Understanding Household Water-Use Behavior and Consumption Patterns during COVID-19 Lockdown in Saudi Arabia

With the COVID-19 lockdown impacting the livelihood of people globally, changes in household behaviors, water consumption patterns, etc., have implications on sanitation, hygiene, and disease control. An online questionnaire survey was conducted, and officials were interviewed to assess the impact of the lockdown on water consumption patterns in the Dammam Metropolitan Area, Saudi Arabia. The multiple regression analysis on responses from the survey indicates that water consumption increased by 50% in 86% of the respondents, leading to higher utility bills. Socioeconomic factors also influenced water consumption. The officials interviewed emphasized the need for integrating water policies with disaster management actions. This study contributes to the prospering empirical literature on the pandemic COVID-19 and water consumption/usage behavioral practices by exploring the behavior of household water during COVID-19 in Saudi Arabia. This study can help decision-makers in Saudi Arabia and other developing countries in boosting awareness related to water management in crisis time.

Simulation education as a single intervention does not improve hand hygiene practices: A randomized controlled follow-up study

BACKGROUND

To evaluate how critical nurses' knowledge of and adherence to current care hand hygiene (HH) guidelines differ between randomly allocated intervention and control groups before and after simulation education in both a simulation setting and clinical practice during a 2-year follow-up period. It was hypothesized that intervention group knowledge of and adherence to current HH guidelines might increase compared with a control group after simulation education.

METHODS

A prospective, parallel, randomized controlled trial with repeated measurements was conducted in a 22-bed adult mixed medical-surgical intensive care unit in Oulu, Finland. Thirty out of 40 initially randomized critical care nurses participated in the baseline measurements; of these, 17 completed all the study procedures. Participants' HH adherence was observed only in high-risk contact situations prior to and postendotracheal suctioning events using a direct, nonparticipatory method of observation. Participants' HH knowledge was evaluated at the end of each observational session.

RESULTS

The overall HH adherence increased from a baseline value of 40.8% to 50.8% in the final postintervention measurement at 24 months (P = .002). However, the linear mixed model did not identify any significant group (P = .77) or time-group interactions (P = .17) between the study groups after 2 years of simulation education. In addition, simulation education had no impact on participants' HH knowledge.

CONCLUSIONS

After a single simulation education session, critical care nurses' knowledge of and adherence to current HH guidelines remained below targeted behavior rates.