scholarly journals Analysis on mental health status and needs of health care workers in designated medical institutions of tuberculosis during the epidemic period of COVID-19

2020 ◽  
Author(s):  
Guo-Cui Wu ◽  
Xue-Hui Fang ◽  
Li Wu ◽  
Lun-Shan Lu ◽  
Xiao-Hong Kan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Targeted Intervention ◽  
Intervention Measures ◽  
Medical Institutions ◽  
Care Workers ◽  
Epidemic Period ◽  
Isolation Ward ◽  
And Control

Abstract Objective To understand the mental health status and needs of the health care workers during the epidemic period of COVID-19, so as to provide scientific basis for the targeted intervention measures. Methods A total of 511 health care workers were randomly selected from two designated tuberculosis medical institutions in Anhui province. Results There were 139 people in epidemic prevention and control positions (27.20%). Depression level: female was higher than male; nurse was higher than doctor; middle and junior job titles were higher than senior titles; junior college degree or below were higher than bachelor's degree, master's degree and above; isolation ward, fever clinic and pre-check triage were significantly higher than those of non-prevention and control positions ( P < 0.05). Loneliness scores: doctors were higher than that of medical technicians, and isolation ward, fever clinic and pre-check triage were higher than those of non-prevention and control positions ( P < 0.05). Social support: doctors were lower than that of medical technicians, and isolation ward, fever clinic and pre-check triage were significantly lower than those of non-prevention and control positions ( P < 0.05). The score of social support was negatively correlated with depression and loneliness ( P < 0.001), while depression was positively correlated with loneliness ( P < 0.001). Health care workers most want to receive one-to-one psychological counseling (29.75%), and provide crisis management (24.07%). The awareness rate of health care workers on COVID-19's knowledge was relatively high. Conclusions The psychological problems of health care workers, especially women, nurses with low educational background, low professional title, and staff in the epidemic prevention and control positions are relatively serious. We should focus on this population, and take targeted intervention measures.

scholarly journals Analysis on mental health status and needs of health care workers in designated medical institutions of tuberculosis during the epidemic period of COVID-19

2020 ◽  
Author(s):  
Xue-Hui Fang ◽  
Li Wu ◽  
Lun-Shan Lu ◽  
Xiao-Hong Kan ◽  
Hua Wang ◽  
...  
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Medical Institutions ◽  
Care Workers ◽  
Psychological Pressure ◽  
Depression Level ◽  
Isolation Ward ◽  
And Control

Abstract Background Coronavirus disease 2019 (COVID-19) has spread rapidly in China and other overseas areas, which has aroused widespread concern. The sharp increase in the number of patients has led to great psychological pressure on health care workers. The purpose of this study is to understand their mental health status and needs, so as to provide a scientific basis for alleviating the psychological pressure of health care workers.Methods Using a cross-sectional study design, 511 health care workers were randomly selected from two designated tuberculosis medical institutions in Anhui Province. The basic situation, perceived social support, depression level, loneliness and COVID-19 related knowledge were collected and analyzed by questionnaire.Results There were 139 people in epidemic prevention and control positions (27.20%). Depression level: female was higher than male; nurse was higher than doctor; middle and junior job titles were higher than senior titles; junior college degree or below were higher than bachelor's degree, master's degree and above; isolation ward, fever clinic and pre-check triage were significantly higher than those of non-prevention and control positions (P < 0.05). Loneliness scores: doctors were higher than that of medical technicians, and isolation ward, fever clinic and pre-check triage were higher than those of non-prevention and control positions (P < 0.05). Social support: doctors were lower than that of medical technicians, and isolation ward, fever clinic and pre-check triage were significantly lower than those of non-prevention and control positions (P < 0.05). The score of social support was negatively correlated with depression and loneliness (P < 0.001), while depression was positively correlated with loneliness (P < 0.001). Health care workers most want to receive one-to-one psychological counseling (29.75%), and provide crisis management (24.07%). The awareness rate of health care workers on COVID-19's knowledge was relatively high.Conclusions The psychological problems of health care workers, especially women, nurses with low educational background, low professional title, and staff in the epidemic prevention and control positions are relatively serious. We should focus on this population, and take targeted intervention measures.

scholarly journals Mental health problems and social supports in the COVID-19 healthcare workers: a Chinese explanatory study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xue-Hui Fang ◽  
Li Wu ◽  
Lun-Shan Lu ◽  
Xiao-Hong Kan ◽  
Hua Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Care ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Care Workers ◽  
Psychological Pressure ◽  
Depression Level ◽  
Isolation Ward ◽  
And Control

Abstract Background Coronavirus disease 2019 (COVID-19) has spread rapidly in China and other overseas areas, which has aroused widespread concern. The sharp increase in the number of patients has led to great psychological pressure on health care workers. The purpose of this study was to understand their mental health status and needs, so as to provide a scientific basis for alleviating the psychological pressure of health care workers. Methods Using a cross-sectional study design, 540 health care workers were randomly selected from two designated tuberculosis medical institutions in Anhui Province. The basic situation, perceived social support, depression level, loneliness and COVID-19 related knowledge were collected and analyzed by questionnaire. Results A total of 511 valid questionnaires were finally retrieved. There were 139 people in epidemic prevention and control positions (27.20%). Depression level: People in isolation ward, fever clinic and pre-check triage were at the level of mild to moderate depression. Female was higher than male; nurse was higher than doctor; middle and junior job titles were higher than senior titles; junior college degree or below were higher than bachelor’s degree, master’s degree and above; isolation ward, fever clinic and pre-check triage were significantly higher than those of non-prevention and control positions (p < 0.05). Loneliness scores: Doctors were higher than that of medical technicians, and isolation ward, fever clinic and pre-check triage were higher than those of other medical departments (p < 0.05). Social support: Doctors were lower than that of medical technicians, and isolation ward, fever clinic and pre-check triage were significantly lower than those of other departments (p < 0.05). The score of social support was negatively correlated with depression and loneliness (p < 0.001), while depression was positively correlated with loneliness (p < 0.001). Health care workers most want to receive one-to-one psychological counseling (29.75%), and provide crisis management (24.07%). The awareness rate of health care workers on COVID-19’s knowledge was relatively high. Conclusions The psychological problems of health care workers, especially women, nurses with low educational background, low professional title, and staff in the epidemic prevention and control positions are relatively serious.

scholarly journals The experience of European hospital-based health care workers on following infection prevention and control procedures for COVID-19

2020 ◽  
Author(s):  
Denise van Hout ◽  
Paul Hutchinson ◽  
Marta Wanat ◽  
Caitlin Pilbeam ◽  
Herman Goossens ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Risk ◽  
Infection Prevention And Control ◽  
Emotional Wellbeing ◽  
Care Workers ◽  
And Control ◽  
The Impact

ABSTRACTBackgroundWorking under pandemic conditions exposes health care workers (HCWs) to infection risk and psychological strain. Protecting the physical and psychological health of HCWs is a key priority. This study assessed the perceptions of European hospital HCWs of local infection prevention and control (IPC) procedures during the COVID-19 pandemic and the impact on their emotional wellbeing.MethodsWe performed two rounds of an international cross-sectional survey, between 31 March and 17 April 2020 via existing research networks (round 1), and between 14 May and 31 August 2020 via online convenience sampling (round 2). Main outcome measures were (1) behavioural determinants of HCW adherence with IPC procedures, (2) WHO-5 Well-Being Index, a validated scale of 0-100 reflecting emotional wellbeing. The WHO-5 was interpreted as a score below or above 50 points, a cut-off score used in previous literature to screen for depression.Results2,289 HCWs (round 1: n=190, round 2: n=2,099) from 40 countries in Europe participated. Mean age of respondents was 42 (±11) years, 66% were female, 47% and 39% were medical doctors and nurses, respectively. 74% (n=1699) of HCWs were directly treating patients with COVID-19, of which 32% (n=527) reported they were fearful of caring for these patients. HCWs reported high levels of concern about COVID-19 infection risk to themselves (71%) and their family (82%) as a result of their job. 40% of HCWs considered that getting infected with COVID-19 was not within their control. This was more common among junior than senior HCWs (46% versus 38%, P value <.01). Sufficient COVID-19-specific IPC training, confidence in PPE use and institutional trust were positively associated with the feeling that becoming infected with COVID-19 was within their control. Female HCWs were more likely than males to report a WHO-5 score below 50 points (aOR 1.5 (95% confidence interval (CI) 1.2-1.8).ConclusionsIn Europe, the COVID-19 pandemic has had a differential impact on those providing direct COVID-19 patient care, junior staff and women. Health facilities must be aware of these differential impacts, build trust and provide tailored support for this vital workforce during the current COVID-19 pandemic.

scholarly journals Infection prevention and control, pillar for safety of healthcare worker: COVID-19 experience, Patan Hospital, Nepal

2020 ◽  
Vol 7 (1) ◽  
pp. 93-96
Author(s):  
Piyush Rajbhandari ◽  
Deveshree Dongol
Keyword(s):  
Health Care ◽  
Healthcare Worker ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Health Sciences ◽  
Infection Prevention And Control ◽  
Care Workers ◽  
Response Plan ◽  
And Control

Infection prevention and control (IPC) programs play an integral part in the safety of patients, visitors, health care workers and environment as these programs provide guidelines and standard for recognition, prevention and control of infection. With COVID-19 pandemic, Patan Hospital, Patan Academy of Health Sciences, Nepal, is amongst the few hospitals in Nepal to have undertaken the responsibility of managing COVID patients. The COVID response plan has been activated and is currently the best prepared institution to manage this pandemic.

Disconnects in design and infection prevention and control – how the design of products and the environment in neonatal intensive care may be undermining infection prevention practice

2016 ◽  
Vol 5 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Chantal Trudel ◽  
Sue Cobb ◽  
Kathryn Momtahan ◽  
Janet Brintnell ◽  
Ann Mitchell
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Neonatal Intensive Care ◽  
Best Practice ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Infection Transmission ◽  
Care Workers ◽  
And Control

This study examined the role design plays in infection prevention and control within an existing neonatal intensive care unit. Methods from human-centred design such as planning, stakeholder meetings and naturalistic observation were used to obtain infection prevention information related to the existing unit design, interactions with products and the environment, and perspectives of front-line staff on design. Thematic analysis was used to categorize and structure the issues that were identified. The analysis revealed that the design of products and the environment may be undermining best practice in infection prevention. Health care workers experience a variety of difficulties in maintaining the recommended barriers to infection transmission, difficulties which stem from deficiencies in products and the environment. Various aspects of the neonatal care design lack the feedback or supports needed to help health care workers differentiate or work between infection transmission zones making the design challenging to use or maintain in a manner that supports best practice in infection prevention. Identifying issues in the design of products and the environment related to infection prevention practice led to the development of a ‘Design Exploration Guide’. The guide outlines issues and strategies for remediation based on feasibility within the project constraints.

Disconnects in design and infection prevention and control – how the design of products and the environment in neonatal intensive care may be undermining infection prevention practice

2016 ◽  
Vol 60 (1) ◽  
pp. 691-696
Author(s):  
Chantal Trudel ◽  
Sue Cobb ◽  
Kathryn Momtahan ◽  
Janet Brintnell ◽  
Ann Mitchell
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Neonatal Intensive Care ◽  
Best Practice ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Infection Transmission ◽  
Care Workers ◽  
And Control

This study examined the role design plays in infection prevention and control within an existing neonatal intensive care unit. Methods from human-centred design such as planning, stakeholder meetings and naturalistic observation were used to obtain infection prevention information related to the existing unit design, interactions with products and the environment, and perspectives of front-line staff on design. Thematic analysis was used to categorize and structure the issues that were identified. The analysis revealed that the design of products and the environment may be undermining best practice in infection prevention. Health care workers experience a variety of difficulties in maintaining the recommended barriers to infection transmission, difficulties which stem from deficiencies in products and the environment. Various aspects of the neonatal care design lack the feedback or supports needed to help health care workers differentiate or work between infection transmission zones making the design challenging to use or maintain in a manner that supports best practice in infection prevention. Identifying issues in the design of products and the environment related to infection prevention practice led to the development of a ‘Design Exploration Guide’. The guide outlines issues and strategies for remediation based on feasibility within the project constraints.

Guidelines for the prevention and control of tuberculosis in health care workers

2015 ◽  
Vol 145 (12) ◽  
pp. 534.e1-534.e13
Author(s):  
Irma Casas ◽  
Jose Dominguez ◽  
Soledad Rodríguez ◽  
Joan Matllo ◽  
Neus Altet
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Care Workers ◽  
And Control

scholarly journals Assessment of Tuberculosis Outbreak Definitions for a First Nations On-Reserve Context

2013 ◽  
Vol 9 (1) ◽  
pp. 23
Author(s):  
H. Samji ◽  
D. Wardman ◽  
P. Orr
Keyword(s):  
Health Care ◽  
First Nations ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Aboriginal People ◽  
Aboriginal Communities ◽  
National Rate ◽  
Care Workers ◽  
Study Participants ◽  
And Control

Improving the prevention and control of tuberculosis (TB) in Aboriginal communities in Canada is a matter of great urgency. Canadian-born Aboriginal people account for 21% of TB cases in the country even though they represent only 3.8% of the overall population. Moreover, age standardized rates of TB in Aboriginal people reveal an incidence almost six fold greater than the national rate. There are unique challenges in the prevention and control of TB in First Nations populations. We sought to investigate whether the Canadian Tuberculosis Standards definition being used Canada wide to address TB is appropriate in a First Nations on-reserve context or whether alternate definitions should be considered. In this study, we spoke to health care workers, scientists, and administrators involved in TB programs and care across the country to assess the suitability of the definition used to classify an outbreak. Our data showed that the majority of study participants did not support a First Nations-specific TB outbreak definition. Participants felt that a response protocol would be useful, along with a preamble to the definition detailing unique circumstances that may pertain to an outbreak on-reserve.

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