Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study

We present an update on infection prevention and control for COVID-19 in healthcare settings. This update focuses on measures to be applied in settings with increasing community transmission, growing demand for concern about COVID-19 patients, and subsequent staffing issues in the event of shortages of personal protective equipment for healthcare facilities worldwide. The comfort and emotional resilience of health care workers are key components in maintaining essential health care services during the COVID-19 virus (coronavirus) outbreak.

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The sourcing and use of high physical resemblance personal protective equipment to train health care workers, improve confidence and conserve medical grade equipment

Journal of Hospital Infection ◽

10.1016/j.jhin.2021.04.003 ◽

2021 ◽

Author(s):

Suzanne Bumpstead ◽

Zheng Jie Lim ◽

Lisa Kuhn ◽

Daphne Flynn ◽

Cindy-Lee Bakos ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Personal Protective Equipment ◽

Protective Equipment ◽

Care Workers ◽

Physical Resemblance ◽

Medical Grade

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The Conundrum of Charitability: Reassessing Tax Exemption For Hospitals

American Journal of Law & Medicine ◽

10.1017/s0098858800008601 ◽

1990 ◽

Vol 16 (3) ◽

pp. 327-380

Author(s):

David A. Hyman

Keyword(s):

Health Care ◽

Fundamental Problem ◽

Health Care Environment ◽

Care Environment ◽

Sharp Focus ◽

The Right ◽

Do The Right Thing

Tax exemption is an ancient, honorable and expensive tradition. Tax exemption for hospitals is all of these three, but it also places in sharp focus a fundamental problem with tax exemption in general. Organizations can retain their tax exemption while changing circumstances or expectations undermine the rationale that led to the exemption in the first place. Hospitals are perhaps the best example of this problem. The dramatic changes in the health care environment have eliminated most of the characteristics of a hospital that originally persuaded the citizenry to grant it an exemption. Hospitals have entered into competition with tax-paying businesses, and have increasingly behaved like competitive actors. Such conduct may well be beneficial, but it does not follow that tax exemption is appropriate. Rather than an undifferentiated subsidy, a shift to focused goals will provide charitable hospitals with the opportunity and incentive to “do the right thing.”

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COVID – 19 related knowledge and preventive practices early in the outbreak among health care workers in selected public health facilities of Illu aba Bor and Buno Bedelle zones, Southwest Ethiopia

BMC Infectious Diseases ◽

10.1186/s12879-021-06218-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Dereje Tsegaye ◽

Muluneh Shuremu ◽

Dereje Oljira ◽

Sileshi Dubale ◽

Getachew Befekadu ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Health Care Workers ◽

Personal Protective Equipment ◽

Infection Prevention ◽

Health Facilities ◽

Protective Equipment ◽

Southwest Ethiopia ◽

Preventive Practices ◽

Care Workers

Abstract Background Novel-coronavirus 2019 (COVID-19) disease is currently a worldwide health risk and public health emergency concern. The virus is transmitted from an infected person to another person through close contact and droplets. Frontline health care workers are the most at risk of infection, and so a WHO interim guidance document was issued by the World Health Organization (WHO) which underscores the importance of proper sanitation and waste management practices for COVID- 19 in health-care settings. This study aimed at assessing knowledge and preventive practices towards Covid-19 among health care providers in selected health facilities of Illu Aba Bor and Buno Bedele zones, Southwest Ethiopia. Methods An institution-based cross-sectional study was conducted from April to May 2020 among 330 health workers in selected health facilities of Illu Aba Bor and Buno-Bedelle Zones, Southwest Ethiopia. Data were collected using a self-administered structured questionnaire. The collected data were entered into Epidata version 3.1 and exported to SPSS version 23 for analysis. Bivariate and multivariable logistic regression analysis was used to identify independent predictors of preventive practices towards Covid-19. Statistical significance was declared at a p-value of < 0.05. Result The majority of respondents (93.3%) demonstrated good knowledge of COVID-19, and the mean (SD) knowledge score was 9.04 ± 1.06. Nearly two-thirds (64.2%) of the study participants had good infection prevention practices. Being male (AOR = 3.65, 95% CI: (1.96, 6.80)), education level (AOR = 1.82, 95% CI (1.02, 3.22)), profession (AOR = 3.17, 95% CI (1.08, 9.33)), service year (5–10 years) (AOR = 2.00 (1.02, 3.92)) and more than 10 years (AOR = 3.14 (1.51, 6.52)), availability of personal protective equipment (AOR = 1.96 (1.06, 3.61)) and Knowledge level (AOR = 2.61 (1.48, 4.62)) were independent predictors of COVID-19 preventive practices. Conclusion The overall level of knowledge of HCWs was good. However, the practice was relatively low. Gender, educational status, profession, year of service, knowledge towards COVID-19, and availability of personal protective equipment were independent predictors of good infection prevention practices. Optimizing the infection prevention and control loop of the health facilities is recommended.

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