Personal protective equipment guidance during a global pandemic: A statistical analysis of National perceived confidence, knowledge and educational deficits amongst UK‐based doctors

Al-Hity, Shams; Bhamra, Navdeep; Kumar, Ravi; Gupta, Keshav Kumar; Howard, James P.; Jolly, Karan; Darr, Adnan

doi:10.1111/ijcp.14029

Cited by 5 publications

(5 citation statements)

References 21 publications

(29 reference statements)

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“…The notion that ophthalmic RA/LA patients do not pose a risk of transmission to HCWs, clearly represents a lack of understanding of viral dispersion. Above notion, interestingly was also revealed in a study which showed a low perceived confidence, a deficit in knowledge and education amongst U.K. doctors across all specialities when it came to PPE [ 33 ]. As it happens, in this study, ophthalmology had the lowest scores in the knowledge based multiple choice questions.…”

Section: Discussionmentioning

confidence: 90%

International survey of ophthalmic anaesthesia service provision, protection of anaesthesia providers and patients during COVID-19 pandemic: a wake-up call

Vohra

Kumar

2022

Eye

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Aims This international survey was conducted to study the impact of Covid-19 pandemic on the provision and practices of ophthalmic anaesthesia, evaluate the methods employed by parent ophthalmic units for safeguarding their anaesthesia providers and patients during lockdown, and to assess pandemic’s effect on anaesthesia providers as individuals. The study was done with the hope that the results will help in protecting patients and safeguarding precious human resource by better management if this pandemic was to continue or there was to be another pandemic. Methods An anonymous questionnaire survey was distributed electronically between December 2020–January 2021 to the practicing ophthalmic anaesthesia providers in different parts of the world. Results The survey identified that apart from reducing elective operating services, the ophthalmic units were ill prepared for the pandemic and the overall management was lacklustre. There was a definite lack of effective peri-operative patient screening, and, streaming processes. Measures for personal protection of staff were not optimal especially during regional/local ophthalmic anaesthesia. Severity of the pandemic, sudden job plan changes, and redeployment to intensive care units/acute covid wards had an adverse psychological impact on the affected staff. Conclusion Ophthalmic anaesthesia services worldwide have had poor attentiveness to the life-threatening menace and reality of Covid-19 pandemic. A review of the institutional practices to address correctible deficiencies is urgently required. Robust, mandatory, elective, timely preventative strategies need to be implemented to protect patients, and, the precious ophthalmic workforce from potential adverse physical and psychological injuries.

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Section: Discussionmentioning

confidence: 90%

International survey of ophthalmic anaesthesia service provision, protection of anaesthesia providers and patients during COVID-19 pandemic: a wake-up call

Vohra

Kumar

2022

Eye

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Section: Findings and Discussionmentioning

confidence: 99%

“…Researchers widely believe that mortality would be reduced if the medical supply and PPE supply chains were protected (Swanson and Santamaria, 2021). Therefore, both the appropriate use and availability of PPE are imperative components in building a defence barrier against a highly infectious and potentially fatal virus (Yang et al, 2020;Al-Hity et al, 2021). Nathavitharana et al (2020) highlighted the potential for innovation and knowledge sharing to address PPE shortages, in turn enhancing HCWs' safety in the current COVID-19 pandemic.…”

Section: Improving and Increasing Access To Ppementioning

confidence: 99%

An evaluation of critical knowledge areas for managing the COVID-19 pandemic

Abdalla

Renukappa

Suresh

2022

JKM

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Purpose The ability to manage the COVID-19 pandemic is contingent upon the ability to effectively manage its heterogeneous knowledge resources. Knowledge mapping represents a great opportunity to create value by bringing stakeholders together, facilitating comprehensive collaboration and facilitating broader in-depth knowledge sharing and transfer. However, identifying and analysing critical knowledge areas is one of the most important steps when creating a knowledge map. Therefore, the purpose of this paper is to appraise the critical knowledge areas for managing COVID-19, and thereby enhance decision-making in tackling the consequences of the pandemic. Design/methodology/approach The methodological approach for this study is a critical literature review, covering publications on knowledge management, knowledge mapping and COVID-19. EBSCOhost, PubMed, Scopus, Science Direct, TRID, Web of Science and Wiley Online Library were searched for full text, peer-reviewed articles written in English that investigated on critical knowledge areas for managing the spread of COVID-19. After full screening, 21 articles met the criteria for inclusion and were analysed and reported. Findings The study revealed seven critical knowledge areas for managing the COVID-19 pandemic. These are cleaning and disinfection; training, education and communication; reporting guidance and updates; testing; infection control measures, personal protective equipment; and potential COVID-19 transmission in health and other care settings. The study developed a concept knowledge map illustrating areas of critical knowledge which decision-makers need to be aware of. Practical implications Providing decision-makers with access to key knowledge during the COVID-19 pandemic seems to be crucial for effective decision-making. This study has provided insights for the professionals and decision-makers identifying the critical knowledge areas for managing the COVID-19 pandemic. Social implications The study advances the literature on knowledge management and builds a theoretical link with the management of public health emergencies. Additionally, the findings support the theoretical position that knowledge maps facilitate decision-making and help users to identify critical knowledge areas easily and effectively. Originality/value This study fills gaps in the existing literature by providing an explicit representation of know-how for managing the COVID-19 pandemic. This paper uses an objective and qualitative approach by reviewing related publications, reports and guidelines in the analysis. The concept map illustrates the critical knowledge areas for managing the COVID-19 pandemic.

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“… 15 , 16 Even in developed countries, HCWs reported low preparedness 17 improperly fitting personal protective equipment (PPE), 18 and low confidence due to insufficient education in PPE usage. 19 In developing countries, we saw clinics filled with suspicious patients sitting next to other patients in the same waiting area, hospital staff loosely using PPE, and HCWs coming to work even after they were tested positive for SARS-CoV-2 despite the facility’s “official” policy of home-quarantine for infected HCWs. Importantly, at the beginning of the pandemic, the mode of transmission for this new infection was uncertain which leads to delay in stringent use of masks in unprepared healthcare settings.…”

Section: Discussionmentioning

confidence: 99%

Time Analysis of an Emergent Infection Spread Among Healthcare Workers: Lessons Learned from Early Wave of SARS-CoV-2

Leme¹,

Shobeiri²,

Costa³

et al. 2022

IJGM

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To find whether an emergent airborne infection is more likely to spread among healthcare workers (HCW) based on data of SARS-CoV-2 and whether the number of new cases of such airborne viral disease can be predicted using a method traditionally used in weather forecasting called Autoregressive Fractionally Integrated Moving Average (ARFIMA). Methods: We analyzed SARS-CoV-2 spread among HCWs based on outpatient nasopharyngeal swabs for real-time polymerase chain reaction (RT-PCR) tests and compared it to non-HCW in the first and the second wave of the pandemic. We also generated an ARFIMA model based on weekly case numbers from February 2020 to April 2021 and tested it on data from May to July 2021. Results: Our analysis of 8998 tests in the 15 months period showed a rapid rise in positive RT-PCR tests among HCWs during the first wave of pandemic. In the second wave, however, positive patients were more commonly non-HCWs. The ARFIMA model showed a long-memory pattern for SARS-CoV-2 (seven months) and predicted future new cases with an average error of ±1.9 cases per week. Conclusion:Our data indicate that the virus rapidly spread among HCWs during the first wave of the pandemic. Review of published literature showed that this was the case in multiple other areas as well. We therefore suggest strict policies early in the emergence of a new infection to protect HCWs and prevent spreading to the general public. The ARFIMA model can be a valuable forecasting tool to predict the number of new cases in advance and assist in efficient planning.

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Personal protective equipment guidance during a global pandemic: A statistical analysis of National perceived confidence, knowledge and educational deficits amongst UK‐based doctors

Cited by 5 publications

References 21 publications

International survey of ophthalmic anaesthesia service provision, protection of anaesthesia providers and patients during COVID-19 pandemic: a wake-up call

International survey of ophthalmic anaesthesia service provision, protection of anaesthesia providers and patients during COVID-19 pandemic: a wake-up call

An evaluation of critical knowledge areas for managing the COVID-19 pandemic

Time Analysis of an Emergent Infection Spread Among Healthcare Workers: Lessons Learned from Early Wave of SARS-CoV-2

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