scholarly journals Nurses’ Safety in Caring for Tuberculosis Patients at a Teaching Hospital in South West Nigeria

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Risikat Idowu Fadare ◽  
Oluwaseyi Abiodun Akpor ◽  
Ifeanyi Goodness Ifechukwude ◽  
Agbana Richard D ◽  
Cecilia Bukola Bello
Keyword(s):  
Teaching Hospital ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Semistructured Interview ◽  
Tuberculosis Patients ◽  
South West ◽  
Hospital Policies ◽  
Data Saturation ◽  
Southwest Nigeria ◽  
Professional Nurses

Background. Tuberculosis remains the leading cause of death due to infectious diseases worldwide ranking above HIV/AIDS, and Nigeria is rated as the 7th worldwide and the 2nd in Africa among the 30 countries highly burdened with tuberculosis worldwide. Aim. To investigate the challenges encountered by nurses in the care of TB patients in a Federal Teaching Hospital in Nigeria. Setting. Ekiti State, Southwest Nigeria. Methods. A qualitative contextual method was utilized with the sample size determined by data saturation. Data collection was done through an audiotaped, semistructured interview. The study sample consisted of 20 professional nurses working in the medical and paediatric wards of a selected Federal Teaching Hospital in South West, Nigeria. Data was analysed using Tesch’s content analysis approach. Results. The majority of the participants were females within the age group of 31–40 years. Challenges included inadequate availability of personal protective equipment (PPE), lack of isolation wards, delegating the care of tuberculosis patients to young inexperienced nurses, long process in diagnosing patients with tuberculosis, lack of policies protecting the nurses from exposure to tuberculosis, and inadequate training. The major concern was the fear of contracting tuberculosis. Conclusion. The study suggested that there should be a provision of adequate personal protective equipment; tuberculosis designated wards and provision of periodic training to update the nurses on care of tuberculosis patients. Establishment and execution of hospital policies and practices along with support are equally essential in facilitating a safe workplace for nurses.

Use of personal protective equipment in a radiology room at a veterinary teaching hospital

2017 ◽  
Vol 59 (2) ◽  
pp. 137-146 ◽  
Author(s):  
Monique N. Mayer ◽  
Niels K. Koehncke ◽  
Alexandra F. Belotta ◽  
Isaac T. Cheveldae ◽  
Cheryl L. Waldner
Keyword(s):  
Teaching Hospital ◽  
Personal Protective Equipment ◽  
Protective Equipment

scholarly journals Perception of doctors and nurses regarding prevention of COVID-19 infection at a Teaching Hospital, Nepal

2020 ◽  
Vol 7 (3) ◽  
pp. 13-21
Author(s):  
Lucky Sharma ◽  
Abhiskar Thapa ◽  
Hema Chand ◽  
Subash Pant ◽  
Arpana Neopane
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Personal Protective Equipment ◽  
Care Center ◽  
College Teaching ◽  
Infection Prevention And Control ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Health Care Center ◽  
Service Demand

Introduction: The use of personal protective equipment can be burdensome and the risk of COVID-19 infection for this group is high. This study details to evaluate how prepared Health Care Workers consider themselves to be regarding the delivery of infection prevention and control procedures in their place of work. Method: This is a cross-sectional study conducted at Kathmandu Medical College Teaching Hospital in September 2020. A questionnaire was given to participants along with the information about the study. Service demand, skills, beliefs about capabilities, beliefs about consequences, intentions, environmental context and resources, social influences, emotion, WHO Wellbeing (over the last two weeks) were taken as dependent variables. Result: Out of 112 participants, 58(51.7%) were doctors and 54(48.3%) nurses; 65(58.1%) female and 47(41.9%) were male. The mean age was 31.2±4.1 y. Service demand was scored lowest (mean 0.7 out of 7) and beliefs about consequences were scored highest (mean 5.7 out of 7). Conclusion: Healthcare workers agreed that personal protective equipment at work is sufficiently effective to prevent the spread of COVID-19. They were not confident that the health care center at present can manage or can continue to manage the current patient surge related to COVID-19.

Survey of North Carolina Hospital Policies Regarding Visitor Use of Personal Protective Equipment for Entering the Rooms of Patients under Isolation Precautions

2014 ◽  
Vol 35 (3) ◽  
pp. 259-264 ◽  
Author(s):  
JaHyun Kang ◽  
David J. Weber ◽  
Barbara A. Mark ◽  
William A. Rutala
Keyword(s):  
North Carolina ◽  
Acute Care ◽  
Personal Protective Equipment ◽  
Online Survey ◽  
Public Awareness ◽  
Acute Care Hospitals ◽  
Protective Equipment ◽  
Study Results ◽  
Hospital Policies ◽  
Visitor Use

Objective.To explore the range of hospital policies for visitor use of personal protective equipment (PPE) when entering the room of patients under isolation precautions.Design.Survey using an online questionnaire.Setting.Acute care hospitals registered in the North Carolina Statewide Program for Infection Control and Epidemiology (SPICE).Methods.A total of 136 North Carolina hospitals were invited to participate in an online survey. The survey questionnaire was developed, reviewed, and pilot tested, and then it was distributed through SPICE listserv registered e-mail addresses. The survey was conducted from February 6 to March 30, 2012.Results.Among 93 respondent hospitals (response rate, 68.4%), 82 acute care hospitals (60.3%) were included in the analyses. Substantial variation was observed with regard to hospital policies for visitor PPE use when visiting patients under isolation precautions. A total of 71% of hospitals had a hospital visitor policy, and 96% of respondents agreed that hospitals should have a visitor policy. Only 14% of hospitals monitored visitor compliance with PPE. Reported compliance rates varied from “very low” to 97%. Many hospitals (28%) reported difficulties related to visitor compliance with isolation precautions, including hostility and refusal to comply.Conclusions.Our study results illuminated hospital policy variations for visitor isolation precautions. Reported problems with hospital visitor policies (eg, different policies across departments or facilities) suggest the need for standard guidelines and for enhanced public awareness about the importance of visitor compliance with isolation precautions.

scholarly journals Survey of the Level of Preparedness and Fears of Anaesthesia Staff regarding the Management of COVID-19 patients in ABUTH Zaria-Nigeria

2020 ◽  
Author(s):  
Saidu Yusuf Yakubu
Keyword(s):  
Marital Status ◽  
Teaching Hospital ◽  
Life Insurance ◽  
Personal Protective Equipment ◽  
Hospital Management ◽  
Tertiary Hospital ◽  
Professional Role ◽  
University Teaching ◽  
Protective Equipment ◽  
Low Resource

Abstract Objectives: Data was collected to determine the level of preparedness and fears of anaesthesia staff regarding the management of COVID-19 patients in a low resource tertiary hospital in Zaria, Nigeria. Information obtained was used to request for missing equipment from the hospital management and to allay the fears of staff during the COVID-19 pandemic. Results: Data reported was from the survey of consenting anaesthesia staff at the Ahmadu Bello University Teaching Hospital Zaria. Information obtained include age, gender, marital status, professional role, level of preparedness, availability of working materials/equipment, fear of COVID-19, level of stress, stigmatization and the willingness or otherwise to volunteer in the management of COVID-19 patients. All 45 respondents stated that they do not have a life insurance. Forty four (97.8%) lack access to COVID-19 testing while 36 (80%) have not received any training on COVID-19 and the use of personal protective equipment. Twenty eight of 43 staff said that they were not willing or prepared to participate in the management of COVID-19 patients. Data will be useful to other researchers with a similar challenge. Data obtained was deposited at https://dx.doi.org/10.17632/stdmys22gk.1.

Shifting Landscapes of Belonging: Birth Doulas and COVID-19

2020 ◽  
Vol 42 (4) ◽  
pp. 5-10
Author(s):  
Angela N. Castañeda ◽  
Julie Johnson Searcy
Keyword(s):  
United States ◽  
Personal Protective Equipment ◽  
The United States ◽  
Protective Equipment ◽  
Informational Support ◽  
Labor Support ◽  
Support Person ◽  
Hospital Policies

Abstract The rise of COVID-19 cases at hospitals translates to shifting policies about who can be present at births. Our research looks at data from nearly 400 qualitative surveys on how doulas—women who provide continuous emotional, physical, and informational support to pregnant and laboring people—navigate new restrictions redefining who belongs and is considered an “essential” birth worker in hospitals in the United States. The spectrum of new hospital guidelines spans from allowing only certified doulas, oftentimes with their own personal protective equipment (PPE) and on pre-approved hospital lists, to forcing pregnant people to choose only one support person, and in extreme cases, to banning any labor support—doula or partner. We examine what doulas reported about the changing hospital policies and shifting landscapes of belonging, thinking through what these contestations mean for birth.

scholarly journals Healthcare Workers’ Strategies for Doffing Personal Protective Equipment

2019 ◽  
Vol 69 (Supplement_3) ◽  
pp. S192-S198 ◽  
Author(s):  
Jure Baloh ◽  
Heather Schacht Reisinger ◽  
Kimberly Dukes ◽  
Jaqueline Pereira da Silva ◽  
Hugh P Salehi ◽  
...  
Keyword(s):  
Cognitive Processes ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Barriers And Facilitators ◽  
Protective Equipment ◽  
Routine Practice ◽  
Academic Hospital ◽  
Policies And Procedures ◽  
Semistructured Interviews ◽  
Hospital Policies

Abstract Background Personal protective equipment (PPE) helps protect healthcare workers (HCWs) from pathogens and prevents cross-contamination. PPE effectiveness is often undermined by inappropriate doffing methods. Our knowledge of how HCWs approach doffing PPE in practice is limited. In this qualitative study, we examine HCWs’ perspectives about doffing PPE. Methods Thirty participants at a Midwestern academic hospital were recruited and assigned to 1 of 3 doffing simulation scenarios: 3 mask designs (n = 10), 2 gown designs (n = 10), or 2 glove designs (n = 10). Participants were instructed to doff PPE as they would in routine practice. Their performances were video-recorded and reviewed with participants. Semistructured interviews about their doffing approaches were conducted and audio-recorded, then transcribed and thematically analyzed. Results Three overarching themes were identified in interviews: doffing strategies, cognitive processes, and barriers and facilitators. Doffing strategies included doffing safely (minimizing self-contamination) and doffing expediently (eg, ripping PPE off). Cognitive processes during doffing largely pertained to tracking contaminated PPE surfaces, examining PPE design cues (eg, straps), or improvising based on prior experience from training or similar PPE designs. Doffing barriers and facilitators typically related to PPE design, such as PPE fit (or lack of it) and fastener type. Some participants also described personal barriers (eg, glasses, long hair); however, some PPE designs helped mitigate these barriers. Conclusions Efforts to improve HCWs’ doffing performance need to address HCWs’ preferences for both safety and expediency when using PPE, which has implications for PPE design, training approaches, and hospital policies and procedures.

scholarly journals Prevalence of HIV infection among tuberculosis patients in a teaching hospital in south-west Nigeria: A four-year retrospective study

2016 ◽  
Vol 15 (4) ◽  
pp. 136-140 ◽  
Author(s):  
Kolade O. Ranti ◽  
Atilola O. Glory ◽  
Babalola T. Victoria ◽  
Komolafe O. Isaac
Keyword(s):  
Retrospective Study ◽  
Hiv Infection ◽  
Teaching Hospital ◽  
Tuberculosis Patients ◽  
South West

scholarly journals The Role of Routine Practice in Healthcare Worker Strategies when Doffing Unfamiliar Personal Protective Equipment

2020 ◽  
Vol 41 (S1) ◽  
pp. s410-s410
Author(s):  
Emily Chasco ◽  
Jaqueline Pereira da Silva ◽  
Kimberly Dukes ◽  
Jure Baloh ◽  
Melissa Ward ◽  
...  
Keyword(s):  
Patient Care ◽  
Healthcare Worker ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Routine Practice ◽  
Specific Patient ◽  
Policies And Procedures ◽  
Usual Manner ◽  
Hospital Policies ◽  
Problem Solve

Background: Appropriate doffing of personal protective equipment (PPE) prevents healthcare worker (HCW) self-contamination and spread of pathogens. HCWs may encounter an array of PPE types (eg, gloves, gowns, masks) and designs (eg, masks with elastic ear loops vs ties) during their duties, some of which may be unfamiliar. We know little about how HCWs strategize when doffing unfamiliar PPE. As part of a larger study examining the doffing process and the risk of self-contamination, we used qualitative methods to explore factors influencing HCW PPE doffing strategies. Methods: In total, 70 HCW participants from 2 Midwestern academic hospitals were assigned to 1 of 4 doffing simulation scenarios. In the first 3 scenarios, participants were asked to doff 3 mask designs (n = 10), 2 gown designs (n = 10), or 2 glove designs (n = 10). In the fourth scenario, HCWs with different levels of training (n = 40) participated in 2 doffing simulations randomized per participant: a distraction simulation and a nondistraction simulation (using identical PPE types and designs). In all scenarios, participants were instructed to doff in their usual manner. Doffing performances were video-recorded. Participants then reviewed the recordings and took part in short semistructured interviews about their performance. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis. Results: When faced with unfamiliar PPE during the simulations, participants were required to problem solve. In so doing, participants reported drawing on their day-to-day routine practices with familiar PPE to inform their doffing strategies. Aspects of routine practice identified as influential included PPE types typically worn, PPE donning and doffing order, doffing frequency, familiar PPE design cues, and experience tailoring strategies to specific patient care contexts. Participants frequently reported the desire to avoid self-contamination as driving doffing strategies and problem solving, but they also noted unique patient care demands related to their specific roles when they explained their doffing decisions. At the same time, HCWs identified lack of familiarity, lack of training, and nonintuitive design as barriers to doffing appropriately when encountering unfamiliar PPE. Conclusions: Different PPE designs may not be interchangeable, and proper doffing techniques may not be intuitive. The previous experiences of HCWs informed their strategies when doffing unfamiliar PPE. However, this practice sometimes caused them to use inappropriate doffing techniques and resulted in self-contamination. This finding has important implications for hospital policies and procedures regarding the introduction of new PPE and indicates that HCWs need training when new items are introduced.Funding: NoneDisclosures: None

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