3,469 results on '"healthcare worker"'
Search Results
252. Seasonal influenza vaccine uptake among healthcare workers in tertiary care hospitals, Bangladesh: Study protocol for influenza vaccine supply and awareness intervention
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Md Zakiul Hassan, Tahmina Shirin, Mahbubur Rahman, A. S. M. Alamgir, Nusrat Jahan, Md Abdullah Al Jubayer Biswas, Sazzad Hossain Khan, Md Ahmed Khairul Basher, Md Ariful Islam, Kamal Hussain, Md Nazrul Islam, Md Arif Rabbany, Md Azizul Haque, Shishir Ranjan Chakraborty, Syeda Rukhshana Parvin, Mahmudur Rahman, and Fahmida Chowdhury
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Influenza vaccination ,Influenza vaccine awareness ,Healthcare worker ,Knowledge and perceptions ,Barriers and motivators ,Policymakers' views ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Healthcare workers (HCWs), such as doctors, nurses, and support staffs involved in direct or indirect patient care, are at increased risk of influenza virus infections due to occupational exposures. Vaccination is the most effective way to prevent influenza. Despite the World Health Organization (WHO) recommendations, Bangladesh lacks a seasonal influenza vaccination policy for HCWs, and thus vaccination rates remain low. The current project aims to investigate the effect of interventions on influenza vaccine awareness and availability of vaccine supply, explore HCWs’ knowledge and perceptions about influenza vaccination, understand the barriers and motivators for influenza vaccine uptake, and understand policymakers' views on the practicality of influenza vaccination among HCWs. Method We will conduct the study at four tertiary care teaching hospitals in Bangladesh, using a cluster randomized controlled trial approach, with the hospital as the unit of randomization and intervention. The study population will include all types of HCWs.The four different types of intervention will be randomly allocated and implemented in four study hospitals separately. The four interventions will be: i) ensuring the availability of influenza vaccine supply; ii) developing influenza vaccine awareness; iii) both ensuring influenza vaccine supply and developing influenza vaccine awareness and iv) control arm with no intervention. Both quantitative and qualitative approaches will be applied to assess the intervention effect. We will estimate the Difference in Differences (DID) with 95% CI of the proportion of vaccine uptake between each intervention and control (non-intervention) arm, adjusting for the clustering effect. The qualitative data will be summarised using a framework matrix method. Discussion The results of this study will inform the development and implementation of a context-specific strategy to enhance influenza vaccination rates among Bangladeshi HCWs. Trial registration Clinicaltrials.gov NCT05521763. Version 2.0 was registered in September 2022, and the first participant enrolled in March 2022. Retrospectively registered.
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- 2022
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253. Risk Factors for COVID-19 Infection Among Healthcare Workers. A First Report From a Living Systematic Review and meta-Analysis
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Tafadzwa Dzinamarira, Sphamandla Josias Nkambule, Mbuzeleni Hlongwa, Malizgani Mhango, Patrick Gad Iradukunda, Itai Chitungo, Mathias Dzobo, Munyaradzi Paul Mapingure, Innocent Chingombe, Moreblessing Mashora, Roda Madziva, Helena Herrera, Pelagia Makanda, James Atwine, Elliot Mbunge, Godfrey Musuka, Grant Murewanhema, and Bernard Ngara
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COVID-19 ,healthcare worker ,risk factor ,SARS-CoV-2 ,systematic review ,Public aspects of medicine ,RA1-1270 - Abstract
Health care workers (HCWs) are more than ten times more likely to be infected with coronavirus infectious disease 2019 (COVID-19) than the general population, thus demonstrating the burden of COVID-19 among HCWs. Factors that expose HCWs to a differentially high-risk of COVID-19 acquisition are important to elucidate, enable appropriate public health interventions to mitigate against high risk and reduce adverse outcomes from the infection. We conducted a systematic review and meta-analysis to summarize and critically analyze the existing evidence on SARS-CoV-2 risk factors among HCWs. With no geographical limitation, we included studies, in any country, that reported (i) the PCR laboratory diagnosis of COVID-19 as an independent variable (ii) one or more COVID-19 risk factors among HCWs with risk estimates (relative risk, odds ratio, or hazard ratio) (iii) original, quantitative study design, and published in English or Mandarian. Our initial search resulted in 470 articles overall, however, only 10 studies met the inclusion criteria for this review. Out of the 10 studies included in the review, inadequate/lack of protective personal equipment, performing tracheal intubation, and gender were the most common risk factors of COVID-19. Based on the random effects adjusted pooled relative risk, HCWs who reported the use of protective personal equipment were 29% (95% CI: 16% to 41%) less likely to test positive for COVID-19. The study also revealed that HCWs who performed tracheal intubations were 34% (95% CI: 14% to 57%) more likely to test positive for COVID-19. Interestingly, this study showed that female HCWs are at 11% higher risk (RR 1.11 95% CI 1.01–1.21) of COVID-19 than their male counterparts. This article presents initial findings from a living systematic review and meta-analysis, therefore, did not yield many studies; however, it revealed a significant insight into better understanding COVID-19 risk factors among HCWs; insights important for devising preventive strategies that protect them from this infection. PROSPERO registration number: CRD42020193508 available for public comments via the link below https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020193508).
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- 2022
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254. Healthcare workers’ SARS-CoV-2 infection rates during the second wave of the pandemic: follow-up study
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Anne Mette Würtz, Martin B Kinnerup, Kirsten Pugdahl, Vivi Schlünssen, Jesper Medom Vestergaard, Kent Nielsen, Christine Cramer, Jens Peter Bonde, Karin Biering, Ole Carstensen, Karoline Kærgaard Hansen, Annett Dalbøge, Esben Meulengracht Flachs, Mette Lausten Hansen, Ane Marie Thulstrup, Else Toft Würtz, Mona Kjærsgaard, Mette Wulf Christensen, and Henrik Albert Kolstad
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loss of taste and smell ,coronavirus ,infectious disease ,epidemiology ,risk factor ,longitudinal study ,occupational safety ,healthcare worker ,covid-19 ,pandemic ,sars-cov-2 ,polymerase chain reaction ,pcr ,Public aspects of medicine ,RA1-1270 - Abstract
OBJECTIVES: This study aimed to assess if, during the second wave of the COVID-19 pandemic, healthcare workers had increased severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rates, following close contact with patients, co-workers and persons outside work with COVID-19. METHODS: A follow-up study of 5985 healthcare workers from Denmark was conducted between November 2020 and April 2021 and provided day-to-day information on COVID-19 contacts. SARS-CoV-2 infection was defined by the first positive polymerase chain reaction (PCR) test ever. Data was analyzed in multivariable Poisson regression models. RESULTS: The SARS-CoV-2 infection rates following close contact 3–7 days earlier with patients, co-workers and persons outside work with COVID-19 were 153.7, 240.8, and 728.1 per 100 000 person-days, respectively. This corresponded with age, sex, month, number of PCR tests and mutually adjusted incidence rate ratios of 3.17 [40 cases, 95% confidence interval (CI) 2.15–4.66], 2.54 (10 cases, 95% CI 1.30–4.96) and 17.79 (35 cases, 95% CI 12.05–26.28). The risk of SARS-CoV-2 infection was thus lower, but the absolute numbers affected was higher following COVID-19 contact at work than COVID-19 contact off work. CONCLUSIONS: Despite strong focus on preventive measures during the second wave of the pandemic, healthcare workers were still at increased risk of SARS-CoV-2 infection when in close contact with patients or co-workers with COVID-19. There is a need for increased focus on infection control measures in order to secure healthcare workers’ health and reduce transmission into the community during ongoing and future waves of SARS-CoV-2 and other infections.
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- 2022
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255. Epidemiological and clinical characteristics of COVID-19 mortality among healthcare workers in Saudi Arabia: A nationwide study
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Bashaier A. Aljohar, Mohammed A. Kilani, Anfal A.Al Bujayr, Tabish Humayun, Manar J. Alsaffar, and Khalid H. Alanazi
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COVID-19 ,Deaths ,Mortality ,Frontline ,Healthcare worker ,Occupational risk ,Infectious and parasitic diseases ,RC109-216 ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Healthcare workers (HCWs) have been highly affected by COVID-19 due to their fundamental duties in diagnosing, caring, and treating the rapidly increasing number of infected patients. Thus, are facing the occupational risk of COVID-19 infection and mortality. Purpose: To investigate the COVID-19 disease clinical characteristic and associated factors among HCWs in Saudi Arabia. Methods: This was a nationwide, retrospective analytical study conducted from 5th of March 2020–21 st of August 2021. All deceased HCWs who were diagnosed with COVID-19 were included in this study. Results: As of August 21, 2021, a total of 305 deaths were recorded due to COVID-19 infection among HCWs in all Saudi healthcare facilities. The case fatality rate was 0.35%. Deaths were highest among physicians (40.0%). Most of deceased HCWs acquired the infection from the community (80%). 71% of deceased HCWs had at least one chronic medical condition. Most of them were admitted to ICU before they passed away (83.6%). Three significant variables predicting ICU admission were presence of one or more comorbidities, hypertension, and chronic respiratory diseases Conclusion: HCWs are at higher risk for exposure to COVID‐19 due to their occupational risk. Our study encourages future research to provide more comprehensive information regarding COVID-19 morbidity and mortality among HCWs.
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- 2022
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256. The effectiveness of personal preventive measures against occupational contact dermatitis in healthcare workers: A systematic review
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Khansa Maria Salsabila, Sri Awalia Febriana, Retna Siwi Padmawati, and Retno Danarti
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primary prevention ,primary preventive measure ,occupational contact dermatitis ,healthcare worker ,hand hygiene ,Medicine - Abstract
Healthcare workers (HCWs) embody the principles of hand hygiene and protective attire to support self- and patient safety, but the materials involved in this process are found to be offending agents. The incidence of occupational contact dermatitis (OCD) among HCWs keeps increasing. This review aimed to evaluate the effectiveness, investigate the outcome and clinical skin condition improvement with the implementation of primary preventive measures (PPM), specifically: barrier cream, emollient, moisturiser, gloves use, and education. All relevant literature about PPM against OCD among HCWs published between 1995 to 2020 was searched. The data search was performed using the PUBMED, Cochrane Library, and ScienceDirect databases. There were 16 studies comprised of 8 randomised controlled trials (RCTs), 7 clinical trials, and one comparative study. The study results showed that using barrier cream, moisturiser or emollient, gloves, and education were effective tools in reducing the number of clinical symptoms in cases of OCD. There was no significant difference in the effect between barrier cream use and moisturiser or emollient. The gloves were advised to be used non-latex gloves or powder-free latex gloves. Education was also observed to improve preventive behaviour among workers. The use of barrier cream, emollient, moisturiser, and gloves is recommended to be educated to ascertain the proper use of preventive measures, increase knowledge and awareness, and promote positive preventive behaviour.
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- 2022
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257. Vented Individual Patient (VIP) Hoods for the Control of Infectious Airborne Diseases in Healthcare Facilities
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J. Patel, F. McGain, T. Bhatelia, S. Wang, B. Sun, J. Monty, and V. Pareek
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COVID-19 ,Vented individual patient hood ,Airborne transmission ,Healthcare worker ,Infectious disease ,Engineering (General). Civil engineering (General) ,TA1-2040 - Abstract
By providing a means of separating the airborne emissions of patients from the air breathed by healthcare workers (HCWs), vented individual patient (VIP) hoods, a form of local exhaust ventilation (LEV), offer a new approach to reduce hospital-acquired infection (HAI). Results from recent studies have demonstrated that, for typical patient-emitted aerosols, VIP hoods provide protection at least equivalent to that of an N95 mask. Unlike a mask, hood performance can be easily monitored and HCWs can be alerted to failure by alarms. The appropriate use of these relatively simple devices could both reduce the reliance on personal protective equipment (PPE) for infection control and provide a low-cost and energy-efficient form of protection for hospitals and clinics. Although the development and deployment of VIP hoods has been accelerated by the coronavirus disease 2019 (COVID-19) pandemic, these devices are currently an immature technology. In this review, we describe the state of the art of VIP hoods and identify aspects in need of further development, both in terms of device design and the protocols associated with their use. The broader concept of individual patient hoods has the potential to be expanded beyond ventilation to the provision of clean conditions for individual patients and personalized control over other environmental factors such as temperature and humidity.
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- 2022
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258. Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review
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Jenine Leal, Brenlea Farkas, Liza Mastikhina, Jordyn Flanagan, Becky Skidmore, Charleen Salmon, Devika Dixit, Stephanie Smith, Stephen Tsekrekos, Bonita Lee, Joseph Vayalumkal, Jessica Dunn, Robyn Harrison, Melody Cordoviz, Roberta Dubois, Uma Chandran, Fiona Clement, Kathryn Bush, John Conly, and Oscar Larios
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Aerosol-generating procedures ,Acute viral respiratory infection ,Healthcare worker ,COVID-19 ,Transmission ,SARS ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background In many jurisdictions healthcare workers (HCWs) are using respirators for aerosol-generating medical procedures (AGMPs) performed on adult and pediatric populations with all suspect/confirmed viral respiratory infections (VRIs). This systematic review assessed the risk of VRIs to HCWs in the presence of AGMPs, the role respirators versus medical/surgical masks have on reducing that risk, and if the risk to HCWs during AGMPs differed when caring for adult or pediatric patient populations. Main text We searched MEDLINE, EMBASE, Cochrane Central, Cochrane SR, CINAHL, COVID-19 specific resources, and MedRxiv for English and French articles from database inception to September 9, 2021. Independent reviewers screened abstracts using pre-defined criteria, reviewed full-text articles, selected relevant studies, abstracted data, and conducted quality assessments of all studies using the ROBINS-I risk of bias tool. Disagreements were resolved by consensus. Thirty-eight studies were included; 23 studies on COVID-19, 10 on SARS, and 5 on MERS/ influenza/other respiratory viruses. Two of the 16 studies which assessed associations found that HCWs were 1.7 to 2.5 times more likely to contract COVID-19 after exposure to AGMPs vs. not exposed to AGMPs. Eight studies reported statistically significant associations for nine specific AGMPs and transmission of SARS to HCWS. Intubation was consistently associated with an increased risk of SARS. HCWs were more likely (OR 2.05, 95% CI 1.2–3.4) to contract human coronaviruses when exposed to an AGMP in one study. There were no reported associations between AGMP exposure and transmission of influenza or in a single study on MERS. There was limited evidence supporting the use of a respirator over a medical/surgical mask during an AGMP to reduce the risk of viral transmission. One study described outcomes of HCWs exposed to a pediatric patient during intubation. Conclusion Exposure to an AGMP may increase the risk of transmission of COVID-19, SARS, and human coronaviruses to HCWs, however the evidence base is heterogenous and prone to confounding, particularly related to COVID-19. There continues to be a significant research gap in the epidemiology of the risk of VRIs among HCWs during AGMPs, particularly for pediatric patients. Further evidence is needed regarding what constitutes an AGMP.
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- 2022
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259. Knowledge, Attitudes, and Practices Regarding Ergonomic Hazards Among Healthcare Workers in a Saudi Government Hospital
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ALHazim SS, Al-Otaibi ST, and Herzallah NH
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ergonomic hazards ,knowledge ,attitude ,practice ,healthcare worker ,Medicine (General) ,R5-920 - Abstract
Sukainah S ALHazim,1 Sultan T Al-Otaibi,2 Nawal H Herzallah2 1Occupational Health Department, Dammam Medical Complex, Ministry of Health, Dammam, Saudi Arabia; 2Department of Public Health, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaCorrespondence: Sultan T Al-Otaibi, Imam Abdulrahman Bin Faisal University, PO Box 1982, Dammam, 31441, Saudi Arabia, Tel +966-13-8948964, Fax +966-13-8645612, Email salotaibi@iau.edu.saBackground: Musculoskeletal disorders (MSDs) affecting healthcare workers (HCWs) must be considered and addressed as a serious issue. Thus, it is important to incorporate ergonomics into clinical practice to prevent MSDs. The objectives of this study were to investigate HCWs’ knowledge, attitudes, and practices regarding ergonomics in a large governmental healthcare facility.Methods: A cross-sectional study was conducted in which the participants were interviewed to complete a validated four-section questionnaire (demographic data, knowledge, attitudes, and practice information related to ergonomics). The questionnaire was newly self-developed based on a literature review and was pilot tested after development.Results: This study included 273 HCWs. Their average knowledge score regarding ergonomics was 2.6, or “fair to good.” Overall, the participants reported good attitude scores, with a total average score of 1 and 2, or “agree to strongly agree.” The findings also indicated that appropriate ergonomics practices were often not implemented, as the average practice score was 1 to 2, or “always to sometimes engaging in bad practice.” The risk factors of being Saudi, being a woman, and having low academic achievement were associated with poor knowledge, attitudes, and practices related to ergonomics among HCWs.Conclusion: This study showed that the majority of the participants had fair knowledge and good attitudes toward ergonomics at work while practicing. However, the practice of ergonomics at work was not implemented. It is important to apply ergonomics at work to prevent MSDs; therefore, ergonomic principles should be included in the undergraduate health curriculum for all HCWs, with emphasis on practicing ergonomics in their routine clinical work.Keywords: ergonomic hazards, knowledge, attitude, practice, healthcare worker
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- 2022
260. Psychosocial outcomes of COVID-19 pandemic on healthcare workers in maternity services
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Recep Erin and Yeşim Bayoğlu Tekin
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anxiety ,covid-19 pandemic ,healthcare worker ,psychosocial outcomes ,social support ,Gynecology and obstetrics ,RG1-991 - Abstract
Aim We investigated the effects of the COVID-19 outbreak on social support and anxiety levels in healthcare professionals working in maternity services situated in Trabzon, Turkey. Materials and Methods Our study was designed retrospectively and observationally. Social support to the participants was measured using a scale called the multidimensional scale of perceived social support (MSPSS). State anxiety scale (STAI TX-1) and trait anxiety scale (STAI TX-2) were used to determine the level of anxiety. All scales were measured before and during the pandemic. Independent t-test and one-way ANOVA were used to analyze the data where p 0.05). The total mean values of the MSPSS, STAI TX-1, STAI TX-2 scales before and during the pandemic were found as 66.55 ± 6.63 − 55.25 ± 4.76, 36.71 ± 10.04 − 50.08 ± 11.65, 37.33 ± 8.09 − 53.32 ± 9.94, respectively. A significant difference was found for the mean of all scales amongst the groups (p
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- 2022
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261. Access to personal protective equipment in healthcare workers during the COVID-19 pandemic in the United Kingdom: results from a nationwide cohort study (UK-REACH)
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Christopher A. Martin, Daniel Pan, Joshua Nazareth, Avinash Aujayeb, Luke Bryant, Sue Carr, Laura J. Gray, Bindu Gregary, Amit Gupta, Anna L. Guyatt, Alan Gopal, Thomas Hine, Catherine John, I Chris McManus, Carl Melbourne, Laura B. Nellums, Rubina Reza, Sandra Simpson, Martin D. Tobin, Katherine Woolf, Stephen Zingwe, Kamlesh Khunti, Manish Pareek, and On behalf of the UK-REACH Study Collaborative Group
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Healthcare worker ,Personal protective equipment ,PPE ,COVID-19 ,Ethnicity ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Healthcare workers (HCWs) are at high risk of SARS-CoV-2 infection. Effective use of personal protective equipment (PPE) reduces this risk. We sought to determine the prevalence and predictors of self-reported access to appropriate PPE (aPPE) for HCWs in the UK during the COVID-19 pandemic. Methods We conducted cross sectional analyses using data from a nationwide questionnaire-based cohort study administered between December 2020-February 2021. The outcome was a binary measure of self-reported aPPE (access all of the time vs access most of the time or less frequently) at two timepoints: the first national lockdown in the UK in March 2020 (primary analysis) and at the time of questionnaire response (secondary analysis). Results Ten thousand five hundred eight HCWs were included in the primary analysis, and 12,252 in the secondary analysis. 35.2% of HCWs reported aPPE at all times in the primary analysis; 83.9% reported aPPE at all times in the secondary analysis. In the primary analysis, after adjustment (for age, sex, ethnicity, migration status, occupation, aerosol generating procedure exposure, work sector and region, working hours, night shift frequency and trust in employing organisation), older HCWs and those working in Intensive Care Units were more likely to report aPPE at all times. Asian HCWs (aOR:0.77, 95%CI 0.67–0.89 [vs White]), those in allied health professional and dental roles (vs those in medical roles), and those who saw a higher number of COVID-19 patients compared to those who saw none (≥ 21 patients/week 0.74, 0.61–0.90) were less likely to report aPPE at all times. Those who trusted their employing organisation to deal with concerns about unsafe clinical practice, compared to those who did not, were twice as likely to report aPPE at all times. Significant predictors were largely unchanged in the secondary analysis. Conclusions Only a third of HCWs in the UK reported aPPE at all times during the first lockdown and that aPPE had improved later in the pandemic. We also identified key determinants of aPPE during the first UK lockdown, which have mostly persisted since lockdown was eased. These findings have important implications for the safe delivery of healthcare during the pandemic.
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- 2022
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262. Communicating with young children who have a parent dying of a life-limiting illness: a qualitative systematic review of the experiences and impact on healthcare, social and spiritual care professionals
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Lasitha M. Wickramasinghe, Zhi Zheng Yeo, Poh Heng Chong, and Bridget Johnston
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Palliative care ,Healthcare professional ,Healthcare worker ,Terminally ill ,Dying ,End of life ,Special situations and conditions ,RC952-1245 - Abstract
Abstract Background Healthcare professionals play a key role in interacting with children who have a parent with a life-limiting illness. While playing such a role can be challenging, not much is known about how such interactions impact these professionals and affect their ability to render support. Methods Four databases were searched with the intention to conduct a qualitative systematic review. Articles were selected based on pre-determined inclusion and exclusion criteria. Their quality was assessed using the tool "Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields”. Findings were analysed using thematic analysis techniques outlined by Thomas and Harden as well as Sandelowski and Barroso. Review was registered with the Review Registry database. Results Three themes emerged – healthcare professionals’ discomfort; their assumptions and actions; and potentiating workplace factors. The discomfort had several dimensions: fear of making a situation worse, concern of not being able to cope with emotionally charged situations, and internal conflict that arose when their values clashed with family dynamics. Conclusion Healthcare professionals’ sense of discomfort was very pronounced. This discomfort, together with their assumptions, could impact their ability to support children. The organisation played an important role, which was reflected in the work culture, workflow and ability to collaborate with other agencies involved in supporting children. The discomfort was mitigated by having more professional experience, workplace support systems and training on communicating with children. It was apparent that the individual professional did not work alone when supporting children but alongside others within an organisation. As such, issues raised in this review will benefit from multi-faceted solutions.
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- 2022
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263. Lack of compensation for COVID-19-related overtime work and its association with burnout among EMS providers in Korea
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Ji-Hwan Kim, Jaehong Yoon, Soo Jin Kim, Ja Young Kim, Jinwook Bahk, and Seung-Sup Kim
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emotional exhaustion ,firefighter ,healthcare worker ,organizational practice ,overwork ,paramedic ,Medicine - Abstract
OBJECTIVES This study examined the association between lack of compensation for COVID-19-related overtime work (LCCOW) and burnout among emergency medical service (EMS) providers in Seoul, Korea. METHODS We conducted a cross-sectional survey of 693 EMS providers in Seoul, Korea. Participants were classified into 3 groups according to their experience of coronavirus disease 2019 (COVID-19)-related overtime work and LCCOW: (1) “did not experience,” (2) “experienced and was compensated,” and (3) “experienced and was not compensated.” Burnout was measured using the Korean version of the Copenhagen Burnout Inventory, which has 3 subdomains: personal burnout (PB), work-related burnout (WRB), and citizen-related burnout (CRB). Multiple linear regression was applied to examine whether LCCOW was associated with burnout after adjusting for potential confounders. RESULTS In total, 74.2% of participants experienced COVID-19-related overtime work, and 14.6% of those who worked overtime experienced LCCOW. COVID-19-related overtime work showed a statistically non-significant association with burnout. However, the association differed by LCCOW. Compared to the “did not experience” group, the “experienced and was not compensated” group was associated with PB (β=10.519; 95% confidence interval [CI], 3.455 to 17.584), WRB (β=10.339; 95% CI, 3.398 to 17.280), and CRB (β=12.290; 95% CI, 6.900 to 17.680), whereas no association was observed for the “experienced and was compensated” group. Furthermore, an analysis restricted to EMS providers who worked overtime due to COVID-19 showed that LCCOW was associated with PB (β=7.970; 95% CI, 1.064 to 14.876), WRB (β=7.276; 95% CI, 0.270 to 14.283), and CRB (β=10.000; 95% CI, 3.435 to 16.565). CONCLUSIONS This study suggests that LCCOW could be critical in worsening burnout among EMS providers who worked overtime due to COVID-19.
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- 2023
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264. Effectiveness of oral levamisole as an adjuvant to hepatitis B vaccination in healthcare workers non-responsive to previous vaccination: A randomized controlled trial
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Babak Sayad, Armin Vazirian, Arezoo Bozorgomid, Nazanin Sayad, Alireza Janbakhsh, Mandana Afsharian, Feizollah Mansouri, Siavash Vaziri, Shahab Rezaeian, and Maryam Gholizadeh
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Hepatitis B ,Vaccination ,Healthcare worker ,Levamisole ,Infectious and parasitic diseases ,RC109-216 - Abstract
Background: Healthcare workers are at risk for HBV infection through percutaneous or mucosal contact with infected blood, body secretions, or blood products or via sharps injury. Hepatitis B vaccination, despite immunogenicity, may not induce a proper immune response in 5–10% of the general adult population. Increased immune response in healthcare providers that do not respond properly to conventional hepatitis B vaccination is an important health challenge. Therefore, the aim of the present study was to evaluate the effectiveness of hepatitis B vaccination plus oral levamisole as adjuvant in healthcare providers non-responsive to routine vaccination. Materials and methods: The healthcare workers that were non-responsive to previous hepatitis B vaccination were enrolled in a double-blind randomized placebo-controlled clinical trial. The participants were then randomized to two groups including hepatitis B vaccination (as a three-dose series on a 0, 1, and 2-month schedule in the deltoid muscle) plus levamisole (levamisole group) and hepatitis B vaccination plus placebo (placebo group) at a 1:1 ratio. The outcome measure was the HBs antibody titer one month after receiving each dose as well as the seroprotection ratio. The side effects were also evaluated in all participants. Results: In total, 22 subjects finished the trial (11 individual in per group). The median antibody titer one month after receiving the first and third doses increased more in the levamisole group compared to the placebo group but the difference was not significant (p = 0.34, p = 0.66, respectively).The seroprotection ratio after three doses was similarly high in both groups (90.9% in per group). Furthermore, the seroprotection ratio and median antibody titer had no significant correlation with age, sex, BMI, and history of smoking in intervention and control groups (p>0.05). No serious side effects were noted in both groups. Conclusions: Re-vaccination can boost the immune response in healthcare professionals that were non-responsive to previous vaccination although the mean antibody titer was higher in the levamisole group.
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- 2023
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265. MASKNE - Prevalence and association of causative factors during Covid-19 pandemic at a tertiary care hospital of Karachi
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Sadia Masood, Unzela Ghulam, Zahra Rahmatullah, and Shayana Rukhsar Hashmani
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Maskne ,Healthcare worker ,non-healthcare worker ,HCW ,non-HCW ,Personal protective equipment ,Medicine - Abstract
Objective: To assess the prevalence of mask acne in general population and healthcare workers, and the association of acne breakout due to mask-wearing with different factors. Method: The prospective, cross-sectional study was conducted from January to April 2022 at the Dermatology Department of Aga Khan University Hospital, Karachi, and comprised patients of both genders of all ages who received acne treatment during the period. Data was collected using a self-designed questionnaire having Cronbach's alpha value 0.789 which was filled by the subjects. Data was analysed using SPSS 19. Result: Of the 200 subjects, 152(76%) were females and 48(24%) were males. The overall mean age was 25.50±8.49 years. There were 122(61%) non-healthcare workers and 76(38%) were healthcare workers. Acne was prevalent in 157(78.5%) participants, and, of them, 123(78.3) were females. Significant association of acne breakout due to mask-wearing was found with regular mask change habit (p
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- 2023
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266. Corrigendum: Introducing a healthcare-assistive robot in primary care: a preliminary questionnaire survey
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N. C. Tan, Y. Yusoff, D. Koot, Q. C. Lau, H. Lim, T. F. Hui, H. Y. Cher, P. Y. A. Tan, and Y. L. E. Koh
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healthcare-assistive robot ,primary care ,patient ,healthcare worker ,infection control ,Mechanical engineering and machinery ,TJ1-1570 ,Electronic computers. Computer science ,QA75.5-76.95 - Published
- 2023
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267. Introducing a healthcare-assistive robot in primary care: a preliminary questionnaire survey
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N. C. Tan, Y. Yusoff, D. Koot, Q. C. Lau, H. Lim, T. F. Hui, H. Y. Cher, P. Y. A. Tan, and Y. L. E. Koh
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healthcare-assistive robot ,primary care ,patient ,healthcare worker ,infection control ,Mechanical engineering and machinery ,TJ1-1570 ,Electronic computers. Computer science ,QA75.5-76.95 - Abstract
A Healthcare-assistive Infection-control RObot (HIRO) is a healthcare-assistive robot that is deployed in an outpatient primary care clinic to sanitise the premises, monitor people in its proximity for their temperature and donning of masks, and usher them to service points. This study aimed to determine the acceptability, perceptions of safety, and concerns among the patients, visitors, and polyclinic healthcare workers (HCWs) regarding the HIRO. A cross-sectional questionnaire survey was conducted from March to April 2022 when the HIRO was at Tampines Polyclinic in eastern Singapore. A total of 170 multidisciplinary HCWs serve approximately 1,000 patients and visitors daily at this polyclinic. The sample size of 385 was computed using a proportion of 0.5, 5% precision, and 95% confidence interval. Research assistants administered an e-survey to gather demographic data and feedback from 300 patients/visitors and 85 HCWs on their perceptions of the HIRO using Likert scales. The participants watched a video on the HIRO’s functionalities and were given the opportunity to directly interact with it. Descriptive statistics was performed and figures were presented in frequencies and percentages. The majority of the participants viewed the HIRO’s functionalities favourably: sanitising (96.7%/91.2%); checking proper mask donning (97%/89.4%); temperature monitoring (97%/91.7%); ushering (91.7%/81.1%); perceived user friendliness (93%/88.3%), and improvement in the clinic experience (96%/94.2%). A minority of the participants perceived harm from the HIRO’s liquid disinfectant (29.6%/31.5%) and that its voice-annotated instructions may be upsetting (14%/24.8%). Most of the participants accepted the HIRO’s deployment at the polyclinic and perceived it to be safe. The HIRO used ultraviolet irradiation for sanitisation during after-clinic hours instead of disinfectants due to the perceived harm.
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268. The Seroprevalence and Seropositivity of SARS-CoV-2 among Healthcare Workers during the Third Pandemic Wave.
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Vaezi, Atefeh, Fakhim, Hamed, Abbasi, Saeed, Masoudi, Soraya, Rizi, Mahnaz Hosseini, and Haghjooy Javanmard, Shaghayegh
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MEDICAL personnel , *SEROCONVERSION , *SEROPREVALENCE , *SARS-CoV-2 , *COVID-19 , *HIV seroconversion - Abstract
Background: Due to the unclear protective role of produced antibodies and the need for seroepidemiologic studies, we surveyed the COVID-19 seroprevalence among healthcare professionals who had direct or indirect contact with COVID-19 patients. Methods: From 19 October 2020 to 17 February 2021, 300 healthcare workers were enrolled and tested for serum antibodies in this prospective cohort study. Demographic information, risk factors, and infection history were collected. Anti- SARS-CoV-2 IgG and IgM antibody titers were determined to estimate the seroconversion rate. Results: During the first and second phases of the study, the positive seroconversion rates were 31.7 and 26.6%, respectively. In seronegative individuals, sixteen (10.6%) new cases of COVID-19 and five (6.3%) reinfections were identified. Among those with a positive antibody level, forty-one (36.9%) healthcare workers reported no symptoms in the preceding months. There was no association between occupational exposure and an increased probability of seroconversion. Conclusions: The seropositivity rate and the rate of asymptomatic individuals with seroconversion was remarkable and could be an indicator of a high infection rate among healthcare workers. [ABSTRACT FROM AUTHOR]
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- 2023
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269. Knowledge, attitudes and practices concerning catheter‐associated urinary tract infection amongst healthcare workers: a mixed methods systematic review.
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Huang, Aoli, Hong, Weixi, Zhao, Baojie, Lin, Jing, Xi, Rui, and Wang, Yu
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CINAHL database ,MEDICAL databases ,ONLINE information services ,HEALTH education ,TEAMS in the workplace ,PROFESSIONS ,MEDICAL information storage & retrieval systems ,SOCIAL support ,ATTITUDES of medical personnel ,RESEARCH methodology ,SYSTEMATIC reviews ,LEADERSHIP ,PEER relations ,CATHETER-associated urinary tract infections ,DOCUMENTATION ,CLINICAL supervision ,MEDICAL protocols ,EMPLOYEES' workload ,CLINICAL competence ,PHYSICIAN practice patterns ,MEDLINE ,THEMATIC analysis ,CATHETERIZATION ,PERSONNEL management ,INFORMATION technology - Abstract
Aim: To evaluate healthcare workers' knowledge, attitudes and practices level of prevention and management of catheter‐associated urinary tract infection. Design: A mixed‐methods systematic review. Methods: Searches were conducted in CINAHL, Cochrane Library, EMBASE, Medline, PubMed and Web of Science databases. Limited literatures published in English before 20 June 2021. Data were analysed and synthesized using thematic analysis by two authors. Results: Thirty‐four articles were included. Healthcare workers' unbalanced varied knowledge level, positive attitudes, undesirable practices of catheter‐associated urinary tract infection's prevention and control were identified. Barriers of healthcare workers' knowledge, attitudes and practices level of infection prevention included heavy workload, understaffing, physician variability in indwelling urinary catheter (IUC) practice by diagnosis, nursing variability in IUC placement technique, poor relationship and nurse's poor documentation. Leadership, better education, teamwork, technique training and information technology support, advocacy for nurse‐driven protocol and IUC removal reminder were considered as facilitators. [ABSTRACT FROM AUTHOR]
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- 2023
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270. The affecting factors and prevalence rate of sick building syndrome in healthcare workers.
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Karadag, Muge Otlu, Ecin, Seval Muzeyyen, Turkkan, Sinan, Aytemur, Zeynep Ayfer, and Hacievliyagil, Suleyman Savas
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SICK building syndrome ,MEDICAL care ,SICK building syndrome prevention ,CARBON dioxide ,HUMIDITY - Abstract
Sick building syndrome (SBS) is defined as symptoms that occur while living or working in a certain building but disappear after moving away from the environment. In this study, we aimed to determine the effects of indoor air pollutants on the health of employees, the prevalence of SBS in healthcare workers at the university hospital, its relationship with environmental and personal factors and the respiratory system. A questionnaire was applied to 951 healthcare workers who agreed to participate in the study. Having at least one general, one mucosal and one skin symptom every week in the last 3 months was accepted as SBS. Temperature, CO and CO2 levels and relative humidity were measured in different areas of the hospital. The prevalence of SBS was 62.1%. There was a statistically significant relationship between SBS and having a chronic disease (p<0.0001), continuous drug use (p=0.005) and the evaluation of the environment as warm (p=0.042). Having a chronic disease (OR=0.426; 95% CI, 0.228-0.797), the environment often being too warm (OR 0.218; 95% CI, 0.084-0.567) or occasionally too bright (OR=0.300; 95% CI, 0.158-0571) and diagnosed by a doctor due to symptoms (OR=3.209; 95% CI, 1.529-6.731) was found to be significant in forward variable selection method and binary logistic regression analysis. In our study, a relationship was found between physical factors such as temperature, humidity and CO2 level of the environment and personal factors such as stress, chronic disease and SBS. SBS can be prevented by control at the source as well as by administrative and engineering interventions among the employees. [ABSTRACT FROM AUTHOR]
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- 2023
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271. Wearing N95 masks decreases the odor discrimination ability of healthcare workers: a self-controlled before-after study.
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Guanguan Luo, Xingnan Zou, Xianlong Zhou, Jiaohong Gan, Cheng Jiang, Zhigang Zhao, and Yan Zhao
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N95 respirators ,ODORS ,MEDICAL personnel ,DISCRIMINATION in medical care ,MEDICAL masks ,COVID-19 - Abstract
Objective. During the coronavirus disease 2019 (COVID-19) pandemic, the N95 mask is an essential piece of protective equipment for healthcare workers. However, the N95 mask may inhibit air exchange and odor penetration. Our study aimed to determine whether the use of N95 masks affects the odor discrimination ability of healthcare workers. Methods. In our study, all the participants were asked to complete three olfactory tests. Each test involved 12 different odors. The participants completed the test while wearing an N95 mask, a surgical mask, and no mask. The score for each olfactory test was documented. Results. The olfactory test score was significantly lower when the participants wore N95 masks than when they did not wear a mask (7 vs. 10, p < 0.01). The score was also lower when the participants wore N95 masks than surgical masks (7 vs. 8, p < 0.01). Conclusion. Wearing N95 masks decreases the odor discrimination ability of healthcare workers. Therefore, we suggest that healthcare workers seek other clues when diagnosing disease with a characteristic odor. [ABSTRACT FROM AUTHOR]
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- 2023
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272. Health worker education during the COVID-19 pandemic: global disruption, responses and lessons for the future—a systematic review and meta-analysis.
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Dedeilia, Aikaterini, Papapanou, Michail, Papadopoulos, Andreas N., Karela, Nina-Rafailia, Androutsou, Anastasia, Mitsopoulou, Dimitra, Nikolakea, Melina, Konstantinidis, Christos, Papageorgakopoulou, Manthia, Sideris, Michail, Johnson, Elizabeth O., Fitzpatrick, Siobhan, Cometto, Giorgio, Campbell, Jim, and Sotiropoulos, Marinos G.
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COVID-19 pandemic , *EMPLOYEE education , *BLENDED learning , *PHYSICIANS , *ONLINE education , *MENTAL health , *VOCATIONAL guidance - Abstract
Background: This systematic review and meta-analysis identified early evidence quantifying the disruption to the education of health workers by the COVID-19 pandemic, ensuing policy responses and their outcomes. Methods: Following a pre-registered protocol and PRISMA/AMSTAR-2 guidelines, we systematically screened MEDLINE, EMBASE, Web of Science, CENTRAL, clinicaltrials.gov and Google Scholar from January 2020 to July 2022. We pooled proportion estimates via random-effects meta-analyses and explored subgroup differences by gender, occupational group, training stage, WHO regions/continents, and study end-year. We assessed risk of bias (Newcastle–Ottawa scale for observational studies, RοB2 for randomized controlled trials [RCT]) and rated evidence certainty using GRADE. Results: Of the 171 489 publications screened, 2 249 were eligible, incorporating 2 212 observational studies and 37 RCTs, representing feedback from 1 109 818 learners and 22 204 faculty. The sample mostly consisted of undergraduates, medical doctors, and studies from institutions in Asia. Perceived training disruption was estimated at 71.1% (95% confidence interval 67.9–74.2) and learner redeployment at 29.2% (25.3–33.2). About one in three learners screened positive for anxiety (32.3%, 28.5–36.2), depression (32.0%, 27.9–36.2), burnout (38.8%, 33.4–44.3) or insomnia (30.9%, 20.8–41.9). Policy responses included shifting to online learning, innovations in assessment, COVID-19-specific courses, volunteerism, and measures for learner safety. For outcomes of policy responses, most of the literature related to perceptions and preferences. More than two-thirds of learners (75.9%, 74.2–77.7) were satisfied with online learning (postgraduates more than undergraduates), while faculty satisfaction rate was slightly lower (71.8%, 66.7–76.7). Learners preferred an in-person component: blended learning 56.0% (51.2–60.7), face-to-face 48.8% (45.4–52.1), and online-only 32.0% (29.3–34.8). They supported continuation of the virtual format as part of a blended system (68.1%, 64.6–71.5). Subgroup differences provided valuable insights despite not resolving the considerable heterogeneity. All outcomes were assessed as very-low-certainty evidence. Conclusion: The COVID-19 pandemic has severely disrupted health worker education, inflicting a substantial mental health burden on learners. Its impacts on career choices, volunteerism, pedagogical approaches and mental health of learners have implications for educational design, measures to protect and support learners, faculty and health workers, and workforce planning. Online learning may achieve learner satisfaction as part of a short-term solution or integrated into a blended model in the post-pandemic future. [ABSTRACT FROM AUTHOR]
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- 2023
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273. Az egészségügyben közfeladatot ellátó személyek büntetőjogi védelme.
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Minkó-Miskovics, Mariann and Ács, Gábor
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Copyright of Hungarian Medical Journal / Orvosi Hetilap is the property of Akademiai Kiado and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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274. شیوع و شدت بیماری کووید-٩١ و فرصتهای شغلی از دست رفته در بین کارکنان بهداشتی و درمانی استان مازندران از بهمن ٩٩١١ تا خرداد ٩.
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فرهنگ بابامحمود&, احمد علیخانی, مسعود معبودی, جمشید یزدانی چرا, بیتا پاکنژاد, امیرحسین غریب, and آزاده خلعت بری
- Abstract
Background and purpose: The COVID-19 pandemic resulted in an uncontrolled disease burden on healthcare workers (HCWs) worldwide. We aimed to investigate the prevalence and severity of COVID-19 in HCWs of selected hospitals in Mazandaran province and examine the association between COVID-19 and missed opportunities of HCWs. Materials and methods: In this retrospective descriptive-analytical study, 1105 HCWs in Qaemshahr Razi Hospital and Sari Fatemeh-Zahra Hospital were studied between February 2020 and June 2020. In order to evaluate the frequency and severity of the disease, clinical and paraclinical manifestations were recorded by a trained HCW. Data were analyzed in SPSS V18. Results: The frequency of COVID-19 was 16.19% among HCWs. The patients included 113 (63.13%) nurses, 47(26.26%) service providers and administrative personnel, and 19(10.61%) physicians. Duration of sick leave was found to be significantly associated with severity of COVID-19 (P=0.006). This length was also significantly associated with the job and was longer in nurses (P=0.013). Our findings revealed a significant relationship between the level of adherence to personal protective equipment (PPE) and the severity of COVID-19 (P=0.001). Conclusion: COVID-19 could exert remarkable impact on the quality of work in HCWs, especially among nurses. Effective training of HCWs regarding PPE instructions results in suitable protection against severe forms of the disease. [ABSTRACT FROM AUTHOR]
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- 2023
275. Durability of Severe Acute Respiratory Syndrome Coronavirus 2 Messenger RNA Booster Vaccine Protection Against Omicron Among Healthcare Workers With a Vaccine Mandate.
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Richterman, Aaron, Behrman, Amy, Brennan, Patrick J, O'Donnell, Judith A, Snider, Christopher K, and Chaiyachati, Krisda H
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COVID-19 , *IMMUNIZATION , *ACADEMIC medical centers , *CONFIDENCE intervals , *COVID-19 vaccines , *CASE-control method , *VACCINE effectiveness , *DESCRIPTIVE statistics , *RESEARCH funding , *COVID-19 testing , *EVALUATION - Abstract
Background The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant has spread rapidly throughout the world since being identified in South Africa in November 2021. Few studies have assessed primary series and booster vaccine effectiveness against Omicron among US healthcare workers Methods We conducted a test-negative case-control design to estimate BNT162b2 and mRNA1273 primary vaccination and booster effectiveness against SARS-CoV-2 infection and symptomatic coronavirus disease 2019 during an Omicron surge among employees of the University of Pennsylvania Health System. The study period was between 1 July 2021 and 5 April 2022. We defined the Delta period as 1 July to 12 December 2021 and the Omicron period as beginning 12 December 21. Results Our sample included 14 520 tests (2776 [19%] positive)—7422 (506 [7%] positive) during Delta and 7098 (2270 [32%] positive) during Omicron. Benchmarked against Delta, the vaccine effectiveness of 2 vaccine doses was lower during Omicron, with no significant protection against infection. Booster doses added significant protection, although they also showed reduced effectiveness during Omicron. Compared with findings in employees who had received 2 vaccine doses, 3 doses of BNT162b2 had a relative effectiveness of 50% (95% confidence interval, 42%–56%) during Omicron, relative to 78% (63%–87%) during Delta; 3 doses of mRNA1273 had a relative effectiveness of 56% (45%–65%) during Omicron, relative to 96% (82%–99%) during Delta. Restricting the sample to symptomatic tests yielded similar results to our primary analysis. After initial waning in BNT162b2 booster protection against infection, it remained largely stable for ≥16 weeks after vaccination. Conclusions Our findings provide a strong rationale for boosters among healthcare workers in the Omicron era. [ABSTRACT FROM AUTHOR]
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- 2023
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276. The mental health of healthcare workers in GCC countries during the COVID-19 pandemic: A systematic review and meta-analysis.
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Aldhamin, Rabab A. and Al Saif, Ahmed Z.
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Copyright of Journal of Taibah University Medical Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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277. Efficacy of online training at the International Mental Health Training Center Taiwan (IMHTCT): Pre and during the COVID-19 pandemic.
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Chen, Cheng-Chung, Wang, Shu-Hui, Chou, Li-Shiu, Shen, Lih-Jong, and Li, Dian-Jeng
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The coronavirus disease 2019 (COVID-19) pandemic has resulted in major disruption to regular learning and training for medical staff. The aim of this study was to compare the learning efficacy between on-site training before the COVID-19 pandemic and online training during the pandemic for nurses, psychologists, social workers, and occupational therapists from Southeast Asia. The current study derived data from the International Mental Health Training Center Taiwan (IMHTCT) from 2018 to 2020. IMHTCT Trainees Learning Effect Questionnaire (ITLEQ) scores of the medical staff and demographic variables were collected. Reliability and validity of the ITLEQ were estimated. The independent t -test was used to compare differences in ITLEQ scores between the pre-training and post-training stages among the trainees. In addition, generalized estimating equations were used to estimate the predictive effect of online training on changes in ITLEQ scores over time. A total of 190 trainees were enrolled, including 92 social workers, 16 occupation therapists, 24 psychologists, and 58 nurses. The reliability and validity were satisfactory. The efficacy of the training programs at IMHTCT was significant for all of the healthcare workers. Furthermore, better training efficacy was found in the social workers and occupational therapists who received online training compared to those who received on-site training. The potential efficacy of online training was found in the nurses. Our results demonstrate the importance of online training for mental healthcare workers during the COVID-19 pandemic. Online training may be implemented into regular training courses in the future. • We explored the training efficacy at IMHTCT during the COVID-19 pandemic. • We recruited healthcare workers in Southeast Asia. • Training efficacy was estimated using the ITLEQ, and it was shown to have good reliability and validity. • Online training was associated with better training efficacy among social workers and occupational therapists. • The potential efficacy of online training was found in nurses. [ABSTRACT FROM AUTHOR]
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- 2023
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278. Occupational burnout among doctors at Mankweng and Pietersburg hospitals, Limpopo province.
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Mamorobela, Hlayisani V., Marincowitz, Gert J.O., and Marincowitz, Clara
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Background: The purpose of this study was to assess the presence of occupational burnout among full-time employed doctors of all ranks at the Mankweng and Pietersburg tertiary academic hospitals in South Africa's Limpopo province. Methods: A quantitative, observational study was conducted firstly to determine whether burnout was present among medical doctors at these institutions and, secondly, to quantify the amount of burnout in those affected. Data collection was done using structured questionnaires. All ranks of medical doctors from various departments participated in the study, resulting in a total sample size of 150. Results: The study revealed that occupational burnout was present at these institutions, with an overall prevalence of 36%. When compared to other studies conducted at public sector hospitals in South Africa, this figure appears to fall within the middle range. However, different studies have used different criteria to measure burnout. Conclusion: Currently, there is too much variation in the criteria of burnout among different studies, making comparisons difficult. More studies are needed to standardise the measurement of burnout. Contribution: The main contribution of the research is to understand the extent of burnout at the tertiary hospital in Limpopo province. [ABSTRACT FROM AUTHOR]
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- 2023
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279. Motivation and retention of primary healthcare workers in rural health facilities: An exploratory qualitative study of Chipata and Chadiza Districts, Zambia.
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Manda, Kenneth, Silumbwe, Adam, Mupeta Kombe, Maureen, and Hangoma, Peter
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RESEARCH , *WORK environment , *OCCUPATIONAL achievement , *RURAL hospitals , *ENVIRONMENTAL health personnel , *MOTIVATION (Psychology) , *PROFESSIONAL employee training , *COST of living , *AGRICULTURE , *MEDICAL personnel , *INTERVIEWING , *PEER relations , *COMMUNITY support , *COMMUNITY health services , *PRIMARY health care , *QUALITATIVE research , *PHENOMENOLOGY , *URBAN hospitals , *PSYCHOSOCIAL factors , *NURSES , *THEMATIC analysis , *JUDGMENT sampling , *STATISTICAL sampling , *EMPLOYEE retention , *RURAL health clinics , *PERSONNEL management - Abstract
Rural areas have the greatest health needs and yet they face the largest shortage of human resources for health which negatively impacts health systems capacity to deliver quality care as they struggle to motivate and retain healthcare workers in such settings. This study explored factors that shape motivation and retention of primary healthcare workers in rural health facilities in Chipata and Chadiza Districts of Zambia using a phenomenological research design. The data consisted 28 in-depth interviews with rural primary healthcare workers and were analysed using thematic analysis. Three main themes of factors shaping motivation and retention of rural primary healthcare workers were identified. Firstly, professional development with emergent themes of career advancement and opportunities for attending capacity-building workshops. Secondly, the work environment with emergent themes of challenging and stimulating tasks, availability of opportunities for promotion and co-workers' recognition and supportive relationships. Thirdly, rural community dynamics with emergent themes of reduced cost of living, community recognition and support, and easy access to farmland for economic and consumption purposes. Interventions that are contextually relavant, which can streamline career progression pathways, enhance rural working environments, offer suitable incentives, and rally community support for rural primary healthcare workers are required. [ABSTRACT FROM AUTHOR]
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- 2023
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280. SARS-CoV-2 Infection Rates Following Use of Regular Compared With Defective Respirators When Caring for COVID-19 Patients: A Retrospective Follow-up Study.
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Kolstad, Henrik A, Frydenberg, Morten, Nielsen, Kent Jacob, Schlünssen, Vivi, Biering, Karin, Kjærsgaard, Mona, Vestergaard, Jesper Medom, Würtz, Else Toft, Pugdahl, Kirsten, Würtz, Anne Mette Lund, Hansen, Karoline Kærgaard, Jespersen, Sanne, Thomsen, Marianne Kragh, Sørensen, Mette Marie, Ellermann-Eriksen, Svend, Redder, Jacob Dvinge, and Storgaard, Merete
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MEDICAL equipment reliability , *COVID-19 , *INDUSTRIAL safety , *CONFIDENCE intervals , *MECHANICAL ventilators , *RETROSPECTIVE studies , *DISEASE incidence , *RESEARCH funding , *DESCRIPTIVE statistics , *PATIENT care , *POLYMERASE chain reaction , *DATA analysis software , *LONGITUDINAL method - Abstract
Background There is strong observational evidence that respirators are highly effective in protecting the users from being infected with Middle East respiratory syndrome and severe acute respiratory syndrome coronavirus (SARS-CoV), but the evidence for SARS-CoV-2 during daily work is limited. This study utilized a subset of healthcare workers' temporary use of a new brand respirator with frequent defects when caring for coronavirus disease 2019 (COVID-19) patients to assess the protective effect of regular respirators against SARS-CoV-2 infection. Methods We retrospectively followed 463 participants wearing a regular respirator and 168 wearing the new brand respirator day-by-day when caring for COVID-19 patients until testing polymerase chain reaction positive for SARS-CoV-2 between 27th December 2020 and 14th January 2021. Results We observed seven and eight incident SARS-CoV-2-infected cases. This corresponded with daily infection rates of 0.2 and 0.5%, an incidence rate ratio of 0.4 [95% confidence interval (CI) 0.1; 1.0], and an incidence rate difference of 0.3% (95% CI −0.1; 0.8) when comparing a regular with the new brand respirator. Discussion We regard the new brand respirator a sham intervention, and this study thus provides further evidence for the protective effect of respirators when exposed to SARS-CoV-2 virus. [ABSTRACT FROM AUTHOR]
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- 2023
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281. Healthcare workers: diminishing burnout symptoms through self-care.
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Rokach, Ami
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MEDICAL personnel , *PSYCHOLOGICAL burnout , *MEDICAL care , *MEDICAL offices , *OFFICES - Abstract
Being part of the health care system involves facing stress, loneliness and the emotional toll of assisting, listening and caring for patients who come into the office or hospital, and seek or even demand assistance. Healthcare workers, like physicians, nurses and therapists, are trained, on assisting and healing others. They are less effective in taking care of themselves. This article, which aims to heighten clinicians’ awareness of the need for self-care, especially now in the post-pandemic era, addresses the demanding nature of medicine and health work, and the resistance that clinicians commonly display in the face of suggestions that they engage in self-care. The consequences of neglecting to care for oneself are delineated. The demanding nature of medicine is reviewed, along with the loneliness and isolation felt by clinicians particularly those in private practice, the professional hazards faced by those caring for others, and the ways that are available to them (should they decide to care for themselves) for the benefit of their clients, their families and, obviously, themselves. [ABSTRACT FROM AUTHOR]
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- 2023
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282. The mental health and wellbeing of healthcare workers during COVID-19 in South Africa.
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Watermeyer, Jennifer, Madonsela, Sonto, and Beukes, Johanna
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Background: Little is known about the experiences and impact of coronavirus disease 2019 (COVID-19) on the mental health and wellbeing of healthcare workers (HCWs), particularly in Global South contexts. Aim: The authors aimed to explore the experiences of HCWs at different points during the COVID-19 pandemic in South Africa. Setting: This study's sample included 621 HCWs from various professions and health sectors who completed the survey during the pandemic peaks of waves I, II and III in South Africa. Methods: The authors used a qualitative survey design exploring participants' general work, life, mental health and wellbeing experiences, and their support mechanisms or strategies. Data were analysed using thematic analysis. Results: The authors identified three overarching themes in the data, namely stress, adjustment to work during COVID-19, and support experiences and needs. These themes were common across all three survey waves, with some minor differences noted across the waves. Conclusion: An overarching thread of uncertainty seems central to HCWs' experiences of working during COVID-19, related to pressures in the South African healthcare system that have been aggravated by the pandemic. Contribution: These findings have the potential to inform the development of contextually relevant approaches to support the mental health and wellbeing needs of HCWs during and after a pandemic. In particular, workplaces need to actively offer psychological support to all HCWs, not just to workers traditionally defined as frontline. [ABSTRACT FROM AUTHOR]
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- 2023
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283. Assessment of Hand Hygiene Practices and Barriers to hand Hygiene among Healthcare workers of Government Medical College Hospital Jammu.
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Bala, Jyoti, Dewan, Deepika, Bahl, Rakesh, Gupta, Sujata, and Bhagat, Raj Kumar
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HAND care & hygiene ,MEDICAL personnel ,HAND washing ,MEDICAL schools - Abstract
Introduction: Hand hygiene is most effective interventions to reduce spread of pathogens and prevent Hospital Acquired Infections (HIAs). Compliance of healthcare workers with hand hygiene practices is vital in preventing transmission of HIAs. Aims: To assess practices and barriers of hand hygiene among healthcare workers of GMCH Jammu. Methodology: Cross sectional study was conducted among healthcare workers of Government Medical College Hospital Jammu. Simple random sampling was used to interview 250 participants. Data was collected using pretested, validated and semi structured questionnaire. Details like products used for hand hygiene, moments of hand hygiene, barriers to hand hygiene practices and knowledge about hand hygiene were asked. Appropriate statistical tests were applied Results: Out of 250 healthcare workers majority were using soap and water 203(81%) and alcohol based sanitizers 202(80%).Majority 234(93.6%) were always performing hand hygiene after touching blood, body fluids and secretions,222(88.8%) and after contact with the patients but only 138(55.2%) were following hand hygiene practices while switching from one patient to other. Most common barrier to wash hands was lack of soap/water115(46%) and inconvenient location of sinks 112(44.8%). Only 117(46.8%) were following six steps of hand wash. The association between designation of health care worker and steps of handwashing was found to be statistical significant. Conclusion: Observed compliance to hand hygiene practices is low. There is lack of knowledge to perform six steps of hand washing and lack of facilities to maintain hand hygiene. [ABSTRACT FROM AUTHOR]
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- 2023
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284. Experiences and Importance of Home Isolation in Diseases Transmitted by Droplet.
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DÖNMEZ, Ayşegül and YEYĞEL, Çiler
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COVID-19 ,MEDICAL personnel ,INDUSTRIAL safety ,MIDWIVES ,NURSES - Abstract
Copyright of Turkiye Klinikleri Journal of Health Sciences / Türkiye Klinikleri Sağlık Bilimleri Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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285. Evaluation and Screening of COVID-19, Contact and Risk Conditions in Healthcare Workers in a University Hospital.
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Marakoğlu, Kamile, Vatansev, Hüsamettin, Çiftci, Ilhan, Şener, Zeynep Ebru, Özmen, Muhammet, Titrek, Aslıhan, Mutlu, Esma, and Erkan, Cevat
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COVID-19 pandemic ,INDUSTRIAL hygiene ,MEDICAL personnel ,PERSONAL protective equipment ,POLYMERASE chain reaction - Abstract
Objectives: The aim of this study was to evaluate the management and risk conditions of healthcare workers (HCWs) having COVID-19 infection before and after the normalization process (NP). Methods: The working group of this study consisted of 1881 HCWs who applied to the Occupational Health and Safety Unit. A form for determining the HCWs’ sociodemographic characteristics and the Healthcare Worker COVID-19 Contact Case Follow-up Form were used using the Ministry of Health COVID-19 Guide. Results: This study included 1881 HCWs. The polymerase chain reaction (PCR) test was assessed in 1373 (73.0%) of the HCWs, and 172 (12.5%) of the PCR tests were positive HCWs who underwent PCR testing. Before the NP, 13 (2.5%) of the HCWs had PCR positive, and after the NP, 159 (18.4%) of 862 HCWs were PCR positive. While 80 (46.5%) of PCR-positive HCWs were using personal protective equipment (PPE), 478 (39.8%) of PCRnegative HCWs were using PPE (p<0.001). While 5 (38.4%) PCR-positive and 262 (52.6) PCR-negative HCWs were using PPE before NP, 75 (47.1%) PCR-positive and 216 (30.7) PCR-negative HCWs were using PPE after NP (p<0.001 and p<0.001, respectively). Conclusion: The study showed that the frequency of COVID-19 PCR positivity in the HCWs is similar to that given by World Health Organization. [ABSTRACT FROM AUTHOR]
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- 2023
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286. Effect of COVID‐19 on healthcare workers' morbidity and mortality compared to the general population in Kohgiluyeh and Boyer‐Ahmad Province, Iran.
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Jalil, Mohsen, Ashkan, Zahra, Gholamnezhad, Mohammad, Jamalidoust, Somayeh, and Jamalidoust, Marzieh
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MEDICAL personnel ,COVID-19 pandemic ,COVID-19 ,ADULT respiratory distress syndrome ,COUGH - Published
- 2023
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287. Seroprevalence of SARS COV-2 anti-nucleocapsid antibodies in Turkish healthcare workers before vaccination schedule: January 2021
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Ayşin Kılınç Toker, Ayşe Turunç Özdemir, Duygu Çerçioğlu Özdemir, Esma Eryilmaz Eren, Esma Saatçi, İbrahim Toker, and İlhami Çelik
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COVID-19 ,SARS-CoV-2 antibody ,healthcare worker ,Internal medicine ,RC31-1245 ,Specialties of internal medicine ,RC581-951 - Abstract
Objective: We aimed to assess the seroprevalence of SARS-CoV-2 infection and associated factors among Turkish HCWs, before the Covid-19 vaccination program in January 2021. Material and methods: We performed antibody assessment against SARS-CoV-2 in blood samples from participants using the Elecsys® Anti-SARS-CoV-2 electrochemiluminescence immunoassay. Samples with a cut-off index (COI; signal sample/cut-off) Results: 714 HCWs, 487 women (68.2%), were included in our study. The mean age of the participants was 35.9 ± 8.4 (min:18, max: 62). 370 (51.8%) HCWs's the antibody level was negative, and 344 (48.2%) was positive. While 47.1% (n=122) of the HCWs with positive RT-PCR were antibody positive, 48.8% (n=222) were negative. There was no statistically significant difference in mean age and age groups (p values 0.338 and 0.414, respectively). Also, there was no statistically significant difference in antibody levels by gender (p=0.236). There was no significant difference between antibody positivity according to the presence of comorbidity, and the risk area studied (p=0.556, p=0.335, respectively). There was a statistically significant difference between lung involvement and antibody positivity during Covid-19 infection (p= Conclusion: In our study, the seroprevalence of SARS-CoV-2 antibodies in HCWs was higher than the average population and approximately fifty percent. Multicenter studies with more HCWs would be helpful to determine overall seroprevalence rates.
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- 2022
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288. Prophylaxis in healthcare workers during a pandemic: a model for a multi-centre international randomised controlled trial using Bayesian analyses
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Pepa Bruce Metadata, Kate Ainscough, Lee Hatter, Irene Braithwaite, Lindsay R. Berry, Mark Fitzgerald, Thomas Hills, Kathy Brickell, David Cosgrave, Alex Semprini, Susan Morpeth, Scott Berry, Peter Doran, Paul Young, Richard Beasley, and Alistair Nichol
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Prophylaxis ,Healthcare worker ,COVID-19 ,Bayesian analysis ,Medicine (General) ,R5-920 - Abstract
Abstract Background Coronavirus disease 2019 (COVID-19) has exposed the disproportionate effects of pandemics on frontline workers and the ethical imperative to provide effective prophylaxis. We present a model for a pragmatic randomised controlled trial (RCT) that utilises Bayesian methods to rapidly determine the efficacy or futility of a prophylactic agent. Methods We initially planned to undertake a multicentre, phase III, parallel-group, open-label RCT, to determine if hydroxychloroquine (HCQ) taken once a week was effective in preventing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in healthcare workers (HCW) aged ≥ 18 years in New Zealand (NZ) and Ireland. Participants were to be randomised 2:1 to either HCQ (800 mg stat then 400 mg weekly) or no prophylaxis. The primary endpoint was time to Nucleic Acid Amplification Test-proven SARS-CoV-2 infection. Secondary outcome variables included mortality, hospitalisation, intensive care unit admissions and length of mechanical ventilation. The trial had no fixed sample size or duration of intervention. Bayesian adaptive analyses were planned to occur fortnightly, commencing with a weakly informative prior for the no prophylaxis group hazard rate and a moderately informative prior on the intervention log hazard ratio centred on ‘no effect’. Stopping for expected success would be executed if the intervention had a greater than 0.975 posterior probability of reducing the risk of SARS-CoV-2 infection by more than 10%. Final success would be declared if, after completion of 8 weeks of follow-up (reflecting the long half-life of HCQ), the prophylaxis had at least a 0.95 posterior probability of reducing the risk of SARS-CoV-2 infection by more than 10%. Futility would be declared if HCQ was shown to have less than a 0.10 posterior probability of reducing acquisition of SARS-CoV-2 infection by more than 20%. Discussion This study did not begin recruitment due to the marked reduction in COVID-19 cases in NZ and concerns regarding the efficacy and risks of HCQ treatment in COVID-19. Nonetheless, the model presented can be easily adapted for other potential prophylactic agents and pathogens, and pre-established collaborative models like this should be shared and incorporated into future pandemic preparedness planning. Trial registration The decision not to proceed with the study was made before trial registration occurred.
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- 2022
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289. Serological surveillance of healthcare workers to evaluate natural infection- and vaccine-derived immunity to SARS-CoV-2 during an outbreak in Dili, Timor-Leste
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Paul Arkell, Celia Gusmao, Sarah L Sheridan, Maria Y Tanesi, Nelia Gomes, Tessa Oakley, Johanna Wapling, Lucsendar Alves, Stacey Kopf, Nevio Sarmento, Ismael Da Costa Barreto, Salvador Amaral, Anthony DK Draper, Danina Coelho, Helio Guterres, Antonio Salles, Filipe Machado, Nicholas SS Fancourt, Jennifer Yan, Ian Marr, Kristine Macartney, and Joshua R Francis
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ChAdOx1 ,COVID-19 ,healthcare worker ,SARS-CoV-2 ,serological surveillance ,vaccination ,Infectious and parasitic diseases ,RC109-216 - Abstract
Background Serosurveillance can be used to investigate the extent and distribution of immunity to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) within a population. Characterisation of humoral immune responses gives insight into whether immunity is infection- or vaccine-derived.Methods A longitudinal study of health care workers (HCWs) in Dili, Timor-Leste, was conducted during vaccine rollout (ChAdOx1) and a concurrent SARS-CoV-2 outbreak.Results A total of 324 HCWs were included at baseline (April-May 2021). Out of those, 32 (9.9%) were seropositive for anti-nucleocapsid protein (anti-N) IgG antibodies, indicating a significant sub-clinical infection among HCWs early in the local outbreak. Follow-up was conducted in 157 (48.5%) participants (July-September 2021), by which time there had been high uptake of vaccination (91.7%), and 86.0% were seropositive for anti-spike protein antibodies. Acquisition of anti-N antibodies was observed in partially vaccinated HCWs (30/76, 39.5%), indicating some post-dose-1 infections.Discussion Serosurveillance of HCWs may provide early warning of SARS-CoV-2 outbreaks and should be considered in non-endemic settings, particularly where there is limited availability/uptake of testing for acute infection. Characterisation of humoral immune responses may be used to assess vaccine impact and coverage. Such studies should be considered in national and international efforts to investigate and mitigate against future emerging pathogens.
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- 2022
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290. Nosocomial outbreak of severe fever with thrombocytopenia syndrome among healthcare workers in a single hospital in Daegu, Korea
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Sohyun Bae, Hyun-Ha Chang, Shin-Woo Kim, Yoonjung Kim, EunByeol Wang, Chi Kyeong Kim, Eunji Choi, Bohyun Lim, Sookkyung Park, Hwajin Chae, and Hyeyoung Jeon
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Severe fever with thrombocytopenia syndrome ,Nosocomial transmission ,Healthcare worker ,Infectious and parasitic diseases ,RC109-216 - Abstract
Background: In August 2020, 17 healthcare workers (HCWs) were simultaneously diagnosed with severe fever with thrombocytopenia syndrome (SFTS) at a university hospital in Daegu, Republic of Korea. Methods: An epidemiologic investigation using questionnaires was conducted for all suspected HCWs who had viral infection symptoms or who had the possibility of exposure to the index patient. Results: A total of 17 HCWs infected with the SFTS virus (SFTSV) (28.8%) were identified among the 59 HCWs who had contact with the patient. Operating a bag valve mask during cardiopulmonary resuscitation (CPR) (OR 7.50, 95% CI 1.75–41.07), cardiac massage during CPR (OR 12.00, 95% CI 1.76–241.94), exposure to the patient's body fluids (OR 7.43, 95% CI 1.91–34.69), and shorter individual hospital work experience periods (OR 6.79, 95% CI 1.70–32.10) were significantly associated with SFTS infection in the univariate analysis. However, exposure to body fluids was found to be the only statistically significant risk factor when multivariate analysis was conducted (OR 6.27. 95% CI 1.23–42.81, p = 0.036). Conclusions: This finding illustrates the importance of wearing appropriate personal protective equipment in treatment areas and when conducting any medical procedures, including CPR for patients with SFTS, and any procedure that involves potential exposure to body fluids.
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- 2022
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291. Covid-19 Pandemisinde Sağlık Çalışanları ve Öğretmenlere Yönelik Algının Duygu Analizi ile Twitter Verileri Üzerinden İncelenmesi
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Nurbanu Bursa and Refika İmge Günyaktı
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covid-19 ,duygu analizi ,metin madenciliği ,öğretmen ,sağlık çalışanı ,twitter ,covid-19, duygu analizi, metin madenciliği, öğretmen, sağlık çalışanı, twitter ,sentiment analysis ,text mining ,teacher ,healthcare worker ,Journalism. The periodical press, etc. ,PN4699-5650 - Abstract
Pandemi süresince en çok konuşulan ve göz önünde bulunan meslek gruplarından öğretmenlere ve sağlık çalışanlarına yönelik medyadaki eleştirilerden hareketle, bu zorlu dönemde toplumun bakış açısının adı geçen meslek mensupları için nasıl bir yönelim sergilediğini görmek amacıyla bu çalışma gerçekleştirilmiştir. Kişilerin duygu yönelimleri, anketlere kıyasla daha özgür bir görüş bildirme imkanı sunan popüler sosyal medya sitelerinden Twitter’ın verileri kullanılarak incelenmiştir. Çalışmada, toplumun sağlık çalışanları ve öğretmenlere duyduğu duygunun yönü, metin madenciliği yöntemlerinden biri olan duygu analizi ile belirlenmeye çalışılmıştır. Duygu analizi ile insanların belirli varlıklar hakkındaki olumlu ya da olumsuz görüşleri, değerlendirmeleri ve tutumları ortaya çıkarılmaktadır. Çalışma kapsamında Twitter kullanıcılarının paylaştıkları tweet verileri kullanılmıştır. Twitter API aracılığı ile “#sağlıkçalışanları” ve “#öğretmenler” etiketlerini içeren Türkçe tweetler, pandeminin başladığı ve bir sonraki yıl okulların kapandığı 11 Mart 2020-2 Temmuz 2021 tarih aralığı için sorgulanarak elde edilmiştir. Göz önünde bulundurulan tarih aralığı için “sağlıkçalışanları” etiketini içeren 10324 farklı kullanıcının paylaştığı 15368 tweet ile “öğretmenler” etiketini içeren 1685 farklı kullanıcının paylaştığı 2956 tweet analizlerde kullanılmıştır. Verinin ön işleme aşaması tamamlandıktan sonra cümle düzeyli duygu analizi, sözlük-tabanlı yaklaşım ile gerçekleştirilmiştir. Analizler sonucunda Twitter kullanıcılarının öğretmenler için paylaştıkları tweetlerin %70’inin pozitif, sağlık çalışanları için paylaştıkları tweetlerin de %61’inin pozitif duygu içerdiği görülmüştür. Bu bağlamda, pandemi döneminde, sağlık çalışanı ve doktorlara yönelik toplumdaki baskın duygunun, medyada ön plana çıkarılmaya çalışılan negatif duyguların aksine pozitif duygular olduğu sonucuna ulaşılmıştır.
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- 2022
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292. Compassion fatigue in a health care worker treating COVID-19 patients: a case report
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Tomoe Nishihara, Ayako Ohashi, Yuko Nakashima, Takafumi Yamashita, Kazutoshi Hiyama, and Mika Kuroiwa
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COVID-19 ,Healthcare worker ,Mental health ,Compassion fatigue ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Abstract Background Doctors treating COVID-19 are under extreme stress. It was reported that healthcare workers providing palliative care could present elevated levels of compassion fatigue. We herein report a case if the attending doctor of severe COVID-19 cases who felt extreme psychological difficulty and suffered from compassion fatigue. Case presentation A 29-year-old female doctor presented with anxiety and insomnia. Her stress from overwork was exacerbated during the treatment of two related COVID-19 patients, a 47-year-old man with COVID-19 and his 76-year-old mother, who suffered acute stress disorder after the death of her son. The mother first refused treatment, but with psychiatric intervention she was able to recover and be discharged. In the course of these cases of COVID-19, their attending physician felt psychological distress and presented with insomnia and anticipatory anxiety due to the poor prognosis of the mother. After being presented with a systematic approach to improve her work situation by the hospital executive staff and undergoing psychotherapy for compassion fatigue, she recovered and was able to return to work. Conclusions We report a physician in charge of severe cases of COVID-19, who suffered an adverse impact on her mental health. Excessively empathic engagement in the care of patients who do not survive and their relatives provides high risk for compassion fatigue. The stress-related distress of HCWs should be more widely recognized in order to improve support systems for them.
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- 2022
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293. Evaluation of the Legal Regulation on Prevention Against Violence in Health, Dated April 2020
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S. Yazgülü Taştemir, Arda Akay, Işılay Balcı, and A. Coşkun Yorulmaz
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violence ,healthcare worker ,legal regulation ,Medicine (General) ,R5-920 - Abstract
Violence has been accepted as an important public health problem by the World Health Organization (WHO) as of 2002. As in every discipline, the concept of violence has been defined in different ways in studies dealing with violence against healthcare workers. According to the WHO, violence is defined as “the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.” As in the rest of the world, there are incidents of violence against healthcare workers in our country and researches and arrangements are made on this subject both in academic level and in terms of social policies. In this study, the regulation that came into force on 17.04.2020 for the prevention of violence against healthcare workers in our country will be examined.
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- 2022
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294. Social and Economic Impacts of COVID-19 Among Health Professionals in Vietnam: Status and Associations with Quality of Life and Sleep Quality
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Doan, Linh Phuong, Boyer, Laurent, Auquier, Pascal, Fond, Guillaume, Tran, Bach, Latkin, Carl A., Nguyen, Hien Thu, Van Ngo, Toan, Ho, Roger C. M., Ho, Cyrus S. H., and Zhang, Melvyn W. B.
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- 2023
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295. Comparison of the standardized incidence ratio of tuberculosis among workers at medical and educational institutions: a nationwide LTBI observational cohort study.
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Lee, Yun-Hee, Kim, Ju Sang, Park, Young-Joon, Kim, Gahee, Kim, Yujin, Park, Gyuri, Kim, Hyung Woo, and Myong, Jun-Pyo
- Abstract
The objective of this study was to determine the incidence of tuberculosis (TB) among workers at medical institutions based on interferon-gamma release assay (IGRA) and compare it with that of workers at educational institutions and the general population. From March 2017 to December 2020, we used a cohort of workers from medical and educational institutions in Korea, who underwent IGRA as part of a national screening program for latent tuberculosis infection (LTBI). After connecting to the National Health Insurance Service (NHIS) database to detect for any actual cases of active TB, we estimated standardized incidence ratio (SIR) and the expected number of cases to compare the incidence of TB with that of the general population. Significant disparities in TB incidence were revealed among workers in medical and educational institutions, based on IGRA results, age, and occupation. Individuals positive for IGRA in medical institutions displayed substantially higher SIR for TB, 7.19 (6.15–8.41), compared to counterparts in educational institutions, 3.69 (3.02–4.51). Comparing by age group, we see that the SIRs are higher in younger age groups compared to older ones, with 37.30 (28.11–49.50) and 11.89 (7.28–19.41) for IGRA-positive medical and education workers under 30 years of age, respectively. In the results by occupation within the medical institutions, nurses had the highest SIR at 14.17 (11.14–18.04). Healthcare workers in medical institutions are more likely to develop actual TB after a positive result of LTBI screening in Korea. Intensive management and surveillance programs should be reinforced. [ABSTRACT FROM AUTHOR]
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- 2024
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296. Protection of vaccine boosters and prior infection against mild/asymptomatic and moderate COVID-19 infection in the UK SIREN healthcare worker cohort: October 2023 to March 2024.
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Kirwan, Peter D., Foulkes, Sarah, Munro, Katie, Sparkes, Dominic, Singh, Jasleen, Henry, Amanda, Dunne, Angela, Timeyin, Jean, Russell, Sophie, Khawam, Jameel, Blick, Debbie, Otter, Ashley D., Hettiarachchi, Nipunadi, Cairns, Michelle D., Jackson, Christopher H., Seaman, Shaun, Brown, Colin S., Atti, Ana, Islam, Jasmin, and Charlett, Andre
- Abstract
Bivalent original/BA.4–5 and monovalent XBB.1.5 mRNA boosters were offered to UK healthcare workers (HCWs) in the autumn of 2023. We aimed to estimate booster vaccine effectiveness (VE) and post-infection immunity among the SIREN HCW cohort over the subsequent 6-month period of XBB.1.5 and JN.1 variant circulation. Between October 2023 to March 2024, 2867 SIREN study participants tested fortnightly for SARS-CoV-2 and completed symptoms questionnaires. We used multi-state models, adjusted for vaccination, prior infection, and demographic covariates, to estimate protection against mild/asymptomatic and moderate SARS-CoV-2 infection. Half of the participants (1422) received a booster during October 2023 (280 bivalent, 1142 monovalent), and 536 (19%) had a PCR-confirmed infection over the study period. Bivalent booster VE was 15.1% (−55.4 to 53.6%) at 0–2 months and 4.2% (−46.4 to 37.3%) at 2–4 months post-vaccination. Monovalent booster VE was 44.2% (95% CI 21.7 to 60.3%) at 0–2 months, and 24.1% (−0.7 to 42.9%) at 2–4 months. VE was greater against moderate infection than against mild/asymptomatic infection, but neither booster showed evidence of protection after 4 months. Controlling for vaccination, compared to an infection >2 years prior, infection within the past 6 months was associated with 58.6% (30.3 to 75.4%) increased protection against moderate infection and 38.5% (5.8 to 59.8%) increased protection against mild/asymptomatic infection. Monovalent XBB.1.5 boosters provided short-term protection against SARS-CoV-2 infection, particularly against moderate symptoms. Vaccine formulations that target the circulating variant may be suitable for inclusion in seasonal vaccination campaigns among HCWs. [ABSTRACT FROM AUTHOR]
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- 2024
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297. Survey of Immediate Psychological Distress Levels Among Healthcare Workers in the COVID-19 Epidemic: A Cross-Sectional Study
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Moayed, Malihe Sadat, Vahedian-Azimi, Amir, Mirmomeni, Golshan, Rahimi-Bashar, Farshid, Goharimoghadam, Keivan, Pourhoseingholi, Mohamad Amin, Abbasi-Farajzadeh, Mohsen, Hekmat, Mostafa, Sathyapalan, Thozhukat, Guest, Paul C., Sahebkar, Amirhossein, Crusio, Wim E., Series Editor, Dong, Haidong, Series Editor, Radeke, Heinfried H., Series Editor, Rezaei, Nima, Series Editor, and Guest, Paul C., editor
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- 2021
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298. Seroprevalence of Anti-SARS-CoV-2 IgG Antibody in Healthcare Workers: A Report From Rafsanjan City
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Mahnaz Tashakori, Ahmad Jamalizadeh, Mohsen Nejad-Ghaderi, Maryam Hadavi, Aliakbar Yousefi-Ahmadipour, Fatemeh Mohseni Moghadam, Athareh Soresrafil, and Kazem Mashayekhi
- Subjects
covid-19 ,sars-cov-2 ,igg ,seroprevalence ,healthcare worker ,Medicine - Abstract
Background: Healthcare workers (HCWs) have a high risk of catching SARS-CoV-2 infection. Seroprevalence studies can provide related data on HCWs with a history of infections. Despite numerous seroepidemiological reports of COVID-19 in different groups, there are no such reports for HCWs working in Rafsanjan City, Iran. This study aimed to determine the SARS-CoV-2 seroprevalence among HCWs. Methods: Blood samples were obtained from 295 participants, including healthcare personnel and administrative staff. The SARS-CoV-2 IgG antibody was measured by the ELISA method, and the obtained data were analyzed with the Chi-square test and logistic regression. A P
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- 2022
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299. Gender Gap in Healthcare Worker—Patient Communication during the COVID-19 Pandemic: An Italian Observational Study
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Vitale Elsa
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communication ,gender gap ,healthcare worker ,patient ,Psychology ,BF1-990 - Abstract
The value of the healthcare worker–patient communication has been well demonstrated and validated in several studies evidencing its relation to positive patient health outcomes, including better care response, simpler decision-making, better patient psychological well-being, and, therefore, considerable patient care satisfaction. The present study purposed to assess how patients perceived healthcare worker–patient communication during the COVID-19 pandemic and whether there were any gender-related differences among participants. From March 2020 to April 2020, an online questionnaire was administered to those who declared a patient’s condition in this period. The data considered included data on gender and a Quality of Communication questionnaire (QOC). A total of 120 patients were recruited online. Of these, 52 (43.33%) were females and 68 (56.67%) were males. Significant differences were recorded between females and males in the QOC questionnaire as regards Item no.2 (p = 0.033), Item no.6 (p = 0.007), Item no.11 (p = 0.013), Item no.12 (p = 0.003), Item no.13 (p = 0.002), Item no.15 (p = 0.008), and Item no.16 (p = 0.037), respectively. The potentially different elements between the two sexes considered were assessed in: Component 1: the need to be completely informed about their own health condition, and Component 2: the need to receive authentic and sincere communication from the healthcare worker involved. In light of the present findings, it has emerged that male patients seemed to be more active and positive in effective healthcare worker–patient communication.
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- 2022
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300. Adherence to safety precautions in the operation theatre among anaesthesiologists in the COVID era
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M Karthik Jain, Deepa Baskaran, Sathyanarayan Jagannath, Apoorwa N Kothari, Ramesh Arumugam, and Sumithra Selvam
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covid-19 ,hand washing ,healthcare worker ,personal protective equipment ,qualitative research ,Anesthesiology ,RD78.3-87.3 - Abstract
Background and Aims: The COVID-19 pandemic led to significant infections among healthcare workers and deaths warranting the need for personal protective equipment. This study aimed to estimate the proportion of anaesthesiologists adhering to safety precautions and to evaluate their adherence patterns, difficulties faced and coping mechanisms in the operation theatre during the pandemic. Methods: This was a multicentric mixed methods study conducted among anaesthesiologists from two tertiary care hospitals. A paper-based questionnaire was given to all participants. The first part consisted of 21 questions regarding safety measures and extent of adherence. The second part was a response sheet regarding the various difficulties faced and coping mechanisms adopted. Following this, an in-depth interview was conducted to understand the same. The proportion of anaesthesiologists in different categories of adherence, patterns of adherence, difficulties faced, and coping mechanisms were computed and compared. Thematic framework analysis was done for in-depth interview. Results: Sixty participants were included. The adherence levels for N95 masks and face shields were higher. Most participants practised frequent handwashing and took showers after work. Fogging, difficulty in communication, marks on the face were the commonly faced difficulties. Self reassurance, adjusting the fit of masks/face shields, or taking breaks were the coping mechanisms mostly followed. Themes generated from in-depth interview include waning of caution, adaptation through innovative methods and stress due to uncertainty. Conclusion: The N95 mask was the most preferred safety precaution. Ease of use and safety were important considerations for adherence. Physical and mental acclimatisation and improved knowledge of disease played a vital role.
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- 2022
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