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1.
Rev. enferm. UERJ ; 28: e43213, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1120165

RESUMEN

Objetivo: delinear o perfil das notificações de incidentes em saúde em um hospital universitário do Rio de Janeiro. Método: estudo retrospectivo e descritivo com abordagem quantitativa, realizado em um hospital universitário do Rio de Janeiro. Os dados foram coletados das fichas de notificação de incidentes em saúde referente ao período de outubro de 2015 a maio de 2018.Resultados: no total, foram analisadas 534 notificações de incidentes em saúde. Os enfermeiros foram os principais notificadores, com um predomínio expressivo das queixas técnicas, destacando a prevalência da tecnovigilância. Os incidentes com dano ocorreram com maior concentração nos setores de internação. Conclusão: a partir do perfil das notificações foi possível evidenciar fragilidades no sistema que sugerem a existência da subnotificação na instituição, sendo um entrave para o entendimento das ocorrências.


Objective: to profile health incident notifications at a university hospital in Rio de Janeiro. Method: in this quantitative, retrospective, descriptive study at a university hospital in Rio de Janeiro, data were collected from health incident notification sheets for October 2015 to May 2018. Results: 534 health incident notifications were examined. Nurses were the main notifiers, and there was a significant prevalence of technical complaints, predominantly technovigilance-related. Incidents involving damage were concentrated more in inpatient sectors. Conclusion: the profile of notifications made it possible to highlight weaknesses in the system that suggest the existence of underreporting in the institution, which is an obstacle to understanding the occurrences.


Objetivo: perfilar las notificaciones de incidentes de salud en un hospital universitario de Río de Janeiro. Método: en este estudio cuantitativo, retrospectivo y descriptivo en un hospital universitario de Río de Janeiro, se recolectaron datos de las hojas de notificación de incidentes de salud de octubre de 2015 a mayo de 2018. Resultados: se examinaron 534 notificaciones de incidentes de salud. Las enfermeras fueron los principales notificadores y hubo una prevalencia significativa de quejas técnicas, predominantemente relacionadas con la tecnovigilancia. Los incidentes con daños se concentraron más en los sectores de hospitalización. Conclusión: el perfil de notificaciones permitió resaltar debilidades en el sistema que sugieren la existencia de subregistro en la institución, lo cual es un obstáculo para el entendimiento de las ocurrencias.


Asunto(s)
Humanos , Notificación , Seguridad del Paciente , Daño del Paciente , Hospitales Universitarios , Calidad de la Atención de Salud , Omisiones de Registro , Brasil , Actitud del Personal de Salud , Epidemiología Descriptiva , Estudios Retrospectivos , Enfermeras y Enfermeros
2.
Rev. enferm. UERJ ; 28: e47321, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1116094

RESUMEN

Objetivo: analisar a produção científica nacional e internacional, buscando as interfaces existentes entre os princípios bioéticos e os cuidados em saúde prestados ao fim da vida às pessoas idosas. Método: revisão integrativa, cuja busca ocorreu entre outubro e novembro de 2019 nas bases de dados Medline via Pubmed, Lilacs e Scopus com os descritores: "Palliative Care", "Aged" e "Bioethics" de 2014-2019. Resultados: a partir dos artigos selecionados, emergiram as seguintes categorias: condutas terapêuticas frente aos cuidados ao fim da vida; tomada de decisão nos cuidados ao fim da vida; e desafios nos cuidados ao fim da vida. Conclusão: destaca-se a relevância dos profissionais manterem o compromisso com a pessoa idosa e sua família de forma a considerar suas subjetividades e preferências e os instrumentalizar para que os cuidados sejam pautados em princípios bioéticos, para assim proporcionar um processo de morte e de morrer com dignidade.


Objective: to examine the Brazilian and international scientific production for connections between bioethical principles and the health care provided to older adults at the end of their lives. Method: between October and November 2019 this integrative review searched the Medline (Pubmed), Lilacs, and Scopus databases using the descriptors: "Palliative Care", "Aged", and "Bioethics" for the period 2014-2019. Results: the following categories emerged from the selected articles: therapeutic conducted with regard to end-of-life care; decision making on end-of-life care; and challenges in end-of-life care. Conclusion: of particular importance is for health professionals to uphold their commitment to older adults and their families, consider their subjectivities and preferences, and empower and equip them so that care is guided by bioethical principles in order to assure a dignified process of dying and death.


Objetivo: examinar la producción científica brasileña e internacional en busca de conexiones entre los principios bioéticos y la atención médica brindada a los adultos mayores al final de sus vidas. Método: entre octubre y noviembre de 2019, esta revisión integradora buscó en las bases de datos Medline (Pubmed), Lilacs y Scopus utilizando los descriptores: "Cuidados paliativos", "Envejecido" y "Bioética" para el período 2014-2019. Resultados: las siguientes categorías surgieron de los artículos seleccionados: terapéutico realizado con respecto a la atención al final de la vida; toma de decisiones sobre la atención al final de la vida; y desafíos en la atención al final de la vida. Conclusión: es de particular importancia que los profesionales de la salud mantengan su compromiso con los adultos mayores y sus familias, consideren sus subjetividades y preferencias, y los empoderen y equipen para que la atención se guíe por principios bioéticos para asegurar un proceso digno de muerte y muerte.


Asunto(s)
Humanos , Anciano , Anciano de 80 o más Años , Actitud del Personal de Salud , Cuidados Paliativos al Final de la Vida/ética , Discusiones Bioéticas , Personeidad , Muerte , Relaciones Profesional-Familia/ética , Relaciones Profesional-Paciente/ética , Actitud Frente a la Muerte , Valor de la Vida
4.
J Clin Pediatr Dent ; 44(4): 211-220, 2020 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-33167013

RESUMEN

AIM: The rapid and extensive spread of CoViD -19 pandemic has become a major source of concern for healthcare system including pediatric dentists. The aim of the present study was to assess the awareness, perception and attitude regarding CoViD - 19 and infection control among Indian pediatric dentists. STUDY DESIGN: A total of 1009 Indian Pediatric dentists completed questionnaire based survey on the awareness, perception and attitude regarding CoViD - 19 infection and its control. Descriptive statistics have been used in the study to analyze the findings. Mean and standard deviation and proportion have been used to estimate the results of the study. RESULTS: 65.75% Indian pediatric dentists had answered questions regarding CoViD - 19 infection correctly. The present survey found a positive perception among Indian pediatric dentist regarding CoViD - 19 and infection control. However the attitude among Pediatric dentist regarding the same was not encouraging. CONCLUSION: As the global threat of CoViD-19 continues to emerge, it is critical to improve the awareness, perceptions and attitude of pediatric dentists. Educational interventions are urgently needed to reach pediatric dentists beyond borders, and further studies are warranted.


Asunto(s)
Actitud del Personal de Salud , Infecciones por Coronavirus , Pandemias , Neumonía Viral , Betacoronavirus , Niño , Estudios Transversales , Odontólogos , Conocimientos, Actitudes y Práctica en Salud , Humanos , Control de Infecciones , Encuestas y Cuestionarios
5.
J Clin Pediatr Dent ; 44(4): 249-255, 2020 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-33167019

RESUMEN

OBJECTIVE: To determine changes in knowledge, attitudes, and practices of primary care physicians (PCPs) regarding fluoride varnish (FV). STUDY DESIGN: Fifty-four PCPs at an urban medical center in New York completed a pre-intervention survey. A pediatric dental resident provided an hour-long educational lecture and a hands-on demonstration regarding FV application. Six months later, PCPs were sent a post-intervention survey via electronic mail. RESULTS: Fifty-four PCPs participated in the pre-survey and FV training and 48% completed the post-survey. Prior to the FV training, 57% of PCPs knew that FV application by medical practitioners was reimbursable for children under 6-years-old and 2% of PCPs were applying FV. Post FV training, 62% of PCPs reported applying FV. Pre and post survey, barriers to FV application was not enough hands-on training (43% to 15% respectively) and not enough time (50% to 85% respectively). CONCLUSIONS: Post FV training, PCPs' knowledge, attitudes and practices in regard to FV changed. Interprofessional education may be one approach to increasing FV application participation.


Asunto(s)
Fluoruros Tópicos , Médicos de Atención Primaria , Actitud del Personal de Salud , Niño , Fluoruros , Humanos , New York , Encuestas y Cuestionarios
6.
BMC Health Serv Res ; 20(1): 1031, 2020 Nov 11.
Artículo en Inglés | MEDLINE | ID: mdl-33176771

RESUMEN

BACKGROUND: Extensive measures to reduce person-to-person transmission of COVID-19 are required to control the current outbreak. Special attention is directed at healthcare professionals as reducing the risk of infection in healthcare is essential. The purpose of this study was to explore healthcare professionals' experiences of awaiting a test result for a potential COVID-19 infection. METHODS: Qualitative interviews with 15 healthcare professionals were performed, underpinned by a phenomenological hermeneutical analytical framework. RESULTS: The participating healthcare professionals' experiences of awaiting a COVID-19 test result were found to be associated with a stoic and altruistic orientation towards their work. These healthcare professionals presented a strong professional identity overriding most concerns about their own health. The result of the coronavirus test was a decisive parameter for whether healthcare professionals could return to work. The healthcare professionals were aware that their family and friends were having a hard time knowing that the COVID-19 infection risk was part of their jobs. This concern did not, however, cause the healthcare professionals to falter in their belief that they were doing the right thing by focusing on their core area. The threat to own health ran through the minds of the healthcare professionals occasionally, which makes access to testing particularly important. CONCLUSION: The participating healthcare professionals had a strong professional identity. However, a discrepancy between an altruistic role as a healthcare professional and the expectations that come from the community was illuminated. A mental health coronavirus hotline for healthcare professionals is suggested.


Asunto(s)
Actitud del Personal de Salud , Personal de Salud/psicología , Adulto , Altruismo , Técnicas de Laboratorio Clínico , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/psicología , Femenino , Personal de Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Filosofía , Investigación Cualitativa , Adulto Joven
7.
J Infect Dev Ctries ; 14(10): 1090-1097, 2020 Oct 31.
Artículo en Inglés | MEDLINE | ID: mdl-33175701

RESUMEN

INTRODUCTION: The emergence of the new Coronavirus disease 2019 (COVID-19) has caused a major impact on global health system. This cross-sectional study was designed to appraise the knowledge and attitude of healthcare workers towards COVID-19 and find out their understanding about clinical aspects of the infection. METHODOLOGY: A total number of 1023 of healthcare workers responded to an online questionnaire and provided their data between February and March, 2020 in Jeddah city, Western province, Saudi Arabia. The questionnaire was distributed to physicians, nurses, pharmacists, technical staff and administrative staff working in clinical settings. RESULTS: Results revealed that mean scores for knowledge and attitude were 20.793 ± 2.436 and 4.744 ± 0.297 respectively. More than 88% of participants displayed positive knowledge and attitude towards COVID-19. Knowledge data showed that social media and the workplace, were the main sources of information for the majority of respondents. Approximately 99.12% of respondents were aware of the viral pandemic, and the causative agent. Statistically significant association was found when compared the demographic characteristics with the mean knowledge while no statistical significance was observed when compared demographic characteristics with the mean attitude score except with marital status. CONCLUSION: This study showed that healthcare workers had sufficient knowledge and positive attitude towards COVID-19. However, hospital staff should be periodically given sufficient training to effectively cope with such outbreaks in the future.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud , Neumonía Viral/epidemiología , Adulto , Actitud del Personal de Salud , Betacoronavirus , Estudios Transversales , Femenino , Humanos , Masculino , Pandemias , Arabia Saudita , Encuestas y Cuestionarios , Adulto Joven
8.
JMIR Mhealth Uhealth ; 8(10): e20099, 2020 10 16.
Artículo en Inglés | MEDLINE | ID: mdl-33064102

RESUMEN

BACKGROUND: Digitalization is a disruptive technology that changes the way we deliver diagnostic procedures and treatments in medicine. Different stakeholders have varying interests in and expectations of the digitalization of modern medicine. Many recent digital advances in the medical field, such as the implementation of electronic health records, telemedical services, and mobile health apps, are increasingly used by medical professionals and patients. During the current pandemic outbreak of a novel coronavirus-caused respiratory disease (COVID-19), many modern information and communication technologies (ICT) have been used to overcome the physical barriers and limitations caused by government-issued curfews and workforce shortages. Therefore, the COVID-19 pandemic has led to a surge in the usage of modern ICT in medicine. At the same time, the eHealth literacy of physicians working with these technologies has probably not improved since our study. OBJECTIVE: This paper describes a representative cohort of German physicians before the COVID-19 pandemic and their eHealth literacy and attitude towards modern ICT. METHODS: A structured, self-developed questionnaire about user behavior and attitudes towards eHealth applications was administered to a representative cohort of 93 German physicians. RESULTS: Of the 93 German physicians who participated in the study, 97% (90/93) use a mobile phone. Medical apps are used by 42% (39/93). Half of the surveyed physicians (47/93, 50%) use their private mobile phones for official purposes on a daily basis. Telemedicine is part of the daily routine for more than one-third (31/93, 33%) of all participants. More than 80% (76/93, 82%) of the trial participants state that their knowledge regarding the legal aspects and data safety of medical apps and cloud computing is insufficient. CONCLUSIONS: Modern ICT is frequently used and mostly welcomed by German physicians. However, there is a tremendous lack of eHealth literacy and knowledge about the safe and secure implementation of these technologies in routine clinical practice.


Asunto(s)
Actitud del Personal de Salud , Alfabetización en Salud , Médicos/psicología , Telemedicina , Adulto , Estudios de Cohortes , Infecciones por Coronavirus/epidemiología , Femenino , Alemania/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Médicos/estadística & datos numéricos , Neumonía Viral/epidemiología , Encuestas y Cuestionarios
9.
BMJ Open ; 10(10): e041936, 2020 10 14.
Artículo en Inglés | MEDLINE | ID: mdl-33055123

RESUMEN

OBJECTIVES: A study designed to assess the public perception of the response of government and its institutions to the COVID-19 pandemic in Nigeria. SETTING: Self-selecting participants throughout Nigeria completed a self-administered questionnaire through an online cross-sectional survey. PARTICIPANTS: 495. RESULTS: The majority of respondents were married (76.6%), were males (61.8%), had tertiary level education (91.0%), were public servants (36.8%), Christians (82.6%), and resident either in the Federal Capital Territory (Abuja) (49.1%) or in the South-East Region of Nigeria (36.6%). Over 95% of the respondents had heard of COVID-19 (98.8%) and knew it is a viral disease (95.4%). The government and its institutions response to the pandemic were rated as poor, with the largest rating as poor for Federal President's Office (57.5%). Communication (50.0%) and prevention messages (43.7%) received the highest perception good rating. Female respondents and those less than 40 years generally rated the governmental responses as poor. CONCLUSIONS/RECOMMENDATIONS: It is recommended that as a public-private partnership approached was efficiently used to more effectively disseminate public health communication and prevention messages, the Nigerian Government should expand this collaboration to improve the quality of services provided in other areas of COVID-19 outbreak management.


Asunto(s)
Actitud del Personal de Salud , Betacoronavirus , Infecciones por Coronavirus/terapia , Conocimientos, Actitudes y Práctica en Salud , Neumonía Viral/terapia , Salud Pública , Adolescente , Adulto , Comunicación , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nigeria/epidemiología , Pandemias , Neumonía Viral/epidemiología , Encuestas y Cuestionarios , Adulto Joven
10.
BMJ Open ; 10(10): e041772, 2020 10 20.
Artículo en Inglés | MEDLINE | ID: mdl-33082198

RESUMEN

OBJECTIVES: Assess the impacts of the COVID-19 pandemic on service delivery by frontline healthcare providers in acute care medical and emergency department settings and identify strategies used to cope with pandemic-related physical and mental health demands. DESIGN: Rapid clinical ethnography of patient-provider encounters during an initial pandemic 'surge' conducted by a team of clinician-researchers using a structured protocol for qualitative data collection and analysis. SETTING: Level 1 trauma centre at Harborview Hospital in Seattle Washington in April 2020. PARTICIPANTS: Frontline clinical providers serving as participant observers during performance of their clinical duties recorded observations and summaries of conversations with other providers and patients. RESULTS: We identified four different kinds of impacts: procedural, provider, patient and overall. Each impact highlighted two or more levels of a socioecological model of services delivery: (1) the epidemiology of COVID-19, (2) outer setting, (3) inner or organisational setting and (4) individual patient and provider. Despite significant changes in procedures that included COVID-19 screening of all admitted patients, social distancing and use of personal protective equipment, as well as changes in patient and provider behaviour, the overall impact of the pandemic on the emergency department and acute care service delivery was minimal. This is attributed to having a smaller surge than expected, a quick response by the healthcare system to anticipated demands for service delivery and protection of patients and providers, adequate supplies and high provider morale. CONCLUSIONS: Although limited to one setting in one healthcare system in one community, the findings offer some important lessons for healthcare systems that have yet to be impacted as well as systems that have been more severely impacted. Each of the socioecological framework levels was found to impact service delivery to patients, and variations at each of these levels account for variations in that quality of care globally.


Asunto(s)
Actitud del Personal de Salud , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Servicio de Urgencia en Hospital/estadística & datos numéricos , Pandemias , Neumonía Viral/epidemiología , Investigación Cualitativa , Centros Traumatológicos/estadística & datos numéricos , Humanos , Washingtón/epidemiología
12.
Aust J Gen Pract ; 49(11): 745-751, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33123716

RESUMEN

METHOD: A national cross-sectional online survey of Australian general practitioners was conducted in April and May 2020, with 572 respondents. RESULTS: The COVID-19 pandemic in Australia has resulted in major changes to general practice business models. Most practices have experienced increased workload and reduced income. DISCUSSION: Australian general practices have undertaken major innovation and realignment to respond to staff safety and patient care challenges during the COVID-19 pandemic. Increased administration, reduced billable time, managing staffing and pivoting to telehealth service provision have negatively affected practice viability. Major sources of information for general practice are primary care-specific, but many practices turn to colleagues for support and resources.


Asunto(s)
Control de Enfermedades Transmisibles/organización & administración , Infecciones por Coronavirus , Medicina General , Pandemias , Neumonía Viral , Gestión de Riesgos , Actitud del Personal de Salud , Australia/epidemiología , Betacoronavirus , Defensa Civil/normas , Defensa Civil/estadística & datos numéricos , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Estudios Transversales , Medicina General/organización & administración , Medicina General/tendencias , Médicos Generales , Encuestas de Atención de la Salud , Humanos , Mortalidad , Innovación Organizacional , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Gestión de Riesgos/organización & administración , Gestión de Riesgos/tendencias , Telemedicina/estadística & datos numéricos
16.
Arch Psychiatr Nurs ; 34(5): 427-433, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33032769

RESUMEN

PURPOSE: The study was carried out to determine the psychological impact levels of nurses and midwives due to the COVID-19 outbreak. METHODS: The research is planned in a descriptive type. Nurses and midwives working in any health institution in Turkey constituted the population of the research. The questionnaire form of the study was shared on social media tools between 01 and 14 April 2020 and a total of 758 nurses and midwives were included in the study sample. Personal Information Form, State-Trait Anxiety Inventory and Intolerance of Uncertainty Scale were used as data collection tools. RESULTS: Participants who attended the study were 56.9% of nurses and 43.1% of midwives. Approximately half of the nurses and midwives (48.8%) participating in our study contacted the patient with suspected COVID-19, and 29.8% provided care to the patient diagnosed with COVID-19. Nurses and midwives were scored 52.75 ± 9.80 for State Anxiety, 44.87 ± 7.92 for Trait Anxiety Inventory and 35.16 ± 9.42 for Intolerance of Uncertainty Scale. It has been determined that 54.5% of nurses and midwives have been making their lives worse since the outbreak started, 62.4% had difficulties in dealing with the uncertain situation in the outbreak, 42.6% wanted psychological support and 11.8% had alienated from their profession. It was determined that there was a difference between scale scores and difficulties in work, family and private life due to COVID-19. CONCLUSION: As a result, it is seen that the midwives and nurses in our country have high psychological effects due to the COVID-19 outbreak.


Asunto(s)
Trastornos de Ansiedad/psicología , Agotamiento Profesional/psicología , Infecciones por Coronavirus/psicología , Enfermeras Obstetrices/psicología , Personal de Enfermería/psicología , Neumonía Viral/psicología , Complicaciones Infecciosas del Embarazo/psicología , Adulto , Trastornos de Ansiedad/epidemiología , Actitud del Personal de Salud , Betacoronavirus , Agotamiento Profesional/epidemiología , Brotes de Enfermedades , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , Encuestas y Cuestionarios , Turquia/epidemiología
18.
Emergencias ; 32(5): 369-371, 2020 09.
Artículo en Inglés, Español | MEDLINE | ID: mdl-33006841
19.
Isr J Health Policy Res ; 9(1): 53, 2020 10 20.
Artículo en Inglés | MEDLINE | ID: mdl-33081834

RESUMEN

BACKGROUND: Facing the global health crisis of COVID-19, health systems are increasingly supporting the use of telemedicine in ambulatory care settings. It is not clear whether the increased use of telemedicine will persist after the pandemic has resolved. The aims of this study were to assess the use of telemedicine by Israeli pediatricians before and during the first lockdown phase of the pandemic, and to elucidate how they foresee telemedicine as a medium of medical practice in the post-pandemic era. METHODS: A web-based survey was distributed among Israeli pediatricians in May 2020, soon after the end of first lockdown was announced. The survey assessed the frequency of telemedicine use as well as its influence on clinical decision making before and during the first COVID-19 lockdown, using two hypothetical clinical scenarios. The same scenarios were also used to assess how the pediatricians foresaw telemedicine in the post-pandemic period. In addition, administrative data from Maccabi on telemedicine use before, during and after the first lockdown were retrieved and analyzed. RESULTS: One hundred and sixty-nine pediatricians responded to the survey (response rate = 40%). The percentage of respondents who reported daily use of text messages, pictures and videoconferencing increased from 24, 15 and 1% before COVID-19 to 40, 40 and 12% during the lockdown, respectively (p < 0.05). After the pandemic, projected use of text messages and pictures/videoclips was expected to decrease to 27 and 26% of respondents, respectively (p < 0.05), but pictures/videoclips were expected to increase from 15% of respondents before to 26% of respondents after (p < 0.05). The reported high likelihood of treating suspected pneumonia or prescribing antibiotics for suspected otitis media via telemedicine was expected to decrease from 20% of respondents during the COVID-19 lockdown to 6%% of respondents after (p < 0.05), and from 14% of respondents during the lockdown to 3% of respondents after, respectively. (p < 0.05). Maccabi administrative data indicated that during the lockdown, there was an increase in phone visits and a decrease in in-person visits compared to the pre-lockdown levels of use. One month after the end of the first lock-down there was a partial return to baseline levels of in-person visits and a sustained increase in phone visits. Phone visits accounted for 0% of pediatrician visits before the first lockdown, 17% of them during the lockdown, and 19% of them 1 month after the lockdown relaxation. CONCLUSIONS: The study indicates that use of telemedicine technologies by primary care pediatricians increased substantially during the first COVID-19 lockdown. The study also found that pediatricians expected that use levels will recede after the pandemic. As the pandemic continues and evolves, it will be important to continue to monitor the level of telemedicine use as well as expectations regarding post-pandemic use levels.


Asunto(s)
Actitud del Personal de Salud , Infecciones por Coronavirus/prevención & control , Pandemias/prevención & control , Pediatras/psicología , Neumonía Viral/prevención & control , Atención Primaria de Salud/organización & administración , Telemedicina/tendencias , Adulto , Anciano , Niño , Infecciones por Coronavirus/epidemiología , Femenino , Predicción , Humanos , Israel/epidemiología , Masculino , Persona de Mediana Edad , Pediatras/estadística & datos numéricos , Neumonía Viral/epidemiología , Política Pública , Cuarentena
20.
J Infect Dev Ctries ; 14(9): 943-952, 2020 09 30.
Artículo en Inglés | MEDLINE | ID: mdl-33031078

RESUMEN

INTRODUCTION: The coronavirus disease (COVID-19) infection rate and mortality among Nigerian health care workers appear to be on the increase. This study determined the level of knowledge, attitude, practices, and impact of COVID-19 infection on healthcare workers (HCWs) working in a South-Eastern Nigerian state. METHODOLOGY: This was a web-based, cross-sectional study conducted among healthcare workers in South-eastern, Nigeria during the lockdown period. Socio-demographic profile, knowledge of COVID-19, fears and impact concerning COVID-19, attitude of health workers to work, preventive practices during this pandemic period were obtained. Data were analysed using STATA 16.0. Chi-square and Fisher's exact tests of association were used to determine the association between variables, with the significance level set at p < 0.05. RESULTS: A total of 403 health care workers participated in the study. Majority of participants (n = 357, 88.59%) had good knowledge and good preventive practices (n = 328, 81.39%) of COVID-19. A significant proportion of respondents had a poor attitude to work (n = 101, 25.06%) and an attitude of indifference (n = 233, 57.82%). Almost half (48.64%) of participants had been negatively affected by COVID-19. Knowledge significantly influenced practice (p = 0.029). Lack of Personal protective equipment, fear of dying and going to common places, had a significant impact on the attitude of workers. CONCLUSION: Good knowledge which influenced practice, high use of preventive practices, with associated poor and indifferent attitude was noted among healthcare workers. Fear of death and lack of personal protective equipment had a strong impact on attitude. Female HCWs had poorer attitude to work than males.


Asunto(s)
Actitud del Personal de Salud , Betacoronavirus , Competencia Clínica/estadística & datos numéricos , Infecciones por Coronavirus/psicología , Personal de Salud/psicología , Neumonía Viral/psicología , Adulto , Infecciones por Coronavirus/prevención & control , Estudios Transversales , Miedo , Femenino , Humanos , Control de Infecciones , Masculino , Persona de Mediana Edad , Nigeria , Pandemias/prevención & control , Equipo de Protección Personal , Neumonía Viral/prevención & control , Encuestas y Cuestionarios
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