Filipino Nurses in Cebu City Reveal High Level of Knowledge, Attitudes, Practices and Willingness in Providing Care to COVID-19 Patients: A Cross-Sectional Analysis

Abstract Background COVID-19 is a rapidly spreading illness and has resulted in a global pandemic. In the Philippines, active cases of COVID-19 are rising and have threatened both local health and healthcare workers given the limited information on this new disease. Despite several studies conducted to assess the awareness, knowledge, attitude, practices, and willingness of nurses to provide care during this pandemic, there are scarce reports regarding Filipino nurses. Thus, our study assessed such criteria in staff nurses across different Cebu hospitals. Methods This study utilized a descriptive research design using the cross-sectional survey method. A web-based survey and convenience sampling method was adopted to collect the data from Filipino nurses from any hospital in Cebu, of which, 137 participated in the study. A 43-item questionnaire was developed, which was spread out into 5 parts that comprised of the demographic profile, knowledge (15 items), attitude (10 items), practices (9 items), and willingness to care for patients with COVID-19 (9 items). The data was processed and analyzed using inferential statistical tools. Results Majority of the nurses were females (70.80%), whose ages were 20–25 years old (54.01%), single (89.78%), mostly college degree holder (90.51%), and employed in hospitals for 1–3 years (64.96%). They also rely on the internet (99.27%) as a source of information related to COVID-19. They also displayed an overall knowledge of 65% especially about the COVID-19 causative agent, its transmission, and pathogenesis. Furthermore, the respondents were generally knowledgeable of the various information regarding COVID-19 at a rate of 79.56%. The mean values for attitude, practices, and willingness to provide care were 4.45 (very favorable), 4.65 (always), and 4.52 (very willing) respectively. Conclusions Generally, the results of our study were favorable across the 5 parts of the survey. Overall knowledge and extent of practice was high, which can be attributed to government efforts of educating healthcare workers and observance of the mandated protocols. In addition, attitude significantly affected the willingness of the nurses to provide care. However, knowledge and practice did not affect the nurses’ willingness as the drawbacks and demands of their occupation outweighed and decreased their willingness.

Download Full-text

Filipino Nurses in Cebu City Reveal High Level of Knowledge, Attitudes, Practices and Willingness in Providing Care to COVID-19 Patients: A Cross-Sectional Analysis

10.21203/rs.3.rs-607473/v2 ◽

2021 ◽

Author(s):

Brian Denney ◽

Alexandra Astor ◽

Joanna Cabrilles ◽

Kristiane Codera ◽

Edzil Marice Forteza ◽

...

Keyword(s):

Healthcare Workers ◽

The Philippines ◽

Survey Method ◽

Local Health ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mean Values ◽

Filipino Nurses ◽

High Level

Abstract Background: COVID-19 is a rapidly spreading illness and has resulted in a global pandemic. In the Philippines, active cases of COVID-19 are rising and have threatened both local health and healthcare workers given the limited information on this new disease. Despite several studies conducted to assess the awareness, knowledge, attitude, practices, and willingness of nurses to provide care during this pandemic, there are scarce reports regarding Filipino nurses. Thus, our study assessed such criteria in staff nurses across different Cebu hospitals.Methods: This study utilized a descriptive research design using the cross-sectional survey method. A web-based survey and convenience sampling method was adopted to collect the data from Filipino nurses from any hospital in Cebu, of which, 137 participated in the study. A 43-item questionnaire was developed, which was spread out into 5 parts that comprised of the demographic profile, knowledge (15 items), attitude (10 items), practices (9 items), and willingness to care for patients with COVID-19 (9 items). The data was processed and analyzed using inferential statistical tools.Results: Majority of the nurses were females (70.80%), whose ages were 20-25 years old (54.01%), single (89.78%), mostly college degree holder (90.51%), and employed in hospitals for 1-3 years (64.96%). They also rely on the internet (99.27%) as a source of information related to COVID-19. They also displayed an overall knowledge of 65% especially about the COVID-19 causative agent, its transmission, and pathogenesis. Furthermore, the respondents were generally knowledgeable of the various information regarding COVID-19 at a rate of 79.56%. The mean values for attitude, practices, and willingness to provide care were 4.45 (very favorable), 4.65 (always), and 4.52 (very willing) respectively.Conclusions: Generally, the results of our study were favorable across the 5 parts of the survey. Overall knowledge and extent of practice was high, which can be attributed to government efforts of educating healthcare workers and observance of the mandated protocols. In addition, attitude significantly affected the willingness of the nurses to provide care. However, knowledge and practice did not affect the nurses’ willingness as the drawbacks and demands of their occupation outweighed and decreased their willingness.

Download Full-text

Filipino Nurses in Cebu City Reveals High Level of Knowledge, Attitudes, Practices and Willingness in Providing Care to COVID-19 Patients: A Cross-Sectional Analysis

10.21203/rs.3.rs-607473/v1 ◽

2021 ◽

Author(s):

Brian Denney ◽

Alexandra Astor ◽

Joanna Cabrilles ◽

Kristiane Codera ◽

Edzil Marice Forteza ◽

...

Keyword(s):

Healthcare Workers ◽

The Philippines ◽

Survey Method ◽

Local Health ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mean Values ◽

Filipino Nurses ◽

High Level

Download Full-text

THE RELATIONSHIP BETWEEN TRANSFORMATIONAL LEADERSHIP AND SCHOOL EFFECTIVENESS IN TS25 SCHOOLS IN GUA MUSANG KELANTAN

International Journal of Education, Psychology and Counseling ◽

10.35631/ijepc.642016 ◽

2021 ◽

Vol 6 (42) ◽

pp. 204-214

Author(s):

Mohd Zainuddin Zakaria ◽

Siti Noor Ismail ◽

Yahya Don ◽

Wan Rosni Wan Yakob

Keyword(s):

Transformational Leadership ◽

School Effectiveness ◽

School Administrators ◽

Survey Method ◽

Ministry Of Education ◽

Cross Sectional Survey ◽

Cross Sectional ◽

High Performing ◽

High Level ◽

The Relationship

This study aims to identify the level of transformational leadership of principals and the level of school effectiveness in TS25 schools in Gua Musang District, Kelantan. In addition, this study also seeks to look at the relationship between the two variables involved, transformational leadership and school effectiveness. This quantitative study by cross-sectional survey method used two types of instruments, namely the Transformational leadership instrument by Leithwood and Jantzi (1999) and the school effectiveness instrument adapted from the study of Lazaridou and Iordanidis (2011. The sampling of the study involved four TS25 secondary schools with a total of 162 teachers. The findings of the study showed that the level of transformational leadership of principals and the level of school effectiveness was at a high level, with values (M = 4.17, SP = .604) and (M = 4.19, SP = .613) respectively. Further, correlation analysis showed that there was a very strong and significant relationship (r = .89, p <.01) between the two variables involved, namely transformational leadership and school effectiveness. It is hoped that the findings of this study can be used as a guide by the parties involved, especially the Ministry of Education Malaysia in strengthening the characteristics of high-performing leadership among school administrators towards improving school effectiveness through professionalism programs.

Download Full-text

Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries

PLoS ONE ◽

10.1371/journal.pone.0258348 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0258348

Author(s):

Nguyen Tien Huy ◽

R. Matthew Chico ◽

Vuong Thanh Huan ◽

Hosam Waleed Shaikhkhalil ◽

Vuong Ngoc Thao Uyen ◽

...

Keyword(s):

Association Rule ◽

Association Rule Mining ◽

Healthcare Workers ◽

Management Training ◽

Mean Difference ◽

Rule Mining ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Training Courses ◽

High Level

Background Since the COVID-19 pandemic began, there have been concerns related to the preparedness of healthcare workers (HCWs). This study aimed to describe the level of awareness and preparedness of hospital HCWs at the time of the first wave. Methods This multinational, multicenter, cross-sectional survey was conducted among hospital HCWs from February to May 2020. We used a hierarchical logistic regression multivariate analysis to adjust the influence of variables based on awareness and preparedness. We then used association rule mining to identify relationships between HCW confidence in handling suspected COVID-19 patients and prior COVID-19 case-management training. Results We surveyed 24,653 HCWs from 371 hospitals across 57 countries and received 17,302 responses from 70.2% HCWs overall. The median COVID-19 preparedness score was 11.0 (interquartile range [IQR] = 6.0–14.0) and the median awareness score was 29.6 (IQR = 26.6–32.6). HCWs at COVID-19 designated facilities with previous outbreak experience, or HCWs who were trained for dealing with the SARS-CoV-2 outbreak, had significantly higher levels of preparedness and awareness (p<0.001). Association rule mining suggests that nurses and doctors who had a ’great-extent-of-confidence’ in handling suspected COVID-19 patients had participated in COVID-19 training courses. Male participants (mean difference = 0.34; 95% CI = 0.22, 0.46; p<0.001) and nurses (mean difference = 0.67; 95% CI = 0.53, 0.81; p<0.001) had higher preparedness scores compared to women participants and doctors. Interpretation There was an unsurprising high level of awareness and preparedness among HCWs who participated in COVID-19 training courses. However, disparity existed along the lines of gender and type of HCW. It is unknown whether the difference in COVID-19 preparedness that we detected early in the pandemic may have translated into disproportionate SARS-CoV-2 burden of disease by gender or HCW type.

Download Full-text

The influence of curriculum and school climate on the academic attitude of tahfiz students in Malaysia

International Journal of Evaluation and Research in Education (IJERE) ◽

10.11591/ijere.v10i3.21275 ◽

2021 ◽

Vol 10 (3) ◽

pp. 807

Author(s):

Muhamad Suhaimi Taat ◽

Roslee Talip ◽

Musirin Mosin

Keyword(s):

School Climate ◽

Primary Schools ◽

Descriptive Analysis ◽

Survey Method ◽

Validity And Reliability ◽

Climate Variable ◽

Cross Sectional Survey ◽

Cross Sectional ◽

High Level ◽

Attitude Variable

This study aimed to examine the influence of curriculum and school climate on the academic attitude of tahfiz (memorizing Al-Quran) students in Sabah, Malaysia. A total of 81 students (age 10-12) from three private tahfiz primary schools around Kota Kinabalu were involved in this study. This quantitative study used cross-sectional survey method by distributing questionnaires to the respondents. The questionnaire was developed by the researchers to suit the unique environment of the tahfiz schools and has gone through the process of validity and reliability. Descriptive analysis showed that student attitude variable showed a high level of mean score (above 3.80), while for school climate variable, the finding was at moderate level (Mean=3.56, SD=0.530). As for curriculum variable, most students learnt the same main subjects as studied in government-aided primary schools, with addition to Quranic subject. However, no one learnt Computer Education subject. Multiple regression analysis showed that only the school climate variable significantly influenced the academic attitude of tahfiz students (R2=0.251, Beta=0.503, p<0.001). This study will be able to provide useful information and benefit for the improvement of tahfiz institutions in Malaysia.

Download Full-text

Assessment of Knowledge and Preparedness of Healthcare Worker Regarding Current COVID-19 Crisis

10.53350/pjmhs211581867 ◽

2021 ◽

Vol 15 (8) ◽

pp. 1867-1870

Author(s):

Roma Gulzar ◽

Komel Zulfiqar ◽

Usman Hafeez ◽

Abdul Rehman ◽

Ibtesam-E- Fajar ◽

...

Keyword(s):

Healthcare Worker ◽

Healthcare Workers ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Knowledge Based ◽

The People ◽

The Right ◽

Study Participants ◽

Information Database

Background: COVID 19 has become a major health issue and has globally affected masses and increased mortality in all parts of the world. Therefore, with limited information available healthcare workers faced a multitude of problems and challenges in managing the affected individuals globally and to no surprise with developing information database regarding this disease; many lost their lives. Aim: To assess the understanding of healthcare worker regarding COVID-19 pandemic and their competence in dealing with the current situation and to ascertain whether HCWs are actively participating in activities that hell them deal with the outbreak. Study design: Descriptive cross sectional survey Place and duration of study: Department of Medicine, Shaikh Zayed Hospital, Lahore from 26th September 2020 to 30th May 2020. Methodology: Three hundred and sixty eight individuals participated in survey throughout Pakistan. The questionnaire consisting of four parts designed according to available data on coronavirus and study participants were tested for their knowledge and preparedness through multiple questions. All healthcare workers from different designation, specialties and hospitals participated for this research. Results: Two hundred and eighty seven aged less than 35 and rest were above 35.68.5% were from public sector and rest worked in private hospitals.340 people participated from hospitals in Punjab and remaining were from other parts of Pakistan. Internet was major source of information. Study participants stated themselves as prepared in dealing with COVID 19 matters however, knowledge based questions were not answered correctly by many individuals. Conclusion: This research was meant to identify the gaps in information and take measures to provide better health practices. The correct answers percentage was higher for more experienced individuals and who are acutely dealing with Covid infection. Also, the people who had prior exposure to some other outbreak made the right choices most of time. Keywords: COVID-19, Coronavirus, Knowledge, Preparedness, Healthcare workers, Attitude, Awareness

Download Full-text

Psychological Impacts of COVID-19 During the First Nationwide Lockdown in Vietnam: Web-Based, Cross-Sectional Survey Study (Preprint)

10.2196/preprints.24776 ◽

2020 ◽

Author(s):

Khanh Ngoc Cong Duong ◽

Tien Nguyen Le Bao ◽

Phuong Thi Lan Nguyen ◽

Thanh Vo Van ◽

Toi Phung Lam ◽

...

Keyword(s):

Psychological Distress ◽

General Population ◽

Psychological Health ◽

Online Survey ◽

Survey Study ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Event Scale ◽

The Impact

BACKGROUND The first nationwide lockdown due to the COVID-19 pandemic was implemented in Vietnam from April 1 to 15, 2020. Nevertheless, there has been limited information on the impact of COVID-19 on the psychological health of the public. OBJECTIVE This study aimed to estimate the prevalence of psychological issues and identify the factors associated with the psychological impact of COVID-19 during the first nationwide lockdown among the general population in Vietnam. METHODS We employed a cross-sectional study design with convenience sampling. A self-administered, online survey was used to collect data and assess psychological distress, depression, anxiety, and stress of participants from April 10 to 15, 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale-21 (DASS-21) were utilized to assess psychological distress, depression, anxiety, and stress of participants during social distancing due to COVID-19. Associations across factors were explored using regression analysis. RESULTS A total of 1385 respondents completed the survey. Of this, 35.9% (n=497) experienced psychological distress, as well as depression (n=325, 23.5%), anxiety (n=195, 14.1%), and stress (n=309, 22.3%). Respondents who evaluated their physical health as average had a higher IES-R score (beta coefficient [B]=9.16, 95% CI 6.43 to 11.89), as well as higher depression (B=5.85, 95% CI 4.49 to 7.21), anxiety (B=3.64, 95% CI 2.64 to 4.63), and stress (B=5.19, 95% CI 3.83 to 6.56) scores for DASS-21 than those who rated their health as good or very good. Those who self-reported their health as bad or very bad experienced more severe depression (B=9.57, 95% CI 4.54 to 14.59), anxiety (B=7.24, 95% CI 3.55 to 10.9), and stress (B=10.60, 95% CI 5.56 to 15.65). Unemployment was more likely to be associated with depression (B=3.34, 95% CI 1.68 to 5.01) and stress (B=2.34, 95% CI 0.84 to 3.85). Regarding worries about COVID-19, more than half (n=755, 54.5%) expressed concern for their children aged <18 years, which increased their IES-R score (B=7.81, 95% CI 4.98 to 10.64) and DASS-21 stress score (B=1.75, 95% CI 0.27 to 3.24). The majority of respondents (n=1335, 96.4%) were confident about their doctor’s expertise in terms of COVID-19 diagnosis and treatment, which was positively associated with less distress caused by the outbreak (B=–7.84, 95% CI –14.58 to –1.11). CONCLUSIONS The findings highlight the effect of COVID-19 on mental health during the nationwide lockdown among the general population in Vietnam. The study provides useful evidence for policy decision makers to develop and implement interventions to mitigate these impacts. CLINICALTRIAL

Download Full-text

COVID-19 Vaccine Intention among Healthcare Workers in Saudi Arabia: A Cross-Sectional Survey

Vaccines ◽

10.3390/vaccines9080835 ◽

2021 ◽

Vol 9 (8) ◽

pp. 835

Author(s):

Mohammed Noushad ◽

Mohammad Zakaria Nassani ◽

Anas B. Alsalhani ◽

Pradeep Koppolu ◽

Fayez Hussain Niazi ◽

...

Keyword(s):

Saudi Arabia ◽

Healthcare System ◽

Healthcare Workers ◽

Vaccine Coverage ◽

Vaccination Campaign ◽

Herd Immunity ◽

Positive Sign ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Public Health Strategies

The COVID-19 pandemic has caused largescale morbidity and mortality and a tremendous burden on the healthcare system. Healthcare workers (HCWs) require adequate protection to avoid onward transmission and minimize burden on the healthcare system. Moreover, HCWs can also influence the general public into accepting the COVID-19 vaccine. Therefore, determining COVID-19 vaccine intention among HCWs is of paramount importance to plan tailor-made public health strategies to maximize vaccine coverage. A structured questionnaire was administered in February and March 2021 among HCWs in Saudi Arabia using convenience sampling, proceeding the launch of the vaccination campaign. HCWs from all administrative regions of Saudi Arabia were included in the study. In total, 674 out of 1124 HCWs responded and completed the survey (response rate 59.9%). About 65 percent of the HCWs intended to get vaccinated. The intention to vaccinate was significantly higher among HCWs 50 years of age or older, Saudi nationals and those who followed the updates about COVID-19 vaccines (p < 0.05). The high percentage (26 percent) of those who were undecided in getting vaccinated is a positive sign. As the vaccination campaign gathers pace, the attitude is expected to change over time. Emphasis should be on planning healthcare strategies to convince the undecided HCWs into accepting the vaccine in order to achieve the coverage required to achieve herd immunity.

Download Full-text

The COVID‐19 pandemic and healthcare workers psychological well‐being: a cross‐sectional survey in Indonesia

Nursing Open ◽

10.1002/nop2.1034 ◽

2021 ◽

Author(s):

Ni’matuzahroh ◽

Valendriyani Ningrum ◽

Widayat ◽

Myrtati Dyah Artaria ◽

Mein‐Woei Suen

Keyword(s):

Healthcare Workers ◽

Well Being ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Psychological Well Being

Download Full-text

Prevalence, risk factors and sources of anxiety among Emergency Department healthcare workers in Pakistan during COVID-19 pandemic: A single center survey

Experimental Results ◽

10.1017/exp.2020.68 ◽

2021 ◽

Vol 2 ◽

Author(s):

N. Haroon ◽

S. S. Owais ◽

A. S. Khan ◽

J. Amin

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Health Care Providers ◽

Healthcare Workers ◽

Work Performance ◽

Nonparametric Tests ◽

Care Providers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Frontline Workers

Summary COVID-19 has challenged the mental health of healthcare workers confronting it world-wide. Our study identifies the prevalence and risk of anxiety among emergency healthcare workers confronting COVID-19 in Pakistan. We conducted a cross-sectional survey in an Emergency Department using the Generalized Anxiety Scale (GAD-7), and questions about sources of anxiety. Of 107 participants, 61.7% were frontline workers. The prevalence of anxiety was 50.5%. Nonparametric tests determined that nurses, younger and inexperienced staff, developed significant anxiety. Multivariate ordinal regression determined independent risk factors for developing anxiety were younger age (OR 2.11, 95% CI 0.89–4.99) and frontline placement (OR 1.34, 95% CI 0.33–1.66). Significant sources of stress were fear of infecting family (P = 0.003), lack of social support when the health care providers were themselves unwell (P = 0.02) and feelings of inadequate work performance (P = 0.05). Our study finds that HCWs’ anxiety is considerable. Appropriate measures for its alleviation and prevention are required.

Download Full-text