Challenges and opportunities for nurses during COVID-19 pandemic

Background: Pandemic of COVID-19 coincided with the year of Nurses and Midwives 2020. In war against invisible that has been ongoing during this pandemic, nurses play crucial role. As of June 2020, more than 600 nurses have lost their lives due to COVID-19. Nursing practice takes patients’ safety at paramount through continuum of testing, quarantine and isolation. Thus, there is need to review challenges that pandemic has posed as well as the avenues of opportunities that it has opened for nurses. Method: Review of existing literature on nurses, their challenges and opportunities during COVID-19 was done using electronic database. Freely accessible literatures in English language that clearly mentioned on challenges and opportunities of nurses during COVID-19 were included in the study. Result: One of thechallenges that nurses face during COVID-19 is workforce shortage. With increasing number of people infected with COVID-19, it outstretches the existing nursing health workforce, and disproportionately in the low and middle incomes countries. They are at risk of infection and have high job demand. The incidents of suicide among nurses are representation of physical distress and psychological trauma. Role of nurses in patients care during COVID-19 can be under-rated and stigmatized. Internationally trained nurses and minorities nurses are at increased risk of discrimination. Despite these challenges, COVID-19 puts forward opportunities for nurses on implementing humanistic theory in practice, self-esteem and sharing of real time stories, contingency management and creativity. It opens platform for leading infection prevention measures and advocacy of profession. Conclusion: Being the pertinent stakeholders in patient care, nurses’ faces different challenges as well as some opportunities. COVID-19 has opened avenues for advocacy of nursing profession to get acknowledged for their dedication, perseverance, high morale and contribution during the pandemic management

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries