학술논문
Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries.
Document Type
Academic Journal
Author
Huy NT; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.; Chico RM; Department of Disease Control, Faculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom.; Huan VT; Faculty of Medicine, Pham Ngoc Thach University, Ho Chi Minh City, Vietnam.; Shaikhkhalil HW; Faculty of Medicine, Islamic University of Gaza, Gaza Strip, Palestine.; Uyen VNT; School of Biotechnology, International University-Vietnam National University, Ho Chi Minh City, Vietnam.; Qarawi ATA; Lower Westchester Medical Associates, P.C., Mount Vernon, NY, United States of America.; Alhady STM; Faculty of medicine, University of Gezira, Wad Medani, Sudan.; Vuong NL; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Truong LV; Traditional Medicine Hospital of Ministry of Public Security, Vietnam.; Luu MN; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Vietnam.; Dumre SP; Department of Immunogenetics, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.; Imoto A; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.; Lee PN; P.N. Lee Statistics and Computing Ltd., Sutton, United Kingdom.; Tam DNH; Asia Shine Trading & Service CO. LTD., Ho Chi Minh City, Vietnam.; Ng SJ; Hospital Enche' Besar Hajjah Khalsom, Johor, Malaysia.; Hashan MR; Government of the People's Republic of Bangladesh-Ministry of Health and Family Welfare, Dhaka, Bangladesh.; Matsui M; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.; Duc NTM; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Karimzadeh S; School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.; Koonrungsesomboon N; Department of Pharmacology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.; Smith C; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.; London School of Hygiene & Tropical Medicine, London, United Kingdom.; Cox S; London School of Hygiene & Tropical Medicine, London, United Kingdom.; Moji K; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.; Hirayama K; Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.; Linh LK; VinUniversity, College of Health Sciences, Hanoi, Vietnam.; Abbas KS; Faculty of Medicine, Alexandria University, Alexandria, Egypt.; Dung TNT; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Mohammed Ali Al-Ahdal T; Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Ar-Ramtha, Jordan.; Balogun EO; Department of Biochemistry and African Center of Excellence on Neglected Tropical Diseases and Forensic Biotechnology, Ahmadu Bello University, Zaria, Nigeria.; Duy NT; Department of Gyn. Endocrinology and Reproductive Medicine, University Hospital Giessen and Marburg, Marburg, Germany.; Philipps University Marburg, Marburg, Germany.; Mohamed Eltaras M; Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.; Huynh T; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Hue NTL; Nguyen Trai Hospital, Ho Chi Minh, Vietnam.; Khue BD; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Gad A; Ain Shams University, Cairo, Egypt.; Tawfik GM; Faculty of Medicine, Ain Shams University, Cairo, Egypt.; Kubota K; Yokohama City University, Yokohama, Japan.; Nguyen HM; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Pavlenko D; Bogomolets National Medical University, Kyiv, Ukraine.; Trang VTT; National Hospital of Traditional Medicine, Hanoi, Vietnam.; Vu LT; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Hai Yen T; School of Biotechnology, International University-Vietnam National University, Ho Chi Minh City, Vietnam.; Yen-Xuan NT; Cambridge University Hospital Foundation Trust, Cambridge, United Kingdom.; Trang LT; Danang Oncology Hospital, Danang, Vietnam.; Dong V; American University of the Caribbean, Cupe Coy, Saint Maarten, United States of America.; Sharma A; University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India.; Dat VQ; Department of Infectious Diseases, Hanoi Medical University, Hanoi, Vietnam.; Soliman M; Faculty of Medicine, Zagazig University, Zagazig, Egypt.; Abdul Aziz J; Medical Laboratory Science, College of Health Science, University of Human Development, Kurdistan Region, Sulaimani, Iraq.; Baxshin Research Training Organization, Baxshin Hospital, Kurdistan Region, Sulaimani, Iraq.; Shah J; Drexel University College of Medicine, Philadelphia, Pennsylvania, United States of America.; Hung PDL; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Jee YS; School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.; Phuong DTH; Center for Biomedical Research, Pham Ngoc Thach University of Medicine, Vietnam.; Quynh TTH; Kansai Medical University, Osaka, Japan.; Giang HTN; Institute of Research and Development, Duy Tan University, Da Nang, Vietnam.; Faculty of Medicine and Pharmacy, University of Da Nang, Da Nang, Vietnam.; Huynh VTN; Faculty of Medicine, University of Debrecen, Debrecen, Hungary.; Thi NA; Toulouse III Paul Sabatier University, Toulouse, France.; Dhouibi N; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.; Phan T; Vinmec International Hospital, Hanoi, Vietnam.; Duru V; Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka, Nigeria.; Nam NH; Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.; Ghozy S; Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Source
Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Since the COVID-19 pandemic began, there have been concerns related to the preparedness of healthcare workers (HCWs). This study aimed to describe the level of awareness and preparedness of hospital HCWs at the time of the first wave.
Methods: This multinational, multicenter, cross-sectional survey was conducted among hospital HCWs from February to May 2020. We used a hierarchical logistic regression multivariate analysis to adjust the influence of variables based on awareness and preparedness. We then used association rule mining to identify relationships between HCW confidence in handling suspected COVID-19 patients and prior COVID-19 case-management training.
Results: We surveyed 24,653 HCWs from 371 hospitals across 57 countries and received 17,302 responses from 70.2% HCWs overall. The median COVID-19 preparedness score was 11.0 (interquartile range [IQR] = 6.0-14.0) and the median awareness score was 29.6 (IQR = 26.6-32.6). HCWs at COVID-19 designated facilities with previous outbreak experience, or HCWs who were trained for dealing with the SARS-CoV-2 outbreak, had significantly higher levels of preparedness and awareness (p<0.001). Association rule mining suggests that nurses and doctors who had a 'great-extent-of-confidence' in handling suspected COVID-19 patients had participated in COVID-19 training courses. Male participants (mean difference = 0.34; 95% CI = 0.22, 0.46; p<0.001) and nurses (mean difference = 0.67; 95% CI = 0.53, 0.81; p<0.001) had higher preparedness scores compared to women participants and doctors.
Interpretation: There was an unsurprising high level of awareness and preparedness among HCWs who participated in COVID-19 training courses. However, disparity existed along the lines of gender and type of HCW. It is unknown whether the difference in COVID-19 preparedness that we detected early in the pandemic may have translated into disproportionate SARS-CoV-2 burden of disease by gender or HCW type.
Competing Interests: The authors have read the journal’s policy and declare they have no competing interests.The commercial affiliations: Lower Westchester Medical Associates, Asia Shine Trading & Service CO. LTD and P.N. Lee Statistics and Computing Ltd, UK do not alter our adherence to PLOS ONE policies on sharing data and materials.
Methods: This multinational, multicenter, cross-sectional survey was conducted among hospital HCWs from February to May 2020. We used a hierarchical logistic regression multivariate analysis to adjust the influence of variables based on awareness and preparedness. We then used association rule mining to identify relationships between HCW confidence in handling suspected COVID-19 patients and prior COVID-19 case-management training.
Results: We surveyed 24,653 HCWs from 371 hospitals across 57 countries and received 17,302 responses from 70.2% HCWs overall. The median COVID-19 preparedness score was 11.0 (interquartile range [IQR] = 6.0-14.0) and the median awareness score was 29.6 (IQR = 26.6-32.6). HCWs at COVID-19 designated facilities with previous outbreak experience, or HCWs who were trained for dealing with the SARS-CoV-2 outbreak, had significantly higher levels of preparedness and awareness (p<0.001). Association rule mining suggests that nurses and doctors who had a 'great-extent-of-confidence' in handling suspected COVID-19 patients had participated in COVID-19 training courses. Male participants (mean difference = 0.34; 95% CI = 0.22, 0.46; p<0.001) and nurses (mean difference = 0.67; 95% CI = 0.53, 0.81; p<0.001) had higher preparedness scores compared to women participants and doctors.
Interpretation: There was an unsurprising high level of awareness and preparedness among HCWs who participated in COVID-19 training courses. However, disparity existed along the lines of gender and type of HCW. It is unknown whether the difference in COVID-19 preparedness that we detected early in the pandemic may have translated into disproportionate SARS-CoV-2 burden of disease by gender or HCW type.
Competing Interests: The authors have read the journal’s policy and declare they have no competing interests.The commercial affiliations: Lower Westchester Medical Associates, Asia Shine Trading & Service CO. LTD and P.N. Lee Statistics and Computing Ltd, UK do not alter our adherence to PLOS ONE policies on sharing data and materials.