scholarly journals Knowledge, attitude and practices regarding the use of personal protective equipment during COVID-19 pandemic among health care workers at a tertiary health care center

Author(s):  
Jatin V. Badgujar ◽  
Gaurav M. Sharma ◽  
Nisha R. Relwani ◽  
Omprakash S. Rohondia ◽  
Tanvi D. Patole ◽  
...  

Background: The aim of the present study was to assess the knowledge, attitude and practices (KAP) regarding the use of personal protective equipment (PPE) during COVID-19 pandemic among health care workers.Methods: A cross-sectional study was conducted among health care workers (HCW) including junior and senior resident doctors and nursing staff working at a tertiary health care center. A pre-designed, pre-validated, semi-structured questionnaire regarding the use of PPE was distributed online to eligible HCW and their responses were recorded electronically between 14 April 2020 and 20 April 2020. The survey questionnaire consisted of questions based on demographic and background characteristics along with KAP; knowledge (K1-K6), attitude (A1-A3) and practices (P1-P4).Results: A total of 423 out of 475 eligible participants successfully submitted their responses and were included in the present study which included junior resident doctors (55.70%), senior resident doctors (19.60%) and nursing staff (24.60%). The mean total knowledge score was 4.169±1.006 with an overall correct response rate of 75.8%. The result of one way ANOVA indicated that there is significant difference in the mean total knowledge score according to designation (F=6602, p<01) with improved knowledge score seen in HCW with higher designation. Majority of HCW had positive attitude and appropriate practices regarding the use of PPE.Conclusions: Optimal use of PPE is crucial to avoid transmission of infection in health care setting. Assessment of KAP of HCW regarding the use of PPE can help hospital authorities to introduce educational programs accordingly to gaps identified in the survey. 

2021 ◽  
Vol 30 (9) ◽  
pp. 91-98
Author(s):  
Vu Ngoc Ha ◽  
Mac Dang Tuan ◽  
Nguyen Thanh Trung ◽  
Nguyen Ngoc Huan ◽  
Luu Thi Lien ◽  
...  

A cross-sectional study using DASS21 was performed in June 2019 on staff working at the commune health stations (CHSs), regional general clinics and district general clinics in Soc Son district, Hanoi to assess the mental disorders of the health care workers are working here. Among the 355 health care workers (HCWs) who participated, women accounted for 75.5%. People aged under 30 accounting for 33.5% of HCWs. Physicians, nurses take up 54.4%, and HCWs in the Soc Son district have worked in the health sector for more than ten years, accounting for 45.1%. The study shows that the rates of stress, anxiety, and depression were 13.8%, 25.4% and 16.6%, respectively. 31% of HCWs have at least one mental disorder, 8.2% of study subjects have all three manifestations of mental disorders, 8.4% of study subjects have two symptoms and 14.4% of the study subjects had only one manifestation. The rates of stress, anxiety, and depression were initially screened from the research results. The development of research directions for defnitive diagnosis and support for improving health care workers’ mental health should be integrated.


2020 ◽  
Vol 58 (231) ◽  
Author(s):  
Sandip Bhandari ◽  
Medha Sharma ◽  
Gentle Sundar Shrestha

Introduction: Health care workers are at higher risk of infection with the coronavirus disease as they are directly involved in the treatment of infected patients and perform aerosol-generating procedures. Proper knowledge of this disease can influence the positive attitude, good practices and enhance their safety. We aim to study the knowledge of COVID-19 among health care workers of the tertiary care hospital of Nepal. Methods: A descriptive cross-sectional study was conducted among health care workers of Shahid Gangalal National Heart Centre from May 20 to June 19, 2020. Ethical approval was taken from the Institutional Review Board (IRB No: 4-2020). Written informed consent was taken from all respondents. Correct answers were summated to reflect the mean knowledge, expressed as a percentage. Data analysis was done using Statistical Package for the Social Sciences version 21. Results: The mean general knowledge score was 95.7%. The mean medical knowledge score was 70.5%. Only 42 (56.8%) of physicians and 103 (53.6%) of nurses had a higher level of medical knowledge regarding COVID-19. Likewise, very few lab technicians 7 (21.9%) and none of the pharmacists had a higher level of medical knowledge. Conclusions: The healthcare workers of this centre have adequate knowledge regarding COVID-19. However, periodic training for all workers, especially the nurses and allied workers, may help to update the knowledge and hence enhance their safety and that of their patients.


2019 ◽  
Vol 11 (04) ◽  
pp. 352-355
Author(s):  
Mangaiyarkarasi Thiyagarajan ◽  
Udhayasankar Ranganathan ◽  
Sunil Shivekar ◽  
Gopal Rangasamy

Abstract BACKGROUND: Health-care workers (HCWs) can sustain needlestick injuries (NSIs) during patient care activities and are at a greater risk of exposure to blood-borne infectious agents such as HBV, HCV, and HIV, among which only HBV has an effective vaccine. Unfortunately, both the voluntary reporting rates of NSIs and HBV vaccination coverage among HCWs have been generally low. This study aims to analyze the trends of voluntary reporting of NSIs and the HBV vaccination status among the HCWs of our tertiary health care center. MATERIALS AND METHODS: A retrospective study was conducted between January 2016 and July 2018 at a tertiary health care center in Puducherry. A standard pro forma was filled by all HCWs reporting NSIs. HIV, hepatitis B virus surface antigen, and hepatitis C virus were tested using rapid card tests, and anti-hepatitis B surface titers were tested using enzyme-linked immunosorbent assay according to the manufacturer's instructions. RESULTS: A total of 83 incidents of NSIs were reported. Nursing staffs reported the maximum number of incidents followed by students. About 42 incidents of NSI were reported in the year 2018 compared to 26 and 15 incidents reported in 2017 and 2016, respectively. Only 37 HCWs had taken the complete course of HBV vaccine. CONCLUSION: This study shows an increase in the voluntary reporting of NSIs by the HCWs, but the HBV vaccination status among them was found to be low.


2014 ◽  
Vol 8 (04) ◽  
pp. 535-542 ◽  
Author(s):  
Said Hafizullah Fayaz ◽  
Michiyo Higuchi ◽  
Tomoya Hirosawa ◽  
Mohammad Abul Bashar Sarker ◽  
Zakhro Djabbarova ◽  
...  

Introduction: This study aimed to assess the knowledge and practice of health care workers (HCWs) towards universal precautions (UPs) and to look into any associations between knowledge and practice. Methodology:A cross-sectional study was undertaken between August and October 2012, involving 300 HCWs from four national public hospitals in Kabul, Afghanistan. A self-administered questionnaire assessing the knowledge and practice of UPs was used. Results: Among the 300 respondents, the mean knowledge score was 5.2 with a standard deviation (SD) of 1.5. On the practice score, the mean was 8.7 (SD = 2.2). A total of 90.6% and 70.8% of HCWs believed that UPs were necessary in contact with urine/feces and tears, respectively, although UPs are not necessary in these cases. On the other hand, 57.8% reported that they always recapped the needle after giving an injection, and 31.8% did not always change gloves in between patients. There were no associations between the knowledge and self-reported practice of UPs. Conclusions: The HCWs in Kabul had inadequate knowledge and poor practice of UPs. Training for HCWs is needed to encourage them to adhere to practice based on improved knowledge.


2020 ◽  
pp. 101053952097731
Author(s):  
Ravneet Kaur ◽  
Shashi Kant ◽  
Mohan Bairwa ◽  
Arvind Kumar ◽  
Shivram Dhakad ◽  
...  

Quarantine of health care workers (HCWs) exposed to COVID-19–confirmed cases is a well-known strategy for limiting the transmission of infection. However, during a pandemic situation in a resource-constraint setting, we require an evidence-based guideline for quarantining HCWs. We developed an algorithm for exposure-based risk stratification and quarantine of HCWs. We did contact tracing and risk stratification of 3853 HCWs, of whom 560 (14.5%) were categorized as high-risk contacts. High-risk contacts were quarantined for 14 days and underwent testing for COVID-19, while low-risk contacts continued their work with adherence to physical distancing, hand hygiene, appropriate use of personal protective equipment, and self-monitoring of symptoms. Overall, 118 (3.1%) contacts tested positive for COVID-19. The positivity rate among high-risk contacts was 7.1% (95% confidence interval = 5.2-9.6). Our strategy of risk stratification prevented 3215 HCWs from being quarantined and thus saved 45 010 person-days of health workforce in the institution.


2021 ◽  
Vol 8 (4) ◽  
pp. 614-623
Author(s):  
Sukhbir Singh ◽  
◽  
Manjunath B Govindagoudar ◽  
Dhruva Chaudhry ◽  
Pawan Kumar Singh ◽  
...  

<abstract><sec> <title>Background</title> <p>Health Care Workers (HCW) are among the primary stakeholders and front liners in the fight against COVID-19. They are in direct contact with the patients as primary caregivers and, therefore, are at a higher risk of infection. This Pandemic offers a unique opportunity to explore the level of knowledge among ground-level HCWs during this global health crisis.</p> </sec><sec> <title>Objective</title> <p>We conducted this study to assess the knowledge and awareness among HCW regarding the COVID-19 Pandemic in a tertiary care hospital.</p> </sec><sec> <title>Methods</title> <p>It was a cross-sectional study done on HCW comprising faculty, senior residents, junior residents, demonstrators, and nursing staff of various specialties directly involved in the care of suspected/confirmed COVID-19 patients. A pretested questionnaire consisting of 20 questions was used as a study tool and was circulated through the digital platform.</p> </sec><sec> <title>Results</title> <p>There were a total of 437 respondents. In the subgroup analysis, the respondents in the age group of 55–64 years had a higher mean knowledge score, followed by the respondents in the age group of 18–24 years. For years of experience, the mean knowledge score varied from 13.89 (10–20 years of experience) to 13.83 (5–10 years of experience). The mean knowledge score was the highest for consultants (14.10), followed by Resident Doctors (13.96).</p> </sec><sec> <title>Conclusions</title> <p>This study has shed some critical clues for further research and interventions. Firstly, as health care workers are probably learning about COVID-19 from their practical exposure rather than formal teaching, it is pertinent to address this issue through well-planned formal sessions of training workshops and lectures.</p> </sec></abstract>


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