Knowledge, attitudes, experience and behaviour of frontline health care workers during the early phase of 2009 influenza A(H1N1) pandemic, Birmingham, UK

Edeghere, Obaghe; Fowler, Tom; Wilson, Fay; Caspa, Richard; Raichand, Smriti; Kara, Edna; Rampling, Sumi Janmohamed; Olowokure, Babatunde

doi:10.1177/1355819614554243

Cited by 15 publications

(29 citation statements)

References 21 publications

(28 reference statements)

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“…Concerns about lack of PPE, largely due to insufficient resources, were very common [14,39,40,41,42,48,49,50,51,52,53]. Shortage of PPE created difficulties such as having to wear the wrong size PPE [40,41,51].…”

Section: Resultsmentioning

confidence: 99%

Factors affecting healthcare workers’ compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: Rapid evidence review

Brooks

Greenberg

Wessely

et al. 2020

Preprint

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The 2019-2020 outbreak of novel coronavirus has raised concerns about nosocomial transmission; that is, transmission within healthcare settings. Research from previous outbreaks of emerging infectious diseases suggests a major cause of nosocomial transmission is healthcare professionals' poor compliance with recommended personal protective behaviours. This rapid evidence review explored existing literature on emerging infectious disease outbreaks to identify factors associated with compliance with social and behavioural infection control measures among healthcare staff. 56 papers were reviewed and several positive associations were found: Staff working in emergency or intensive care settings appeared more likely to comply with recommendations than those in other settings, and there was some evidence that contact with confirmed cases could improve compliance. There was some evidence that staff with higher levels of anxiety and higher concern about the risk of infection were more likely to comply with recommended behaviour, and that monitoring from superiors could improve compliance. Several negative associations were also found. Observed non-compliance of colleagues could hinder compliance. Staff identified many barriers to compliance related to personal protective equipment, including availability; perceived difficulty and effectiveness; inconvenience; discomfort; and a negative impact on patient care. There appeared to be many issues regarding the communication and ease of understanding of infection control guidance. Based on the results of this review we recommend provision of training and education tailored for different occupational roles within the healthcare setting; managerial staff 'leading by example'; ensuring adequate resources for infection control; and timely provision of practical evidence-based infection control guidelines.

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Section: Resultsmentioning

confidence: 99%

Factors affecting healthcare workers’ compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: Rapid evidence review

Brooks

Greenberg

Wessely

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…This higher incidence among the Italian MRs was not linked to personal protective equipment use because Italian MR declared a positive attitude toward its adoption during clinical practice not dissimilarly to European and extra-European HCW. [19, 20] On the other hand the higher ILIs incidence could be related to lower vaccination rates observed in Italy than other countries (49.5% in US and 45.6% in France) [11,21,22]. Furthermore, a large majority of ILI cases was generally observed among under 25 year-old subjects, an age group which some MRs attending the first three years belong to [23].…”

Section: Discussionmentioning

confidence: 99%

Influenza like Illness among Medical Residents Anticipates Influenza Diffusion in General Population: Data from a National Survey among Italian Medical Residents

et al. 2016

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The aim of this multicentre study was to assess incidence of influenza like illness (ILI) among Italian medical residents (MRs) during 2011–2012 influenza season, to detect variables associated with ILI and to compare estimated ILI incidence among MRs and general population. A cross-sectional survey was carried out throughout an anonymous questionnaire administered to all MRs attending the post-graduate medical schools of 18 Italian Universities. At the same time an analysis of the ILI incidence in the Italian general population was conducted through the Italian Influenza Surveillance Network. Of a total of 2,506 MRs, 1,191 (47.5%) reported at least one ILI episode. A higher proportion of ILIs was reported by MRs of Central (25.0% with ILI vs 20.2% without ILI) and Southern Italy (40.2% with ILI vs. 36.4 without ILI) compared to Northern Italy (34.8% with ILI vs. 43.4% without ILI) (p<0.001). Italian MRs had a higher cumulative incidence of ILIs (546.7 episodes per 1,000 vs. 75.9 episodes per 1,000) and an earlier peak (January 2012 vs. February 2012), compared to general population due to higher number of contacts in hospital setting. MRs reported a high rate of ILI infection probably in association with their working activities. These data suggest the need to offer an earlier influenza vaccination to HCWs than general population with the aim to both prevent ILI and its transmission to patients.

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“…HCW are expected to play a leadership role in disseminating targeted preventive strategies and knowledge to the public. However, previous work on their awareness of risks has dominantly been based on attitudes rather than knowledge and practical skills [15][16][17] , so we conducted this questionnaire-based survey to evaluate the effectiveness of training on different aspects of infection control for COVID -19 among pediatric HCW in Shanghai. We had to come up with a simple training package in the context of COVID-19 within a short period of time during the initial phase of this pandemic.…”

Section: Knowledge and Ipc Practice Among Different Professional Groupsmentioning

confidence: 99%

Point-of-care training program on COVID-19 infection prevention and control for pediatric healthcare workers

Shi

Gui

et al. 2020

Preprint

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Background: To evaluate the effectiveness of training on knowledge and practices of infection prevention and control (IPC) among pediatric health care workers (HCW) in Shanghai, China, in the context of COVID-19 pandemic. Methods: An online training program was designed by the Shanghai Pediatric Clinical Quality Control Center (SPQCC) during the early phase of COVID-19 pandemic on disease knowledge and practice of IPC. Training took place in the 81 partner hospitals affiliated with SPQCC. A 25-item self-administered questionnaire was used to evaluate knowledge gained from the training. Stratified-random sampling was used to select HCW according to three professionals (i.e., pediatricians, nurses and administrators) within each partner hospital. Awareness and knowledge of COVID-19 and its related infection control and practice was assessed by comparing survey results between different types of hospitals, professionals and professional ranks. A higher survey score meant that the respondent was more prepared and knowledgeable about COVID-19 and its infection control measures. Results: Completed questionnaires were returned from 1,062 subjects (385 pediatricians, 410 nurses, and 267 administrators), giving a response rate of 96.5%. Overall, awareness of clinical information related to COVID-19, importance of personal hygiene and isolation policy was high among the respondents. No statistical difference of scores on knowledge of COVID-19, IPC and relevant practice between the tertiary and peripheral hospitals. Among all respondents, middle-ranked health care personnel were most knowledgeable and achieved the highest score. Conclusions: Majority of pediatric HCW showed good recognition and practice in infection protection and control measures. The online training was able to achieve its aim to enhance knowledge and awareness and could have contributed to the zero infection rate among HCW caring for confirmed COVID-19 cases in Shanghai.

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Knowledge, attitudes, experience and behaviour of frontline health care workers during the early phase of 2009 influenza A(H1N1) pandemic, Birmingham, UK

Abstract: HCWs were prepared to provide an essential health care response during the pandemic even when the severity of disease was unclear. However, more needs to be done to change health care workers' negative attitudes towards taking antivirals and receiving influenza vaccination.

Cited by 15 publications

References 21 publications

Factors affecting healthcare workers’ compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: Rapid evidence review

Factors affecting healthcare workers’ compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: Rapid evidence review

Influenza like Illness among Medical Residents Anticipates Influenza Diffusion in General Population: Data from a National Survey among Italian Medical Residents

Point-of-care training program on COVID-19 infection prevention and control for pediatric healthcare workers

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