scholarly journals A Differential Item Functioning (DIF) Study of the Infection Control Standard Isolation Precaution Instrument Across Gender and Major Among Healthcare Workers

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Amin Mousavi ◽  
Mohsen Momeni ◽  
Mina Danaei ◽  
Mehrdad Askarian
Keyword(s):  
Medical Students ◽  
Infection Control ◽  
Differential Item Functioning ◽  
Healthcare Workers ◽  
Cross Sectional Survey ◽  
Isolation Precaution ◽  
Attitudes And Practices ◽  
Item Functioning ◽  
Study Results ◽  
Knowledge And Practice

Background: Measuring healthcare workers’ (HCWs) knowledge, attitudes, and practices (KAPs) regarding isolation precaution is essential for infection control which needs a valid and reliable instrument. Objectives: This study aimed to assess differential item functioning (DIF) across gender and major for the knowledge and practice items of the questionnaire, previously designed in Shiraz, Iran. Methods: This cross-sectional survey was conducted on 1070 participants (males/females: 306/764; medical students/nurses: 466/624). The study instrument had three subscales with nine questions for each KAP subscale. The Mantel-Haenszel (MH) statistic was used. The DIF and differential test functioning (DTF) analyses were also performed in this study. Results: There were very similar DIF outcomes for the knowledge and practice subscales, with one or two items indicating moderate DIF but comparable total scores across genders. Across majors, several items showed large DIF for both subscales. It was found that large DTF affects major for both subscales. Conclusions: Our findings indicated large DIF and DTF levels of the questionnaire among medical students and nursing groups. More attention should be paid when developing the items. This study shows the importance of paying attention to valid evidence for instruments developed within the field of healthcare.

scholarly journals P87 Paradigms about the COVID-19 pandemic: knowledge, attitudes and practices from medical students

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Eddy Lincango-Naranjo ◽  
Paola Solis-Pazmino ◽  
Eddy Lincango-Naranjo
Keyword(s):  
Medical Students ◽  
Healthcare Workers ◽  
Online Survey ◽  
National Curriculum ◽  
Negative Attitude ◽  
Front Line ◽  
Macroeconomic Factors ◽  
Attitudes And Practices ◽  
And Behavior ◽  
Knowledge Attitudes And Practices

Abstract Introduction As new coronavirus has spread globally, economic instability in healthcare systems has been significant. This reality is especially accentuated in Ecuador where, the shortage of healthcare workers combined with cultural and macroeconomic factors have led it to face the most aggressive outbreak in Latin America. In this context, the participation of medical students on the front line is indispensable. Appropriate training on COVID-19 is an urgent need that universities and health systems must guarantee. We aimed to describe the knowledge, attitudes and practices in Ecuadorian final year medical students in order to identify the knowledge gaps, perceptions and behavior patterns which could guide the desig3n of better medical education curricula regarding COVID-19. Methods This descriptive 33-item online survey conducted between April 6 to April 20 sent by email and by Facebook and WhatsApp. Results 309 students responded to the survey. 88% scored high (≥ 70% correct) for knowledge of the disease. The majority of students were pessimistic about possible government actions, which is reflected in the negative attitude towards the control of COVID19 in Ecuador and volunteering during the outbreak (77%, and 58% of the students, respectively). Moreover, 91% of students said they did not have adequate protective equipment or training in their health facilities. Conclusions Ecuador has a capable upcoming workforce that could benefit from an opportunity to strengthen, improve and advance their training in preparation for COVID-19. Creating a national curriculum may be one of the most effective ways for all students to be trained, while simultaneously focusing on the students’ most pressing concerns.

scholarly journals Citywide preparedness for a pandemic: A crosssectional survey of knowledge, attitudes, and practices about respiratory infection prevention in Bogotá, Colombia

Biomédica ◽  
2020 ◽  
Vol 40 (Supl. 2) ◽  
pp. 159-165
Author(s):  
Jorge Alberto Cortés ◽  
Pilar Espitia ◽  
Yuliet Liliana Rosero-Lasso
Keyword(s):  
Infection Control ◽  
Healthcare Workers ◽  
Respiratory Infections ◽  
Healthcare Personnel ◽  
Local Health Authority ◽  
Local Health ◽  
Attitudes And Practices ◽  
Adequate Knowledge ◽  
Level Of Knowledge ◽  
Knowledge Attitudes And Practices

Introduction: Healthcare personnel plays an important role in the prevention of acute respiratory infections in hospital settings.Objective: Our aim was to establish the level of knowledge about respiratory virus infections and the attitudes and practices among healthcare workers, leaders of infection control committees in hospitals of Bogotá, Colombia.Materials and methods: We used a self-administered questionnaire of 28 items during the monthly meeting sponsored by the local health authority. “Yes or no” and “true or false” questions were applied to measure knowledge. Attitudes and practices were measured with a Likert-type scale according to the agreement degree.Results: We surveyed 70 healthcare workers. Respondents demonstrated a good level of knowledge as 80% of them answered correctly more than five questions. A total of 54.4% showed a low degree of agreement when asked if their institutions have the policy to stay home when they are sick with respiratory symptoms and 67.1% never or rarely remain at home under such conditions.Conclusion: Healthcare worker leaders of infection control committees in Bogotá’s ospitals have adequate knowledge about the prevention of seasonal respiratory viruses. There is a need for implementing urgent sick leave policies as a measure to prevent the spread of potential coronavirus infections in hospitals.

scholarly journals A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

2020 ◽  
Author(s):  
Yao Wang ◽  
Lily Dongxia Xiao ◽  
Rong Huang
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Professional Education ◽  
Attitude Scale ◽  
Dementia Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
People With Dementia ◽  
Study Results ◽  
Care Approach

Abstract BackgroundDementia care requires inter-disciplinary collaboration starting from formal health professional education. Yet, little is known about how undergraduate medical and nursing students perceive dementia care in China. The aim of this study was to investigate undergraduate medical and nursing students’ dementia knowledge, attitudes and care approach in China.Methods A cross-sectional survey was conducted. Students enrolled in a 5-year Bachelor of Medicine Program and a 4-year Bachelor of Nursing Program from four universities with campuses across Eastern, Western, Southern and Northern China were recruited into the study. Three validated instruments, Alzheimer’s Disease Knowledge Scale (ADKS), Dementia Care Attitude Scale (DCAS) and Approach to Advanced Dementia Care Questionnaire (ADCQ), were used to examine students’ dementia knowledge, attitudes and perceived care approach. Data were collected using a self-administered survey.ResultsThe number of medical and nursing students completing the survey was 526 and 467 respectively. Students’ overall knowledge about dementia was poor, but attitudes were generally positive. The overall mean score of students’ dementia knowledge examined by the ADKS was 19.49 (SD=2.82) out of 30, students’ attitudes to dementia was 29.92(SD=3.35) out of 40, and students’ person-centred care approach of dementia was 5.42 (SD=2.20) out of 13. Medical students demonstrated higher dementia knowledge scores and showed less positive attitude scores than nursing students (p<0.05). Students would not apply a person-centred care approach. There were no statistically significant differences in the mean scores of ADCQ between nursing students and medical students.Conclusions Study results highlight the urgent need to implement an inter-disciplinary approach to increasing dementia education among Chinese medical and nursing students, and ensuring that students have adequate knowledge, attitudes and experience in the care of people with dementia.

scholarly journals COVID-19 Critical Care Simulations: An International Cross-sectional Survey

2020 ◽  
Author(s):  
Mohamad-Hani Temsah ◽  
Abdulkarim Alrabiaah ◽  
Ayman Al-Eyadhy ◽  
Fahad Al-Sohime ◽  
Abdullah Al Huzaimi ◽  
...  
Keyword(s):  
Infection Control ◽  
Healthcare Workers ◽  
Primary Outcome ◽  
Control Measures ◽  
Team Leaders ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Transport ◽  
Infection Control Measures ◽  
Better Than

Abstract Background: Many healthcare systems initiated rapid training with COVID-19 simulations for their healthcare workers (HCWs) to build surge capacity and optimize infection control measures. This study aimed to describe COVID-19 simulation drills in international healthcare centers. Methods: This is a cross-sectional survey among simulation team leaders and HCWs, based on each center's debriefing reports from simulation centers from 30 countries in all WHO regions where COVID-19 simulation drills were conducted. The primary outcome measures were the COVID-19 simulations' characteristics, outcomes, facilitators, obstacles, and challenges encountered during the simulation sessions. Results: Invitation was sent to 500 simulation team leaders and HCWs, and 343 responded. Those who completed the study comprised 121 participants: 62.8% females; 56.2% physicians; 41.3% from East Mediterranean (EMRO) countries; 25.6% from Southeast Asian countries (SERO); and 12.4% from Europe. The frequency of simulation sessions was monthly (27.1%), weekly (24.8%), twice weekly (19.8%), or daily (21.5%). Among participants, 55.6% reported the team's full engagement in the simulation sessions. The average session length was 30–60 minutes. The most commonly reported debriefing leaders were ICU staff, simulation lab staff, and E.R. facilitators, and the least common were infection control staff. A total of 80% reported "a lot" to "a great improvement" in terms of clinical preparedness after simulation sessions, and 70% were satisfied with the COVID-19 simulation sessions and thought they were better than expected. Most of the perceived issues reported were related to infection control measures, followed by team dynamics, logistics, and patient transport issues. Conclusion: Simulation centers team leaders and HCWs reported positive feedback on COVID-19 simulation sessions. The presence of multiprofessional personnel during drills is warranted. These drills are a valuable tool for rehearsing safe dynamics of HCWs on the frontline of COVID-19.Trial registration: Not applicable.

scholarly journals A comparative study of dementia knowledge, attitudes and perception of  care approach among Chinese nursing and medical students

2020 ◽  
Author(s):  
Yao Wang ◽  
Lily Dongxia Xiao ◽  
Rong Huang
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Professional Education ◽  
Attitude Scale ◽  
Dementia Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
People With Dementia ◽  
Study Results ◽  
Care Approach

Abstract Background Dementia care requires inter-disciplinary collaboration starting from formal health professional education. Yet, little is known about how undergraduate medical and nursing students perceive dementia care in China. The aim of this study was to investigate undergraduate medical and nursing students’ knowledge, attitudes and care approach of dementia in China. Methods A cross-sectional survey was conducted. Students enrolled in a 5-year Bachelor of Medicine Program and a 4-year Bachelor of Nursing Program from four universities with campuses across Eastern, Western, Southern and Northern China were recruited into the study. Three validated instruments, Alzheimer’s Disease Knowledge Scale (AKDS), Dementia Care Attitude Scale (DCAS) and Approach to Advanced Dementia Care Questionnaire (ADCQ), were used to measure students’ dementia knowledge, attitudes and perceived care approach. Data were collected using a self-administered survey. Results The number of medical and nursing students completing the survey was 526 and 467 respectively. The overall mean score of students’ dementia knowledge measured by the ADKS was 19.49 (SD=2.82) out of 30, students’ attitudes to dementia was 29.92(SD=3.35) out of 40, and students’ person-centred care approach of dementia was 5.42 (SD=2.20) out of 13. Students’ overall knowledge towards dementia was poor and the attitudes were generally positive. Medical students demonstrated higher dementia knowledge scores and showed less positive attitude scores than nursing students (p<0.05). Students would not apply a person-centered care approach. There were no statistically significant differences in the mean scores of ADCQ between nursing students and medical students. Conclusions Study results highlight the urgent need to implement an inter-disciplinary approach to increasing dementia education among Chinese medical and nursing students, and ensuring that students have adequate knowledge, attitudes and experience in the care of people with dementia.

scholarly journals Attitudes, knowledge and practices of healthcare workers regarding occupational exposure of pulmonary tuberculosis

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Lesley T. Bhebhe ◽  
Cornel Van Rooyen ◽  
Wilhelm J. Steinberg
Keyword(s):  
Infection Control ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Significant Proportion ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Attitudes And Practices ◽  
Healthcare Associated ◽  
And Control

Background: Healthcare-associated tuberculosis (TB) has become a major occupational hazard for healthcare workers (HCWs). HCWs are inevitably exposed to TB, due to frequent interaction with patients with undiagnosed and potentially contagious TB. Whenever there is a possibility of exposure, implementation of infection prevention and control (IPC) practices is critical.Objective: Following a high incidence of TB among HCWs at Maluti Adventist Hospital in Lesotho, a study was carried out to assess the knowledge, attitudes and practices of HCWs regarding healthcare-associated TB infection and infection controls.Methods: This was a cross-sectional study performed in June 2011; it involved HCWs at Maluti Adventist Hospital who were involved with patients and/or sputum. Stratified sampling of 140 HCWs was performed, of whom, 129 (92.0%) took part. A self-administered, semi-structured questionnaire was used.Results: Most respondents (89.2%) had appropriate knowledge of transmission, diagnosis and prevention of TB; however, only 22.0% of the respondents knew the appropriate method of sputum collection. All of the respondents (100.0%) were motivated and willing to implement IPC measures. A significant proportion of participants (36.4%) reported poor infection control practices, with the majority of inappropriate practices being the administrative infection controls (> 80.0%). Only 38.8% of the participants reported to be using the appropriate N-95 respirator.Conclusion: Poor infection control practices regarding occupational TB exposure were demonstrated, the worst being the first-line administrative infection controls. Critical knowledge gaps were identified; however, there was encouraging willingness by HCWs to adapt to recommended infection control measures. Healthcare workers are inevitably exposed to TB, due to frequent interaction with patients with undiagnosed and potentially contagious TB. Implementation of infection prevention and control practices is critical whenever there is a possibility of exposure.

scholarly journals Differential item functioning of the UWES-17 in South Africa

2011 ◽  
Vol 37 (1) ◽  
Author(s):  
Leanne Goliath-Yarde ◽  
Gert Roodt
Keyword(s):  
South Africa ◽  
Differential Item Functioning ◽  
South African ◽  
Work Engagement ◽  
Secondary Data ◽  
Cultural Groups ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Item Functioning ◽  
Item Data

Orientation: South Africa’s unique cultural diversity provides a constant challenge about the fair and unbiased use of psychological measures in respect of their cross-cultural application.Research purpose: This study assesses the Differential Item Functioning (DIF) of the Utrecht Work Engagement Scale (UWES-17) for different South African cultural groups in a South African company.Motivation for the study: Organisations are using the UWES-17 more and more in South Africa to assess work engagement. Therefore, research evidence from psychologists or assessment practitioners on its DIF across different cultural groups is necessary.Research design, approach and method: The researchers conducted a Secondary Data Analysis (SDA) on the UWES-17 sample (n = 2429) that they obtained from a cross-sectional survey undertaken in a South African Information and Communication Technology (ICT) sector company (n = 24 134). Quantitative item data on the UWES-17 scale enabled the authors to address the research question.Main findings: The researchers found uniform and/or non-uniform DIF on five of the vigour items, four of the dedication items and two of the absorption items. This also showed possible Differential Test Functioning (DTF) on the vigour and dedication dimensions.Practical/managerial implications: Based on the DIF, the researchers suggested that organisations should not use the UWES-17 comparatively for different cultural groups or employment decisions in South Africa.Contribution/value add: The study provides evidence on DIF and possible DTF for the UWES-17. However, it also raises questions about possible interaction effects that need further investigation.

scholarly journals A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yao Wang ◽  
Lily Dongxia Xiao ◽  
Rong Huang
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Professional Education ◽  
Attitude Scale ◽  
Dementia Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
People With Dementia ◽  
Study Results ◽  
Care Approach

Abstract Background Dementia care requires inter-disciplinary collaboration starting from formal health professional education. Yet, little is known about how undergraduate medical and nursing students perceive dementia care in China. The aim of this study was to investigate undergraduate medical and nursing students’ dementia knowledge, attitudes and care approach in China. Methods A cross-sectional survey was conducted. Students enrolled in a 5-year Bachelor of Medicine Program and a 4-year Bachelor of Nursing Program from four universities with campuses across Eastern, Western, Southern and Northern China were recruited into the study. Three validated instruments, Alzheimer’s Disease Knowledge Scale (ADKS), Dementia Care Attitude Scale (DCAS) and Approach to Advanced Dementia Care Questionnaire (ADCQ), were used to examine students’ dementia knowledge, attitudes and perceived care approach. Data were collected using a self-administered survey. Results The number of medical and nursing students completing the survey was 526 and 467 respectively. Students’ overall knowledge about dementia was poor, but attitudes were generally positive. The overall mean score of students’ dementia knowledge examined by the ADKS was 19.49 (SD = 2.82) out of 30, students’ attitudes to dementia was 29.92(SD = 3.35) out of 40, and students’ person-centred care approach of dementia was 5.42 (SD = 2.20) out of 13. Medical students demonstrated higher dementia knowledge scores and showed less positive attitude scores than nursing students (p < 0.05). Students would not apply a person-centred care approach. There were no statistically significant differences in the mean scores of ADCQ between nursing students and medical students. Conclusions Study results highlight the urgent need to implement an inter-disciplinary approach to increasing dementia education among Chinese medical and nursing students, and ensuring that students have adequate knowledge, attitudes and experience in the care of people with dementia.

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