scholarly journals Social Media Survey and Web Posting Assessment of the COVID-19 Response in China: Health Worker Attitudes Toward Preparedness and Personal Protective Equipment Shortages

2020 ◽  
Vol 7 (10) ◽  
Author(s):  
Dayong Huang ◽  
Wen Shu ◽  
Menglong Li ◽  
Juntao Ma ◽  
Ziang Li ◽  
...  
Keyword(s):  
Health Worker ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Emerging Infectious Diseases ◽  
Protective Equipment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Outbreak Management ◽  
Government Organizations ◽  
Self Confidence

Abstract Background Understanding health worker awareness, attitudes, and self-confidence in the workplace can inform local and global responses toward emerging infectious threats, like the coronavirus disease 2019 (COVID-19) pandemic. Availability of accessible personal protective equipment (PPE) is vital to effective care and prevention. Methods We conducted a cross-sectional survey from February 24 to 28, 2020, to assess COVID-19 preparedness among health workers. In addition, we assessed trends from search engine web crawling and text-mining data trending over the Sina Weibo platform from January 1 to March 3, 2020. Data were abstracted on Chinese outbreak preparedness. Results In the survey, we engaged 6350 persons, of whom 1065 agreed to participate, and after an eligibility logic check, 1052 participated (16.6%). We accessed 412 internet posts as to PPE availability. Health workers who were satisfied with current preparedness to address COVID-19 were more likely to be female, to obtain knowledge about the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak from government organizations, and to consider their hospital prepared for outbreak management. Health workers with more confidence in their abilities to respond were those with more faith in their institution’s response capacities. Elements of readiness included having airborne infection isolation rooms, visitor control procedures, and training in precautions and PPE use. Both survey and web post assessments suggested that health workers in need were unable to reliably obtain PPE. Conclusions Health workers’ self-confidence depends on perceived institutional readiness. Failure to maintain available PPE inventory for emerging infectious diseases preparedness suggests a failure to learn key lessons from the 2003–2004 SARS outbreak in China.

scholarly journals Stockpiled personal protective equipment and knowledge of pandemic plans as predictors of perceived pandemic preparedness among German general practitioners

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255986
Author(s):  
Arno Stöcker ◽  
Ibrahim Demirer ◽  
Sophie Gunkel ◽  
Jan Hoffmann ◽  
Laura Mause ◽  
...  
Keyword(s):  
General Practitioners ◽  
Personal Protective Equipment ◽  
Explanatory Power ◽  
Vital Role ◽  
Protective Equipment ◽  
Linear Regression Models ◽  
Pandemic Preparedness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Determining Factor

Background The COVID-19 pandemic significantly changed the work of general practitioners (GPs). At the onset of the pandemic in March 2020, German outpatient practices had to adapt quickly. Pandemic preparedness (PP) of GPs may play a vital role in their management of a pandemic. Objectives The study aimed to examine the association in the stock of seven personal protective equipment (PPE) items and knowledge of pandemic plans on perceived PP among GPs. Methods Three multivariable linear regression models were developed based on an online cross-sectional survey for the period March–April 2020 (the onset of the pandemic in Germany). Data were collected using self-developed items on self-assessed PP and knowledge of a pandemic plan and its utility. The stock of seven PPE items was queried. For PPE items, three different PPE scores were compared. Control variables for all models were gender and age. Results In total, 508 GPs were included in the study; 65.16% believed that they were very poorly or poorly prepared. Furthermore, 13.83% of GPs were aware of a pandemic plan; 40% rated those plans as beneficial. The stock of FFP-2/3 masks, protective suits, face shields, safety glasses, and medical face masks were mostly considered completely insufficient or insufficient, whereas disposable gloves and disinfectants were considered sufficient or completely sufficient. The stock of PPE was significantly positively associated with PP and had the largest effect on PP; the association of the knowledge of a pandemic plan was significant but small. PPE scores did not vary considerably in their explanatory power. The assessment of a pandemic plan as beneficial did not significantly affect PP. Conclusion The stock of PPE seems to be the determining factor for PP among German GPs; for COVID-19, sufficient masks are the determining factor. Knowledge of a pandemic plans play a secondary role in PP.

scholarly journals PERILAKU PENGGUNAAN ALAT PELINDUNG DIRI DAN PENULARAN PENYAKIT KULIT PADA PETUGAS TPS DI KECAMATAN SAWAHAN SURABAYA

2015 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Ni Putu Rusmini
Keyword(s):  
Personal Protective Equipment ◽  
Disease Transmission ◽  
Skin Disease ◽  
Health Workers ◽  
Strong Relationship ◽  
Rank Test ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Spearman Rank ◽  
The Government

ABSTRAKPetugas TPS atau petugas pengangkut sampah merupakan pekerja yang setiap harinya mengambil atau mengangkut sampah dari rumah ke rumah untuk dikumpulkan kemudian di pilah-pilah di TPS dan akan dikirimkan ke tempat pembuangan yang lebih besar yaitu Tempat Pembuangan Akhir (TPA). Sepanjang hari petugas TPS bekerja dengan sampah sehingga membuat mereka mempunyai risiko tinggi terkena penularan penyakit kulit, baik yang memiliki efek secara langsung maupun tidak langsung. Salah satu upaya yang dapat dilakukan untuk mengurangi resiko terkena penularan penyakit kulit adalah dengan menggunakan Alat Pelindung Diri (APD) Kurangnya kesadaran, kepatuhan dan informasi tentang risiko bahaya, sebagian dari mereka tidak tidak menggunakan APD. APD yang kurang lengkap dapat memungkinkan kontak langsung dengan sampah sehingga mengakibatkan terjadinya gangguan kesehatan salah satunya yaitu menyebabkan penularan penyakit kulit. Jenis penelitian ini adalah analitik korelasi dengan pendekatan cross-sectional. Data diuji dengan Spearman rank test. Pengumpulan data dengan cara observasi, wawancara dan kuesioner. Peneliti menggunakan metode total sampling. Hasil uji statistik menunjukkan p=0.00 (α<0.05) dan r=0.761, sehingga terdapat hubungan yang kuat antara perilaku pemakaian APD dengan penularan penyakit kulit pada petugas TPS. Oleh sebab itu, diharapkan program pemerintah dan petugas kesehatan dapat mendukung penggunaan APD sebagai upaya preventif terhadap penularan penyakit kulit pada petugas TPS.Kata kunci : sampah, petugas TPS, alat pelindung diri (APD), penularan penyakit kulitABSTRACTA garbage worker who take or hauling garbage from house to house and collected and then sorted into the TPS every day and will be sent to landfills larger is the final disposal (landfill). Throughout the day poll workers working with litter so as to make them have a higher risk of skin disease transmission, both of which have the effect of directly or indirectly. One effort that can be done to reduce the risk of skin disease transmission is to use Personal Protective Equipment (PPE) Lack of awareness, compliance and information about the risk of harm, some of them not using PPE. APD incomplete can allow direct contact with garbage, which causes health problems one of which causes the skin disease transmission. This type of research is an analytic correlation with cross-sectional approach. Data were tested with Spearman rank test. The collection of data by means of observation, interviews and questionnaires. Researchers used total sampling method. Statistical analysis showed p = 0.00 (α <0,05) and r = 0.761, so there is a strong relationship between the behavior of the use of PPE with the skin disease transmission at the polling station officials. Therefore, it is expected the government programs and health workers can support the use of PPE as a preventative measure against the spread of skin disease at polling station officials.Keywords: garbage, garbage workers, Personal Protective Equipment (PPE), skin disease transmission. DOWNLOAD FULL TEXT PDF >>

FACTORS AFFECTING NURSE ANXIETY IN ROLE AS A CAREGIVER DURING THE COVID-19 PANDEMIC

2021 ◽  
Vol 10 (1) ◽  
pp. 108-115
Author(s):  
Yurike Septianingrum ◽  
Andikawati Fitriasari ◽  
Erika Martining Wardani
Keyword(s):  
Logistic Regression ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Psychological Symptoms ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Multivariate Logistic Regression ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background: During the Covid-19 outbreak, health workers, especially nurses, are vulnerable to potential psychological symptoms such as anxiety, which can prevent nurses from carrying out their role as caregivers in health services (Lai et al., 2020; Shanafelt et al., 2020). Objectives: The purpose of this study is to analyze the factors that can influence the anxiety of nurses in playing the role of caregiver during the Covid-19 pandemic. Methods: This is a cross-sectional study with a population of all nurses who met the inclusion criteria as much as 105 nurses. The research sample was selected through stratified random sampling and obtained 84 nurses. This research was conducted at RSI Jemursari Surabaya from June until September 2020. The research instruments used in this study were the demographic observation sheet, knowledge questionnaire, and the Hamilton Anxiety Rank Scale (HARS). Data analysis used Pearson chi-square test and multivariate logistic regression. Results: The results of the Pearson Chi-square test showed that of all the factors studied, only age (p = 0.004), availability of personal protective equipment (p = 0.002), and knowledge (p = 0.017) influenced nurses' anxiety. The results of the analysis using multivariate logistic regression test showed that the factor that most influenced nurses' anxiety was the availability of personal protective equipment (p = 0.001; OR = -3.062). Conclusion: Younger nurses, inadequate personal protective equipment, and less knowledgeable nurses were at high risk for more severe anxiety. Regular observation of the psychological condition of nurses and the fulfillment of the need for personal protective equipment is needed to prevent increased anxiety in nurses.   Keywords: Nurse, anxiety, Covid-19, caregiver.

scholarly journals Assessment of Health Workers’ Knowledge, Beliefs, Attitudes, and Use of Personal Protective Equipment for Prevention of COVID-19 Infection in Low-Resource Settings

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
M. A. Alao ◽  
A. O. Durodola ◽  
O. R. Ibrahim ◽  
O. A. Asinobi
Keyword(s):  
New York ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Sampling Technique ◽  
Protective Equipment ◽  
Practical Training ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Resource Limited

Background. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious disease with a potential for healthcare workers (HCWs) getting infected due to inadequate protection while attending to patients. Effective use of personal protective equipment (PPE) is key to mitigating the spread of SARS-CoV-2 infection in healthcare settings. Hence, there is a need to understand HCWs’ use of PPE in resource-limited settings and how closely the currently recommended guidelines for PPE are followed. This study assessed the HCWs’ knowledge about, attitudes towards, beliefs on, and use of PPE to prevent SARS-CoV-2 infection in a resource-limited setting. Methods. This cross-sectional study was conducted in April 2020 in Southwest and Northwest Nigeria. The selection of participants was performed via the snowball sampling technique using a 33-item, web-based, self-administered questionnaire via a social media network. We obtained relevant sociodemographic data and information on participants’ occupations and knowledge about, attitudes towards, beliefs on, and use of PPE. We analysed the data using SPSS version 23.0 for Windows (IBM, Armonk, New York, USA). A p values <0.05 were considered statistically significant. Results. A total of 290 subjects responded to the questionnaire, and 18 (6.2%) were excluded because of incomplete data. The mean age of the respondents was 32.3 ± 9.9 years. There were 116 males (42.6%). The majority of the respondents were medical doctors (114, 41.9%), followed by nurses and clinical students. Of the 272 respondents in this survey, only 70 (25.7%) had adequate knowledge about PPE. Of the respondents who presumed they had adequate knowledge about donning and doffing PPE, 94 (56%) were incorrect. The predictors of good knowledge were ages younger than 45 years (p=0.046) and practice location (p=0.009). Conclusion. This study showed that HCWs’ knowledge about, attitudes towards, and beliefs on PPE and their PPE skill in practice in Nigeria were remarkably poor. There is an urgent need for nationwide practical training on PPE use to curtail the spread of SARS-CoV-2 infection among HCWs.

Personal Protective Equipment Management and Policies: European Network for Highly Infectious Diseases Data from 48 Isolation Facilities in 16 European Countries

2012 ◽  
Vol 33 (10) ◽  
pp. 1008-1016 ◽  
Author(s):  
Giuseppina De Iaco ◽  
Vincenzo Puro ◽  
Francesco Maria Fusco ◽  
Stefan Schilling ◽  
Helena C. Maltezou ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Personal Protective Equipment ◽  
European Countries ◽  
Assessment Process ◽  
Positive Pressure ◽  
Protective Equipment ◽  
Sudden Increase ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Isolation Facilities

Objective.To collect data about personal protective equipment (PPE) management and to provide indications for improving PPE policies in Europe.Design.Descriptive, cross-sectional survey.Setting and Participants.Data were collected in 48 isolation facilities in 16 European countries nominated by National Health Authorities for the management of highly infectious diseases (HIDs).Methods.Data were collected through standardized checklists at on-site visits during February-November 2009. Indications for adequate PPE policies were developed on the basis of a literature review, partners' expert opinions, and the collected data.Results.All facilities have procedures for the selection of PPE in case of HID, and 44 have procedures for the removal of PPE. In 40 facilities, different levels of PPE are used according to a risk assessment process, and in 8 facilities, high-level PPE (eg, positive-pressure complete suits or Trexler units) is always used. A fit test is performed at 25 of the 40 facilities at which it is applicable, a seal check is recommended at 25, and both procedures are used at 17. Strategies for promoting and monitoring the correct use of PPE are available at 42 facilities. In case of a sudden increase in demand, 44 facilities have procedures for rapid supply of PPE, whereas 14 facilities have procedures for decontamination and reuse of some PPE.Conclusions.Most isolation facilities devote an acceptable level of attention to PPE selection and removal, strategies for the promotion of the correct use of PPE, and ensuring adequate supplies of PPE. Fit test and seal check procedures are still not widely practiced. Moreover, policies vary widely between and within European countries, and the development of common practice procedures is advisable.Infect Control Hosp Epidemiol 2012;33(10):1008-1016

scholarly journals Organizational factors associated with health worker protection during the COVID-19 pandemic in four provinces of South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muzimkhulu Zungu ◽  
Kuku Voyi ◽  
Nosimilo Mlangeni ◽  
Saiendhra Vasudevan Moodley ◽  
Jonathan Ramodike ◽  
...  
Keyword(s):  
South Africa ◽  
Occupational Health ◽  
Health Worker ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Health Facilities ◽  
Protective Equipment ◽  
Middle Income ◽  
Factors Associated ◽  
Middle Income Countries

Abstract Background Health workers, in short supply in many low-and-middle-income countries, are at increased risk of SARS-CoV-2 infection. This study aimed to assess how South Africa, prepared to protect its health workers from SARS-CoV-2 infection. Methods This was a cross-sectional study design applying participatory action research in four provinces of South Africa. A semi-structured questionnaire and a qualitative observational HealthWISE walkthrough risk assessment was carried out to collect data on occupational safety and health (OSH) systems in 45 hospitals across four provinces to identify factors associated with health worker protection. Adapting the International Labour Organization (ILO) and World Health Organization (WHO) HealthWISE tool, we compiled compliance scores through walkthrough surveys. We used logistic regression to analyze the relationship between readiness indicators and the actual implementation of protective measures. Results We found that health facilities in all four provinces had SARS-CoV-2 plans for the general population but no comprehensive OHS plan for health workers. Provincial Departments of Health (PDoH) varied in how they were organized to respond: Provinces A and D had an OSH SARS-CoV-2 provincial coordinating team and a dedicated budget for occupational health; Province A had an occupational health doctor and nurse; while Province B had an occupational health nurse; Province A and D PDoHs had functional OSH committees; and Province D had conducted some health risk assessments specific to SARS-CoV-2. However, none of the assessed health facilities had an acceptable HealthWISE compliance score (≥ 75%) due to poor ventilation and inadequate administrative control measures. While the supply of personal protective equipment was adequate, it was often not worn properly. Our study found that having an OSH SARS-CoV-2 policy was significantly associated with higher personal protective equipment and ventilation scores. In addition, our analysis showed that hospitals with higher compliance scores had significantly lower infection rates (IRR 0.98; 95% CI: 0.97, 0.98). Conclusions Despite some initial preparedness, greater effort to protect health workers is still warranted. Low-and-middle-income countries may need to pay more attention to OSH systems and consider using tools, such as ILO/WHO HealthWISE tool, to protect health workers’ health.

scholarly journals Utilization of Personal Protective Equipment and Associated Factors among Building Construction Workers in Addis Ababa, Ethiopia 2019

2019 ◽  
Author(s):  
Meseret Yitayew ◽  
Aklilu Azazeh ◽  
Sofia Kebede ◽  
Addisu Alehegn
Keyword(s):  
Personal Protective Equipment ◽  
Associated Factors ◽  
Occupational Safety ◽  
Safety Management ◽  
Occupational Injuries ◽  
Addis Ababa ◽  
Protective Equipment ◽  
Construction Site ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract BackgroundPersonal Protective Equipment (PPE) is a material, device, equipment or clothing which is used or worn by a worker to protect them from exposure or contact with any harmful material or energy which may cause injury, disease or even death. The use of personal protective equipment is a universal legal requirement to protect workers against occupational injuries and illnesses in their workplace. The international labor office estimates that every year there are some 125 million work-related accidents, 220, 000 of them are fatal. This study assessed personal protective equipment utilization and associated factors among building construction workers in Addis Ababa, Ethiopia 2019.MethodsInstitution based cross-sectional survey was conducted on the selected construction sites in April 2019. Data was collected by using pre-tested Amharic questioner from 206 study subjects with a response rate of 100% via face to face interviews. Epi info version 7.1 and SPSS version 25 were used for data cleaning and analysis respectively. Independent variables with P<0.2 were transformed from bivariate to multivariate logistic regression. P<0.05 and was declared as an associated factor.ResultsThis study showed that (38.3%) of construction site workers were used at least one personal protective equipment. Presence of safety training, safety brief before commencing work and the availability of governmental visits were associated factors for utilization of personal protective equipment. Regarding, the type of injuries that occur on a majority of workers were abrasion (35%) and climbing at high was the common cause of injury. ConclusionsPPE utilization and safety measure in construction industries is insignificant and construction site workers are not adapted to take care of themselves as it manifested by low use of PPE. An effort for occupational safety assurance should be put in practice to avoid accidents on building a site with an unconditional commitment to all the projects. Riddance of hazards and deterrence of accidents on-site should be within the proficiency of each site. The client should be involved in safety management coupled with having a great craving for safety.

scholarly journals Faktor yang Mempengaruhi Kecemasan pada Tenaga Kesehatan Dalam Upaya Pencegahan Covid-19

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Fadli Fadli ◽  
Safruddin Safruddin ◽  
Andi Sastria Ahmad ◽  
Sumbara Sumbara ◽  
Rohandi Baharuddin
Keyword(s):  
Personal Protective Equipment ◽  
Health Workers ◽  
P Value ◽  
Protective Equipment ◽  
Family Status ◽  
Chi Square ◽  
Cross Sectional ◽  
Regression Test ◽  
Logistic Regression Test ◽  
Cluster Random Sampling

ABSTRAKTenaga kesehatan dalam melaksanakan tugas sebagai garda terdepan penanganan, pencegahan, dan perawatan pasien Covid-19 mengalami kecemasan karena disebabkan oleh beberapa faktor, salah satunya adalah ketersediaan alat pelindung diri. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang paling mempengaruhi kecemasan petugas kesehatan dalam pencegahan Covid-19. Penelitian kuantitatif mengunakan metode obsevasional analitik dengan rancangan cross-sectional ini dilakukan di tiga Rumah Sakit dan  sembilan Layanan Kesehatan pada bulan April 2020. Penentuan teknik pengambilan sampel menggunakan cluster random sampling dengan jumlah sampel 115 reponden. Uji pearson chi-square dilakukan untuk menilai hubungan antara kecemasan dan usia, jenis kelamin, status keluarga, kejujuran pasien, ketersediaan peralatan perlindungan pribadi, dan pengetahuan. Masing-masing variabel independen dievaluasi menggunakan analisis uji regresi logistik untuk menetukan variabel yang paling berpengaruh. Hasil penelitian ini menunjukkan bahwa ada pengaruh usia (p=0.024); status keluarga (p=0.022); kejujuran pasien (p=0.034); ketersediaan alat pelindung diri (0.014); pengetahuan (p=0.030) terhadap kecemasan petugas. Dari hasil uji regresi logistik menunjukkan variabel ketersediaan alat pelindung diri yang paling berpengaruh terhadap kecemasan (r=0.517;CI=1.34-8.06), yang artinya ketersediaan alat pelindung memilliki pengaruh 51.7% terhadap kecemasan petugas kesehatan dalam upaya pencegahan Covid-19. Oleh karena itu, pemerintah harus memberikan perhatian yang sangat besar kepada petugas kesehatan yang berada digarda terdepan dalam pencegahan covid-19 terkait masalah kebutuhan alat pelindung diri sesuai protokol dari WHO. ABSTRACTHealth workers in carrying out their duties as the frontliners in handling, preventing and caring of COVID-19 patients experience anxiety caused by several factors and one of them is the availability of personal protective equipment (PPE). This study is conducted to determine some factors that mostly influence the anxiety of health workers in preventing of Covid-19. Quantitative research is used by analytical obsevational methods with cross-sectional design and is conducted in three Hospitals and nine Health Services in April 2020. Sampling techniques used cluster random sampling (n=115. Person          chi-square tests are conducted to assess the relationship between anxiety and age, family status, availability of personal protective equipment, and knowledge. Independent variable is evaluated using logistic regression test analysis to determine the most influential variable. The results of this study indicate that there are influences of age (p-value=0.024); family status (p-value=0.022); patient honesty (p-value=0.034); the availability of personal protective equipment (p-value=0.014); knowledge (p-value=0.030) on staffs’ anxiety. The logistic regression test result clarifies that the availability of personal protective equipment is the most influential on anxiety (r=0.517; CI=1.34-8.06), which means the availability of protective devices has a 51.7% influence on the anxiety of health workers in preventing of Covid-19. Therefore, the government must pay great attention to health workers who are at the frontliners in preventing covid-19 related to the problem of personal needs for personal protective equipment based on the protocol from WHO.

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