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The experience of European hospital-based health care workers on following infection prevention and control procedures and their wellbeing during the first wave of the COVID-19 pandemic.
van Hout, Denise; Hutchinson, Paul; Wanat, Marta; Pilbeam, Caitlin; Goossens, Herman; Anthierens, Sibyl; Tonkin-Crine, Sarah; Gobat, Nina.
  • van Hout D; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
  • Hutchinson P; Department of Global Community Health and Behavioral Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, United States of America.
  • Wanat M; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
  • Pilbeam C; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
  • Goossens H; Laboratory of Medical Microbiology, Vaccine and Infectious Disease Institute, University of Antwerp, Antwerp, Belgium.
  • Anthierens S; Department of Family Medicine and Population Health (FAMPOP), University of Antwerp, Antwerp, Belgium.
  • Tonkin-Crine S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
  • Gobat N; National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, University of Oxford, Oxford, United Kingdom.
PLoS One ; 17(2): e0245182, 2022.
Article in English | MEDLINE | ID: covidwho-1674002
ABSTRACT

BACKGROUND:

Working under pandemic conditions exposes health care workers (HCWs) to infection risk and psychological strain. A better understanding of HCWs' experiences of following local infection prevention and control (IPC) procedures during COVID-19 is urgently needed to inform strategies for protecting the psychical and psychological health of HCWs. The objective of this study was therefore to capture the perceptions of hospital HCWs on local IPC procedures and the impact on their emotional wellbeing during the first wave of the COVID-19 pandemic in Europe.

METHODS:

Participants were recruited in two sampling rounds of an international cross-sectional survey. Sampling took place between 31 March and 17 April 2020 via existing research networks and between 14 May and 31 August 2020 via online convenience sampling. Main outcome measures were behavioural determinants of HCWs' adherence to IPC guidelines and the WHO-5 Well-Being Index, a validated scale of 0-100 reflecting emotional wellbeing. The WHO-5 was interpreted as a score below or above 50 points, a cut-off score used in previous literature to screen for depression.

RESULTS:

2289 HCWs from 40 countries in Europe participated. Mean age was 42 (±11) years, 66% were female, 47% and 39% were medical doctors and nurses, respectively. 74% (n = 1699) of HCWs were directly treating patients with COVID-19, of which 32% (n = 527) reported they were fearful of caring for these patients. HCWs reported high levels of concern about COVID-19 infection risk to themselves (71%) and their family (82%) as a result of their job. 40% of HCWs considered that getting infected with COVID-19 was not within their control. This feeling was more common among junior than senior HCWs (46% versus 38%, P value < .01). Sufficient COVID-19-specific IPC training, confidence in PPE use and institutional trust were positively associated with the feeling that becoming infected with COVID-19 was within their control. Female HCWs were more likely than males to report a WHO-5 score below 50 points (aOR 1.5 (95% confidence interval (CI) 1.2-1.8).

CONCLUSIONS:

In Europe, the COVID-19 pandemic has had a differential impact on those providing direct COVID-19 patient care, junior staff and women. Health facilities must be aware of these differential impacts, build trust and provide tailored support for this vital workforce during the current COVID-19 pandemic.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Infection Control / Health Personnel / Guidelines as Topic / Personal Protective Equipment / SARS-CoV-2 / COVID-19 / Hospitals Type of study: Clinical Practice Guide / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0245182

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Infection Control / Health Personnel / Guidelines as Topic / Personal Protective Equipment / SARS-CoV-2 / COVID-19 / Hospitals Type of study: Clinical Practice Guide / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0245182