Numbers and characteristics of those considered as potential “key workers” in the response to coronavirus (COVID-19), UK. Labour Force Survey and Annual Population Survey.

BackgroundHealthcare workers (HCWs) from COVID-19 hotspots worldwide have reported poor mental health outcomes since the pandemic's beginning. The virulence of the initial COVID-19 surge in Spain and the urgency for rapid evidence constrained early studies in their capacity to inform mental health programs accurately. Here, we used a qualitative research design to describe relevant mental health problems among frontline HCWs and explore their association with determinants and consequences and their implications for the design and implementation of mental health programs.Materials and methodsFollowing the Programme Design, Implementation, Monitoring, and Evaluation (DIME) protocol, we used a two-step qualitative research design to interview frontline HCWs, mental health experts, administrators, and service planners in Spain. We used Free List (FL) interviews to identify problems experienced by frontline HCWs and Key informant (KI) interviews to describe them and explore their determinants and consequences, as well as the strategies considered useful to overcome these problems. We used a thematic analysis approach to analyze the interview outputs and framed our results into a five-level social-ecological model (intrapersonal, interpersonal, organizational, community, and public health).ResultsWe recruited 75 FL and 22 KI interviewees, roughly balanced in age and gender. We detected 56 themes during the FL interviews and explored the following themes in the KI interviews: fear of infection, psychological distress, stress, moral distress, and interpersonal conflicts among coworkers. We found that interviewees reported perceived causes and consequences across problems at all levels (intrapersonal to public health). Although several mental health strategies were implemented (especially at an intrapersonal and interpersonal level), most mental health needs remained unmet, especially at the organizational, community, and public policy levels.ConclusionsIn keeping with available quantitative evidence, our findings show that mental health problems are still relevant for frontline HCWs 1 year after the COVID-19 pandemic and that many reported causes of these problems are modifiable. Based on this, we offer specific recommendations to design and implement mental health strategies and recommend using transdiagnostic, low-intensity, scalable psychological interventions contextually adapted and tailored for HCWs.

Labor unions, or trade unions as they are known in Europe, are organizations formed by workers in order to represent their collective interests, particularly in relation to wages and working conditions. Historically, labor unions emerged during the industrial revolution of the nineteenth century to represent the interests of industrial workers, who flocked to work in factories, mines, and other growing manufacturing enterprises. In most high-income countries, labor unions reached their peak during the post-WWII period, when governments mediated between the interests of labor unions and the owners of capital. With the economic crises of the 1970s, however, the labor movement suffered historic defeats in Europe and North America, with union density declining rapidly in many countries due to a host of pro-market and anti-union policies which have come to be referred to as 'neoliberalism'. Labor unions today In the twenty-first century, labor unions have retreated from their key role in national economic decisions in many countries, as globalization has lowered barriers to movement of labor, enabled 'off-shoring' jobs to lower wage countries, and promoted the lowering of labor standards in order to pursue cost competitiveness. In spite of this trend, certain regions still showcase high levels of union density and retain their traditions of unions being involved in determining economic policy. Notably, the Nordic countries make up five of the top six most unionized countries, with Iceland in first place being followed by Denmark, Sweden, Finland, and then Norway.

Other notable trends among the top placed countries are states which have had a historical relationship with communism (often a key driver of the labor movement), such as Cuba, Vietnam, China, and Kazakhstan. In the wake of the Covid-19 pandemic, labor unions and the wider labor movement has become more prominent, as workers have sought to fight for health & safety conditions in the workplace, as well as to combat high inflation related to the pandemic.

The number of small and medium-sized enterprises in the United States was forecast to continuously decrease between 2024 and 2029 by in total 6.7 thousand enterprises (-2.24 percent). After the fourteenth consecutive decreasing year, the number is estimated to reach 291.94 thousand enterprises and therefore a new minimum in 2029. According to the OECD an enterprise is defined as the smallest combination of legal units, which is an organisational unit producing services or goods, that benefits from a degree of autonomy with regards to the allocation of resources and decision making. Shown here are small and medium-sized enterprises, which are defined as companies with 1-249 employees.The shown data are an excerpt of Statista's Key Market Indicators (KMI). The KMI are a collection of primary and secondary indicators on the macro-economic, demographic and technological environment in more than 150 countries and regions worldwide. All input data are sourced from international institutions, national statistical offices, and trade associations. All data has been are processed to generate comparable datasets (see supplementary notes under details for more information).