scholarly journals Are healthcare workers ready for Ebola? An assessment of their knowledge and attitude in a referral hospital in South India

2016 ◽  
Vol 10 (07) ◽  
pp. 747-754 ◽  
Author(s):  
Akram Ahmad ◽  
Muhammad Umair Khan ◽  
Shazia Qasim Jamshed ◽  
Bandari Deepak Kumar ◽  
Gogikar Sudhir Kumar ◽  
...  

Introduction: The World Health Organization (WHO) declared the Ebola virus disease (EVD) epidemic to be a public health emergency of international concern. Healthcare workers (HCWs) are at the highest risk of infection, as they may come into contact with patients’ blood or fluids. This study was conducted to assess knowledge and attitudes of HCWs towards EVD in India. Methodology: A descriptive, cross-sectional study was conducted in a multispecialty public sector referral hospital of Telangana, India. Knowledge and attitude of HCWs were evaluated using a pre-validated questionnaire. A sample of 278 participants was selected to participate in this study. The Chi-squared test was used to assess the relationship between attitudes and demographic characteristics. Logistic regression was used examine the association between knowledge and study variables. Results: Of 257 participants who responded (92.4% response rate), 157 (61.1%) were females. The majority of the respondents were physicians (n = 117, 45.5%). Radio and television were the major sources of information about EVD reported by participants (89%). Overall knowledge of HCWs was poor (mean knowledge score: 6.57 ± 2.57). Knowledge of physicians and experienced workers (≥ 10 years) was significantly higher than their respective groups. The overall attitude of the participants was positive (mean attitude score: 1.62 ± 0.57). Significant positive correlations between knowledge and attitude were observed. Conclusions: The findings indicate that participants lack basic understanding of EVD. We recommend future studies be conducted across India to identify and subsequently bridge the knowledge gaps among HCWs.

2015 ◽  
Vol 9 (12) ◽  
pp. 1298-1307 ◽  
Author(s):  
Folorunso Oludayo Fasina ◽  
Olubukola T. Adenubi ◽  
Samuel T. Ogundare ◽  
Aminu Shittu ◽  
Dauda G. Bwala ◽  
...  

Introduction: Since the first case of Ebola virus disease (EVD) in Guinea in 2013, major outbreaks have been reported in West Africa. Methodology: Cases and fatalities of EVD caused by Zaire Ebola virus (ZEBOV) were evaluated, and the risks of dying in the general population and in healthcare workers were assessed. Results: The case fatality rate estimated for EVD was 76.4% in 20 studies. Cumulative proportion of fatal cases in West Africa was 42.9%, 30.1%, and 64.2% in Liberia, Sierra Leone, and Guinea, respectively. The proportion of total deaths in Liberia, Sierra Leone, and Guinea was 42.5%, 35.8%, and 21.6%, respectively. Healthcare workers were at higher risk of dying compared with the general public, and the same applied to intense transmission countries and to countries with sufficient bed capacities. The declaration of a health emergency “out-of-control” situation by the World Health Organization on 8 August 2014 reduced the risk of death among patients. Factors including deplorable healthcare delivery infrastructure in war-ravaged regions of Africa, the impotence of governments to enforce public health regulations, and the loss of confidence in public healthcare delivery programs were key among others factors that enhanced the spread and magnitude of outbreaks. Conclusions: The findings underscore the need for an overall re-appraisal of the healthcare systems in African countries and the ability to cope with widespread epidemic challenges. Outbreaks like that of Ebola diseases should be handled not just as a medical emergency but also a socio-economic problem with significant negative economic impacts.


Author(s):  
Anureet Malhotra ◽  
Ishaan Siwach ◽  
Geeta Yadav

Background: COVID cases in India have surpassed the 50,000 mark as per data available on 7th May with more than 1783 reported deaths. Measures have been deployed by competent authorities to optimally educate healthcare workers (HCWs) in various aspects of this novel disease. Along with an assessment of the prevailing knowledge regarding COVID among HCWs, our study aimed to gather insight into the resources used and efforts made to keep up with the latest developments taking place during the pandemic.Methods: A cross sectional web-based study was conducted in April 2020 using a self-prepared 38 item questionnaire which was distributed to HCWs. Appropriate statistical tools were used for data analysis with p-value < 0.05 being considered as significant.Results: 275 HCWs completed the survey with a response rate of 40.1% with a majority of respondents being doctors (56.6%) and medical students (34.9%). Respondents showed suboptimal knowledge about clinical features, prevention, treatment, and complications of COVID-19. Mean % correct responses were 52.89% (SD+9.83%). Information seeking efforts made by respondents significantly correlated with their knowledge(p=0.043). Official government websites were the most used resource (37.8%). HCWs who had received formal training/guidelines from their institutions had higher knowledge (p=0.003).Conclusions: It is of utmost significance to identify and bridge critical gaps in knowledge by using authentic sources of information to improve understanding of this novel disease to ensure better patient outcomes.


Author(s):  
Chandrashekhar Mahato ◽  
Sunilkumar Suryavanshi

Background: The world health organization (WHO) declared COVID-19 a worldwide pandemic on 11th March 2020. As this is a novel illness, thus knowledge, attitude, and practice (KAP) related to the pandemic is a new area of research. KAP in a non-COVID facility, such as a psychiatric institution is rare.Methods: Cross-sectional survey with purposive sampling, conducted at central institute of psychiatry, Ranchi, India. A sample of 235 healthcare workers consisting of nurses, wards attendants, and housekeeping staff took part in the study. Participants completed a 36-item questionnaire assessing their KAP related to COVID-19.Results: 79.42% of healthcare workers in this study had adequate knowledge of COVID-19 symptomatology, transmission, management, and preventive measures. 89.79% were confident that India would win the battle against COVID-19. 35.32% fear to work in a hospital, but on the other hand, 80.85% of healthcare staff considered coming to work as part of their duty. Good practices like wearing a mask before leaving home and practicing proper cough hygiene were observed. The significant difference found in KAP among the three groups. Spearman’s correlation was significant between age, level of education of the participants with the KAP.Conclusions: The study suggests increased attention is required towards the training of the healthcare workers to enhance their knowledge and attitude so that the practices can be improved.


2020 ◽  
Vol 18 (3) ◽  
pp. 466-471
Author(s):  
Janaki Parajuli ◽  
Pradip Mishra ◽  
Seema Sharma ◽  
Krishna Bahadur Bohora ◽  
Pratiksha Singh Rathour ◽  
...  

Background: Health care workers are at greater risk of infection during COVID 19 pandemic.  This study was carried out to assess the knowledge and attitude toward COVID-19 among healthcare workers at working at Seti Zonal Hospital. Methods: A cross-sectional study was performed between April and May 2020 at Seti Zonal Hospital with purposive sampling technique and self-administered questionnaire of the knowledge and attitude of healthcare workers regarding COVID-19. The demographic characteristics mean knowledge and attitude score of healthcare workers were identified and inferential statistics t-test, ANOVA and Spearman’s correlation were used to show the relationship between variables. Results: A total of 230 healthcare workers (92% response rate) had a mean score of knowledge and attitude of 8±0.88 and 7.88±1.32, respectively with good knowledge and a low positive attitude. Majority (94.7%) were familiar with the sign and symptoms, agreed that chronic diseases patients and HCWs are at a higher risk (97%) and (87.8%) respectively while knowledge related to COVID 19 vaccination, isolation period and treatment by antibiotics was poor with low positive attitude towards information availability about COVID 19 (41%), government ability to control the epidemic (49%), and the family members might get infection (60%). There was a positive correlation between knowledge scores and attitude scores (r=0.28, p<0.0001). Conclusions: We identified a significant gap in information source, sufficient knowledge and low positive attitude about COVID 19 among health care workers. Greater educational efforts about prevention should be directed to different level of health workers. Keywords: Attitude; COVID-19; health care worker; knowledge.


Author(s):  
Hassan Rezaeipandari ◽  
Vali Bahrevar ◽  
Alireza Babaei Mazreno ◽  
Zohreh Rahaei ◽  
Saeedeh Zare Jamalabadi ◽  
...  

Introduction: Ebola is a viral infection with a high mortality risk and health workers are considered as an at-risk group. The main aim of this study was to determine the knowledge and attitude of health workers about Ebola virus disease (EVD) in Yazd city, Iran. Methods: This cross-sectional study was carried out on 110 health workers in health centres of Yazd city, Iran in 2015, who were selected by cluster random sampling method. The tool for data collection was a researcher-made questionnaire including demographic information as well as knowledge and attitude questions about EVD with confirmed validity and reliability. Data were analysed by statistical tests of Student’s T-test, Chi-square, ANOVA, and Pearson correlation coefficient. Results: The mean score of the participants' knowledge and attitude were 25.16± 3.58 (range 0-46) and 46.59±4.05 (range 13-65), respectively. More than half of the health workers did not know transmission routes of EVD. However, 59.6% of them were aware that the one way to prevent the disease was to avoid contact with an infected person. A significant correlation was also found between knowledge and attitude scores (P< 0.001, r= 0.384). Conclusion: Since knowledge of the health workers was at the moderate level, training courses and interventional programs are recommended for health care workers especially about transmission routes and signs of EVD to increase the Knowledge and attitude of the participants


2021 ◽  
Vol 3 (3) ◽  
pp. 122-127
Author(s):  
Omobolanle E. Idowu ◽  
Adegoke O. Adefolalu ◽  
Dayanithee Chetty

Background: Preparedness is key in terms of the healthcare system capacity to react appropriately to an outbreak of any infectious disease in epidemic proportion. Following the Ebola viral disease outbreak that started in West Africa around 2014, which subsequently spread to the DR Congo, with high mortality rates largely attributed to unpreparedness among the healthcare workers, the need for getting all stakeholders involved in healthcare services to be prepared for possible disease outbreaks can never be overemphasized and has since been recognized in many countries including South Africa. This study was conducted to describe the knowledge, attitude and preparedness of healthcare workers towards a possible outbreak of Ebola viral disease at a large private health institution in Pretoria. Method: We conducted a cross-sectional study using self-administered questionnaires among a conveniently sampled 150 healthcare workers at a large private hospital. A total of 133 valid questionnaires were collected (response rate = 89%).  The data was analyzed with SPSS and results presented using percentages, proportions, and frequency tables. Results: The finding revealed more female (93%) than male, modal age-group was 31-40yr (37%), and most were African (89%). The perceived lack clinical experts who could manage EVD and the fear of contracting the disease were the main concerns of these health professionals. Majority of the participants demonstrated only basic knowledge of EVD but acknowledged the readiness of the nation’s health system to deal with any outbreaks. Conclusion: The participants’ insufficient understanding of some aspects of the EVD showed the gaps in their knowledge and the apparent unpreparedness for possible Ebola outbreaks. Therefore, there is need for further education and training among the healthcare workers about how EVD is transmitted and the appropriate measures of disease control and prevention applicable to Ebola virus disease.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Deepa Maheswari Narasimhulu ◽  
Vernee Edwards ◽  
Cynthia Chazotte ◽  
Devika Bhatt ◽  
Jeremy Weedon ◽  
...  

Abstract Background.  We assessed healthcare workers' (HCWs) attitudes toward care of patients with Ebola virus disease (EVD). Methods.  We provided a self-administered questionnaire-based cross-sectional study of HCWs at 2 urban hospitals. Results.  Of 428 HCWs surveyed, 25.1% believed it was ethical to refuse care to patients with EVD; 25.9% were unwilling to provide care to them. In a multivariate analysis, female gender (32.9% vs 11.9%; odds ratio [OR], 3.2; 95% confidence interval [CI], 1.4–7.7), nursing profession (43.6% vs 12.8%; OR, 2.7; 95% CI, 1.4–5.2), ethical beliefs about refusing care to patients with EVD (39.1% vs 21.3%; OR, 3.71; 95% CI, 2.0–7.0), and increased concern about putting family, friends, and coworkers at risk (28.2% vs 0%; P = .003; OR, 11.1) were independent predictors of unwillingness to care for patients with EVD. Although beliefs about the ethics of refusing care were independently associated with willingness to care for patients with EVD, 21.3% of those who thought it was unethical to refuse care would be unwilling to care for patients with EVD. Healthcare workers in our study had concerns about potentially exposing their families and friends to EVD (90%), which was out of proportion to their degree of concern for personal risk (16.8%). Conclusion.  Healthcare workers' willingness to care for patients with Ebola patients did not precisely mirror their beliefs about the ethics of refusing to provide care, although they were strongly influenced by those beliefs. Healthcare workers may be balancing ethical beliefs about patient care with beliefs about risks entailed in rendering care and consequent risks to their families. Providing a safe work environment and measures to reduce risks to family, perhaps by arranging child care or providing temporary quarters, may help alleviate HCW's concerns.


2015 ◽  
Vol 39 (6) ◽  
Author(s):  
Florian H. Seeger ◽  
Sabine Wicker ◽  
Holger F. Rabenau ◽  
Timo Wolf ◽  
René Gottschalk

AbstractHundreds of West African healthcare workers (HCW) have become ill with Ebola virus disease (EVD) and died during the recent outbreak. The occurrence of occupational infections in laboratories could be due to the lack of use of personal protective equipment, the failure to implement specific regulations about the use of equipment and how to work with hazardous materials. Our study attempted to assess the information as well as training level of HCW of a German high level isolation unit and their concern over an occupationally acquired EVD.During the recent Ebola virus outbreak a survey was conducted among HCWs, using an anonymous questionnaire.Although 70% of our total study population stated that they have all the information needed to care for Ebola patients, only 18.2% of laboratory workers and 29.4% of the HCW of the virology department felt sufficiently trained. The HCW rated the Internet (64.3%) and the daily press (54.3%) as the most important sources of information. Medical literature (45.7%) and official institutions (40.4%) were rated less often.Formulated pointedly, the HCW turned to popular science to get the information they need to feel safe. Further in house training regarding practical skills and reference to scientific literature would be a better solution to ensure workplace safety.


Author(s):  
Cam Le ◽  
Erik Lehman ◽  
Thanh Nguyen ◽  
Timothy Craig

Lack of proper hand hygiene among healthcare workers has been identified as a core facilitator of hospital-acquired infections. Although the concept of hand hygiene quality assurance was introduced to Vietnam relatively recently, it has now become a national focus in an effort to improve the quality of care. Nonetheless, barriers such as resources, lack of education, and cultural norms may be limiting factors for this concept to be properly practiced. Our study aimed to assess the knowledge and attitude of healthcare workers toward hand hygiene and to identify barriers to compliance, as per the World Health Organization’s guidelines, through surveys at a large medical center in Vietnam. In addition, we aimed to evaluate the compliance rate across different hospital departments and the roles of healthcare workers through direct observation. Results showed that, in general, healthcare workers had good knowledge of hand hygiene guidelines, but not all believed in receiving reminders from patients. The barriers to compliance were identified as: limited resources, patient overcrowding, shortage of staff, allergic reactions to hand sanitizers, and lack of awareness. The overall compliance was 31%; physicians had the lowest rate of compliance at 15%, while nurses had the highest rate at 39%; internal medicine had the lowest rate at 16%, while the intensive care unit had the highest rate at 40%. In summary, it appears that addressing cultural attitudes in addition to enforcing repetitive quality assurance and assessment programs are needed to ensure adherence to safe hand washing.


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