaptive modalities, underscoring a triad of collaboration, vision, and ingenuity. Conclusively, this review delineates Saudi Arabia’s intricate trajectory through climate change intricacies, affording pivotal insights that bear significance for global scientific discourse on adaptive strategies, particularly emphasizing the integral balance of tradition, modernity, and innovation. Full article