Objective: This study aims to assess the perception and attitude of Emergency medical services (EMS) providers toward working during disease outbreaks, and the factors that may influence their decisions to ultimately work or not. Methods: This is a cross-sectional study assessing the attitude of EMS providers to work during disease outbreaks. Descriptive statistics and regression analyses were performed to assess attitudes towards reporting for duty and factors that influence providers’ decisions. Results: Of the 500 surveys distributed, 466 (93.2%) were complete and included for analysis. The majority of participants (70.2%) are male with a mean age of 27 (SD 4.3) years. The study found that the majority (71.1%) of participants are willing to come to work during disease outbreaks. The study found seven predictors of reporting for duty. Confidence that employer will provide adequate protective gear was the most significant predictor (OR 3.95; 95% CI = 2.31-5.42). Concern for family safety was the most important barrier against coming to work (OR 0.40; 95% CI =0.21-0.73). Conclusions: Providing adequate supplies of protective gear along with knowledge and training for disease outbreak are the main factors that enhance providers to fulfill their work expectations.
ObjectiveTo explore the level of cardiopulmonary resuscitation (CPR) knowledge among allied health professions (AHPs) students and its associated factors.MethodsThis is a cross-sectional study assessing CPR knowledge among AHP students. A multidisciplinary expert panel designed a survey, which then was piloted to 20 potential participants. The survey had two sections, including demographics and knowledge questions. Knowledge questions scores ranged from 0 to 10, where 10 indicates all questions were answered correctly.ResultsA total of 883 students completed the surveys and were included in the study. The mean age was 21 years (±1.6) and the majority were females (73.1%). A total of 693 (78.5%) students did not receive previous CPR training and the top barriers to receiving CPR training were unawareness of training opportunities and a lack of time. Participants had a mean CPR knowledge score of 3.9 (±1.7) out of 10 maximum potential points. Trained participants had a higher mean score compared with the untrained (4.6 (±1.6) vs 3.8 (±1.6), p<0.001). Previous training (adjusted β=0.6; 95% CI 0.2 to 0.9; p<0.001) and being in the physical therapy programme (adjusted β=0.5; 95% CI 0.1 to 0.8; p=0.01) were associated with higher knowledge.ConclusionThere is poor knowledge of CPR among AHP students including trained individuals. Efforts to increase the awareness of CPR should target students and professionals who are highly likely to encounter patients requiring CPR. Compulsory training courses, shorter training periods as well as recurrent and regular refreshing courses and use of various media devices are recommended.
ObjectiveThis study aimed to explore the prevalence and factors associated with depression, anxiety and insomnia among frontline healthcare workers (HCWs) in Jordan.MethodsA cross-sectional design was conducted among 122 frontline HCWs who have dealt with suspected or confirmed cases of COVID-19. The study survey included standardised questionnaires of the 7-item Generalized Anxiety Disorder (GAD-7) Scale, 9-item Patient Health Questionnaire (PHQ-9) and the Insomnia Severity Index (ISI). Data were collected online during the active surge period of cases from 11 May 2020 to 13 June 2020. The statistical analysis included descriptive statistics, analysis of variance, bivariate correlation and multivariate linear regression analyses.ResultsA total of 122 HCWs participated in the study (response rate=64.2%). Among the participants, 44.3% were physicians, 32.8% were nurses and 17.2% were paramedics. The mean age of participants was 32.1 (±5.8) years, and the majority were males (80.3%). The mean scores for GAD-7, PHQ-9 and ISI were 8.5 (±5.2), 9.5 (±5.7) and 11.2 (±6.4), respectively. Results showed that the participants reported severe symptoms of anxiety (29.5%), depression (34.5%) and insomnia (31.9%), with no observed differences based on gender, job title, marital status or educational level. Moreover, in the multivariate linear regression, none of the independent factors were associated with GAD-7, PHQ-9 or ISI scores, and the only exception was increased severity of insomnia among paramedics.ConclusionThe COVID-19 pandemic has exerted strenuous emotional, psychological and physical pressures on the health of frontline HCWs.
Introduction Early cardiopulmonary resuscitation (CPR) is associated with increased survival rates from out-of-hospital cardiac arrest. This aim of this study was to explore the attitudes to CPR among allied health students in Jordan; and to compare the attitudes to performing chest compression-only (CC) CPR versus CPR with mouth-to-mouth ventilation (MMV). Methods A cross-sectional study using a 17-item attitude questionnaire that assessed the attitude to CPR in general, and to performing MMV and CC on different patient groups (the other gender, strangers, relatives, children), and despite infection concerns. Results A total of 856 participants completed the questionnaire (mean age 20.8 years, 74.0% female); 79.2% of participants were willing to learn and practise CPR encouraged by their cultural values and religious beliefs and had a positive attitude towards the benefits of CPR. Compared to MMV, a greater proportion of students had a positive attitude towards performing CC on strangers (71.7% vs 29.6%, p<0.001), relatives (77.9% vs 40.4, p<0.001), patients of the other gender (62.3% vs 29.8%, p<0.001), and despite infection concerns (67.9% vs 24.1%, p<0.001). Compared to males, a higher proportion of females had a positive attitude about delivering CC to relatives (80.7% vs 70.0%, p=0.004) and despite the infection concerns (71.1% vs 58.7%, p=0.007). Females were more reluctant to perform MMV on males (26.1% vs 40.4%, p=0.02), strangers (25.3% vs 41.7%, p=0.01) and relatives (36.5% vs 51.6%, p=0.01). Conclusion A large proportion of participants were willing to learn CPR and had positive attitudes towards its benefits. Females were more inclined to perform CC compared to males, whereas males were more likely than females to deliver MMV. More training is recommended, and clear legislation regarding the legal liabilities of rescuers is needed in Jordan.
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