scholarly journals Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak perceptions of risk and stress evaluation in nurses

2016 ◽  
Vol 10 (08) ◽  
pp. 845-850 ◽  
Author(s):  
Elham Essa Bukhari ◽  
Mohamad Hani Temsah ◽  
Ayman A Aleyadhy ◽  
Abdulkareem A Alrabiaa ◽  
Ali An Alhboob ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Middle East ◽  
Infection Control ◽  
Middle East Respiratory Syndrome ◽  
Emergency Rooms ◽  
Stress Evaluation ◽  
Perceptions Of Risk ◽  
Significant Difference

Introduction: Saudi Arabia was affected by an outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV). We aimed to determine the perception of risk and level of stress among nurses. Methodology: A questionnaire survey was administered to determine the perceptions of risk of MERS-CoV infection. Results: The majority of the participants were females (332; 86.0%), and there were 54 (14.0%) males. Of the 386 respondents, nurses constituted the majority of the respondents (293; 75.9%), and there were 34 doctors (8.8%). The percentage of exposure was found to be greater in those who were working in the intensive care unit (ICU) (89; 23%). There was a significant difference in the worry and fear scale of contracting the MERS-CoV infection between participants who worked in isolation areas, ICUs, and emergency rooms (mean: 3.01 ± 1.1) compared to participants who worked in areas that are less likely to admit and have MERS-CoV suspected or positive cases (mean: 2.77 ± 1.1; p = 0.031. Females were significantly more worried and fearful of contracting the virus compared to males (mean: 2.92 ± 1.1 versus 2.61 ± 1.0, respectively; p = 0.045). Conclusions: MERS-CoV caused a relatively significant level of distress among nurses. There was a difference in the worry and fear scale of contracting the MERS-CoV infection between participants who worked in areas likely to admit and have MERS-CoV suspected or positive cases. After the campaign, the level of confidence got higher and the participants were more adherent to the infection control precautions.

scholarly journals Characteristics and Outcomes of Middle East Respiratory Syndrome Coronavirus Patients Admitted to an Intensive Care Unit in Jeddah, Saudi Arabia

2015 ◽  
Vol 31 (5) ◽  
pp. 344-348 ◽  
Author(s):  
Fahad Al-Hameed ◽  
Ali S. Wahla ◽  
Shakeel Siddiqui ◽  
Alaa Ghabashi ◽  
Majid Al-Shomrani ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Middle East ◽  
Middle East Respiratory Syndrome

scholarly journals The Experience of Korean Nurses During the Middle East Respiratory Syndrome Outbreak

2017 ◽  
Vol 31 (1) ◽  
pp. 72-76 ◽  
Author(s):  
Sook-Bin Im ◽  
Steven L. Baumann ◽  
Mina Ahn ◽  
Hyunok Kim ◽  
Bock-Hui Youn ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Middle East ◽  
Middle East Respiratory Syndrome ◽  
South Korean

The authors in this article explore the experiences of eight South Korean nurses during an outbreak of the Middle East Respiratory Syndrome (MERS), which took place in the fall of 2015. These nurses were mandated to remain in isolation in an intensive care unit (ICU) dedicated to the treatment of the patients with the MERS virus for 7 days. Parse’s humanbecoming theory was used to frame the discussion. Three themes found in the nurse’s stories are discussed: feeling hopeless and cut off, feeling shame and overworked, and feeling pride in fulfilling a duty. The nurses discuss how they overcame the difficulties of their situation, which ultimately reinforced their identities as nurses.

scholarly journals Presentation and outcome of Middle East respiratory syndrome in Saudi intensive care unit patients

Critical Care ◽  
2016 ◽  
Vol 20 (1) ◽  
Author(s):  
Ghaleb A. Almekhlafi ◽  
Mohammed M. Albarrak ◽  
Yasser Mandourah ◽  
Sahar Hassan ◽  
Abid Alwan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Middle East ◽  
Middle East Respiratory Syndrome

scholarly journals Knowledge, Attitude and Practice (KAP) Study about Middle East Respiratory Syndrome Coronavirus (MERS-CoV) among Population in Saudi Arabia

10.3823/2524 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Nouf ALdowyan ◽  
Amira Saber Abdallah ◽  
Rehab El-Gharabawy
Keyword(s):  
Social Media ◽  
Saudi Arabia ◽  
Middle East ◽  
Middle East Respiratory Syndrome ◽  
Cross Sectional Survey ◽  
Attitude And Practice ◽  
Significant Difference ◽  
Camel's Milk ◽  
Level Of Knowledge ◽  
Knowledge Attitude And Practice

Objectives: Middle East respiratory syndrome Coronavirus (MERS-CoV) is an epidemic in Saudi Arabia. This study aimed to measure the level of knowledge, attitude and practice about Coronavirus, to correlate the sociodemographic characteristics to the level of knowledge, attitude and practice about Coronavirus, and to explore awareness and health behaviors related to the prevention of Coronavirus. Method: A national adaptive cross-sectional survey conducted on 714 Saudi Arabian population aged from twenty to above sixty years old in period from March to April 2017. A standardized, confidential, Internet questionnaire used for a large randomly selected population in all regions of Saudi Arabia. Results: Out of 714 participants, women demonstrated a greater level of knowledge of MERS-CoV risk and prevention than men. Social media was the main source for providing information about MERS-CoV with (9.7%) excellent, (72.4%) fair and (17.9%) poor knowledge. Most participants had a good attitude toward privation of camel’s milk and meat if they are source of transmission of MERS-CoV. However, females had better attitude toward the privation of camel’s milk and meat (81.6%, p ≤ 0.001) than males (66.7%). Regarding safety precautions, the data suggested that males were significantly less than females in taking safety precautions and prevention by 0.563 time (OR: 0.563 (0.341-0.94), p≤ 0.05). Conclusion: Generally, participants have a high level of knowledge, positive attitude, and prevention practice toward MERS-CoV. Furthermore, there was no significant difference in knowledge level in different regions in Saudi Arabia. The females have better attitude toward MERS-CoV than males. The present study highlights the need to create wide-spread awareness about MERS-CoV infection among individuals who do not have access to the internet and social media through posters, television, and dissemination of information by healthcare professionals.

scholarly journals Effect of coronavirus infection on the human heart: A scoping review

2020 ◽  
Vol 27 (11) ◽  
pp. 1136-1148 ◽  
Author(s):  
Jamie SY Ho ◽  
Paul A Tambyah ◽  
Andrew FW Ho ◽  
Mark YY Chan ◽  
Ching-Hui Sia
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cardiovascular Diseases ◽  
Middle East ◽  
Severe Acute Respiratory Syndrome ◽  
Intensive Care Unit Admission ◽  
Myocardial Injury ◽  
Middle East Respiratory Syndrome ◽  
Coronavirus Infection ◽  
Cardiac Manifestations

Background The global coronavirus disease 2019 pandemic has highlighted the importance of understanding the cardiovascular implications of coronavirus infections, with more severe disease in those with cardiovascular co-morbidities, and resulting cardiac manifestations such as myocardial injury, arrhythmias, and heart failure. Design A systematic review of the current knowledge on the effects of coronavirus infection on the cardiovascular system in humans was performed and results were summarized. Methods Databases such as MEDLINE, EMBASE, CENTRAL, Scopus, Web of Science, ClinicalTrials.gov, Chinese Knowledge Resource Integrated Database and Chinese Clinical Trial Registry were searched on 20 March 2020. Results In total, 135 studies were included, involving severe acute respiratory syndrome, Middle East respiratory syndrome, coronavirus disease 2019 and other coronaviruses. Most were case reports, case series and cohort studies of poor to fair quality. In post-mortem examinations of subjects who died from infection, around half had virus identified in heart tissues in severe acute respiratory syndrome, but none in Middle East respiratory syndrome and coronavirus disease 2019. Cardiac manifestations reported include tachycardia, bradycardia, arrhythmias, and myocardial injury, secondary to both systemic infection and treatment. Cardiac injury and arrhythmias are more prevalent in coronavirus disease 2019, and elevated cardiac markers are associated with intensive care unit admission and death. In severe acute respiratory syndrome, Middle East respiratory syndrome, and coronavirus disease 2019, comorbidities such as hypertension, diabetes mellitus, and heart disease are associated with intensive care unit admission, mechanical ventilation, and mortality. There were cases of misdiagnosis due to overlapping presentations of cardiovascular diseases and coronavirus infections, leading to hospital spread and delayed management of life-threatening conditions. Conclusion This review highlighted the ways in which coronaviruses affect cardiovascular function and interacts with pre-existing cardiovascular diseases.

scholarly journals Knowledge, Attitude and Practices of Standard Precaution among Nurses in Middle-East Hospital

2019 ◽  
Vol 1 (4) ◽  
pp. 189-198 ◽  
Author(s):  
Noorasyikin Mohd-Nor ◽  
Yee Bit-Lian
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Middle East ◽  
Infection Control ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Standard Precaution ◽  
Level Of Knowledge ◽  
High Level

Introduction: Staff nurses are exposed to many blood and other fluids in the course of their day to day activities in Intensive Care Unit. Purpose of this survey is to assess the level of knowledge, attitudes and practices of standard precaution among nurses in Intensive Care unit, in Middle East Hospital. Method: This was a cross-sectional study and undertaken among nurses by self-administered and anonymous questionnaire that randomly selected in Intensive Care Unit, Middle East Hospital. Results: Female nurses accounted for majority of the respondents which covered 66.7% (n = 44) while male nurses make up around 33.3% (n = 22) of the nursing workforce in the study. 53% (n = 35) of the respondents reported not having any basic exposure or training in infection control practices, while the other 47% (n = 31) respondents received their training or basic exposure in infection control practices. Majority of the participants had high level of knowledge. Conclusion: In accordance to the self-reported questionnaires, 77% (n = 51) of the respondents practice good practices of standard precaution. The knowledge, attitude and compliance among ICU nurses in the middle-east hospital towards standard precaution was adequate.  

scholarly journals Safety and efficacy of routine diagnostic test reduction interventions in patients admitted to the intensive care unit: A systematic review and meta-analysis

2021 ◽  
Vol 49 (1) ◽  
pp. 23-34
Author(s):  
Katherine P Hooper ◽  
Matthew H Anstey ◽  
Edward Litton
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Meta Analysis ◽  
Diagnostic Testing ◽  
Intervention Group ◽  
Cochrane Central Register ◽  
Safety And Efficacy ◽  
Significant Difference

Reducing unnecessary routine diagnostic testing has been identified as a strategy to curb wasteful healthcare. However, the safety and efficacy of targeted diagnostic testing strategies are uncertain. The aim of this study was to systematically review interventions designed to reduce pathology and chest radiograph testing in patients admitted to the intensive care unit (ICU). A predetermined protocol and search strategy included OVID MEDLINE, OVID EMBASE and the Cochrane Central Register of Controlled Trials from inception until 20 November 2019. Eligible publications included interventional studies of patients admitted to an ICU. There were no language restrictions. The primary outcomes were in-hospital mortality and test reduction. Key secondary outcomes included ICU mortality, length of stay, costs and adverse events. This systematic review analysed 26 studies (with more than 44,00 patients) reporting an intervention to reduce one or more diagnostic tests. No studies were at low risk of bias. In-hospital mortality, reported in seven studies, was not significantly different in the post-implementation group (829 of 9815 patients, 8.4%) compared with the pre-intervention group (1007 of 9848 patients, 10.2%), (relative risk 0.89, 95% confidence intervals 0.79 to 1.01, P = 0.06, I2 39%). Of the 18 studies reporting a difference in testing rates, all reported a decrease associated with targeted testing (range 6%–72%), with 14 (82%) studies reporting >20% reduction in one or more tests. Studies of ICU targeted test interventions are generally of low quality. The majority report substantial decreases in testing without evidence of a significant difference in hospital mortality.

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