Shortage of Personal Protective Equipment and Nurse Safety in the Coronavirus Disease-19 Pandemic: A Cross-sectional Study in Indonesia

BACKGROUND: There has been a substantial scarcity of personal protective equipment (PPE) in several countries during the ongoing pandemic of Coronavirus disease-19 (COVID-19). Nurses in Indonesia also experience a shortage of PPE as the number of COVID-19 patients in Indonesia continues to increase. There is no accurate data yet regarding the exact number of PPE scarcity for nurses. AIM: This study aimed to describe the availability of PPE and adverse consequences long-term used off the PPE and examine the relationship between shortage PPE and nurse behavior response in Indonesia. METHODS: An online-based survey was used to collect data on the nurse, regardless of their discipline, training background, or degree of experience, who are directly involved in managing COVID-19 patients. In this study, a total of 211 questionnaires were gathered. The survey was conducted using the Google form. This study employs univariate and bivariate analysis. RESULTS: Most of the mask N95 provision reaches up to 80%. The second is the hazmat (71%) and the lowest in the gloves (30%). Around 71% of respondents generally resist removing their PPE until the shift is complete. Then, 62% of the respondents are ready to propose to the leaders of the PPE, and 51% show that they are modifying the PPE. Nasal blisters are the most prevalent type of injury sustained by nurses while wearing PPE (86%), followed by headaches and dehydration. This study found that most respondents (60.7%) with insufficient PPE had a positive behavior reaction, whereas just 18% had a poor behavior reaction. CONCLUSION: Most nurses have difficulties accessing N95 and experience some adverse effects of prolonging PPE use. Policymakers should take urgent action to tackle these concerns.

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Work-related Injury among Welders Working in Metal Workshops of Dharan Municipality, Nepal

Journal of Nepal Health Research Council ◽

10.3126/jnhrc.v16i2.20302 ◽

2018 ◽

Vol 16 (2) ◽

pp. 156-159

Author(s):

Anup Ghimire ◽

Shyam Sundar Budhathoki ◽

Surya Raj Niraula ◽

Abha Shrestha ◽

Paras K Pokharel

Keyword(s):

Personal Protective Equipment ◽

Cross Sectional Study ◽

Protective Equipment ◽

Cross Sectional ◽

Work Related ◽

The Past ◽

Occupational Characteristics ◽

Recorded Data ◽

The Relationship ◽

Structured Questionnaire

Background: Injuries are a problem worldwide in all occupations. Welders are exposed to many hazards at work resulting in a variety of health problems including injuries at work. This study was conducted to find out the prevalence and factors associated with injuries among welders in Dharan city of eastern Nepal.Methods: A cross sectional study was conducted among 86 welders in Dharan city. Occurrence of injury in past 2 weeks and past 12 months were recorded. Data regarding sociodemographic along with occupational characteristics was collected using semi structured questionnaire. Data analysis was done using SPSS version 17.Results: All the welders in this study were male with almost half of the welders under the age of 25 years and about a fifth (21.1%) of the welders having received some form of welding training. In the past 12 months, 21.1% of the welders suffered from work related injuries. More than 95% welders used at least one personal protective equipment in this study. More injuries were seen among welders with age ≥35 years, working experience ≥ 5 years, not received training and not using of PPE at work. However, these factors were not found to be statistically significant.Conclusions: Work related injuries are high among welders of Dharan. Further research is required to explore the relationship between age, literacy, training and use of personal protective equipment with the occurrence of injuries among the welders.

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The Relationship Between Knowledge and Economic Status on The Use of Personal Protective Equipment in Garbage Scavengers in TPA Tamangapa Makassar City

Window of Health Jurnal Kesehatan ◽

10.33368/woh.v1i3.58 ◽

2018 ◽

pp. 269-275

Author(s):

Muhammad - Qasim

Keyword(s):

Research Design ◽

Personal Protective Equipment ◽

Economic Status ◽

Social Economy ◽

Whole Body ◽

Bivariate Analysis ◽

Protective Equipment ◽

Cross Sectional ◽

Relationship Of ◽

The Relationship

One form in avoiding the occurrence of occupational diseases and workplace accidents is to understand the use of PPE and wear personal protective equipment. Use of the intended personal protective equipment in which the scavenger conditions in the Tamangapa TPA while working with masks, boots, gloves and protective helmets. With the aim of preventing contamination of the disease and protecting the part or whole body there is a potential danger. This study aims to determine the relationship of knowledge and social economy to the use of personal protective equipment in garbage scavengers in TPA Tamangapa Makassar City. This research was conducted in TPA Tamangapa Kota Makassar. The research was conducted in January until February 2018. The research design used was analytic observational method is a research design that aims to see the relationship of two variables or without any treatment or intervention with cross sectional approach with the number of samples was 99 respondents according to the inclusion and exclusion criteria. Data collection using questionnaire and data analysis using statistic with chi square test. The result of bivariate analysis showed that there was a correlation of knowledge with the use of self-protective device p = 0.024, and there was an economic status relationship with the use of Personal Protective Equipment (p = 0,029). Conclusion there is a relationship between knowledge, and economic status of garbage scavengers in TPA Tamangapa Makassar City. It is advisable to garbage collectors to further improve their understanding and discipline of using Personal Protective Equipment when working. One form in avoiding the occurrence of occupational diseases and workplace accidents is to understand the use of PPE and wear personal protective equipment. Use of the intended personal protective equipment in which the scavenger conditions in the Tamangapa TPA while working with masks, boots, gloves and protective helmets. With the aim of preventing contamination of the disease and protecting the part or whole body there is a potential danger. This study aims to determine the relationship of knowledge and social economy to the use of personal protective equipment in garbage scavengers in TPA Tamangapa Makassar City. This research was conducted in TPA Tamangapa Kota Makassar. The research was conducted in January until February 2018. The research design used was analytic observational method is a research design that aims to see the relationship of two variables or without any treatment or intervention with cross sectional approach with the number of samples was 99 respondents according to the inclusion and exclusion criteria. Data collection using questionnaire and data analysis using statistic with chi square test. The result of bivariate analysis showed that there was a correlation of knowledge with the use of self-protective device p = 0.024, and there was an economic status relationship with the use of Personal Protective Equipment (p = 0,029). Conclusion there is a relationship between knowledge, and economic status of garbage scavengers in TPA Tamangapa Makassar City. It is advisable to garbage collectors to further improve their understanding and discipline of using Personal Protective Equipment when working.

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THE RELATIONSHIP BETWEEN BEHAVIORAL OF HEALTH WITH THE USED OF PERSONAL PROTECTIVE EQUIPMENT (PPE) IN PT. SARANA AGRA GEMILANG KUPANG EAST NUSA TENGGARA

International Journal of Research -GRANTHAALAYAH ◽

10.29121/granthaalayah.v6.i3.2018.1500 ◽

2018 ◽

Vol 6 (3) ◽

pp. 78-87

Author(s):

Landelinus Humau ◽

Hari Rarindo ◽

Andreas Umbu Roga

Keyword(s):

Personal Protective Equipment ◽

Equal Opportunity ◽

Cross Sectional Study ◽

Protective Equipment ◽

Chi Square ◽

Cross Sectional ◽

A Value ◽

Production And Distribution ◽

Model Probability ◽

The Relationship

Labor is human resources who have a very important role for the progress and development of an enterprise. Safeguards against labor was regulated in Law - Act as a regulation, which patent where involves safety of all the production and distribution of commodity and services. Based on the Results of some studies found that some accidents at workplace is due to human behavior who does not lead to his safety. Based on the results of the study some work accidents happened in PT. Sarana Agra Gemilang due to the workers who less their careful on their work that they did. The purpose of this research was to determine the relationship between behavior of health with the used of personal protective equipment (PPE) in PT. Sarana Agra GemilangKupang East Nusa Tenggara, 2017. This research is an analytic study with cross sectional study design is to know the relationship between the behavior with the use of PPE in PT. Sarana Agra GemilangKupang. The Population in this research was the workers at PT. Sarana Agra Gemilang the Population was 439 people. The researcher used random sampling method which each member / unit of the population has an equal opportunity to be samples, which obtained 99 workers as a sample. Analysis of the data in this research is descriptive, bivariate and univariate. The analysis in this research using Chi - Square is used to observe the influence and to determine the relationship between the respectively of independent variable and dependent variable with a value of p<0,05. The Consistent risk factors significantly influence the adherence was variable with values (p = 0.005)The model probability or the extend of adherence is formed from the interaction of variables that affect of working period simultaneously with the value of OR (OR = 0.053).

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The Correlation between Perceptions and Compliance in the Use of Personal Protective Equipment of Nurses at RSU Haji Surabaya

The Indonesian Journal of Occupational Safety and Health ◽

10.20473/ijosh.v10i1.2021.88-96 ◽

2021 ◽

Vol 10 (1) ◽

pp. 88

Author(s):

Rika Mudrikah Miftakhul Janah ◽

Tri Martiana

Keyword(s):

Personal Protective Equipment ◽

Health Belief ◽

Sampling Technique ◽

Cross Sectional Study ◽

Protective Equipment ◽

Cross Sectional ◽

Nurse Perception ◽

Nurses Perceptions ◽

Belief Model ◽

The Relationship

Introduction: According to previous studies, the level of compliance with the use of personal protective equipment of the nurses at RSU Haji Surabaya was still quite low. Only 17.8% of the nurses were compliant in using masks, whereas 82.2% of the nurses were not. Moreover, 57.8% nurses were compliant in using medical gloves, whereas 42.2% were not. The purpose of this study is to analyze the relationship between perception and compliance with the use of personal protective equipment of the nurses at at RSU Haji Surabaya. Methods: This study was an observational and cross-sectional study. The population used in this study was the nurses who served in the operating and lung room of at RSU Haji Surabaya. Total sampling technique was used to 33 samples. Moreover, the data were taken by questionnaires and observations. Data analysis was performed by coefficient contingency test by looking at the value of C. Results: The results show that 85.7% of nurses in the operating room are non-compliant and 33.3% nurses in the lung room are non- compliant with the use of PPE. The results also showthat the perception variable that has the strongest relationship with compliance is perception of severity (C = 0.312). Conclusion: The closest relationship between the two variables are the relationship of compliance of PPE usage with the gender of nurses, and the determination of nurses' perceptions is based on the Health Belief Model approach.Keywords: compliance, nurse, perception, personal protective equipment

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The Relationship among Predisposing, Enabling, Reinforcing Factors and the Use of Personal Protective Equipment (PPE) in Rice Mill Workers

Lontar : Journal of Community Health ◽

10.35508/ljch.v2i1.2857 ◽

2020 ◽

Vol 2 (1) ◽

pp. 12-20

Author(s):

Demetrius Y. Y. K. Meka ◽

Agus Setyobudi ◽

Amelya Betsalonia Sir

Keyword(s):

Personal Protective Equipment ◽

Univariate Analysis ◽

Survey Method ◽

Bivariate Analysis ◽

P Value ◽

Protective Equipment ◽

Cross Sectional ◽

Reinforcing Factors ◽

Rice Milling ◽

The Relationship

Workers in the rice milling division have risks to work health, including experiencing lung and respiratory diseases. Every time they work, workers do not use personal protective equipment such as masks, glasses and gloves, as a result the workers feel shortness of breath, cough and taste. itching of the nose and eyes. Many factors cause workers to not use personal protective equipment, one of which is the behavior of each worker. This study aims to determine the relationship between predisposing, enabling, and reinforcing factors with the use of personal protective equipment (PPE) on rice mill workers in Central Kupang District in 2019. This study used an analytical survey method with a cross sectional study approach. The sample in this study were 40 workers spread across 10 rice mills, Central Kupang District. The data analysis used was univariate analysis and bivariate analysis with the chi square statistical test. The results of this study indicate that the factors associated with the use of personal protective equipment are the level of knowledge (p-value = 0.046) while the unrelated factors are attitude (p-value = 1,000), comfort (p-value = 1,000) and the role of co-workers. (p-value = 0.196). Suggestions for all rice mills should provide complete personal protective equipment in the workplace as well as for workers to increase knowledge by seeking information regarding the behavior of using personal protective equipment using various media so that work accidents can be prevented.

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Infection control practices and challenges in Pakistan during the COVID-19 pandemic: a multicentre cross-sectional study

Journal of Infection Prevention ◽

10.1177/17571774211012761 ◽

2021 ◽

pp. 175717742110127

Author(s):

Salma Abbas ◽

Faisal Sultan

Keyword(s):

Personal Protective Equipment ◽

Prevention And Control ◽

Infection Prevention ◽

Hospital Staff ◽

Cross Sectional Study ◽

Infection Prevention And Control ◽

Protective Equipment ◽

Cross Sectional ◽

Healthcare Facilities ◽

And Control

Background: Patient and staff safety at healthcare facilities during outbreaks hinges on a prompt infection prevention and control response. Physicians leading these programmes have encountered numerous obstacles during the pandemic. Aim/objective: The aim of this study was to evaluate infection prevention and control practices and explore the challenges in Pakistan during the coronavirus disease 2019 pandemic. Methods: We conducted a cross-sectional study and administered a survey to physicians leading infection prevention and control programmes at 18 hospitals in Pakistan. Results: All participants implemented universal masking, limited the intake of patients and designated separate triage areas, wards and intensive care units for coronavirus disease 2019 patients at their hospitals. Eleven (61%) physicians reported personal protective equipment shortages. Staff at three (17%) hospitals worked without the appropriate personal protective equipment due to limited supplies. All participants felt overworked and 17 (94%) reported stress. Physicians identified the lack of negative pressure rooms, fear and anxiety among hospital staff, rapidly evolving guidelines, personal protective equipment shortages and opposition from hospital staff regarding the choice of recommended personal protective equipment as major challenges during the pandemic. Discussion: The results of this study highlight the challenges faced by physicians leading infection prevention and control programmes in Pakistan. It is essential to support infection prevention and control personnel and bridge the identified gaps to ensure patient and staff safety at healthcare facilities.

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Correction to: Exploring the Relationship between Character Strengths and Meditation: a Cross-Sectional Study among Long-Term Practitioners of Sahaja Yoga Meditation

International Journal of Applied Positive Psychology ◽

10.1007/s41042-021-00053-z ◽

2021 ◽

Author(s):

Tommy Hendriks ◽

Joshua Pritikin ◽

Rajeev Choudhary ◽

Chad Danyluck

Keyword(s):

Character Strengths ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Link Type ◽

The Relationship ◽

Yoga Meditation

An Correction to this paper has been published: 10.1007/s41042-021-00053-z

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Relationship between Number and Order of Children with Exclusive Breastfeeding Practices in Surakarta

Smart Society Empowerment Journal ◽

10.20961/ssej.v1i1.48533 ◽

2021 ◽

Vol 1 (1) ◽

pp. 7

Author(s):

Vivienne Tjung ◽

Husnia Auliyatul Umma ◽

Jarot Subandono

Keyword(s):

Exclusive Breastfeeding ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Number Of Children ◽

Breastfeeding Practices ◽

Analysis Technique ◽

The Relationship ◽

Breastfeeding Practice

Introduction: Exclusive breast milk is breastfeeding for six months to babies, without providing other foods and drinks. Breastfeeding for up to 6 months is recommended by various health organizations, including the Ministry of Health. In Indonesia, exclusive breastfeeding is still low, even though the benefits of breastfeeding are numerous. Various studies that have been conducted have shown different results regarding the relationship between the number and sequence of children with breastfeeding practices. This study aimed to determine the relationship between the number of children and the order of the children with the practice of exclusive breastfeeding in SurakartaMethods: This study was an analytic observational study with a cross-sectional study design. The research sample was determined by random sampling of mothers registered at the Penumping Health Center. The research sample consisted of 50 people who have children aged 1-5 years. Assessment of completeness of breastfeeding was measured using a questionnaire. Data were analyzed using bivariate analysis techniques using chi-square and multivariate logistic regression.Results and discussions: From 47 subjects studied with the bivariate analysis technique using the chi square between the number of children and the order of children with exclusive breastfeeding practice, the results were less significant, p = 0.724 and p = 0.401.Conclusion: There was no significant relationship between the number of children and the order of children with the practice of exclusive breastfeeding in Surakarta.Keywords: Exclusive breastfeeding, number of children, order of children.

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COVID-19 infections among Healthcare Workers and Transmission within Households

10.1101/2020.06.12.20129619 ◽

2020 ◽

Cited By ~ 3

Author(s):

Kevin L. Schwartz ◽

Camille Achonu ◽

Sarah A. Buchan ◽

Kevin A. Brown ◽

Brenda Lee ◽

...

Keyword(s):

General Population ◽

Personal Protective Equipment ◽

Healthcare Workers ◽

Population Based ◽

Cross Sectional Study ◽

Nosocomial Transmission ◽

Protective Equipment ◽

Sectional Study ◽

Cross Sectional ◽

Testing Bias

AbstractImportanceProtecting healthcare workers (HCWs) from COVID-19 is a priority to maintain a safe and functioning healthcare system. The risk of transmitting COVID-19 to family members is a source of stress for many.ObjectiveTo describe and compare HCW and non-HCW COVID-19 cases in Ontario, Canada, as well as the frequency of COVID-19 among HCWs’ household members.Design, Setting, and ParticipantsUsing reportable disease data at Public Health Ontario which captures all COVID-19 cases in Ontario, Canada, we conducted a population-based cross-sectional study comparing demographic, exposure, and clinical variables between HCWs and non-HCWs with COVID-19 as of 14 May 2020. We calculated rates of infections over time and determined the frequency of within household transmissions using natural language processing based on residential address.Exposures and OutcomesWe contrasted age, gender, comorbidities, clinical presentation (including asymptomatic and presymptomatic), exposure histories including nosocomial transmission, and clinical outcomes between HCWs and non-HCWs with confirmed COVID-19.ResultsThere were 4,230 (17.5%) HCW COVID-19 cases in Ontario, of whom 20.2% were nurses, 2.3% were physicians, and the remaining 77.4% other specialties. HCWs were more likely to be between 30-60 years of age and female. HCWs were more likely to present asymptomatically (8.1% versus 7.0%, p=0.010) or with atypical symptoms (17.8% versus 10.5%, p<0.001). The mortality among HCWs was 0.2% compared to 10.5% of non-HCWs. HCWs commonly had exposures to a confirmed case or outbreak (74.1%), however only 3.1% were confirmed to be nosocomial. The rate of new infections was 5.5 times higher in HCWs than non-HCWs, but mirrored the epidemic curve. We identified 391 (9.8%) probable secondary household transmissions and 143 (3.6%) acquisitions. Children < 19 years comprised 14.6% of secondary cases compared to only 4.2% of the primary cases.Conclusions and RelevanceHCWs represent a disproportionate number of COVID-19 cases in Ontario but with low confirmed numbers of nosocomial transmission. The data support substantial testing bias and under-ascertainment of general population cases. Protecting HCWs through appropriate personal protective equipment and physical distancing from colleagues is paramount.Key PointsQuestionWhat are the differences between healthcare workers and non-healthcare workers with COVID-19?FindingsIn this population-based cross-sectional study there were 4,230 healthcare workers comprising 17.5% of COVID-19 cases. Healthcare workers were diagnosed with COVID-19 at a rate 5.5 times higher than the general population with 0.8% of all healthcare workers, compared to 0.1% of non-healthcare workers.MeaningHigh healthcare worker COVID-19 burden highlights the importance of physical distancing from colleagues, appropriate personal protective equipment, as well as likely substantial testing bias and under-ascertainment of COVID-19 in the general population.

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