The novel coronavirus, identified in December 2019, has caused a pandemic that will remain in the medical literature as SARS-CoV-2, the etiological agent of the Covid-19 disease. It was initially stated that this disease would not be more serious than the flu, in terms of prevalence, frequency of complications and mortality. Although in the country of origin the epidemic was only local, the virus spread successively to other countries, until it quickly spread to all inhabited continents and was declared a pandemic. Being a new disease and a new virus, the world panicked. The World Health Organization released guidelines to member countries, which they have implemented. Because the disease sped out of control, it became not only a health crisis but also a socio-economic one. A year later, we are still facing this disease, about which we have learned a lot but not yet all that is necessary and so the time has come for a certain summing up. The Covid-19 pandemic is a reality of current times, the year 2020 being portrayed as the “COVID year”. The international scientific community has shown that, when needed, it can collaborate beyond classical barriers. Statistics show that the virus is not very aggressive, the disease is not very serious but there are also serious, sometimes fatal complications to which appropriate measures must be applied. The risk of serious illness and life-threatening complications is statistically reduced over time, the disease being less severe now than at the beginning, so it is on a downward slope.
The field of nursing has a lot of responsibilities and workload and is considered as a hard job. If a person does not have the spirit of being responsible for work or interest in service, he cannot survive in the difficult conditions that exist in the field of nursing, such as fatigue, work shifts, stress. Occupational concerns such as insufficient staff, high workload, long working hours and work pressure make nurses unable to play their role in front of their families. On the other hand, nurses are usually unable to perform their duties in the workplace due to family problems. In this study, related articles from the years 2000-2020 were reviewed. The results of studies showed that due to the importance of work-life balance in nurses, it is recommended that managers create the conditions for creating effective methods and techniques for job flexibility for nurses and help nurses to better perform these approaches with the necessary training. Taking care of nurses living conditions, question and answer sessions and interviews with nurses, establishing kindergartens with long working hours can also be effective in creating balance.
Introduction – Pain is known the most common complaint in emergency departments. Several studies are administered many different protocols to control pain in trauma patients. The aim of the study was to review the major relevant articles in case of application of intravenous paracetamol and intravenous morphine sulfate for management of patients with trauma injuries. Methods – We searched the online databases such as PubMed, MEDLINE, EMBASE, ISI Web of Knowledge. We applied keywords included pain, acute, chronic, morphine sulfate, paracetamol, trauma, limb, wounds, and injuries, damage and etc. Results – We included four eligible randomized clinical trials in this study. Three studies reported superior effects in intravenous paracetamol compared to intravenous morphine sulfate in controlling pain in trauma patients (limb trauma and trauma headache). However, a study reported no significant differences between the two groups in knee arthroscopy in trauma patients. All studies used from VAS methods for measurement of pain score. Conclusion – The results indicated that IV paracetamol presents a superior analgesia than IV morphine sulfate particularly after acute limb trauma and trauma headache. However, further studies should be done that clinician could be have better decision for control pain in trauma patients.
