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Kim E, Park Y, Choi H. Factors influencing nurses' compliance related to the use of personal protective equipment during the COVID-19 pandemic: A descriptive cross-sectional study. Nurs Open 2024; 11:e2235. [PMID: 38958036 PMCID: PMC11220485 DOI: 10.1002/nop2.2235] [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: 08/03/2023] [Revised: 06/11/2024] [Accepted: 06/21/2024] [Indexed: 07/04/2024] Open
Abstract
AIM To determine how nurses' experiences with the coronavirus disease (COVID-19) pandemic affected their knowledge, awareness, and compliance related to the use of personal protective equipment (PPE) during the COVID-19 pandemic in South Korea. DESIGN A descriptive cross-sectional study. METHODS A total of 247 nurses in South Korea participated in this study between May 10 and 19, 2023. An online self-report questionnaire was used to collect data on demographic and occupational characteristics, COVID-19 experience, knowledge, awareness, and compliance related to the use of PPE. Factors affecting compliance were analysed using hierarchical multiple linear regression. RESULTS Mean age of the nurses was 31.92, and 94.3% were women. Most had a bachelor's degree or higher and the mean clinical experience as a nurse was 6.45 years. Knowledge of the use of PPE was 8.45 out of 10, awareness was 3.52 out of 5, and compliance was 4.28 out of 5. Knowledge and awareness were correlated with compliance related to PPE use. Awareness (β = 0.234, p < 0.001), knowledge (β = 0.218, p < 0.001), experience caring for COVID-19 patients (β = 0.234, p = 0.004), optional fourth dose vaccine (β = 0.150, p = 0.017), clinical experience (β = 0.140, p = 0.022), and COVID-19 infection control education (β = 0.115, p = 0.037) were found to have a significant impact on compliance. CONCLUSION During the COVID-19 pandemic, nurses' knowledge and awareness of PPE use was a crucial factor in compliance. factors such as clinical experience, experience in caring for COVID-19 patients, optional vaccination, and completion of COVID-19 education also influenced compliance. We hope that these factors can provide a basis for developing training programs for nurses to respond to future emerging infectious diseases.
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Affiliation(s)
- Eun‐Jin Kim
- Department of NursingSeoul National University HospitalSeoulRepublic of Korea
| | - Yeon‐Hwan Park
- College of Nursing, The Research Institute of Nursing ScienceSeoul National UniversitySeoulRepublic of Korea
| | - Hye‐Ran Choi
- Department of Clinical NursingUniversity of UlsanSeoulRepublic of Korea
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Deshpande PU, Basavaraju A, Veerapu N, Akula A. Knowledge, attitudes, and practices toward COVID-19 and its prevention among medical and dental students in an educational institution in Telangana. INDIAN J PATHOL MICR 2024; 67:349-354. [PMID: 38427767 DOI: 10.4103/ijpm.ijpm_582_23] [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: 07/13/2023] [Accepted: 11/08/2023] [Indexed: 03/03/2024] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) emerged as a global pandemic, threatening millions of lives worldwide. Everyone was overwhelmed by the plethora of information from different sources, creating confusion, misconceptions, and panic in the community. AIMS This study aimed to estimate the knowledge, attitudes, and practices (KAP) among medical and dental students toward COVID-19 and to identify factors influencing them. MATERIALS AND METHODS A cross-sectional study was conducted among undergraduate students enrolled in MBBS and BDS courses, and KAP scores were calculated using a self-administered questionnaire. The statistical analysis was done by unpaired t test and one-way analysis of variance. RESULTS MBBS students had higher KAP scores when compared with BDS students. Knowledge gaps were discovered in the areas of COVID-19 transmission through blood, World Health Organization (WHO)-designated variants of concern, disinfectant usage, and mandatory vaccination. A majority (91.33%) of the students had a positive attitude toward COVID-19. Better knowledge and practice scores were significantly associated with vaccinated students and those who trusted government website resources. CONCLUSION Curriculum modifications and creative teaching strategies can fill the lacunae in the KAP scores. Medical and dental students, as torchbearers of the healthcare fraternity, can play a critical role in raising awareness during public health emergencies.
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Affiliation(s)
- Preeti U Deshpande
- Department of Microbiology, Mamata Medical College and Hospital, Khammam, Telangana, India
| | - Anuradha Basavaraju
- Department of Microbiology, Mamata Medical College and Hospital, Khammam, Telangana, India
| | - Nagapraveen Veerapu
- Department of Community Medicine, Government Medical College, Anantapuramu, Andhra Pradesh, India
| | - Ashish Akula
- Department of Microbiology, Mamata Medical College and Hospital, Khammam, Telangana, India
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Juttla PK, Ndiritu M, Milliano F, Odongo AO, Mwancha-Kwasa M. Knowledge, attitudes and practices towards COVID-19 among healthcare workers: A cross-sectional survey from Kiambu County, Kenya. PLoS One 2024; 19:e0297335. [PMID: 38470888 DOI: 10.1371/journal.pone.0297335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 01/02/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND The knowledge possessed by healthcare workers (HCWs), along with their attitudes and practices play a vital role in effectively managing a pandemic. This is crucial considering that HCWs are exposed to great risk at the forefront of such crises. We aimed to describe the knowledge, attitude, and practices (KAP) of HCWs during the COVID-19 pandemic in Kiambu county, Kenya. METHODS A cross-sectional study using a structured questionnaire was conducted from 11th March 2021 to 12th August 2021. Bloom's cutoff points were used to determine KAP scores (>80%: good, 60-79%: medium and <60% poor). Multivariable ordinal logistic regression analyses were conducted, calculating adjusted odds ratios (AOR) at a 95% confidence interval. Spearman's rank correlations were used to examine the relationship between KAP scores. RESULTS 438 HCWs participated in the study, majority of whom were female (64.5%), had obtained a diploma (59.6%) and were informed through government websites (78.6%). 43.0% had good knowledge, 17.5% good attitudes, and 68.4% good practice. 23.0% had medium knowledge, 35.6% medium attitude, 15.7% medium practice, while 34.0% had poor knowledge, 46.9% poor attitude and 15.9% poor practice. Only 68.9% of the caregivers correctly recognized the county's COVID-19 isolation centre and only 7.9% chose the two correct documents for the entry of data for a suspected COVID-19 case. Furthermore, the general attitude towards their own personal safety and their training regarding PPEs (17.8% and 23.8% strongly agreed with the contrary) were less compelling. There was a significant positive association between obtaining information from international government sites [AOR: 1.382 (1.058-1.807); p = 0.0178)] and good knowledge. Referring to local government sites for information regarding COVID-19 produced better attitudes [AOR: 1.710 (1.194-2.465); p = 0.0036] and produced almost twice the odds of having better practice [AOR: 1.800 (1.181-2.681); p = 0.0048]. There was a significant correlation between knowledge and practice (r = -0.330, p = 2.766×10-11), and knowledge and attitude (r = -0.154, p = 6.538×10-3). CONCLUSION This study emphasizes the substantial impact that governing bodies have on shaping favorable KAP. As a result, it's crucial for local government platforms to prioritize the dissemination of up-to-date information that aligns with international standards. This information should be tailored to the specific region, focusing on addressing deficiencies in healthcare practices and patient management. The identification of a significant number of HCWs lacking confidence in managing COVID-19 patients and feeling unprotected underscores a clear need for improvement in their understanding and implementation of preventive measures. This gap can be bridged by adequately equipping HCWs with locally manufactured PPEs. This aspect is crucial for pandemic preparedness, and we further advocate for the creation of a locally produced repository of medical equipment. These actions are pivotal in improving future crisis management capabilities.
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Affiliation(s)
- Prabhjot Kaur Juttla
- Faculty of Health Sciences, School of Medicine, University of Nairobi, Nairobi, Kenya
| | - Moses Ndiritu
- Department of Health, County Government of Kiambu, Kiambu, Kenya
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Ceñera Fernández J, González Esteban L, Moure García C, Cernuda Martínez JA. Conocimientos sobre COVID-19 en población general adulta tras dos años de pandemia. Glob Health Promot 2024; 31:111-119. [PMID: 37933817 DOI: 10.1177/17579759231204352] [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] [Indexed: 11/08/2023]
Abstract
OBJETIVO identificar el nivel de conocimientos sobre la COVID-19 que tiene la población adulta residente en Gijón (España) después de dos años de pandemia. MÉTODOS se realizó un estudio descriptivo transversal entre marzo del 2021 y marzo del 2022. Los datos se obtuvieron mediante un cuestionario telefónico sobre una muestra estratificada de tres zonas básicas de salud de Gijón, España (Calzada, Zarracina y Parque-Somió). El tamaño muestral se compuso de 305 personas. Se empleó el análisis ji-cuadrado para estudiar la relación entre variables categóricas y ANOVA para comparar las medias de la puntuación total por zona básica. Se realizaron regresiones logísticas para calcular las odds ratio entre la variable dependiente (poseer conocimientos avanzados) y las independientes (variables sociodemográficas). Se construyó un modelo predictivo entre la existencia o no de conocimiento avanzado y las variables independientes mediante regresión logística. RESULTADOS se encontraron diferencias en la puntuación media del nivel de conocimientos entre Parque-Somió y Calzada (p = 0.000) y Parque-Somió y Zarracina (p = 0.045), obteniendo mayor puntuación media la de Parque-Somió. Se observó una asociación entre el nivel de conocimientos y las variables medio de información utilizado (p = 0.018), edad (p = 0.036), zona básica de salud (p = 0.000), nivel educativo (p = 0.000) e historia previa de contacto estrecho (p = 0.004). CONCLUSIONES el nivel de conocimientos avanzado se presenta sobre todo en las zonas básicas de salud con mayor nivel socioeconómico, población con nivel educativo alto, de 25 a 45 años, que se ha informado por su entorno y con historia previa de seguimiento por ser contacto estrecho.
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Affiliation(s)
| | | | - Camino Moure García
- Servicio de Salud del Principado de Asturias (SESPA). Oviedo, Asturias, España
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Ashipala DO, Kaihoto C, Munangatire T. Knowledge, Attitudes, and Practices of Nurses Regarding the Prevention and Control of COVID-19 at a Selected Regional Hospital in Namibia. SAGE Open Nurs 2024; 10:23779608231225868. [PMID: 38660478 PMCID: PMC11041540 DOI: 10.1177/23779608231225868] [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: 03/01/2023] [Revised: 11/08/2023] [Accepted: 12/22/2023] [Indexed: 04/26/2024] Open
Abstract
Introduction As the threat of COVID-19 continues, new evidence and knowledge of the disease is coming to light, thus it is critical to evaluate nurses' knowledge, attitudes, and practices (KAP) regarding the control and prevention of COVID-19 infections. Objective The objective of the study was to assess the KAP of nurses regarding the prevention and control of COVID-19 at a selected regional hospital in Namibia. Methods A quantitative, descriptive cross-sectional study was used to quantify and measure the relationships between the demographic variables and the key variables of KAP regarding the prevention and control of COVID-19. A total of 101 respondents were conveniently sampled. Data were collected online and analyzed using SPSS version 27. Results The mean scores were: knowledge 26.8 (83.8%), attitude 44.8 (70%), and practice 46.8 (78%). The Pearson's correlation showed that the practice score was positively correlated to the attitude score (r = 0.556, p < 0.01), while the independent samples t-test showed that gender, COVID-19 status, and nurse status had no effect on knowledge, attitude, or practices (p > 0.05). There was a significant mean difference in the attitude scores between the vaccinated and the non-vaccinated nurses: t (86.251) = 2.974, p ≤ 0.05, as well as in the practice scores: t (98.956) = 1.989, p < -0.05. Multiple linear regression indicated that the regression model was statistically significant (F = 2.536, p < 0.001, adjusted R2 = 0.145). Conclusion The results of this study revealed that some of the nurses had inadequate KAP related to the prevention and control of COVID-19. Consequently, these nurses need more intensive training to ensure that they display a high level of knowledge, positive attitudes, and good practices regarding the virus. This will both safeguard the nurses and reduce the transmission of COVID-19.
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Wang M, Dehghan M, Li C, Amedei A, Rodriguez-Morales AJ. Editorial: Impact of coronavirus disease 2019 (COVID-19) pandemic on nosocomial infection. Front Med (Lausanne) 2023; 10:1298645. [PMID: 37908852 PMCID: PMC10614156 DOI: 10.3389/fmed.2023.1298645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 10/02/2023] [Indexed: 11/02/2023] Open
Affiliation(s)
- Mingke Wang
- Naval Medical Center of PLA, Naval Medical University, Shanghai, China
| | - Mahlagha Dehghan
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Chunhui Li
- Department of Infection Control Center, Xiangya Hospital, Central South University, Changsha, China
| | - Amedeo Amedei
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Alfonso J. Rodriguez-Morales
- Faculty of Health Sciences, Universidad Científica del Sur, Lima, Peru
- Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Beirut, Lebanon
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Khatrawi EM, Prajjwal P, Farhan M, Inban P, Gurha S, Al‐ezzi SMS, Marsool MDM, Ahuja P, A. Mateen M, Aina FO, Hussin OA. Evaluating the knowledge, attitudes, and practices of healthcare workers regarding high-risk nosocomial infections: A global cross-sectional study. Health Sci Rep 2023; 6:e1559. [PMID: 37701355 PMCID: PMC10494663 DOI: 10.1002/hsr2.1559] [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: 06/28/2023] [Revised: 08/14/2023] [Accepted: 08/22/2023] [Indexed: 09/14/2023] Open
Abstract
Background Healthcare workers (HCWs) play a vital role in delivering care and are frequently exposed to the risk of acquiring infections within the hospital setting. Around 15% of hospitalized patients suffer from these infections globally. However, the role and awareness of HCWs in the transmission of hospital-acquired infections (HAIs) or nosocomial infections is still unclear. This study aimed to evaluate the knowledge, attitude, and practices (KAP) toward high-risk microbial infections among HCWs on a global scale to identify measures to address this problem. Method A cross-sectional descriptive study was conducted between 2022 and 2023, with HCWs selected as the study population. Data concerning KAP were collected through a self-administered online survey questionnaire, using a nonprobability convenience sampling method. Descriptive statistics and regression analysis were used to analyze the data. Results A total of 743 HCWs from various countries participated in the study, with the majority of respondents being doctors (64.9%). Data were mainly obtained from Saudi Arabia (26.78%), Iraq (25.84%), India (15.7%), the United States of America (15.2%), and Africa (Sudan, Nigeria) (13.98%). The frequency of good KAP scores among physicians (KAP: 82.5, 80.66, and 70.5), nurses (KAP: 74.1, 73.07, and 88.7), medical practitioners (KAP: 87.2, 77.58, and 75.1), and technicians (KAP: 76.1, 74.38, and 89.6) were obtained as mentioned. With respect to experience, HCWs showed good KAP scores in 1-5 years (KAP: 82.4, 83.3, and 74.1), 5-10 years (KAP: 80.6, 74.54, 83), 10-20 years (KAP: 74.7, 79.1, and 82.7), and >20 years (KAP: 84.6, 78.8, and 82.8) categories. Conclusion This study suggests that HCWs have good KAP regarding infection prevention, but there is still room for improvement. Educational seminars and awareness programs can provide better adherence to barrier protection measures such as hand washing, use of gloves, and hand disinfection.
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Affiliation(s)
- Elham M. Khatrawi
- Medical Microbiology and Immunology DepartmentTaibah UniversityMedinaSaudi Arabia
| | | | | | - Pugazhendi Inban
- Internal Medicine, Government Medical College, OmandurarChennaiTamil NaduIndia
| | - Shraddha Gurha
- Department of Public Health, School of Public HealthPoornima UniversityJaipurIndia
| | | | | | - Prerna Ahuja
- Internal MedicineTeerthankar Mahaveer UniversityMoradabadIndia
| | - Mohammed A. Mateen
- Shadan Institute of Medical Sciences Teaching Hospital and Research CentreHyderabadIndia
| | - Felix O. Aina
- Family Medicine, College of MedicineEkiti State UniversityAdo EkitiNigeria
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Osmani Z, Bajrektarevic Kehic A, Miskulin I, Dumic L, Pavlovic N, Kovacevic J, Lanc Curdinjakovic V, Dumic J, Vukoja I, Miskulin M. The Attitudes and Practices Regarding COVID-19 among General Practitioners from Croatia and Bosnia and Herzegovina: A Cross-Sectional Study. Behav Sci (Basel) 2023; 13:bs13050352. [PMID: 37232589 DOI: 10.3390/bs13050352] [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: 03/23/2023] [Revised: 04/18/2023] [Accepted: 04/20/2023] [Indexed: 05/27/2023] Open
Abstract
Attitudes toward COVID-19 (coronavirus disease 2019) prevention and control may have influenced general practitioners' (GPs') work during the COVID-19 pandemic. The present study aimed to investigate the attitudes and practices of GPs from Croatia and Bosna and Herzegovina regarding COVID-19 prevention and control as well as the factors which may have influenced them. A cross-sectional study using a self-administered, anonymous questionnaire was conducted between February and May of 2022 on 200 Croatian and Bosnian GPs. The study revealed that the attitudes and practices of the surveyed GPs regarding COVID-19 prevention and control were satisfactory. The Croatian GPs reported a larger number of positive attitudes toward COVID-19 prevention and control (p = 0.014), while no significant differences in practices were established. Among the Croatian GPs, more positive attitudes toward COVID-19 prevention and control were reported by participants who had finished a formal education on the prevention of infectious diseases and occupational safety (p = 0.018), while among the Bosnian GPs, more positive attitudes were reported by older GPs (p = 0.007), males (p = 0.026), GPs with a longer length of service (p = 0.005), GPs who had finished a formal education on the prevention of infectious diseases and occupational safety (p < 0.001), GPs who had finished a formal education on adequate hand hygiene (p < 0.001), and GPs who had finished a formal education on COVID-19 prevention for GPs (p = 0.001). Considering GPs' practices regarding COVID-19 prevention and control, among the Croatian GPs, more positive practices were reported by older GPs (p = 0.008), females (p = 0.002), GPs who had a partner (p = 0.021), GPs who were specialists in family medicine (p = 0.014), GPs with a longer length of service (p = 0.007), and GPs who had finished a formal education on the prevention of infectious diseases and occupational safety (p = 0.046), while among the Bosnian GPs, no significant correlations were determined. The general practitioners' sociodemographic and employment characteristics strongly influenced their attitudes and practices regarding the prevention and control of COVID-19. The cultural differences between Croatia and Bosnia and Herzegovina, as well as the organizational specificities of their healthcare systems, probably modified the observed differences in the individual patterns of associations between the outcome and explanatory variables in the surveyed neighboring countries.
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Affiliation(s)
- Zudi Osmani
- Faculty of Health Studies, University "VITEZ", 72 270 Travnik, Bosnia and Herzegovina
- Institute for Public Health of Central Bosnia Canton, 72 270 Travnik, Bosnia and Herzegovina
| | | | - Ivan Miskulin
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Lea Dumic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Nika Pavlovic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Jelena Kovacevic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | | | - Juraj Dumic
- Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Ivan Vukoja
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Maja Miskulin
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
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Goel K, Singh G, Arora Y, Goel P, Aggarwal AK, Sen A, Kumar K, Bhogal RS, Thakur JS, Singh A, Sharma N. Psychological distress and related factors regarding COVID-19 among the ancillary hospital staff: A cross-sectional study. J Family Med Prim Care 2023; 12:694-700. [PMID: 37312788 PMCID: PMC10259555 DOI: 10.4103/jfmpc.jfmpc_1890_22] [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: 09/23/2022] [Revised: 12/22/2022] [Accepted: 01/12/2023] [Indexed: 06/15/2023] Open
Abstract
Background Healthcare workers (HCWs) are at the front line of the Coronavirus disease (COVID-19) outbreak response. They have faced great risks to both physical and mental health. We aimed to assess the psychological effect of COVID-19 among ancillary hospital staff. Methods A cross-sectional study was conducted among 267 on-duty ancillary hospital staff using a semi-structured questionnaire to assess their psychological status and risk perception. In addition, their knowledge, attitude, and practices (KAP) and risk perception were also assessed. The General Health Questionnaire (GHQ-12) was used to screen for psychological distress. Results Among 267 participants, the mean (±SD) age was 33.5 (7.6) years. The majority knew about the symptoms of COVID-19 (88.4%), droplet spread (99.3%), and the importance of isolation (99.3%). About 35.2% were worried about infecting family members, while 26.2% were worried about colleagues at the frontline. Only 38.9% of them had a good knowledge score. Participants with high school and above education level had significantly good knowledge about COVID-19 (OR = 1.99; 95% CI = 1.17- 3.39) than those with primary school or below. Being female (OR 1.99; 95% CI 1.17-3.39) and working with COVID-19 patients (OR 3.88, 95% CI 1.77-8.47, P = 0.001) was associated with psychological distress. Conclusion The ancillary hospital staff had insufficient knowledge regarding the risk factors of COVID-19 but possessed positive attitudes and practices. Continued health education and appropriate psychological interventions may improve understanding and reduce psychological distress.
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Affiliation(s)
- Kapil Goel
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Gurmeet Singh
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Yogesh Arora
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Parul Goel
- Department of Biochemistry, Maharishi Markandeshwar Institute of Medical Sciences and Research, MMDU, Mullana, District Ambala, Haryana, India
| | - Arun Kumar Aggarwal
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Arunima Sen
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Krishan Kumar
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Ranjitpal Singh Bhogal
- Department of Hospital Administration, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - JS Thakur
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Amarjeet Singh
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Nikita Sharma
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
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Elimian K, King C, Dewa O, Pembi E, Gandi B, Yennan S, Myles P, Pritchard C, Forsberg BC, Alfvén T. Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications. HUMAN RESOURCES FOR HEALTH 2023; 21:6. [PMID: 36726147 PMCID: PMC9891191 DOI: 10.1186/s12960-023-00796-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 01/20/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Healthcare workers' (HCWs) knowledge of multi-stranded cholera interventions (including case management, water, sanitation, and hygiene (WASH), surveillance/laboratory methods, coordination, and vaccination) is crucial to the implementation of these interventions in healthcare facilities, especially in conflict-affected settings where cholera burden is particularly high. We aimed to assess Nigerian HCWs' knowledge of cholera interventions and identify the associated factors. METHODS We conducted a cross-sectional study using a structured interviewer-administered questionnaire with HCWs from 120 healthcare facilities in Adamawa and Bauchi States, North-East Nigeria. A knowledge score was created by assigning a point for each correct response. HCWs' knowledge of cholera interventions, calculated as a score, was recoded for ease of interpretation as follows: 0-50 (low); 51-70 (moderate); ≥ 71 (high). Additionally, we defined the inadequacy of HCWs' knowledge of cholera interventions based on a policy-relevant threshold of equal or lesser than 75 scores for an intervention. Multivariable logistic regression was used to identify the factors associated with the adequacy of knowledge score. RESULTS Overall, 490 HCWs participated in the study (254 in Adamawa and 236 in Bauchi), with a mean age of 35.5 years. HCWs' knowledge score was high for surveillance/laboratory methods, moderate for case management, WASH, and vaccination, and low for coordination. HCWs' knowledge of coordination improved with higher cadre, working in urban- or peri-urban-based healthcare facilities, and secondary education; cholera case management and vaccination knowledge improved with post-secondary education, working in Bauchi State and urban areas, previous training in cholera case management and response to a cholera outbreak-working in peri-urban areas had a negative effect. HCWs' knowledge of surveillance/laboratory methods improved with a higher cadre, 1-year duration in current position, secondary or post-secondary education, previous training in cholera case management and response to a cholera outbreak. However, HCWs' current position had both positive and negative impacts on their WASH knowledge. CONCLUSIONS HCWs in both study locations recorded a considerable knowledge of multi-stranded cholera interventions. While HCWs' demographic characteristics appeared irrelevant in determining their knowledge of cholera interventions, geographic location and experiences from the current position, training and involvement in cholera outbreak response played a significant role.
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Affiliation(s)
- Kelly Elimian
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
- Exhale Health Foundation, Abuja, Nigeria.
| | - Carina King
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Ozius Dewa
- School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa
| | - Emmanuel Pembi
- Adamawa State Ministry of Health, Yola, Adamawa State, Nigeria
| | - Benjamin Gandi
- Bauchi State Ministry of Health, Yola, Bauchi State, Nigeria
| | | | - Puja Myles
- Clinical Practice Research Datalink, Medicines and Healthcare Products Regulatory Agency, London, UK
| | | | | | - Tobias Alfvén
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- Sachs' Children and Youth Hospital, Stockholm, Sweden
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Laércio de Araújo Sousa1,2 M, S Shimizu1,3a L, M Patino4 C, A. Torres-Duque5,6 C, Zabert7 I, E Zabert7 G, Perez-Padilla8 R, Varón-Vega5,9,10 F, Cohen11 M, C Ferreira1 J. COVID-19 knowledge, attitudes, and practices among health care workers in Latin America. J Bras Pneumol 2022; 48:e20220018. [DOI: 10.36416/1806-3756/e20220018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 08/13/2022] [Indexed: 01/08/2023] Open
Abstract
Objective: To evaluate COVID-19 knowledge, attitudes, and practices among health care workers (HCWs) practicing in Latin American countries during the first surge of the COVID-19 pandemic. Methods: This was a multinational cross-sectional survey study, using an online self-administered questionnaire. The final version of the questionnaire comprised 40 questions, organized in five sections: demographic and professional characteristics; COVID-19 knowledge; attitudes toward COVID-19; COVID-19 practices; and institutional resources. Results: The study involved 251 HCWs from 19 Latin American countries who agreed to participate. In our sample, 77% of HCWs participated in some sort of institutional training on COVID-19, and 43% had a low COVID-19 knowledge score. COVID-19 knowledge was associated with the type of health center (public/private), availability of institutional training, and sources of information about COVID-19. Concerns about not providing adequate care were reported by 60% of the participants. The most commonly used ventilatory strategies were protective mechanical ventilation, alveolar recruitment maneuvers, and prone positioning, and the use of drugs to treat COVID-19 was mainly based on institutional protocols. Conclusions: In this multinational study in Latin America, almost half of HCWs had a low COVID-19 knowledge score, and the level of knowledge was associated with the type of institution, participation in institutional training, and information sources. HCWs considered that COVID-19 was very relevant, and more than half were concerned about not providing adequate care to patients.
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Affiliation(s)
- Mayson Laércio de Araújo Sousa1,2
- 1. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil. 2. Interdepartmental Division of Critical Care Medicine, St. Michael’s Hospital, University of Toronto, Toronto (ON) Canada
| | - Lara S Shimizu1,3a
- 1. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil. 3. Divisão de Fisioterapia, Faculdade de Ciências Médicas, Universidade Estadual do Piauí, Teresina (PI) Brasil
| | - Cecilia M Patino4
- 4. Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles (CA) USA
| | - Carlos A. Torres-Duque5,6
- 5. Fundación Neumológica Colombiana, Bogotá, Colombia. 6. Programa de Doctorado, Universidad de La Sabana, Bogotá, Colombia
| | - Ignacio Zabert7
- 7. Facultad de Ciencias Médicas, Universidad Nacional del Comahue, Cipolletti, Argentina
| | - Gustavo E Zabert7
- 7. Facultad de Ciencias Médicas, Universidad Nacional del Comahue, Cipolletti, Argentina
| | - Rogelio Perez-Padilla8
- 8. Departamento de Investigación en Tabaquismo y EPOC, Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, México
| | - Fabio Varón-Vega5,9,10
- 5. Fundación Neumológica Colombiana, 9. LaCardio, Bogotá, Colombia.10. Universidad de Navarra, Neiva, Colombia
| | - Mark Cohen11
- 11. Hospital Centro Medico, Ciudad de Guatemala, Guatemala
| | - Juliana C Ferreira1
- 1. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil
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Ahmed T, Dumka N, Bhagat D, Hannah E, Kotwal A. Effect on essential health services during COVID-19 at the Primary level in India. J Family Med Prim Care 2022; 11:5423-5429. [PMID: 36505582 PMCID: PMC9731057 DOI: 10.4103/jfmpc.jfmpc_390_22] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 03/28/2022] [Accepted: 03/30/2022] [Indexed: 12/15/2022] Open
Abstract
Background Coronavirus diesease (COVID-19) led to increased demand on the Indian health system due to the pandemic as well as other communicable and non-communicable diseases. Guidance was thus issued by the Ministry of Health and Family Welfare (MoHFW), India, in April 2020 to maintain the delivery of essential health services. Objectives To determine the extent of disruptions of essential healthcare services, identify associated factors, and establish pertinent correlations to address specific needs. Methods The Mother and child tracking facilitation centre (MCTFC) conducted a telephonic survey with the front-line workers (FLWs) and beneficiaries in 21 Indian states. The sample size was determined using the infinite population sample size formula, and respondents were selected through a computer-generated random sequence technique. Data were quantitatively analysed using STATA-16. Descriptive univariate analysis was conducted using the Chi-square test. Findings The majority of the essential health services were being satisfactorily delivered by FLWs (N = 1596; accredited social health activist (ASHA) = 798, auxiliary nurse midwife (ANM) = 798), where most of the beneficiaries (N = 1410; Pregnant Women = 708, Postnatal Women = 702) continued accessing services with minor issues concerning referral transport. FLWs reported issues in the provisioning of medicines (P = 0.000) for patients with non-communicable diseases and more ANMs than ASHAs reported it. FLWs commonly experienced challenges in extending services due to community resistance and unavailability of general health services at healthcare facilities, where a greater number of ASHAs faced it (P = 0.000). Both FLWs and beneficiaries (N = 3006; FLWs = 1596, beneficiaries = 1410) demonstrated appropriate COVID-19 knowledge and behavior. Conclusion Although overwhelmed, the Indian health system performed satisfactorily well during pandemic in terms of essential health services.
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Affiliation(s)
- Tarannum Ahmed
- Knowledge Management Division, National Health Systems Resource Centre, Munirka, New Delhi, India,Address for correspondence: Dr. Tarannum Ahmed, National Health Systems and Resource Centre, National Institute of Health and Family Welfare, Baba Gang Nath Marg, Munirka, New Delhi - 110 067, India. E-mail:
| | - Neha Dumka
- Knowledge Management Division, National Health Systems Resource Centre, Munirka, New Delhi, India
| | - Deepak Bhagat
- Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India
| | - Erin Hannah
- Knowledge Management Division, National Health Systems Resource Centre, Munirka, New Delhi, India
| | - Atul Kotwal
- Executive Director, National Health Systems Resource, Ministry of Health and Family Welfare, India
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Srivastava N, Pal I, Kumar A. Uttar Pradesh: state governance and response in COVID-19 pandemic. PANDEMIC RISK, RESPONSE, AND RESILIENCE 2022. [PMCID: PMC9212243 DOI: 10.1016/b978-0-323-99277-0.00024-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Since January 30, there has been a surge in novel coronavirus (2019-nCoV) outbreak cases in almost all parts of the world except very few countries were able to restraint it with proactive measures. Last year, Uttar Pradesh recorded its first case of COVID-19 on March 4, 2020, in Ghaziabad. Despite having population of over 240 million and high population density as well as the low literacy levels in the state of Uttar Pradesh, the state government was able to deal with the adjoining risk with recovery rate of about 85.34% in the state. The preventive measures against coronavirus outbreak started in the first week of March 2020. There have been reports of total cases of about 384,856 with about 52,160 active cases. While till end of September 2020, 336,981 COVID-19 patients had recovered. Various risk governance strategies and inclusion of modern technologies paved the way for better and efficient public health emergency management of COVID-19 pandemic, effort being made by State government to scale up the team up to 1 lakh for effective surveillance on COVID-19. UP Directorate General of Medical and Health services demarcated the health facilities as L1, L1 Covid Care Center, L2, and L3 throughout the state for treatment, depending on their capacity and beds availability. Special training programs designed especially for frontline workers like medical professionals, police personnel, Panchayati Raj, and the rural and urban development departments, together other line department, were carried out at an early stage. There are more than 3962 community kitchens running across the state that are catering to over 3.57 lakhs beneficiaries with a total of expenses of around 898,963 USD from Relief Commissioner office. The Labor Department has been tracking the migrated population. State government has launched various schemes, programmes, and food supply to support low-income groups, MGNREGA cards holders, workers, and small wage earners. The four-step action plan that includes Integrated Command and Control Centers (ICCC), door-to-door survey, weekend lockdown for sanitization, and COVID help-desk at all government offices were effective part of risk governance strategies.
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Hiltrop K, Hiebel N, Geiser F, Kriegsmann-Rabe M, Gambashidze N, Morawa E, Erim Y, Weidner K, Albus C, Ernstmann N. Measuring COVID-19 Related Health Literacy in Healthcare Professionals-Psychometric Evaluation of the HL-COV-HP Instrument. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211959. [PMID: 34831720 PMCID: PMC8624823 DOI: 10.3390/ijerph182211959] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/10/2021] [Accepted: 11/11/2021] [Indexed: 12/23/2022]
Abstract
BACKGROUND Thus far, there is no instrument available measuring COVID-19 related health literacy of healthcare professionals. Therefore, the aim of this study was to develop an instrument assessing COVID-19 related health literacy in healthcare professionals (HL-COV-HP) and evaluate its psychometric properties. METHODS An exploratory factor analysis, a confirmatory factor analysis, and descriptive analyses were conducted using data from n = 965 healthcare professionals. Health literacy related to COVID-19 was measured with 12 items, which were adapted from the validated HLS-EU-Q16 instrument measuring general health literacy. RESULTS Exploratory factor analysis demonstrated that 12 items loaded on one component. After removing one item due to its high standardized residual covariance, the confirmatory factor analysis of a one-factor model with 11 items showed satisfactory model fit (χ2 = 199.340, df = 41, χ2/df = 4.862, p < 0.001, RMSEA = 0.063, CFI = 0.963 and TLI = 0.951). The HL-COV-HP instrument showed good internal consistency (Cronbach's alpha 0.87) and acceptable construct reliability. CONCLUSIONS The HL-COV-HP is a reliable, valid, and feasible instrument to assess the COVID-19 related health literacy in healthcare professionals. It can be used in hospitals or other healt hcare settings to assess the motivation and ability of healthcare professionals to find, understand, evaluate, and use COVID-19 information.
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Affiliation(s)
- Kati Hiltrop
- Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany;
- Correspondence: ; Tel.: +49-228-287-11803
| | - Nina Hiebel
- Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany; (N.H.); (F.G.); (M.K.-R.)
| | - Franziska Geiser
- Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany; (N.H.); (F.G.); (M.K.-R.)
| | - Milena Kriegsmann-Rabe
- Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany; (N.H.); (F.G.); (M.K.-R.)
| | - Nikoloz Gambashidze
- Institute for Patient Safety, University Hospital Bonn, 53127 Bonn, Germany;
| | - Eva Morawa
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany; (E.M.); (Y.E.)
| | - Yesim Erim
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany; (E.M.); (Y.E.)
| | - Kerstin Weidner
- Department for Psychotherapy and Psychosomatic Medicine, Carl Gustav Carus Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany;
| | - Christian Albus
- Department of Psychosomatics and Psychotherapy, Medical Faculty and University Hospital Cologne, 50931 Cologne, Germany;
| | - Nicole Ernstmann
- Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany;
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