Canadian journal of public health = Revue canadienne de santé publique
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Can J Public Health · Nov 2008
ReviewApplying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers.
We describe an evidence-based approach to enhancing the resilience of healthcare workers in preparation for an influenza pandemic, based on evidence about the stress associated with working in healthcare during the SARS outbreak. SARS was associated with significant long-term stress in healthcare workers, but not with increased mental illness. Reducing pandemic-related stress may best be accomplished through interventions designed to enhance resilience in psychologically healthy people. ⋯ Evidence supports the goal of developing and maintaining an organizational culture of resilience in order to reduce the expected stress of an influenza pandemic on healthcare workers. This recommendation goes well beyond the provision of adequate training and counseling. Although the severity of a pandemic is unpredictable, this effort is not likely to be wasted because it will also support the health of both patients and staff in normal times.
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Five cycles of data from the Canadian National Longitudinal Survey of Children and Youth (1994/5-2002/3) were used to examine patterns of child care use in Quebec and the rest of Canada to explore the impact of Quebec's implementation of universal child care. ⋯ Findings suggest that since the introduction of Quebec's universal child care program, there was an increase in the use of regulated child care for families of preschool-aged children in the province, although by 2002 Quebec had not achieved the coverage of universal child care programs attained by many European countries.