RESUMEN
OBJECTIVE: Real-time locating systems (RTLS) enable contact tracing and hand hygiene reminders, to improve hospital safety. Successful implementation requires healthcare personnel (HCP) to carry RTLS tags continuously. We assessed for determinants of HCP's willingness to use RTLS tags during routine inpatient care, and evaluated concerns using mixed-methods analysis. MATERIALS AND METHODS: We conducted a cross-sectional study in the 330-bed purpose-built National Centre for Infectious Diseases in Singapore, from January 15 through February 4, 2020. The anonymous survey comprised 24 questions based on constructs from behavioral models and an open-ended question. Principal component analysis was performed to derive the latent factor structure applied in the multivariable logistic regression analysis. Concerns were analyzed using thematic analysis. RESULTS: Of 260 HCP (nurses [40.8%], ancillary and administrative staff [23.1%], allied health professionals [18.5%], and physicians [17.7%]), 75% were willing to use the RTLS tag. After adjusting for age, gender, healthcare professional group, and duration of practice, the acceptance of the use of the RTLS tag (adjusted OR 11.28 [95% CI 4.39-29.00], P < .001) was highly associated with the willingness to use the RTLS tag. HCP who perceived the tag to be easy to use (adjusted OR 2.80 [95% CI 1.37-5.72], P = .005), were also more willing to use the tag. HCP were willing to carry the RTLS tag for the purpose of contact tracing despite privacy concerns. CONCLUSION: More communications on the intentions and data protection standards of the RTLS, and accessory enhancements for HCP's convenient and sustained use of the RTLS tag are crucial, to optimize RTLS's usefulness during the COVID-19 pandemic.
RESUMEN
This study used latent class analysis to examine whether multiple subgroups can be identified based on rule-breaking and aggressive behavior in school-based and at-risk adolescent samples. These groups were tested for differences in behavioral, emotional, personality and interpersonal correlates. Rule breaking and aggressive behavior co-occurred across all classes. School-based adolescents were classified as having minimal, minor or moderate antisocial problems. At-risk adolescents were classified as having mild, medium or severe antisocial problems. Generally, at-risk adolescents had higher levels of antisocial behavior, and greater severity of antisocial behavior was associated with more problems in various domains. Results differed however, for the school-based and at-risk samples with respect to emotional problems, sensation-seeking and peer conformity pressure. There is a need to jointly consider both non-aggressive rule-breaking behavior and aggressive behavior in prevention and intervention work, as it is insufficient to address isolated symptoms and problems in children and adolescents.