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COVID-19 and conflict.

ABSTRACT: What does the threat of and the policy response to the coronavirus pandemic mean for inter-group conflict worldwide? We examine time series trends for different types of conflict and evaluate discernible changes taking place as global awareness of COVID-19 spread. At the country level, we examine changes in trends following policy responses, such as lockdowns, curfews, or ceasefires. We specifically examine violent conflict events (e.g., battles, remote violence and bombings, and violence against civilians) as well as civil demonstrations (e.g., protests and riots) using data from the Armed Conflict Location and Event Data (ACLED) project. Globally we see a relatively short-term decline in conflict, mostly driven by a sharp decrease in protest events, that has since recovered to pre-pandemic levels. Critical heterogeneity at the country level, however, persists. Finally, context-specific details challenge robust causal inference identifying the specific relationship between policy responses and conflict.

SUBMITTER: Bloem JR

PROVIDER: S-EPMC7657608 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundEthical conflict is a problem with negative consequences, which can compromise the quality and ethical standards of the nursing profession and it is a source of stress for health care practitioners', especially for nurses.ObjectivesThe main aim of this study was to analyze Spanish critical care nurses' level of exposure to ethical conflict and its association with sociodemographic, occupational, and COVID-19-related variables. Research Design, Participants, and Research context: This was a quantitative cross-sectional descriptive study conducted among 117 nurses working in critical care units. Data collection tools were sociodemographic, occupational, and COVID-19-related questionnaires and previously validated Spanish version of Ethical Conflict in Nursing Questionnaire-Critical Care Version.Ethical considerationsWe obtained permission from the Ethics Committee and participants' informed consent.FindingsData indicates a moderate level of exposure to ethical conflicts. The most frequent ethical conflicts were related to situations about "treatment and clinical procedures." The most intensity of ethical conflicts was related to situations about "treatment and clinical procedures" and "dynamics of the service and working environment." No statistical significance was identified between the socio-demographic variables and level of exposure to ethical conflicts. However, for critical care nurses working in ICU, nurses with perceived worked stress had a higher level of exposure to ethical conflicts. Likewise, critical care nurses whose family/friends were infected with COVID-19 had a higher level of exposure.ConclusionsCritical care nurses experience a moderate level of exposure to ethical conflicts which is consistent with the results of previous studies. A deeper understanding of ethical conflicts in conflictive situations allows recognition of the situations that occur in everyday clinical practice, identification of the ethical conflicts, and facilitation of the nurses working in the challenging clinical situation.

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COVID-19 and conflict.

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