scholarly journals Knowledge, Attitude and Behavior of Health Care Workers in the Prevention of COVID-19

Author(s):  
Shokofeh Maleki ◽  
Farid Najafi ◽  
Khosro Farhadi ◽  
Mahmoud Fakhri ◽  
Fatemeh Hosseini ◽  
...  

Abstract Background Preserving the health of health care workers (HCWs) has now become one of the main concerns of all countries affected by the coronavirus. Maintaining the health of the hospital workers, especially the medical staff, requires knowledge and awareness, followed by proper behavior for disease prevention and transmission. The purpose of this study was to evaluate the knowledge, attitude and behavior of HCWs to ward patients with suspected or confirmed COVID-19.Methods A cross-sectional study was designed to assess the level of knowledge, attitude and behavior of 191 HCWs of Taleghani Hospital in Kermanshah toward patients with suspected or confirmed COVID-19. Responses to the checklists of demographic characteristics, knowledge, attitude, and behavior toward patients with COVID-19 were analyzed by SPSS 22.Results 191 subjects (118 females and 73 males) with a mean age of 34.7 ± 8.6 years participated in this study. The level of knowledge of HCWs in this study was excellent regarding the ways of transmitting the disease such as close contact with the patient with suspected Coronavirus (99%). According to their positions, participants had a significant difference in their knowledge of asymptomatic patients (P < 0.001). The study found that 14% of the HCWs did not have the necessary knowledge about the symptoms of COVID-19, indicating poor knowledge of the HCWs at the beginning of the disease epidemic. The results obtained from the evaluation of HCWs attitudes showed that some workers believed that protective and preventive measures should only be applied when managing people with severe symptoms (P < 0.001). Finally, there was a significant difference in behavior and adherence to protective and preventive measures between the participants when facing patients with severe symptoms and without symptoms of COVID-19 (P = 0.05).Conclusion Knowledge, attitude, and behavior toward COVID-19 infection and facing patients with severe and overt symptoms among health care workers in the hospital were Excellent, but these were insufficient for patients without obvious symptoms. These results suggest that additional training regarding subclinical cases of Coronavirus is needed for HCWs to protect them from contamination and prevent disease transmission to their colleagues and other patients as well.

Author(s):  
Katharina Müller ◽  
Philipp Girl ◽  
Michaela Ruhnke ◽  
Mareike Spranger ◽  
Klaus Kaier ◽  
...  

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is associated with a potentially severe clinical manifestation, coronavirus disease 2019 (COVID-19), and currently poses a worldwide challenge. Health care workers (HCWs) are at the forefront of any health care system and thus especially at risk for SARS-CoV-2 infection due to their potentially frequent and close contact with patients suffering from COVID-19. Serum samples from 198 HCWs with direct patient contact of a regional medical center and several outpatient facilities were collected during the early phase of the pandemic (April 2020) and tested for SARS-CoV-2-specific antibodies. Commercially available IgA- and IgG-specific ELISAs were used as screening technique, followed by an in-house neutralization assay for confirmation. Neutralizing SARS-CoV-2-specific antibodies were detected in seven of 198 (3.5%) tested HCWs. There was no significant difference in seroprevalence between the regional medical center (3.4%) and the outpatient institution (5%). The overall seroprevalence of neutralizing SARS-CoV-2-specific antibodies in HCWs in both a large regional medical center and a small outpatient institution was low (3.5%) at the beginning of April 2020. The findings may indicate that the timely implemented preventive measures (strict hygiene protocols, personal protective equipment) were effective to protect from transmission of an airborne virus when only limited information on the pathogen was available.


SAGE Open ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. 215824401773514
Author(s):  
Gayatri Khanal ◽  
Suman Thapa

Improper HH by health care workers is responsible for about 40% of nosocomial infections resulting in prolonged illnesses. A cross-sectional study was carried out in three hospitals to identify the knowledge and practice of HH. There was a significant difference in the level of knowledge among the health care workers ( p < .05). There was a positive association ( r = 0.247) between knowledge and practice skill of health care workers. Nearly three quarters of the health care workers (74.2%) had been trained for infection prevention. Soap was the most popular agent (57.5%) for HH. The health care workers had good level of knowledge (77.3%) and practice (91.7%) on HH. However, half of the health care workers were unaware of all of the steps of HH and they were lacking in knowledge and practice skill regarding important components of HH. Therefore, there is an urgent need for continuing medical education for infection prevention, to increase their awareness and compliance toward HH.


Author(s):  
Stephen Knoble ◽  
Anil Pandit ◽  
Bibek Koirala ◽  
Laxmi Ghimire

A representative, cross-sectional clinical skills assessment of 163 mid-level, rural-based, government health care workers was conducted in four districts of Nepal in June 2007. All Health Assistants and Auxiliary Healthcare Workers within the target districts were scored using checklists of standardized key skills in clinical encounters with model patients or clinical models. Participant scores were reported as a mean percentage in adult medicine 28(%), pediatric medicine 56(%), maternity medicine 35(%), orthopedic medicine 45(%), clinical procedures 59(%), and management 46(%). This was measured against the government’s 60(%) standard on clinical skills. There was little significant difference between categories of health workers by district of posting or years of experience. There was a minor difference in skills by level of facility - workers in higher level facilities scored better across the domains. Reasons for poor performance in clinical skills were attributed to a lack of clinical in-service training programs, training only focusing on prevention and public health, and poor on-sight supervision. Poor pre-service schooling factors included heavy theory concentration in pathophysiology and inadequate clinical exposure opportunities. Recommendations for the improvement of clinical skills and decision-making include the institution of in-service competency-based training with a high emphasis on real patient exposure. Pre-service recommendations include implementation of a national certification program and an expansion of the current government clinical training sites and clinical teacher development programs.


2021 ◽  
Author(s):  
Daniella Rahamim-Cohen ◽  
Sivan Gazit ◽  
Galit Perez ◽  
Barak Nada ◽  
Shay Ben Moshe ◽  
...  

Following the widespread vaccination program for COVID-19 carried out in Israel, a survey was conducted to preliminarily assess behavior changes in the vaccinated population, prior to the expected upcoming policy change as to mask wearing and social distancing regulation in Israel. 200 people answered at least one question pertaining to preventive behaviour. Among the respondents, 21.1% reported a decrease in mask wearing compared to 47.3% who reported a decrease in social distancing. There was no difference in these measures between the sexes. However, people under the age of 50 were more likely to decrease mask wearing (28.1%) and decrease social distancing (56.1%), as compared with people over the age of 50 (17.2% and 41.8%, respectively). Among health care workers, there was a minimal decrease in mask wearing (1/23 people) compared to a more widespread decrease in social distancing (10/23). These data suggest that preventive attitudes change following COVID-19 vaccination, with less adherence to social distancing as compared to mask wearing, and should be taken into account when planning public policy in the future.


Author(s):  
Nitin Shetty ◽  
Nivedita Chakrabarty ◽  
Amit Joshi ◽  
Amar Patil ◽  
Suyash Kulkarni ◽  
...  

Background: Theoretically, health care workers (HCW) are at increased risk of getting infected with COVID-19 compared to the general population. Limited data exists regarding the actual incidence of COVID-19 infection amongst the high risk and low risk HCW of the same hospital. We present an audit from our tertiary cancer care centre comparing the COVID-19 infection rate between the high risk and low risk HCW, all of whom had been provided with adequate protective measures and health education.Methods: This is a retrospective observational study from 01 April 2020 to 30 September 2020, in which all the 970 HCW of Advanced Centre for Treatment, Research and Education in Cancer were divided into high risk and low risk groups. High risk HCW included all the medical and non-medical staff directly involved with the care of COVID-19 patients, and rest were low risk HCW. Adequate protective measures and classes for infection prevention were provided to all the HCW. We calculated the incidence of COVID-19 infection in both these groups based on the positive real time-polymerase chain reaction (RT-PCR) result and also looked for any significant difference in incidence between these two groups.Results: The incidence of COVID-19 infection amongst the high risk HCW was 13% and that of low risk HCW was 14%.Conclusions: We found no significant difference in COVID-19 infection between the high risk and low risk HCW. Thus, along with protective measures, behavior modifications induced by working in high risk areas, prevented the high risk HCW from getting increased COVID-19 infection compared to the low risk HCW.


2012 ◽  
Vol 2 (4) ◽  
pp. 084-091
Author(s):  
Suhair A. Yaghi ◽  
◽  
Ebtihal S. Al-Habib ◽  
Alia A. Sadik ◽  
Ghizayel R. Almutairi ◽  
...  

Author(s):  
Ge Wang ◽  
Jia-Lun Guan ◽  
Xiu-Qing Zhu ◽  
Mu-Ru Wang ◽  
Dan Fang ◽  
...  

ABSTRACT Objective: To investigate risk factors and psychological stress of health care workers (HCWs) with COVID-19 in a non-frontline clinical department. Methods: Data of 2 source patients and all HCWs with infection risk were obtained in a department in Wuhan from January to February 2020. A questionnaire was designed to evaluate psychological stress of COVID-19 on HCWs. Results: The overall infection rate was 4.8% in HCWs. 10 of 25 HCWs who contacted with 2 source patients were diagnosed with confirmed COVID-19 (8/10) and suspected COVID-19 (2/10). Other 2 HCWs were transmitted by other patients or colleagues. Close care behaviours included physical examination (6/12), life nursing (4/12), ward rounds (4/12), endoscopic examination (2/12). Contacts fluctuated from 1 to 24 times and each contact was short (8.1 min ± 5.6 min). HCWs wore surgical masks (11/12), gloves (7/12), and isolation clothing (3/12) when providing medical care. Most HCWs experienced a mild course with 2 asymptomatic infections, taking 9.8 days and 20.9 days to obtain viral shedding and clinical cure, respectively. Psychological stress included worry (58.3%), anxiety (83.3%), depression (58.3%), and insomnia (58.3%). Conclusions: Close contact with COVID-19 patients and insufficient protection were key risk factors. Precaution measures and psychological support on COVID-19 is urgently required for HCWs.


2010 ◽  
Vol 51 (11) ◽  
pp. 1298-1305 ◽  
Author(s):  
Mark G. Kortepeter ◽  
Barbara J. Seaworth ◽  
Sybil A. Tasker ◽  
Timothy H. Burgess ◽  
Rodney L. Coldren ◽  
...  

2020 ◽  
Vol 77 (5) ◽  
pp. 463-469
Author(s):  
Darija Kisic-Tepavcevic ◽  
Milena Kanazir ◽  
Gorica Maric ◽  
Milica Zaric ◽  
Goranka Loncarevic ◽  
...  

Background/Aim. Despite the availability of safe and effective vaccine since 1982, hepatitis B virus (HBV) infection still remains a major occupational disease among health care workers (HCWs) worldwide. The aim of this study was to estimate the level of knowledge regarding HBV among HCWs in Serbia. Methods. A random sample of 352 HCWs, stratified by occupation, was selected from the list of employees in the Clinical Centre of Serbia during December 2015. Anonymous questionnaire was used in data collection. Data were statistically assessed. Results. The mean HBV knowledge score was 22.9 ? 4.8 (out of maximum 30). Better knowledge score correlated with higher education attainment (? = 0.377; p < 0.001), younger age (? = -0.113; p = 0.034) and less working experience (?=-0.127; p = 0.017). We observed that those HCWs who were previously vaccinated against hepatitis B demonstrated statistically significantly higher knowledge level (t = 5.656, p < 0.001) compared to HCWs who were not vaccinated (23.9 ? 3.7 vs. 20.9 ? 5.8, respectively). Conclusion. We found poor level of knowledge on some aspects of HBV infection among HCWs in Serbia. Tailoring of education campaigns in this high-risk exposure group is necessary. Education intervention should focus on change of attitudes and behaviour modification to ensure safe and responsible health care environment.


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