The future of Iranian health workers
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- Doshmangil L
- Gollipur K
- Gordev VS
The unprecedented and unknown nature of the disease has led to a gradual burnout of healthcare workers, especially among those directly involved in treating COVID-19 patients. On the one hand, burnout was caused by rapid spread, lack of treatment, and serious health consequences. On the one hand, it was caused by the continued inadequacy of the medical system. Inexperienced staff working in epidemic conditions. New untrained medical staff. Lack of equipment, medicines, and other vital resources. Low ratio of nurses and doctors to hospital beds. ineffective rest periods; anxiety; inability of family members to take patients to the hospital. Rigorous and hectic work shifts for healthcare workers. Infected staff continue to provide care. Absence of substitutes for medical staff.
- Shaffer FA
- Rocco G
- Stievano A
More than 3000 Iranian doctors applied for immigration abroad in the first year of the COVID-19 pandemic. During the pandemic, the rate of immigration applications from nurses increased by 300%.
- Maleki M
- Maldani A
- Vice Morady M
Those who have remained in the country have worked day and night through multiple waves of COVID-19, hoping for a permanent elimination of the virus and a healthier and better future.
- Doshmangil L
- Gollipur K
- Gordev VS
,
- Meta S
- Machado F.
- Quizella A
- and others.
but did not see any major changes. Due to severe resource constraints and budget shortfalls, policy makers are using increasing numbers of short-term contract health workers and volunteers to maintain needed numbers of workers and control burgeoning costs. I’ve been With the exception of full-time staff and staff on long-term employment contracts, the rest of the health care workers are employed by hospitals using a variety of forms of employment, such as 89-day contracts and small volunteer labor, which do not guarantee future employment. was recruited at
- Maleki M
- Maldani A
- Vice Morady M
In addition, national laws required to support medical staff were only partially enforced or not enforced at all. The nurse-to-nursing staff ratio per hospital bed is approximately 0.8 to 1.0 per bed.
- Ballaste S
- Rassouri M
- Kalimirad MR
- Ebadi A
(compared to standards of 3.0 nurses per bed and 4.0 nursing aids per bed).
Given the serious impact of nurse overwork on patient health, countries need to take urgent steps to fill hospital shortages.
- Aiken LH
- Sloane DM
- Brinell L
- and others.
- Doshmangil L
- Mojiri
- Farzadfar F
Investing in the promotion of home care services and the development of telemedicine has the potential to ease the burden on healthcare workers. To this end, different health system levels within the Iranian Ministry of Health Medical Education should be closely coordinated at the service delivery and policy-making level.
There are no competing interests.
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Article information
Publication history
Publication date: September 17, 2022
Identity
DOI: https://doi.org/10.1016/S0140-6736(22)01608-7
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© 2022 Elsevier Ltd. All rights reserved.
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