1
|
Ali I, Hassan Z, Rahat Ullah A, Noman Khan Wazir M, Fida N, Idrees Khan M, Masood A, Zulfiqar Ali Shah S, Ali W, Ullah I, Ashraf A, Hussain A, Ahsan A, Hemmeda L, Mustafa Ahmed GE, Abbasher Hussien Mohamed Ahmed K. Healthcare workers' knowledge and risk perception regarding the first wave of COVID-19 in Khyber Pakhtunkhwa, Pakistan: an online cross-sectional survey. Ann Med Surg (Lond) 2024; 86:2562-2571. [PMID: 38694302 PMCID: PMC11060209 DOI: 10.1097/ms9.0000000000001916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2023] [Accepted: 02/25/2024] [Indexed: 05/04/2024] Open
Abstract
Background Increased COVID-19 transmission among the populace may be caused by healthcare workers (HCWs) who lack knowledge, awareness, and good preventive practices. Additionally, it may cause elevated stress levels, anxiety, poor medical judgement, and situational overestimation. Objectives The present survey aimed to assess knowledge and risk perception regarding COVID-19 among HCWs in Khyber Pakhtunkhwa (KP), Pakistan. Methodology A web-based online, pre-tested questionnaire comprising 26 items was circulated via social media in April 2020 amongst HCWs in major tertiary care facilities in KP. Results The study's results, revealing both the commendable knowledge levels among HCWs about COVID-19 and their heightened risk perception, highlight the critical need for targeted interventions to address the potential impact on self-protective behaviour and mental health within this vital workforce. This insight is important for designing strategies that not only enhance HCWs' well-being but also ensure the continued effectiveness of healthcare delivery during pandemics. The percentage mean score (PMS) of COVID-19 knowledge was 85.14±10.82. Male HCWs and those with an age older than or equal to 32 years demonstrated a higher knowledge score (85.62±11.08; P=0.032 and 87.59±7.33, P=0.021, respectively). About 76% of HCWs feared contracting COVID-19. Nearly 82% of respondents were mentally preoccupied with the pandemic and also terrified of it. 'Of these, 81% were nurses, 87% had a job experience of 6-8 years and 54.45% were frontline workers. Feelings of panic and concern about the pandemic were found to be more in HCWs who were physicians above the age of 32, and who had 3-5 years of work experience. HCWs' overall risk perception was found to be significantly different between males (7.04±2.26) and females (8.01±1.97), job experience of 6-10 years (8.04±177) with 3-5 years and younger than or equal to 2 years job experience (7.18±2.43,6.93±2.22), respectively, and between frontline HCWs (7.50±2.10) and non-frontline HCWs (6.84±2.40). Conclusion HCWs demonstrated good knowledge about COVID-19. As the risk perception of COVID-19 among HCWs is high, it can raise concerns about their self-protective behaviour, and mental health. These issues need to be addressed.
Collapse
Affiliation(s)
| | - Zair Hassan
- Department of Cardiology, Lady Reading Hospital
| | - Arslan Rahat Ullah
- Department of Medicine & Allied, Northwest General Hospital & Research Centre
| | | | - Najma Fida
- Department of Physiology, Kabir Medical College
| | | | - Aysha Masood
- Department of Thoracic Medicine, Royal Bournemouth Hospital, Castle Ln E, Bournemouth, UK
| | - Sayed Zulfiqar Ali Shah
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Waqar Ali
- Pharmacy, Hayatabad Medical Complex
- Departments ofPharmacy
| | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Khyber Pakhtunkhwa
- Undergraduate Research Organizations, Dhaka, Bangladesh
| | - Adnan Ashraf
- Paraplegic Center, Hayatabad
- Social Work, University of Peshawar
| | - Arshad Hussain
- Department of Medicine & Allied, Northwest General Hospital & Research Centre
| | - Areeba Ahsan
- Foundation university school of health sciences, Islamabad, Pakistan
| | - Lina Hemmeda
- Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | | |
Collapse
|
2
|
Shim W, Kim KY. Effects of individual and environmental factors on COVID-19 infection control practices in small to medium-sized hospitals. Am J Infect Control 2024:S0196-6553(24)00471-1. [PMID: 38677658 DOI: 10.1016/j.ajic.2024.04.200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Revised: 04/17/2024] [Accepted: 04/21/2024] [Indexed: 04/29/2024]
Abstract
BACKGROUND This study analyzed the influence of individual and environmental factors on infection control practices among nurses in small to medium-sized hospitals of South Korea during the pandemic. METHODS We enrolled 171 nurses from five infectious disease specialized hospitals with 200 to 299 beds located in metropolitan areas of South Korea. Individual factors, including general characteristics, COVID-19 knowledge, attitude, and risk perception, and environmental factor including COVID-19 safety climate, were collected using self-report questionnaires. Individual and environmental factors were analyzed using multiple logistic regression. RESULTS COVID-19-related safety climate (β=.423) had the greatest association with infection control practices, followed by COVID-19-related attitude (β=.174). Higher safety climate and attitude scores were associated with higher scores in infection control practices. The explanatory power of these variables was 30.6%. CONCLUSION This study indicated that safety climate and COVID-19-related attitudes significantly influence infection control practices in small to medium-sized hospitals. This provides a basis to establish policies for responses to emerging infectious diseases in small to medium-sized hospitals, and contribute to consistent guidelines.
Collapse
Affiliation(s)
- Woori Shim
- Infection Prevention and Control Team, National Medical Center, Seoul, Republic of Korea; General graduate school, Gachon University, Incheon, Republic of Korea
| | - Ka Young Kim
- College of Nursing, Gachon University, Incheon, Republic of Korea.
| |
Collapse
|
3
|
Ergin E, Sezer H, Çinar D, Düzenli Öztürk S. Health Protection And Improvement Sensitivity For Covid-19 Pandemic: Turkey's Case. Soc Work Public Health 2024; 39:250-260. [PMID: 38419550 DOI: 10.1080/19371918.2024.2322601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
This descriptive study was aimed at identifying the anxiety levels of Turkish people in the first three months of the pandemic, the coping methods they use to control this anxiety, and their knowledge and behavior about protection and prevention against COVID-19. The data were collected from 571 individuals. Of the individuals, 84.6% had anxiety. The anxiety levels of those who kept working during the pandemic were significantly higher than were the anxiety levels of those who did not (p < .05). The participants experienced a moderate level of anxiety, and they mostly used relaxation techniques, music therapy, and prayer/worship to cope with anxiety. The knowledge level of the individuals about COVID-19 was moderate.
Collapse
Affiliation(s)
- Eda Ergin
- Department of Nursing, Faculty of Health Sciences, University of İzmir Bakırçay, İzmir, TURKEY
| | - Hale Sezer
- Department of Nursing, Faculty of Health Sciences, University of İzmir Bakırçay, İzmir, TURKEY
| | - Derya Çinar
- Department of Nursing, Faculty of Health Sciences, University of İzmir Bakırçay, İzmir, TURKEY
| | - Seren Düzenli Öztürk
- Department of Speech and Language Therapy, Faculty of Health Sciences, İzmir Bakircay University, İzmir, TURKEY
| |
Collapse
|
4
|
Cheng BT, Ali RA, Chen Collet J, Donovan Towell T, Han G, Keen D, Leung KW, Mori J, Srigley JA. Barriers to healthcare-worker adherence to infection prevention and control practices in British Columbia during the coronavirus disease 2019 (COVID-19) pandemic: A cross-sectional study. Infect Control Hosp Epidemiol 2024; 45:474-482. [PMID: 37941386 PMCID: PMC11007356 DOI: 10.1017/ice.2023.242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 09/19/2023] [Accepted: 10/10/2023] [Indexed: 11/10/2023]
Abstract
OBJECTIVE The coronavirus disease 2019 (COVID-19) pandemic highlighted the importance of robust infection prevention and control (IPAC) practices to maintain patient and staff safety. However, healthcare workers (HCWs) face many barriers that affect their ability to follow these practices. We identified barriers affecting HCW adherence to IPAC practices during the pandemic in British Columbia, Canada. DESIGN Cross-sectional web-based survey. SETTING Acute care, long-term care or assisted living, outpatient, mental health, prehospital care, and home care. PARTICIPANTS Eligible respondents included direct-care providers and IPAC professionals working in these settings in all health authorities across British Columbia. METHODS We conducted a web-based survey from August to September 2021 to assess respondent knowledge and attitudes toward IPAC within the context of the COVID-19 pandemic. Respondents were asked to rate the extent to which various barriers affected their ability to follow IPAC practices throughout the pandemic and to make suggestions for improvement. RESULTS The final analysis included 2,488 responses; 36% of respondents worked in acute care. Overall, perceptions of IPAC practice among non-IPAC professionals were positive. The main self-perceived barriers to adherence included inadequate staffing to cover absences (58%), limited space in staff rooms (57%), multibed rooms (51%), and confusing messages about IPAC practices (51%). Common suggestions for improvement included receiving more support from IPAC leadership and clearer communication about required IPAC practices. CONCLUSIONS Our findings highlight frontline HCW perspectives regarding priority areas of improvement for IPAC practices. They will inform policy and guideline development to prevent transmission of COVID-19 and future emerging infections.
Collapse
Affiliation(s)
- Brooke T. Cheng
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - R. Ayesha Ali
- Department of Mathematics and Statistics, University of Guelph, Guelph, Ontario, Canada
| | - Jun Chen Collet
- Provincial Health Services Authority, Vancouver, British Columbia, Canada
| | | | - Guanghong Han
- Provincial Health Services Authority, Vancouver, British Columbia, Canada
| | - Dave Keen
- Fraser Health Authority, Surrey, British Columbia, Canada
| | - Ka Wai Leung
- Provincial Health Services Authority, Vancouver, British Columbia, Canada
| | - Julie Mori
- Interior Health, Kelowna, British Columbia, Canada
| | - Jocelyn A. Srigley
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
- Department of Pathology and Laboratory Medicine, BC Children’s Hospital and BC Women’s Hospital + Health Centre, Vancouver, British Columbia, Canada
| |
Collapse
|
5
|
Juttla PK, Ndiritu M, Milliano F, Odongo AO, Mwancha-Kwasa M. Knowledge, attitudes and practices towards COVID-19 among healthcare workers: A cross-sectional survey from Kiambu County, Kenya. PLoS One 2024; 19:e0297335. [PMID: 38470888 DOI: 10.1371/journal.pone.0297335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 01/02/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND The knowledge possessed by healthcare workers (HCWs), along with their attitudes and practices play a vital role in effectively managing a pandemic. This is crucial considering that HCWs are exposed to great risk at the forefront of such crises. We aimed to describe the knowledge, attitude, and practices (KAP) of HCWs during the COVID-19 pandemic in Kiambu county, Kenya. METHODS A cross-sectional study using a structured questionnaire was conducted from 11th March 2021 to 12th August 2021. Bloom's cutoff points were used to determine KAP scores (>80%: good, 60-79%: medium and <60% poor). Multivariable ordinal logistic regression analyses were conducted, calculating adjusted odds ratios (AOR) at a 95% confidence interval. Spearman's rank correlations were used to examine the relationship between KAP scores. RESULTS 438 HCWs participated in the study, majority of whom were female (64.5%), had obtained a diploma (59.6%) and were informed through government websites (78.6%). 43.0% had good knowledge, 17.5% good attitudes, and 68.4% good practice. 23.0% had medium knowledge, 35.6% medium attitude, 15.7% medium practice, while 34.0% had poor knowledge, 46.9% poor attitude and 15.9% poor practice. Only 68.9% of the caregivers correctly recognized the county's COVID-19 isolation centre and only 7.9% chose the two correct documents for the entry of data for a suspected COVID-19 case. Furthermore, the general attitude towards their own personal safety and their training regarding PPEs (17.8% and 23.8% strongly agreed with the contrary) were less compelling. There was a significant positive association between obtaining information from international government sites [AOR: 1.382 (1.058-1.807); p = 0.0178)] and good knowledge. Referring to local government sites for information regarding COVID-19 produced better attitudes [AOR: 1.710 (1.194-2.465); p = 0.0036] and produced almost twice the odds of having better practice [AOR: 1.800 (1.181-2.681); p = 0.0048]. There was a significant correlation between knowledge and practice (r = -0.330, p = 2.766×10-11), and knowledge and attitude (r = -0.154, p = 6.538×10-3). CONCLUSION This study emphasizes the substantial impact that governing bodies have on shaping favorable KAP. As a result, it's crucial for local government platforms to prioritize the dissemination of up-to-date information that aligns with international standards. This information should be tailored to the specific region, focusing on addressing deficiencies in healthcare practices and patient management. The identification of a significant number of HCWs lacking confidence in managing COVID-19 patients and feeling unprotected underscores a clear need for improvement in their understanding and implementation of preventive measures. This gap can be bridged by adequately equipping HCWs with locally manufactured PPEs. This aspect is crucial for pandemic preparedness, and we further advocate for the creation of a locally produced repository of medical equipment. These actions are pivotal in improving future crisis management capabilities.
Collapse
Affiliation(s)
- Prabhjot Kaur Juttla
- Faculty of Health Sciences, School of Medicine, University of Nairobi, Nairobi, Kenya
| | - Moses Ndiritu
- Department of Health, County Government of Kiambu, Kiambu, Kenya
| | | | | | | |
Collapse
|
6
|
Darko DO, Opoku DA, Ayisi-Boateng NK, Mohammed A, Ashilevi J, Amponsah OKO, Mate-Kole A, Egblewogbe D, Darko BA, Agyemang E, Okyere P. Health and safety of health workers in the Suame Municipality of Ghana - Lessons learnt from the COVID-19 outbreak in infection prevention and control for future pandemics. SAGE Open Med 2024; 12:20503121231225924. [PMID: 38268945 PMCID: PMC10807316 DOI: 10.1177/20503121231225924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Accepted: 12/22/2023] [Indexed: 01/26/2024] Open
Abstract
Objectives Effective adherence to infection prevention and control practices is needed to reduce the rate of healthcare-acquired infections among healthcare workers. Policies to control healthcare-acquired infections among healthcare workers can be designed and implemented using information on adherence to infection prevention and control practices adherence and its determinants. This study, therefore, sought to assess the adherence to infection prevention and control practices among healthcare workers during the 2019 Coronavirus disease pandemic. Methods A multicentre cross-sectional study was conducted among 323 randomly selected healthcare workers in four health facilities in the Suame Municipality, Ghana. Data on participants' socio-demographics, knowledge of infection prevention and control practices and adherence to infection prevention and control practices were collected using a pre-tested structured questionnaire. Multivariate logistic regression analysis was used to examine the effect of demographic characteristics and knowledge of infection prevention and control on adherence to infection prevention and control practices among study participants. Results Over three-quarters (75.9%) of the study participants had adequate knowledge of infection prevention and control practices with a significant knowledge gap in the colour coding of bin liners for waste segregation (35.6%). The proportion of study participants who reported good adherence to infection prevention and control practices was 86.7%. Healthcare workers who were 33 years and above (Adjusted odds ratio (AOR): 0.27; 95% Confidence interval (CI): 0.08-0.92) and absence of an infection prevention and control committee at the facility AOR: 0.25; 95% CI: 0.08-0.73) had reduced odds of good adherence to infection prevention and control practices. Nursing staff (AOR: 9.49, 95% CI: 2.51-35.87) and having adequate knowledge of infection prevention and control practices (AOR: 2.66; 95% CI: 1.19-5.97) were associated with increased odds of good adherence to infection prevention and control practices. Conclusion Adherence to infection prevention and control practices was high among this sample of Ghanaian healthcare workers. Interventions and strategies to improve adherence should include the setting up of infection prevention and control committees, education and strict observance of colour coding of bin liners for waste segregation and intensification of training of healthcare workers in infection prevention and control practices.
Collapse
Affiliation(s)
- David Oppong Darko
- Department of Health Promotion and Disability Studies, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Douglas Aninng Opoku
- Department of Occupational and Environmental Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Allen Clinic, Family Healthcare Services, Kumasi, Ghana
| | - Nana Kwame Ayisi-Boateng
- Department of Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Aliyu Mohammed
- Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Jennifer Ashilevi
- University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Obed Kwabena Offe Amponsah
- Faculty of Pharmacy and Pharmaceutical Sciences, Department of Pharmacy Practice, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Ayongo Mate-Kole
- Family Medicine Sub BMC, Korle-Bu Teaching Hospital, Accra, Ghana
| | - Dora Egblewogbe
- Family Medicine Sub BMC, Korle-Bu Teaching Hospital, Accra, Ghana
| | - Bridgetta Addai Darko
- Department of Health Services Planning and Management, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Ebenezer Agyemang
- Department of Occupational and Environmental Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Paul Okyere
- Department of Health Promotion and Disability Studies, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| |
Collapse
|
7
|
Ashipala DO, Kaihoto C, Munangatire T. Knowledge, Attitudes, and Practices of Nurses Regarding the Prevention and Control of COVID-19 at a Selected Regional Hospital in Namibia. SAGE Open Nurs 2024; 10:23779608231225868. [PMID: 38660478 PMCID: PMC11041540 DOI: 10.1177/23779608231225868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 11/08/2023] [Accepted: 12/22/2023] [Indexed: 04/26/2024] Open
Abstract
Introduction As the threat of COVID-19 continues, new evidence and knowledge of the disease is coming to light, thus it is critical to evaluate nurses' knowledge, attitudes, and practices (KAP) regarding the control and prevention of COVID-19 infections. Objective The objective of the study was to assess the KAP of nurses regarding the prevention and control of COVID-19 at a selected regional hospital in Namibia. Methods A quantitative, descriptive cross-sectional study was used to quantify and measure the relationships between the demographic variables and the key variables of KAP regarding the prevention and control of COVID-19. A total of 101 respondents were conveniently sampled. Data were collected online and analyzed using SPSS version 27. Results The mean scores were: knowledge 26.8 (83.8%), attitude 44.8 (70%), and practice 46.8 (78%). The Pearson's correlation showed that the practice score was positively correlated to the attitude score (r = 0.556, p < 0.01), while the independent samples t-test showed that gender, COVID-19 status, and nurse status had no effect on knowledge, attitude, or practices (p > 0.05). There was a significant mean difference in the attitude scores between the vaccinated and the non-vaccinated nurses: t (86.251) = 2.974, p ≤ 0.05, as well as in the practice scores: t (98.956) = 1.989, p < -0.05. Multiple linear regression indicated that the regression model was statistically significant (F = 2.536, p < 0.001, adjusted R2 = 0.145). Conclusion The results of this study revealed that some of the nurses had inadequate KAP related to the prevention and control of COVID-19. Consequently, these nurses need more intensive training to ensure that they display a high level of knowledge, positive attitudes, and good practices regarding the virus. This will both safeguard the nurses and reduce the transmission of COVID-19.
Collapse
|
8
|
Ahmed MNQ, Lalin SAA, Ahmad S. Factors affecting knowledge, attitude, and practice of COVID-19: A study among undergraduate university students in Bangladesh. Hum Vaccin Immunother 2023; 19:2172923. [PMID: 36748107 PMCID: PMC10012897 DOI: 10.1080/21645515.2023.2172923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
The global expansion of the COVID-19 outbreak is one of the worst disasters the world has faced in recent decades. This study explored various factors of knowledge, attitude, and practice regarding COVID-19 among Bangladeshi undergraduate university students. In addition, we also look at how COVID-19 based knowledge, attitude, and practice influence each other. Using a random sampling technique and a self-administered structured questionnaire survey, this study collected data from 167 private university students in Bangladesh from 1st October to 30th October 2020. Data were analyzed using descriptive statistics (including frequencies, percentages, and means), binary logistic regression, bivariate regression analysis, and factor analysis. The findings suggest that most of the students learned about COVID-19 from various sources, including news media (TV, radio, newspapers, etc.), international organizations (WHO, UN, etc.), various government programs, or from their friends, family members, or neighbors. Most of the students were concerned about becoming sick, keeping social distance, and family members' job insecurity, followed by the university shutdown and the subsequent quarantine. Many students believe Bangladesh's media, government, medical sector, and religious organizations played a significant role during COVID-19. Binary logistic regression demonstrates that students' gender, department, and residency significantly explained their COVID-19 knowledge. In addition, students' attitudes significantly vary with their religion and place of residence. Students' departments and semesters found significant in explaining their practice regarding COVID-19. Moreover, factor analysis results also identified several crucial factors in explaining students' overall knowledge, attitude, and practice of COVID-19. Finally, we found a statistically significant relationship between knowledge, attitude, and practice.
Collapse
Affiliation(s)
| | - Shamim Al Aziz Lalin
- Department of Business Administration, North East University Bangladesh, Sylhet, Bangladesh
| | - Saeed Ahmad
- Department of Sociology and Anthropology, Utah State University, Logan, UT, USA
| |
Collapse
|
9
|
Douedari Y, Alhaffar M, Khanshor A, Alrashid Alhiraki O, Marzouk M, Howard N. ' COVID-19 is just another way to die…': a qualitative longitudinal study of frontline COVID-19 response governance across Syria. BMJ Glob Health 2023; 8:e013199. [PMID: 38084479 PMCID: PMC10711850 DOI: 10.1136/bmjgh-2023-013199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 11/12/2023] [Indexed: 12/18/2023] Open
Abstract
INTRODUCTION Governance of COVID-19 responses has been challenging for all countries. Syria has been particularly challenged due to protracted multiparty conflict and debilitated health systems fragmented across different areas of control. To improve response governance, better understanding of frontline response policy implementation across the country is needed. This study thus explored perspectives of COVID-19 response governance among frontline healthcare providers over time and across major areas of control. METHODS We used a qualitative longitudinal study design, conducting five rounds of remote semistructured interviews in Arabic (ie, approximately eight interviews each in March 2020, July 2020, September 2020, December 2020 and September 2021) with 14 purposively sampled public and private healthcare providers in the three main areas of control (ie, opposition-controlled area, Autonomous Administration-controlled area and al-Assad government-controlled area (GCA)). We conducted integrative thematic analysis in Arabic within and across geography and time. RESULTS Almost all participants across all areas and rounds expressed distrust of local health authorities and dissatisfaction with COVID-19 response governance. This was most apparent in initial rounds and in GCA. Response planning was identified as insufficient, non-participatory and non-transparent. Limited infrastructure and resources were the main challenges across time, though anticipated rapid virus spread and health systems' collapse did not occur and participant optimism increased over time. Public adherence to prevention measures varied-initially weak due to general scepticism, increasing after first cases were confirmed and then fluctuating with case numbers and challenges of insecurity and misinformation. Perceptions of COVID-19 vaccination varied, with low uptake and hesitancy attributed to misinformation, disinformation and disinterest. Suggested improvements to COVID-19 response governance focused on strengthening health systems' capacity and coordination. CONCLUSION This is a unique longitudinal study of COVID-19 responses. Addressing transparency and misinformation should be a first step to improving public engagement and trust and thus response governance for health emergencies in Syria.
Collapse
Affiliation(s)
- Yazan Douedari
- Department of Global Health and Development, London School of Hygiene & Tropical Medicine Faculty of Public Health and Policy, London, UK
- Free Aleppo University, Azaz, Syria
- Syria Research Group, London School of Hygiene & Tropical Medicine and NUS Saw Swee Hock School of Public Health, London, UK
| | - Mervat Alhaffar
- Department of Global Health and Development, London School of Hygiene & Tropical Medicine Faculty of Public Health and Policy, London, UK
- Syria Research Group, London School of Hygiene & Tropical Medicine and NUS Saw Swee Hock School of Public Health, London, UK
| | - Ahmad Khanshor
- Syria Research Group, London School of Hygiene & Tropical Medicine and NUS Saw Swee Hock School of Public Health, London, UK
| | - Omar Alrashid Alhiraki
- Syria Research Group, London School of Hygiene & Tropical Medicine and NUS Saw Swee Hock School of Public Health, London, UK
- Acute Medicine Department, United Lincolnshire Hospitals NHS Trust, Lincoln, UK
| | - Manar Marzouk
- Department of Global Health and Development, London School of Hygiene & Tropical Medicine Faculty of Public Health and Policy, London, UK
- Syria Research Group, London School of Hygiene & Tropical Medicine and NUS Saw Swee Hock School of Public Health, London, UK
| | - Natasha Howard
- Department of Global Health and Development, London School of Hygiene & Tropical Medicine Faculty of Public Health and Policy, London, UK
- Syria Research Group, London School of Hygiene & Tropical Medicine and NUS Saw Swee Hock School of Public Health, London, UK
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| |
Collapse
|
10
|
Basha S, Salameh B. Sicilians' knowledge, perceptions, prevention and practices during the pandemic in relation to vaccination: A questionnaire-based survey. Glob Health Promot 2023; 30:16-24. [PMID: 37278233 PMCID: PMC10247683 DOI: 10.1177/17579759231168652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 03/21/2023] [Indexed: 06/07/2023]
Abstract
BACKGROUND COVID-19 has influenced Sicily, Italy as any other part of the world, and people had various types of reactions to this global epidemic. This study aimed to assess the behavior, perception, and willingness of the Sicilian population to accept vaccination, as well as their attitudes toward conspiracy theories, which have been a concern for governments around the globe. METHODS Study design: cross sectional-descriptive study. The data were collected through a survey developed based on a protocol from the World Health Organization's regional office in Europe, which was distributed in two waves. The first wave took place in April and May 2020, and a modified survey was distributed during June and July. RESULTS Sicilians showed a very good knowledge of the virus, while their positive attitude has changed toward vaccination in the second wave. Furthermore, Sicilians showed an average trust in the governmental institutions, which allow the doubts of conspiracy to exist in the population. CONCLUSIONS Although the results indicate a good level of knowledge and positive attitude toward vaccination, we believe that further studies should be conducted in the Mediterranean to better understand how to face future epidemics with limited resources in the healthcare system, as compared with other countries.
Collapse
Affiliation(s)
- Sami Basha
- The American University of Sicily, Sicily, Italy
| | - Basma Salameh
- The Arab American University of Jenin, Jenin, Palestine
| |
Collapse
|
11
|
Zeng W, Tao W, Yang Y, Li Y, Lu B, Zhao Q, Li Z, Wang M, Shui Z, Wen J. Perceived knowledge, attitudes and practices regarding the medical consortium among medical staff in Sichuan, China: a cross-sectional survey. BMC Health Serv Res 2023; 23:1318. [PMID: 38031073 PMCID: PMC10688012 DOI: 10.1186/s12913-023-10146-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 10/14/2023] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND In China, fragmented and inefficient health care systems are common while quality resources are limited. To promote an organized, efficient system, the government launched a medical consortium policy to vertically integrate health care through the collaboration of different levels of medical care. Logically, medical staff's knowledge, attitudes and practices (KAP) regarding the consortium are critical for its development. The objective of this study was to explore the KAP regarding the medical consortium among medical staff in a medical consortium in Sichuan Province, China. METHODS A cross-sectional survey was conducted. In total, 690 medical staff members in 3 cities of Sichuan Province, China, were interviewed from November 2018 to December 2018. The questionnaire consisted of 18 items, including 4 items related to perceived knowledge, 4 items related to attitudes and 2 items related to practices, and was rated on a 5-point Likert scale (one = strongly disagree/do not know, five = strongly agree/know). RESULTS The effective response sample was 640 copies of the questionnaire, and most medical staff members (92.50%) knew about the cooperation with other hospitals in the medical consortium. Medical staff scored differently on each item in the questionnaire, with the highest score being the item 'agreeing with the ward rounds and clinical teaching and training organized by the leading hospital' (4.54 ± 0.76), and the lowest score being the item 'frequency in participating in ward rounds and clinical teaching organized by the leading hospital' (2.83 ± 1.36). In addition, the effect of demographic characteristics on KAP was evaluated by stepwise multiple regression analysis, and a significant positive correlation was found between all the studied variables by Spearman's correlation (p < 0.05). CONCLUSIONS This study showed that the attitudes toward and knowledge of the medical consortium significantly contribute to practices, satisfaction with the support work performed by the leading hospital and agreement of improvement after joining the medical consortium. Thus, to improve medical staff's KAP and satisfaction, publicity and educational programs in medical consortia are necessary, and the leading hospital should attach importance to the informatization construction and demand of different medical staff members. CLINICAL TRIAL REGISTRATION There are no clinical trials in this study.
Collapse
Affiliation(s)
- Wenqi Zeng
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Wenjuan Tao
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yanlin Yang
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yong Li
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Bingqing Lu
- Evidence-based Medical Center, Hospital of Chengdu University of Traditional Chinese Medicine (Traditional Chinese Medicine Hospital of Sichuan), Chengdu, Sichuan, China
| | - Qian Zhao
- Department of Medical Administration, Chengdu Municipal Health Commission, Chengdu, Sichuan, China
| | - Zhuyue Li
- West China School of Nursing/West China Hospital, Sichuan University, Chengdu, China
| | - Miao Wang
- Department of Public Affairs Development, West China Hospital, Sichuan University, Chengdu, China
| | - Zhanglin Shui
- Outpatient Department, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Jin Wen
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
| |
Collapse
|
12
|
Bani VD, Gusti PK, Rawul ME, Pakpahan M, Silitonga E. Nursing students' knowledge and attitude in relation to COVID-19 prevention behavior. Rev Bras Enferm 2023; 76Suppl 1:e20220588. [PMID: 37556676 PMCID: PMC10405395 DOI: 10.1590/0034-7167-2022-0588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 02/06/2023] [Indexed: 08/11/2023] Open
Abstract
OBJECTIVES to determine the correlation between nursing students' level of knowledge and attitudes toward COVID-19 prevention behavior. METHODS a cross-sectional study was carried out at the Private University in Indonesia. Accidental sampling was used to select 188 third-year bachelor's nursing students as respondents. Data collection was conducted through an online questionnaire (Cronbach's Alpha 0.799-0.959) consisting of 27 questions. The data were analyzed descriptively and inferentially. RESULTS as many as 49.5 % of respondents had high knowledge, 98.4 % had a positive attitude, and 89.9 % had positive behavior in preventing COVID-19 transmission. The Chi-square test revealed that knowledge has no correlation with COVID-19 prevention behavior (p-value 0.864), but attitude did (p-value 0.027). CONCLUSIONS nursing students' attitudes are related to behavior in preventing COVID-19. Nursing students are expected to maintain positive attitudes and behaviors toward COVID-19 prevention as future health workers at the forefront of health services.
Collapse
|
13
|
Bangani O, English R, Dramowski A. Intensive care unit nurses' knowledge, attitudes and practices of COVID-19 infection prevention and control. S Afr J Infect Dis 2023; 38:478. [PMID: 37435115 PMCID: PMC10318607 DOI: 10.4102/sajid.v38i1.478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 02/13/2023] [Indexed: 07/13/2023] Open
Abstract
Background Intensive care units (ICUs) had to rapidly adapt infection prevention and control (IPC) practices during the coronavirus disease 2019 (COVID-19) pandemic. Objectives To determine ICU nurses' COVID-19 IPC-related knowledge, attitudes, practices, and perceptions. Method A mixed-methods study was conducted at the Groote Schuur Hospital ICU, Cape Town, South Africa (20 April 2021 and 30 May 2021). Participants completed anonymous, self-administered, knowledge, attitudes and practices (KAP) questionnaires. Individual interviews were conducted regarding nurses' lived experiences and perceptions of COVID-19 IPC in critical care. Results In total, 116 ICU nurses participated (93.5% response rate) including 57 professional nurses (49%), 34 enrolled nurses (29%) and 25 enrolled nursing assistants (22%); young females (31-49 years) predominating (n = 99; 85.3%). Nurses' overall COVID-19 IPC knowledge scores were moderately good (78%); professional nurses had greater knowledge of COVID-19 transmission (p < 0.001). Intensive care unit nurses' attitude scores towards COVID-19 IPC were low (55%), influenced by limited IPC training, insufficient time to implement IPC and shortages of personal protective equipment (PPE). Respondents' scores for self-reported COVID-19 IPC practices were moderate (65%); highest compliance rates were for hand hygiene after touching patient surroundings (68%). Only 47% ICU nurses underwent N95 respirator fit-testing despite working in a COVID-19 ICU. Conclusion Regular COVID-19 IPC training is needed to equip ICU nurses with the knowledge and skills to prevent healthcare-associated COVID-19 transmission. Enhanced IPC training and consistent PPE availability may support more favourable attitudes and better IPC practices. Comprehensive IPC and occupational health support should be offered to ensure ICU nurses' wellbeing during pandemics. Contribution Enhanced IPC training and consistent PPE availability may support better attitudes and IPC practices.
Collapse
Affiliation(s)
- Onga Bangani
- Division of Health Systems and Public Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - René English
- Division of Health Systems and Public Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Angela Dramowski
- Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| |
Collapse
|
14
|
Kim SJ. Relationship between nurses' knowledge of COVID-19, professional quality of life, and practice during the COVID-19 pandemic: A descriptive correlational study. PLoS One 2023; 18:e0287457. [PMID: 37347781 PMCID: PMC10286984 DOI: 10.1371/journal.pone.0287457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Accepted: 06/06/2023] [Indexed: 06/24/2023] Open
Abstract
The purpose of this study was to examine knowledge, professional quality of life, and practices among nurses during the coronavirus disease 2019 (COVID-19) pandemic and explore factors associated with nurses' practice. A total of 167 nurses were recruited from 4 general hospitals for this cross-sectional study, which was conducted from June to July 2021. Using SPSS/WIN 22, the collected data were analyzed using descriptive statistics, t-tests, analysis of variance, Pearson's correlation coefficients, and hierarchical multiple regression analysis. The mean age of the participants was 31.43, and the sample comprised 144 women (86.2%) and 23 men (13.8%). The results indicated that practice was negatively correlated with burnout (r = -.18, p = .017). The regression model explained 24.1% of the variance. For general characteristics in Model 1, education on COVID-19 management (β = .18, p = .014) was the factor most associated with nurses' practice. In Model 2, with professional quality of life added, burnout (β = -.21, p = .003) was the only influential factor. These results highlight the need to establish an effective prevention system for infectious diseases such as COVID-19, including education programs pertinent to the prevention and management of infection that improve the modifiable predictors of nurses' practice-education and burnout.
Collapse
Affiliation(s)
- Sun Ju Kim
- Chungnam National University Se-Jong Hospital, Sejong-si, Republic of Korea
| |
Collapse
|
15
|
Selva-Pareja L, Camí C, Roca J, Espart A, Campoy C, Botigué T. Knowledge, attitudes, and practices about COVID-19 pandemic: a bibliometric analysis. Front Public Health 2023; 11:1075729. [PMID: 37397778 PMCID: PMC10313415 DOI: 10.3389/fpubh.2023.1075729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 05/30/2023] [Indexed: 07/04/2023] Open
Abstract
Background In order to avoid high rates of COVID-19 infection, one of the main tasks that must be performed is to improve the knowledge, attitudes, and practices (KAP) about the virus. In this sense, Health Education is an essential tool for dealing with the virus. The aim of health education is to educate individuals through educational, motivational, skill development, and awareness techniques, and an understanding of the main needs of KAP is essential for this. Many KAP studies were published during the COVID-19 pandemic, and the aim of the present study was to analyze these publications through a bibliometric study. Methods A bibliometric analysis of the publications on KAP and COVID-19 was conducted in the Web of Science Core Collection database. The RStudio Bibliometrix and VOSviewer packages were utilized to analyze the scientific production, authors, citations, countries, publishers, journals, research areas, and keywords. Results Of the 1,129 articles published, 777 were included in the study. The year with the most publications and citations was 2021. Three authors were underlined (all from Ethiopia), due to the number of articles published, the number of citations, and the collaboration networks established. As for the countries, most of the publications came from Saudi Arabia, while China obtained the most citations. PLOS One and Frontiers in Public Health published the most articles on the subject. The most frequent keywords were knowledge, attitudes, practices, and COVID-19. At the same time, others were identified based on the population group analyzed. Conclusion This is the first bibliometric study on KAP and COVID-19. The significant number of publications identified on KAP and its relationship to the COVID-19 pandemic, in the span of only 3 years, indicates the increased interest in this area. The study provides relevant information to researchers who are approaching this subject for the first time. It is a useful tool that can stimulate new studies and collaborations between researchers from different countries, areas and approaches. At the methodological level, a step-by-step guide is provided for future authors who wish to perform a bibliometric analysis.
Collapse
Affiliation(s)
- Laia Selva-Pareja
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Càtedra de Desenvolupament i Territoris Saludables i Sostenibles (DOTSS), University of Lleida, Lleida, Spain
| | - Carla Camí
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
| | - Judith Roca
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Education, Nursing, Sustainability and Innovation Research Group (GREISI), University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain
| | - Anna Espart
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Càtedra de Desenvolupament i Territoris Saludables i Sostenibles (DOTSS), University of Lleida, Lleida, Spain
- Health Education, Nursing, Sustainability and Innovation Research Group (GREISI), University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain
| | - Carme Campoy
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Grup d’Estudis de Societats Africanes (GESA), University of Lleida, Lleida, Spain
| | - Teresa Botigué
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Education, Nursing, Sustainability and Innovation Research Group (GREISI), University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain
| |
Collapse
|
16
|
Ilisulu CS, Koruyucu M, Baysan C, Kasimoglu Y, Seymen F. Evaluation of dental students' knowledge, attitudes and behaviors regarding COVID-19 infection: a cross-sectional survey. Minerva Dent Oral Sci 2023; 72:144-153. [PMID: 35785933 DOI: 10.23736/s2724-6329.22.04704-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND This study aimed to determine the differences between preclinical and clinical dental students' knowledge, attitudes, and behaviors regarding Coronavirus disease (COVID-19). METHODS A cross-sectional study was carried out among 303 undergraduate dental students (107 clinical students and 196 preclinical students). Questionnaires were given to the participants using an online data collection platform. The online questionnaire covered the dental students' socio-demographic information and their knowledge, attitudes and behaviors of Coronavirus disease. RESULTS More frequently than preclinical students, clinical students benefited from the latest information about the COVID-19 outbreak obtained from television, internet news sites, and the World Health Organization website (P<0.05). The use of other protective equipment other than gloves and goggles has changed from "No" before the pandemic to "Yes" onset of the pandemic (P<0.001). The knowledge level of infection control in dentistry increased significantly more for clinical students than for preclinical students (P<0.001). CONCLUSIONS Although dental students show reasonable knowledge, attitudes and behavior about COVID-19, attention should be taken to provide education on infectious diseases, starting from preclinical classes, and to make real information resources provided by global and national health authorities accessible to students.
Collapse
Affiliation(s)
- Ceren S Ilisulu
- Department of Pediatric Dentistry, Faculty of Dentistry, Altinbas University, Istanbul, Türkiye -
| | - Mine Koruyucu
- Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Türkiye
| | - Caner Baysan
- Department of Public Health, School of Medicine, İzmir Democracy University, İzmir, Türkiye
| | - Yelda Kasimoglu
- Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Türkiye
| | - Figen Seymen
- Department of Pediatric Dentistry, Faculty of Dentistry, Altinbas University, Istanbul, Türkiye
| |
Collapse
|
17
|
Jubayer MF, Kayshar MS, Kabir MF, Arifin MS, Islam MA, Rahman MM, Limon MTI, Parven A, Meftaul IM. COVID-19 knowledge, attitude, practices, and associated factors among Bangladeshi food handlers from various food industries. Public Health Pract (Oxf) 2023; 5:100375. [PMID: 36855520 PMCID: PMC9951617 DOI: 10.1016/j.puhip.2023.100375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 02/10/2023] [Accepted: 02/20/2023] [Indexed: 02/26/2023] Open
Abstract
Background and objectives It is believed that preventive safety measures are the most effective way to avoid the COVID-19. The adherence of workers to these measures is largely determined by their knowledge, attitude, and practices (KAP). Because they are in close proximity to consumable items, workers in the food industry must be especially vigilant during this period. The purpose of this present study was to evaluate the COVID-19 knowledge, attitudes, and practices of food handlers in different food industries of Bangladesh. Study design This was a cross-sectional study. Methods This included the participation of 400 food handlers from 15 food industries. The information was collected from the participants through a questionnaire prepared in Google form. Different nonparametric tests and a linear regression model were performed for statistical analysis. Results With a correct response rate of about 90% on average (knowledge 89.7%, attitude 93%, practices 88.2%), the participants showed an acceptable KAP (>80% correct response) regarding COVID-19. Education (p = 0.00) and working experiences (p = 0.01) had a significant association with the total KAP scores. Conclusion Food handlers in the food industries of Bangladesh have adequate knowledge, a positive attitude, and the desired practices regarding the COVID-19 issue.
Collapse
Affiliation(s)
- Md Fahad Jubayer
- Department of Food Engineering & Technology, Sylhet Agricultural University, Sylhet, 3100, Bangladesh
| | - Md Shahidullah Kayshar
- Department of Food Engineering & Technology, Sylhet Agricultural University, Sylhet, 3100, Bangladesh
| | - Md Faizul Kabir
- Bangladesh Bank (Central bank of Bangladesh), Sylhet, Bangladesh
| | - Md Shoaib Arifin
- Department of Agricultural Chemistry, Bangladesh Agricultural University, Mymensingh, 2202, Bangladesh
| | - Md Amirul Islam
- Department of Farm Power & Machinery, Sylhet Agricultural University, Sylhet, 3100, Bangladesh
| | - Md Mizanur Rahman
- Department of Farm Power & Machinery, Sylhet Agricultural University, Sylhet, 3100, Bangladesh
| | | | - Aney Parven
- Department of Agricultural Chemistry, Sher-e-Bangla Agricultural University, Dhaka, 1207, Bangladesh
| | - Islam Md Meftaul
- Department of Agricultural Chemistry, Sher-e-Bangla Agricultural University, Dhaka, 1207, Bangladesh
| |
Collapse
|
18
|
Osmani Z, Bajrektarevic Kehic A, Miskulin I, Dumic L, Pavlovic N, Kovacevic J, Lanc Curdinjakovic V, Dumic J, Vukoja I, Miskulin M. The Attitudes and Practices Regarding COVID-19 among General Practitioners from Croatia and Bosnia and Herzegovina: A Cross-Sectional Study. Behav Sci (Basel) 2023; 13:bs13050352. [PMID: 37232589 DOI: 10.3390/bs13050352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 04/18/2023] [Accepted: 04/20/2023] [Indexed: 05/27/2023] Open
Abstract
Attitudes toward COVID-19 (coronavirus disease 2019) prevention and control may have influenced general practitioners' (GPs') work during the COVID-19 pandemic. The present study aimed to investigate the attitudes and practices of GPs from Croatia and Bosna and Herzegovina regarding COVID-19 prevention and control as well as the factors which may have influenced them. A cross-sectional study using a self-administered, anonymous questionnaire was conducted between February and May of 2022 on 200 Croatian and Bosnian GPs. The study revealed that the attitudes and practices of the surveyed GPs regarding COVID-19 prevention and control were satisfactory. The Croatian GPs reported a larger number of positive attitudes toward COVID-19 prevention and control (p = 0.014), while no significant differences in practices were established. Among the Croatian GPs, more positive attitudes toward COVID-19 prevention and control were reported by participants who had finished a formal education on the prevention of infectious diseases and occupational safety (p = 0.018), while among the Bosnian GPs, more positive attitudes were reported by older GPs (p = 0.007), males (p = 0.026), GPs with a longer length of service (p = 0.005), GPs who had finished a formal education on the prevention of infectious diseases and occupational safety (p < 0.001), GPs who had finished a formal education on adequate hand hygiene (p < 0.001), and GPs who had finished a formal education on COVID-19 prevention for GPs (p = 0.001). Considering GPs' practices regarding COVID-19 prevention and control, among the Croatian GPs, more positive practices were reported by older GPs (p = 0.008), females (p = 0.002), GPs who had a partner (p = 0.021), GPs who were specialists in family medicine (p = 0.014), GPs with a longer length of service (p = 0.007), and GPs who had finished a formal education on the prevention of infectious diseases and occupational safety (p = 0.046), while among the Bosnian GPs, no significant correlations were determined. The general practitioners' sociodemographic and employment characteristics strongly influenced their attitudes and practices regarding the prevention and control of COVID-19. The cultural differences between Croatia and Bosnia and Herzegovina, as well as the organizational specificities of their healthcare systems, probably modified the observed differences in the individual patterns of associations between the outcome and explanatory variables in the surveyed neighboring countries.
Collapse
Affiliation(s)
- Zudi Osmani
- Faculty of Health Studies, University "VITEZ", 72 270 Travnik, Bosnia and Herzegovina
- Institute for Public Health of Central Bosnia Canton, 72 270 Travnik, Bosnia and Herzegovina
| | | | - Ivan Miskulin
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Lea Dumic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Nika Pavlovic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Jelena Kovacevic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | | | - Juraj Dumic
- Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Ivan Vukoja
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| | - Maja Miskulin
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia
| |
Collapse
|
19
|
Goel K, Singh G, Arora Y, Goel P, Aggarwal AK, Sen A, Kumar K, Bhogal RS, Thakur JS, Singh A, Sharma N. Psychological distress and related factors regarding COVID-19 among the ancillary hospital staff: A cross-sectional study. J Family Med Prim Care 2023; 12:694-700. [PMID: 37312788 PMCID: PMC10259555 DOI: 10.4103/jfmpc.jfmpc_1890_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 12/22/2022] [Accepted: 01/12/2023] [Indexed: 06/15/2023] Open
Abstract
Background Healthcare workers (HCWs) are at the front line of the Coronavirus disease (COVID-19) outbreak response. They have faced great risks to both physical and mental health. We aimed to assess the psychological effect of COVID-19 among ancillary hospital staff. Methods A cross-sectional study was conducted among 267 on-duty ancillary hospital staff using a semi-structured questionnaire to assess their psychological status and risk perception. In addition, their knowledge, attitude, and practices (KAP) and risk perception were also assessed. The General Health Questionnaire (GHQ-12) was used to screen for psychological distress. Results Among 267 participants, the mean (±SD) age was 33.5 (7.6) years. The majority knew about the symptoms of COVID-19 (88.4%), droplet spread (99.3%), and the importance of isolation (99.3%). About 35.2% were worried about infecting family members, while 26.2% were worried about colleagues at the frontline. Only 38.9% of them had a good knowledge score. Participants with high school and above education level had significantly good knowledge about COVID-19 (OR = 1.99; 95% CI = 1.17- 3.39) than those with primary school or below. Being female (OR 1.99; 95% CI 1.17-3.39) and working with COVID-19 patients (OR 3.88, 95% CI 1.77-8.47, P = 0.001) was associated with psychological distress. Conclusion The ancillary hospital staff had insufficient knowledge regarding the risk factors of COVID-19 but possessed positive attitudes and practices. Continued health education and appropriate psychological interventions may improve understanding and reduce psychological distress.
Collapse
Affiliation(s)
- Kapil Goel
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Gurmeet Singh
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Yogesh Arora
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Parul Goel
- Department of Biochemistry, Maharishi Markandeshwar Institute of Medical Sciences and Research, MMDU, Mullana, District Ambala, Haryana, India
| | - Arun Kumar Aggarwal
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Arunima Sen
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Krishan Kumar
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Ranjitpal Singh Bhogal
- Department of Hospital Administration, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - JS Thakur
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Amarjeet Singh
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Nikita Sharma
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
| |
Collapse
|
20
|
Qalati SA, Ostic D, Fan M, Dakhan SA, Vela EG, Zufar Z, Sohu JM, Mei J, Thuy TTH. The General Public Knowledge, Attitude, and Practices Regarding COVID-19 During the Lockdown in Asian Developing Countries. Community Health Equity Res Policy 2023; 43:239-248. [PMID: 33832371 PMCID: PMC8058537 DOI: 10.1177/0272684x211004945] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The recent outbreak of coronavirus disease (COVID-19) is the worst global crisis. Since no successful treatment and vaccine have been reported, efforts to improve the public's knowledge, attitudes, and practices are critical to reducing the spread of COVID-19. This study aims to investigate the general public knowledge, attitude, and practices regarding COVID-19. A cross-sectional online survey was conducted in three developing countries (China, India, and Pakistan). The reason for choosing only three countries is to identify the cross-border effect statistically and data collection constraints. The IBM SPSS version 23.0 was used for descriptive, univariate, and multivariate analysis of the study. One thousand one hundred and sixty participants completed the study, one-quarter of them were female, and three-quarters were male. The study's findings evidenced that the knowledge and attitude correlation was 58.4% and between knowledge and practices 18.2%. Furthermore, the knowledge was found lower in females, among India and Pakistan, and people aged less and equivalent to 30 years. The attitudes among respondents were found poorer among unmarried females and India and Pakistan residents. While the practices found lower among employed, unemployed and, respondents had a bachelor's degree, and females reside in India. And future studies should focus on factors that influence the government regarding the imposition of lockdown, boost the economy in the pandemic, and motivate the general public to follow the health institution's instructions.
Collapse
Affiliation(s)
- Sikandar Ali Qalati
- Department of Management, School of Management, Jiangsu University, Zhenjiang, P.R. China
| | - Dragana Ostic
- Department of International Trade, School of Finance and Economics, Jiangsu University, Zhenjiang, P.R. China
| | - Mingyue Fan
- Department of Information Management and Information System, School of Management, Jiangsu University, Zhenjiang, P.R. China
| | | | | | - Zuhaib Zufar
- Department of Management, School of Management, Jiangsu University, Zhenjiang, P.R. China
| | - Jan Muhammmad Sohu
- Department of Management, School of Management, Jiangsu University, Zhenjiang, P.R. China.,Department of International Trade, School of Finance and Economics, Jiangsu University, Zhenjiang, P.R. China
| | - Jinlan Mei
- School of Law, Jiangsu University, Zhenjiang, P.R. China
| | | |
Collapse
|
21
|
Rafeek R, Sa B, Smith W. Vaccine Acceptance, Knowledge, Attitude and Practices Regarding the COVID-19 Pandemic: Cross-Sectional Study among Dentists in Trinidad and Tobago. Dent J (Basel) 2023; 11:dj11030086. [PMID: 36975583 PMCID: PMC10046892 DOI: 10.3390/dj11030086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 03/02/2023] [Accepted: 03/14/2023] [Indexed: 03/22/2023] Open
Abstract
Background: This study’s aim was to assess Trinidad and Tobago dentists’ vaccine acceptance, knowledge, attitude and practices regarding the COVID-19 pandemic. Methods: All dentists registered with the Trinidad and Tobago Dental Association were invited to complete an online anonymous questionnaire between June and October 2021. Results: A total of 46.2% of dentists responded. The majority of respondents had excellent knowledge of COVID-19 (94.8%), use of personal protective equipment (98.7%) and N95 masks (93.5%), but had poor knowledge about the reuse of N95 masks (27.5%). A total of 34.9% were comfortable providing emergency care to positive or suspected cases of COVID-19, and 64.5% were afraid of becoming infected from a patient. PPE usage was reported at 97.4% and 67.3% for N95 masks. All surfaces of waiting areas were disinfected every 2 h by 59.2%. A total of 90.8% agreed to be vaccinated straight away if a vaccine were made available. Conclusion: Dentists in Trinidad and Tobago have good levels of knowledge, attitude, practices regarding COVID-19. Dentists also have high levels of vaccine acceptance and can play a role in advocating for the COVID-19 vaccine.
Collapse
Affiliation(s)
- Reisha Rafeek
- School of Dentistry, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
- Correspondence:
| | - Bidyadhar Sa
- Centre for Medical Sciences Education, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
| | - William Smith
- School of Dentistry, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
| |
Collapse
|
22
|
Wang G, Zheng C, Lu M, Luo L, Wan Z, Ma ZF. Assessment of knowledge, attitudes, practices, and risk perceptions regarding COVID-19: a cross-sectional study from China. Z Gesundh Wiss 2023:1-11. [PMID: 37361275 PMCID: PMC10020754 DOI: 10.1007/s10389-023-01877-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 03/02/2023] [Indexed: 03/19/2023]
Abstract
Aim To analyze the level of knowledge, attitudes, practices, and risk perception regarding COVID-19 among Chinese residents 1.5 years after the pandemic. Subject and methods A cross-sectional study was carried out with both online and paper questionnaires. We included a variety of covariates that were characteristic-related factors such as age, gender, education level, and retirement status, as well as those closely associated with risk perception regarding COVID-19. Results Participants (n = 3588), 53.49 ± 18.88 years old, from two provinces of China, of which 44.7% were male and 52.03% had a high school or greater level of education, answered the questions. More than 90% of participants had adequate background knowledge about COVID-19 and agreed or even strongly agreed with many attitude items related to the government's role in diagnosis, treatment, and dealing with COVID-19 infections. About three fifths of the participants reported fear of contracting COVID-19, but only a minority (18.63%) felt they were more susceptible than others. Respondents aged 45 years or younger were more likely to fear contracting the virus than those older than 45 years (adjusted OR = 1.464, 95% CI 1.196 to 1.794, P = 0.0002). High education level (adjusted OR = 1.503, 95% CI 1.187 to 1.904, P = 0.0007) and non-retired status (adjusted OR = 1.679, 95% CI 1.354 to 2.083, P < 0.0001) were associated with a higher perception of susceptibility to infection than others. Moreover, respondents who were not retired had a significantly reduced practice score (adjusted OR = 1.554, 95% CI 1.261 to 1.916, P < 0.0001). Age, retirement status, and education level were also associated with knowledge, attitude, and practice level. Conclusion Our findings suggest that the public generally has trust in the COVID-19 vaccine and the government with regard to COVID-19 in China. We recommend that high-risk groups of communities, such as elders and patients with chronic diseases, be given greater consideration in the outbreaks. Health education campaigns combined with workplace preventive intervention should be aimed at improving COVID-19 knowledge and beliefs in order to encourage more optimistic attitudes and to maintain safe practices.
Collapse
Affiliation(s)
- Guiping Wang
- Laboratory Animal Center, Medical College of Soochow University, 199 Ren’ai Road, Suzhou, China
| | - Canjie Zheng
- Quzhou Center for Disease Control and Prevention, Quzhou, 324000 Zhejiang province China
| | - Mingxia Lu
- Henan Provincial Center for Disease Control and Prevention, No.105 Nongye South Road, Zhengzhou, 450016 Henan China
| | - Lan Luo
- School of Public Health, Soochow University, 199 Ren’ai Road, Suzhou, 215123 China
| | - Zhongxiao Wan
- School of Public Health, Soochow University, 199 Ren’ai Road, Suzhou, 215123 China
- Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, 199 Ren’ai Road, Suzhou, 215123 China
| | - Zheng Feei Ma
- Center for Public Health, School of Health and Social Wellbeing, Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
- Center for Public Health, School of Health and Social Wellbeing, College of Health, Science and Society, University of the West of England, Bristol, UK
| |
Collapse
|
23
|
Khadka S, Saleem M, Usman M, Hashmi FK, Tariq F, Zaheer W, Imon S, Inam A, Gupta RP, Aryal P. Qualitative exploration of perspectives of the pharmacists working in public-sector hospitals during COVID-19 pandemic. J Pharm Policy Pract 2023; 16:45. [PMID: 36932458 PMCID: PMC10022563 DOI: 10.1186/s40545-023-00549-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Accepted: 03/06/2023] [Indexed: 03/19/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic, a serious global health threat, has excruciating social and economic implications given its transmissibility, lack of therapy, and severity. In such a situation, pharmacists as frontline healthcare professionals hold a significant position to tackle. This study was designed to explore the perception and preparedness of pharmacists working in public sector hospitals amid such a pandemic in Pakistan. METHODS A total of 11 pharmacists were interviewed for this qualitative study design through a semi-structured interview guide. The interviews were recorded and transcribed verbatim. RESULTS The thematic content analysis yielded six major themes; understanding of COVID-19, perceptions towards COVID-19, preventive aspects, management aspects, changes to lifestyle, and psychological aspects. Though efficient preparedness and approach to fighting against such pandemics were reported, pharmacists were found susceptible to infection and psychological stress. They also expressed lockdown as an effective measure to prevent the disease from spreading but still were concerned about its economic and social impact. CONCLUSIONS Adequate planning and facilities from the national level should be made available for strengthening the hospital pharmacy service that helps improve the overall healthcare system of low- and middle-income countries like Pakistan. The provision of a protective facility, incentives, and occupational health surveillance packages are deemed necessary to boost the self-esteem and morale of hospital pharmacists that safeguard the early and effective management of such disasters.
Collapse
Affiliation(s)
- Sitaram Khadka
- Level One Plus Hospital, Golan Heights, Syria. .,Shree Birendra Hospital, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.
| | - Mohammad Saleem
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Muhammad Usman
- Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Furqan K Hashmi
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Fatima Tariq
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Warda Zaheer
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Sabahat Imon
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Aqsa Inam
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Ravi Prasad Gupta
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| | - Pallav Aryal
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
| |
Collapse
|
24
|
Orji B, Oliveras E, Odio B, Anoke C, Onuoha H, Ugwa E, Howard M, Idris I, Akpan E, Okoh F, Nwani C, Adetiloye O, Lawrence N, Oduenyi C, Ogharu E, Enne J, Abolaji FW, Adegbulu RS, Bryce E. Knowledge, attitudes and practices of infection prevention and control among healthcare workers during the COVID 19 pandemic: a descriptive cross-sectional study in three Nigerian states. BMC Health Serv Res 2023; 23:253. [PMID: 36918876 PMCID: PMC10013228 DOI: 10.1186/s12913-023-09218-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 02/24/2023] [Indexed: 03/16/2023] Open
Abstract
BACKGROUND Emergence of the COVID-19 pandemic created unexpected challenges for health care workers. The global and national supply chain system was disrupted, and affected infection, prevention and control (IPC) practices. This study aimed at documenting health workers knowledge, attitudes and practices (KAP) on IPC in Nigeria during the COVID-19 pandemic. METHODS The descriptive, mixed-methods cross-sectional study was conducted in Ebonyi, Ondo and Niger states in October 2020. A structured questionnaire was administered to the health workers, complemented by semi-structured interviews that were audio recorded, transcribed and analyzed in Atlas.ti. Quantitative data were entered into REDCap and cleaned, transformed and analyzed using descriptive statistics in SPSS version 25.0 Findings from the qualitative interviews were used to explain the trends observed from quantitative study. RESULTS There were demographic differences between community and facility-based health workers in our population. A greater proportion of facility-based providers reported having IPC training compared to community-based health workers ever (p < 0.01) and during the pandemic (p < 0.05). Health care workers had moderate knowledge of general IPC, and attitudes toward and practice of IPC during COVID-19 pandemic. However, the knowledge of the relative effectiveness of prevention measures was low. The mean knowledge scores were greater among facility-based workers compared to community based healthcare workers (p = 0.001). Self-reported IPC practices increased during the pandemic compared to prior to the pandemic, with the exception of the use of N-95 masks and hand sanitizer. CONCLUSION This study found moderate IPC knowledge, attitudes and practices in our study population during the pandemic as compared to pre-pandemic for the study found gaps in correct hand hygienevaried application of different IPC practices to ensure adherence to COVID-19 preventive measures. The study recommends sustained training for IPC and encourages policy makers that budget line specific to COVID-19 response across all the levels of health care delivery will enhance compliance and emergency readiness.
Collapse
Affiliation(s)
- Bright Orji
- Jhpiego - an Affiliate of Johns Hopkins University, Abuja, Nigeria.
| | | | - Bartholomew Odio
- Jhpiego - an Affiliate of Johns Hopkins University, Abuja, Nigeria
| | - Charity Anoke
- Jhpiego - an Affiliate of Johns Hopkins University, Abuja, Nigeria
| | - Herbert Onuoha
- Jhpiego - an Affiliate of Johns Hopkins University, Abuja, Nigeria
| | | | - Madeleine Howard
- Johns Hopkins University School of Public Health, Baltimore, MD, USA
| | - Ibrahim Idris
- State Ministry of Health, Minna, Niger State, Nigeria
| | - Edima Akpan
- Reproductive Health Division, Federal Ministry of Health, Abuja, Nigeria
| | - Festus Okoh
- National Malaria Elimination Program, Federal Ministry of Health, Abuja, Nigeria
| | - Chinyere Nwani
- Jhpiego - an Affiliate of Johns Hopkins University, Abuja, Nigeria
| | | | | | - Chioma Oduenyi
- Jhpiego - an Affiliate of Johns Hopkins University, Abuja, Nigeria
| | - Emmanuel Ogharu
- Jhpiego - an Affiliate of Johns Hopkins University, Abuja, Nigeria
| | - Joseph Enne
- Jhpiego - an Affiliate of Johns Hopkins University, Abuja, Nigeria
| | | | | | - Emily Bryce
- Jhpiego - an Affiliate of Johns Hopkins University, Baltimore, MD, USA
| |
Collapse
|
25
|
Aqel O, Alqadheeb B, Felix M, Amundson C, Bingham JM, Meyer K, Warholak T, Axon DR. Cultivating COVID-19 Vaccine Confidence in Pharmacy Professionals. Pharmacy (Basel) 2023; 11:pharmacy11020050. [PMID: 36961028 PMCID: PMC10037576 DOI: 10.3390/pharmacy11020050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 03/02/2023] [Accepted: 03/06/2023] [Indexed: 03/09/2023] Open
Abstract
Pharmacists promote vaccinations and challenge misconceptions about vaccine hesitancy, yet pharmacists' knowledge of vaccine confidence has not been assessed. The objective of this study was to compare pharmacists' knowledge of coronavirus disease 2019 (COVID-19) vaccine confidence before and after a live continuing education (CE) session. This pretest-posttest study evaluated the differences before and after a live CE session on COVID-19 vaccine confidence provided to pharmacists at a nationwide health technology company. Participants' total pretest and posttest scores were compared using paired t-tests, while pretest and posttest scores for each item were compared using chi-squared tests. A Bonferroni correction was applied, resulting in an alpha level of 0.005. A total of 279 pharmacists participated in this study. After the CE session, mean knowledge scores increased (5.2 ± 1.5 to 7.4 ± 1.35, p < 0.0001). After the CE session, there was no significant increase in pharmacists' knowledge about the approach that is not recommended when discussing vaccination beliefs with a patient (71.3% to 77.4%, p = 0.099), determinants of vaccine uptake (83.9% to 87.8%, p = 0.182), and social determinants of health that can influence vaccination rates (93.6% to 96.4%, p = 0.121). There was a significant change in pre- and posttest knowledge for the remaining seven items.
Collapse
Affiliation(s)
- Osama Aqel
- Department of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, The University of Arizona 1295 N Martin Ave, Tucson, AZ 85721, USA
| | - Banin Alqadheeb
- Department of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, The University of Arizona 1295 N Martin Ave, Tucson, AZ 85721, USA
| | - Mariana Felix
- Department of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, The University of Arizona 1295 N Martin Ave, Tucson, AZ 85721, USA
| | - Collin Amundson
- Department of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, The University of Arizona 1295 N Martin Ave, Tucson, AZ 85721, USA
| | - Jennifer M Bingham
- Department of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, The University of Arizona 1295 N Martin Ave, Tucson, AZ 85721, USA
| | - Katie Meyer
- American Pharmacist's Association, 2215 Constitution Avenue NW, Washington, DC 20037, USA
| | - Terri Warholak
- St. Louis College of Pharmacy, University of Health Sciences & Pharmacy in St. Louis, 1 Pharmacy Place, St. Louis, MO 63110, USA
| | - David R Axon
- Department of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, The University of Arizona 1295 N Martin Ave, Tucson, AZ 85721, USA
| |
Collapse
|
26
|
Kim SO, Kim KH. Factors influencing emergency nurses' infection control practices related to coronavirus disease 2019 in Korea. Australas Emerg Care 2023; 26:30-5. [PMID: 35872086 DOI: 10.1016/j.auec.2022.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Revised: 07/05/2022] [Accepted: 07/05/2022] [Indexed: 11/24/2022]
Abstract
BACKGROUND When an infectious disease breaks out, emergency nurses are the front-line specialists. Infection control by emergency nurses is important to minimize the risk of infectious disease and to improve the infection control practices of emergency nurses. Therefore, it is crucial to identify the factors influencing infection control practice related to COVID-19. METHODS For this cross-sectional study design used survey methods for data collection, a questionnaire survey was conducted with 161 emergency nurses working in five hospitals selected through convenience sampling. Data were collected from November 10 to November 26 in 2020. RESULTS Infection control practice related to COVID-19 was affected by the infection prevention environment (β = 0.24, p = .002), monitoring of wearing Personal Protective Equipment (β = 0.19, p = .006), knowledge about COVID-19 (β = 0.18, p = .009), perceived severity related to COVID-19 (β = 0.18, p = .010), and perceived barrier related to COVID-19 (β = -0.15, p = .033). CONCLUSION Creating safe infection prevention measures and revitalizing personal protective equipment monitoring are necessary to improve infection control practices. A systematic infection control education program is needed to improve knowledge about COVID-19, emphasize its perceived severity, and identify and eliminate perceived barriers.
Collapse
|
27
|
Zhang R, You C, Wang L, Jiang Y, He L, Wang C, Chen F, Huang Y, Han H. A practice-based nursing emergency management system model for public health emergencies: A descriptive qualitative study. Nurs Open 2023; 10:3774-3786. [PMID: 36747470 PMCID: PMC10170909 DOI: 10.1002/nop2.1635] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Revised: 01/13/2023] [Accepted: 01/19/2023] [Indexed: 02/08/2023] Open
Abstract
AIM This study aims to explore nursing emergency management system under public health emergencies. DESIGN A descriptive qualitative study. METHOD Semi-structured interviews were conducted during March-November 2020 with 11 nursing emergency management administrators from 11 COVID-19 designated hospitals and infectious disease hospitals under four administrative divisions in China, who were recruited through convenience and purposive sampling. Interviews were audio-recorded and transcribed. Data were analysed with Braun and Clarke's inductive thematic analysis. The study adhered to the Consolidated Criteria for Reporting Qualitative Research. RESULTS Three main themes emerged from data analysis: (1) Five core elements of nursing emergency management system: Structure, Staff, System, Setting, and Supply (5S); (2) Four phases of nursing emergency management system: Reduction, Readiness, Response and Recovery (4R); and (3) operational process of nursing emergency management system (5S*4R). The findings generated a conceptual model of a nursing emergency management system. PUBLIC CONTRIBUTION This study provides a theoretical basis for nursing emergency management system for public health emergencies in the future. Nurse administrators could refer to this model to either review or develop their system and develop viable interventions to prepare for future public health emergencies.
Collapse
Affiliation(s)
- Ruixue Zhang
- Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Congyu You
- Office of Performance Management, Children's Hospital of Chongqing Medical University, Chongqing, China
| | - Lei Wang
- Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Yan Jiang
- Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Lingxiao He
- Trauma Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Cong Wang
- Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Fengjiao Chen
- Department of Hematology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Yujia Huang
- Department of Neurological Comprehensive Ward, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Hui Han
- Department of Neurological Comprehensive Ward, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| |
Collapse
|
28
|
Khademi Z, Imani E. Frontline Nurses' Experiences of Patient Care in the COVID-19 Pandemic: A Phenomenological Study. J Caring Sci 2023; 12:42-49. [PMID: 37124405 PMCID: PMC10131169 DOI: 10.34172/jcs.2023.30327] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 05/19/2022] [Indexed: 05/02/2023] Open
Abstract
Introduction: The COVID-19 pandemic is now a major public health crisis in the world. Nurses as key members of professional are exposed the most challenges caused by COVID19. Knowledgeable nurses' experiences can provide appropriate solutions to increase the quality of care and improve the health of the society. This study aimed to explore the lived experiences of nurses' caring for patients with COVID-19. Methods: 12 nurses participated in this phenomenological study. We performed purposeful sampling and in-depth face-to-face and semi-structured individual interviews for collecting data. Qualitative data, was analyzed by the 6-step Van Manen hermeneutic phenomenology. Results: After data analysis, the mean (SD) age of study participants was 32.25 (5.62) years and their mean work experience was 9.75 (5.39) years. From the analysis of data obtained from interviews with nurses working in COVID-19 wards, 1050 primary codes, 17 subthemes and 5 themes were extracted. Main themes include: sincere service, patient oppression, emotional instability, suspension and relaxation. Conclusion: Analysis of data in this study suggested that the nurses who care patients in COVID-19 pandemic, faced many professional and psychological challenges. Healthcare managers should plan for psychological support services for the nurses.
Collapse
Affiliation(s)
- Zahra Khademi
- Department of Nursing, Faculty of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Elham Imani
- Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
- *Corresponding Author: Elham Imani,
| |
Collapse
|
29
|
Deveci S, Cevik C, Baydur H, Onsuz F, Tosun S, Ergor A. Validity and Reliability of the COVID-19 Knowledge, Attitude and Behavior Scale. Vaccines (Basel) 2023; 11. [PMID: 36851195 DOI: 10.3390/vaccines11020317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 01/21/2023] [Accepted: 01/23/2023] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND The aim of this research is to develop a scale that will evaluate the knowledge, attitudes and behaviors of employees about COVID-19 and to test its validity and reliability. METHODOLOGY The methodological type of research was used between August-November 2020, under observation in organized industrial zones. Information was collected from a total of 543 employees. Confirmatory factor analysis and correlation analysis were performed for the value, item-total correlations and construct validity. SPSS 25.0 (IBM Inc., Armonk, NY, USA), Jasp 0.14 (University of Amsterdam) and Lisrel 9.1(Scientific Software International, Inc., Chapel Hill, NC, USA) programs were used in the analysis. RESULTS 83.1% of the participants in the study are male, the average age is 37.4 ± 8.0, 76.1% are married, and 49.4% are high school graduates. The Cronbach alpha value of the COVID-19 information part is 0.86 in total, the contamination information dimension is 0.71 and the protection information dimension is 0.84. The COVID-19 attitude section consists of four sub-dimensions and 13 items classified within the framework of the health belief model. In summary, the goodness of fit values for the knowledge, attitude and behavior sections, respectively, are: RMSEA values 0.05, 0.03 and 0.04; CFI values 0.98, 0.98 and 0.99; GFI values 0.97, 0.97 and 0.99. CONCLUSIONS It has been determined that the internal consistency of the COVID-19 knowledge, attitude and behavior scale conducted on employees is high and compatible, and its validity findings are sufficient. The scale is recommended as an applicable tool to measure COVID-19 knowledge, attitudes and behaviors.
Collapse
|
30
|
Abstract
The purpose of this study is to explore the behavior and lifestyle of individuals in response to the coronavirus that the safety behavior of people in the coronavirus disease of 2019 pandemic. Hence, the study integrates the theory of planned behavior and the health belief model to understand the behavioral change in response to the coronavirus pandemic. The current study is qualitative therefore, a survey-based online questionnaire was used for data collection from university students and staff (faculty and nonfaculty) residing in top-tier cities of Pakistan, nonprobability convenient sampling was used to approach the audience. A two-stage approach was used to test the model using partial least square (variance-based structural equation modeling). The reliability and validity of the measurement model indicate that the data is reliable and valid. Outcomes prove all the relationships as proposed by the study, except for the impact of perceived barriers on intention and individual safety behavior. Perceived barriers act as obstacles that abstain individuals from following the standard operating procedures. The research agenda provides new insights into the fields of marketing, health care, consumer behavior, and behavioral studies. It contributes to the existing literature in the field of social marketing by studying the behavior and changes in the behavior of people in the global pandemic.
Collapse
Affiliation(s)
- Ruqia Khan
- Department of Management Sciences, COMSATS University Islamabad, Islamabad, Pakistan
| | - Tayyba Fatima
- Department of Management Sciences, COMSATS University Islamabad, Islamabad, Pakistan
| | - Thurasamy Ramayah
- School of Management, Universiti Sains Malaysia, Penang, Malaysia
- Internet Innovation Research Center, Newhuadu Business School, Minjiang University, Fuzhou, Fujian, China
- Department of Management, Sunway University Business School, Bandar Sunway, Selangor, Malaysia
- Faculty of Economics and Business, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | - Tahir M. Awan
- Department of Management Sciences, COMSATS University Islamabad, Islamabad, Pakistan
| | - Zakia K. Kayani
- Department of Management Sciences, COMSATS University Islamabad, Islamabad, Pakistan
| |
Collapse
|
31
|
Hafidz F, Adiwibowo IR, Kusila GR, Oktavia A, Saut B, Jaya C, Siregar DR, Dhanalvin E, Tania I, Johana J, Ruby M, Baros WA. Knowledge, attitudes, and practices related to COVID-19 in Indonesia: A post delta variant wave cross-sectional study. Front Public Health 2023; 11:1072196. [PMID: 37124827 PMCID: PMC10133525 DOI: 10.3389/fpubh.2023.1072196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 03/16/2023] [Indexed: 05/02/2023] Open
Abstract
Introduction Public information and regulations related to the coronavirus disease 2019 (COVID-19) have been widely published and continuously changed. The Indonesian government has responded to the emerging evidence by regularly updating its unprecedented and preventive measures against the transmission of COVID-19 to the public. It is important to understand how the public responded to these updates. This study aimed to investigate the knowledge, attitudes, and practices of Indonesians toward COVID-19 after the emergence of the delta variant wave. Methods A cross-sectional study was conducted among the adult population of non-healthcare workers in Indonesia through an online questionnaire using the SurveyMonkey platform. A total of 1,859 respondents completed this survey from September to October 2021. The knowledge, attitudes, and practices data were analyzed descriptively to find their frequency and percentage. A multivariate analysis was conducted to confirm the factors affecting the respondents' knowledge, attitudes, and practices with a p-value of <0.05 set as significant. Results Being female, having a higher education level, and having a higher frequency of access to COVID-19 news showed significant impacts on knowledge, attitudes, and practices (p<0.001). Older age stratification influenced the knowledge level (p<0.05) but had no significant effect on people's attitudes and practices toward COVID-19. Respondents' perceived probability of being exposed to COVID-19 (p < 0.05) and their COVID-19 infection frequency (p < 0.001) significantly influenced their knowledge. Household income and respondents' knowledge significantly affected their attitudes toward COVID-19. Furthermore, only their attitudes had a significant impact on the respondents' practices. Perceived severity, perceived susceptibility, and vaccination status did not significantly influence their knowledge, attitudes, and practices (p > 0.05). Conclusion After more than a year of the COVID-19 pandemic, Indonesians maintain their high level of knowledge, attitudes, and practices. COVID-19 disinformation must be combatted by strengthening authorized media, empowering communities, and improving governance among institutions during and post-pandemic.
Collapse
Affiliation(s)
- Firdaus Hafidz
- Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
- *Correspondence: Firdaus Hafidz
| | - Insan Rekso Adiwibowo
- Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
- Center for Health Policy and Management, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Gilbert Renardi Kusila
- Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Ayunda Oktavia
- Badan Penyelenggara Jaminan Sosial Kesehatan, Jakarta, Indonesia
| | - Benjamin Saut
- Badan Penyelenggara Jaminan Sosial Kesehatan, Jakarta, Indonesia
| | - Citra Jaya
- Badan Penyelenggara Jaminan Sosial Kesehatan, Jakarta, Indonesia
| | | | - Erzan Dhanalvin
- Badan Penyelenggara Jaminan Sosial Kesehatan, Jakarta, Indonesia
| | - Indira Tania
- Badan Penyelenggara Jaminan Sosial Kesehatan, Jakarta, Indonesia
| | - Johana Johana
- Badan Penyelenggara Jaminan Sosial Kesehatan, Jakarta, Indonesia
| | - Mahlil Ruby
- Badan Penyelenggara Jaminan Sosial Kesehatan, Jakarta, Indonesia
| | | |
Collapse
|
32
|
Gautam U, Bajpai Tewari D. Public Knowledge, Attitudes, and Practices Toward COVID-19 Pandemic: A Cross-Sectional Study in Delhi and National Capital Region (NCR), India. Sage Open 2023; 13:21582440231153370. [PMID: 36875955 PMCID: PMC9969222 DOI: 10.1177/21582440231153370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
To assess knowledge, attitudes, and practices of people toward coronavirus disease 2019 (COVID-19) pandemic in National Capital Territory of Delhi and National Capital Region (NCR), India. Various nations, including India, devised strategies to impose lockdowns and movement restrictions on their citizens in order to mitigate the effects of COVID-19. Cooperation and compliance by the populace are crucial to the effectiveness of such measures. People's knowledge, attitudes, and behavior toward such diseases are crucial in determining the adaptability of a society to such changes. Using Google Forms, a self-designed semi-structured questionnaire was created. This study is cross-sectional. Participants were eligible to participate if they were over the age of 18 and presently resided in the study area. The questionnaire included demographic variables such as gender, age, location, occupation, and income level. A total of 1,002 people completed the survey. A 48.80% of the respondents in the study group were females. The mean knowledge score was 13.14 (Maximum Score = 17), while the mean attitude score was 27.24 (Maximum Score = 30). Most of the respondents (96%) had adequate knowledge about the disease's symptoms. A 91% of the respondents had an average attitude score. A 74.85% of respondents accepted that they had avoided large social events. Gender had a negligible impact on the average knowledge score, while the score differed significantly across education levels and occupation categories. Consistent dissemination of messages regarding the virus, its spread, control measures implemented, and precautions expected from the public aids in reassuring the public and reducing their anxiety regarding the virus.
Collapse
Affiliation(s)
- Upma Gautam
- University School of Law and Legal
Studies, Guru Gobind Singh Indraprastha University, Delhi, India
| | | |
Collapse
|
33
|
Andrade NN, Kshirsagar MM, Andrade T, Bandgar VV, Pimpale S, Chavan A. Assessment of Knowledge, Attitude and Practices of Health Care Professionals Working in Jumbo COVID Care Center Towards Mental Health Care Needs: A Cross Sectional Survey. Adv Biomed Res 2023; 12:22. [PMID: 36926433 PMCID: PMC10012011 DOI: 10.4103/abr.abr_295_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 02/24/2021] [Accepted: 02/19/2022] [Indexed: 02/02/2023] Open
Abstract
Background The present COVID-19 pandemic is a major threat worldwide. Health professionals being within the front line of the COVID-19 outbreak response are at the highest risk of getting infected. Such pandemics are always associated with ill effects on mental health also. Materials and Methods A cross-sectional study included all the health care professionals working in the Jumbo COVID Care Center, Mumbai. Details of health care professionals were obtained from the authority of Jumbo COVID Care Center, Mumbai. Amongst 350 health care professionals, 285 responded (Response rate: 81.42%). A questionnaire, consisting of 19 structured, self-administered, and closed-ended questions, was employed online, and information regarding age, gender, profession, etc., was collected. It was then tabulated and subjected further to an analysis. Results Most health care professionals (96.1%) were aware that COVID-19 is not only affecting physical but mental health too, also posts on social media (86.3%) are affecting mental health more than the actual disease. A total of 95.8% agreed that health care/frontline workers are at the highest risk and felt the need for psychiatrists in the present pandemic. (81.4%) They were also worried thinking about elderly people with comorbidities in their homes. (82.1%). Conclusion From the present study, it can be concluded that the present pandemic is affecting not only physical but mental health also, and there is an increased need for psychiatrists and mental health care professionals to overcome the same.
Collapse
Affiliation(s)
- Neelam N Andrade
- Department of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Mumbai, Maharashtra, India
| | | | - Tanvi Andrade
- Department of Orthodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India
| | - Vaibhav V Bandgar
- Department of Prosthodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India
| | - Sandeep Pimpale
- Department of Periodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India
| | - Ankush Chavan
- Department of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Mumbai, Maharashtra, India
| |
Collapse
|
34
|
Minhas S, Sajjad A, Manzoor I, Masood A, Suhail A, Shaikh GM, Kashif M. Knowledge, attitude, and practices of front line health workers after receiving a COVID-19 vaccine: a cross-sectional study in Pakistan. PeerJ 2023; 11:e14727. [PMID: 36935914 PMCID: PMC10022508 DOI: 10.7717/peerj.14727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 12/20/2022] [Indexed: 03/16/2023] Open
Abstract
Background Globally, there is an increased risk of COVID-19 infection among front-line health workers (FHW). This study aimed to evaluate the knowledge, attitude, and practices of FHW of Pakistan after receiving the COVID-19 vaccine. Methods A population web-based survey on COVID-19 vaccine was conducted on 635 FHW in Pakistan between April 15, 2021, and July 15, 2021. The survey focused on four main sections consisting of socio-demographic data, knowledge, attitude, and practices after receiving the COVID-19 vaccine. The data was analyzed on SPSS. p < 0.05 was considered significant. Results Overall, 60% of FHW were nervous before getting vaccinated, with the leading reason to get vaccinated being their concern to protect themselves and their community (53.4%). A majority of FHW had fear about the unseen side effects of the COVID-19 vaccine (59.7%) used in Pakistan, with the most common side effect reported as soreness at the injection site (39%). It has been noted that almost all of the FHW observed preventive practices after getting vaccinated. The results showed that married respondents had favorable practices towards COVID-19 vaccines (B = 0.53, p < 0.01) (B, unstandardized regression coefficient). It was also found that more informational sources (B = 0.19, p < 0.01), higher knowledge of vaccination (B = 0.15, p < 0.001), and favorable attitude toward vaccine (B = 0.12, p < 0.001) significantly predicted favorable practices toward COVID-19 vaccination. Conclusion The findings reflect that FHW, though they were worried about its side effects, have good knowledge and a positive attitude after getting the COVID-19 vaccine. This study is significant as the FHWs are a symbol for guidance, a reliable source of information, and an encouraging means of receiving COVID-19 vaccine for the general public. This study also reported that post-vaccination side effects were mild which will aid in reducing the vaccine hesitancy among the general Pakistani population.
Collapse
Affiliation(s)
- Sadia Minhas
- Oral Pathology, Akhtar Saeed Medical and Dental College, Lahore, Punjab, Pakistan
| | - Aneequa Sajjad
- Oral Pathology, Akhtar Saeed Medical and Dental College, Lahore, Punjab, Pakistan
| | - Iram Manzoor
- Community Medicine, Akhtar Saeed Medical and Dental College, Lahore, Punjab, Pakistan
| | - Atika Masood
- Pathology, Akhtar Saeed Medical and Dental College, Lahore, Punjab, Pakistan
| | - Agha Suhail
- Operative Dentistry, Akhtar Saeed Medical and Dental College, Lahore, Punjab, Pakistan
| | - Gul Muhammad Shaikh
- Dental Education and Research, Shahida Islam Medical and Dental College, Lodhran, Punjab, Pakistan
| | - Muhammad Kashif
- Oral Pathology, Bakhtawar Amin Medical and Dental College, Multan, Punjab, Pakistan
| |
Collapse
|
35
|
Šljivo A, Abdulkhaliq A, Granov N, Reiter L, Mahendran E, Zeglis I, Mohammed MA, Yousef A, Dadić I, Ivanović K, Selimović A, Mujičić E, Gabor-Harosa FM. COVID-19 vaccination knowledge, attitudes and practices among the general population of Romania during the third wave of COVID-19 pandemic. SAGE Open Med 2023; 11:20503121231165670. [PMID: 37089469 PMCID: PMC10111160 DOI: 10.1177/20503121231165670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 03/05/2023] [Indexed: 04/25/2023] Open
Abstract
Objective Romania began its COVID-19 immunization programme with approved vaccinations in three stages, as follows: The first step of vaccination is for health and social professionals, the second stage is for high-risk persons and the third stage is for the remainder of the general public. This study aims at assessment of knowledge, attitude and practice towards COVID-19 and vaccination against COVID-19 in the Romanian population during the third wave of the pandemic. Methods This cross-sectional study was based on a Bosnian and Herzegovinian study on COVID-19 vaccination during the country's third wave of COVID-19 pandemic. Results Our study sample, dominantly female (629; 61.0%), with a bachelor's degree (734; 71.2%), either single (539; 52.3%) or in a relationship (363; 35.2%), engaged in intellectual labour (910; 88.3%) and living in an urban environment (874; 84.8%) with a mean age of 25.07 ± 8.21 years, 294 (28.5%) people with COVID-19 symptoms and 86 (8.3%) were tested COVID-19 positive, had a mean knowledge score of 16.38 ± 4.0 with correct answer rates on questions ranging from 30.1% to 88.2%. Being single (odds ratio = 3.92, p = 0.029) or in a relationship (odds ratio = 3.79, p = 0.034), having a bachelor's degree and higher (odds ratio = 1.61, p = 0.006) and being COVID-19 tested (odds ratio = 1.82, p < 0.001) were associated with higher knowledge test scores. Our sample had relatively optimistic attitudes towards final COVID-19 disease containment (712; 69.1%) and vaccination programmes (679; 65.9%). The majority of the sample followed socio-epidemiological measures and did not visit places of mass social gatherings (666; 64.1%) and wore masks (992; 95.7%) while being outside their home. In terms of vaccination rates, 382 (37.0%) of the individuals were presently immunized against COVID-19. Higher knowledge test scores (>15 points) (odds ratio = 1.66, p = 0.002) and positive attitudes of this study (odds ratio = 1.59, p = 0.001, odds ratio = 4.16, p < 0.001) were identified as independent predictors for vaccinating against COVID-19. Conclusion Romanian citizens have had good knowledge, optimistic attitudes and appropriate practices towards COVID-19 vaccination during the third wave of COVID-19 outbreak in the country. Higher knowledge regarding the disease and vaccination against it not only increased attitudes towards the end of the pandemic, but also increased the willingness to be vaccinated and to avoid infection risk factors.
Collapse
Affiliation(s)
- Armin Šljivo
- Clinical Center University of Sarajevo,
University of Sarajevo, Sarajevo, Bosnia and Herzegovina
- Armin Šljivo, Clinical Center University of
Sarajevo, University of Sarajevo, Emergency Medical Service of Canton Sarajevo,
Kolodvorska 14, Sarajevo 71 000, Bosnia and Herzegovina.
| | - Arian Abdulkhaliq
- Faculty of Medicine, Iuliu Haţieganu
University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | - Nermir Granov
- Clinical Center University of Sarajevo,
University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Leopold Reiter
- Faculty of Medicine, Iuliu Haţieganu
University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | - Eljakim Mahendran
- Faculty of Medicine, Iuliu Haţieganu
University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | - Ioannis Zeglis
- Faculty of Medicine, Iuliu Haţieganu
University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | | | - Assy Yousef
- Faculty of Medicine, Iuliu Haţieganu
University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | - Ilma Dadić
- Faculty of Medicine, University of
Sarajevo, Sarajevo, Bosnia and Herzegovina
| | | | - Amina Selimović
- Clinical Center University of Sarajevo,
University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Ermina Mujičić
- Clinical Center University of Sarajevo,
University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Florina Maria Gabor-Harosa
- Faculty of Medicine, Iuliu Haţieganu
University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| |
Collapse
|
36
|
Paudel M, Leghari A, Ahmad AM, Gibbs S, Wheeler J, Goldberg S, Snyder T, Bhattarai M. Understanding changes made to reproductive, maternal, newborn and child health services in Pakistan during the COVID-19 pandemic: a qualitative study. Sex Reprod Health Matters 2022; 30:2080167. [PMID: 35867009 PMCID: PMC9310789 DOI: 10.1080/26410397.2022.2080167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
COVID-19 mitigation measures have disrupted the provision of essential health services. The goal of this study was to understand changes in reproductive, maternal, neonatal, and child health (RMNCH) services during the pandemic in Pakistan. We conducted a qualitative study in November and December 2020 consisting of telephone in-depth interviews with women, healthcare providers, and community stakeholders. Interviews were analysed using a thematic, iterative approach. All health facilities had changed their routine procedures, including adjustments in service delivery time and staff hours to reduce crowding, and maintain standard operating procedures (SOPs) such as social distancing. Women highlighted stockouts and lack of supplies as key barriers to care-seeking. Stockouts and crowding led to shifts in care-seeking away from public to private facilities. RMNCH service utilisation declined first due to restrictions during the lockdown, then due to fear of contracting COVID-19 at healthcare facilities. This study provides important insights into RMNCH services during the COVID-19 pandemic from care-seekers' and care-providers’ perspectives. The findings of this study were used to develop interventions to address access to RMNCH care during the COVID-19 pandemic.
Collapse
Affiliation(s)
- Mahesh Paudel
- Research Advisor (Asia), Population Services International, Kathmandu, Nepal. Correspondence:
| | - Ayesha Leghari
- Country Director, Population Services International Pakistan, Karachi, Pakistan
| | - Ahsan Maqbool Ahmad
- Senior Technical Advisor, Institute for Global Public Health, Pakistan - University of Manitoba, Canada and Health Planning Systems Strengthening and Information Analysis Unit (HPSIU), Ministry of National Health Services Regulations and Coordination, Islamabad, Pakistan
| | - Susannah Gibbs
- Technical Writer, Population Services International, Washington, DC, USA
| | - Jennifer Wheeler
- Head, Strategic Research and Learning, Population Services International, Washington, DC, USA
| | | | - Taylor Snyder
- Maternal & Infant Health Consulting, Salt Lake City, Utah, USA
| | | |
Collapse
|
37
|
Roy D, Shuvo SD, Hossain MS, Riazuddin M, Mazumdar S, Mondal BK, Zahid MA. Knowledge, attitudes, practices, and its associated factors toward COVID-19 pandemic among Bangladeshi older adults. PLoS One 2022; 17:e0275065. [PMID: 36520795 PMCID: PMC9754172 DOI: 10.1371/journal.pone.0275065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 09/09/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The newly emerged COVID-19 has an unprecedented impact on all classes of people, particularly the elderly. The knowledge, attitudes, and practices (KAP) of older adults toward COVID-19 are currently unknown. This study aimed to investigate the KAP and its associated factors toward COVID-19 among older adults in Bangladesh. METHODS A cross-sectional survey was conducted from April to May 2021 among Bangladeshi older adults. Face-to-face interviews were used to collect data from five selected divisions in Bangladesh using simple random sampling. The questionnaire consisted of socio-demographic characteristics, disease conditions, and KAP toward COVID-19. Descriptive statistics, t-tests, one-way analysis of variance (ANOVA), and logistic regression analyses were performed. RESULTS Out of 900 respondents, the majority of older adults (82.9%) indicated that COVID-19 is a viral disease and the major clinical symptom of COVID-19 (86.5%). Only 22.1% of participants always washed their hands with soap or hand sanitizer, and 27.6% wore a mask to protect against the virus when going outside the home. Overall, 55.2% had adequate knowledge, 50.2% had positive attitudes toward COVID-19 and only 22.7% had good practices. Out of 30 scores, mean score values were 20.8±6.7 in the knowledge section, 21.2±4.3 in the attitude section, and 11.3±6.7 in the practice section out of 30. In binary logistic regression analysis, factors associated with poor knowledge, and practices were being male, aged >70 years, having a primary education, less income <5000BDT, and multimorbidity (p < 0.05). Participants having poor knowledge of COVID-19 had higher likelihood of negative attitudes (OR: 6.79, 95% CI = 4.87-9.47, p < 0.001) and poor practices (OR: 9.15, 95% CI = 6.94-13.16, p < 0.001). CONCLUSION The findings highlight the need for immediate implementation of health education programs and adequate intervention programs for COVID-19 which integrates consideration of associated factors to improve the level of older adults' knowledge, attitudes, and practices.
Collapse
Affiliation(s)
- Deepa Roy
- Department of Mathematics, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Suvasish Das Shuvo
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Md. Sakhawot Hossain
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Md. Riazuddin
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Sanaullah Mazumdar
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| | | | - Md. Ashrafuzzaman Zahid
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, Bangladesh
| |
Collapse
|
38
|
AlSaeed AA, Rabbani U, Aldukhayel A, Alzuhairy S. COVID-19-Related Awareness and Behaviors of Non-Saudi Travelers and Their Satisfaction with Preventive Measures at Saudi Airports. Trop Med Infect Dis 2022; 7. [PMID: 36548690 DOI: 10.3390/tropicalmed7120435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 12/09/2022] [Accepted: 12/10/2022] [Indexed: 12/15/2022] Open
Abstract
Airports could serve as hotspots for the spread of the COVID-19 infection. We aimed to assess the awareness, attitude, and behaviors of non-Saudi travelers about COVID-19 and their satisfaction with preventive measures at Saudi airports. A cross-sectional study was conducted among non-Saudi travelers arriving in Saudi Arabia at two international airports. Data were collected using a questionnaire in Arabic, Hindi, and Urdu languages. Awareness, attitude, behavior scores, and satisfaction levels were calculated. Linear regression analyses were done to assess the predictors of awareness, attitude, and behaviors. A total of 633 participants were included in the study. The mean awareness, attitude, and behavior scores were 16.3/22, 18.3/24, and 3.2/5, respectively. Nationality, education, and income were significant predictors of awareness. Nationality was the only significant predictor of attitude, while gender and nationality were predictors of behaviors. Overall satisfaction with preventive measures was: transportation (94%), lounges and corridors (96%), counters (98%), and airport staff (97%). There was overall good awareness and attitude among travelers. Behavior scores were relatively low, which needs to change as air travel poses a threat to the spread of infectious diseases. Airport authorities need to manage passengers properly to ensure adequate distancing to prevent the potential transmission of infections.
Collapse
|
39
|
Tosun B, Unal N, Gungor S, Dusak İ, Porucu C, Yava A. Evaluation of nursesʼ knowledge about protective precautions and experiences in terms of various factors during Covid-19 pandemic. Cent Eur J Nurs Midw 2022. [DOI: 10.15452/cejnm.2022.13.0017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022] Open
|
40
|
Naz S, Dur e Shawar S, Saleem S, Malik A, Raza A. Knowledge, attitudes, and practices (KAP) towards COVID-19 pandemic among pregnant women in a tertiary hospital in Karachi, Pakistan. PLoS One 2022; 17:e0274252. [PMID: 36449555 PMCID: PMC9710773 DOI: 10.1371/journal.pone.0274252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 08/25/2022] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND The aim of this study was to evaluate the knowledge, attitude, and practices (KAP) of the pregnant population during the COVID-19 pandemic in a tertiary care hospital. METHODS This cross-sectional study was conducted at Aga Khan University Hospital, Karachi, Pakistan. KAP towards COVID-19 was assessed using 21-item questionnaires. A score for each category was calculated and points were summed. The outcome variables of KAP were compared with demographic characteristics. Data were analyzed by using SPSS 19. RESULTS A total of 377 patients participated in the study. The majority of the patients were multiparous (36.8%) in the age group of 30-40years (42.4%). More than 90% of patients were aware of COVID-19 symptoms and mode of transmission. They were aware of no cure for disease and optimum social distance. Although < 50% of patients truly answered the questions regarding the impact of COVID-19 on the risk of congenital malformation, vertical transmission, and the effect of infection on the mode of delivery. Regarding attitude and practices,> 90% of patients were anxious about fetal and personal safety, they are using a facemask, sanitizing their hands regularly, and avoiding social gatherings. Univariate and multivariable linear regression analysis showed statistically significant results among demographic variables (age, parity, family members, occupational status, and source of information). CONCLUSION Pregnant patients demonstrated inadequate knowledge regarding the impact of COVID-19 on pregnancy. However positive attitude and practices on preventive measures were good. This highlights the need for health education for pregnant women for COVID-19 to improve knowledge on a constant basis.
Collapse
Affiliation(s)
- Sumaira Naz
- Department of Obstetrics & Gynecology, Aga Khan University Hospital, Karachi, Pakistan
| | - Syeda Dur e Shawar
- Department of Obstetrics & Gynecology, Aga Khan University Hospital, Karachi, Pakistan
| | - Shamila Saleem
- Department of Obstetrics & Gynecology, Aga Khan University Hospital, Karachi, Pakistan
| | - Ayesha Malik
- Department of Obstetrics & Gynecology, Aga Khan University Hospital, Karachi, Pakistan
- * E-mail:
| | - Amir Raza
- Department of Obstetrics & Gynecology, Aga Khan University Hospital, Karachi, Pakistan
| |
Collapse
|
41
|
Uzair M, Farooq A, Arshad M, Waheed U, Ullah RH, Bashir S. Evaluating Knowledge, Awareness, and Practices among Pakistani Population regarding COVID-19: An Online Survey-Based Study. Ibnosina Journal of Medicine and Biomedical Sciences 2022. [DOI: 10.1055/s-0042-1758032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Abstract
Aim The study aims to analyze the knowledge, awareness, and practices among the Pakistani population.
Study Method This is an online survey-based study conducted in July 2020 among the general public of Pakistan. Pretested and structured self-administered questionnaire, designed on Google Forms Inc., was used to collect data. The questionnaire included sociodemographic and measurable coronavirus disease 2019 (COVID-19) knowledge data. Assessments on participants' attitudes and practices toward COVID-19 included questions on transmission, symptoms knowledge, and preventive measures.
Results Among the survey completers (n = 962) 61% (n = 590) were male and 39% (n = 372) were female. The majority of participants is aged 18 to 25 and belonged to Punjab. The participants had moderate knowledge regarding disease origin, clinical features, symptoms, and prevention. A vast majority of participants had good knowledge of symptoms and prevention measurements. A good number of participants were also practicing precautionary measures. The majority of participants utilize media and government authorities as authoritative sources of information. The population was also satisfied with the information given by the government.
Conclusion Participants have moderate knowledge regarding the COVID-19 pandemic, reflected by a positive attitude and safe practices. There are gaps in knowledge of the virus, its origin, and transmission. Rumors affect the psychology of people, which may lead to the worst situation of panic conditions.
Collapse
Affiliation(s)
- Mohammad Uzair
- Department of Biological Sciences, International Islamic University, Islamabad, Islamabad, Pakistan
| | - Ahmad Farooq
- Department of Biological Sciences, International Islamic University, Islamabad, Islamabad, Pakistan
| | - Muhammad Arshad
- Department of Biological Sciences, International Islamic University, Islamabad, Islamabad, Pakistan
| | - Usman Waheed
- Department of Biological Sciences, International Islamic University, Islamabad, Islamabad, Pakistan
| | - Rana Hissan Ullah
- Department of Biological Sciences, International Islamic University, Islamabad, Islamabad, Pakistan
| | - Shahid Bashir
- Neuroscience Center, King Fahad Specialist Hospital - Dammam, Dammam, Saudi Arabia
| |
Collapse
|
42
|
Toghanian R, Ghasemi S, Hosseini M, Nasiri M. Protection Behaviors and Related Factors Against COVID-19 in the Healthcare Workers of the Hospitals in Iran: A Cross-Sectional Study. Iran J Nurs Midwifery Res 2022; 27:587-592. [PMID: 36712308 PMCID: PMC9881561 DOI: 10.4103/ijnmr.ijnmr_430_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 01/23/2022] [Accepted: 10/11/2022] [Indexed: 01/31/2023]
Abstract
Background Protective behaviors play a key role in reducing the incidence of COVID-19 in HealthCare Workers (HCWs), and these behaviors are related to other factors. These related factors have not been comprehensively evaluated and determined in the literature. This study aimed to determine protection behaviors against COVID-19 and their related factors using the Protection Motivation Theory (PMT) among HCWs of hospitals in Tehran, Iran, in 2021. Materials and Methods For this cross-sectional study, 270 HCWs of different wards in 3 hospitals in Tehran, Iran, were selected through multistage sampling (April to July 2021). The participants completed a self-reporting questionnaire which consisted of a demographic characteristics form and questions about protective behaviors against COVID-19 and other constructs of the PMT (60 items). Data analysis was performed using descriptive and inferential methods. Results The mean score of the protective behaviors of the HCWs was 4.20 (SD = 0.56) and was significantly higher in the nurses, women, married individuals, and those with a BSc degree compared with others (p < 0.05). Furthermore, the results of multiple regression analysis showed that protection behavior among HCWs could be strongly predicted by the type of profession, protection motivation/intention, and self-efficacy constructs (F14, 255 = 16.34, p < 0.001). Conclusions The protection behaviors of HCWs against COVID-19 were relatively desirable and these behaviors were related to and predicted by various factors. These results could apply to developing plans for protective behaviors against COVID-19 and possibly other infectious diseases among HCWs. Further research in this regard is recommended.
Collapse
Affiliation(s)
- Reyhaneh Toghanian
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Saeed Ghasemi
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Address for correspondence: Dr. Saeed Ghasemi, Vali Asr Ave., Niayesh Cross Road, Niayesh Educational Complex, Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. E-mail:
| | - Meimanat Hosseini
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Malihe Nasiri
- Department of Basic Sciences, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
43
|
Al-Ghazali RH, Barhoom ES, Dahdah KA, Basalem KS, Mugibel TA, Sumaily KM, Sabi EM, Mujamammi AH, Ben Salman SM, Bin Dahman LS. Knowledge, Attitudes, and Perception towards COVID-19 among Medical Students in Yemen: A Cross-Sectional Survey. Infect Dis Rep 2022; 14:841-854. [PMID: 36412744 PMCID: PMC9680230 DOI: 10.3390/idr14060086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 11/09/2022] [Accepted: 11/10/2022] [Indexed: 11/16/2022] Open
Abstract
Numerous measures have been taken to slow the Coronavirus disease (COVID-19) rapid spread. Such population control techniques may have a substantial impact on people’s attitudes, knowledge, and perception of COVID-19. This web-based cross-sectional survey aimed to assess Knowledge, Attitude, and Practices (KAP) towards COVID-19 among Hadhramout University Medical Students in Yemen from 15 June to 26 June 2020. This survey was performed using social media via the Google Platform among 422 Hadhramout University Medical students. After consenting, participants completed an online survey assessing sociodemographic data, 21 knowledge items, 15 attitudes items, and 5 perception items towards COVID-19. Of the total 422 participants, 389 (92.18%) were surveyed online, and 256 (65.8%) were females, and 133 (34.2%) were males aged 19-24 years (88.7%), studying medicine (58.9%), and living in urban areas (80.7%). The survey revealed that 64.0% of participants had good knowledge about the disease and 52.7% had positive attitudes towards protective measures against the virus. The majority of participants (98.2%) thought that the virus was transmitted through nasal droplets, and 59.6% agreed that the disease is dangerous. The majority of participants agreed that fever (99.2%), dry cough (97.9%), and difficulty breathing (99.5%) are the most common symptoms of the disease. The survey also showed high knowledge levels about preventive measures against the virus spreading, such as regular proper hand hygiene (99.7%), maintaining an appropriate distance (99.2%), avoiding touching eyes and nose (98.7%), and wearing facemasks in public places (97.4%). Moreover, 69.7% of participants agreed to be isolated at home if they got an infected person, 64.3% implemented washing hands with soap and water, 41.9% agreed to be separated at the hospital until they proved free from the disease, 46.0% agreed to inform the health authorities if they had any symptoms associated with the disease. By using sample T-test and analysis of variance (ANOVA), mean knowledge score about COVID-19 was significantly higher in males than in females (p = 0.029). Additionally, medicine students had significantly higher mean knowledge score than students of medical laboratory (p < 0.001) and nursing (p = 0.008). In general, our research revealed that participants had favorable opinions regarding the disease’s preventative measures and a good awareness of it. However, more educational initiatives and campaigns that take into account KAP modifying elements are needed.
Collapse
Affiliation(s)
- Ruqaiah H. Al-Ghazali
- College of Medicine, Hadhramout University, Mukalla 50511, Yemen
- Correspondence: ; Tel.: +967-776-191-453
| | - Eman S. Barhoom
- College of Medicine, Hadhramout University, Mukalla 50511, Yemen
| | - Khawla A. Dahdah
- College of Medicine, Hadhramout University, Mukalla 50511, Yemen
| | | | - Tayba A. Mugibel
- College of Medicine, Hadhramout University, Mukalla 50511, Yemen
| | - Khalid M. Sumaily
- Clinical Biochemistry Unit, Pathology Department, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia
| | - Essa M. Sabi
- Clinical Biochemistry Unit, Pathology Department, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia
| | - Ahmed H. Mujamammi
- Clinical Biochemistry Unit, Pathology Department, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia
| | - Saleh M. Ben Salman
- Chef Consultant of Neurosurgery, Neurosurgery Department, Johanniterkankenhaus Stendal Holunderweg University, 539576 Stendal, Germany
| | - Lotfi S. Bin Dahman
- Department of Medical Biochemistry, College of Medicine, Hadhramout University, Mukalla 50511, Yemen
| |
Collapse
|
44
|
Gangaram P, Pillay Y, Alinier G. Paramedics' knowledge, attitudes, and practices regarding the use of personal protective equipment against COVID-19. Qatar Med J 2022; 2022:50. [PMID: 36340970 PMCID: PMC9634205 DOI: 10.5339/qmj.2022.50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 09/11/2022] [Indexed: 11/21/2022] Open
Abstract
The risk of novel coronavirus disease (COVID-19) transmission in the confined mobile ambulance compartment is increased during aerosol-generating procedures and close proximity. Paramedics are encouraged to increase body-surface-isolation by donning additional personal protective equipment (PPE) during patient encounters. This study aimed to better understand paramedics’ knowledge, attitudes, and practices related to PPE use during the COVID-19 pandemic in the prehospital setting with a focus on mitigating risks associated with infection control. This prospective quantitative study collected descriptive data using a specifically designed data collection tool. The survey data was then cleaned and analyzed with Microsoft Excel® and the latest version of the Statistical Package for Social Sciences. One thousand frontline paramedics employed by the Hamad Medical Corporation Ambulance Service (HMCAS) were invited via email to participate in the study. A total of 282 (28.2% of frontline paramedics) paramedics completed the online survey, of which 80.1% completed the mandatory HMCAS online infection control training program within the last year, and 17.0% between one to two years ago. Approximately 83% of the participants had completed an N95 mask fit test at HMCAS within the past five years, and 91.5% completed the hand hygiene training. The study found that 98.2% of the paramedics were knowledgeable about COVID-19 and its transmission, while 96.1% agreed that aerosol-generating procedures increased airborne transmission. The paramedics’ attitudes were mainly positive toward the use of PPE to prevent the spread of the virus, which was synchronous with their practice. The sample population demonstrated a strong knowledge of COVID-19 and its transmission. Their overall positive attitudes and good infection control practices were demonstrative of efforts to mitigate risks associated with the spread of the virus.
Collapse
Affiliation(s)
- Padarath Gangaram
- Ambulance Service, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: & https://orcid.org/0000-0001-5282-5045H,Honorary Research Fellow, Faculty of Health Sciences, Durban University of Technology, South Africa,Email & ORCID ID: & https://orcid.org/0000-0001-5282-5045H
| | - Yugan Pillay
- Honorary Research Fellow, Faculty of Health Sciences, Durban University of Technology, South Africa
| | - Guillaume Alinier
- Ambulance Service, Hamad Medical Corporation, Doha, Qatar. Email & ORCID ID: & https://orcid.org/0000-0001-5282-5045H,University of Hertfordshire, Hatfield, UK
| |
Collapse
|
45
|
Abu Alhommos AK, AlSaad BA, AlRamadan HS, AlAlwan IA, Butayban LS, AlHamad RA, AlSalman ZA, El Hassan ELW. Knowledge of COVID-19 and Its Treatment Among Healthcare Worker in Al-Ahsa Region of Saudi Arabia. J Multidiscip Healthc 2022; 15:2481-2492. [PMID: 36329926 PMCID: PMC9624203 DOI: 10.2147/jmdh.s382706] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Accepted: 10/11/2022] [Indexed: 01/24/2023] Open
Abstract
OBJECTIVE To find out how well healthcare workers (HCWs) in Saudi Arabia's eastern region knew about the novel coronavirus illness 2019 (COVID-19) in terms of its symptoms, transmission, and treatment. METHODS This is a cross-sectional study conducted in the Saudi Arabian region of Al-Ahsa. Between December 2020 and March 2021, a questionnaire was distributed in the main hospitals in the eastern region: King Fahad Hospital, Prince Saud Bin Jalawi Hospital, Prince Sultan Cardiac Center, and Maternity and Children's Hospital. Participants' knowledge of COVID-19 symptoms, transmission, and treatment was assessed using our developed questionnaire tool. The Student's t-test/ANOVA test was used to compare the mean knowledge scores of different demographic groups. RESULTS A total of 300 HCWs participated in this study. Our study sample's mean knowledge score was 6.9 (SD = 2.1) out of 13 (53.1%), indicating a marginal degree of understanding. The duration of practice had a significant effect on the participants' knowledge of COVID-19. Senior and non-Saudi HCWs had a higher knowledge score than the rest of the groups (p ≤ 0.05). The majority of the participants were able to identify that COVID-19 is transmitted from human to human through respiratory droplets, populations at higher risk of developing severe complications, populations needing screening for COVID-19, main clinical symptoms of COVID-19, and were following the WHO guidelines for the treatment of COVID-19. CONCLUSION According to our findings, HCWs only had marginal knowledge about the symptoms, transmission, and treatment of COVID-19. As our findings represent early investigation at the start of the pandemic, more research is needed to evaluate the degree of information gathered two years after the outbreak began. Furthermore, future research should identify knowledge gaps in the targeted population of HCWs and provide strategies to address them.
Collapse
Affiliation(s)
- Amal Khaleel Abu Alhommos
- Pharmacy Practice Department, Clinical Pharmacy College, King Faisal University, Alhasa, Saudi Arabia,Correspondence: Amal Khaleel Abu Alhommos, Pharmacy Practice Department, Clinical Pharmacy College, King Faisal University, Alhasa, Saudi Arabia, Tel +966596150032, Email
| | - Bayan Ahmed AlSaad
- Pharmacy Practice Department, Clinical Pharmacy College, King Faisal University, Alhasa, Saudi Arabia
| | - Hebah Saleh AlRamadan
- Pharmacy Practice Department, Clinical Pharmacy College, King Faisal University, Alhasa, Saudi Arabia
| | - Inass Ahmed AlAlwan
- Pharmacy Practice Department, Clinical Pharmacy College, King Faisal University, Alhasa, Saudi Arabia
| | - Layla Saleh Butayban
- Pharmacy Practice Department, Clinical Pharmacy College, King Faisal University, Alhasa, Saudi Arabia
| | - Ruqaeya Abdullah AlHamad
- Pharmacy Practice Department, Clinical Pharmacy College, King Faisal University, Alhasa, Saudi Arabia
| | | | - E L Walid El Hassan
- Pharmacy Practice Department, Clinical Pharmacy College, King Faisal University, Alhasa, Saudi Arabia
| |
Collapse
|
46
|
Chua SP, Ja’afar MH, Wong KK, Ibrahim R, Wan Yahya WNN. Guidelines on the use of disinfectants: comparison between Malaysia and other countries. GMS Hyg Infect Control 2022; 17:Doc17. [PMID: 36285325 PMCID: PMC9577908 DOI: 10.3205/dgkh000420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Aim Sanitation and cleanliness are essential factors in reducing the spread of pathogens and preventing healthcare-associated infections. Disinfectants are associated with better hygiene outcomes to reduce pathogen transmission risk and minimize risks to healthcare workers (HCWs) and patients. Methods A literature search was undertaken using the electronic databases Scopus, Web of Science, Ovid and Google Scholar. The inclusion criteria for this study are observational and original research studies dating from the five-year period 2017-2021. Other inclusion criteria are full text, English language, qualitative or quantitative studies relevant to the research question. The exclusion criteria are animal studies, systematic reviews, conference proceedings, abstracts, projection modelling studies, in-vivo or in-vitro studies, and books. Results Five study nations included the United States of America (USA), the United Kingdom (UK), China, India and South Korea, together with Malaysia. These nations have existing policies, regulations and guidelines regarding the use of disinfectants. HCWs should be aware of the national laws and guidelines that govern the purchase, distribution and use of disinfectants. They should also understand the different roles of the agencies involved, so the context for the guidance provided is clear. Coordination and collaboration across various stakeholders are required for creating solid policies. Conclusion Product research and innovation are indispensable, as appropriate personal protective equipment and safety measures for HCWs and patients have top priority in every nation. Hence, clear guidelines for handling disinfectants, in addition to health education about scientific-evidence-based disinfectants, are required.
Collapse
Affiliation(s)
- Su Peng Chua
- Department of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Mohd Hasni Ja’afar
- Department of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia,*To whom correspondence should be addressed: Mohd Hasni Ja’afar, Department of Community Health, Faculty of Medicine, National University of Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia
| | - Kon Ken Wong
- Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Roszita Ibrahim
- Department of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Wan Nur Nafisah Wan Yahya
- Department of Internal Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
| |
Collapse
|
47
|
Afshan G, Ahmed F, Anwer N, Shahid S, Khuhro MA. COVID-19 stress and wellbeing: A phenomenological qualitative study of Pakistani Medical Doctors. Front Psychol 2022; 13:920192. [PMID: 36312191 PMCID: PMC9602938 DOI: 10.3389/fpsyg.2022.920192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 09/13/2022] [Indexed: 12/01/2022] Open
Abstract
The COVID-19 stress and increased job pressure have largely affected healthcare professionals’ various life domains. This study particularly explores the effect of stress caused by treating COVID-19 patients on medical doctors’ wellbeing. To explore this phenomenon, we interviewed 12 doctors treating COVID-19 patients in hospitals of metropolitan cities in Pakistan. The thematic analysis using NVivo V.12 Plus software of interviews resulted in four major themes, COVID-19 Stressors, Effects of Stress, Nature and Personality, Stress Relievers, and Stress Coping Strategies. Physicians were physically and emotionally stressed as a result of the intense work. Although they were carrying a lot of pain and hurt on their insides, participants demonstrated a sense of professional determination to overcome obstacles. Physicians are currently dealing with their emotional issues, and they should have access to complete professional help to ensure their wellbeing. The COVID-19 pandemic’s mental health effects are anticipated to last far longer than the physical health effects. This study is well-positioned to investigate frontline physicians’ opinions and attitudes concerning the COVID-19 and its impact on their daily lives and mental health. This research will help implement context-specific innovative mental health solutions to help the frontline workers.
Collapse
Affiliation(s)
- Gul Afshan
- Department of Business Administration, Sukkur IBA University, Sukkur, Pakistan
- *Correspondence: Gul Afshan,
| | - Farooque Ahmed
- Department of Business Administration, Sukkur IBA University, Sukkur, Pakistan
| | - Naveed Anwer
- Lahore Business School, University of Lahore, Lahore, Punjab, Pakistan
| | - Sehrish Shahid
- Australian Institute of Business, Adelaide, SA, Australia
| | - Mansoor Ahmed Khuhro
- Department of Business Administration, Shaheed Benazir Bhutto University Shaheed Benazirabad, Sanghar, Pakistan
| |
Collapse
|
48
|
Singh N, Mohapatra I, Singh S, Srivastava V, Mishra K. Perceived Barriers in Delivering Optimal Healthcare Services in a Dedicated COVID-19 Hospital: Perspectives of Health-Service Providers. Cureus 2022; 14:e30188. [DOI: 10.7759/cureus.30188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2022] [Indexed: 11/07/2022] Open
|
49
|
Odusanya OO, Adeniran A, Bakare OQ, Odugbemi BA, Enikuomehin OA, Jeje OO, Emechebe AC. Building capacity of primary health care workers and clients on COVID-19: Results from a web-based training. PLoS One 2022; 17:e0274750. [PMID: 36206255 PMCID: PMC9543989 DOI: 10.1371/journal.pone.0274750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 09/05/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Health care workers (HCWs) in the first line of care play critical roles in providing the correct information about the coronavirus disease to the community. The objective of the study was to determine the effect of virtual training on the knowledge, attitude, and preventive practices among PHC workers and their clients in the prevention and control of coronavirus disease. METHODS A quasi-experimental intervention virtual training, using a before and after design amongst HCWs and clients was conducted at primary health care facilities in two Local Government Areas of Lagos State. The study instruments were pre-tested questionnaires for both HCWs and their clients. which investigated knowledge of symptoms, modes of disease transmission, methods of prevention, and preventive practices. Changes in knowledge, attitudes, and practices were compared pre-and post-intervention. The level of significance was set at p < 0.05. RESULTS Sixty-three HCWs (out of 100 recruited at baseline) and 133 clients (out of the initial 226) completed the study. The mean ages of the HCWs and clients were 39.2±9.9 and 30.9±5.0 years respectively. At the baseline, the HCW's knowledge was good in the domains of symptoms, modes of transmission, and preventive measures. The training led to a higher but not significant (p> 0.05) increase in the level of knowledge. Contact with trained HCWs was found to lead to significantly (P < 0.001) higher levels of knowledge, attitudes, and preventive practices. amongst clients. CONCLUSION The training was effective in improving the knowledge of both the trained HCWs and their clients.
Collapse
Affiliation(s)
- Olumuyiwa O. Odusanya
- Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria
- * E-mail:
| | - Adeyinka Adeniran
- Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria
| | - Omowunmi Q. Bakare
- Department of Computer Science, Faculty of Science, Lagos State University, Ojo, Lagos, Nigeria
| | - Babatunde A. Odugbemi
- Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria
| | | | - Olugbenja O. Jeje
- Department of Community Health and Primary Health Care, Lagos State University College Teaching Hospital, Ikeja, Lagos, Nigeria
| | - Angela C. Emechebe
- Department of Community Health and Primary Health Care, Lagos State University College Teaching Hospital, Ikeja, Lagos, Nigeria
| |
Collapse
|
50
|
Muhammad K, Saqlain M, Muhammad G, Hamdard A, Naveed M, Butt MH, Khan S, Ismael NS, Khan Z, Karatas Y. Knowledge, Attitude, and Practices (KAPs) of Community Pharmacists Regarding COVID-19: A Cross-Sectional Survey in 2 Provinces of Pakistan. Disaster Med Public Health Prep 2022; 16:1864-1872. [PMID: 33588970 PMCID: PMC8129683 DOI: 10.1017/dmp.2021.54] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 12/23/2020] [Accepted: 12/28/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVE The 2019 coronavirus disease (COVID-19) is a global pandemic with no therapy, and pharmacists being a part of the health care system have a vital role in the management of COVID-19. The purpose of this study is to assess the knowledge, attitude, and practices of community pharmacists (CPs) regarding COVID-19. METHOD An online survey was conducted among 393 CPs in 2 provinces of Pakistan during the lockdown period. A validated questionnaire (Cronbach's alpha, 0.745) was used for data collection. All statistical analyses were analyzed by using SPSS, version 21 (IBM Corp, Armonk, NY). RESULTS Among 393 participants, 71.5% (n = 281) had good knowledge, 44% (n = 175) had a positive attitude, and 57.3% (n = 225) had good practices regarding COVID-19. Social media (45.29%, n = 178) were reported as the main source to seek information of COVID-19. Good knowledge, age ≥ 26 years, and a PhD degree level were the substantial determinants (P = < 0.05) of a good attitude. Similarly, a CP with experience of > 5 years, a PhD degree, good knowledge, and a good attitude has higher odds of having good practices as compared with reference categories (P = < 0.05). CONCLUSION In short, a majority of the CPs had good knowledge but had a poor attitude and practice toward the management of COVID-19. Standard-structured educational and counseling programs for CPs regarding COVID-19 are needed for effective management.
Collapse
Affiliation(s)
- Khayal Muhammad
- Department of Clinical Pharmacy, Faculty of Pharmacy, Near East University, Nicosia, North Cyprus, Turkey
| | - Muhammad Saqlain
- Department of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan
| | - Gul Muhammad
- Department of Medicine, Hayatabad Medical Complex, Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - Ataullah Hamdard
- Faculty of Sciences and Arts, Department of Statistics, Cukurova University, Adana, Turkey
| | - Muhammad Naveed
- Department of Pharmacology and Pharmacotherapy, Faculty of Medicine, University of Szeged, Szeged, Hungary
| | | | - Siraj Khan
- Department of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan
| | - Najlaa Saadi Ismael
- Department of Clinical Sciences, Faculty of Pharmacy, Philadelphia University, Amman, Jordan
| | - Zakir Khan
- Çukurova Üniversitesi, Tıp Fakültesi, Tıbbi Farmakoloji Anabilim Dalı, Sarıçam, Adana, Turkey
| | - Yusuf Karatas
- Çukurova Üniversitesi, Tıp Fakültesi, Tıbbi Farmakoloji Anabilim Dalı, Sarıçam, Adana, Turkey
- Balcalı Hospital, Cukurova University, Adana, Turkey
| |
Collapse
|