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Health Care Workers’ Knowledge and Confidence in Personal Protective Equipment During the H1N1 Pandemic in Israel

Published online by Cambridge University Press:  11 April 2014

Dagan Schwartz
Affiliation:
Department of Emergency Medicine, Recanati School for Community Health Professions, Faculty of Health Sciences, and PREPARED Center for Emergency Response Research, Ben-Gurion University of the Negev, Beer-Sheva
Stav Shapira
Affiliation:
Department of Emergency Medicine, Recanati School for Community Health Professions, Faculty of Health Sciences, and PREPARED Center for Emergency Response Research, Ben-Gurion University of the Negev, Beer-Sheva Department of Management, Bar Ilan University, Ramat Gan, Israel
Yaron Bar-Dayan*
Affiliation:
Department of Emergency Medicine, Recanati School for Community Health Professions, Faculty of Health Sciences, and PREPARED Center for Emergency Response Research, Ben-Gurion University of the Negev, Beer-Sheva
*
Correspondence and reprint requests to Yaron Bar-Dayan, MD, MHA, Department of Emergency Medicine, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben Gurion University, 16 Dolev St, Neve Savion, Or-Yehuda, Israel. (e-mail [email protected])

Abstract

Objectives

Healthcare workers (HCW) are at increased risk of infection during pandemics. HCW personal protective equipment (PPE) use has been shown to lower infection rates among HCW and patients. However, low compliance and misuse are frequent. Since future outbreaks are unavoidable, this issue needs to be addressed.

Methods

A validated questionnaire was distributed to 617 HCWs (nurses and physicians) in 21 hospitals and 40 primary care clinics in Israel at the peak of the A/H1N1 pandemic.

Results

PPE confidence was higher among HCWs with higher tested and self-perceived knowledge. Confidence was also higher among nurses compared with physicians and among employees in hospitals compared with those in primary care clinics. Experience treating A/H1N1 patients was related to higher self-perceived knowledge and PPE confidence.

Conclusions

High levels of PPE knowledge were significantly correlated to HCWs’ confidence in PPE and may help increase PPE usage and reduce absenteeism. (Diaster Med Public Health Preparedness. 2014;0:1-8)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2014 

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References

1. Hon, CY, Gamage, B, Bryce, EA, etal. Personal protective equipment in health care: can online infection control courses transfer knowledge and improve proper selection and use? Am J Infect Control. 2008;36(10):e33-e37.CrossRefGoogle ScholarPubMed
2. Patel, M, Dennis, A, Flutter, C, Khan, Z. Pandemic (H1N1) 2009 influenza. Br J Anaesth. 2010;104(2):128-142.CrossRefGoogle ScholarPubMed
3. Buxton Bridges, C, Katz, JM, Seto, WH, etal. Risk of influenza A (H5N1) infection among health care workers exposed to patients with influenza A (H5N1), Hong Kong. J Infect Dis. 2000;181(1):344-348.Google Scholar
4. Mitchell, R, Ogunremi, T, Astrakianakis, G, etal. Impact of the 2009 influenza A(H1N1) pandemic on Canadian health care workers: a survey on vaccination, illness, absenteeism, and personal protective equipment. Am J Infect Control. 2012;40:611-616.Google Scholar
5. Gershon, RR, Vandelinde, N, Magda, LA, Pearson, JM, Werner, A, Prezant, D. Evaluation of a pandemic preparedness training intervention of emergency medical services personnel. Prehosp Disaster Med. 2009;24(6):508-511.Google Scholar
6. McGovern, PM, Vesley, D, Kochevar, L, Gershon, RR, Rhame, FS, Anderson, E. Factors affecting universal precautions compliance. J Business Psychol. 2000;15(1):149-161.Google Scholar
7. Balicer, RD, Omer, SB, Barnett, DJ, Everly, GS Jr. Local public health workers’ perceptions toward responding to an influenza pandemic. BMC Public Health. 2006;6(99):1-8.Google Scholar
8. Peltz, R, Avisar, SG, Ventura-Gabay, M, Bar-Dayan, Y. Differences in the sources of information used by the population between the affected area and the nationwide general population during the first phase of a bird flu outbreak in Israel. Prehosp Care Disaster Med. 2008;23(1):57-59.CrossRefGoogle Scholar
9. Richman, A, Shohat, G, Soffer, Y, Bar-Dayan, Y. Differences in sources of information and acquaintance with instructions between Dimona and the general population after a suicide bomber event. Prehosp Care Disaster Med. 2010;25(1):55-58.Google Scholar
10. Daugherty, EL, Perl, TM, Rubinson, L, Bilderback, A, Rand, CS. Survey study of the knowledge, attitudes and expected behaviors of critical care clinicians regarding an influenza pandemic. Infect Control Hosp Epidemiol. 2009;30(12):1143-1149.CrossRefGoogle ScholarPubMed
11. Qureshi, KA, Gershon, RB, Yamada, S, Li, D. Factors related to essential workers’ ability and willingness to work an comply with personal infection control protocol during a large scale influenza pandemic in Hawaii. J Emerg Disaster Med. 2013;2(1):4-11.Google Scholar
12. Seale, H, Kaur, R, Wang, Q, etal. Acceptance of vaccine against pandemic influenza A(H1N1) virus among healthcare workers in Beijing, China. Vaccine. 2011;29:1605-1610.Google Scholar
13. Chia, SE, Koh, D, Fones, C, etal. Appropriate use of personal protective equipment among health care workers in public sector hospitals and primary healthcare polyclinics during the SARS outbreak in Singapore. Occup Environ Med. 2005;62(7):473-477.Google Scholar
14. Daugherty, EL, Perl, TM, Needham, DM, Rubinson, L, Bilderback, A, Rand, CS. The use of personal protective equipment for control of influenza among critical care clinicians: a survey study. Crit Care Med. 2009;37(4):1210-1216.Google Scholar
15. Wong, TY, Koh, GC, Cheong, SK, etal. Concerns, perceived impact and preparedness in an avian influenza pandemic-a comparative study between healthcare workers in primary and tertiary care. Ann Acad Med Singapore. 2008;37(2):96-102.Google Scholar
16. Nickell, LA, Crighton, EJ, Tracy, CS, etal. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ. 2004;170(5):793-798.Google Scholar
17. Gomersall, CD, Joynt, GM, Ho, OM, etal. Transmission of SARS to healthcare workers. the experience of a Hong Kong ICU. Intensive Care Med.. 2006;32(4):564-569.Google Scholar
18. Tzeng, HM, Yin, CY. Nurses’ fears and professional obligations concerning possible human-to-human avian flu. Nurs Ethics. 2006;13(5):455-470.Google Scholar
19. Garrett, AL, Park, YS, Redlener, I. Mitigating absenteeism in hospital workers during a pandemic. Disaster Med Public Health Prep. 2009;3(suppl 2):S141-S147.Google Scholar
20. Balicer, RD, Barnett, DJ, Thompson, CB, etal. Characterizing hospital workers’ willingness to report to duty in an influenza pandemic through threat and efficacy-based assessment. BMC Public Health. 2010;10:436.Google Scholar
21. Gershon, RR, Magda, LA, Qureshi, KA, etal. Factors associated with the ability and willingness of essential workers to report to duty during a pandemic. J Occup Environ Health. 2010;52(10):995-1003.Google Scholar