A Safety Paradox: Stay-at-Home Policies and Domestic Violence Risks

What happens when the very measures put in place to keep us safe and healthy instead place us at risk for harm? For women in abusive relationships, the stay-at-home strategy for controlling the spread of COVID-19 can do just that.

A perfect storm of risk factors for escalating violence.

High stress levels, loss of a sense of control, unemployment, increased time together—all are known to increase the frequency and intensity of intimate partner violence (IPV). A study of IPV rates before and after Hurricane Katrina found a 98% increase in physical IPV and a 35% increase in psychological IPV against women after the hurricane, with stressors as one of the strongest predictors for increased violence. IPV rates are known to rise with unemployment rates; a study of IPV during the economic recession of 2007-2008 found that a rapid rise in unemployment led to increased violence and controlling behaviors. And multiple studies have found that IPV incidents occur at much higher rates on weekends and during the summer—times when couples spend more time together. With Covid-19, people are suddenly unemployed and experiencing stress due to economic hardship, fear of illness, and uncertainty about the future. And couples are now spending all their […]

2020-05-04T12:27:03-04:00May 4th, 2020|Nursing, Public health, women's health|0 Comments
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A Message from Frontline Nurses: Let’s Keep the Real Enemy in Sight

The recent protests against stay-at-home restrictions across the country are painful to watch for nurses most affected by the pandemic, those caring for COVID-19 patients. Four RNs working in hospitals in New York City who are graduate students at the Lienhard School of Nursing at Pace University decided to work together with one of their professors to share their thoughts on behalf of nurses on the front lines.

There are refrigerator trucks filled with bodies outside our hospitals. Many of us have to pass by them when we go into work, knowing that among those bodies are the patients we cared for yesterday and when we leave 12 hours later, some of the patients we cared for today will join them. Even harder to handle is the knowledge that among those bodies may be a colleague or friend, fellow nurses who caught COVID-19 while caring for others. It is heartbreaking and terrifying because we know that we too could end up in a body bag shelved in a refrigerator truck.

So, it is no wonder that the sight of people protesting protective measures generates such strong emotions for us—anger, fear, sadness. Anger that in choosing to ignore restrictions, or insisting on the right to risk their own health, they […]

2021-01-21T11:07:20-05:00April 29th, 2020|infectious diseases, Nursing, nursing perspective, Public health, students|7 Comments
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Coronavirus Casting Environmental, Climate Issues Into Sharp Relief

The COVID-19 pandemic highlights the vital link between public health and the environment.

Since 1970, April 22 has been designated Earth Day. The theme of this year’s observations, held digitally due to the pandemic, is climate action, with the organizers calling climate change “the biggest challenge to the future of humanity.”

The biggest immediate challenge facing humanity is coronavirus. Yet, just as the pandemic’s economic fallout highlights the interconnectedness of health and the economy, this crisis underscores the ongoing environmental emergency and its link to public health.

Air pollution and COVID-19 deaths.

Since coronavirus first emerged, there’s been speculation about a link between air pollution and severe illness or death. Early this month, a nationwide study conducted by researchers at the Harvard T.H. Chan School of Public Health offered evidence of a connection: even a small increase in long-term exposure to fine particulate matter—dangerous inhalable solids or liquid droplets in the air—is associated with a large increase in the COVID-19 death rate.

The inhalation of fine particulate matter is known to cause inflammation and damage to the lungs, making a person more susceptible to asthma, heart conditions, and other health problems. Fuel combustion—for example, automobile and industrial emissions—is one of the main sources of these microscopic pollutants.

Communities […]

2020-04-22T08:31:24-04:00April 22nd, 2020|environmental health, Public health|0 Comments
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The U.S. Still Can’t Manage COVID-19 Testing: Why Is This Such a Big Deal?

By Betsy Todd, MPH, RN, nurse epidemiologist and AJN clinical editor. Published April 20.

How is it that we in the U.S. make up 4% of the world’s population but account for more than 31% of global COVID-19 cases? Because at the start of the pandemic we weren’t prepared to test quickly and widely—and incredibly, after three months’ time, we still aren’t.

Coincidentally, both the U.S. and South Korea saw their first cases of COVID-19 on January 20. Two weeks later, South Korean scientists had perfected a diagnostic test for the virus, and infected people began to be identified and isolated.

Meanwhile, in the U.S. a series of problems and poor decisions held back test development. In early March, as the number of cases of COVID-19 exploded in parts of the country, Health and Human Services Secretary Alex Azar promised that by March 14, labs would be running four million tests per week. As of April 20, the total number of SARS-CoV-2 tests performed in the U.S. since the pandemic began was only 3.8 million, according to covidtracker.com. Our testing capacity is frighteningly low. Estimates of an adequate […]

2020-04-20T12:32:03-04:00April 20th, 2020|infectious diseases, Nursing, Public health|0 Comments
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Practicing the ABCDEs of Self-Care in Pandemic Times

While talk of the surge in COVID-19 cases continues, what has been less audible in the national discourse is the surge in mental health distress that will be with us long after the pandemic is gone. Many of us who have enjoyed relative psychological well-being are feeling inundated with near-pathological levels of anxiety, uncertainty, anticipatory grief, and real or secondary trauma.

Here are ABCDEs of self-care to keep yourself and loved ones emotionally—and physically—well.

ABCDEs of Self-Care

About

Stay informed as you need to regarding the pandemic, but then promptly pull yourself away and unplug. Initiate what we call a “sensory diet” to limit anxiety-provoking exposure to TV and radio news, social media, print materials, etc., beyond what you must know for yourself, your family, and/or your job. Fearful news can be addictive. Don’t overindulge!

Body

Many people, when asked how they can best care for themselves to stay well, say something on the order of “handwashing, masks, social distancing….” Sure, all that! But we also need to respect the healthy things our mother tried to teach us. How about exercise and fresh air (even if it’s just a three-minute brisk walk around the block), adequate sleep and decent nutrition? Honoring our bodies now will help us stay healthy and […]

2021-01-21T11:10:16-05:00April 13th, 2020|infectious diseases, mental illness, Nursing, wellness|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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