scholarly journals Medical Interns and COVID-19: results of national research

2020 ◽  
Vol 66 (6) ◽  
pp. 812-817 ◽  
Author(s):  
Maria M. C. Carrascosa ◽  
Tercio de Campos ◽  
Jéssica E. Sampaio ◽  
Rafaella R. F. Souza ◽  
Vitória L. Ribeiro ◽  
...  

SUMMARY OBJECTIVE Assess the impact of COVID-19 on medical students’ internships in public and private institutions in Brasil, in addition to estimating the quality of the measures taken by their respective Universities in the face of the problem and the availability of personal protective equipment (PPE). METHODS A descriptive cross-sectional quantitative analysis study carried out with 317 students undergoing medical internship from March 31, 2020, to April 12, 2020. The survey was conducted through an online questionnaire using the SurveyMonkey tool with 20 questions. Interns from the fourth to the sixth year of medical schools in the country were randomly included in the study through a survey sent by Whatsapp application. Statistical analysis was performed using the Chi-Square, considering p <0.05 as significant. RESULTS Four main topics were identified in the research: student demographic data; how classes and courses are being taught; the use and ease of access to personal protective equipment and the students’ fears and perspectives for the future. CONCLUSION The study clarified that although half of the students still have some degree of content and, in their majority, they are satisfied, there is still a lot of difficulty in obtaining personal protective equipment, which prevents students from returning safely to their internships.

2022 ◽  
pp. 194338752110578
Author(s):  
Tevfik Cicek ◽  
Justin van der Tas ◽  
Thomas Dodson ◽  
Daniel Buchbinder ◽  
Stefano Fusetti ◽  
...  

Study Design Comparative cross-sectional. The Objective To measure the impact that COrona VIrus Disease-19 (COVID-19) has had on craniomaxillofacial (CMF) surgeons after 1 year and compare it with 2020 data by ( 1) measuring access to adequate personal protective equipment (PPE), ( 2) performance of elective surgery, and ( 3) the vaccination status. This should be investigated because most CMF surgeons felt that hospitals did not provide them with adequate PPE. Methods The investigators surveyed the international AO CMF membership using a 30-item online questionnaire and compared it to a previous study. The primary predictor variable was year of survey administration. Primary outcome variables were availability of adequate personal protective equipment (adequate/inadequate), performance of elective surgery (yes/no), and vaccination status (fully vaccinated/partly vaccinated/not vaccinated). Descriptive and analytic statistics were computed. Binary logistic regression models were created to measure the association between year and PPE availability. Statistical significance level was set at P < .05. Results The sample was composed of 523 surgeons (2% response rate). Most surgeons reported access to adequate PPE (74.6%). The most adequate PPE was offered in Europe (87.8%) with the least offered in Africa (45.5%). Surgeons in 2021 were more likely to report adequate PPE compared to 2020 (OR 3.74, 95% CI [2.59–4.39]). Most of the respondents resumed elective surgery (79.5% vs 13.3% in 2020) and were fully vaccinated (59.1%). Conclusion Most CMF surgeons now have access to adequate PPE, resumed elective surgery, and are either fully or partly vaccinated. Future studies should investigate the long-term impact of the fast-evolving COVID-19 pandemic on CMF surgeons.


2021 ◽  
Vol 33 (2) ◽  

Background: Coronavirus disease 2019 (COVID-19) has attracted global attention as it has expeditiously spread. Therefore, adherence to Personal Protective Equipment (PPE) has become a daily necessity, particularly among front-line personnel. However, PPE is associated with some adverse skin reactions; hence, this study aimed to investigate the characteristics and prevalence of adverse skin reactions from PPE usage. Methods: This cross-sectional study with a random sample was carried out at Bahrain Defense Force Hospital (BDF) from January to March 2021, targeting the front-line personnel. An online questionnaire was sent regarding adverse skin reactions from PPE. A total of 145 healthcare workers (HCWs) were approached, and 132 (91%) responded. The results were analyzed through SPSS 21.0 software, and the Chi-square test or Fisher’s exact test was used to analyze discrete variables. Results: A total of 100 (75.8%) respondents suffered from adverse skin reactions. The most common findings were skin dryness, 100 (75.8%); itchiness, 67 (50.8%); and acne, 48 (36.4%). The most affected distant site was hands, 92 (69.7%). Female gender was significantly associated with skin changes, and only 22 (22%) participants with adverse skin reactions took medical advice. Conclusion: Adverse skin reactions from PPE were common. Therefore, improving awareness of practical methods is quintessential. Keywords: COVID-19; Eczema; Hand Hygiene; Masks; Skin Care


Work ◽  
2021 ◽  
pp. 1-14
Author(s):  
Mojtaba K. Danesh ◽  
Ehsan Garosi ◽  
Hamedeh Golmohamadpour

BACKGROUND: The COVID-19 pandemic has put health systems under unprecedented pressure, challenging their workforce, especially nurses. OBJECTIVE: The current paper presented a review of the early literature concerning emerging nursing challenges during the early stages of the COVID-19 pandemic. METHODS: A systematic search of the published literature between January and May 2020 was carried out in Medline, Science Direct, and Google Scholar to identify relevant quantitative and qualitative studies. RESULTS: Twenty-two original articles were retrieved, the majority of which were survey studies from China. Synthesis of the evidence resulted in four overarching themes including “being physically and mentally drained in the face of fear and uncertainty,” “shortage of personal protective equipment and usability issues,” “psychosomatic disturbances among nurses,” and “moderators to mitigate nurses’ challenges.” CONCLUSIONS: Providing care for demanding COVID-19 patients, nurses experienced a gruelling situation, during which a significant amount of psychological and physical distress was inflicted to them. However, receiving proper support from their organization and society could improve the condition substantially. Further research is required to explore the impact of the COVID-19 pandemic on nurses, especially from Western countries.


Author(s):  
Yogi Adiputro

Introduction: Clinical laboratories are a kind of workplace that must be designed in strict compliance with occupational health and safety standards to create a safe work environment. Fatal work accidents can inflict injuries caused by improper use of equipment, poisoning due to chemical substances in clinical laboratories, and transmission of dangerous diseases. Methods: This is an observational research with a cross sectional approach. The population of this study was 15 health analysts in the X Regional Clinical Laboratory of East Java. The research used total sampling method, carried out from July to September 2018. The dependent variable is the use of PPE and the independent variables are the lack of control and the basic causes. Data were analyzed using Chi square and Spearman correlation tests. Results: 53.3% of the employees of X Regional Clinical Laboratory of East Java use PPE accordingly. There is a strong relationship between knowledge and the use of PPE (r= 0.607). There is a strong correlation between the motivation and the use of PPE (r= 0.600). There is a strong relationship between the availability of PPE and the use of PPE (r = 0.756). Conclusion: There is a strong relationship between knowledge, motivation, and availability of PPE with the use of PPE.Keywords: knowledge, motivation, personal protective equipment


2021 ◽  
Vol 10 (1) ◽  
pp. 108-115
Author(s):  
Yurike Septianingrum ◽  
Andikawati Fitriasari ◽  
Erika Martining Wardani

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.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hanie Ahmadi ◽  
Alireza Ebrahimi ◽  
Farhad Ghorbani

Abstract Background The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), besides the fact that dental procedures commonly generate blood and saliva droplets that could lead to the contagion have resulted in the closure of many dental clinics. In the present study, we aimed to evaluate the impact of coronavirus disease 2019 (COVID-19) pandemic on dental practice by conducting an online questionnaire among the Iranian dental practitioners and finding their perspectives on the subject. Methods This report is based on a questionnaire that was conducted among Iranian dentists. The survey included questions that evaluate the dentists’ perceptions and attitudes toward the COVID-19 pandemic and its effect on their personal life, financial status, and the quality of dental services for patients. Results Overall, 240 dentists contributed to this study (214 general dentists and 26 specialists). The majority of the participants (n = 170, 70%) did not perform non-emergency procedures during the pandemic. The dental practitioners have suggested several strategies to decrease the risk of contagion, such as reducing treatment sessions (n = 90, 37%), strict triage of patients (n = 156, 64%), and using personal protective equipment (n = 108, 45%). However, most of the dentists (n = 210, 87%) had problems, providing personal protective equipment during the pandemic. Moreover, 97% (n = 234) of the participants reported that they encountered a decrease in their financial income since the eruption of the pandemic. Conclusion Dental health care workers are at the highest risk of contracting COVID-19. Thus, dental practitioners ought to execute the standard protocols more cautiously during the pandemic. They could also lower their work hours and limit dental procedures to emergency treatments to reduce the risk of COVID-19 transmission. Besides, the public organizations should provide proper equipment for the dental practitioners to decrease the risk of contagion.


2020 ◽  
pp. postgradmedj-2020-139150 ◽  
Author(s):  
Ramanathan Swaminathan ◽  
Bimantha Perera Mukundadura ◽  
Shashi Prasad

BackgroundThe COVID-19 pandemic has necessitated the use of enhanced personal protective equipment (PPE) in healthcare workers in patient-facing roles. We describe the impact on the physical and mental well-being of healthcare professionals who use enhanced PPE consistently.MethodsWe conducted a single-centre, cross-sectional study among healthcare professionals who use enhanced PPE. A web-based questionnaire was disseminated to evaluate the effects on individuals’ physical and mental well-being. Physical and mental impact was assessed through a visual analogue scale.ResultsProspective analysis of the views of 72 respondents is reported. 63.9% were women and 36.1% were men. Physical impact included exhaustion, headache, skin changes, breathlessness and a negative impact on vision. Communication difficulties, somnolence, negative impact on overall performance and difficulties in using surgical instrumentation were reported.ConclusionOur study demonstrates the undeniable negative impact on the front-line healthcare workers using enhanced PPE and lays the ground for larger multicentric assessments given for it to potentially be the norm for the foreseeable future.


2021 ◽  
Vol 1 (02) ◽  
pp. 50-58
Author(s):  
Edy Prasetiyo

Introduction: The high incidence of fires in the DKI Jakarta area certainly increases the risk for DKI Jakarta Firefighters, so Personal Protective Equipment is mandatory for officers when carrying out firefighting operations to prevent and control potential hazards for firefighters. It was recorded that 76 officers were injured and 1 officer died while carrying out firefighting operations in the last 5 (five) years. So it is necessary to know the factors that influence the behavior of using the SCBA (Self Contained Breathing Apparatus) respiratory Personal Protective Equipment. Methods: This quantitative descriptive study with a cross-sectional approach was carried out at the DKI Jakarta Provincial Fire and Rescue Service in 2021 with a population of all DKI Jakarta firefighters and a total sample of 208 firefighters. The instrument used is a questionnaire. Results: The results of data analysis carried out univariate and bivariate using the chi square test with = 0.05 showed a significant relationship between the behavior of using PPE SCBA with the availability of PPE (Pvalue = 0.000), Regulations (SOP) related to the use of PPE (Pvalue = 0.000) and Supervision (Pvalue = 0.000). However, there is no significant relationship between the behavior of using PPE SCBA with knowledge of PPE (Pvalue = 0.180), Age (Pvalue = 0.111), years of service (Pvalue = 0.065), training (Pvalue = 0.087) and PPE comfort (Pvalue = 0.513). Discussion: The behavior of using SCBA PPE for DKI Jakarta firefighters in 2021 is still relatively low because only 54.5% of respondents from firefighters stated that they used SCBA PPE in every fire fighting operation. So it is necessary to increase knowledge related to PPE and skills in using PPE for operational officers through education and training activities, training and technical guidance.


2020 ◽  
Vol 17 (2) ◽  
pp. 64-69
Author(s):  
Svetlana Stojkov ◽  
Dušanka Krajnović

Objective. Continued Professional Development (CPD) is one of the most significant precursors to increased competency. Appropriate instruments and support are required for its implementation. This paper demonstrates the attitudes held by pharmacists on the impact of the competency framework on CPD, its acceptance among Serbian pharmacists and potential future application. Furthermore, the motivational impact of the competency framework on CPD as well as the relationship between certain demographic indicators and motivators of CPD are provided. Method. Research on the cross-sectional method throughout 2015-16 included pharmacists working in publicly-owned pharmacies. The survey was anonymous and voluntary. The questionnaires generated for this research contain demographic data on those surveyed and open-ended questions with multiple choice answers and applied a Likert-type scale. Statistical analysis was conducted by applying Microsoft Office 2003 and the Statistical Package for Social Sciences (SPSS) version 22. Results. Among the respondents, the female gender dominated, respondents who had not completed a speciality within their respective field, with an average age of 42 years, and an average of approx. 15 years of service. 26.12% of the respondents had prior experience with the competency framework. Most respondents were of the opinion that these instruments motivated them to actively manage their own PD, to set concrete PD objectives and to review their own competency. Over half intend to apply competency frameworks in future. The statistical Chi-square test indicates it is not possible to determine with certainty that there are differences in terms of motivation in managing PD and in PD goal setting between the groups of variables. Conclusion. The research indicates a positive attitude/opinion of pharmacists towards the competency framework and in recognising these instruments as supportive to CPD.


2020 ◽  
Vol 10 (1) ◽  
pp. 1238-1245
Author(s):  
Suzana Indragiri ◽  
Liha Salihah

Salah satu upaya pencegahan kecelakaan tenaga kerja adalah dengan mengharuskan memakai Alat Pelindung Diri (APD) yang memenuhi syarat, yaitu nyaman dalam penggunaan, tidak menghalangi dalam proses bekerja, dan memberikan perlindungan efektif terhadap jenis-jenis bahaya. Dalam meningkatkan kepatuhan  penggunaan APD pada pekerja juga diperlukan adanya faktor pengawasan yang berfungsi sebagai pengendalian pelaksanaan setiap kegiatan yang  merupakan usaha pencapaian tujuan yang telah ditentukan. Pengawasan ini pada dasarnya adalah pengawasan terhadap proses dan hasil serta orang yang melakukan pekerjaan. Tujuan penelitian ini adalah untuk mengetahui Hubungan pengawasan dan kelengkapan dengan tingkat kepatuhan penggunaan alat pelindung diri (APD) pada pekerja produksi area bagging off  di PT Japfa Comfeed Indonesia Tbk. Unit Cirebon tahun 2018. Rancangan dalam penelitian ini adalah pendekatan kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh Pekerja produksi area bagging off  PT Japfa Comfeed Indonesia Tbk. Unit Cirebon yang berjumlah 55 orang pada bulan Mei 2018. Jumlah sampel menggunakan total sampling karena jika jumlah populasi kurang dari 100 maka seluruh populasi dijadikan sampel penelitian. Metode pengumpulan data menggunakan data primer berupa observasi dan wawancara dan instrumen pengumpulan data menggunakan kuesioner. Data dianalisis dengan menggunakan Uji Chi Square pada tingkat kemaknaan 5% (0,05). Hasil uji statistik didapatkan bahwa ada hubungan antara pengawasan dengan kepatuhan penggunaan APD diperoleh p value sebesar 0,049. Dan ada hubungan antara kelengkapan APD terhadap kepatuhan penggunaan APD diperoleh p value sebesar 0,001.Kata kunci : ABSTRACTOne effort to prevent workplace accidents is to require that you wear Personal Protective Equipment (PPE) that meets the requirements, which is comfortable in use, does not hinder the work process, and provides effective protection against types of hazards. In increasing the compliance of PPE usage to workers, it is also necessary to have a supervisory factor that functions as a control for the implementation of each activity which is an effort to achieve the stated goals. This supervision is basically the supervision of the process and results and the people who do the work. The purpose of this study was to determine the relationship of supervision and completeness with the level of compliance with the use of personal protective equipment (PPE) on workers producing bagging off areas at PT Japfa Comfeed Indonesia Tbk. Cirebon Unit in 2018.The design in this study is a quantitative approach with cross sectional design. The study population was all workers producing bagging off areas of PT Japfa Comfeed Indonesia Tbk. The Cirebon unit which numbered 55 people in May 2018. The number of samples uses total sampling because if the population is less than 100 then the entire population is used as a sample. Data collection method uses primary data in the form of observation and interviews and data collection instruments using questionnaires. Data were analyzed using Chi Square Test at a significance level of 5% (0.05).Statistical test results showed that there was a relationship between supervision with compliance with PPE obtained p value of 0.049. And there is a relationship between the completeness of PPE to the APD usage compliance obtained p value of 0,001.


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