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Assessing knowledge, attitude, practice and training related to COVID-19: a cross-sectional survey of frontline healthcare workers in Nigeria.
Iheanacho, Theddeus; Stefanovics, Elina; Okoro, Ugochi Genevieve; Anyaehie, Udo Ego; Njoku, Paschal Okuchi; Adimekwe, Anthony Ikenna; Ibediro, Kingsley; Stefanovics, Glenn A; Haeny, Angela; Jackson, Asti; Unamba, Norbert Ndubuisi; Isiguzo, Godsent; Chukwu, Chinedu Chukwukiro; Anyaehie, Ugochukwu Bond; Mbam, Thomas Terence; Osy-Eneze, Chinyere; Ibezim, Ebere Otuomasirichi.
  • Iheanacho T; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA theddeus.iheanacho@yale.edu.
  • Stefanovics E; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
  • Okoro UG; Department of Family Medicine, Franciscan Physician Network, Crown Point, Indiana, USA.
  • Anyaehie UE; Department of Orthopaedics, National Orthopaedic Hospital Enugu, Enugu, Nigeria.
  • Njoku PO; Department of Internal Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.
  • Adimekwe AI; Department of Family Medicine, Catterick and Colburn Medical Group, Richmondshire, NHS North Yorkshire, Yorkshire and Humber, England, UK.
  • Ibediro K; Department of Family Medicine, Meadow Primary Health Care Center, Saskatchewan Health Authority, Regina, Saskatchewan, Canada.
  • Stefanovics GA; Department of Psychiatry, VA Connecticut Healthcare System, West Haven, Connecticut, USA.
  • Haeny A; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
  • Jackson A; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
  • Unamba NN; Department of Cardiology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
  • Isiguzo G; Department of Medicine, Alex Ekwueme Federal Teaching Hospital Abakaliki, Abakaliki, Ebonyi, Nigeria.
  • Chukwu CC; Department of Radiology, University of Calabar Teaching Hospital, Calabar, Nigeria.
  • Anyaehie UB; Department of Physiology, University of Nigeria, Enugu, Enugu, Nigeria.
  • Mbam TT; Department of Otorhinolaryngology, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Ebonyi, Nigeria.
  • Osy-Eneze C; Department of Medicine, Abbeyfields Medical Center, Colchester, East England, UK.
  • Ibezim EO; Department of Radiology, Imo State University Teaching Hospital, Orlu, Nigeria.
BMJ Open ; 11(9): e050138, 2021 09 27.
Article in English | MEDLINE | ID: covidwho-1440823
ABSTRACT

OBJECTIVES:

Healthcare workers (HCWs) are at the frontline of efforts to treat those affected by COVID-19 and prevent its continued spread. This study seeks to assess knowledge, attitude and practice (KAP) as well as training needs and preferences related to COVID-19 among frontline HCWs in Nigeria.

SETTING:

A cross-sectional survey was carried out among 1852 HCWs in primary, secondary and tertiary care settings across Nigeria using a 33-item questionnaire.

PARTICIPANTS:

Respondents included doctors, nurses, pharmacy and clinical laboratory professionals who have direct clinical contact with patients at the various healthcare settings.

ANALYSIS:

Exploratory factor analysis (EFA) was used to establish independent factors related to COVID-19 KAP. Analysis of variance was used to identify any differences in the factors among different categories of HCWs.

RESULTS:

EFA identified four factors safety and prevention (factor 1), practice and knowledge (factor 2), control and mitigation (factor 3) and national perceptions (factor 4). Significant group differences were found on three factors Factor 1 (F(1,1655)=5.79, p=0.0006), factor 3 (F(1,1633)=12.9, p<0.0.0001) and factor 4 (F(1,1655)=7.31, p<0.0001) with doctors scoring higher on these three factors when compared with nurses, pharmaceutical workers and medical laboratory scientist. The most endorsed training need was how to reorganise the workplace to prevent spread of COVID-19. This was chosen by 61.8% of medical laboratory professionals, 55.6% of doctors, 51.7% of nurses and 51.6% of pharmaceutical health workers. The most preferred modes of training were webinars and conferences.

CONCLUSION:

There were substantial differences in KAP regarding the COVID-19 pandemic among various categories of frontline HCWs surveyed. There were also group differences on COVID-19 training needs and preferences. Tailored health education and training aimed at enhancing and updating COVID-19 KAP are needed, particularly among non-physician HCWs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Humans Country/Region as subject: Africa Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2021-050138

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Humans Country/Region as subject: Africa Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2021-050138