scholarly journals Causes of Hospital Violence, Characteristics of Perpetrators, and Prevention and Control Measures: A Case Analysis of 341 Serious Hospital Violence Incidents in China

2022 ◽  
Vol 9 ◽  
Author(s):  
Yuanshuo Ma ◽  
Licheng Wang ◽  
Yongchen Wang ◽  
Zhe Li ◽  
Yafeng Zhang ◽  
...  
Keyword(s):  
Junior High School ◽  
Healthcare Workers ◽  
Public Health Problem ◽  
Control Measures ◽  
Global Public Health ◽  
Structured Interviews ◽  
Hospital Violence ◽  
Tertiary Hospitals ◽  
Prevention And Control Measures ◽  
Frontline Healthcare Workers

Objective: Hospital violence remains a global public health problem. This study aims to analyze serious hospital violence causes in China and the characteristics of perpetrators. It likewise seeks to understand frontline personnel's needs and put forward targeted suggestions.Methods: Serious hospital violence cases from 2011 to 2020 in the China Judgment Online System (CJOS) were selected for descriptive statistical analysis. A total of 72 doctors, nurses, hospital managers, and security personnel from 20 secondary and tertiary hospitals in China were selected for semi-structured interviews.Results: Of the incidents, 62.17% were caused by patients' deaths and dissatisfaction with their treatment results. Moreover, it was found that out-of-hospital disputes (11.14%) were also one of the main reasons for serious hospital violence. The perpetrators were mainly males (80.3%), and had attained junior high school education or lower (86.5%). Furthermore, most of them were family members of the patients (76.1%). Healthcare workers urgently hope that relevant parties will take new measures in terms of legislation, security, and dispute handling capacity.Conclusion: In the past 10 years, serious hospital violence's frequency in China has remained high. Furthermore, their harmful consequences are more serious. The causes of hospital violence are diverse, and the characteristics of perpetrators are obvious. Frontline healthcare workers urgently need relevant parties to take effective measures in terms of legislation, security, and dispute handling capacity, to prevent the occurrence of violence and protect medical personnel's safety.

scholarly journals Improving knowledge, attitudes and practice to prevent COVID-19 transmission in healthcare workers and the public in Thailand

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rapeephan R. Maude ◽  
Monnaphat Jongdeepaisal ◽  
Sumawadee Skuntaniyom ◽  
Thanomvong Muntajit ◽  
Stuart D. Blacksell ◽  
...  
Keyword(s):  
General Public ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
The Public ◽  
Educational Videos ◽  
Prevention And Control Measures ◽  
And Control

Abstract Background Key infection prevention and control measures to limit transmission of COVID-19 include social distancing, hand hygiene, use of facemasks and personal protective equipment. However, these have limited or no impact if not applied correctly through lack of knowledge, inappropriate attitude or incorrect practice. In order to maximise the impact of infection prevention and control measures on COVID-19 spread, we undertook a study to assess and improve knowledge, attitudes and practice among 119 healthcare workers and 100 general public in Thailand. The study setting was two inpatient hospitals providing COVID-19 testing and treatment. Detailed information on knowledge, attitudes and practice among the general public and healthcare workers regarding COVID-19 transmission and its prevention were obtained from a combination of questionnaires and observations. Results Knowledge of the main transmission routes, commonest symptoms and recommended prevention methods was mostly very high (> 80%) in both groups. There was lower awareness of aerosols, food and drink and pets as sources of transmission; of the correct duration for handwashing; recommended distance for social/physical distancing; and about recommended types of face coverings. Information sources most used and most trusted were the workplace, work colleagues, health workers and television. The results were used to produce a set of targeted educational videos which addressed many of these gaps with subsequent improvements on retesting in a number of areas. This included improvements in handwashing practice with an increase in the number of areas correctly washed in 65.5% of the public, and 57.9% of healthcare workers. The videos were then further optimized with feedback from participants followed by another round of retesting. Conclusions Detailed information on gaps in knowledge, attitudes and practice among the general public and healthcare workers regarding COVID-19 transmission and its prevention were obtained from a combination of questionnaires and observations. This was used to produce targeted educational videos which addressed these gaps with subsequent improvements on retesting. The resulting videos were then disseminated as a resource to aid in efforts to fight COVID-19 in Thailand and worldwide.

scholarly journals Rapid decline of neutralizing antibodies against SARS-CoV-2 among infected healthcare workers

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Stéphane Marot ◽  
◽  
Isabelle Malet ◽  
Valentin Leducq ◽  
Karen Zafilaza ◽  
...  
Keyword(s):  
Neutralizing Antibodies ◽  
Healthcare Workers ◽  
Disease Onset ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Rapid Decline ◽  
Prevention And Control Measures ◽  
Few Data ◽  
Antibody Levels ◽  
And Control

AbstractThere are only few data concerning persistence of neutralizing antibodies (NAbs) among SARS-CoV-2-infected healthcare workers (HCW). These individuals are particularly exposed to SARS-CoV-2 infection and at potential risk of reinfection. We followed 26 HCW with mild COVID-19 three weeks (D21), two months (M2) and three months (M3) after the onset of symptoms. All the HCW had anti-receptor binding domain (RBD) IgA at D21, decreasing to 38.5% at M3 (p < 0.0001). Concomitantly a significant decrease in NAb titers was observed between D21 and M2 (p = 0.03) and between D21 and M3 (p < 0.0001). Here, we report that SARS-CoV-2 can elicit a NAb response correlated with anti-RBD antibody levels. However, this neutralizing activity declines, and may even be lost, in association with a decrease in systemic IgA antibody levels, from two months after disease onset. This short-lasting humoral protection supports strong recommendations to maintain infection prevention and control measures in HCW, and suggests that periodic boosts of SARS-CoV-2 vaccination may be required.

scholarly journals Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253177
Author(s):  
Melashu Balew Shiferaw ◽  
Mulusew Alemneh Sinishaw ◽  
Desalegne Amare ◽  
Genetu Alem ◽  
Dawit Asefa ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Healthcare Workers ◽  
Support Staff ◽  
Control Measures ◽  
Health Centers ◽  
Amhara Region ◽  
Healthcare Settings ◽  
Prevention And Control Measures ◽  
Study Participants ◽  
And Control

Background Health care workers (HCWs) are at an increased risk of acquiring tuberculosis (TB) compared to the general population, because of the frequent face to face contact or potential exposure to TB through shared air or space with infectious patient(s), regardless of economic setting and local TB incidence. Information on the burden of active TB disease among HCWs will help guide control measures, can be utilized to evaluate the effectiveness of TB infection prevention programs in the health care setting, and guide necessary actions. However, data on TB among HCW in Ethiopia is limited. Therefore, this study aimed to determine the prevalence of active TB disease among healthcare workers and support staff in healthcare settings in the Amhara region of Ethiopia. Methods A cross-sectional study design was used to recruit a total of 580 randomly selected study participants in the Amhara region. Data were collected over four months in selected hospitals and health centers. Implementation of TB prevention and control measures was evaluated using a standardized checklist. The main outcome indicator was active TB as measured by a laboratory diagnosis using GeneXpert technology. Results A total of 580 study participants were enrolled. The mean age was 31.3 (±7.8 standard deviation) years, with about two-thirds (65.3%) aged between 18–24 years. A total of 9 (1.6%) MTB cases were detected, 4 (1.4%) in HCWs and 5 (1.7%) in support staff, which did not significantly differ (P = 0.50). About 90% of the participants had not received TB infection prevention and control training ever. More than half (54%) of the study participants worked in poorly ventilated rooms. Triage of coughing patients was not practiced in 32% of the studied facilities (health centers and hospitals). Conclusions The magnitude of TB among healthcare workers and support staff in healthcare settings was higher than in the general population (140 per 100000 population). The status of implementation of tuberculosis prevention and control measures indicated missed opportunities. Hence, strict implementation of developed infection control plans of TB in healthcare settings needs to be improved.

scholarly journals Assessing healthcare workers’ knowledge, emotions and perceived institutional preparedness about COVID-19 pandemic at Saudi hospitals in the early phase of the pandemic

2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Nashi Masnad Alreshidi ◽  
Hassan Haridi ◽  
Rana Alaseeri ◽  
Michelle Garcia ◽  
Fe Gaspar ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Knowledge Score ◽  
Control Measures ◽  
Emotional Impact ◽  
Cross Sectional ◽  
Web Based ◽  
Effective Prevention ◽  
Impact Scale ◽  
Prevention And Control Measures ◽  
And Control

Background: Coronavirus disease 2019 (COVID-19) pandemic extended to reach most countries in the globe during few months. Preparedness of healthcare institutions and healthcare workers (HCWs) are crucial for applying effective prevention and control measures. This study aimed to assess HCWs knowledge, emotions and perception of preparedness of their institutions towards COVID-19 pandemic.Design: A cross-sectional, web-based survey was conducted among hospital HCWs in Saudi Arabia during April 27, 2020 to May 03, 2020.Results: Overall, 1004 completed responses were received. The majority were females (78.8), nurses (84.9%) at middle age 25-39 years (71.8%). Among participants, 95.5% reported receiving training on safely use of personal protective equipment (PPE) and 94.9% did fit the test for N95 respirator. The participants possessed a fair knowledge about COVID-19 disease with a mean knowledge score 6. 61±1.35 points on a scale of 10 points. Most participants (88.7%) were committed to continue work as a professional and ethical duty, however, 27.1% of them scored high on a negative emotional impact scale. Participants appreciated most aspects of institutional preparedness for COVID-19 pandemic; however, they were concerned with the continuous PPE supply. Factors that independently associated with good knowledge and negative emotional response were determined using multivariate logistic regression analysis.Conclusions: Findings revealed fair knowledge about COVID-19 pandemic among HCWs in Saudi hospitals. Concerns and worries were expressed regard working with the highly infectious COVID-19 patients. Participants, appreciated most aspects of institutional preparedness, however they were concerned about the continuous availability and supply of PPE.

scholarly journals Healthcare Workers' Challenges in the Implementation of Tuberculosis Infection Prevention and Control Measures in Mozambique

PLoS ONE ◽  
2014 ◽  
Vol 9 (12) ◽  
pp. e114364 ◽  
Author(s):  
Miranda Brouwer ◽  
Eliana Coelho ◽  
Carla das Dores Mosse ◽  
Luciana Brondi ◽  
Laura Winterton ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Control Measures ◽  
Tuberculosis Infection ◽  
Infection Prevention And Control ◽  
Prevention And Control Measures ◽  
And Control

scholarly journals Health System Preparedness in Tackling the COVID-19 in Nepal: a Qualitative Study Among Frontline Healthcare Workers and Policymakers

2020 ◽  
Author(s):  
Nipun Shrestha ◽  
Shiva Raj Mishra ◽  
Saruna Ghimire ◽  
Bishal Gyawali ◽  
Sujan Babu Marahatta ◽  
...  
Keyword(s):  
Health System ◽  
Clinical Care ◽  
Health And Safety ◽  
Control Measures ◽  
Coordination Mechanism ◽  
Structured Interviews ◽  
Laboratory Facilities ◽  
Care Workers ◽  
Control And Management ◽  
Frontline Healthcare Workers

Abstract BackgroundRapidly growing coronavirus disease 2019 (COVID-19) pandemic has brought unprecedented challenges to the health system in Nepal. The main objective of this study was to explore the characteristics and drivers of the health system preparedness towards COVID-19 and its impacts on frontline health care workers (HCWs) in Nepal.MethodsSemi-structured interviews (SSIs) were conducted among 32 HCWs who were involved in clinical care of COVID-19 patients and four policymakers who were responsible for COVID-19 control and management at central and provincial level. Participants were included from all seven provinces of Nepal. All SSIs were conducted through telephone or internet based tools such as Zoom and Skype. All interviews were audio-recorded, transcribed into English, and coded using inductive and deductive approaches.ResultsBoth HCWs and policymakers reported failure to initiate pre-emptive control measures at the early stages of the outbreak as the pivot in pandemic control. Although several measures were rolled out when cases started to appear, the overall health system preparedness was low. Specifically, there was inadequate personal protective equipment for HCWs, insufficient isolation beds for patients, poor coordination between the three tiers of governance, and poor engagement of the private sector. Additionally, HCWs experienced various degrees of stigma because of their profession and yet were able to maintain their motivation to continue working in the forefront.ConclusionThis study identified poor preparedness of the health system in the course of Nepal's COVID-19 response embedded in the governance. Specifically, the lack of human resources, inadequate logistic chain management and laboratory facilities for testing COVID-19 appeared to have jeopardized the health system preparedness and escalated the pandemic in Nepal. Despite the poor preparedness, and health and safety concerns, HCWs maintained their motivation. Urgent efforts are required to reform the governance and coordination mechanism in addition to incentivizing the HCWs for the current and future pandemics.

scholarly journals Characterising within-hospital SARS-CoV-2 transmission events: a retrospective analysis integrating epidemiological and viral genomic data from a UK tertiary care setting across two pandemic waves

2021 ◽  
Author(s):  
Benjamin B Lindsey ◽  
Ch. Julián Villabona-Arenas ◽  
Finlay Campbell ◽  
Alexander J Keeley ◽  
Matthew D Parker ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Tertiary Care ◽  
Epidemiological Data ◽  
Rapid Identification ◽  
Control Measures ◽  
Hospital Acquired Infections ◽  
Prevention And Control Measures ◽  
Hospital Acquired ◽  
And Control ◽  
Second Wave

Objectives - To characterise within-hospital SARS-CoV-2 transmission across two waves of the COVID-19 pandemic. Design - A retrospective Bayesian modelling study to reconstruct transmission chains amongst 2181 patients and healthcare workers using combined viral genomic and epidemiological data. Setting - A large UK NHS Trust with over 1400 beds and employing approximately 17,000 staff. Participants - 780 patients and 522 staff testing SARS-CoV-2 positive between 1st March 2020 and 25th July 2020 (Wave 1); and 580 patients and 299 staff testing SARS-CoV-2 positive between 30th November 2020 and 24th January 2021 (Wave 2). Main outcome measures - Transmission pairs including who-infected-whom; location of transmission events in hospital; number of secondary cases from each individual, including differences in onward transmission from community and hospital onset patient cases. Results - Staff-to-staff transmission was estimated to be the most frequent transmission type during Wave 1 (31.6% of observed hospital-acquired infections; 95% CI 26.9 to 35.8%), decreasing to 12.9% (95% CI 9.5 to 15.9%) in Wave 2. Patient-to-patient transmissions increased from 27.1% in Wave 1 (95% CI 23.3 to 31.4%) to 52.1% (95% CI 48.0 to 57.1%) in Wave 2, to become the predominant transmission type. Over 50% of hospital-acquired infections were concentrated in 8/120 locations in Wave 1 and 10/93 locations in Wave 2. Approximately 40% to 50% of hospital-onset patient cases resulted in onward transmission compared to less than 4% of definite community-acquired cases. Conclusions - Prevention and control measures that evolved during the COVID-19 pandemic may have had a significant impact on reducing infections between healthcare workers, but were insufficient during the second wave to prevent a high number of patient-to-patient transmissions. As hospital-acquired cases appeared to drive most onward transmissions, more frequent and rapid identification and isolation of these cases will be required to break hospital transmission chains in subsequent pandemic waves

Hazards for Healthcare Workers

2017 ◽  
Author(s):  
Jane A. Lipscomb
Keyword(s):  
Healthcare Workers ◽  
Organizational Factors ◽  
Control Measures ◽  
Safety Hazards ◽  
State Laws ◽  
Chemical Hazards ◽  
Physical Hazards ◽  
Prevention And Control Measures ◽  
And Control ◽  
Recent Policy

This chapter describes occupational hazards for healthcare workers. The chapter focuses on biological hazards, chemical hazards, physical hazards, safety and ergonomic hazards, violence, psychosocial and organizational factors, and health consequences associated with changes in the organization and financing of healthcare. The nature and magnitude of various problems is described. The chapter includes specific prevention and control measures for addressing biological hazards, chemical hazards, ionizing radiation, safety hazards, ergonomic hazards, musculoskeletal disorders, violence, and psychosocial hazards. Finally, the chapter provides a summary of historical and recent policy initiatives, including federal and state laws, regulations and guidelines, developed and implemented to protect healthcare workers from recognized hazards.

scholarly journals Healthcare workers knowledge, attitude and practices during the COVID-19 pandemic response in a tertiary care hospital of Nepal

2020 ◽  
Author(s):  
Dil K Limbu ◽  
Rano M Piryani ◽  
Avinash K Sunny
Keyword(s):  
Healthcare Workers ◽  
Tertiary Care ◽  
Knowledge Score ◽  
Demographic Characteristics ◽  
Control Measures ◽  
Care Hospital ◽  
Attitudes And Practices ◽  
The Mean ◽  
Pandemic Response ◽  
Prevention And Control Measures

Background To control the spread of ongoing COVID-19 infection, extremely important measures need to be adopted. Healthcare workers adherence to prevention and control measures is affected by their knowledge, attitudes, and practices (KAP) towards COVID-19. In this study, we assessed the KAP among healthcare workers towards COVID-19 during the ongoing pandemic. Method A self-developed piloted KAP questionnaire was used among the recruited healthcare workers working for the COVID-19 response in the Universal College of Medical Sciences Teaching Hospital (UCMSTH), in Bhairahawa, Nepal. The knowledge questionnaire consisted of questions regarding the clinical characteristics, prevention and management of COVID-19. Assessment on attitudes and practices towards COVID-19 included questions on behaviour and change in practices while working during this response. Knowledge scores were calculated and compared by demographic characteristics and their attitude and practices towards COVID-19. Data were analysed using bivariate statistics. Results A total of 103 healthcare workers participated in the study. The mean age of the participants was 28.24(6.11) years (range: 20-56); 60.2% were females; 61.2% were unmarried; 60.2% had medical degree and 39.8% were nursing staff. The mean knowledge score was 10.59(1.12) (range: 7-13) and it did not vary by demographic characteristics. Attitude was positive for 53.4% participants with a mean knowledge score of 10.35(1.19) and negative for 46.6% participants with a mean knowledge score of 10.88(0.98) (p=0.02). Practice was good (≥3 score) for 81.5% participants with a mean knowledge score of 10.73(1.12) and practice was poor for 18.5% participants with a mean knowledge score of 10.46(1.13) (p=0.24). The attitude of the participants improved with the increasing age of the participants (29.55(7.17), p=0.02). Conclusion There is comparably better knowledge regarding COVID-19 among healthcare workers along with appropriate practices, however attitude was less optimistic with better knowledge but more optimistic with higher age of the healthcare workers. Hence, protective measures for healthcare workers in order to improve their attitude is necessary during the pandemic response.

scholarly journals Evaluation of the awareness level of Healthcare workers toward NCOVID-2019 in Pakistan

2020 ◽  
Author(s):  
Bushra Imdad ◽  
Uzair Abbas ◽  
Ambrina Qureshi ◽  
Sehrish Mohsin ◽  
Amna Shireen ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Close Contact ◽  
Control Measures ◽  
Basic Knowledge ◽  
Infection Prevention And Control ◽  
Healthcare Facilities ◽  
Prevention And Control Measures ◽  
Novel Coronavirus ◽  
And Control ◽  
Awareness Level

AbstractBackgroundNovel Coronavirus infection disease 2019 (NCOVID-19), caused by the corona virus, was first spotted in Wuhan, city of China, December 2019. The NCOVID-19 virus is spread among individuals through close communication in the form of droplets, not via airborne. Those individuals are at risk of infection who are in close contact with a NCOVID-19 patient or who take care of NCOVID-19 patients. Infection prevention and control measures are critical to prevent the possible spread of any infection in healthcare facilities. Therefore, healthcare workers should be aware of basic knowledge and all procedures concerning prevention and protection from NCOVID-19.ObjectiveThe objective of this study was to evaluate the awareness level of healthcare workers toward NCOVID-2019 in Pakistan.Material and MethodsA questionnaire was generated according to WHO information that was circulated among the healthcare workers of different hospitals and medical institutes of Pakistan. Calculated sample size was 650.ConclusionHealthcare workers have insufficient knowledge of preventive measures and infection control. The authorities must take initiatives on urgent basis to increase the awareness among the healthcare workers and general public also so that the drastic circumstances can be avoided in the developing country like Pakistan.

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