SER+ Against COVID-19 - Interventions to Strengthen the Resilience of HCWs in Ecuador

NCT05198414 | Completed

• 1 other identifier: UMHODS22
• Study Type: observational
• Target: 44
• Locations: 1 country
• Sites: 2

Brief Summary

The SARS-CoV-2 pandemic has particularly impacted Ecuador. By May 31, 2021, 426,000 cases (10% of health professionals) and 20,572 deaths. Care procedures, organization and priorities have been altered, if not broken. The quality and safety of COVID19 and non-COVID19 patients have been compromised. Compassion fatigue, post-traumatic stress and moral damage reactions have been observed among healthcare professionals, considered second victims of SARS-CoV-2. Without professionals who feel supported and morally strong, care will be compromised, leading to greater uncertainty and insecurity in the care of COVID19 and non-COVID19 patients. In coordination with local authorities, this project seeks to strengthen the resilience of public institutions and healthcare professionals to implement. In coordination with local authorities, this project seeks to strengthen the resilience of public institutions and health professionals to implement proven interventions and scale them up to the whole health system to strengthen it after the impact of the COVID19 pandemic. This proposal is aligned with Sustainable Development Goal 3, which includes different targets to ensure healthy lives and promote well-being for all ages. Health emergencies, such as the one resulting from COVID-19, pose a global risk and have shown that preparedness is vital. Improving the Quality of the National Health Services and strengthening the health system in preparedness and response to health emergencies are the main priority lines of action in this project, thus aligning with SDG target 3.8 concerning strengthening health professional morale since to save lives, countries' public health systems must be strengthened. Previous work with the local partner supports the good performance and development of this proposal, which arose from a need based on the need to This proposal arose from a need based on the lessons learned in Spain.

Conditions

Occupational Stress; Stress, Physiological

Keywords

Healthcare workers; Qualitative study; COVID-19; Quality of care; Occupational Stress; Stress, Physiological

Outcome Measures

Primary Outcomes (1)

• Recommendations to support and increase the resilience of healthcare workers

  Recommendations to support Ecuador's health system in the COVID-19 pandemic and increase the resilience of personnel in future health emergencies.

  31/05/2022

Other Outcomes (1)

• Categories of analysis

  01/02/2022

Study Arms (1)

Healthcare workers

Healthcare workers at the first line and healthcare directives.

Other: Focus group

Interventions

Focus group OTHER

Qualitative research methodology with healthcare workers

Healthcare workers

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Health professionals of primary care, hospital, medical directors and administrative personnel of the city of Guayaquil who have been working directly with COVID patients or in facilities destined to the care of COVID patients.

You may qualify if:

• Healthcare workers of primary care providng care to COVID-19 patients.
• Healthcare workers of hospitals providng care to COVID-19 patients.
• Medical directors (high management) of COVID-19 hospitals.
• Administrative personnel of COVID-19 hospitals.

You may not qualify if:

• \- Healthcare workers, medical directors and administrative personnel not involved in COVID19 care.

Sponsors & Collaborators

• Universidad Miguel Hernandez de Elche: lead
• Universidad Catolica Santiago de Guayaquil: collaborator
• Hospital General del Norte de Guayaquil IESS Los Ceibos: collaborator

Study Sites (2)

Hospital General Norte "Los Ceibos"

Guayaquil, Guayas, Ecuador

Location

Universidad Católica de Santiago de Guayaquil

Guayaquil, Guayas, Ecuador

Location

Related Publications (4)

• Mira JJ, Carrillo I, Guilabert M, Mula A, Martin-Delgado J, Perez-Jover MV, Vicente MA, Fernandez C; SARS-CoV-2 Second Victim Study Group. Acute stress of the healthcare workforce during the COVID-19 pandemic evolution: a cross-sectional study in Spain. BMJ Open. 2020 Nov 6;10(11):e042555. doi: 10.1136/bmjopen-2020-042555.

  PMID: 33158839 BACKGROUND

• Martin-Delgado J, Viteri E, Mula A, Serpa P, Pacheco G, Prada D, Campos de Andrade Lourencao D, Campos Pavan Baptista P, Ramirez G, Mira JJ. Availability of personal protective equipment and diagnostic and treatment facilities for healthcare workers involved in COVID-19 care: A cross-sectional study in Brazil, Colombia, and Ecuador. PLoS One. 2020 Nov 11;15(11):e0242185. doi: 10.1371/journal.pone.0242185. eCollection 2020.

  PMID: 33175877 BACKGROUND

• Mira JJ, Vicente MA, Lopez-Pineda A, Carrillo I, Guilabert M, Fernandez C, Perez-Jover V, Martin Delgado J, Perez-Perez P, Cobos Vargas A, Astier-Pena MP, Martinez-Garcia OB, Marco-Gomez B, Abad Bouzan C. Preventing and Addressing the Stress Reactions of Health Care Workers Caring for Patients With COVID-19: Development of a Digital Platform (Be + Against COVID). JMIR Mhealth Uhealth. 2020 Oct 5;8(10):e21692. doi: 10.2196/21692.

  PMID: 32936769 RESULT

• Mira JJ, Cobos-Vargas A, Astier-Pena MP, Perez-Perez P, Carrillo I, Guilabert M, Perez-Jover V, Fernandez-Peris C, Vicente-Ripoll MA, Silvestre-Busto C, Lorenzo-Martinez S, Martin-Delgado J, Aibar C, Aranaz J. Addressing Acute Stress among Professionals Caring for COVID-19 Patients: Lessons Learned during the First Outbreak in Spain (March-April 2020). Int J Environ Res Public Health. 2021 Nov 16;18(22):12010. doi: 10.3390/ijerph182212010.

  PMID: 34831767 RESULT

Related Links

• Social Observatory of Ecuador. Deceased persons
• World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) Dashboard

MeSH Terms

Conditions

Occupational Stress; COVID-19

Interventions

Focus Groups

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior; Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Jose J Mira Solves, PhD

  Universidad Miguel Hernandez

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: January 17, 2022
• First Posted: January 20, 2022
• Study Start: September 1, 2021
• Primary Completion: February 1, 2022
• Study Completion: May 31, 2022
• Last Updated: September 19, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

EC (2)