A Highly Skilled Healthcare Workforce Could Be in Jeopardy From COVID-19

Dec 10, 2020

3 min

While all healthcare professionals have stepped up during the COVID-19 pandemic and are essential to providing quality care, registered nurses are with patients 24/7 and provide essential, consistent surveillance, often being the first to take immediate action and alert colleagues in order to save patients.


“I cannot stress enough that it is not about beds and space, it is about having a high-quality and properly educated workforce to care for the patients in those beds and spaces,” says Donna Havens, PhD, RN, FAAN, Connelly Endowed Dean and Professor of the M. Louise Fitzpatrick College of Nursing, who adds that the process depends on a highly skilled workforce.


Though in some cases, because of the growing shortage across the nation during the pandemic, members of the workforce may not have the skills or experience to care for patients in the settings in which they may have been placed during the pandemic. Nurses who typically work in one particular clinical setting, e.g., pediatrics, may now be asked to provide care to adult intensive care unit (ICU) patients with very little education, if any, regarding the particulars of caring for this population. This may impact the quality of care—as well as increase distress and burnout among the workforce.


The number of hospitalized patients is growing exponentially each day, and the healthcare workforce is expressing growing concern, distress, disappointment and anger about the numerous issues and challenges within the healthcare settings—as well as in regard to the general population disregarding healthcare experts’ and scientists’ guidance to adhere to practices that will mitigate the spread of the virus. Media coverage is articulating the workforce’s dismay and their calls for help—because they are tired, burned out and facing a struggle to go to work.


While some traveling healthcare professionals, who practice by accepting assignments as temporary reinforcements across the country, were being sent to hot spots earlier in the pandemic, there are so many hot spots across the country today that this may no longer be a solution to ameliorate the shortage of quality care providers.


Havens and colleagues at Villanova’s M. Louise Fitzpatrick College of Nursing launched a national 20-year study in May—the CHAMPS study—to explore the emotional and physical wellbeing of the healthcare workforce and those who support care. Their early findings document high levels of depression, stress and sleep issues. “Not only is the healthcare workforce growing tired, distressed and burned out, but many are also becoming ill themselves—many dying of COVID-19. This is demoralizing and severely impacts the number available to provide care. Some of the respondents from the CHAMPS study describe caring for healthcare colleagues who died from COVID while they were caring for them.”


The World Health Organization designated 2020 as the Year of the Nurse and Midwife, and 2020 is also the 200th birthday of Florence Nightingale, who founded the nursing profession. “How ironic that during this time, nurses find themselves working in surge hospitals in tents, basketball arenas, parking garages and so forth, just as Nightingale’s early career was spent implementing processes to improve sanitation and hygiene,” says Havens.


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6 min

Sport and Study: Villanova University Faculty Offer Academic Lens to Paris Olympics Storylines

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Portraying a National Image in the Opening Ceremony Étienne Achille, PhD Director of French and Francophone Studies After months of speculation, the daily Le Parisien has officially confirmed that renowned French-Malian singer Aya Nakamura will lend her vocals to an opening ceremony featuring an iconic backdrop steeped in history. “Nakamura is the most-streamed Francophone singer in the world, embodying France’s culture on a global stage, and she’ll be paying homage to one of the most cherished representatives of the chanson française,” said Dr. Achille, referring to reports she will sing one of beloved French crooner Charles Aznavour’s greatest hits. According to Dr. Achille, the pop star’s presence is significant and symbolic. “A performer, or even a flagbearer, can easily become the face of a global event like the Olympics,” he said. The details of the setting for the ceremony – in the heart of Paris, along the Seine – are just as intentionally symbolic. “Not only will this be the first opening ceremony to take place entirely outside of a stadium; its location along the river and the fact the delegations will be on boats are key. “It represents movement and connection to the world,” Dr. Achille said. “And Nakamura’s performance projects the image of a modern, multi-ethnic nation building on tradition while proudly marching into the future.” Swimming in the Seine: Safe or Not? Metin Duran, PhD Professor of Civil and Environmental Engineering It is, perhaps, the most-asked question of the last few weeks. Is the Seine River, set to host multiple swimming events, safe? The river has been illegal to swim in for a century due to the presence of harmful bacteria such as E. Coli, and recent testing has reaffirmed this concern. The Seine, which had undergone an expensive cleaning to mitigate this issue, received the endorsement of Paris Mayor Ann Hidalgo, who personally took a dip in the water herself to attest to its safety. The stunt did little to convince experts such as Dr. Duran, who studies wastewater, to abandon concern about the potential health risks of athletes being exposed to pathogens in the water. “When we have fecal pollution, there is a high likelihood of pathogens being present,” Dr. Duran said. “Those could be viral, like a norovirus, or protozoan. “If you’re swimming in that water, you run the risk of ingesting it. Once you ingest that polluted water, you’re likely to contract some of those disease-causing pathogens. Ingesting this water doesn’t mean you’re necessarily going to get sick, but based on the number of people in a big city like Paris, there is a very high likelihood of some of these pathogens existing now in the river.” Accommodations for Breastfeeding Athletes Sunny Hallowell, PhD, APRN, PPCNP-BC Associate Professor of Nursing The IOC and Paris 2024 Organizing Committee is providing support to all breastfeeding athletes competing in the Games. A few national governing bodies, like the French Olympic Committee, are going a step further and offering hotel rooms near the Village for their country’s breastfeeding athletes to share with their children and spouses. “A few decades ago, the idea of a female athlete who also wanted to breastfeed their child was so taboo it may have prevented an athlete from competing,” said Dr. Hallowell. “Now, many female athletes who choose to breastfeed their newborns or toddlers conceptualize breastfeeding as another normal function of their remarkably athletic bodies.” Accommodation for breastfeeding athletes and increased awareness are needed more than ever. Dr. Hallowell notes that in addition to changing views on breastfeeding, the needs for such accommodations are increasing as the age of peak athletic performance also increases. “Advances in sports nutrition, wellness and lifestyle have extended the longevity and performance of many athletes into adulthood,” she said. And while some athletes with rigorous training regimens might feel “frustrated incorporating breastfeeding into the routine,” Dr. Hallowell says that for others, “breastfeeding provides both physical and socio-emotional benefits for the mother and the infant that allow the athlete to focus on the job of competition.” Protecting Against the Parisian Heat Ruth McDermott-Levy, PhD, MPH, RN, FAAN Professor of Nursing The potential for extreme heat in Paris has been a topic of concern for athletes and organizers, prompting certain outdoor events to be proactively scheduled at times to avoid the day’s worst heat. Current forecasts predict temperatures in the 90s for several days early on in the Games, which could be exacerbated by Paris’ reputation as an urban heat island, unable to cool due to lack of green space and building density. Dr. McDermott-Levy says the athletes are inherently vulnerable, because “the added stress of physical exertion during their events puts them at greater risk of heat-related illness.” But she also notes that many of the athletes have likely undergone pre-competition training in extreme heat conditions to acclimate and will have trainers and health professionals monitoring them frequently. “The group of concern are the workers at the stadiums, outdoor workers and spectators who are there to enjoy or work at the events and may have had little to no acclimation,” Dr. McDermott-Levy said. “They need to follow local instructions and take frequent breaks from the heat, seek shade and maintain hydration by avoiding alcohol and sugary drinks and drinking water.” How Nature Can Inspire Future Use of Olympic Infrastructure Alyssa Stark, PhD Assistant Professor of Biology Gone, hopefully, are the days of abandoned Olympic Villages and venues, overrun with weeds and rendered useless soon after the Games conclude. The IOC’s commitment to sustainability has been transparently relayed ahead of the 2024 Games, featuring a robust range of initiatives and programs. Dr. Stark is particularly interested in one aspect of ensuring a sustainable Olympics. “How will the structures, materials and systems they developed for the Olympics be re-used, re-shaped or re-worked afterward?” she posed. “This could include re-using buildings to larger scale or re-working transportation systems set in place for the Games that could then integrate into day-to-day life post Olympics.” At the root of her interest is the concept of biomimicry. “A lot of the way we think about designing, if we’re using this biomimicry lens, is how do we learn from nature to solve problems that we have in a sustainable way, keeping in mind the environment we are in?” Dr. Stark said. In this case, consider how something like a dwelling of a living creature might be repurposed to fit the needs of another creature, or serve another natural purpose, without harming the ecosystem. Could that inspire a way to re-use the Olympic infrastructure? “There are a ton of examples of [biomimicry] being used and working in products,” Dr. Stark said. “But I would say the next step is looking at the social levels of these big ecosystems – building architecture, city planning, flow of information and, in this instance, repurposing what was created for the Olympics.” Paris Could Be a Transportation Model for Major City Events in the United States Arash Tavakoli, PhD Professor of Civil and Environmental Engineering Paris has invested 250 million Euro the last several years to transform the city to a 100% cycling city, making it one of the most bike-friendly municipalities in the world. Currently, more trips are being made by bicycles in Paris than by cars (11% vs. 4%), a trend that has permeated to the surrounding suburbs as well. With an influx of travelers in Paris for the Games, Dr. Tavakoli, an expert in human transportation, said, “The Olympics will be a test for how well these kinds of systems respond to high fluctuations in the population as compared to vehicle-centric systems.” While Paris is thousands of miles away from the United States, how bicycle, pedestrian and vehicle systems work during the Games could provide helpful insight ahead of major events in American cities. “With the World Cup coming to the U.S. in a few years, it will be interesting to compare [Paris] with how our own system responds to people’s needs,” Dr. Tavakoli said. “Not just based on traffic data and congestion, but also considering factors like how comfortable the transportation system is, how much it affects our well-being and how much it attracts a nonresident to enjoy the U.S. when their only option, for the most part, is a vehicle.”

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