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Janay AI, Kilic B, Unal B. Healthcare workers' compliance with COVID-19 prevention and control measures at De Martino Hospital, Mogadishu, Somalia: a cross-sectional study. BMC Infect Dis 2024; 24:1046. [PMID: 39333892 PMCID: PMC11428471 DOI: 10.1186/s12879-024-09819-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2024] [Accepted: 08/27/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND Healthcare workers are a high-risk group for COVID-19 and protecting them is crucial for healthcare delivery. Limited studies have explored compliance with infection prevention and control (IPC) practices among Somali healthcare workers. This study aimed to determine compliance with IPC practices among healthcare workers in De Martino Public Hospital, Somalia. METHODS A cross-sectional study was conducted at the De Martino Public Hospital, Mogadishu, Somalia from August to October 2022, with the participation of 204 healthcare workers (response rate = 97%). Compliance was assessed using responses to 25 questions on a five-point Likert-type scale, and a median score of 20 was used to dichotomize compliance scores. A chi-square test and logistic regression analysis were performed to check the associations between healthcare workers' socio-demographic information, IPC-related factors, work conditions and practices on COVID-19, and IPC compliance during healthcare interventions using SPSS 23 version. RESULTS In total, 58.3% of the participants had good compliance with IPC. There were significant associations between IPC compliance and the type of healthcare worker (doctors and doctor assistants: 72.3%, nurses and paramedical staff: 67.3%, non-clinical staff: 5.7%, p < 0.01). After adjusting for potential confounding factors, compared to non-clinical staff, doctors and doctor assistants (OR: 12.11, 95% CI: 2.23-65.84) and nurses and paramedical staff (OR: 21.38, 95% CI: 4.23-108.01) had higher compliance with IPC measures. There were no significant associations between compliance and sex, marital status, vaccination status, or smoking (p > 0.05 for all). CONCLUSIONS Low levels of compliance with COVID-19 IPC measures were observed among hospital workers. Prioritizing awareness campaigns and behavior change interventions, especially among non-clinical staff, is crucial for effective COVID-19 infection prevention and control within hospitals.
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Affiliation(s)
- Abdullahi Ibrahim Janay
- Department of Public Health, Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey.
| | - Bulent Kilic
- Department of Public Health, Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey
| | - Belgin Unal
- Department of Public Health, Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey
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Taheri A, Naderi M, Jonaidi Jafari N, Emadi Koochak H, Saberi Esfeedvajani M, Abolghasemi R. Therapeutic effects of olfactory training and systemic vitamin A in patients with COVID-19-related olfactory dysfunction: a double-blinded randomized controlled clinical trial. Braz J Otorhinolaryngol 2024; 90:101451. [PMID: 38972284 PMCID: PMC11263941 DOI: 10.1016/j.bjorl.2024.101451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Revised: 04/19/2024] [Accepted: 05/13/2024] [Indexed: 07/09/2024] Open
Abstract
OBJECTIVES The new corona virus infection, has a wide range of clinical manifestations. Fever and cough are the most common symptoms. The olfactory function may be also affected with COVID-19. In this randomized clinical trial, we wanted to evaluate the therapeutic effect of olfactory training with and without oral vitamin A for COVID-19-related olfactory dysfunction. METHODS Patients answered to the standard Persian version of anosmia reporting tool and performed the quick smell test before and after 12 weeks and at the end of the 12 months follow up. The patients were randomly allocated to three groups; Group A treatment with olfactory training, Group B treatment with oral vitamin A and olfactory training, and Group C as control group which only underwent nasal irrigation twice a day. Patients were treated for 3 months and followed up for 12 months. RESULTS Totally 90 patients were included in three groups. After interventions, 76.9% of patients in Group A, 86.7% of patients in Group B, and 26.7% of patients in Group C completely improved. The average intervention time was statistically significant in relationship with the final olfactory status of the patients in the 12 months follow-up. The olfactory training has significantly improved the smell alteration at the end of 3- and 12- months follow-up in A and B groups. CONCLUSION A three-months olfactory training is effective for improvement of COVID-19-related olfactory dysfunction. Adding daily oral vitamin A to olfactory training did not lead to better results in improving olfactory dysfunction. LEVEL OF EVIDENCE Step 2 (Level 2*): Randomized trial.
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Affiliation(s)
- Abolfazl Taheri
- New Hearing Technologies Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran; Department of Otorhinolaryngology Head and Neck Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Maryam Naderi
- New Hearing Technologies Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Nematollah Jonaidi Jafari
- Military Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Hamid Emadi Koochak
- Department of Infectious Disease and Tropical Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohsen Saberi Esfeedvajani
- Medicine, Quran and Hadith Research Center, Department of Community Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Reyhaneh Abolghasemi
- New Hearing Technologies Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
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Alkaabi MAK, Singh J, Mishra V, Haque MM. Maintaining the Psychological Well-Being of Physicians in the Uncertain Work Environment: A Practitioners Perspective. Hosp Top 2024:1-7. [PMID: 39177010 DOI: 10.1080/00185868.2024.2394801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/24/2024]
Abstract
COVID-19 significantly altered the healthcare ecosystem and forced us to stretch the capacity to ensure healthcare delivery services. Physicians were on the frontline and acted as an important cog in the wheel of healthcare delivery. This unprecedented situation forced them to adopt to a new norm amidst uncertainty, potentially impacting their mental well-being and overall health. The study aims to investigate the coping strategies for physicians to maintain their psychological well-being during uncertain events such as COVID-19. By employing Analytic Hierarchy Process (AHP), the research prioritizes coping strategies that can improve physicians' psychological well-being. This study affirms that the physicians working in healthcare during pandemic preferred adaptive strategies over maladaptive strategies. Maintained exercise, yoga/meditation (or similar), and behavioral disengagement are the three most preferred coping strategies. The study will benefit physicians and the policy makers, to achieve their agenda of enhancing physicians' psychological resilience during uncertain events, ultimately contributing to the continuity and quality of healthcare delivery.
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Affiliation(s)
| | - Jagroop Singh
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
| | - Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
| | - Moon Moon Haque
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
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Park J, Nguyen T, Park S, Hill B, Shadgan B, Gandjbakhche A. Two-Stream Convolutional Neural Networks for Breathing Pattern Classification: Real-Time Monitoring of Respiratory Disease Patients. Bioengineering (Basel) 2024; 11:709. [PMID: 39061791 PMCID: PMC11273486 DOI: 10.3390/bioengineering11070709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2024] [Revised: 06/26/2024] [Accepted: 07/11/2024] [Indexed: 07/28/2024] Open
Abstract
A two-stream convolutional neural network (TCNN) for breathing pattern classification has been devised for the continuous monitoring of patients with infectious respiratory diseases. The TCNN consists of a convolutional neural network (CNN)-based autoencoder and classifier. The encoder of the autoencoder generates deep compressed feature maps, which contain the most important information constituting data. These maps are concatenated with feature maps generated by the classifier to classify breathing patterns. The TCNN, single-stream CNN (SCNN), and state-of-the-art classification models were applied to classify four breathing patterns: normal, slow, rapid, and breath holding. The input data consisted of chest tissue hemodynamic responses measured using a wearable near-infrared spectroscopy device on 14 healthy adult participants. Among the classification models evaluated, random forest had the lowest classification accuracy at 88.49%, while the TCNN achieved the highest classification accuracy at 94.63%. In addition, the proposed TCNN performed 2.6% better in terms of classification accuracy than an SCNN (without an autoencoder). Moreover, the TCNN mitigates the issue of declining learning performance with increasing network depth, as observed in the SCNN model. These results prove the robustness of the TCNN in classifying breathing patterns despite using a significantly smaller number of parameters and computations compared to state-of-the-art classification models.
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Affiliation(s)
- Jinho Park
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.); (B.H.)
| | - Thien Nguyen
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.); (B.H.)
| | - Soongho Park
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.); (B.H.)
- National Heart, Lung and Blood Institute, National Institutes of Health, 10 Center Dr., Bethesda, MD 20892, USA
| | - Brian Hill
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.); (B.H.)
| | - Babak Shadgan
- Implantable Biosensing Laboratory, International Collaboration on Repair Discoveries, Vancouver, BC V5Z 1M9, Canada;
- Department of Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC V6T 1Z7, Canada
| | - Amir Gandjbakhche
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.); (B.H.)
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Bakhsh A, Binmahfooz S, Balubaid I, Aljedani H, Khared M, Alghamdi A, Alabdulwahab S, Alzahrani M, Abushosha A, Alharbi L, Baarma R, Babekir E. Comparing characteristics and outcomes of in-hospital cardiac arrest during the early and late COVID-19 pandemic at an academic institution in Saudi Arabia. Aust Crit Care 2024:S1036-7314(24)00118-8. [PMID: 38987124 DOI: 10.1016/j.aucc.2024.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 05/06/2024] [Accepted: 06/11/2024] [Indexed: 07/12/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has introduced major changes in the resuscitation practices of cardiac arrest victims. AIM We aimed to compare the characteristics and outcomes of patients who sustained in-hospital cardiac arrest (IHCA) during the early COVID-19 pandemic period (2020) with those during the late COVID-19 pandemic period (2021). METHODS This was a retrospective review of adult patients sustaining IHCA at a single academic centre. We compared characteristics and outcomes of IHCA for 5 months in 2020 with those experiencing IHCA for 5 months in 2021. RESULTS Patients sustaining IHCA during the early COVID-19 pandemic period had higher rates of delayed epinephrine administration of more than 5 min (13.4% vs. 1.9%; p < 0.01), more frequent delays in the initiation of chest compressions (55.6% vs. 17.9%; p < 0.01), and were intubated less often (23.0% vs. 59.3%; p < 0.01). In terms of outcomes, both return of spontaneous circulation (35.8% vs. 51.2%; p < 0.01) and survival to hospital discharge rates (13.9% vs. 30.2%; p < 0.01) were lower during the early COVID-19 pandemic period. CONCLUSIONS The early COVID-19 pandemic period was associated with delays in epinephrine administration and chest compression initiation for IHCA. Moreover, both return of spontaneous circulation and survival to hospital discharge were lower during the early COVID-19 pandemic period.
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Affiliation(s)
- Abdullah Bakhsh
- Department of Emergency Medicine, Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Saleh Binmahfooz
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Ibtihal Balubaid
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Hind Aljedani
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Mohsin Khared
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Abdulrahman Alghamdi
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Saleh Alabdulwahab
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Mohannad Alzahrani
- Department of Emergency Medicine, King Saud Medical City, P.O. Box 2897, Riyadh 11196, Saudi Arabia.
| | - Aziza Abushosha
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Layan Alharbi
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Reem Baarma
- Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.
| | - Elmoiz Babekir
- Department of Emergency Medicine and Critical Care Medicine, Ibn Sina National College of Medical Sciences, P.O. Box 3817, Jeddah 22421, Saudi Arabia.
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Collins EC, Schmied V, Kildea S, Keedle H, Jackson M, Dahlen HG. Midwives' experiences with PPE during the COVID-19 pandemic: The Birth in the Time of COVID (BITTOC) study. Midwifery 2024; 134:104016. [PMID: 38703427 DOI: 10.1016/j.midw.2024.104016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Revised: 04/18/2024] [Accepted: 04/22/2024] [Indexed: 05/06/2024]
Abstract
BACKGROUND The COVID-19 pandemic resulted in rapid changes aimed at reducing disease transmission in maternity services in Australia. An increase in personal protective equipment (PPE) in the clinical and community setting was a key strategy. There was variation in the type of PPE and when it was to be worn in clincial practice. AIM This paper reports on Australian midwives' experiences of PPE during the pandemic. METHODS This sequential mixed methods study was part of the Birth in the Time of COVID-19 (BITTOC 2020) study. Data were obtained from in-depth semi-structured interviews with midwives in 2020 followed by a national survey undertaken at two time points (2020 and 2021). Qualitative open-text survey responses and interview data were analysed using content analysis. FINDINGS 16 midwives were interviewed and 687 midwives provided survey responses (2020 n = 477, 2021 n = 210). Whilst midwives largley understood the need for increased PPE, and were mainly happy with this, as it was protective, they reported a number of concerns. These included: inconsistency with PPE type, use, availability, quality, fit and policy; the impact of PPE on the physical and psychological comfort of midwives; and the barriers PPE use placed on communication and woman centred care. This at times resulted in midwives working outside of policy. CONCLUSION These findings highlight the need for future comprehensive pandemic preparedness that ensures policy and procedure recommendations are consistent and PPE is available, of approriate quality, and individually fitted in order to ensure that Australian maternity services are well placed to manage future pandemics.
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Affiliation(s)
- Emma C Collins
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2715, Australia.
| | - Virginia Schmied
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2715, Australia
| | - Sue Kildea
- Molly Wardaguga Research Centre, Charles Darwin university, Ellengowan Drive, Casuarina, NT 0909, Australia
| | - Hazel Keedle
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2715, Australia
| | - Melanie Jackson
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2715, Australia
| | - Hannah G Dahlen
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2715, Australia
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Lee HR, Kim SR, Cho MH, Kim DE, Jang SY, Lee JE, Jeong HR, Kang HJ, Song JY, Chun BC. Incidence and risk factors of COVID-19 in a tertiary hospital and the effectiveness of booster vaccination among health care workers: A retrospective cohort study, January 2020 to June 2022. Am J Infect Control 2024; 52:688-695. [PMID: 38246494 DOI: 10.1016/j.ajic.2024.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 01/09/2024] [Accepted: 01/11/2024] [Indexed: 01/23/2024]
Abstract
BACKGROUND Health care workers (HCWs) face a higher risk of infection and may transmit pathogens to patients during a pandemic. This study aims to evaluate infection-control measures by analyzing the incidence and risk factors of COVID-19 and estimating vaccine effectiveness (VE) at a tertiary hospital in Seoul, Republic of Korea. METHODS This study included 2,516 HCWs from January 1, 2020, to June 30, 2022. Data were analyzed to determine the incidence density and cumulative incidence; the results were compared by the age- and gender-specific standardized incidence ratios (SIR). VE was estimated with multivariate Cox proportional-hazard models as 1-adjusted hazard ratio × 100%. RESULTS SIR indicated a lower COVID-19 risk in the hospital population than in the general Korean population (SIR, 0.81; 95% confidence interval [CI]: 0.76-0.87). Multivariate Cox analysis indicated that, compared to doctors, nonmedical service supporters and other HCWs (excluding doctors and nurses) were high-risk groups (adjusted hazard ratio [95% CI], 1.72 [1.04-2.83] and 1.76 [1.20-2.58], respectively). Compared to the outpatient unit, the emergency department was a high-risk department (1.70 [1.16-2.50]). The VE of the booster dose was 55.47%, compared to no or incomplete vaccination (95% CI: 22.63-74.37). CONCLUSIONS Besides encouraging HCWs vaccination, effective infection-control measures should target high-risk groups and departments.
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Affiliation(s)
- Hae Ry Lee
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea; Department of Epidemiology and Health Informatics, Graduate School of Public Health, Korea University, Seoul, South Korea
| | - Sung Ran Kim
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea
| | - Min Hee Cho
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea
| | - Da Eun Kim
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea
| | - Su Yeon Jang
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea
| | - Jae Eun Lee
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea
| | - Hye Rin Jeong
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea
| | - Hyeon Jeong Kang
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea
| | - Joon Young Song
- Infection Control Team, Korea University Guro Hospital, Seoul, South Korea; Division of Infectious Disease, Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea
| | - Byung Chul Chun
- Department of Epidemiology and Health Informatics, Graduate School of Public Health, Korea University, Seoul, South Korea; Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea.
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Lee JJ, Rooney AS, Krzyzaniak A, Badiee J, Parra KT, Calvo RY, Lichter J, Sise CB, Sise MJ, Bansal V, Martin MJ. Lessons for the next pandemic: analysis of the timing and outcomes including post-discharge decannulation rates for tracheostomy in severe COVID-19 respiratory failure. Eur J Trauma Emerg Surg 2024; 50:581-590. [PMID: 38349397 DOI: 10.1007/s00068-024-02444-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Accepted: 12/31/2023] [Indexed: 04/23/2024]
Abstract
PURPOSE COVID-19 patients with respiratory failure frequently require prolonged ventilatory support that would typically warrant early tracheostomy. There has been significant debate on timing, outcomes, and safety of these procedures. The purpose of this study was to determine the epidemiological, hospital, and post-discharge outcomes of this cohort, based on early (ET) versus late (LT) tracheostomy. METHODS Retrospective review (March 2020-January 2021) in a 5-hospital system of ventilated patients who underwent tracheostomy. Demographics, hospital/ICU length of stay (LOS), procedural characteristics, APACHE II scores at ICU admission, stabilization markers, and discharge outcomes were analyzed. Long-term decannulation rates were obtained from long-term acute care facility (LTAC) data. RESULTS A total of 97 patients underwent tracheostomy (mean 61 years, 62% male, 64% Hispanic). Despite ET being frequently performed during active COVID infection (85% vs. 64%), there were no differences in complication types or rates versus LT. APACHE II scores at ICU admission were comparable for both groups; however, > 50% of LT patients met PEEP stability at tracheostomy. ET was associated with significantly shorter ICU and hospital LOS, ventilator days, and higher decannulation rates. Of the cohort discharged to an LTAC, 59% were ultimately decannulated, 36% were discharged home, and 41% were discharged to a skilled nursing facility. CONCLUSIONS We report the first comprehensive analysis of ET and LT that includes LTAC outcomes and stabilization markers in relation to the tracheostomy. ET was associated with improved clinical outcomes and a short LOS, specifically on days of pre-tracheostomy ventilation and in-hospital decannulation rates.
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Affiliation(s)
- Joseph J Lee
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA
| | - Alexandra S Rooney
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA
| | - Andrea Krzyzaniak
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA.
| | - Jayraan Badiee
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA
| | - Kristine T Parra
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA
| | - Richard Y Calvo
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA
| | - Julian Lichter
- Department of Pulmonary Medicine, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, San Diego, CA, 92103, USA
| | - C Beth Sise
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA
| | - Michael J Sise
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA
| | - Vishal Bansal
- Department of Trauma & Acute Care Surgery, Scripps Mercy Hospital San Diego, 4077 Fifth Ave, MER-62, San Diego, CA, 92103, USA
| | - Matthew J Martin
- Department of Trauma & Acute Care Surgery, LA+USC Medical Center, University of Southern California, 2051 Marengo St, Los Angeles, CA, 90033, USA
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Brandão EDS, Lanzillotti RS, Granja PD, Silva LF, Mandelbaum MHS, Tonole R. Association between skin injuries and the importance atributed to prevention by health professionals during the pandemic. Rev Gaucha Enferm 2024; 45:e20230114. [PMID: 38324882 DOI: 10.1590/1983-1447.2024.20230114.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 08/28/2023] [Indexed: 02/09/2024] Open
Abstract
OBJECTIVE To verify the association between the occurrence of skin lesions due to the use of products and/or personal protective equipment and the importance attributed to preventive care among health professionals working on the front lines of the struggle against the COVID-19 pandemic. METHOD Cross-sectional, analytical study, carried out between May and June 2020, with a convenience sample (n=398) of health workers from 10 professional categories. To verify the existence of an association between the occurrence of skin lesions and exposure variables, a Contingency Table was used to obtain the Prevalence Ratio and respective Confidence Intervals. RESULTS 260 (65.3%) participants self-declared the development of skin lesions, predominantly nurses (53.8%), women (54.0%), from public institutions (52.8%), characterized by pressure injuries (37.3%), contact/allergic dermatitis (25.8%), or both lesions simultaneously (16.5%). More than half of professionals (53.5%) used preventive products, mainly moisturizers (51.0%). CONCLUSION There was probability of an association between professionals who attributed less importance to the predictor "Protocol for proper product PPE and products" and the risk of skin injuries.
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Affiliation(s)
- Euzeli da Silva Brandão
- Universidade Federal Fluminense (UFF). Escola de Enfermagem Aurora de Afonso Costa. Departamento de Fundamentos de Enfermagem e Administração. Niterói, Rio de Janeiro, Brasil
| | - Regina Serrão Lanzillotti
- Universidade do Estado do Rio de Janeiro (UERJ). Instituto de Matemática e Estatística. Niterói, Rio de Janeiro, Brasil
| | - Paula Dadalti Granja
- Universidade Federal Fluminense (UFF). Faculdade de Medicina, Departamento de Medicina Clínica. Niterói, Rio de Janeiro, Brasil
| | - Liliane Faria Silva
- Universidade Federal Fluminense (UFF). Escola de Enfermagem Aurora de Afonso Costa. Departamento de Enfermagem Materno-Infantil e Psiquiátrica. Niterói, Rio de Janeiro, Brasil
| | | | - Renato Tonole
- Instituto Nacional de Câncer (INCa). Hospital do Câncer I. Niterói, Rio de Janeiro, Brasil
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Agustina R, Rianda D, Lamuri A, Ekawidyani KR, Siregar DAS, Sari DS, Wulan PM, Devana ND, Syam AF, Rahyussalim AJ, Handayani DO, Widyastuti W, Shankar AH, Salama N. The impact of government pandemic policies on the vulnerability of healthcare workers to SARS-CoV-2 infection and mortality in Jakarta Province, Indonesia. Ann Med 2024; 55:2293306. [PMID: 38206905 PMCID: PMC10786428 DOI: 10.1080/07853890.2023.2293306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 11/30/2023] [Indexed: 01/13/2024] Open
Abstract
INTRODUCTION Healthcare workers (HCWs) are on the frontlines of the COVID-19 pandemic, putting them at a higher risk of infection and disease than non-HCWs. We analysed the effects of government policies for the public and for HCWs on the likelihood of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection and mortality among HCWs during the first 8 months of the pandemic in Jakarta province, the capital city and COVID-19 hotspot in Indonesia. METHODS We conducted a retrospective cohort study using secondary data from the Jakarta provincial government from March to October 2020, which included sociodemographic characteristics, symptoms, comorbidities and COVID-19 diagnosis history for all cases. A generalized linear mixed-effect regression model was used to determine the effect of each month on the odds ratio (OR) of COVID-19 cases and deaths for HCW compared with non-HCW, assuming that monthly trends were influenced by varying government policies. RESULTS A total of 894,487 suspected and confirmed COVID-19 cases in health facilities in Jakarta province were analysed. The OR of confirmed cases for HCW was 2.04 (95% CI 2.00-2.08; p < .001) compared to non-HCW. Despite this higher OR for infection, the case fatality rate (2.32 per 100) and OR (1.02, 95% CI 0.93-1.11; p = .65) of COVID-19 deaths for HCW were similar to those of non-HCW. We observed a trend towards a lower number of COVID-19 patients in hospitals and lower odds of COVID-19 cases among HCWs during the April-to-July 2020 phase compared to the August-to-October phase. This chronologically aligned with more extensive policies to support hospital-based, community-based and well-being-related actions to protect HCW. CONCLUSIONS HCW had higher odds of having SARS-CoV-2 infection, yet similar odds of death from COVID-19, as compared to non-HCW. Government policies with collective efforts to prevent hospital overcapacity during high transmission and burden periods of the pandemic should be prioritized.
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Affiliation(s)
- Rina Agustina
- Department of Nutrition, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
- Human Nutrition Research Center, Indonesian Medical Education and Research Institute (HNRC-IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
| | - Davrina Rianda
- Human Nutrition Research Center, Indonesian Medical Education and Research Institute (HNRC-IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
- Department of Nutrition, University of California at Davis, Davis, CA, USA
| | - Aly Lamuri
- Big Data Center, Indonesian Medical Education and Research Institute (BDC-IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
| | - Karina Rahmadia Ekawidyani
- Department of Nutrition, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
- Department of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, Indonesia
| | - Deviana Ayushinta Sani Siregar
- Human Nutrition Research Center, Indonesian Medical Education and Research Institute (HNRC-IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
| | - Dyana Santika Sari
- Human Nutrition Research Center, Indonesian Medical Education and Research Institute (HNRC-IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
| | - Prashti Mutia Wulan
- Human Nutrition Research Center, Indonesian Medical Education and Research Institute (HNRC-IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
| | - Natasha Dianasari Devana
- Department of Nutrition, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Ari Fahrial Syam
- Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Ahmad Jabir Rahyussalim
- Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | | | | | - Anuraj Harish Shankar
- Oxford University Clinical Research Unit – Indonesia, Jakarta, Indonesia
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Ngabila Salama
- Health Office, Government of Jakarta Province, Jakarta, Indonesia
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11
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Haddadin S, Wilhelm D, Wahrmann D, Tenebruso F, Sadeghian H, Naceri A, Haddadin S. Autonomous swab robot for naso- and oropharyngeal COVID-19 screening. Sci Rep 2024; 14:142. [PMID: 38167977 PMCID: PMC10762007 DOI: 10.1038/s41598-023-50291-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 12/18/2023] [Indexed: 01/05/2024] Open
Abstract
The COVID-19 outbreak has triggered a global health and economic crisis, necessitating widespread testing to control viral spread amidst rising cases and fatalities. The recommended testing method, a combined naso- and oropharyngeal swab, poses risks and demands limited protective gear. In response to the COVID-19 pandemic, we developed and tested the first autonomous swab robot station for Naso- and Oropharyngeal Coronavirus Screening (SR-NOCS). A force-sensitive robot running under a Cartesian impedance controller is employed to drive the swab to the sampling area. This groundbreaking device underwent two clinical studies-one conducted during the initial pandemic lockdown in Europe (early 2021) and the other, more recently, in a public place after the pandemic had subsided earlier in the year 2023. In total, 52 patients suspected of COVID-19 infection were included in these clinical studies. The results revealed a complete positive correlation between autonomous and manual sampling. The test subjects exhibited a high acceptance rate, all expressing a willingness to undergo future tests with SR-NOCS. Based on our findings, such systems could enhance testing capabilities, potentially conducting up to 300 tests per robot per day with consistent precision. The tests can be carried out with minimal supervision, reducing infection risks and effectively safeguarding patients and healthcare workers.
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Affiliation(s)
| | - Dirk Wilhelm
- School for Medicine and Health, Klinikum rechts der Isar, Department of Surgery, Technical University Munich, Munich, Germany
| | | | | | - Hamid Sadeghian
- Chair of Robotics and Systems Intelligence, School of Computation, Information and Technologies, Munich Institute of Robotics and Machine Intelligence, Technical University Munich, Munich, Germany
| | - Abdeldjallil Naceri
- Chair of Robotics and Systems Intelligence, School of Computation, Information and Technologies, Munich Institute of Robotics and Machine Intelligence, Technical University Munich, Munich, Germany
| | - Sami Haddadin
- Chair of Robotics and Systems Intelligence, School of Computation, Information and Technologies, Munich Institute of Robotics and Machine Intelligence, Technical University Munich, Munich, Germany.
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12
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Ocagli H, Azzolina D, Francavilla A, Aydin E, Baldas S, Cocciaglia A, Rodriguez H, Gregori D, Lorenzoni G, Gruber M. Management of Pediatric Foreign Body Injuries during the COVID-19 Pandemic: Results of an International Survey. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1845. [PMID: 38136047 PMCID: PMC10741619 DOI: 10.3390/children10121845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 11/03/2023] [Accepted: 11/20/2023] [Indexed: 12/24/2023]
Abstract
The COVID-19 pandemic has had direct and indirect effects on daily life. In hospitals, the impact of the pandemic was observed in the diagnostic and therapeutic workflow. In this work, we explored potential changes in activities related to the treatment of foreign body injuries (FBIs) in children and the behavioral habits of physicians during the first wave of the pandemic. An online survey was conducted among physicians of the Susy Safe network. The survey comprised items related to respondent information, reference center characteristics, the treatment of FBIs during the COVID-19 pandemic, and a modified COVID-19 Anxiety Scale (CAS). The survey was distributed among the Susy Safe project international network surveillance registry for FBIs. A total of 58 physicians responded to the survey, including 18 (32%) from Europe and 16 (28%) from South America. The respondents indicated that the estimated number of aspirated foreign bodies during the pandemic was lower than or the same as that before the pandemic (43, 74%), and the same was observed for ingested foreign bodies (43, 74%). In univariable logistic regression, no single predictor was associated with a delay in routine care for children or an increasing tendency of medical personnel to avoid procedures. The workflow of physicians involved in the management of FBIs in children has not changed drastically during the COVID-19 pandemic, especially in emergency departments.
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Affiliation(s)
- Honoria Ocagli
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
| | - Danila Azzolina
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
- Department of Medical Science, University of Ferrara, 44121 Ferrara, Italy
| | - Andrea Francavilla
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
| | - Emrah Aydin
- Department of Pediatric Surgery, School of Medicine, Koç University, 34450 Istanbul, Turkey;
| | - Solidea Baldas
- Protecting Children Association (Prochild) Onlus, 34129 Trieste, Italy;
| | | | - Hugo Rodriguez
- Hospital de Pediatría Juan P. Garrahan, Buenos Aires C1245, Argentina;
| | - Dario Gregori
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
| | - Giulia Lorenzoni
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
| | - Maayan Gruber
- Galilee Medical Center, Azrieli faculty of Medicine, Bar-Ilan University, Haifa 22100, Israel;
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Limenyande MJM, Kobusingye JO, Tindyebwa T, Akongo D, Isunju JB, Musoke D. Factors associated with compliance with Infection Prevention and Control measures during the COVID-19 pandemic among healthcare workers in Kampala City, Uganda. PLoS One 2023; 18:e0293732. [PMID: 37910487 PMCID: PMC10619793 DOI: 10.1371/journal.pone.0293732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 10/18/2023] [Indexed: 11/03/2023] Open
Abstract
BACKGROUND In the context of the COVID-19 pandemic that originated from China in December 2019 and spread around the world, Kampala City witnessed a high number of infections and deaths among healthcare workers (HCWs). This study assessed the level of compliance with Infection Prevention and Control (IPC) measures and its associated factors among HCWs during the COVID-19 pandemic, in Kampala City, Uganda. METHODOLOGY A cross-sectional study was conducted in Nakawa Division, Kampala City, among 240 HCWs and used multistage sampling in government and private not-for-profit (PNFP) healthcare facilities. The outcome variable was self-reported IPC compliance which was composed of the use of masks, gloves, and hand hygiene. These were assessed using a 4-scale tool: always as recommended, most of the time, occasionally, and rarely. Only HCWs who responded "always as recommended" were considered compliant while the rest were considered non-compliant. Data was analyzed in STATA 14.0 using Modified Poisson regression to obtain factors associated with IPC compliance at 95% confidence interval (CI). RESULTS Forty-six (19.2%) respondents were compliant with all the three IPC measures, and this was associated with the presence of a COVID-19 patients' ward in the healthcare facility (Adjusted Prevalence Ratio, APR: 2.51, 95%CI: 1.24-5.07). Factors associated with the use of masks were being of the Muslim religion (APR: 1.31, CI: 1.05-1.65), and working in a healthcare facility that has COVID-19 patients' ward (APR: 1.29, CI: 1.06-1.59). Factors associated with the use of gloves were the age of the HCW, those above 40 years old being less complaint (APR: 0.47, CI: 0.24-0.93), working in the diagnosis department (APR: 2.08, CI: 1.17-3.70), and working in a healthcare facility that has COVID-19 patients' ward (APR: 1.73, CI: 1.13-2.64). Factors associated with hand hygiene were working in a health center (HC) IV (PR: 1.7, CI: 1.26-2.30) or a HC II (PR: 1.68, CI: 1.28-2.21). CONCLUSION Considering the elevated risk of disease transmission in health settings, IPC compliance was low; indicating an increased risk of COVID-19 infection among health care workers in Kampala City.
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Affiliation(s)
| | | | - Tonny Tindyebwa
- Makerere University School of Public Health, Kampala, Uganda
| | - Dorothy Akongo
- Makerere University School of Public Health, Kampala, Uganda
- Busoga Health Forum, Jinja, Uganda
| | | | - David Musoke
- Makerere University School of Public Health, Kampala, Uganda
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Ekici MF, Yıldırım AC, Zeren S, Yaylak F, Arık Ö, Algın MC. PLANNING TO 'NEW NORMAL' DURING COVID-19 PANDEMIC AT GENERAL SURGERY DEPARTMENT: A TURKEY EXPERIENCE. Acta Clin Croat 2023; 62:457-463. [PMID: 39310691 PMCID: PMC11414008 DOI: 10.20471/acc.2023.62.03.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 07/02/2021] [Indexed: 09/25/2024] Open
Abstract
Planning of non-postponable treatments for cancer, trauma, emergency diseases, and follow-up and treatment of chronic diseases are inevitable for the ongoing pandemic and future pandemics. In this study, we evaluated the capacity of surgical applications and treatments made to the surgery department in the first 3 months of the onset of the COVID-19 pandemic. A retrospective cohort study was performed from March 12, 2020 to June 1, 2020. COVID-19 negative general surgery patients were included. Demographics, diagnosis and management were recorded, as well as bed turnover and length of stay in the hospital. Similar data were collected on patients admitted during the same period in 2019 and 2018 to allow for comparison. A total of 1764 operations were included. There was a reduction in surgeries when comparing 2020 with 2019 and 2018 (164 vs. 713 and 890); however, there was no difference in the length of stay in the hospital (4.12 vs. 4.37 and 4.07 days, p=0.626). During 2020, appendectomies decreased (53 vs. 102 and 100, p=0.013). There was no difference in the number of emergency oncologic surgeries during 2020 as compared with 2019 and 2018 (16 vs. 8 and 13, p=0.149). In conclusion, COVID-19 significantly impacted the number of admissions to general surgery. However, cancer and emergency operations continued to be required, thus provisions need to be made to enable planning these interventions.
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Affiliation(s)
- Mehmet Fatih Ekici
- Kütahya Health Sciences University, Medicine Faculty, Department of General Surgery, Kütahya, Turkey
| | - Ali Cihat Yıldırım
- Kütahya Health Sciences University, Medicine Faculty, Department of General Surgery, Kütahya, Turkey
| | - Sezgin Zeren
- Kütahya Health Sciences University, Medicine Faculty, Department of General Surgery, Kütahya, Turkey
| | - Faik Yaylak
- Kütahya Health Sciences University, Medicine Faculty, Department of General Surgery, Kütahya, Turkey
| | - Özlem Arık
- Kütahya Health Sciences University, Medicine Faculty, Department of Biostatistics, Kütahya, Turkey
| | - Mustafa Cem Algın
- Kütahya Health Sciences University, Medicine Faculty, Department of General Surgery, Kütahya, Turkey
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Beltrán EO, Martignon S, Coronel-Ruiz C, Velandia-Romero ML, Romero-Sanchez C, Avila V, Castellanos JE. Seroprevalence, infection, and personal protective equipment use among Colombian healthcare workers during the COVID-19 pandemic. Front Public Health 2023; 11:1225037. [PMID: 37900032 PMCID: PMC10602893 DOI: 10.3389/fpubh.2023.1225037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 08/28/2023] [Indexed: 10/31/2023] Open
Abstract
Introduction Healthcare workers (HCWs) are at the forefront of the COVID-19 response and frequently come into close contact with patients and their virus-contaminated body fluids. Recent studies have identified differential risks of infection and the use of personal protective equipment (PPE) among HCWs. However, available data might be interpreted with caution because of differences in the national health systems, local implementation issues, and adherence limitations to guidelines. A comprehensive description of infection, exposure at work, and biosafety habits during the COVID-19 pandemic has not been conducted among the HCW groups in Latin American populations. Objective To describe SARS-CoV-2 seroprevalence, infections, and extent of PPE use during the COVID-19 pandemic among HCWs at three different times, including dental practitioners (DP), nursing assistants (NA), physicians (P), and respiratory therapists (RT), from Bogotá, Colombia. Methods: After IRB approval, this cross-sectional study included 307 HCWs. Participants provided nasopharyngeal swabs and blood samples to detect viral RNA (RT-qPCR) and IgM/IgG anti-SARS-CoV-2 (ELFA-ELISA) at baseline (BL) and two follow-ups. Infection prevalence was defined as the number of positive-tested participants (RT-qPCR and/or IgM). Data on clinical status and biosafety habits were collected each time. Results Differential infection prevalence was found among HCWs through the study timeline (BL: RT-qPCR = 2.6%, IgM = 1.6%; follow-up 1 (45 days after BL): RT-qPCR = 4.5%, IgM = 3.9%; follow-up 2 (60 days after BL): RT-qPCR = 3.58%, IgM = 1.3%. Dental practitioners showed a higher infection frequency in BL and follow-up 1. IgG-positive tested HCWs percentage progressively increased from BL to follow-ups among the whole sample while index values decreased. Limitations in N95 availability and a high perception of occupational risk were reported. Conclusion A low prevalence of active SARS-CoV-2 infections among HCWs groups was found. Over time, there was an increase in participants showing IgG antibodies, although the levels of these antibodies in the blood decreased. Additionally, HCWs reported limitations in the availability of PPE as well as a variation in their safety practices.
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Affiliation(s)
- Edgar O. Beltrán
- Universidad El Bosque, Research Department, UNICA—Caries Research Unit, Bogotá, Colombia
| | - Stefania Martignon
- Universidad El Bosque, Research Department, UNICA—Caries Research Unit, Bogotá, Colombia
| | - Carolina Coronel-Ruiz
- Universidad El Bosque, Vicerrectoría de Investigaciones, Grupo de Virología, Bogotá, Colombia
| | | | - Consuelo Romero-Sanchez
- Universidad El Bosque, Cellular and Molecular Immunology Group, InmuBO, School of Dentistry, Bogotá, Colombia
- Universidad Militar Nueva Granada, Clinical Immunology Group-Hospital Militar, School of Medicine, Bogotá, Colombia
| | - Viviana Avila
- Universidad El Bosque, Research Department, UNICA—Caries Research Unit, Bogotá, Colombia
| | - Jaime E. Castellanos
- Universidad El Bosque, Vicerrectoría de Investigaciones, Grupo de Virología, Bogotá, Colombia
- Universidad Nacional de Colombia, Grupo de Investigaciones Básicas y Aplicadas en Odontología, Bogotá, Colombia
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Huang CY, Chen CC. The COVID-19 pandemic has impeded cytopathology practices and hindered cancer screening and management. Cytopathology 2023; 34:406-416. [PMID: 37332230 DOI: 10.1111/cyt.13259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 04/24/2023] [Accepted: 05/23/2023] [Indexed: 06/20/2023]
Abstract
The COVID-19 pandemic has had a global impact on the environment and economy and has affected hospital administration and patient behaviour. Since human-to-human coronavirus transmission occurs via droplets and physical contact, health care professionals are particularly vulnerable to contracting COVID-19. Many cytopathology laboratories updated their workflow, established new standard biosafety protocols, and built digital pathology or telescope platforms to mitigate these risks and deal with the shortage of health care personnel. The COVID-19 pandemic also disrupted medical education-all indoor training events, including conferences, multidisciplinary tumour boards, seminars, and microscope inspections were postponed. As a result, many laboratories now use new web-based applications and platforms to maintain educational programs and multidisciplinary tumour boards. To comply with government directives, health care facilities postponed non-emergency surgeries, reduced the number of routine medical examinations, restricted visitor numbers, and scaled back cancer screening activities, resulting in a sharp decline in cytopathology diagnoses, cancer screening specimens, and molecular testing for cancer. Subsequent misses or delays in the diagnosis and treatment of cancer were not uncommon. This review aims to provide comprehensive summaries of the consequences of the COVID-19 pandemic for cytopathology, particularly in terms of cancer diagnosis, workload, human resources, and molecular testing.
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Affiliation(s)
- Cheng-Yi Huang
- Department of Pathology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan
| | - Chien-Chin Chen
- Department of Pathology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
- Department of Cosmetic Science, Chia Nan University of Pharmacy and Science, Tainan, Taiwan
- Department of Biotechnology and Bioindustry Sciences, National Cheng Kung University, Tainan, Taiwan
- Ph.D. Program in Translational Medicine, Rong Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung, Taiwan
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Lau HCQ, Soe NN, Chua SQM, Lee JCS, Sulaiman S. Resilience and emotions of frontline obstetrics and gynaecology healthcare workers during the COVID-19 pandemic. Singapore Med J 2023:384053. [PMID: 37675680 DOI: 10.4103/singaporemedj.smj-2022-027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/08/2023]
Affiliation(s)
- Hester Chang Qi Lau
- Senior Resident, Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore
| | - Ni Ni Soe
- Senior Resident, Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore
| | - Shi Qi Monica Chua
- Senior Resident, Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore
| | - Jill Cheng Sim Lee
- Senior Resident, Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore
| | - Suzanna Sulaiman
- Senior Resident, Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore
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Hernández Bautista PF, Grajales Muñiz C, Cabrera Gaytán DA, Rojas Mendoza T, Vallejos Parás A, Santacruz Tinoco CE, Alvarado Yaah JE, Anguiano Hernández YM, Sandoval Gutiérrez N, Jaimes Betancourt L. Impact of vaccination on infection or death from COVID-19 in individuals with laboratory-confirmed cases: Case-control study. PLoS One 2023; 18:e0265698. [PMID: 37535644 PMCID: PMC10399771 DOI: 10.1371/journal.pone.0265698] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 03/29/2023] [Indexed: 08/05/2023] Open
Abstract
OBJECTIVES The objective of this study is to estimate the effectiveness of COVID-19 vaccines in people treated within the social security system whose vaccination status was reported to the epidemiological surveillance system. STUDY DESIGN Case-control study. METHODS This was a case-control study conducted. The records of individuals with suspected cases of COVID-19 registered in the epidemiological surveillance system between February 1 and June 30, 2021, were studied. RT-qPCR was performed to determine SARS-CoV-2 infection; those with a positive result were considered cases, and those with a negative result were considered controls. The ratio between cases and controls was 1:1.3. The crude and adjusted vaccine effectiveness was considered the prevention of symptomatic infection and death and calculated as the difference between the dose and the risk, with a survival analysis among vaccinated people. RESULTS A total of 94,416 individuals were included, of whom 40,192 were considered cases and 54,224 controls; 3,781 (4.00%) had been vaccinated against COVID-19. Vaccination also proved to be a protective factor against COVID-19, especially in the population who received a second dose (OR = 0.31; 95% CI 0.28-0.35). With the application of the vaccine, there was a protective effect against mortality (OR = 0.76; 95% CI 0.66-0.87). Disease prevention was higher for the BNT162-2 mRNA vaccine (82%) followed by the ChAdOx1 vaccine (33%). In the survival analysis, vaccination provided a protective effect. CONCLUSIONS There was a positive impact of vaccines for the prevention of symptomatic COVID-19, with a second dose generating greater efficacy and a reduction in deaths.
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Affiliation(s)
| | - Concepción Grajales Muñiz
- Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico
| | - David Alejandro Cabrera Gaytán
- Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico
| | - Teresita Rojas Mendoza
- Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico
| | - Alfonso Vallejos Parás
- Instituto Mexicano del Seguro Social, Coordinación de Vigilancia Epidemiológica, Coahuila, Mexico
| | | | - Julio Elias Alvarado Yaah
- Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico
| | - Yu Mei Anguiano Hernández
- Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico
| | - Nancy Sandoval Gutiérrez
- Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico
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Soemarko DS, Kekalih A, Syam AF, Yunihastuti E, Herikurniawan H, Yosia M. Physician's hesitancy in treating COVID-19 patients and its associated occupational risk factors in Indonesia: an online cross-sectional survey. J Public Health Afr 2023; 14:2558. [PMID: 37680875 PMCID: PMC10481896 DOI: 10.4081/jphia.2023.2558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Accepted: 03/08/2022] [Indexed: 09/09/2023] Open
Abstract
This cross-sectional survey aims to investigate physician hesitancy in treating COVID-19 patients in Indonesia, particularly among those who have already contracted the disease, along with associated occupational risk factors. The study involved distributing a questionnaire to physicians across the country, using contact information from the Indonesian Physician Association database. The results show that out of the 383 participants, 25.6% experienced moderate symptoms of COVID-19, and 2.9% required critical care. The study found that 20.3% of physicians demonstrated hesitancy to treat suspected, probable, or confirmed COVID-19 patients. Interestingly, older physicians and those with less experience in treating COVID-19 patients were found to have a higher hesitancy rate, while specialist trainees and those working in public hospitals demonstrated the lowest hesitancy. These findings highlight the significant hesitancy among physicians who have suffered from COVID-19 and underline the need for management and policymakers to take further action to address this issue. Understanding the effects and benefits of physician hesitancy in treating COVID-19 patients is crucial for ensuring the effective delivery of healthcare services during pandemics like COVID-19.
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Affiliation(s)
| | - Aria Kekalih
- Department of Community Medicine, Faculty of Medicine, University of Indonesia, Jakarta
| | - Ari Fahrial Syam
- Division of Gastroenterology, Department of Internal Medicine, Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta
| | - Evy Yunihastuti
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta
| | - Herikurniawan Herikurniawan
- Faculty of Medicine, University of Indonesia, Division of Respirology and Critical Illness, Department of Internal Medicine, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
| | - Mikhael Yosia
- Department of Community Medicine, Faculty of Medicine, University of Indonesia, Jakarta
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Solfanelli G, Giaccio D, Tropea A, Bucicovschi V, Gallo G, Tocci G, Musumeci B, Marcellini L, Barbato E, Volpe M, Battistoni A. Cardiovascular risk and the COVID-19 pandemic: A retrospective observational study in a population of healthcare professionals. Nutr Metab Cardiovasc Dis 2023; 33:1415-1419. [PMID: 37230874 PMCID: PMC10105375 DOI: 10.1016/j.numecd.2023.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 03/10/2023] [Accepted: 04/05/2023] [Indexed: 05/27/2023]
Abstract
BACKGROUND AND AIM To contain the spread of COVID-19, many countries imposed several restrictive measures, leading to radical changes in daily life behaviors. Healthcare workers experienced additional stress due to the increased risk of contagion, possibly causing an increase in unhealthy habits. We investigated changes in cardiovascular (CV) risk assessed by the SCORE-2 in a healthy population of healthcare workers during the COVID-19 pandemic; an analysis by subgroups was also conducted (sportspeople vs sedentary subjects). METHODS AND RESULTS We compared medical examination and blood tests in a population of 264 workers aged over 40, performed yearly before (T0) and during the pandemic (T1, T2). We found a significant increase in the average CV risk, according to SCORE-2, during the follow-up in our healthy population, with a shift from a mean low-moderate risk profile at T0 (2.35%) to a mean high-risk profile at T2 (2.80%). Furthermore, in sedentary subjects was observed a greater and early increase in SCORE-2 compared to sportspeople. CONCLUSIONS Since 2019, we observed an increase in CV risk profile in a healthy population of healthcare workers, particularly in sedentary subjects, highlighting the need to reassess SCORE-2 every year to promptly treat high-risk subjects, according to the latest Guidelines.
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Affiliation(s)
- G Solfanelli
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy.
| | - D Giaccio
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - A Tropea
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - V Bucicovschi
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - G Gallo
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - G Tocci
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - B Musumeci
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | | | - E Barbato
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - M Volpe
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy; IRCSS San Raffaele, Rome, Italy
| | - A Battistoni
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
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21
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Apple R, O’Brien EC, Daraiseh NM, Xu H, Rothman RL, Linzer M, Thomas L, Roumie C. Gender and intention to leave healthcare during the COVID-19 pandemic among U.S. healthcare workers: A cross sectional analysis of the HERO registry. PLoS One 2023; 18:e0287428. [PMID: 37327216 PMCID: PMC10275433 DOI: 10.1371/journal.pone.0287428] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 06/06/2023] [Indexed: 06/18/2023] Open
Abstract
IMPORTANCE The COVID-19 pandemic stressed the healthcare field, resulting in a worker exodus at the onset and throughout the pandemic and straining healthcare systems. Female healthcare workers face unique challenges that may impact job satisfaction and retention. It is important to understand factors related to healthcare workers' intent to leave their current field. OBJECTIVE To test the hypothesis that female healthcare workers were more likely than male counterparts to report intention to leave. DESIGN Observational study of healthcare workers enrolled in the Healthcare Worker Exposure Response and Outcomes (HERO) registry. After baseline enrollment, two HERO 'hot topic' survey waves, in May 2021 and December 2021, ascertained intent to leave. Unique participants were included if they responded to at least one of these survey waves. SETTING HERO registry, a large national registry that captures healthcare worker and community member experiences during the COVID-19 pandemic. PARTICIPANTS Registry participants self-enrolled online and represent a convenience sample predominantly composed of adult healthcare workers. EXPOSURE(S) Self-reported gender (male, female). MAIN OUTCOME Primary outcome was intention to leave (ITL), defined as having already left, actively making plans, or considering leaving healthcare or changing current healthcare field but with no active plans. Multivariable logistic regression models were performed to examine the odds of intention to leave with adjustment for key covariates. RESULTS Among 4165 responses to either May or December surveys, female gender was associated with increased odds of ITL (42.2% males versus 51.4% females reported intent to leave; aOR 1.36 [1.13, 1.63]). Nurses had 74% higher odds of ITL compared to most other health professionals. Among those who expressed ITL, three quarters reported job-related burnout as a contributor, and one third reported experience of moral injury. CONCLUSIONS AND RELEVANCE Female healthcare workers had higher odds of intent to leave their healthcare field than males. Additional research is needed to examine the role of family-related stressors. TRIAL REGISTRATION ClinicalTrials.gov identifier NCT04342806.
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Affiliation(s)
- Rachel Apple
- Departments of Medicine and Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America
| | - Emily C. O’Brien
- Duke Clinical Research Institute and Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, United States of America
| | - Nancy M. Daraiseh
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, United States of America
| | - Haolin Xu
- Duke Clinical Research Institute and Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, United States of America
| | - Russell L. Rothman
- Departments of Medicine and Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America
- Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America
| | - Mark Linzer
- Department of Medicine, Hennepin Healthcare and University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Laine Thomas
- Duke Clinical Research Institute and Department of Biostatistics & Bioinformatics, Duke University School of Medicine, Durham, North Carolina, United States of America
| | - Christianne Roumie
- Departments of Medicine and Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America
- Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America
- Veteran Administration Tennessee Valley VA Health Care System Geriatric Research Education Clinical Center (GRECC), Nashville, Tennessee, United States of America
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Park J, Mah AJ, Nguyen T, Park S, Ghazi Zadeh L, Shadgan B, Gandjbakhche AH. Modification of a Conventional Deep Learning Model to Classify Simulated Breathing Patterns: A Step toward Real-Time Monitoring of Patients with Respiratory Infectious Diseases. SENSORS (BASEL, SWITZERLAND) 2023; 23:5592. [PMID: 37420758 PMCID: PMC10300752 DOI: 10.3390/s23125592] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 06/08/2023] [Accepted: 06/13/2023] [Indexed: 07/09/2023]
Abstract
The emergence of the global coronavirus pandemic in 2019 (COVID-19 disease) created a need for remote methods to detect and continuously monitor patients with infectious respiratory diseases. Many different devices, including thermometers, pulse oximeters, smartwatches, and rings, were proposed to monitor the symptoms of infected individuals at home. However, these consumer-grade devices are typically not capable of automated monitoring during both day and night. This study aims to develop a method to classify and monitor breathing patterns in real-time using tissue hemodynamic responses and a deep convolutional neural network (CNN)-based classification algorithm. Tissue hemodynamic responses at the sternal manubrium were collected in 21 healthy volunteers using a wearable near-infrared spectroscopy (NIRS) device during three different breathing conditions. We developed a deep CNN-based classification algorithm to classify and monitor breathing patterns in real time. The classification method was designed by improving and modifying the pre-activation residual network (Pre-ResNet) previously developed to classify two-dimensional (2D) images. Three different one-dimensional CNN (1D-CNN) classification models based on Pre-ResNet were developed. By using these models, we were able to obtain an average classification accuracy of 88.79% (without Stage 1 (data size reducing convolutional layer)), 90.58% (with 1 × 3 Stage 1), and 91.77% (with 1 × 5 Stage 1).
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Affiliation(s)
- Jinho Park
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.)
| | - Aaron James Mah
- Implantable Biosensing Laboratory, International Collaboration on Repair Discoveries, Vancouver, BC V5Z 1M9, Canada; (A.J.M.); (L.G.Z.); (B.S.)
- Department of Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC V6T 1Z7, Canada
| | - Thien Nguyen
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.)
| | - Soongho Park
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.)
| | - Leili Ghazi Zadeh
- Implantable Biosensing Laboratory, International Collaboration on Repair Discoveries, Vancouver, BC V5Z 1M9, Canada; (A.J.M.); (L.G.Z.); (B.S.)
- Department of Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC V6T 1Z7, Canada
| | - Babak Shadgan
- Implantable Biosensing Laboratory, International Collaboration on Repair Discoveries, Vancouver, BC V5Z 1M9, Canada; (A.J.M.); (L.G.Z.); (B.S.)
- Department of Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC V6T 1Z7, Canada
| | - Amir H. Gandjbakhche
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 49 Convent Dr., Bethesda, MD 20894, USA; (J.P.); (T.N.); (S.P.)
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Abu-Alhaija DM, Matibiri P, Brittingham K, Wulsin V, Davis KG, Huston T, Gillespie G. The Factors Associated with the Development of COVID-19 Symptoms among Employees in a U.S. Healthcare Institution. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6100. [PMID: 37372687 PMCID: PMC10297847 DOI: 10.3390/ijerph20126100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 06/07/2023] [Accepted: 06/08/2023] [Indexed: 06/29/2023]
Abstract
Healthcare workers have experienced increased occupational health risks caused by COVID-19 disease. The purpose of this project was to examine the relationships between reporting COVID-19 symptoms by employees in a healthcare institution in the United States and employees' demographics, vaccination status, co-morbid conditions, and body mass index (BMI). This project employed a cross-sectional design. It involved the analysis of data on COVID-19 exposure and infection incidents among employees in the healthcare institution. The dataset contained more than 20,000 entries. The results indicate that being female, African American, between 20 and 30 years old, diagnosed with diabetes, diagnosed with chronic obstructive pulmonary disease (COPD), or on immunosuppressive medicines is associated with greater reporting of COVID-19 symptoms by the employees. Furthermore, BMI is associated with reporting COVID-19 symptoms; the higher the BMI, the greater the likelihood of reporting a symptomatic infection. Moreover, having COPD, being 20-30 years old, being 40-50 years old, BMI, and vaccination status were significantly associated with employees reporting symptoms while controlling for other variables associated with reporting the symptoms among the employees. These findings may be applicable to other infectious disease outbreaks or pandemics.
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Affiliation(s)
- Dania M. Abu-Alhaija
- College of Nursing, University of Cincinnati, Cincinnati, OH 45221, USA; (P.M.); (G.G.)
| | - Paidamoyo Matibiri
- College of Nursing, University of Cincinnati, Cincinnati, OH 45221, USA; (P.M.); (G.G.)
| | - Kyle Brittingham
- College of Engineering, University of Cincinnati, Cincinnati, OH 45221, USA;
| | - Victoria Wulsin
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, OH 45267, USA; (V.W.); (K.G.D.)
| | - Kermit G. Davis
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, OH 45267, USA; (V.W.); (K.G.D.)
| | - Thomas Huston
- College of Engineering and Applied Sciences, University of Cincinnati, Cincinnati, OH 45221, USA;
| | - Gordon Gillespie
- College of Nursing, University of Cincinnati, Cincinnati, OH 45221, USA; (P.M.); (G.G.)
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da Cunha QB, Freitas EDO, Pai DD, dos Santos JLG, Lourenção LG, da Silva RM, Magnago TSBDS, Miranda FMD, Camponogara S. Factors associated with the SARS-CoV-2 infection among health professionals from university hospitals. Rev Lat Am Enfermagem 2023; 31:e3917. [PMID: 37194895 PMCID: PMC10202233 DOI: 10.1590/1518-8345.6482.3917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 01/14/2023] [Indexed: 05/18/2023] Open
Abstract
to investigate factors associated with the SARS-CoV-2 infection among health professionals from university hospitals. a multicenter, mixed approach study with concomitant incorporated strategy, carried out with 559 professionals in the quantitative stage, and 599 in the qualitative stage. Four data collection instruments were used, applied by means of an electronic form. The quantitative analysis was performed with descriptive and inferential statistics and the qualitative data were processed by means of content analysis. the factors associated with the infection were as follows: performance of the RT-PCR test (p<0.001) and units offering care to COVID-19 patients (p=0.028). Having symptoms increased 5.63 times the prevalence of infection and adhering to social distancing most of the time in private life reduced it by 53.9%. The qualitative data evidenced difficulties faced by the professionals: scarcity and low quality of Personal Protective Equipment, work overload, physical distancing at work, inadequate processes and routines and lack of a mass screening and testing policy. the factors associated with the SARS-CoV-2 infection among health professionals were mostly related to occupational issues.
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Affiliation(s)
- Quézia Boeira da Cunha
- Universidade Federal de Santa Maria, Hospital Universitário de Santa Maria, Santa Maria, RS, Brasil
| | | | - Daiane Dal Pai
- Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS, Brasil
| | | | | | | | | | | | - Silviamar Camponogara
- Universidade Federal de Santa Maria, Departamento de Enfermagem, Santa Maria, RS, Brasil
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25
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Vieira SL, Souza SG, Figueiredo CF, Santos VVC, Santos TBS, Duarte JA, Pinto ICDM. Permanent health education actions in pandemic times: priorities in state and national contingency plans. CIENCIA & SAUDE COLETIVA 2023; 28:1377-1386. [PMID: 37194872 DOI: 10.1590/1413-81232023285.11252022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Accepted: 02/06/2023] [Indexed: 05/18/2023] Open
Abstract
OBJECTIVE to assess permanent health education actions regarding the national and state contingency plans to face the COVID-19 pandemic in Brazil. METHOD documentary research, using 54 plans in the initial and final versions, published between January 2020 and May 2021. The content analysis included the identification and systematization of proposals aimed at training and reorganizing the work process, as well as physical and mental health care of health workers. RESULTS the actions were focused on training workers with an emphasis on flu syndrome, infection risk control measures and knowledge about biosafety. Few plans addressed the teams' working hours and work process, promotion and assistance to the workers' mental health, mainly in the hospital environment. CONCLUSION the superficiality regarding the approach to permanent education actions in contingency plans need to include actions in the strategic agenda of the Ministry of Health and State and Municipal Health Secretariats, with the qualification of workers to face this and other epidemics. They propose the adoption of health protection and promotion measures in daily health work management within the scope of the SUS.
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Affiliation(s)
- Silvana Lima Vieira
- Departamento de Ciências da Vida, Universidade do Estado da Bahia. R. Silveira Martins 2.555, Cabula. 41000-150 Salvador BA Brasil.
| | - Suelen Guedes Souza
- Departamento de Ciências da Vida, Universidade do Estado da Bahia. R. Silveira Martins 2.555, Cabula. 41000-150 Salvador BA Brasil.
| | - Camila Fonseca Figueiredo
- Departamento de Ciências da Vida, Universidade do Estado da Bahia. R. Silveira Martins 2.555, Cabula. 41000-150 Salvador BA Brasil.
| | - Vitória Valéria Cristo Santos
- Departamento de Ciências da Vida, Universidade do Estado da Bahia. R. Silveira Martins 2.555, Cabula. 41000-150 Salvador BA Brasil.
| | - Thadeu Borges Souza Santos
- Departamento de Ciências da Vida, Universidade do Estado da Bahia. R. Silveira Martins 2.555, Cabula. 41000-150 Salvador BA Brasil.
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Subbarayalu AV. Factors affecting job stress among physical therapists during the COVID-19 pandemic in Saudi Arabia. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2023. [DOI: 10.29333/ejgm/12991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
<b>Background:</b> Physical therapists (PTs), like other healthcare professionals, are susceptible to job stress when involved in patient care, and several factors contribute to it. Therefore, this study aims to assess PTs’ knowledge, attitude, and practices (KAP) adopted by PTs during the COVID-19 pandemic and its impact on their job stress.<br />
<b>Methods:</b> A cross-sectional design was used. 300 PTs from the government and private healthcare organizations in Saudi Arabia were randomly picked and invited to participate. Data were collected using a pre-tested content-validated KAP tool using a Google Form between January and March 2022. Data were analyzed quantitively through SPSS 24.0.<br />
<b>Results:</b> The findings revealed that 85% of PTs whose job involves direct contact with the patients are susceptible to higher stress (perceived stress score [PSS]=22.82) than others. Specifically, female and unmarried PTs are prone to more job stress than others (p<0.05). In addition, PTs who were apprehensive about managing COVID-19 patients and worried about acquiring COVID-19 disease are prone to more job stress. Lastly, 89% of PTs who adopted the practice of wearing N-95 masks and proper handwashing techniques (>80%) experience less stress than others (p<0.05).<br />
<b>Conclusion:</b> The KAP of PTs influences job stress during the COVID-19 pandemic. PTs with sufficient knowledge about measures to adopt, show a positive attitude, and practice wearing proper PPEs, handwashing procedures, and waste disposal systems during patient care are prone to less job stress than others.
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Affiliation(s)
- Arun Vijay Subbarayalu
- Quality Assurance Department, Deanship of Quality & Academic Accreditation, Department of Physical Therapy, Imam Abdulrahman Bin Faisal University, Dammam 31441, SAUDI ARABIA
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Assunção AÁ, Freguglia RDS, Vieira MDT, Marioni LDS. Prevalence of flu-like syndrome in healthcare workers in Brazil: a national study, 2020. Rev Saude Publica 2023; 57:6. [PMID: 37075390 PMCID: PMC10118401 DOI: 10.11606/s1518-8787.2023057004384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 04/01/2022] [Indexed: 04/21/2023] Open
Abstract
OBJECTIVE To evaluate the prevalence of reported symptoms of flu-like syndrome (FS) among HCW and compare HCW and non-HCW on the chance of reporting these symptoms, this study analyzed data of a population-based survey conducted in Brazil. METHODS A cross-sectional analysis was performed with self-reported data from the Brazilian National Household Sample Survey (PNAD Covid-19) from May 2020. The authors analyzed a probability sample of 125,179 workers, aged 18 to 65, with monthly income lower than US$ 3 500. The variable HCW or non-HCW was the covariate of interest and having reported FS symptoms or not was the outcome variable. Authors tested interactions of HCW with other covariates. A logit model - when controlling for sociodemographic, employment, and geographic characteristics - investigated the chance of HCW reporting FS compared to non-HCW. RESULTS HCW have a significant effect (odds ratio of 1.369) on reporting FS symptoms when compared to non-HCW. HCW account for 4.17% of the sample, with a higher frequency of FS (3.38%) than observed for non-HCW (2.43%). Female, non-white and older individuals had higher chance to report FS. CONCLUSIONS The HCW had a higher chance of reporting symptoms than non-HCW aged over 18 years in the labor force. These results emphasize guidelines for preventive measures to reduce workplace exposures in the healthcare facilities. The prevalence is disproportionately affecting HCW women and HCW non-whites. In the regions North and Northeast the steeper progression is consistent with the hypothesis of socioeconomic factors, and it explains the greater prevalence in HCW and non-HCW living in those territories.
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Affiliation(s)
- Ada Ávila Assunção
- Universidade Federal de Minas GeraisFaculdade de MedicinaDepartamento de Medicina Preventiva e SocialBelo HorizonteMGBrasilUniversidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Preventiva e Social. Belo Horizonte, MG, Brasil
| | - Ricardo da Silva Freguglia
- Universidade Federal de Juiz de ForaFaculdade de EconomiaDepartamento de EconomiaJuiz de ForaMGBrasil Universidade Federal de Juiz de Fora. Faculdade de Economia. Departamento de Economia. Juiz de Fora, MG, Brasil
| | - Marcel de Toledo Vieira
- Universidade Federal de Juiz de ForaInstituto de Ciências ExatasDepartamento de EstatísticaJuiz de ForaMGBrasil Universidade Federal de Juiz de Fora. Instituto de Ciências Exatas. Departamento de Estatística. Juiz de Fora, MG, Brasil
| | - Larissa da Silva Marioni
- National Institute of Economic and Social ResearchLondonUnited Kingdom National Institute of Economic and Social Research. London, United Kingdom
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Sharma M, Bachani R. Knowledge, Attitude, Practice, and Perceived Barriers for the Compliance of Standard Precautions among Medical and Nursing Students in Central India. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5487. [PMID: 37107771 PMCID: PMC10139079 DOI: 10.3390/ijerph20085487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 04/04/2023] [Accepted: 04/07/2023] [Indexed: 05/11/2023]
Abstract
OBJECTIVES The aim of this study was to assess and compare (a) the knowledge, attitude, and practice of standard precautions (SPs), (b) the knowledge of post-exposure management, and (c) the perceived barriers underlying the noncompliance with SPs among future healthcare professionals (HCPs), i.e., students of medical and nursing courses in Central India. SETTING AND PARTICIPANTS A cross-sectional study was conducted in 2017-2018 among students of a medical and a nursing college using a pretested and modified questionnaire. Data were collected during 23 face-to-face sessions. Responses were scored according to standard guidelines of the Centers for Disease Control and Prevention and WHO, where each correct response was given a score of 1. RESULTS Among 600 participants, 51% of medical students and 75% of nursing students could not select the correct definition of SPs from the given options. Sixty-five percent of medical students (275/423) and 82% of nursing students (145/177) were unaware of the term post-exposure prophylaxis. Overall, knowledge about personal protective equipment and hazard symbols was poor (<25%). Furthermore, although theoretical knowledge about hand hygiene was good (510/600; 85%), its implementation was poor (<30%). Sixty-four percent of participants believed that the use of hand rub replaced the need for handwashing, even for visibly soiled hands. Some of the participants believed that the use of PPE might offend patients (16%). High workload and poor knowledge were other significant barriers underlying the noncompliance with SPs. CONCLUSIONS A suboptimal translation of participants' knowledge into practice is evident and signifies the presence of the know-do gap. Poor knowledge and inappropriate presumptions about the use of SPs discourage the practice of SPs. This results in increased healthcare-associated infections, increased treatment costs, and a suppressed social economy. The inclusion of a dedicated curriculum with repeated hands-on and practice-based training on SPs is suggested to minimize this know-do gap among future healthcare workers.
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Affiliation(s)
- Megha Sharma
- Department of Pharmacology, R. D. Gardi Medical College, Ujjain 456006, MP, India
- Department of Global Public Health-Health Systems and Policy: Medicines, Karolinska Institutet, 171 77 Stockholm, Sweden
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Electronic self-assessment of COVID-19 symptoms among healthcare workers. HEALTH AND TECHNOLOGY 2023. [PMCID: PMC10010951 DOI: 10.1007/s12553-023-00744-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
Purpose Daily monitoring of COVID-19 symptoms/history of contact in hospital staff is useful for ensuring safety in the hospital. An electronic self- assessment tool could be used to monitor staff without using excessive resources and resulting in unnecessary contact. The objective of our study was to describe the results of a self-assessment COVID-19 daily monitor log in hospital employees. Methods A description of characteristics of staff who filled the log and follow-up of those who reported symptoms/history of contact was collected. An online self-assessment of COVID-19 symptoms/contact history was developed and used at a hospital in Bahrain. All staff completed the daily COVID-19 log. Data were collected during the month of June 2020. Results Out of 47,388 responses, 853 (2%) of staff reported either COVID-19 symptoms/history of contact with diagnosed COVID-19 case. The most frequently reported symptom was sore throat (23%), followed by muscle pain (12.6%). The highest frequency of staff who reported symptoms and/or contact was in nurses. Of those who reported symptoms/contact, 18 were diagnosed with COVID-19. The majority (83.3%) of the infected staff obtained the virus through community transmission, and only 16.7% obtained the virus through hospital transmission. Conclusion The electronic self-assessment log for staff during COVID-19 could be used as a safety measure in hospitals. Moreover, the study highlights the importance of targeting community transmission in an effort to increase hospital safety.
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Vianna ECDC, Baptista RV, Gomes RS, Pereira GS, Guimarães GC, Faria MGDA, Silva-Junior JS, de Oliveira MC, Pestana LC, Lourenção DCDA, Almeida MCDS, Mininel VA, da Silva SM, Sé ACS, Gallasch CH. COVID-19 Pandemic: Analysis of Health Effects on Emergency Service Nursing Workers via a Qualitative Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4675. [PMID: 36981584 PMCID: PMC10048272 DOI: 10.3390/ijerph20064675] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 02/21/2023] [Accepted: 02/28/2023] [Indexed: 06/18/2023]
Abstract
During the COVID-19 pandemic, longstanding issues involving nursing work, which has always involved significant risks of illness and infection, were intensified. It is necessary to acknowledge the risks and nurses' perceptions about the risks qualitatively during the period of the health crisis. The aim of this study was to examine the health repercussions perceived by nursing workers in emergency services during the outbreak of the COVID-19 pandemic in Brazil. This was a qualitative, descriptive, cross-sectional study. The settings of the study were emergency services with a national scope; the participants were nursing workers. Data were collected via face-to-face virtual calling interviews and analyzed via a content analysis technique, which was supported by IRAMUTEQ software. The formation of textual classes pointed in three thematic directions, from which three categories emerged: nursing workers' exposure, due to a lack of protective equipment, to the risk of being contaminated with, falling ill from, and transmitting the COVID-19 virus; changes in work environments, processes, and relations in response to the pandemic; and physical, mental, and psychosocial alterations perceived by emergency service nursing workers. The exposure to the virus, risk of contamination, and changes in the work environment and relations all resulted in health repercussions, which were perceived as physical, mental, and psychosocial alterations that were described as dietary disturbances, physical fatigue, burnout, increased smoking, anxiety, sleep alterations, fear, exhaustion, stress, social isolation, loneliness, distancing from relatives, and social stigma.
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Affiliation(s)
| | - Raquel Veiga Baptista
- Nursing School, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil
| | - Raquel Silva Gomes
- Nursing School, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil
| | - Gabrielle Silva Pereira
- Nursing School, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil
| | | | - Magda Guimarães de Araujo Faria
- Department of Public Health Nursing, Nursing School, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil
| | - João Silvestre Silva-Junior
- Department of Medicine, Centro Universitário São Camilo, São Paulo 04262-200, SP, Brazil
- Department of Forensic Medicine, Bioethics, Occupational Medicine, Physical Medicine and Rehabilitation, Medical School, Universidade de São Paulo, São Paulo 01246-903, SP, Brazil
| | | | - Luana Cardoso Pestana
- Hospital Federal Cardoso Fontes, Ministério da Saúde, Rio de Janeiro 22745-130, RJ, Brazil
| | | | | | - Vivian Aline Mininel
- Department of Nursing, Centro de Ciências Biológicas e da Saúde, Universidade Federal de São Carlos, São Carlos 13565-905, SP, Brazil
| | - Silmar Maria da Silva
- Department of Basic Nursing, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil
| | | | - Cristiane Helena Gallasch
- Department of Medical-Surgical Nursing, Nursing School, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil
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Wang L, Zhang D, Liu J, Tang Y, Zhou Q, Lai X, Zheng F, Wang Q, Zhang X, Cheng J. The mediating role of incentives in association between leadership attention and self-perceived continuous improvement in infection prevention and control among medical staff: A cross-sectional survey. Front Public Health 2023; 11:984847. [PMID: 36844830 PMCID: PMC9947710 DOI: 10.3389/fpubh.2023.984847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 01/18/2023] [Indexed: 02/11/2023] Open
Abstract
Objectives Promoting improvement in Infection Prevention and Control (IPC) is an important part of improving the quality of care. The influence of leadership attention and incentives on the self-perceived continuous improvement in IPC has drawn a lot of attention, but relevant academic research is still lacking. The objective of this study is to explore the effect of leadership attention on self-perceived continuous improvement in IPC among medical staff and its underlying mechanisms. Method The 3,512 medical staff from 239 health facilities in Hubei, China, were surveyed online during September 2020. Data on leadership attention, incentives, and improvement in Infection Prevention and Control were collected using self-administered questionnaires. Correlation analysis was used to analyze the relationship between leadership attention, incentives, and improvement in Infection Prevention and Control. Amos 24.0 was used to analyze the mediating role. Results The scores of leadership attention, incentives and self-perceived continuous improvement in Infection Prevention and Control were all high. The score of leadership attention was the highest (4.67 ± 0.59), followed by self-perceived continuous improvement (4.62 ± 0.59) and incentives in Infection Prevention and Control (4.12 ± 0.83). Leadership attention positively affected self-perceived continuous improvement in Infection Prevention and Control (β = 0.85, 95% CI = [0.83, 0.87]). Moreover, incentives partially mediated the effect of leadership attention on self-perceived continuous improvement in Infection Prevention and Control among medical staff (β = 0.13, 95% CI = [0.12, 0.15]). Conclusion Leadership attention positively affects self-perceived continuous improvement in Infection Prevention and Control among medical staff, and incentives mediates this relationship. The present study has valuable implications for self-perceived continuous improvement in Infection Prevention and Control from the perspective of leadership attention and incentives.
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Affiliation(s)
- Lu Wang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Dandan Zhang
- The First Affiliated Hospital, Nanjing Medical University, Human Resource Office, Nanjing, China
| | - Junjie Liu
- School of Statistics and Mathematics, Central University of Finance and Economics, Beijing, China
| | - Yuqing Tang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Qian Zhou
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xiaoquan Lai
- Department of Nosocomial Infection, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Feiyang Zheng
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Qianning Wang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xinping Zhang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China,*Correspondence: Xinping Zhang ✉
| | - Jing Cheng
- Department of Emergency, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China,Jing Cheng ✉
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Mohamed Afif A, Abdul Razak H, Choong AWD. COVID-19 pandemic experience of diagnostic radiographers: A Singapore survey. J Med Imaging Radiat Sci 2023; 54:S62-S69. [PMID: 36842892 PMCID: PMC9910016 DOI: 10.1016/j.jmir.2023.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 01/30/2023] [Accepted: 01/31/2023] [Indexed: 02/11/2023]
Abstract
INTRODUCTION Diagnostic Radiographers (DR) are the frontline responders during the COVID-19 outbreak, providing essential diagnostic imaging services for screening and monitoring of suspected and confirmed patients. Understanding the experience and perceptions of DR towards the COVID-19 outbreak enables radiography leaders to guide changes in the approach to managing response to future health outbreaks. This study aims to document the experiences of DR in Singapore during the COVID-19 pandemic. METHODS All DR practising in Singapore institutions were invited to participate in an online survey, disseminated by the Singapore Society of Radiographers (SSR). The survey assessed the attitudes and perceptions of the respondents on the COVID-19 pandemic. The Holmes and Rahe Stress Scale was used to identify the respondents' life events closely related to the pandemic. Data collection took place from 5 July 2020 to 5 September 2020. RESULTS A total of 123 DR responded to the survey, where 89.4% of the respondents had been involved in the imaging of suspected or confirmed COVID-19 patients. Those performing General Radiography had the highest number of cases - 300 cases a month. The fear of transmitting COVID-19 to their family presented as the primary stressor (77.2%), followed by the lack of manpower (73.2%). The global themes that emerged from the study were (1) adapting to change and (2) quality of support. CONCLUSION Radiology departments in Singapore were able to cope with the high demands of the pandemic in terms of the provision of information, supplies, and physical equipment. However, they were less prepared to handle human factors such as mental health and staff morale. The safety and well-being of staff should not be compromised to reduce staff anxiety while performing their duties. Strategies to improve their ability to adapt to changes and provision of quality support are necessary measures in future pandemic situations.
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Affiliation(s)
- A Mohamed Afif
- Radiography Department, Singapore General Hospital, Singapore.
| | - H Abdul Razak
- Department of Diagnostic Imaging, National University Hospital, Singapore
| | - AWD Choong
- Department of Diagnostic Imaging, National University Hospital, Singapore
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Machado MH, Teixeira EG, Freire NP, Pereira EJ, Minayo MCDS. Deaths of doctors and nursing staff by COVID-19 in Brazil: a sociological approach. CIENCIA & SAUDE COLETIVA 2023; 28:405-419. [PMID: 36651396 DOI: 10.1590/1413-81232023282.05942022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 08/02/2022] [Indexed: 01/19/2023] Open
Abstract
The article addresses the most basic nuances and key issues involved in the high mortality of doctors, nurses, technicians and nursing assistants, as a result of COVID-19 in Brazil. This is a study based on data from the Federal Councils of Medicine and Nursing (CFM and Cofen, respectively) and the study on the death inventory of the Oswaldo Cruz Foundation (Fiocruz), and aims to understand and analyze this reality in the light of the sociology of professions. The work makes a relevant and unprecedented contribution to the understanding of the past, present and future of working class segments that work at the bedside, on the front line, providing direct care to patients.
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Affiliation(s)
- Maria Helena Machado
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
| | - Eleny Guimarães Teixeira
- Departamento de Clínica Médica, Faculdade de Medicina, Fundação Souza Marques. Faculdade de Medicina, Universidade Estácio de Sá. Rio de Janeiro RJ Brasil
| | - Neyson Pinheiro Freire
- Grupo de Estudos e Pesquisa em Administração dos Serviços de Saúde e Gerenciamento de Enfermagem, Universidade Federal de São Paulo. São Paulo SP Brasil
| | - Everson Justino Pereira
- Núcleo de Estudos e Pesquisas em Recursos Humanos em Saúde, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil
| | - Maria Cecília de Souza Minayo
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
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Kim YE, Kang HY. [Effects of a Nursing Simulation Learning Module on Clinical Reasoning Competence, Clinical Competence, Performance Confidence, and Anxiety in COVID-19 Patient-Care for Nursing Students]. J Korean Acad Nurs 2023; 53:87-100. [PMID: 36898687 DOI: 10.4040/jkan.22130] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 01/19/2023] [Accepted: 02/09/2023] [Indexed: 03/09/2023]
Abstract
PURPOSE This study aimed to develop a nursing simulation learning module for coronavirus disease 2019 (COVID-19) patient-care and examine its effects on clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient care for nursing students. METHODS A non-equivalent control group pre- and post-test design was employed. The study participants included 47 nursing students (23 in the experimental group and 24 in the control group) from G City. A simulation learning module for COVID-19 patient-care was developed based on the Jeffries simulation model. The module consisted of a briefing, simulation practice, and debriefing. The effects of the simulation module were measured using clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient-care. Data were analyzed using χ²-test, Fisher's exact test, t-test, Wilcoxon signed-rank test, and Mann-Whitney U test. RESULTS The levels of clinical reasoning competence, clinical competence, and performance confidence of the experimental group were significantly higher than that of the control group, and the level of anxiety was significantly low after simulation learning. CONCLUSION The nursing simulation learning module for COVID-19 patient-care is more effective than the traditional method in terms of improving students' clinical reasoning competence, clinical competence, and performance confidence, and reducing their anxiety. The module is expected to be useful for educational and clinical environments as an effective teaching and learning strategy to empower nursing competency and contribute to nursing education and clinical changes.
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Affiliation(s)
- Ye-Eun Kim
- Department of Nursing, Dongshin University, Naju, Korea
| | - Hee-Young Kang
- Department of Nursing, Chosun University, Gwangju, Korea.
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George J, Shafqat N, Verma R, Patidar AB. Factors Influencing Compliance With Personal Protective Equipment (PPE) Use Among Healthcare Workers. Cureus 2023; 15:e35269. [PMID: 36968930 PMCID: PMC10035759 DOI: 10.7759/cureus.35269] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/20/2023] [Indexed: 02/23/2023] Open
Abstract
Introduction Accurate and appropriate use of personal protective equipment (PPE) is an integral component in infection prevention and control policy to ensure healthcare workers' safety. Poor compliance with personal protective behaviours and inconsistent use of PPE has been identified as the main cause of transmission of nosocomial infections in healthcare settings and this reduced compliance is linked to many individual, environmental, and organizational factors. Therefore, the current study was carried out to identify various factors influencing PPE use among healthcare workers. Materials and methods A descriptive cross-sectional survey has been carried out among healthcare workers selected from two selected tertiary care hospitals in central India. Data on compliance with PPE and factors influencing compliance were collected using a three-point rating scale and structured questionnaire. Quantile regression was performed to identify the factors associated with adherence to PPE use among healthcare workers. Results The median score for compliance with PPE use among healthcare workers was found to be 22 with an interquartile range (IQR) of 16-24. The multiple quantile regression found that variables such as occupation (p<0.001), institutional policy (p=0.003), quality of PPE (p=0.002), availability of PPE (p<0.001), and improper size (p=0.042) were significantly associated with PPE compliance by healthcare workers. Conclusion The current study highlights the importance of taking adequate measures by the government and healthcare organizations to eliminate various factors hindering PPE compliance levels among healthcare workers to ensure consistent use of PPE by healthcare workers to safeguard themselves and patients.
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Affiliation(s)
- Jisa George
- Medical Surgical Nursing (Oncology Nursing), All India Institute of Medical Sciences, Bhopal, Bhopal, IND
| | - Naseema Shafqat
- Obstetrics & Gynaecology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND
| | - Ranjana Verma
- Nursing, All India Institute of Medical Sciences, Bhopal, Bhopal, IND
| | - Anurag Bhai Patidar
- Medical Surgical Nursing (Cardiothoracic and Vascular Nursing), All India Institute of Medical Sciences, Bhopal, Bhopal, IND
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Machado MH, Teixeira EG, Freire NP, Pereira EJ, Minayo MCDS. Deaths of doctors and nursing staff by COVID-19 in Brazil: a sociological approach. CIENCIA & SAUDE COLETIVA 2023. [DOI: 10.1590/1413-81232023282.05942022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Abstract The article addresses the most basic nuances and key issues involved in the high mortality of doctors, nurses, technicians and nursing assistants, as a result of COVID-19 in Brazil. This is a study based on data from the Federal Councils of Medicine and Nursing (CFM and Cofen, respectively) and the study on the death inventory of the Oswaldo Cruz Foundation (Fiocruz), and aims to understand and analyze this reality in the light of the sociology of professions. The work makes a relevant and unprecedented contribution to the understanding of the past, present and future of working class segments that work at the bedside, on the front line, providing direct care to patients.
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Mayimbo S, Chitundu K, Shumba S, Musonda NC, Zulu M, Mushamba DN, Mwape L, Katowa-Mukwato P. Personal protective equipment availability and accessibility among nurses and midwives in selected urban general hospitals in Lusaka, Zambia: a cross-sectional study. Pan Afr Med J 2023; 44:52. [PMID: 37128614 PMCID: PMC10148176 DOI: 10.11604/pamj.2023.44.52.32936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 01/03/2023] [Indexed: 05/03/2023] Open
Abstract
Introduction the World Health Organization (WHO) declared COVID-19 a pandemic in January 2020, which has spread to many countries, including Zambia. Zambia has had challenges in providing personal protective equipment (PPEs) to nurses and midwives. The study's objective was to assess the availability and accessibility of PPEs among nurses and midwives caring for women in the general hospitals in Lusaka, Zambia. Methods a cross-sectional analytical study design was conducted at five general hospitals in Lusaka on 162 nurses and midwives between February and April 2021, selected by purposive sampling of study sites and simple random sampling to select the participants. Data was collected using a semi-structured self-administered questionnaire and analyzed in STATA version 13. Chi-square and Fisher's exact test were used to test associations between the independent variables and the outcome, and a multivariable logistic regression was used to investigate the predictors of accessing PPEs. Results out of the 162 who participated in the study, 48.8% were nurses, while 51.2% were midwives. Only 10% (16/160) of the participants reported having enough PPEs at work. Age, marital status, PPE use, employment duration, and protection confidence were associated with accessibility (P<0.05). Conclusion overall, there was an inadequate provision of PPEs in the health facilities putting the nurses and midwives at a high risk of acquiring COVID-19. Policymakers need a deliberate move to make the availability and accessibility of PPEs a reality during the pandemic.
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Affiliation(s)
- Sebean Mayimbo
- Department of Midwifery, Women and Child Health, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
| | - Kabwe Chitundu
- Department of Mental Health and Psychiatry Nursing, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
| | - Samson Shumba
- Department of Epidemiology and Biostatistics, School of Public Health, University of Zambia, Lusaka, Zambia
- Corresponding author: Samson Shumba, Department of Epidemiology and Biostatistics, School of Public Health, University of Zambia, Lusaka, Zambia.
| | | | - Mutinke Zulu
- Department of Midwifery, Women and Child Health, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
| | | | - Lonia Mwape
- Mental Health Nursing Department, School of Medicine, Levy Mwanawasa Medical University, Lusaka, Zambia
| | - Patricia Katowa-Mukwato
- Department of Basic and Clinical Sciences, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
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Haq FU, Rahman SU, Imran M, Romman M, Shah A, Aslam Z, Ullah F, Madadi S, Dino Steinmetz CH, Cuschieri S. COVID-19 among health care workers and their impact on the health care system in a teaching hospital in Pakistan: A cross sectional observational study. Health Sci Rep 2023; 6:e975. [PMID: 36479390 PMCID: PMC9718946 DOI: 10.1002/hsr2.975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Revised: 11/05/2022] [Accepted: 11/21/2022] [Indexed: 12/04/2022] Open
Abstract
Background and Aims Health care workers (HCWs) are thought to be high-risk population for acquiring coronavirus disease (COVID-19). The COVID-19 emergence has had a profound effect on healthcare system. We sought to investigate the COVID-19 among HCWs and their effects on the healthcare system. Methods A cross sectional observational study was conducted at Timergara teaching hospital. The study included HCWs with positive real time polymerase chain reaction (Q-PCR) for severe acute respiratory syndrome coronavirus (SARS-CoV-2). The study duration was from April to September, 2020. The demographic profile of each recruited subject was collected through structured interview. The patient's admissions to hospital were collected for the 5 months before (October 2019-February 2020) and 5 months after lockdown (March-July 2020). Results A total of 72 out of 689 (10%) HCWs were tested positive for SARS-CoV-2, of whom 83% were front-liners. The majority were male (72%), with comorbidities (14%) and no mortality. The structured interview of all participants showed that the healthcare setting was the major possible source of infection (97%). The patient admissions into the hospital were reduced by 42% during lockdown than prelockdown period. The patients admission was significantly decreased in the medical ward during lockdown (60% decrease; p < 0.01) with slightly similar trends in other departments. Conclusion In conclusion, we found increased risk of COVID-19 for front-line HCWs. Lack of mortality was the favorable outcome. Lack of replacing the infected HCWs possibly explained the marked decrease in hospital admissions, and potential inadequate healthcare delivery during the lockdown. Understanding SARS-CoV-2 among HCWs and their impact on health-care system will be crucial for countries under COVID-19 crises or in case of future pandemic to deliver proper health services.
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Affiliation(s)
- Faiz Ul Haq
- Department of MicrobiologyUniversity of Health SciencesLahorePakistan
| | - Saeed Ur Rahman
- Department of NursingUniversity of Health SciencesLahorePakistan
| | - Muhammad Imran
- Department of MicrobiologyUniversity of Health SciencesLahorePakistan
| | - Muhammad Romman
- Pharmacognosy laboratoryUniversity of Chitral PakistanChitralPakistan
| | - Asaf Shah
- Institute of NursingKhyber Medical University PeshawarPeshawarPakistan
| | - Zeenaf Aslam
- Department of NursingUniversity of Health SciencesLahorePakistan
| | - Farman Ullah
- Department of NursingRiphah international universityIslamabadPakistan
| | | | | | - Sarah Cuschieri
- Department of Anatomy, Faculty of Medicine & SurgeryUniversity of MaltaMsidaMalta
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Jalil M, Ashkan Z, Gholamnezhad M, Jamalidoust S, Jamalidoust M. Effect of COVID-19 on healthcare workers' morbidity and mortality compared to the general population in Kohgiluyeh and Boyer-Ahmad Province, Iran. Health Sci Rep 2023; 6:e961. [PMID: 36519077 PMCID: PMC9742827 DOI: 10.1002/hsr2.961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 11/12/2022] [Accepted: 11/15/2022] [Indexed: 12/14/2022] Open
Abstract
During the Covid-19 pandemic, the adverse effects of recent coronaviruses on healthcare professionals cannot be ignored. This study compared the admission rates due to Covid-19 and characteristics of hospitalized healthcare workers with the general population of Kohgiluyeh and Boyer-Ahmad (K.B) province. 18546 hospitalized patients infected with Covid-19 in hospitals in four cities of K.B province were enrolled in this study; of them, 236 (1.27%) patients were healthcare workers. Demographic and clinical data of hospitalized cases due to Covid-19 infection were collected from August 2020 to September 2021. The underlying diseases were also considered in this study. According to our findings, 55.5% of the hospitalized healthcare workers were male, and 44.5% were female; their mean age was 41.41 years. However, in the general population, hospitalization rates were higher for women than for men (51.2% and 48.8%, respectively). Although the SARS-CoV-2 infectivity rate was higher in healthcare workers compared to the general population (68.6% vs. 56.1%), the mortality rate was significantly lower in them (1.7% vs. 3.8%). Fever, cough, Acute Respiratory Distress Syndrome, headache, and myalgia were the most prevalent symptoms in both groups. Among the cases examined in this study, inpatient ones aged 30-40 years and the general population aged over 60 seemed to be more likely to be hospitalized for Covid-19. The hospitalization rate of healthcare workers during the pandemic follows the same pattern as the general population, but since the start of vaccination, this rate has decreased among healthcare workers compared to the general population of KB province.
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Affiliation(s)
- Mohsen Jalil
- Emergency Medical ServiceYasuj University of Medical SciencesYasujIran
| | - Zahra Ashkan
- Department of Biology, Faculty of Basic ScienceShahrekord UniversityShahrekordIran
| | - Mohammad Gholamnezhad
- Clinical Research Development, Behashti HospitalYasuj University of Medical SciencesYasujIran
| | - Somayeh Jamalidoust
- Training Center of Department of Education District 2 ShirazFars ProvinceShirazIran
| | - Marzieh Jamalidoust
- Department of Virology, Professor Alborzi Clinical Microbiology Research Center, Namazi HospitalShiraz University of Medical SciencesShirazIran
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Dagnachew TK, Woldegerima Berhe Y, Yalew Mustofa S, Birlie Chekol W. Clinicians' knowledge and attitude towards early mobilization in intensive care units in Ethiopian tertiary hospitals: A multi-centre study. SAGE Open Med 2023; 11:20503121231172348. [PMID: 37205156 PMCID: PMC10186578 DOI: 10.1177/20503121231172348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 04/11/2023] [Indexed: 05/21/2023] Open
Abstract
Objectives To assess clinicians' knowledge, attitude and associated factors towards patients' early mobilization in intensive care units in the tertiary hospitals in Northwest Ethiopia. Methods A multi-centre, cross-sectional study was conducted at the tertiary hospitals in Northwest Ethiopia from April to June, 2022. Data were collected by using self-administered, structured questionnaire; ordinal logistic regression analysis was performed and associations were described in adjusted odds ratios. Results A total of 304 clinicians were included (response rate of 89.7%). The proportions of poor, fair and good knowledge towards early mobilization in intensive care unit among clinicians were 16.8%, 57.9% and 25.3%, respectively; while that of negative, fair and positive attitude were 16.4%, 60.2% and 23.4%, respectively. Factors associated with better knowledge were being a physiotherapist (adjusted odds ratio = 2.9, confidence interval = 1.2-6.7), having a total work experience >5 years (adjusted odds ratio = 4.6, confidence interval = 1.7-12.1), having an intensive care unit work experience >5 years (adjusted odds ratio = 2.8, confidence interval = 1.1-6.8), previous in-service training (adjusted odds ratio = 1.8, confidence interval = 1.1-3.0) and reading guidelines (adjusted odds ratio = 1.9, confidence interval = 1.1-3.2). Better attitude was associated with in-service training (adjusted odds ratio = 1.9, confidence interval = 1.2-3.1), attending early mobilization courses (adjusted odds ratio = 1.8, confidence interval = 1.1-3.0), presence of mobilization advocators (adjusted odds ratio = 1.7, confidence interval = 1.0-2.8), good knowledge (adjusted odds ratio = 2.6, confidence interval = 1.2-5.8) and fair knowledge (adjusted odds ratio = 2.5, confidence interval = 1.3-4.8). Conclusion Most of the clinicians had demonstrated fair knowledge and attitude towards early mobilization in intensive care unit. However, there were significant proportion of clinicians who had poor knowledge and negative attitude. We recommended active engagement of physiotherapists and experienced clinicians in intensive care units. Clinicians need to have self-learning habits and attend regular training/courses related to early mobilization in intensive care unit.
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Affiliation(s)
| | - Yophtahe Woldegerima Berhe
- Department of Anesthesia, University of
Gondar, Gondar, Ethiopia
- Yophtahe Woldegerima Berhe, Department of
Anesthesia, University of Gondar, Gondar 196, Ethiopia.
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Kharroubi G, Cherif I, Ghawar W, Dhaouadi N, Yazidi R, Chaabane S, Snoussi MA, Salem S, Ben Hammouda W, Ben Hammouda S, Gharbi A, Bel Haj Hmida N, Rourou S, Dellagi K, Barbouche MR, Benabdessalem C, Ben Ahmed M, Bettaieb J. Incidence and risk factors of SARS-CoV-2 infection among workers in a public health laboratory in Tunisia. Arch Virol 2023; 168:69. [PMID: 36658402 PMCID: PMC9851900 DOI: 10.1007/s00705-022-05636-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 09/15/2022] [Indexed: 01/21/2023]
Abstract
The aim of this study was to measure the extent of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among workers at the Institut Pasteur de Tunis (IPT), a public health laboratory involved in the management of the COVID-19 pandemic in Tunisia, and to identify risk factors for infection in this occupational setting. A cross-sectional survey was conducted on IPT workers not vaccinated against coronavirus disease 2019 (COVID-19). Participants completed a questionnaire that included a history of reverse transcription-polymerase chain reaction (RT-PCR)-confirmed SARS-CoV-2 infection. Immunoglobulin G antibodies against the receptor-binding domain of the spike antigen (anti-S-RBD IgG) and the nucleocapsid protein (anti-N IgG) of the SARS-CoV-2 virus were detected by enzyme-linked immunoassay (ELISA). A multivariate analysis was used to identify factors significantly associated with SARS-CoV-2 infection. A total of 428 workers were enrolled in the study. The prevalence of anti-S-RBD and/or anti-N IgG antibodies was 32.9% [28.7-37.4]. The cumulative incidence of SARS-CoV-2 infection (positive serology and/or previous positive RT-PCR test) was 40.0% [35.5-44.9], while the proportion with asymptomatic infection was 32.9%. One-third of the participants with RT-PCR-confirmed infection tested seronegative more than 90 days postinfection. Participants aged over 40 and laborers were more susceptible to infection (adjusted OR [AOR] = 1.65 [1.08-2.51] and AOR = 2.67 [1.45-4.89], respectively), while tobacco smokers had a lower risk of infection (AOR = 0.54 [0.29-0.97]). The SARS-CoV-2 infection rate among IPT workers was not significantly different from that detected concurrently in the general population. Hence, the professional activities conducted in this public health laboratory did not generate additional risk to that incurred outside the institute in day-to-day activities.
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Affiliation(s)
- Ghassen Kharroubi
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Ines Cherif
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Wissem Ghawar
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Nawel Dhaouadi
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia
| | - Rihab Yazidi
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Sana Chaabane
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Mohamed Ali Snoussi
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Sadok Salem
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Wafa Ben Hammouda
- Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Sonia Ben Hammouda
- Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Adel Gharbi
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Nabil Bel Haj Hmida
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002 Tunis Belvedere, Tunisia ,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Samia Rourou
- Laboratory of Molecular Microbiology, Vaccinology and Biotechnology Development, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Koussay Dellagi
- Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia ,grid.428999.70000 0001 2353 6535Pasteur Network, Institut Pasteur, Paris, France
| | - Mohamed-Ridha Barbouche
- Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Chaouki Benabdessalem
- Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Melika Ben Ahmed
- Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Jihène Bettaieb
- Department of Medical Epidemiology, Institut Pasteur de Tunis, University of Tunis El Manar, 13 Place Pasteur BP-74, 1002, Tunis Belvedere, Tunisia. .,Laboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, Tunisia.
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Luo L, Qiao D, Wang L, Qiu L, Liu Y, Fu X. Farmers' cognition of the COVID-19 outbreak, risk perception and willingness of green production. JOURNAL OF CLEANER PRODUCTION 2022; 380:135068. [PMID: 36377229 PMCID: PMC9637231 DOI: 10.1016/j.jclepro.2022.135068] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 10/29/2022] [Accepted: 11/02/2022] [Indexed: 05/21/2023]
Abstract
Existing literature reports that COVID-19 outbreak may affect people's risk perceptions, with disturbances ranging from mild negative emotional reactions to overall mental health. At the same time, the pneumonia pandemic reveals all the vulnerabilities and weaknesses of our ecosystem and makes people reflect on traditional ecologically harmful production practices. Therefore, the aim of this paper is to review the existing scientific literature on these variables, through a survey and empirical analysis, in order to present and comment on the effects and mechanisms of influence between them. The results showed that: (1) Increasing farmers'cognition of COVID-19 outbreak could significantly enhance the green production willingness. Specifically, the probability of "Very willing"to participate in green production increased by 29.9% for each unit of increase in cognition. (2) Farmers'cognition of COVID-19 outbreak can significantly enhance the level of risk perception and thus enhance their green production willingness, that is, risk perception is an important transmission medium of this effect. (3)The analysis of inter-generational difference showed that the impact of cognition of COVID-19 outbreak on green production willingness was significant for both the new generation and the old generation. On the basis of this, some policy suggestions are put forward, such as strengthening the propaganda and education of natural ecological environment protection, establishing the propaganda mechanism of green agricultural products market in the later period of epidemic situation, raising farmers'risk perception level through multi-channels and so on.
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Affiliation(s)
- Lei Luo
- School of Management, Sichuan Agricultural University, China
| | - Dakuan Qiao
- School of Management, Sichuan Agricultural University, China
| | - Lishuang Wang
- School of Management, Sichuan Agricultural University, China
| | - Ling Qiu
- School of Management, Sichuan Agricultural University, China
| | - Yuying Liu
- School of Management, Sichuan Agricultural University, China
- Sichuan Rural Development Research Center, Chengdu, China
| | - Xinhong Fu
- School of Management, Sichuan Agricultural University, China
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Marzo RR, ElSherif M, Abdullah MSAMB, Thew HZ, Chong C, Soh SY, Siau CS, Chauhan S, Lin Y. Demographic and work-related factors associated with burnout, resilience, and quality of life among healthcare workers during the COVID-19 pandemic: A cross sectional study from Malaysia. Front Public Health 2022; 10:1021495. [PMID: 36589987 PMCID: PMC9800419 DOI: 10.3389/fpubh.2022.1021495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 11/16/2022] [Indexed: 12/23/2022] Open
Abstract
Introduction The healthcare setting is a stressful and demanding work environment, and healthcare workers face a continuous expansion of their job roles and responsibilities. Past studies have shown that factors affecting burnout, resilience, and quality of life among healthcare workers merit further research, as there were inconsistent findings, especially with regards to the influence of demographic and work-related factors. Therefore, this study aims to determine whether demographic and work-related factors are associated with burnout, resilience, and quality of life among healthcare workers. Method This cross-sectional study was conducted between February 15, 2022 and March 15, 2022, among 394 healthcare workers from Putrajaya and Selangor hospitals, Malaysia. Maslach Burnout Inventory, World Health Organization Quality of Life-BREF 26 inventory, and Brief Resilience Scale were utilized to capture information on burnout, quality of life, and resilience, respectively. Results The mean score of physical health of participants who work more than 10 h (11.38) is lower than participants who work from 8 to 10 h (13.00) and participants who work 7 h daily (13.03), p-value < 0.001. Similarly, the mean score of psychological health of participants who work more than 10 h (12.35) is lower than participants who work from 8 to 10 h (13.72) and participants who work 7 h daily (13.68), p-value = 0.001. Higher income levels were associated with high resilience and quality of life. Conclusion It is imperative that healthcare practitioners and policy makers adopt and implement interventions to promote a healthy workplace environment, address ethical concerns, and prevent burnout among healthcare workers during the COVID-19 pandemic. Managing the issue of long working hours could possibly result in improved resilience, burnout, and quality of life among healthcare workers. Despite this study able to tickle out some policy specific areas where interventions are needed, identifying effective solutions and evaluating their efficiency will require larger and interventional studies.
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Affiliation(s)
- Roy Rillera Marzo
- International Medical School, Management and Science University, Shah Alam, Selangor, Malaysia,Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Selangor, Malaysia,Roy Rillera Marzo
| | - Mohamed ElSherif
- Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | | | - Hui Zhu Thew
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Collins Chong
- Department of Anaesthesia and Intensive Care, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Shean Yih Soh
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Ching Sin Siau
- Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Shekhar Chauhan
- Department of Family and Generations, International Institute for Population Sciences, Mumbai, India
| | - Yulan Lin
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China,*Correspondence: Yulan Lin
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Tosun B, Unal N, Gungor S, Dusak İ, Porucu C, Yava A. Evaluation of nursesʼ knowledge about protective precautions and experiences in terms of various factors during Covid-19 pandemic. CENTRAL EUROPEAN JOURNAL OF NURSING AND MIDWIFERY 2022. [DOI: 10.15452/cejnm.2022.13.0017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022] Open
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Kimani D, Ndegwa L, Njeru M, Wesangula E, Mboya F, Macharia C, Oliech J, Weyenga H, Owiso G, Irungu K, Luvsansharav UO, Herman-Roloff A. Adopting World Health Organization Multimodal Infection Prevention and Control Strategies to Respond to COVID-19, Kenya. Emerg Infect Dis 2022; 28:S247-S254. [PMID: 36502468 DOI: 10.3201/eid2813.212617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
The World Health Organization advocates a multimodal approach to improving infection prevention and control (IPC) measures, which Kenya adopted in response to the COVID-19 pandemic. The Kenya Ministry of Health formed a national IPC committee for policy and technical leadership, coordination, communication, and training. During March-November 2020, a total of 69,892 of 121,500 (57.5%) healthcare workers were trained on IPC. Facility readiness assessments were conducted in 777 health facilities using a standard tool assessing 16 domains. A mean score was calculated for each domain across all facilities. Only 3 domains met the minimum threshold of 80%. The Ministry of Health maintained a national list of all laboratory-confirmed SARS-CoV-2 infections. By December 2020, a total of 3,039 healthcare workers were confirmed to be SARS-CoV-2-positive, an infection rate (56/100,000 workers) 12 times higher than in the general population. Facility assessments and healthcare workers' infection data provided information to guide IPC improvements.
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Pacheco EC, Soares RC, Santos VMD, Vianna GDP, Ditterich RG, Silva-Junior MF, Baldani MH. Adequação dos serviços odontológicos do Paraná no enfrentamento da Covid-19: um estudo transversal. SAÚDE EM DEBATE 2022. [DOI: 10.1590/0103-1104202213507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
RESUMO O objetivo deste estudo transversal foi identificar adequações quanto à utilização de Equipamentos de Proteção Individual e organização do processo de trabalho no atendimento odontológico ambulatorial no Paraná durante o primeiro ano da pandemia da Covid-19. A amostra de conveniência incluiu 1.105 profissionais de saúde bucal (cirurgiões-dentistas, técnicos e auxiliares em saúde bucal) durante o primeiro ano da pandemia (agosto a outubro de 2020). Formulário on-line (Google Formulários®) foi enviado por e-mail pelo Conselho Regional de Odontologia. As medidas de enfrentamento da Covid-19 foram comparadas entre os tipos de serviços odontológicos: ambulatorial do Sistema Único de Saúde – SUS (Atenção Primária, Centro de Especialidades Odontológicos e Pronto Atendimento), clínica privada, e outros (Sistema S, forças de segurança, sindicatos, hospitais públicos e privados e clínicas de ensino). Os profissionais dos serviços ambulatoriais do SUS relataram com maior frequência que: suspenderam atendimentos eletivos, evitavam gerar aerossóis e trabalhavam a quatro mãos. Nas clínicas privadas, utilizavam frequentemente teleorientação e telemonitoramento. Nos ‘outros serviços’, houve maior proporção de redução das horas de trabalho e autoclavagem de peças de mão após cada atendimento. Conclui-se que, apesar da alta adequação às medidas de enfrentamento da Covid-19, houve diferença na prática profissional nos diferentes tipos de serviços odontológicos.
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Khalifa N, Samaranayake L, Fakhruddin KS. Dental pedagogy in the 'new normal' COVID-19 era: a transition template of teaching protocols. BMC MEDICAL EDUCATION 2022; 22:794. [PMID: 36384708 PMCID: PMC9667843 DOI: 10.1186/s12909-022-03864-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Accepted: 10/04/2022] [Indexed: 06/16/2023]
Abstract
AIMS Delivery of clinical dental education, as opposed to clinical medicine, is particularly challenging due to the obligatory aerosol-generating procedures (AGPs) used in dentistry, which are known to facilitate the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Hence, using AGPs and working in close proximity to patients for extended periods in dental hospital/university settings with multiple teaching clinics have been a formidable prospect for all stake holders. Therefore, several professional and governmental organizations have promulgated variations of infection control guidelines for general practice dentistry in the pandemic era to mitigate SARS-CoV-2 transmission. MATERIALS AND METHODS In the absence of unified guidelines for modified infection control/clinical procedures for dental education. We implemented a clinical protocol template and modified operating procedures (MOP) for teaching clinical dentistry to fit the infection control requirements during the pandemic/post-pandemic period at the Sharjah University, College of Dentistry, UAE. MOPs ranged from various engineering control measures (e.g., negative-pressure ventilation systems in operatories) to administrative control measures featuring post-procedure fallow periods of treatment-abeyance between patient sessions. RESULTS The new MOPs for clinical dentistry in the COVID-19 pandemic era, trialled in a UAE dental teaching hospital, have successfully eliminated infection transmission amongst the students, clinicians, ancillary staff, or attending patients, thus far. CONCLUSIONS The proposed MOPs that complement the standard operating protocols in clinical dentistry were an attempt to mitigate nosocomial infection transmission and protect four different groups of stakeholders, i) the patients, ii) the dental students, iii) the clinical academics, and iv) the para-dental personnel/assistants. Due to the endemicity of the COVID-19 in many regions of the World, the suggested MOPs need periodic review and revision, to fit the emerging data on the disease. Finally, as there are no studies to date comparing the relative efficacy of the MOPs in various dental academic institutions, there is an urgent need for future workers to address this issue.
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Affiliation(s)
- Nadia Khalifa
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE
| | - Lakshman Samaranayake
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Pok Fu Lam, Hong Kong, China.
| | - Kausar Sadia Fakhruddin
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE
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Zou Q, Tang Y, Jiang C, Lin P, Tian J, Sun S. Prevalence of anxiety, depressive and insomnia symptoms among the different groups of people during COVID-19 pandemic: An overview of systematic reviews and meta-analyses. Front Psychol 2022; 13:1024668. [PMID: 36467203 PMCID: PMC9709262 DOI: 10.3389/fpsyg.2022.1024668] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 10/25/2022] [Indexed: 09/10/2024] Open
Abstract
Since the pandemic of the novel 2019 coronavirus disease (COVID-19), in addition to the harm caused by the disease itself, the psychological damage caused to the public by the pandemic is also a serious problem. The aim of our study was to summarize the systematic reviews/meta-analyses (SRs/MAs) of the prevalence of anxiety, depression and insomnia in different populations during the COVID-19 pandemic and to qualitatively evaluate these SRs/MAs. We searched the Cochrane Library, PubMed and Web of Science to obtain SRs/MAs related to anxiety, depression, and insomnia in different populations during the COVID-19 pandemic. The main populations we studied were healthcare workers (HCWs), college students (CSs), COVID-19 patients (CPs), and the general populations (GPs). A subgroup analysis was performed of the prevalence of psychological disorders. A total of 42 SRs/MAs (8,200,330 participants) were included in calculating and assessing the prevalence of anxiety, depression, and insomnia in these populations. The results of subgroup analysis showed that the prevalence of anxiety in different populations were: HCWs (20-44%), CSs (24-41%), CPs (15-47%), and GPs (22-38%). The prevalence of depression were: HCWs (22-38%), CSs (22-52%), CPs (38-45%), and GPs (16-35%), statistically significant differences between subgroups (p < 0.05). The prevalence of insomnia were: HCWs (28-45%), CSs (27-33%), CPs (34-48%), and GPs (28-35%), statistically significant differences between subgroups (p < 0.05). The comparison revealed a higher prevalence of psychological disorders in the CP group, with insomnia being the most pronounced. The methodological quality of the included SRs/MAs was then evaluated using AMSTAR 2 tool. The results of the methodological quality evaluation showed that 13 SRs/MAs were rated "medium," 13 were rated "low," and 16 were rated "very low." Through the subgroup analysis and evaluation of methodological quality, we found a higher prevalence of insomnia than anxiety and depression among the psychological disorders occurring in different populations during the pandemic, but the sample size on insomnia is small and more high-quality studies are needed to complement our findings.
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Affiliation(s)
- Qi Zou
- Department of Cardiology, Lanzhou University Second Hospital, Lanzhou, China
| | - Yuning Tang
- Department of Cardiology, Lanzhou University Second Hospital, Lanzhou, China
| | - Cheng Jiang
- Department of Cardiology, Lanzhou University Second Hospital, Lanzhou, China
| | - Pengyang Lin
- Department of Cardiology, Lanzhou University Second Hospital, Lanzhou, China
| | - Jinhui Tian
- Evidence-Based Medicine Center of Lanzhou University, Lanzhou, China
| | - Shougang Sun
- Department of Cardiology, Lanzhou University Second Hospital, Lanzhou, China
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Gangaram P, Pillay Y, Alinier G. Paramedics' knowledge, attitudes, and practices regarding the use of personal protective equipment against COVID-19. Qatar Med J 2022; 2022:50. [PMID: 36340970 PMCID: PMC9634205 DOI: 10.5339/qmj.2022.50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 09/11/2022] [Indexed: 11/21/2022] Open
Abstract
The risk of novel coronavirus disease (COVID-19) transmission in the confined mobile ambulance compartment is increased during aerosol-generating procedures and close proximity. Paramedics are encouraged to increase body-surface-isolation by donning additional personal protective equipment (PPE) during patient encounters. This study aimed to better understand paramedics’ knowledge, attitudes, and practices related to PPE use during the COVID-19 pandemic in the prehospital setting with a focus on mitigating risks associated with infection control. This prospective quantitative study collected descriptive data using a specifically designed data collection tool. The survey data was then cleaned and analyzed with Microsoft Excel® and the latest version of the Statistical Package for Social Sciences. One thousand frontline paramedics employed by the Hamad Medical Corporation Ambulance Service (HMCAS) were invited via email to participate in the study. A total of 282 (28.2% of frontline paramedics) paramedics completed the online survey, of which 80.1% completed the mandatory HMCAS online infection control training program within the last year, and 17.0% between one to two years ago. Approximately 83% of the participants had completed an N95 mask fit test at HMCAS within the past five years, and 91.5% completed the hand hygiene training. The study found that 98.2% of the paramedics were knowledgeable about COVID-19 and its transmission, while 96.1% agreed that aerosol-generating procedures increased airborne transmission. The paramedics’ attitudes were mainly positive toward the use of PPE to prevent the spread of the virus, which was synchronous with their practice. The sample population demonstrated a strong knowledge of COVID-19 and its transmission. Their overall positive attitudes and good infection control practices were demonstrative of efforts to mitigate risks associated with the spread of the virus.
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Affiliation(s)
- Padarath Gangaram
- Ambulance Service, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: & https://orcid.org/0000-0001-5282-5045H,Honorary Research Fellow, Faculty of Health Sciences, Durban University of Technology, South Africa,Email & ORCID ID: & https://orcid.org/0000-0001-5282-5045H
| | - Yugan Pillay
- Honorary Research Fellow, Faculty of Health Sciences, Durban University of Technology, South Africa
| | - Guillaume Alinier
- Ambulance Service, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: & https://orcid.org/0000-0001-5282-5045H,University of Hertfordshire, Hatfield, UK
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50
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Liang S, Liu C, Rotaru K, Li K, Wei X, Yuan S, Yang Q, Ren L, Liu X. The relations between emotion regulation, depression and anxiety among medical staff during the late stage of COVID-19 pandemic: a network analysis. Psychiatry Res 2022; 317:114863. [PMID: 36191555 PMCID: PMC9509294 DOI: 10.1016/j.psychres.2022.114863] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 09/21/2022] [Accepted: 09/24/2022] [Indexed: 01/04/2023]
Abstract
Existing research proposed that moving from a disorder-level analysis to a symptom-level analysis may provide a more fine-grained understanding of psychopathology. This study aimed to explore the relations between two dimensions (i.e., cognitive reappraisal, CR; expressive suppression, ES) of emotion regulation and individual symptoms of depression and anxiety among medical staff during the late stage of COVID-19 pandemic. We examined depression symptoms, anxiety symptoms and emotion regulation among 420 medical staff during the late stage of COVID-19 pandemic via network analysis. Two networks (i.e. emotion regulation-depression network and emotion regulation-anxiety network) were constructed in the present study. Bridge centrality index was calculated for each variable within the two networks. Among the present sample, the prevalences of depression and anxiety are 39.5% and 26.0%. CR and ES showed distinct connections to symptoms of depression and anxiety. Results of bridge centrality showed that in both networks, CR had a negative bridge expected influence value while ES had a positive bridge expected influence value. The results revealed the specific role of CR and ES in relation to depression and anxiety at a symptom level. Implications for clinical preventions and interventions are discussed.
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Affiliation(s)
- Shuyi Liang
- Department of Military Medical Psychology, Fourth Military Medical University, 169 West Changle Road, Xi'an, Shaanxi 710032, China
| | - Chang Liu
- BrainPark, School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC 3168, Australia
| | - Kristian Rotaru
- BrainPark, School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC 3168, Australia,Monash Business School, Monash University, Caulfield, VIC 3145, Australia
| | - Kuiliang Li
- Department of Psychology, Army Medical University, Chongqing 400038, China
| | - Xinyi Wei
- Department of Psychology, Renmin University of China, Beijing 100000, China
| | - Shangqing Yuan
- School of Psychology, Capital Normal University, Beijing 100089, China
| | - Qun Yang
- Department of Military Medical Psychology, Fourth Military Medical University, 169 West Changle Road, Xi'an, Shaanxi 710032, China
| | - Lei Ren
- Department of Military Medical Psychology, Fourth Military Medical University, 169 West Changle Road, Xi'an, Shaanxi 710032, China.
| | - Xufeng Liu
- Department of Military Medical Psychology, Fourth Military Medical University, 169 West Changle Road, Xi'an, Shaanxi 710032, China.
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