scholarly journals COVID-19 Critical Care Simulations: An International Cross-sectional Survey

2020 ◽  
Author(s):  
Mohamad-Hani Temsah ◽  
Abdulkarim Alrabiaah ◽  
Ayman Al-Eyadhy ◽  
Fahad Al-Sohime ◽  
Abdullah Al Huzaimi ◽  
...  
Keyword(s):  
Infection Control ◽  
Healthcare Workers ◽  
Primary Outcome ◽  
Control Measures ◽  
Team Leaders ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Transport ◽  
Infection Control Measures ◽  
Better Than

Abstract Background: Many healthcare systems initiated rapid training with COVID-19 simulations for their healthcare workers (HCWs) to build surge capacity and optimize infection control measures. This study aimed to describe COVID-19 simulation drills in international healthcare centers. Methods: This is a cross-sectional survey among simulation team leaders and HCWs, based on each center's debriefing reports from simulation centers from 30 countries in all WHO regions where COVID-19 simulation drills were conducted. The primary outcome measures were the COVID-19 simulations' characteristics, outcomes, facilitators, obstacles, and challenges encountered during the simulation sessions. Results: Invitation was sent to 500 simulation team leaders and HCWs, and 343 responded. Those who completed the study comprised 121 participants: 62.8% females; 56.2% physicians; 41.3% from East Mediterranean (EMRO) countries; 25.6% from Southeast Asian countries (SERO); and 12.4% from Europe. The frequency of simulation sessions was monthly (27.1%), weekly (24.8%), twice weekly (19.8%), or daily (21.5%). Among participants, 55.6% reported the team's full engagement in the simulation sessions. The average session length was 30–60 minutes. The most commonly reported debriefing leaders were ICU staff, simulation lab staff, and E.R. facilitators, and the least common were infection control staff. A total of 80% reported "a lot" to "a great improvement" in terms of clinical preparedness after simulation sessions, and 70% were satisfied with the COVID-19 simulation sessions and thought they were better than expected. Most of the perceived issues reported were related to infection control measures, followed by team dynamics, logistics, and patient transport issues. Conclusion: Simulation centers team leaders and HCWs reported positive feedback on COVID-19 simulation sessions. The presence of multiprofessional personnel during drills is warranted. These drills are a valuable tool for rehearsing safe dynamics of HCWs on the frontline of COVID-19.Trial registration: Not applicable.

scholarly journals COVID-19 critical care simulations: An international cross-sectional survey

2020 ◽  
Author(s):  
Mohamad-Hani Temsah ◽  
Abdulkarim Alrabiaah ◽  
Ayman Al-Eyadhy ◽  
Fahad Al-Sohime ◽  
Abdullah Al Huzaimi ◽  
...  
Keyword(s):  
Infection Control ◽  
Healthcare Systems ◽  
Control Measures ◽  
List Type ◽  
Team Leaders ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Transport ◽  
Infection Control Measures ◽  
New Findings

AbstractIntroductionMany healthcare systems initiated rapid training with COVID-19 simulations for their healthcare workers (HCWs) to build surge capacity and optimize infection control measures. This study aimed to describe COVID-19 simulation drills in international healthcare centers.MethodsThis is cross-sectional, international survey among simulation team leaders and HCWs, based on each center’s debriefing reports from simulation centers from 30 countries in all WHO regions where COVID-19 simulation drills were conducted. The main outcome measures were the COVID-19 simulations characteristics, outcomes, facilitators, obstacles and challenges encountered during the simulation sessions.ResultsInvitation was sent to 500 simulation team leaders and HCWs, 343 responded, and 121 completed the survey. Those who completed the study were from East Mediterranean (EMRO) countries (41.3%); Southeast Asian countries (SERO) (25.6%); and Europe (12.4%) and the remainder from other regions. The frequency of simulation sessions was monthly (27.1%), weekly (24.8%), twice weekly (19.8%), or daily (21.5%). Among participants, 55.6% reported team’s full engagement in the simulation sessions. The average session length was 30–60 minutes. The most commonly reported debriefing leaders were ICU staff, simulation lab staff, and ER facilitators, and the least common were infection control staff. A total of 80% reported “a lot” to “a great improvement” in terms of clinical preparedness after simulation sessions, and 70% were satisfied with the COVID-19 simulation sessions and thought they were better than expected. Most of the perceived issues reported were related to infection control measures, followed by team dynamics, logistics, and patient transport issues.ConclusionSimulation centers team leaders and HCWs reported positive feedback on COVID- 19 simulation sessions. The presence of multiprofessional personnel during drills is warranted. These drills are a valuable tool for rehearsing safe dynamics of HCWs on the frontline of COVID-19.Summary boxexplaining the significance of their study by providing each of the following key questions:What is already known?Simulation enhances healthcare systems safety.Preparedness to potential disasters includes training for personal protection techniques, environmental contamination, medical management, and training of HCWs.What are the new findings?Many hospitals conducted COVID-19 simulations in all WHO regions.Most of the team leaders and HCWs reported full engagement and significant clinical preparedness improvement after the COVID-19 simulation sessions.What do the new findings imply?The presence of multiprofessional personnel, including infection control experts, during COVID-19 drills is warranted.Simulation are a valuable tool for rehearsing safe dynamics of HCWs on the frontline of COVID-19.

scholarly journals COVID-19 Critical Care Simulations: An International Cross-Sectional Survey

2021 ◽  
Vol 9 ◽  
Author(s):  
Mohamad-Hani Temsah ◽  
Abdulkarim Alrabiaah ◽  
Ayman Al-Eyadhy ◽  
Fahad Al-Sohime ◽  
Abdullah Al Huzaimi ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Control Measures ◽  
Team Leaders ◽  
Session Length ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Team Members ◽  
Patient Transport ◽  
Infection Control Measures ◽  
Patient Arrival

Objective: To describe the utility and patterns of COVID-19 simulation scenarios across different international healthcare centers.Methods: This is a cross-sectional, international survey for multiple simulation centers team members, including team-leaders and healthcare workers (HCWs), based on each center's debriefing reports from 30 countries in all WHO regions. The main outcome measures were the COVID-19 simulations characteristics, facilitators, obstacles, and challenges encountered during the simulation sessions.Results: Invitation was sent to 343 simulation team leaders and multidisciplinary HCWs who responded; 121 completed the survey. The frequency of simulation sessions was monthly (27.1%), weekly (24.8%), twice weekly (19.8%), or daily (21.5%). Regarding the themes of the simulation sessions, they were COVID-19 patient arrival to ER (69.4%), COVID-19 patient intubation due to respiratory failure (66.1%), COVID-19 patient requiring CPR (53.7%), COVID-19 transport inside the hospital (53.7%), COVID-19 elective intubation in OR (37.2%), or Delivery of COVID-19 mother and neonatal care (19%). Among participants, 55.6% reported the team's full engagement in the simulation sessions. The average session length was 30–60 min. The debriefing process was conducted by the ICU facilitator in (51%) of the sessions followed by simulation staff in 41% of the sessions. A total of 80% reported significant improvement in clinical preparedness after simulation sessions, and 70% were satisfied with the COVID-19 sessions. Most perceived issues reported were related to infection control measures, followed by team dynamics, logistics, and patient transport issues.Conclusion: Simulation centers team leaders and HCWs reported positive feedback on COVID-19 simulation sessions with multidisciplinary personnel involvement. These drills are a valuable tool for rehearsing safe dynamics on the frontline of COVID-19. More research on COVID-19 simulation outcomes is warranted; to explore variable factors for each country and healthcare system.

scholarly journals Prevalence and Factors Associated With Burnout of Frontline Healthcare Workers in Fighting Against the COVID-19 Pandemic: Evidence From China

2021 ◽  
Vol 12 ◽  
Author(s):  
Xin Zhang ◽  
Jiahui Wang ◽  
Yanhua Hao ◽  
Ke Wu ◽  
Mingli Jiao ◽  
...  
Keyword(s):  
Infection Control ◽  
Healthcare Workers ◽  
Final Analysis ◽  
Maslach Burnout Inventory ◽  
Control Measures ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Infection Control Measures

ObjectivesThe sudden outbreak of the novel coronavirus disease (COVID-19) plunged healthcare workers (HCWs) into warfare. This study aimed to determine the prevalence of burnout and the factors associated with it among frontline HCWs fighting COVID-19.MethodsA cross-sectional survey was conducted among frontline HCWs fighting against the COVID-19 in Wuhan, Harbin, and Shenzhen during the period from February 18 to March 4. Finally, HCWs were recruited using cluster sampling, 1,163 HCWs were included in the final analysis. Burnout was measured using a 22-item Maslach Burnout Inventory scale (MBI scale).ResultsOf the participants, 48.6% suffered from burnout, and 21.8% showed a high degree of burnout. Doctors (b = 3.954, P = 0.011) and nurses (b = 3.067, P = 0.042) showed higher emotional exhaustion (EE) than administrators. Participants who worked continuously for more than 8 h a day (b = 3.392, P = 0.000), those who were unable to eat three regular daily meals (b = 2.225, P = 0.008), whose daily water intake was no more than 800 ml (b = 3.007, P = 0.000), who slept for no more than 6 h (b = 1.609, P = 0.036), and who were infected or had colleagues who were infected with COVID-19 (b = 4.182, P = 0.000) experienced much higher levels of EE, while those who could adhere to infection control procedures (b = −5.992, P = 0.000), who were satisfied with their hospital’s infection control measures(b = −3.709, P = 0.001), and who could receive sufficient psychological crisis intervention (b = −1.588, P = 0.039) reported lower levels of EE.ConclusionThe study reveals that burnout is prevalent among frontline HCWs and that the known factors associated with burnout, such as workload, and the factors directly associated with COVID-19, such as having insufficient protection, can affect burnout symptoms in frontline HCWs. Synergized and comprehensive interventions should be targeted at reducing its occurrence among frontline HCWs fighting COVID-19.

scholarly journals Community Pharmacy Response to Infection Control during COVID-19. A Cross-Sectional Survey.

2020 ◽  
Author(s):  
Zachary Sum ◽  
Charmane Ow
Keyword(s):  
Public Health ◽  
Infection Control ◽  
Community Pharmacy ◽  
Pharmacy Practice ◽  
Control Measures ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Crisis ◽  
Infection Control Measures

Background: Australia received its first case of coronavirus on 25 January 2020. Since then the demands of COVID-19 has presented unparalleled levels of strain on the public healthcare systems in the country. In this time of crisis, pharmacists and community pharmacy staff have modified work strategies according to the rapidly changing environment. With a delayed dissemination of resources and guidelines, pharmacist and pharmacies are practicing innovative infection control methods across Australia to protect their staff, patients and the community. This article seeks to explore the current activities undertaken by pharmacists in various community pharmacy settings across Australia in relation to the safety of the workplace environments for staff and patients. Information collected can help inform future decisions in pandemic preparation for pharmacies in response to similar health crisis now and in the future. Methods: An online cross-sectional survey study was conducted in Australia during the COVID-19 outbreak from 1st to 30th April 2020. The questionnaire addressed community pharmacist’s awareness and response to infection and sanitation control. Results: A total of 137 pharmacists took part in the survey, with almost half (45.26%) belonging to the age group of 25 to 34 years. Community pharmacy formed the bulk (89.05%) of the respondent’s primary place of practice. There was a good uptake of safety measures by pharmacists and their pharmacies to protect staff and patients. However the task of reassigning high health risk staff was not heavily practiced (34.31%). Regular cleaning took place in the pharmacy, but the use of gloves while cleaning was not practiced in 48.18% of respondents. In addition, only 46.72% of respondents reported observing script baskets being cleaned and disinfected. About one-third (37.96%) of pharmacists were aware of the two-step cleaning and disinfecting process, but only 18.98% of pharmacists reported observing or performing this sanitation procedure. More than half of surveyed pharmacists reported having difficulty keeping up with infection control changes and pharmacy practice guidelines during the pandemic. Conclusion: This study demonstrates that the majority of pharmacists are not fully aware of the infection control measures needed in a community pharmacy setting. The influx of coronavirus updates has made it difficult for pharmacists to implement accurate procedures on some aspects of workplace hygiene, which may have led to some gaps in infection control measures. Pharmacists must aim to uphold their public health ambassador role and aim to keep up-to-date with professional guidance to provide the necessary infection control measures to ensure staff, patient and public health safety.

scholarly journals Infection control measures to prevent outbreaks of COVID-19 in Quebec hemodialysis units: a cross-sectional survey

CMAJ Open ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. E1232-E1241
Author(s):  
William Beaubien-Souligny ◽  
Annie-Claire Nadeau-Fredette ◽  
Marie-Noel Nguyen ◽  
Norka Rios ◽  
Marie-Line Caron ◽  
...  
Keyword(s):  
Infection Control ◽  
Control Measures ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Infection Control Measures

scholarly journals Knowledge and practices towards COVID-19 among Palestinians during the COVID-19 outbreak: A second round cross-sectional survey

2020 ◽  
Author(s):  
Nouar Qutob ◽  
Faisal Awartani ◽  
Mohammad Asia ◽  
Imad Abu Khader
Keyword(s):  
Infection Control ◽  
Control Measures ◽  
Cross Sectional Survey ◽  
The West ◽  
Cross Sectional ◽  
Safety Measures ◽  
Infection Control Measures ◽  
Stratified Sample ◽  
Health Administrators ◽  
Round Cross

AbstractCoronavirus disease 2019 (COVID-19) is a highly transmissible illness that spreads rapidly through human-to-human transmission. To assess the knowledge and practices of Palestinians towards COVID-19 after the ease of movement restrictions, we collected data from Palestinian adults between June 15th and June 30th 2020. The participants’ pool represented a stratified sample of 1355 adults from Palestinian households across 11 governorates in the West Bank. The questionnaire included 7 demographic questions, 13 questions about participants’ knowledge and awareness of COVID–19, and 4 questions regarding the participants’ safety measures that had been taken in the last three months. Based on the results of this study, we conclude that the majority of participants have a good knowledge about COVID-19, but were not adequately committed to the infection control measures necessary to protect themselves and others. The findings may provide valuable feedback to lawmakers and health administrators to prevent the spread of the epidemic.

scholarly journals COVID-19 Knowledge among Healthcare Professionals in Gombe, Northeast, Nigeria: A Quick Online Cross-Sectional Survey

2021 ◽  
pp. 105-114
Author(s):  
Rabiu Ibrahim ◽  
Abdulsalam Yakubu ◽  
Ahmed Iya Girei ◽  
Danladi Muhammed Umar
Keyword(s):  
Infection Control ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Close Contact ◽  
Healthcare Setting ◽  
Control Measures ◽  
P Value ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional

Aims: Despite control measures adopted to check the rapid spread of the COVID-19 pandemic in Nigeria, healthcare workers still face a serious threat to infection due to SARS-CoV-2 virus. Adherence to control measures by healthcare workers depends on their knowledge. This study aimed to determine the knowledge of COVID-19 and related infection control practices among healthcare professionals in Gombe State. Mythology: A cross sectional study was conducted among healthcare professionals in Gombe. Relying on our network with the healthcare professionals, 500 participants were recruited into the study using simple random sampling method.  The data were collected using online questionnaire consisting of socio-demographic questions and 17questions based on knowledge and infection control practices related to COVID-19 disease in the healthcare setting adapted from a study in India. The data were analyzed using SPSS version 23 at uni-variate and bivariate levels with p value at < 0.05. Results: Close to three-fourth (72.1%) of the participants reported correct answer about knowledge of COVID-19, thus overall knowledge was found to be adequate for all subgroups. About four-fifth (78.9%) of doctors’ responses were correct. and the lowest (65.5%) was from CHOs, Laboratory assistants and health recorders. 43.7% of the participants could correctly define “close contact.” More than three-fourths of the participants knew the various infection control measures like rapid triage, respiratory hygiene, and cough etiquette and having a separate, well ventilated waiting area for suspected COVID-19 patients. However, less than half (47.8) of the participants were aware of the correct sequence for the application of a mask/respirator, and 62.2% of them knew the preferred hand hygiene method for visibly soiled hands. Conclusion: Regular health educational programs aimed at improving COVID-19 knowledge and infection control are needed.

scholarly journals SARS-CoV-2 seroprevalence in healthcare workers of a teaching hospital in a highly endemic region in the Netherlands after the first wave: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051573
Author(s):  
Maud Bouwman ◽  
Frits van Osch ◽  
Francy Crijns ◽  
Thera Trienekens ◽  
Jannet Mehagnoul-Schipper ◽  
...  
Keyword(s):  
The Netherlands ◽  
Infection Control ◽  
Healthcare Workers ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Control Measures ◽  
Sectional Study ◽  
Cross Sectional ◽  
Infection Control Measures ◽  
Increased Risk

ObjectiveTo study the SARS-CoV-2 infection rate among hospital healthcare workers after the first wave of the COVID-19 pandemic, and provide more knowledge in the understanding of the relationship between infection, symptomatology and source of infection.DesignA cross-sectional study in healthcare workers.SettingNorthern Limburg, the Netherlands.ParticipantsAll employees of VieCuri Medical Center (n=3300) were invited to enrol in current study. In total 2507 healthcare workers participated.InterventionBetween 22 June 2020 and 3 July 2020, participants provided venous blood samples voluntarily, which were tested for SARS-CoV-2 antibodies with the Wantai SARS-CoV-2 Ig total ELISA test. Work characteristics, exposure risks and prior symptoms consistent with COVID-19 were gathered through a survey.Main outcome measureProportion of healthcare workers with positive SARS-CoV-2 serology.ResultsThe overall seroprevalence was 21.1% (n=530/2507). Healthcare workers between 17 and 30 years were more likely to have SARS-CoV-2 antibodies compared with participants >30 years. The probability of having SARS-CoV-2 antibodies was comparable for healthcare workers with and without direct patient (OR 1.42, 95% CI 0.86 to 2.34) and COVID-19 patient contact (OR 1.62, 95% CI 0.80 to 3.33). On the contrary, exposure to COVID-19 positive coworkers (OR 1.83, 95% CI 1.15 to 2.93) and household members (OR 6.09, 95% CI 2.23 to 16.64) was associated with seropositivity. Of those healthcare workers with SARS-CoV-2 antibodies, 16% (n=85/530) had not experienced any prior COVID-19-related symptoms. Only fever and anosmia were associated with seropositivity (OR 1.90, 95% CI 1.42 to 2.55 and OR 10.51, 95% CI 7.86 to 14.07).ConclusionsHealthcare workers caring for hospitalised COVID-19 patients were not at an increased risk of infection, most likely as a result of taking standard infection control measures into consideration. These data show that compliance with infection control measures is essential to control secondary transmission and constrain the spread of the virus.

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