scholarly journals COVID19 infection in health care professionals: risks, work-safety and psychological issues.

2020 ◽  
Author(s):  
Yogesh Dabholkar ◽  
Bhagyashree Sagane ◽  
Twinkle Dabholkar ◽  
Shivakumar Divity
Keyword(s):  
Psychological Health ◽  
Health Care Professionals ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Healthcare Personnel ◽  
Work Place ◽  
Care Hospital ◽  
Online Questionnaire ◽  
Increased Risk ◽  
Psychological Parameters

Abstract Introduction: (COVID-19) infection has spread widely over past 5 months to become a pandemic of global proportions affecting almost every country. While HCPs are expected to tackle this crisis by working in hospital and intensive care setting, there is real risk of them contracting infection and even dying. This article aims to report cases of healthcare personnel (HCPs) contracting COVID19 in various settings in a tertiary care hospital, a designated COVID centre, with view to disseminate information and review safety and psychological health issues of healthcare professionals.Methods: This study is a cross-sectional hospital-based survey from April 2020-June 2020. Data on demographics, workplace safety and psychological parameters from HCPs was collected by both interview and an online questionnaire form.Results: A total of 40 healthcare workers were infected in the hospital in a period of 2 months since the first COVID case was admitted in the hospital. Almost 57.5 % reported positive on several psychological parameters like anxiety, fear, anger, irritability and insomnia. About 42.5 % had no psychological counselling after testing positive.Discussion: These cases illustrate work-place risks for healthcare workers of acquiring COVID19 and highlight the problems faced in terms of risks of transmission to patients and colleagues, isolation of contacts in departments leading to near-breakdown of services and psychological stress to healthcare workers.Conclusion: Healthcare workers being at frontline of exposure to corona patients are at increased risk of developing COVID19 infections. Healthcare workers are working under tremendous stress in this pandemic and it is necessary to combat fear with facts and work towards safe work atmosphere so that they can discharge their duties to best of their ability.

Prevalence of Bullying among Nurses in a Tertiary Hospital, Bangalore

2019 ◽  
Vol 9 (1) ◽  
pp. 8-12
Author(s):  
Cency Baburajan ◽  
Sakthi Arasu ◽  
Ramesh Naveen
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Workplace Stress ◽  
Work Place ◽  
Care Hospital ◽  
Quality Healthcare ◽  
Negative Acts

Background: In the last decade, research conducted in different countries has shown that bullying in the health care sector especially among nurses is a widespread and serious problem. Bullying of nurses at workplace affects their quality of life, hinders delivery of quality healthcare and contributes to increase in workplace stress. So, this study was conducted to assess the prevalence of work place bullying among nurses working in a tertiary care hospital in Bangalore. Methods: This study was conducted among 300 staff nurses providing in-patient services in a tertiary health care hospital located in Bangalore. The required sample was selected utilizing the documents maintained in the office of Chief of Nursing Services and using computer generated random numbers. The data was collected using self-administered questionnaire which comprised of socio-demographic factors and Negative Acts Questionnaire-Revised. Results: Among the 297 respondents, 26.9% were victims of bullying in the past six months according to Negative Acts Questionnaire-Revised (NAQ-R). Among the participants who were bullied, those exposed to work-related bullying, person-related bullying and physical intimidation were 80%, 60% and 21.3% respectively. Conclusion: This study suggests existence of work place bullying among nurses which can adversely affect their performance as health care professionals and their quality of personal life.

Pandemic 2009 Influenza A (H1N1) Virus among Japanese Healthcare Workers: Seroprevalence and Risk Factors

2012 ◽  
Vol 33 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Yoko Nukui ◽  
Shuji Hatakeyama ◽  
Takatoshi Kitazawa ◽  
Tamami Mahira ◽  
Yoshizumi Shintani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Healthcare Workers ◽  
Influenza A ◽  
H1n1 Virus ◽  
Healthcare Personnel ◽  
Care Hospital ◽  
Occupational Risk Factors ◽  
Increased Risk ◽  
Influenza A H1n1 ◽  
2009 H1n1

Objective.To evaluate the seroprevalence and risk factors for 2009 influenza A (H1N1) virus infection among healthcare personnel.Design.Observational cross-sectional study.Patients and Setting.Healthcare workers (HCWs) in an acute care hospital.Methods.Between September 14 and October 4, 2009, before 2009 H1N1 vaccination, we collected serological samples from 461 healthy HCWs. Hemagglutination-inhibition antibody assays were conducted. To evaluate the risk factors of seropositivity for 2009 H1N1 virus, gender, age, profession, work department, usage of personal protective equipment, and seasonal influenza vaccination status data were gathered via questionnaires.Results.Our survey showed that doctors and nurses were at highest risk of seropositivity for the 2009 H1N1 virus (odds ratio [OR], 5.25 [95% confidence interval {CI}, 1.21–22.7]). An increased risk of seropositivity was observed among pediatric, emergency room, and internal medicine staff (adjusted OR, 1.98 [95% CI, 1.07–3.65]). Risk was also higher among HCWs who had high titers of antibodies against the seasonal H1N1 virus (adjusted OR, 1.59 [95% CI, 1.02–2.48]).Conclusions.Seropositivity for the 2009 H1N1 virus was associated with occupational risk factors among HCWs.Infect Control Hosp Epidemiol 2012;33(1):58-62

scholarly journals ASSESSMENT OF NOVEL CORONA VIRUS (COVID-19) AWARENESS AMONG MEDICAL LABORATORY TECHNOLOGIST IN A TERTIARY CARE HOSPITAL IN DELHI: A QUESTIONANAIRE BASED SURVEY

2020 ◽  
pp. 1-5
Author(s):  
Anjali Sharma ◽  
Manju Kumari ◽  
Heena Heena ◽  
Mukul Singh ◽  
Sunil Ranga ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Medical Laboratory ◽  
Care Hospital ◽  
Online Questionnaire ◽  
Major Health Problem ◽  
Effective Interventions ◽  
Care Workers

Introduction: COVID-19 is rapidly spreading all over the world and is a major health problem in the current scenario. The aim of this study is to assess the awareness of related to COVID-19 disease among the health care workers. Material and methods: This is an online questionnaire based study comprising of 24 questions related to COVID-19 and included 89 health care workers. The responses were analyzed using SPSS software. Results: There were 50 females and 39 males. Among these 35 were trained and 54 were untrained. On analysis we found that females (96.0%) were more aware than males (92.3%). The response of trained persons were more accurate than those of untrained but was not significant (p=0.98). The most aware age group was 51-60 and most aware department was blood bank followed by microbiology. Conclusion: Awareness and preparedness of healthcare workers is low regarding the coronavirus infection. There is need of urgent effective interventions and training programs for various healthcare workers.

scholarly journals Perceived stressors and coping mechanisms among intern doctors and residents in a tertiary care hospital in South India

2020 ◽  
Vol 7 (12) ◽  
pp. 4910
Author(s):  
Amey Joshi ◽  
Akshaya Jayaprakash ◽  
Pradeep C.
Keyword(s):  
Perceived Stress ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Coping Mechanisms ◽  
Work Place ◽  
Stress Profile ◽  
Care Hospital ◽  
Sleep Habits ◽  
Cross Sectional ◽  
Effective Manner

Background: The high prevalence of stress amongst health care professionals is resulting in burnout and decline in quality of patient care. Intern doctors and residents are expected to adapt, improvise and overcome these stressors in an effective manner to optimize their productivity and ensure the best standard of care. This study aims to outline the stress profile as perceived by intern doctors and residents and to explore methods employed to cope with work place stress.Methods: An analytical cross-sectional study was undertaken among 60 Intern doctors and 60 Residents in a Tertiary care teaching hospital in southern India in 2018. Socio-demographic details and perceived stress was evaluated by questionnaires and Cohen’s perceived stress scale (PSS). Data obtained was entered and analysed with Statistical Package for the Social Sciences and results were presented using frequencies and percentages. Chi-square test was used to test significance of various factors and their relation to stress.Results: Total 78.3% of intern doctors and 75% of residents reported to be stressed. The mean PSS score among intern doctors was 18.42±4.18 and 19±4 among residents. With the exception of sleep duration, no significant association was found between stress and socio-demographic or behavioral factors. Excessive work load was the leading cause of Stress was reported by 78.3% and 75% of Intern and resident doctors respectively. 33.3% of residents resorted to unhealthy coping mechanisms to stress as against 8% in Interns. 18.3% of intern doctors were unaware of means to cope with stress.  Conclusions: Effective stress management techniques and healthy sleep habits must be encouraged amongst Intern and Resident doctors to enable them to adapt to the dynamic and demanding lifestyle of the medical profession. 

scholarly journals Use of a smartphone app to inform healthcare workers of hospital policy during a pandemic such as COVID-19: A mixed methods observational study

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262105
Author(s):  
R. I. Helou ◽  
C. M. Waltmans–den Breejen ◽  
J. A. Severin ◽  
M. E. J. L. Hulscher ◽  
A. Verbon
Keyword(s):  
User Experience ◽  
User Satisfaction ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Relevant Information ◽  
Smartphone App ◽  
Care Hospital ◽  
Online Questionnaire ◽  
Hospital Policy ◽  
Treatment Protocols

Objective To evaluate the use of a COVID-19 app containing relevant information for healthcare workers (HCWs) in hospitals and to determine user experience. Methods A smartphone app (Firstline) was adapted to exclusively contain local COVID-19 policy documents and treatment protocols. This COVID-19 app was offered to all HCWs of a 900-bed tertiary care hospital. App use was evaluated with user analytics and user experience in an online questionnaire. Results A total number of 1168 HCWs subscribed to the COVID-19 app which was used 3903 times with an average of 1 minute and 20 seconds per session during a three-month period. The number of active users peaked in April 2020 with 1017 users. Users included medical specialists (22.3%), residents (16.5%), nurses (22.2%), management (6.2%) and other (26.5%). Information for HCWs such as when to test for SARS-CoV-2 (1214), latest updates (1181), the COVID-19 telephone list (418) and the SARS-CoV-2 / COVID-19 guideline (280) were the most frequently accessed advice. Seventy-one users with a mean age of 46.1 years from 19 different departments completed the questionnaire. Respondents considered the COVID-19 app clear (54/59; 92%), easy-to-use (46/55; 84%), fast (46/52; 88%), useful (52/56; 93%), and had faith in the information (58/70; 83%). The COVID-19 app was used to quickly look up something (43/68; 63%), when no computer was available (15/68; 22%), look up / dial COVID-related phone numbers (15/68; 22%) or when walking from A to B (11/68; 16%). Few respondents felt app use cost time (5/68; 7%). Conclusions Our COVID-19 app proved to be a relatively simple yet innovative tool that was used by HCWs from all disciplines involved in taking care of COVID-19 patients. The up-to-date app was used for different topics and had high user satisfaction amongst questionnaire respondents. An app with local hospital policy could be an invaluable tool during a pandemic.

scholarly journals Knowledge, Attitude, and Practices Related to COVID-19 among Healthcare Personnel in a Tertiary Care Hospital in Nepal: A Cross-sectional Survey

2020 ◽  
Vol 18 (2) ◽  
pp. 21-28
Author(s):  
S. Basnet ◽  
S. Dahal ◽  
D. Tamrakar ◽  
Y.R. Shakya ◽  
C. Jacobson ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Tertiary Care ◽  
Rank Correlation ◽  
Negative Attitude ◽  
University Hospital ◽  
Healthcare Personnel ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Logistic Analysis

Background COVID-19 is significantly affecting the healthcare system globally. As a result, healthcare workers need to be updated on the best practices for the proper management of the disease. Objective The purpose of this study was to assess the knowledge, attitude, and practices (KAP) related to COVID-19 among healthcare personnel. Method This was a cross-sectional study conducted among medical personnel at Dhulikhel Hospital Kathmandu University Hospital using a semi-structured questionnaire on KAP related to COVID-19 from May 8th to June 8th, 2020. We analyzed survey data by using descriptive statistics. Spearman rank correlation, chi-square test and binary logistic analysis were used to examine the association between sociodemographic characteristics with KAP related to COVID-19. Result Among 220 participants, the majority were nurses (60%) followed by doctors (27.7%), paramedics (10%) and technicians (2.3%). The results showed that 68.6% of healthcare personnel had a good knowledge with appropriate practices (98.5%) and negative attitude (59.3%). In the multivariate binary logistic analysis, the healthcare workers with the clinical experience level of one to five years (OR:.42, 95% CI:.19- .96) and more than 5 years (OR: .16, 95% CI: .04-.63) were significantly associated with negative attitude. The confidence score for managing COVID-19 (OR:1.16, 95% CI:1.02-1.34) was significantly associated with an optimistic attitude. Conclusion Healthcare workers are knowledgeable about COVID-19 and proactively practising to minimize the spread of infection but lack optimistic attitudes. Hence, the constantly updated educational programmes related to COVID-19 for targeted groups will contribute to improving healthcare workers’ attitude and practices.

scholarly journals Knowledge and Attitude towards Covid-19 among Healthcare Workers of A Tertiary Care Hospital in India

2021 ◽  
Vol 68 (2) ◽  
Author(s):  
Alok Dixit ◽  
Amit Vikram Singh ◽  
Chandra Veer Singh ◽  
Ramakant Yadav ◽  
Sandeep Kumar Singh
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Healthcare Workers ◽  
Positive Attitude ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Good Knowledge ◽  
Care Hospital ◽  
Technical Staff ◽  
Knowledge And Attitude

ICOVID-19 has involved serious occupational health risk to the health care professionals who are frequently exposed to infected individuals. Knowledge and attitude among health care professionals can prevent the spread of COVID-19. The present study was aimed to identify the current status of knowledge and attitude regarding COVID-19 among healthcare professionals in a tertiary care hospital. A questionnaire-based cross-sectional study was conducted among medical staff (doctors, nurses and lab technicians) in a tertiary care hospital to assess the knowledge and attitude toward COVID-19 among healthcare workers. The questionnaire comprised of three sections (demographic, knowledge and attitude) for data collections. Non parametric tests and Pearson correlation was used to analyze data using R (The comprehensive R archive network) version 3.6.2. Of the 117 respondents, 46.15% were doctors, 25.64% nurses and 28.20% technical staff. On data analysis, 94% were in good knowledge category, 6% had poor knowledge and 100% had positive attitude. In the knowledge section, median value for doctors was higher than nurses and technical staff (P = 0.02). Doctors showed higher median values for attitude than nurses and technical staffs (P = 0.02). A weak positive correlation, r(115)= .20, p=.0299 was evidenced between knowledge and attitude for COVID-19. Present study shows that the health care workers of a tertiary care institute had good knowledge and positive attitude towards COVID -19, though in some areas the knowledge and attitude was observed low. The study also observes that there is need for continuous teaching and training programs.

Risk of Tuberculous Infection Among Healthcare Workers in a Tertiary-Care Hospital in Ankara, Turkey

2004 ◽  
Vol 25 (12) ◽  
pp. 1067-1071 ◽  
Author(s):  
Ramazan Keskiner ◽  
Önder Ergönül ◽  
Ziya Demiroglu ◽  
Sebnem Eren ◽  
Nurcan Baykam ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Tuberculous Infection ◽  
Care Hospital ◽  
Increased Risk ◽  
Work Duration ◽  
History Of ◽  
Community Exposure ◽  
Radiology Technicians

AbstractObjective:To determine risk factors for tuberculin skin test (TST) positivity among healthcare workers (HCWs).Design:Two-step TST was performed in 2002.Setting:Tertiary-care hospital in Ankara, Turkey.Participants:A sample of 491 hospital HCWs were included. Information related to demographics, profession, work duration, department, and individual and family history of tuberculosis (TB) was obtained by a structured questionnaire.Results:Four hundred eight (83%) had two-step TST positivity. On multivariate analysis, male physicians (relative risk [RR], 1.5; 95% confidence interval [CI95], 1.23–1.69; P = .001), nurses (RR, 1.5; CI95, 1.29–1.66; P = .005), radiology technicians (RR, 1.7; CI95, 1.35–1.73; P = .002), laboratory technicians (RR, 1.6; CI95, 1.3–1.74; P = .007), and male housekeepers (RR, 1.6; CI95, 1.38–1.7; P < .001) had a higher risk than did female physicians. Among laboratory technicians, radiology technicians had the highest TST positivity (85%). HCWs working for less than 1 year (RR, 0.8; CI95, 0.72–0.98; P = .027) had a lower risk of infection. The HCWs having bacille Calmette–Guérin vaccination (RR, 1.12; CI95, 1.08–1.45) had higher TST positivity.Conclusion:Male physicians, nurses, and laboratory technicians had increased risk of Mycobacterium tuberculosis infection in this setting, but community exposure likely accounted for most infections.

Study of sharp injuries and blood splash exposures among healthcare workers in a tertiary hospital in Bangalore

2016 ◽  
Vol 12 (3) ◽  
Author(s):  
Shalini Sivananjiah Pradeep ◽  
Suman Gadicherla Raghu ◽  
Prathab A G ◽  
Banashankari G Rudresh ◽  
Radhika Kunnavil
Keyword(s):  
Healthcare Workers ◽  
Tertiary Hospital ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Post Exposure ◽  
Increased Risk ◽  
Management Procedures ◽  
Exposure Prophylaxis ◽  
Sharps Injury ◽  
Sharps Injuries

The working environment of healthcare workers (HCW) exposes them to sharp injuries. This communication attempts to examine the injury registers, incidence of sharps injuries and blood splash exposures, and the post-exposure prophylaxis status of employees in a tertiary care hospital. Analysis included records form 54 locations of two units of a tertiary hospital attached to a Medical College. Maintenance of the injury register overall was highly satisfactory in both units. Two hundred and nine injuries were recorded from both units of the hospital. The majority of injuries (60.5%) occurred in the age group of 20-30 years with 70% among females. Waste handlers were at increased risk during waste management procedures. Thirty two percent of sharps injury injuries occurred in wards. Of the ward nursing staff, 25.3% received sharps injuries. Post-exposure prophylaxis for Hepatitis B (primary dose) was given to 25 HCWs; 11 received booster doses. The basic regimen for HIV post-exposure prophylaxis was given to 4 HCWs. Awareness about records maintenance, regular documentation, awareness and training, and implementation of appropriate preventive measures can reduce the incidence of injuries. Key words: Sharps, injury register, Health care workers (HCW),Post exposure prophylaxis (PEP)

Seroprevalence of anti-SARS-CoV-2 IgG antibodies in hospitalized patients at a tertiary referral center in North India (Preprint)

2020 ◽  
Author(s):  
Dr. Animesh Ray ◽  
Dr. Komal Singh ◽  
Souvick Chattopadhyay ◽  
Farha Mehdi ◽  
Dr. Gaurav Batra ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Age Groups ◽  
Hospitalized Patients ◽  
North India ◽  
P Value ◽  
Care Hospital ◽  
Igg Antibodies ◽  
Igg Antibody ◽  
Increased Risk ◽  
Significant Difference

BACKGROUND Seroprevalence of IgG antibodies against SARS-CoV-2 is an important tool to estimate the true extent of infection in a population. However, seroprevalence studies have been scarce in South East Asia including India, which, as of now, carries the third largest burden of confirmed cases in the world. The present study aimed to estimate the seroprevalence of anti-SARS-CoV-2 IgG antibody among hospitalized patients at one of the largest government hospital in India OBJECTIVE The primary objective of this study is to estimate the seroprevalence of SARS-CoV-2 antibody among patients admitted to the Medicine ward and ICU METHODS This cross-sectional study, conducted at a tertiary care hospital in North India, recruited consecutive patients who were negative for SARS-CoV-2 by RT-PCR or CB-NAAT. Anti-SARS-CoV-2 IgG antibody levels targeting recombinant spike receptor-binding domain (RBD) protein of SARS CoV-2 were estimated in serum sample by the ELISA method RESULTS A total of 212 hospitalized patients were recruited in the study with mean age (±SD) of 41.2 (±15.4) years and 55% male population. Positive serology against SARS CoV-2 was detected in 19.8%patients(95% CI 14.7-25.8). Residency in Delhi conferred a higher frequency of seropositivity 26.5% (95% CI 19.3-34.7) as compared to that of other states 8% (95% CI 3.0-16.4) with p-value 0.001. No particular age groups or socio-economic strata showed a higher proportion of seropositivity CONCLUSIONS Around, one-fifth of hospitalized patients, who were not diagnosed with COVID-19 before, demonstrated seropositivity against SARS-CoV-2. While there was no significant difference in the different age groups and socio-economic classes; residence in Delhi was associated with increased risk (relative risk of 3.62, 95% CI 1.59-8.21)

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