scholarly journals Drivers and mediators of healthcare workers’ anxiety in one of the most affected hospitals by COVID-19: a qualitative analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e045048 ◽  
Author(s):  
Mengling Fang ◽  
Bo Xia ◽  
Tian Tian ◽  
Yan Hao ◽  
Zhenghao Wu
Keyword(s):  
Social Support ◽  
Healthcare Workers ◽  
Infection Risk ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Central Hospital ◽  
Financial Status ◽  
Medical College ◽  
Mediating Factors ◽  
Severe Anxiety

ObjectiveTo report the driving and mediating factors of healthcare workers’ anxiety during the COVID-19 pandemic.DesignQualitative indepth interview study.SettingThe Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.Participants53 healthcare workers who were or were not diagnosed with COVID-19.ResultsDuring the COVID-19 pandemic, healthcare workers were initially not sufficiently psychologically prepared. Then they suffered from severe anxiety and apprehension during the peak stage, regardless of whether they were infected with SARS-CoV-2 or not. These negative emotions were exacerbated by four drivers, namely infection risk, supplies, isolation and media. As the epidemic gradually came under control, healthcare workers experienced less anxiety from these factors, but became concerned about their low financial status. To reduce anxiety, healthcare workers diverted their attention from the risk of infection through personal entertainment and religious beliefs and focused on treating their patients. Furthermore, assistance from other people, including colleagues, families, friends, patients and society, helped protect healthcare workers from anxiety.ConclusionsPersonal and social support can relieve healthcare workers’ anxiety to some extent during the different stages of an epidemic. Both protective equipment and financial allowance motivate healthcare workers to focus on patient care, although the latter matters more as the epidemic comes under control.

scholarly journals Association between personal protective equipment and SARS-CoV-2 infection risk in emergency department healthcare workers

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Danique Schmitz ◽  
Marieke Vos ◽  
Renate Stolmeijer ◽  
Heleen Lameijer ◽  
Titus Schönberger ◽  
...  
Keyword(s):  
Emergency Department ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Infection Risk ◽  
Protective Equipment

scholarly journals Seroprevalence of the SARS-CoV-2 antibody in healthcare workers: a multicentre cross-sectional study in 10 Colombian cities

2021 ◽  
pp. oemed-2021-107487
Author(s):  
Jeadran Nevardo Malagón-Rojas ◽  
Marcela Mercado-Reyes ◽  
Yezith G Toloza-Pérez ◽  
Eliana L Parra Barrera ◽  
Marien Palma ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Strong Association ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Significant Difference ◽  
Automated Immunoassay

BackgroundHealthcare workers are at increased risk of infection due to occupational exposure to SARS-CoV-2-infected patients. The objective of this study was to determine the seroprevalence of SARS-CoV-2 in healthcare workers in Colombia.MethodsThis study is a cross-sectional study focused on estimating the seroprevalence of SARS-CoV-2 antibodies in healthcare workers from 65 hospitals in 10 cities in Colombia during the second semester of 2020. The seroprevalence was determined using an automated immunoassay (Abbott SARS-CoV-2 CLIA IgG). The study included a survey to establish the sociodemographic variables and the risk of infection. A multivariate model was used to evaluate the association between the results of seroprevalence and risk factors.ResultsThe global seroprevalence of antibodies against SARS-CoV-2 was 35% (95% Bayesian CI 33% to 37%). All the personnel reported the use of protective equipment. General services personnel and nurses presented the highest ratios of seroprevalence among the healthcare workers. Low socioeconomic strata have shown a strong association with seropositivity.ConclusionThis study estimates the prevalence of SARS-CoV-2 infection among healthcare workers. Even though all the personnel reported the use of protective equipment, the seroprevalence in the general services personnel and nurses was high. Also, a significant difference by cities was observed.

scholarly journals Healthcare Workers’ Attitudes toward Patients with COVID-19

2021 ◽  
Author(s):  
Joseph Ottolenghi ◽  
Rodney A McLaren ◽  
Cecilia Bahamon ◽  
Mudar Dalloul ◽  
Sandra McCalla ◽  
...  
Keyword(s):  
New York ◽  
Registered Nurses ◽  
Healthcare Workers ◽  
Survey Study ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Demographic Information ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Exact Test

Abstract Background Early in the SARS-CoV-2 pandemic, before the routine availability and/or use of personal protective equipment, healthcare workers were understandably concerned. Our aim was to explore healthcare workers’ attitudes towards patients infected with SARS-CoV-2 at the time of the nation’s first surge in two highly affected hospitals in New York. Methods We performed a cross-sectional, self-administered survey study of healthcare workers. The survey consisted of 17 multiple-choice questions including demographic information, ethics and willingness to care for patients with SARS-CoV-2 infection. Subgroup analyses were performed using Fisher’s exact test. Results Of 340 healthcare workers approached, 338 (99.4%) consented to the survey; 163 (48.7%) were registered nurses and 160 (48.3%) lived with children. While 326 (97.3%) workers were concerned about putting their family/coworkers at risk of infection after caring for a patient with SARS-CoV-2, only 30 (8.9%) were unwilling to treat a patient with SARS-CoV-2 infection. Registered nurses were more likely than other healthcare workers to think it was ethical to refuse care for SARS-CoV-2 infected patients, worried more often about contracting infection, and felt that SARS-CoV-2 added to their stress level (p=.009, p=.018, p<.001, respectively). A similar contrast was seen when comparing workers who live with children with those that did not. Conclusion Levels of stress and concern were extremely high. In spite of that, the overwhelming majority of workers were willing to treat patients with SARS-CoV-2 infection. Registered nurses and healthcare workers who live with children were more likely to think it is ethical to refuse care for SARS-CoV-2 infected patients.

scholarly journals Prevention Practice of COVID-19 Using Personal Protective Equipment and Hand Hygiene Among Healthcare Workers in Public Hospitals of South Wollo Zone, Ethiopia

2021 ◽  
Vol 9 ◽  
Author(s):  
Awoke Keleb ◽  
Ayechew Ademas ◽  
Mistir Lingerew ◽  
Tadesse Sisay ◽  
Gete Berihun ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Associated Factors ◽  
Infection Risk ◽  
Public Hospitals ◽  
Protective Equipment ◽  
Hygiene Practice ◽  
Good Compliance ◽  
Equipment Utilization

Objective: The use of personal protective equipment and hand hygiene are often the most recommended line of defense against coronavirus disease-19 (COVID-19). The purpose of this study is to determine the magnitude of compliance and associated factors of personal protective equipment (PPE) utilization and hand hygiene practice among healthcare workers in public hospitals of South Wollo Zone, Northeastern Ethiopia.Methods: A hospital-based cross-sectional study was conducted among 489 healthcare workers in public hospitals of South Wollo Zone, Northeastern Ethiopia from June 15 to July 30, 2021. Proportional sample size allocation to each selected hospital followed by simple random sampling techniques were used to select the study participants using human resource records from each hospital. A pre-tested and structured self-administered questionnaire with WHO's standardized hand hygiene and PPE utilization observational checklist were used to collect data. Bivariate and multivariable analyses with 95% CI and p-value < 0.05 were employed to identify the associated factors of personal protective equipment utilization.Results: About 32 and 22.3% of healthcare workers were compliant with personal protective equipment utilization and hand hygiene practice, respectively. Feedback for safety (AOR = 2.05; 95% CI: 1.26–3.35), training on COVID-19 prevention (AOR = 3.43; 95% CI: 2.01–5.86), and perception to infection risk (AOR = 1.98; 95% CI: 1.18–3.33) were significant factors of good compliance with personal protective equipment utilization.Conclusion: The magnitude of good compliance with personal protective equipment utilization and hand hygiene was low. Interventions to promote personal protective equipment utilization and hand hygiene should focus on feedback for safety, training on COVID-19 prevention, and perception of infection risk.

scholarly journals What influences the infection of COVID-19 in healthcare workers?

2020 ◽  
Vol 14 (11) ◽  
pp. 1231-1237
Author(s):  
Xiaoquan Lai ◽  
Qian Zhou ◽  
Xinping Zhang ◽  
Li Tan
Keyword(s):  
Risk Factors ◽  
Physical Examination ◽  
Protective Factors ◽  
Influencing Factors ◽  
Healthcare Workers ◽  
Protective Factor ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Increased Risk ◽  
Hospital Response

Introduction: The outbreak of COVID-19 has spread worldwide. The evidence about risk factors of healthcare workers who infected COVID-19 is limited. This study aims to describe characteristics and influencing factors of the COVID-19 infection in healthcare workers. Methodology: The study was performed among COVID-19 infected and uninfected healthcare workers in three hospitals in Wuhan. A total of 325 healthcare workers participated; among them 151 COVID-19-infected healthcare workers were included. Characteristics of infected healthcare workers, and influencing factors including exposure histories, the use of protective equipment in different risk conditions and areas, perceptions, emotions, satisfactions and educations were described and analyzed. Results: Healthcare workers got infected clustered mostly in the physical examination center. When performing general operations on confirmed or suspected patients, the use of protective equipment including the effectiveness of masks (p < 0.001), gloves (p < 0.001); and the use of gloves (p < 0.001), suits (p < 0.001), gowns (p < 0.001), shoe covers (p < 0.001), and hats (p < 0.001) were protective factors. The use of protective equipment was a protective factor in most cases. Negative emotions and dissatisfaction to the hospital response were associated with the increased risk of infection. Conclusions: The use of protective equipment, emotions and satisfactions to hospital responses are key COVID-19-infected factors. The awareness, the supply and the use of protective equipment, the layout of departments and other environmental and management factors should be strictly equipped. In addition, hospitals should also pay attention to emotions and satisfaction of healthcare workers.

scholarly journals EXPOSICIÓN Y RIESGO OCUPACIONAL DE COVID-19 EN ESTUDIANTES, DOCENTES Y PROFESIONALES DE LA SALUD.

2021 ◽  
Vol 31 (2) ◽  
pp. 33-41
Author(s):  
Alberto Narváez Olalla ◽  
Jonathan Melena Zapata ◽  
Jhon Guerrero González ◽  
Diana Solís Cárdenas ◽  
Lilian Calderón Layedra ◽  
...  
Keyword(s):  
Infection Risk ◽  
Occupational Group ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Cross Sectional ◽  
Protective Measures ◽  
Occupational Risks ◽  
High Incidence ◽  
The Impact ◽  
Correct Implementation

IntroductionHealth professional’s exposure to the new coronavirus (SARS-CoV-2) as well as their risk of acquiring COVID-19 “its associated disease”, has been higher compared to other population groups. Nevertheless, the correct implementation of biosecurity measures could reduce their infection risk. The objective of this study was to evaluate the availability of personal protective equipment “PPE”, occupational risks and its relationship with COVID-19 in health professionals.Patients and methods603 subjects among students, teachers, and health professionals were included in a cross-sectional descriptive observational study. Occupational exposure and incidence of COVID-19 were the main measurements. ResultsMost of the subjects were women (73.5%) and young adults (92.6%) and 23.55% (95% CI 20.3-27.1) referred a diagnosis of COVID-19 (15% confirmed, 8% suspected). People who worked in Pichincha’s province and those who did not have soap presented a higher risk of COVID-19 infection (adjusted OR= 2.85 and 2.68 respectively). Contact with confirmed and suspicious cases were the variables that were associated with the highest risk of infection (adjusted OR= 9.28 and 3.07 respectively).Conclusions The high incidence of COVID-19 in the subjects was associated with PPE deficiencies. Health professional’s protection must be a priority for health and labor authorities, who must also provide the PPE and necessary supplies. A periodic screening in this occupational group to assess the impact of protective measures and analyze the implementation of necessary corrections.is recommended.

scholarly journals Perioperative challenges in managing a morbidly obese patient with COVID-19 undergoing an elective tracheostomy

2021 ◽  
Vol 14 (6) ◽  
pp. e243559
Author(s):  
Kai Ming Teah ◽  
Serena Shu Ying Tsen ◽  
Kean Khang Fong ◽  
Tat Boon Yeap
Keyword(s):  
Mechanical Ventilation ◽  
Healthcare Workers ◽  
Distress Syndrome ◽  
Infection Risk ◽  
Critically Ill Patient ◽  
Morbidly Obese ◽  
Protective Equipment ◽  
Morbidly Obese Patient ◽  
The Common ◽  
Elective Tracheostomy

Tracheostomy is an aerosol-generating procedure and performing it in patients with COVID-19 requiring mechanical ventilation raises significant concerns of infection risk to healthcare workers. We herein report a case of tracheostomy in a critically ill patient with severe COVID-19 acute respiratory distress syndrome. This article depicts the use of personal protective equipment, highlighting the common challenges it presents and ways to address them.

scholarly journals Attitudes and beliefs of Spanish healthcare professionals during the COVID-19 pandemic

2021 ◽  
Vol 104 (2) ◽  
pp. 003685042110037
Author(s):  
Borja Nicolás Santana López ◽  
Yeray G. Santana-Padilla ◽  
Jesús M. González-Martín ◽  
Luciano Santana-Cabrera
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
National Level ◽  
Descriptive Study ◽  
Infection Risk ◽  
Professional Commitment ◽  
Protective Equipment ◽  
Attitudes And Beliefs ◽  
Online Questionnaire

During the COVID-19 pandemic, healthcare professionals are taking the risk of becoming infected or infecting their families. Spain is the country with the highest number of infected healthcare professionals worldwide. Our aim was to study the attitudes and beliefs of these professionals during the current pandemic. Descriptive study conducted by using an online questionnaire—based on an earlier one—which was sent to healthcare professionals at the national level, during the week March 20-27, 2020. Healthcare professionals returned 971 completed questionnaires. A total of 803 (82.7%) participants thought that they did not have suitable PPEs (Personal Protective Equipment) to protect them from infection with COVID-19. In addition, even 229 (23.58%) agreed to go on working even if they were not. In spite of this, 606 (62.4%) of them were ready to work, even with a higher-than-usual risk of becoming infected at work and getting ill. Remarkably high professional commitment has been observed among Spanish healthcare workers in the current pandemic. They were ready to work even when many of them considered that they did not have suitable PPEs, and were thus taking a higher than usual infection risk. However, they put the health of their relatives before their duties at work.

Sign in / Sign up

Export Citation Format

Share Document