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1.
Journal of Education and Health Promotion ; 11(1):193, 2022.
Article in English | Scopus | ID: covidwho-1964257

ABSTRACT

BACKGROUND: The unexpected increase in COVID-19-related waste and its inappropriate disposal had blown up the threat of retransmission of this infection and adversely impacted the environment. The aim of this study was to evaluate the existing knowledge about the handling of biomedical waste (BMW) in the COVID-19 Hospital setting among health-care workers (HCWs). MATERIALS AND METHODS: It was a prospective cross-sectional study done for 3 months, i.e., October 2020-December 2020 among nursing professionals across all seniority posted in COVID hospital. A pretested questionnaire comprised 20 questions was used as a study tool. RESULTS: The response rate of our study was 94%. The mean age of respondents was 33.97 years, and the mean length of service was 8.32 years. The study revealed that the respondents had a mean knowledge score of 12.21 (Median 12, standard deviation 2.129 and 95% confidence interval of 11.92-12.51). CONCLUSIONS: There is consensus among the researchers/scholars that COVID-BMW hazards are much more significant than regular BMW. Therefore, its awareness among the HCWs can be a panacea for safer handling of BMW generated in COVID Hospital. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.

2.
Workplace Health Saf ; : 21650799221108490, 2022 Jul 17.
Article in English | MEDLINE | ID: covidwho-1938245

ABSTRACT

BACKGROUND: Frontline health care workers are particularly vulnerable to burnout and diminished well-being as they endure COVID-19 pandemic-related stressors. While physicians and nurses are the public face of those experiencing burnout in hospitals, these stressors also affect low-wage workers such as food and housekeeping/janitorial service workers whose roles largely remain "invisible" when conceptualizing the essential health workforce and understanding their needs. This study sought to understand the experiences of frontline essential workers to better support them and prevent burnout. METHODS: Using a semi-structured interview guide, we conducted 20 in-depth qualitative interviews with workers in three U.S. states. Thematic content analysis was conducted to code and analyze interviews. RESULTS: Workers had an average of 5.8 years in their jobs, which included food services, housekeeping/janitorial, and patient transport roles. Analysis revealed four prominent stressors contributing to worker burnout: changes in duties and staff shortages, fear of contracting or transmitting COVID-19, desire for recognition of their job-related risk, and unclear communication on safety precautions and resources. Protective factors included paid time-off, mental health supports, sense of workplace pride, and self-coping strategies. CONCLUSION/APPLICATION TO PRACTICE: As health systems continue to grapple with care delivery in the context of COVID-19, identifying best practices to support all workers and prevent burnout is vital to the functioning and safety of hospitals. Further consideration is warranted to create policies and multipronged interventions to meet workers' tangible needs while shifting the culture, so all members of the health workforce are seen and valued.

3.
Hosp Top ; : 1-12, 2022 Jul 19.
Article in English | MEDLINE | ID: covidwho-1937504

ABSTRACT

In this retrospective observational study, we have performed a comparative analysis of the demographic, clinical and epidemiological characteristics of the HCWs affected with SARS-CoV-2 infection during first two waves in India. The overall prevalence of SARS-CoV-2 infection among HCWs was found to be 15.24% (14.20-16.33) and 23.38% (22.14-25.65) during first and second waves respectively. The second wave showed an adjusted odds ratio of 0.04(0.02-0.07) and 2.09(1.49-2.93) for hospitalization and being symptomatic, respectively. We detected significantly higher level of C-reactive protein (CRP) among admitted HCWs during the second wave (5.10 -14.60 mg/dl) as compared to the first wave (2.00 - 2.80 mg/dl). Our study found the relative risk of SARS-CoV-2 reinfection among HCWs during the second wave to be 0.68 [0.57-0.82, p < 0.001)]. Although, the prevalence of SARS CoV-2 infection and risk of being symptomatic was higher during second wave, the risk of hospitalization was less when compared with the first wave.

4.
J Am Dent Assoc ; 153(8): 740-749, 2022 08.
Article in English | MEDLINE | ID: covidwho-1930670

ABSTRACT

BACKGROUND: This study was designed to assess the prevalence of anxiety and depression symptoms and understand factors influencing mental health among dental health care workers (DHCWs) during the COVID-19 pandemic. METHODS: Beginning in June 2020, 8,902 DHCWs participated monthly in an anonymous longitudinal, web-based survey (response rate, 6.7%). The Patient Health Questionnaire-4 was used to estimate rates of anxiety and depression symptoms. Changes in mental health over time and differences by demographic and practice characteristics, COVID-19 community transmission level, and COVID-19 vaccination status were tested using χ2 tests and multilevel multivariable logistic regression. RESULTS: Anxiety symptom rates peaked in November 2020 (28% of dental hygienists, 17% of dentists) and declined to 12% for both professions in May 2021. Depression symptom rates were highest in December 2020 (17% of dental hygienists, 10% of dentists) and declined to 8% in May 2021. Controlling for gender, age, race or ethnicity, and COVID-19 community transmission level, the authors found that dentists had significantly lower odds of anxiety symptoms (adjusted odds ratio [aOR], 0.82; 95% CI, 0.70 to 0.95) and depression symptoms (aOR, 0.79; 95% CI, 0.67 to 0.93) than dental hygienists. Compared with vaccinated respondents, those who were unvaccinated but planning on getting vaccinated had significantly higher rates of anxiety (aOR, 1.71; 95% CI, 1.20 to 2.44) and depression (aOR, 1.57; 95% CI, 1.07 to 2.29) symptoms. CONCLUSIONS: DHCWs' mental health fluctuated during the pandemic. Anxiety and depression in DHCWs were associated with demographic and professional characteristics as well as perceived risk of COVID-19. PRACTICAL IMPLICATIONS: Mental health support should be made available for DHCWs. This clinical trial was registered at ClinicalTrials.gov. The registration numbers are NCT04423770 and NCT04542915.


Subject(s)
COVID-19 , Anxiety/epidemiology , COVID-19/epidemiology , COVID-19 Vaccines , Delivery of Health Care , Health Personnel/psychology , Humans , Mental Health , Pandemics
5.
Defence Life Science Journal ; 7(2):63-70, 2022.
Article in English | Scopus | ID: covidwho-1924726

ABSTRACT

The COVID-19 outbreak has caused an impervious financial and psychological burden. Health care professionals, including oral health care workers, have been risking fighting the pandemic. The chief objective of the current study was to estimate the rates of prevalence of depression, stress, and anxiety among the oral health care professionals in Jammu and Udaipur city. The study was delineated as an online cross-sectional questionnaire-based research. It was mailed to different practitioners between May and July 2020, particularly those offered their services in COVID centers. The participants were to fill the self report questionnaires. Then, the parameters were measured using depression, anxiety, and stress scale 21(DASS 21) and Hamilton anxiety rating scale (HARS) to measure the degrees of depression, stress, and fear among the volunteers. The target population was divided into age groups between 23 to 28 years and over 28 years. Four hundred ninety responses were received and were considered for the study. The acquired data were analysed using IBM SPSSsoftware (windows version 23). The mean and standard deviations were calculated for stress, anxiety, depression using mentioned scale. The results were compared based on gender and age group. A statistically significant variance in stress level was found between male and female groups (p=0.002) and for the two age groups (p=0.001). Using the Hamilton anxiety rating scale, no statistically significant divergence could be seen among male and female participants. The current study showed stress, anxiety, and depressions were prevalent among health care workers working in COVID pandemic situations. Therefore, mental health status must be addressed, and issues must be resolved. © 2022, DESIDOC.

6.
Vaccines (Basel) ; 10(6)2022 Jun 15.
Article in English | MEDLINE | ID: covidwho-1911694

ABSTRACT

The COVID-19 pandemic and its associated vaccine have highlighted vaccine hesitancy among healthcare workers (HCWs). Vaccine hesitancy among this group existed prior to the pandemic and particularly centered around influenza vaccination. Being a physician, having more advanced education, and previous vaccination habits are frequently associated with vaccine acceptance. The relationship between age and caring for patients on COVID-19 vaccination is unclear, with studies providing opposing results. Reasons for hesitancy include concerns about safety and efficacy, mistrust of government and institutions, waiting for more data, and feeling that personal rights are being infringed upon. Many of these reasons reflect previous attitudes about influenza vaccination as well as political beliefs and views of personal autonomy. Finally, several interventions to encourage vaccination have been studied, including education programs and non-monetary incentives with the most effective studies using a combination of methods.

7.
Influenza Other Respir Viruses ; 2022 Jun 26.
Article in English | MEDLINE | ID: covidwho-1909401

ABSTRACT

BACKGROUND: Health care workers (HCWs) represent a vulnerable population during epidemic periods. Our cohort study aimed to estimate the risk of infection and associated factors among HCWs during the first wave of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Madagascar. METHODS: A prospective cohort study was carried out in three hospitals that oversaw the first cases of COVID-19. Monthly ELISA-based serological tests were conducted, and nasopharyngeal swabs were collected in the case of symptoms linked to COVID-19 for RT-PCR analysis. Survival analyses were used to determine factors associated with SARS-CoV-2 infection. RESULTS: The study lasted 7 months from May 2020. We included 122 HCWs, 61.5% of whom were women. The median age was 31.9 years (IQR: 26.4-42.3). In total, 42 (34.4%) had SARS-CoV-2 infections, of which 20 were asymptomatic (47.6%). The incidence of SARS-CoV-2 infection was 9.3% (95% CI [6.5-13.2]) person-months. Sixty-five HCWs presented symptoms, of which 19 were positive by RT-PCR. When adjusted for exposure to deceased cases, infection was more frequent in HCWs younger than 30 years of age (RR = 4.9, 95% CI [1.4-17.2]). CONCLUSION: Our results indicate a high incidence of infection with SARS-CoV-2 among HCWs, with a high proportion of asymptomatic cases. Young HCWs are more likely to be at risk than others. Greater awareness among young people is necessary to reduce the threat of infection among HCWs.

8.
Enfermeria Nefrologica ; 24(3):262-270, 2021.
Article in Spanish | Scopus | ID: covidwho-1912750

ABSTRACT

Introduction: Being an active healthcare worker is a high-risk factor for contracting the SARS-CoV-2 infection. The implementation of vaccination programs is the best option available to solve this problem. In Spain, healthcare professionals have been vaccinated as a matter of priority. Objective: To assess, through blood antibody counts, the immunogenicity of SARS-CoV2 vaccines in dialysis personnel and related factors. Material and Method: Observational, cross-sectional and multicentric descriptive study. Results: 167 participants, all vaccinated with RNA vaccines. 15% have previously passed the infection. 96.4% have developed antibodies (mean of 15,776 +/-13,640). Those professionals who have previously passed the infection have a significantly higher average number of antibodies than those who have not (23,532 vs 14,381) (p=0.05). The presence of symptoms such as fatigue, headache, fever, and myalgia is also related with a significantly greater reactivity (p=0.004). There is no significant relationship between reactivity and sex, age, BMI, or workplace. Conclusions: Immunogenicity caused by RNA vaccines administered to dialysis personnel has been almost complete. Suffering post-vaccination adverse effects such as fatigue, headaches, fever, nausea, pain, and having previously passed the infection is related to a greater reactivity, manifested by the development of an increased number of antibodies. © 2021, Sociedad Espanola de Enfermeria Nefrologica. All rights reserved.

9.
JMIR Res Protoc ; 11(6): e36930, 2022 Jun 22.
Article in English | MEDLINE | ID: covidwho-1902836

ABSTRACT

BACKGROUND: Familiarity is a concept often used in literature but is not well defined or understood. As a key concept in rural nursing theory, the conceptual understanding of familiarity is currently incomplete. The findings from this scoping review will inform a concept analysis using Walker and Avant's method and to identify and define the missing key components of familiarity. OBJECTIVE: The objective of this scoping review is to examine and analyze what is known in the existing literature about the concept of familiarity. METHODS: The Joanna Briggs Institute scoping review framework guided the identification of literature published from 2016 to 2022 on familiarity. Following the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) reporting standard, the familiarity scoping review is registered on Open Science Framework (registration digital object identifier: 10.17605/OSF.IO/ZB8VF). A total of 8 databases, including PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature) Plus with full text, APA PsychInfo, Communication Source, EBSCO MegaFILE, Medline, Nursing & Allied Health Database, and ScienceDirect, will be searched for 22 search terms. Covidence software will be used to manage the scoping review with each citation independently reviewed by 2 research team members for eligibility. Eligibility will be determined using a 2-level process. Each title and abstract will be screened for eligibility; for citations deemed eligible, a full-text article review will be conducted. The scoping review is expected to locate a large body of literature, and eligibility criteria will be refined during the title and abstract screening process. In addition, reference list scanning will be performed to locate relevant literature. RESULTS: Familiarity data will be collected beginning October 2021 with anticipated completion in March 2022. Dissemination of findings will occur through scholarly presentations and in rural-focused and nursing publications in 2022 or 2023. The findings from this review will further the understanding of familiarity and how it affects rural life and nursing practice. CONCLUSIONS: This review will support a full understanding and add clarity to the concept of familiarity as a component of rural life. These new insights will advance the understanding of how familiarity influences rural health care practice. The concept analysis will provide theoretical support for rural nursing theory and promote an understanding of the interrelationships of rural concepts. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/36930.

10.
Archives of Psychiatry Research: An International Journal of Psychiatry and Related Sciences ; 57(2):177-186, 2021.
Article in English | APA PsycInfo | ID: covidwho-1887658

ABSTRACT

This study was aimed to investigate the relationship between the psychological status of oral health care workers (OHCWs) and the willingness to treat a patient during the COVID-19 pandemic. This cross-sectional study was carried out on oral health care workers at ten different dental hospitals in Pakistan from March to July 2020. Information on the socio-demographic status, and willingness to report for duty and treat patients during the COVID-19 pandemic were assessed using a self-administered questionnaire. The psychological impact of the COVID-19 pandemic was assessed using the Urdu version of the Generalized Anxiety Disorder Scale and Impact of Events Scale. Simple and multiple linear regression tests were used for analysis. A total of 392 OHCWs participated in this study and 25% of them had moderate to severe anxiety levels and only 14% had post-traumatic stress disorder. About 26% of the OHCWs were willing to work and treat patients during the COVID-19 pandemic and they had lower anxiety and stress scores. Greater anxiety and stress were associated with participants who were older, female, single, married, living with family and friends. The adjusted coefficients of GAD and IES scores were greater in participants who were not willing and unsure to work compared to their colleagues who were willing. The OHCWs are anxious and stressed because of the COVID-19 outbreak and that affects the perception of whether they should work and treat patients during the pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Croatian) Cilj ove studije bio je istraziti vezu izmedu psiholoskog statusa dentalnih zdravstvenih radnika (DZR) i spremnosti za lijecenje pacijenta tijekom pandemije COVID-19. Ovo presjecno istrazivanje provedeno je na radnicima dentalne zdravstvene zastite u deset razlicitih stomatoloskih bolnica u Pakistanu od ozujka do srpnja 2020. Podaci o socijalno-demografskom statusu i spremnosti za javljanje na duznost i lijecenje pacijenata t ijekom pandemije COVID-19 procijenjivani su pomocu samoocjenskog upitnika. Psiholoski utjecaj pandemije COVID-19 procijenjen je koristenjem urdske verzije skale generaliziranog anksioznog poremecaja (GAD) i skale utjecaja dogadaja (IES). Za analizu su koristeni jednostavni i visestruki linearni regresijski testovi. Ukupno su 392 DZR-a sudjelovala u ovoj studiji, a 25% ih je imalo umjerenu do ozbiljnu razinu anksioznosti, a samo 14% posttraumatski stresni poremecaj. Oko 26% DZR-a bilo je spremno raditi i lijeciti pacijente tijekom pandemije COVID-19 i imali su nize rezultate anksioznosti i stresa. Vece razine anksioznosti i stresa bile su povezane sa sudionicima koji su stariji, zenskog spola, slobodni, ozenjeni, koji su zivjeli s obitelji i prijateljima. Prilagodeni koeficijenti GAD i IES rezultata bili su veci kod sudionika koji nisu bili voljni i sigurni raditi u odnosu na njihove kolege koji su to htjeli. DZR su zabrinuti i pod stresom zbog izbijanja COVID-19, a to utjece na percepciju trebaju li raditi i lijeciti pacijente tijekom pandemije. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

11.
World J Clin Cases ; 10(16): 5275-5286, 2022 Jun 06.
Article in English | MEDLINE | ID: covidwho-1887343

ABSTRACT

BACKGROUND: Health care workers treating coronavirus disease 2019 (COVID-19) patients experience burnout and stress due to overwork and poor working conditions. AIM: To investigate the work experiences of frontline health care workers in Wuhan city and Qinghai province, China, during the COVID-19 outbreak. METHODS: In this cross-sectional descriptive study, a self-reported questionnaire was designed to evaluate work experiences of medical staff throughout the course of the COVID-19 pandemic. A total of 178 health care workers responded to the questionnaire between February 19 and 29, 2020. Higher questionnaire dimen-sional score confirmed dimensional advantage. RESULTS: Of all dimensions evaluated by this questionnaire, the occupational value dimension had the highest mean score of 2.61 (0.59), followed by the support/security dimension score of 2.30 (0.74). Occupational protection scored lowest at 1.44 (0.75), followed by work environment at 1.97 (0.81). The social relationships dimension had an intermediate score of 2.06 (0.80). Significant differences in working conditions were observed across hospital departments, with the fever ward scoring lowest. Total scores also differed significantly across workplaces; the fever outpatient department scored lowest (P < 0.01). This phenomenon was likely due to the fact that work in the fever outpatient department, where many patients present to hospital, necessitates constant contact with a large number of individuals with insufficient provision of resources (such as protective equipment and social support). Medical workers in the fever outpatient department were burdened with a fear of COVID-19 infection and a lower sense of professional value as compared to workers in other hospital departments. Medical staff in Wuhan worked longer hours (P < 0.01) as compared to elsewhere. The mean support/security dimension score was higher for tertiary hospital as compared to secondary hospital medical staff as well as for Wuhan area as compared to Qinghai region staff (P < 0.01). Staff in Wuhan had a lower mean work environment score as compared to staff in Qinghai (P < 0.05). CONCLUSION: Medical staff treating COVID-19 patients in China report poor occupational experiences strongly affected by work environment, occupational protection and social relationships. Health care managers must address the occupational needs of medical staff by ensuring a supportive and safe work environment.

12.
Public Health Pract (Oxf) ; 4: 100280, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-1886043

ABSTRACT

Objectives: Healthcare workers (HCWs) worldwide have and are using personal protective equipment (PPE) as COVID-19 prevention measures, including gloves, gowns, goggles, masks and hand hygiene. Although several reviews have been published on the effectiveness of PPE, these often include studies on other inflectional diseases. This is problematic, because these diseases differ with regard to, e.g. the transmissibility and viral loads in the days after infection. Therefore, we assessed the effectiveness of PPE to protect HCWs from COVID-19 infections. Design: Rapid review of literature. Methods: We followed a practical guide to conduct the rapid review based on a protocol established by the Cochrane Rapid Reviews Methods Group. Meta-analyses have been conducted to synthesize the results. The confidence in the evidence was determined using the GRADE method. Results: We found 461 reviews and 208 primary studies, of which 16 systematic reviews included 11 observational studies of interest. Wearing PPE conferred significant protection against infection with COVID-19 as opposed to not wearing adequate PPE. Overall, the review results show that wearing face masks can significantly protect HCWs from infection. We found no effects for wearing gloves and gowns. Practicing thorough hand hygiene and having proper PPE, as compared to lacking proper PPE, showed a protective but not statistically significant effect. No studies reported the side effects of wearing PPE or acceptance rates. Conclusion: This evidence supports PPE use by HCW, and especially N95 masks, to reduce the risk of a COVID-19 infection.

14.
Cureus ; 14(5): e24668, 2022 May.
Article in English | MEDLINE | ID: covidwho-1884677

ABSTRACT

Numerous reports of healthy individuals falling ill after COVID-19 vaccination or booster have surfaced. Isolated vestibular dysfunction is uncommon. Such occurrence within 24 hours of booster shot in a relatively healthy highly functional colleague suggests beyond a simple temporal relationship.

15.
Journal of Research in Medical and Dental Science ; 10(2):272-275, 2022.
Article in English | English Web of Science | ID: covidwho-1880859

ABSTRACT

One more difficulty displayed in December 2019, beginning the improvement of truly great overall succeeding disillusionments at whatever point saw. The torture, known as 'SARS-CoV-2,' produces Coronavirus inconvenience, which the World Thriving Game plan has dissipated as ' Covid. Coronavirus Confusion 2019 seen as respiratory degradation with a quick of trans-mission generally through droplet course and physical contact. Attested usage of individual careful stuff (PPE) is a shown and astonishing technique for blocking Covid spread in clinical idea settings, need to plan the data, demeanor, and fundamental need PR actioners, and see the concerned factors concerning wearing and disposal of Personal PE among state of the art clinical benefits workers. The present for the most part circumstance of a pandemic has affected humanity considering everything and still continues to create an upheaval among all bits of the overall people, be it those from financially weaker establishment or the rich piece of the overall people. I truly need to merge the effects of such a surprising mass event and particularly illuminate its ramifications for mental winning of individuals. It likewise means to intertwine the gravity of the issues related to overwhelming flourishing and how the degree of people affected is essentially extending.

16.
J Palliat Med ; 25(5): 712-719, 2022 May.
Article in English | MEDLINE | ID: covidwho-1873838

ABSTRACT

Background: The 2019 coronavirus (COVID-19) pandemic placed unprecedented strains on the U.S. health care system, putting health care workers (HCWs) at increased risk for experiencing moral injury (MI). Moral resilience (MR), the ability to preserve or restore integrity, has been proposed as a resource to mitigate the detrimental effects of MI among HCWs. Objectives: The objectives of this study were to investigate the prevalence of MI among HCWs, to identify the relationship among factors that predict MI, and to determine whether MR can act as buffer against it. Design: Web-based exploratory survey. Setting/Subjects: HCWs from a research network in the U.S. mid-Atlantic region. Measurements: Survey items included: our outcome, Moral Injury Symptoms Scale-Health Professional (MISS-HP), and predictors including demographics, items derived from the Rushton Moral Resilience Scale (RMRS), and ethical concerns index (ECI). Results: Sixty-five percent of 595 respondents provided COVID-19 care. The overall prevalence of clinically significant MI in HCWs was 32.4%; nurses reporting the highest occurrence. Higher scores on each of the ECI items were significantly positively associated with higher MI symptoms (p < 0.05). MI among HCWs was significantly related to the following: MR score, ECI score, religious affiliation, and having ≥20 years in their profession. MR was a moderator of the effect of years of experience on MI. Conclusions: HCWs are experiencing MI during the pandemic. MR offers a promising individual resource to buffer the detrimental impact of MI. Further research is needed to understand how to cultivate MR, reduce ECI, and understand other systems level factors to prevent MI symptoms in U.S. HCWs.

17.
International Journal of Early Childhood Special Education ; 14(2):191-207, 2022.
Article in English | Web of Science | ID: covidwho-1870103

ABSTRACT

Background and aim - With the increasing severity of the coronavirus disease (COVID-19) pandemic and we approaching the third wave , it is essential that dental health care professionals (DHCPs) are prepared. The aim of the study is to assess the knowledge , attitudes and practices of precautions during dental practice during a pandemic among interns and post graduates. Methodology: Among the intern and post graduates a cross-sectional questionnaire study was conducted on an online survey. There were 165 participants involved in this online survey. The validity of the questionnaire was cross-verified. Frequency and percentage was used for description, Chi square test was done as inferential statistics. The collected data were subsequently analysed in SPSS with p<0.05 as statistically significant. Results:According to the study 98.18%(162) participants are aware of the dental guidance issued by various dental associations pertaining to dental management during COVID - 19 pandemic. Conclusion: Within the limits of the study,while students gave good responses regarding the standard measures they take to protect against transmission of COVID-19, their knowledge and attitudes about the extra measures they can take should be improved.

18.
J Am Med Inform Assoc ; 2022 May 20.
Article in English | MEDLINE | ID: covidwho-1860867

ABSTRACT

OBJECTIVE: To describe adaptations necessary for effective use of direct-to-consumer (DTC) cameras in an inpatient setting, from the perspective of health care workers. METHODS: Our qualitative study included semi-structured interviews and focus groups with clinicians, information technology (IT) personnel, and health system leaders affiliated with the Mount Sinai Health System. All participants either worked in a COVID-19 unit with DTC cameras or participated in the camera implementation. Three researchers coded the transcripts independently and met weekly to discuss and resolve discrepancies. Abiding by inductive thematic analysis, coders revised the codebook until they reached saturation. All transcripts were coded in Dedoose using the final codebook. RESULTS: Frontline clinical staff, IT personnel, and health system leaders (N = 39) participated in individual interviews and focus groups in November 2020-April 2021. Our analysis identified five areas for effective DTC camera use: technology, patient monitoring, workflows, interpersonal relationships, and infrastructure. Participants described adaptations created to optimize camera use and opportunities for improvement necessary for sustained use. NOn-COVID-19 patients tended to decline participation. DISCUSSION: Deploying DTC cameras on inpatient units required adaptations in many routine processes. Addressing consent, two-way communication issues, patient privacy, and messaging about video monitoring could help facilitate a nimble rollout. Implementation and dissemination of inpatient video monitoring using DTC cameras requires input from patients and frontline staff. CONCLUSIONS: Given the resources and time it takes to implement a usable camera solution, other health systems might benefit from creating task forces to investigate their use before the next crisis.

19.
JAAD Int ; 8: 34-44, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-1859866

ABSTRACT

Background: Personal protective equipment (PPE)-related occupational dermatosis (PROD) represents a significant occupational burden to health care workers (HCWs), and understanding its epidemiology is imperative in formulating mitigation strategies. Objectives: To determine the prevalence of PROD in HCWs, characterize its manifestations, identify its risk factors, and evaluate behavioral modifications of HCW. Methods: A cross-sectional study using an online questionnaire was conducted from July to September 2020. HCWs who had direct contact with COVID-19 patients for a minimum of 2 weeks cumulatively were invited to participate. Results: The prevalence of PROD among 416 valid respondents was 73.8% (307/416), with face masks being the most common cause (93.8% [n = 288]). The most common PROD associated with face masks, protective eyewear, hairnets, gowns, and gloves were acne (71.5% [206/288]), pressure-related injuries (70.7% [99/140]), scalp itch (53.3% [16/30]), itch/rash (78.8% [26/33]), and xerosis (75.0% [27/36]), respectively. Exposure to PPE beyond an hour increased the odds of PROD by 4.8-fold. The majority of HCWs made behavioral modifications to mitigate PROD. Conclusions: We underscore evidence-based recommendations for HCWs to be (1) scheduled hourly breaks from PPE wear, (2) fitted to various PPE models, (3) screened for preexisting dermatoses before deployment, and (4) educated on mitigation strategies and avenues for help should they encounter PROD.

20.
Caspian J Intern Med ; 13(Suppl 3): 244-253, 2022.
Article in English | MEDLINE | ID: covidwho-1856537

ABSTRACT

Background: The present study aimed to investigate the one-year prevalence of SARS-CoV-2, common comorbidities and demographic information among negative- and positive rRT-PCR in health care workers (HCW), hospitalized and outpatients. Also, the association between SARS-CoV-2 cycle threshold (Ct) and the outcomes of patients were analyzed in Babol, northern Iran. Methods: This large retrospective cross-sectional study was performed between March 2020 and March 2021. The records of 19232 hospitalized, outpatients and HCW suspected to COVID-19 were collected from teaching hospitals in the North of Iran. Results: Out of the 19232 suspected to COVID-19 patients, 7251 (37.7%) had a positive rRT-PCR result; 652 (9%), 4599 (63.4%) and 2000 (27.6%) of those were categorized as HCW, hospitalized and outpatients, respectively. Moreover, between the hospitalized and the outpatient group, 10.2 and 0.8% cases died, whereas no death cases were reported in the HCW. Furthermore, it seems that death rate was significantly different between the three groups of Ct value, the highest mortality in those with Ct between 21 and 30 (group B=7.6%) and the lowest in the group with the highest Ct (between 31 and 40 = 5.5%) (p<0.001). Conclusion: In summary, 37.7% of cases were positive for SARS-CoV-2; of which, 63.4, 27.6 and 9% were hospitalized, outpatients and HCW, respectively. With regard to the mortality rate in hospitalized patients and the significant association with Ct under 20 and 30, it seems that the early detection and the initial quantification of SARS-CoV-2 in the first week of the conflict and therapeutic considerations to reduce the relative load can reduce the mortality rate.

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