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Leonardsen ACL, Brevik L. Cell Phones in the OR: A Cross-Sectional Study of Norwegian Perioperative Nurses' Knowledge, Practice, and Attitudes. AORN J 2024; 119:e1-e10. [PMID: 38661447 DOI: 10.1002/aorn.14127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2022] [Revised: 07/13/2023] [Accepted: 07/24/2023] [Indexed: 04/26/2024]
Abstract
Few studies have focused on the use of cell phones in the OR. In Norway, researchers sought to assess perioperative nurses' knowledge, practice, and attitudes associated with cell phone use in the OR and distributed a nationwide questionnaire via a social media platform. More than 80% of the 332 respondents thought that cell phones were contaminated and that pathogens could contaminate hands. Almost all respondents brought their phone to work; approximately 61% of respondents carried it in their pocket in the OR. Responses to questions about phone cleaning showed that 39 (11.7%) of the respondents routinely cleaned their phone before entering the OR and 33 (9.9%) of the respondents cleaned it when leaving the OR. Less than 20% of respondents indicated their facility had guidelines for cleaning personal cell phones. Opportunities for improvement in cell phone cleaning in ORs exist and additional research involving all perioperative team members is needed.
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Abou Yassine K, El-Saed A, Othman F, Ramou S, Al Alwan BH, Ameer K, Hawthan M, Al Zunitan M, Alshamrani MM. Awareness of health care workers with appropriate infection control practices related to multi-patient use of Close Loop Medication Administration device. Infect Prev Pract 2023; 5:100323. [PMID: 38028360 PMCID: PMC10665828 DOI: 10.1016/j.infpip.2023.100323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Accepted: 08/01/2023] [Indexed: 12/01/2023] Open
Abstract
Background Portable computerized devices represent a potential source of healthcare infections. The objective was to assess the knowledge, attitudes, and practices (KAP) of healthcare workers (HCWs) toward infection control practices used with Close Loop Medication Administration (CLMA) devices. Additionally, to quantify the impact of education and training on the bacterial burden on CLMA devices. Methods The study design consisted of two steps: a cross-sectional study was conducted among HCWs working in a tertiary care center in Riyadh, Saudi Arabia. A 32-item questionnaire was used to assess KAP information. The second step was environmental samples collected from the surfaces of CLMA devices before and after implementing a multifaceted intervention. Result A total of 325 HCWs were included in the study. The mean age was 32.6±7.4 years. The majority were females (92%) and nurses (91.3%). The overall KAP score was 74.8%, 74.2% adequate knowledge, 79.3% positive attitude, and 71.3% appropriate practices. KAP score was better (≥ median KAP score) among HCWs working in laboratory and organ transplant units (P<0.001). It was also better among those with a longer duration of work experience (P<0.001) and those who received related training (P<0.001). Approximately 75% of HCWs expressed their need for more information about CLMA. Post-interventional samples had much lower bacterial burden, with the positive rate reduced from 51.4% before intervention to 16.8% after intervention (P<0.001). Conclusions Awareness and behavior of HCWs about appropriate infection control practices related to portable devices is still inadequate. A multifaceted intervention including education and training significantly reduces the bioburden on portable devices.
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Affiliation(s)
- Kassem Abou Yassine
- Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
| | - Aiman El-Saed
- Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
- College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Fatmah Othman
- College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Sarr Ramou
- Microbiology Laboratory, King Abdullah Specialist Children Hospital, Riyadh, Saudi Arabia
| | - Bassam H. Al Alwan
- Microbiology Laboratory, King Abdullah Specialist Children Hospital, Riyadh, Saudi Arabia
| | - Kholoud Ameer
- Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
| | - Mustafa Hawthan
- Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
| | - Mohammed Al Zunitan
- Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Majid M. Alshamrani
- Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
- College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Smith S, Houghton A, Mockeridge B, van Zundert A. The Internet, Apps, and the Anesthesiologist. Healthcare (Basel) 2023; 11:3000. [PMID: 37998492 PMCID: PMC10671284 DOI: 10.3390/healthcare11223000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 11/16/2023] [Accepted: 11/16/2023] [Indexed: 11/25/2023] Open
Abstract
Modern anesthesia continues to be impacted in new and unforeseen ways by digital technology. Combining portability and versatility, mobile applications or "apps" provide a multitude of ways to enhance anesthetic and peri-operative care. Research suggests that the uptake of apps into anesthetic practice is becoming increasingly routine, especially amongst younger anesthetists brought up in the digital age. Despite this enthusiasm, there remains no consensus on how apps are safely and efficiently integrated into anesthetic practice. This review summarizes the most popular forms of app usage in anesthesia currently and explores the challenges and opportunities inherent in implementing app use in anesthesia, with an emphasis on a practical approach for the modern anesthetist.
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Affiliation(s)
- Samuel Smith
- Department of Intensive Care Medicine, Redcliffe Hospital, Brisbane, QLD 4020, Australia
- Faculty of Medicine, University of Queensland, Brisbane, QLD 4072, Australia; (A.H.)
| | - Andrew Houghton
- Faculty of Medicine, University of Queensland, Brisbane, QLD 4072, Australia; (A.H.)
- Department of Anesthesia and Peri-operative Medicine, Royal Brisbane and Women’s Hospital, Brisbane, QLD 4029, Australia
| | - Brydie Mockeridge
- Faculty of Medicine, University of Queensland, Brisbane, QLD 4072, Australia; (A.H.)
- Department of Anesthesia, Mater Hospital, Brisbane, QLD 4101, Australia
| | - André van Zundert
- Faculty of Medicine, University of Queensland, Brisbane, QLD 4072, Australia; (A.H.)
- Department of Anesthesia and Peri-operative Medicine, Royal Brisbane and Women’s Hospital, Brisbane, QLD 4029, Australia
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Zenbaba D, Sahiledengle B, Beressa G, Desta F, Teferu Z, Nugusu F, Atlaw D, Shiferaw Z, Gezahegn B, Mamo A, Desalegn T, Negash W, Negash G, Mama M, Nigussie E, Chattu VK. Bacterial contamination of healthcare workers' mobile phones in Africa: a systematic review and meta-analysis. Trop Med Health 2023; 51:55. [PMID: 37798670 PMCID: PMC10552405 DOI: 10.1186/s41182-023-00547-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 09/26/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND Mobile phones are potential reservoirs for pathogens and sources of healthcare-associated infections. More microbes can be found on a mobile phone than on a man's lavatory seat, the sole of a shoe, or a door handle. When examining patients, frequent handling of mobile phones can spread bacteria. Nevertheless, evidence of bacterial contamination of mobile phones used by healthcare workers in Africa was inconclusive. Thus, this meta-analysis and systematic review was conducted to estimate the pooled prevalence of bacterial contamination of mobile phones used by healthcare workers and the most frequent bacterial isolates in Africa. METHODS We systematically retrieved relevant studies using PubMed/MEDLINE, POPLINE, HINARI, Science Direct, Cochrane Library databases, and Google Scholar from July 1, 2023 to August 08, 2023. We included observational studies that reported the prevalence of bacterial contamination of mobile phones among healthcare workers. The DerSimonian-random Laird's effect model was used to calculate effect estimates for the pooled prevalence of bacterial contamination in mobile phones and a 95% confidence interval (CI). RESULTS Among 4544 retrieved studies, 26 eligible articles with a total sample size of 2,887 study participants were included in the meta-analysis. The pooled prevalence of mobile phone bacterial contamination among healthcare workers was 84.5% (95% CI 81.7, 87.4%; I2 = 97.9%, p value < 0.001). The most dominant type of bacteria isolated in this review was coagulase-negative staphylococci (CONS) which accounted for 44.0% of the pooled contamination rate of mobile phones used by healthcare workers, followed by Staphylococcus aureus (31.3%), and Escherichia coli (10.7%). CONCLUSIONS In this review, the contamination of mobile phones used by HCWs with various bacterial isolates was shown to be considerable. The most prevalent bacteria isolates were coagulase-negative staphylococci, Staphylococcus aurous, and Escherichia coli. The prevalence of bacterial contamination in mobile phones varies by country and sub-region. Hence, healthcare planners and policymakers should establish norms to manage healthcare workers' hand hygiene and disinfection after using mobile phones.
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Affiliation(s)
- Demisu Zenbaba
- Department of Public Health, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia.
| | - Biniyam Sahiledengle
- Department of Public Health, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Girma Beressa
- Department of Public Health, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Fikreab Desta
- Department of Public Health, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Zinash Teferu
- Department of Public Health, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Fikadu Nugusu
- Department of Public Health, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Daniel Atlaw
- Anatomy Unit, School of Medicine, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Zerihun Shiferaw
- Anatomy Unit, School of Medicine, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Bereket Gezahegn
- Anatomy Unit, School of Medicine, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Ayele Mamo
- Departments of Pharmacy, School of Medicine, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Tesfaye Desalegn
- Departments of Pharmacy, School of Medicine, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Wogene Negash
- Department of Nursing, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Getahun Negash
- Department of Medical Laboratory, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Mohammedaman Mama
- Department of Medical Laboratory, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Eshetu Nigussie
- Department of Medical Laboratory, School of Health Sciences, Madda Walabu University, P.O. Box 76, Goba, Ethiopia
| | - Vijay Kumar Chattu
- Center for Transdisciplinary Research, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, India
- Department of Community Medicine, Faculty of Medicine, Datta Meghe Institute of Medical Sciences, Wardha, 442107, India
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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Research on the Impact of mHealth Apps on the Primary Healthcare Professionals in Patient Care. Appl Bionics Biomech 2021; 2021:7611686. [PMID: 34912474 PMCID: PMC8668363 DOI: 10.1155/2021/7611686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 11/10/2021] [Accepted: 11/17/2021] [Indexed: 11/25/2022] Open
Abstract
The goal of this study was to develop and use a questionnaire in order to analyse the effects of eHealth apps on patient care using Jordanian population. A two-stage cross-sectional research was conducted. A questionnaire was developed in the beginning to evaluate its consistency and legitimacy using Cronbach's alpha coefficient, a multitrait connection atmosphere; the multivariate technique is component examination. In the study's another phase, correlation and regression are used to determine the influence of eHealth apps on patient care. The five major axes of the final surveys were healthcare efficiency, teaching, notices, consultation, and follow-up. Individuals from diverse demographic aspects, such as gender, age, job experience, and education level, have no differing perspectives on cell phone use in their amenities, according to a staff's viewpoint evaluation. In general, mobile health applications had a good influence on health services and healthcare, which would be an important setting for the operative use of mobile headphones in public policy; such a background would affect in workers' intents to practice and adopt mHealth.
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The Associations between Knowledge and Behaviours Related to Touch Screens and Microbiological Threats among IT Students'. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179269. [PMID: 34501860 PMCID: PMC8431698 DOI: 10.3390/ijerph18179269] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 08/18/2021] [Accepted: 08/25/2021] [Indexed: 11/30/2022]
Abstract
Current issue like the COVID–19 pandemic show how elementary knowledge and hygiene behaviours are important for ordinary people. Microbiological hazards, not just viruses, can be transmitted in various ways through touch screens. For ordinary users, there is a wide range of behaviours that affect the ability to transfer microbial hazards (viruses, bacteria and fungi). The purpose of the paper is to analyse the association between knowledge and behaviour of touch screen users based on surveys. This paper presents selected results of a survey conducted at the end of 2019 (pre–COVID–19 survey). The survey was conducted on a group of 172 IT school students. The relationship between responses using a 2D linear model regression and clustering is used. Most respondents believe that bacteria were more common than viruses on touch screens. The respondents declare altruism in terms of a greater willingness to lend their smartphone, rather than to use someone else’s. An interesting result is that respondents often lend their smartphone to others, while being aware that viruses or bacteria are present on the touch screens. The results can be used in terms of changes in the education process of smartphone users in relation to microbiological hazards.
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Opperman CJ, Khan F, Piercy JL, Samodien N. Barriers to disinfection of mobile touch screen devices amongst a multidisciplinary team in intensive care units at a tertiary hospital. Germs 2021; 11:329-336. [PMID: 34422705 DOI: 10.18683/germs.2021.1270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 05/30/2021] [Indexed: 11/08/2022]
Affiliation(s)
- Christoffel J Opperman
- BScHons (Microbiology), MBChB (Stellenbosch), Division of Medical Microbiology, National Health Laboratory Service, University of Cape Town and Groote Schuur Hospital, Main Road, Observatory, 7925, Cape Town, South Africa
| | - Farheen Khan
- Faculty of Health Sciences, University of Cape Town, Main Road, Observatory, 7925, Cape Town, South Africa
| | - Jenna L Piercy
- BScHons, MBBS (Lond), FCA (SA), Cert Crit Care (SA), Division of Critical Care, Department of Anaesthesia and Perioperative Medicine, University of Cape Town, Main Road, Observatory, 7925, Cape Town, South Africa
| | - Nazlee Samodien
- MBChB (Wits); FCPath (Microbiol), Division of Medical Microbiology, National Health Laboratory Service, University of Cape Town and Groote Schuur Hospital, Main Road, Observatory, 7925, Cape Town, South Africa
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Olsen M, Lohning A, Campos M, Jones P, McKirdy S, Alghafri R, Tajouri L. Mobile phones of paediatric hospital staff are never cleaned and commonly used in toilets with implications for healthcare nosocomial diseases. Sci Rep 2021; 11:12999. [PMID: 34155278 PMCID: PMC8217495 DOI: 10.1038/s41598-021-92360-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 06/02/2021] [Indexed: 12/13/2022] Open
Abstract
An ever-increasing number of medical staff use mobile phones as a work aid, yet this may pose nosocomial diseases. To assess and report via a survey the handling practices and the use of phones by paediatric wards healthcare workers. 165 paediatric healthcare workers and staff filled in a questionnaire consisting of 14 questions (including categorical, ordinal and numerical data). Analysis of categorical data used non-parametric techniques such as the Chi-squared test. Although 98% of respondents (165 in total) report that their phones may be contaminated, 56% have never cleaned their devices. Of the respondents that clean their devices, 10% (17/165) had done so with alcohol swabs or disinfectant within that day or week; and an additional 12% respondents (20/165) within that month. Of concern, 52% (86/165) of the respondents use their phones in the bathroom, emphasising the unhygienic environments in which mobile phones/smartphones are constantly used. Disinfecting phones is a practice that only a minority of healthcare workers undertake appropriately. Mobile phones, present in billions globally, are therefore Trojan Horses if contaminated with microbes and potentially contributing to the spread and propagation of micro-organisms as per the rapid spread of SARS-CoV-2 virus in the world.
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Affiliation(s)
- Matthew Olsen
- Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia
| | - Anna Lohning
- Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia
| | - Mariana Campos
- Harry Butler Institute, Murdoch University, Murdoch, WA, 6150, Australia
| | - Peter Jones
- Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia
| | - Simon McKirdy
- Harry Butler Institute, Murdoch University, Murdoch, WA, 6150, Australia
| | - Rashed Alghafri
- Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia
- Dubai Police Scientists Council, Dubai Police, Dubai, United Arab Emirates
- Harry Butler Institute, Murdoch University, Murdoch, WA, 6150, Australia
- Dubai Future Council on Community Security, Dubai, United Arab Emirates
| | - Lotti Tajouri
- Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia.
- Dubai Police Scientists Council, Dubai Police, Dubai, United Arab Emirates.
- Harry Butler Institute, Murdoch University, Murdoch, WA, 6150, Australia.
- Dubai Future Council on Community Security, Dubai, United Arab Emirates.
- Genomics and Molecular Biology, Bond University, Gold Coast, QLD, 4229, Australia.
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Erfannia L, Barman MP, Hussain S, Barati R, Arji G. How mobile health affects primary healthcare? Questionnaire design and attitude assessment. Digit Health 2020; 6:2055207620942357. [PMID: 32742715 PMCID: PMC7375725 DOI: 10.1177/2055207620942357] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 06/22/2020] [Indexed: 11/02/2022] Open
Abstract
OBJECTIVES The current research aimed to develop a questionnaire for the evaluation of the staff viewpoints in mobile phone use in the delivery of their services and then to assess the primary health center staff attitudes toward this area. METHODS This was a two-stage cross-sectional study. In the initial stage, a questionnaire was constructed that tested their reliability and validity through Cronbach's alpha coefficient, multitrait/multi-item correlation matrix and multivariate method of factor analysis. In the second phase, we computed the raw score of each construct which was calculated by taking the mean of the responses of all the items in a particular construct. The normality of the scores for each construct was tested via Kolmogorov-Smirnov and various parametric/non-parametric statistical tests were applied to compare the responses of the subjects. After statistical tests, the final questionnaire was confirmed, including 28 items. RESULTS The final questionnaires' five main axes consisted of health services efficiency, education, notices, consultation, as well as follow-up. Personnel perspective assessment indicates that there is no difference of view among individuals coming from various demographic features, including gender, age, work experience, as well as education level, to mobile phone use in their services. CONCLUSION The attitude of public health center staff to mobile phone use in providing health services was positive in general, which would be an influential context for the effective application of mobile phones in public health; such a context would result in users' intentions to use and accept m-Health.
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Affiliation(s)
- Leila Erfannia
- Paramedical School, Zahedan University of Medical Sciences, Iran
| | | | | | - Reyhane Barati
- Scientific Research Center, Zahedan University of Medical Sciences, Iran
| | - Goli Arji
- School of Nursing and Midwifery, Saveh University Of Medical Sciences, Iran
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