Pharmaceutical care department -Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
Research office, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
BMC Infect Dis. 2019 Mar 21;19(1):273. doi: 10.1186/s12879-019-3898-2.
Knowledge transfer of Middle East respiratory syndrome coronavirus (MERS-CoV) involves the dissemination of created/acquired information on MERS-CoV in hospitals, making this information accessible to all healthcare workers (HCWs). This study evaluated the perceived effectiveness of MERS-CoV educational programs and knowledge transfer among primary care HCWs at a hospital in Saudi Arabia that witnessed the largest outbreak of confirmed MERS-CoV cases in this country.
A survey was distributed among primary care HCWs at five clinics in Saudi Arabia in 2016. Those with non-direct patient care responsibilities were excluded. Their knowledge was evaluated against facts published by Mayo Clinic Foundation, and its percentage mean score (PMS) ± standard deviation was calculated. HCWs' perceived effectiveness of educational programs and knowledge transfer was classified as negative or positive.
Sample comprised of 404 HCWs, of which 64% were females and 36% were males. Almost 26% were ≤ 30 years old, and 42% had > 10 years of work experience. Almost 46.5% were nurses, 23.0% physicians, 18.1% were pharmacists, and 12.4% were technical staff. PMS for knowledge was 71.1 ± 19.4. The prevalence of negative perceptions towards educational programs was 22.5% and of knowledge transfer was 20.8%. Older(> 40 years of age) and more experienced(> 10 years) HCWs had the highest PMS for knowledge(73.4 ± 18.9,P = 0.005 and 76.9 ± 15.7,P < 0.001 respectively). Negative perceptions of educational programs (49.4 ± 20.7; P < 0.001) and knowledge transfer (46.0 ± 19.7; P = 0.001) were associated with a lower knowledge PMS. Males were 2.4[95% confidence interval 1.4-4.2] times and 2.0[1.1-3.5] times more likely to have negative perceptions of educational programs and knowledge transfer (adjusted (adj.)P = 0.001 and adj. P = 0.023, respectively). Physicians/pharmacists were 1.8[1.03-3.11] and 2.8[1.6-5.0] times more likely to have negative perceptions of both outcomes (adj. P = 0.038 and adj. P = 0.001, respectively). Less experienced HCWs were 2.1[1.3-3.5] times and 4.9[2.6-9.2] times more likely to exhibit negative perceptions of the two outcomes (adj. P < 0.001 each).
A negative perception of the effectiveness of MERS-CoV knowledge transfer was associated with poorer knowledge and was more prevalent among male HCWs, physicians/pharmacists and less experienced HCWs. Hospitals should always refer to efficient knowledge sharing and educational strategies that render beneficial outcomes to patients, HCWs, and the public community.
中东呼吸综合征冠状病毒（MERS-CoV）的知识转移涉及在医院传播关于 MERS-CoV 的已创建/获取的信息，使所有医疗保健工作者（HCWs）都能获得这些信息。本研究评估了沙特阿拉伯一家医院的初级保健 HCWs 对 MERS-CoV 教育计划的认知效果和知识转移，该医院见证了该国最大的确诊 MERS-CoV 病例爆发。
2016 年在沙特阿拉伯的五家诊所向初级保健 HCWs 分发了一份调查。那些没有直接患者护理职责的人被排除在外。根据 Mayo 诊所基金会发布的事实评估他们的知识，并计算其百分比均值得分（PMS）±标准差。将 HCWs 对教育计划和知识转移的感知效果分为阴性或阳性。
样本包括 404 名 HCWs，其中 64%为女性，36%为男性。近 26%的人年龄在 30 岁以下，42%的人有 10 年以上的工作经验。近 46.5%是护士，23.0%是医生，18.1%是药剂师，12.4%是技术人员。知识的 PMS 为 71.1±19.4。对教育计划的负面看法的流行率为 22.5%，对知识转移的负面看法的流行率为 20.8%。年龄较大（>40 岁）和经验更丰富（>10 年）的 HCWs 对知识的 PMS 最高（73.4±18.9，P=0.005 和 76.9±15.7，P<0.001）。对教育计划（49.4±20.7；P<0.001）和知识转移（46.0±19.7；P=0.001）的负面看法与较低的知识 PMS 相关。男性对教育计划和知识转移的负面看法的可能性分别是女性的 2.4 倍（95%置信区间 1.4-4.2）和 2.0 倍（1.1-3.5）（调整后（adj.）P=0.001 和 adj. P=0.023）。医生/药剂师对这两种结果的负面看法的可能性分别是护士的 1.8 倍（1.03-3.11）和 2.8 倍（1.6-5.0）（adj. P=0.038 和 adj. P=0.001）。经验不足的 HCWs 对这两种结果的负面看法的可能性分别是经验丰富的 HCWs 的 2.1 倍（1.3-3.5）和 4.9 倍（2.6-9.2）（adj. P<0.001）。
对 MERS-CoV 知识转移效果的负面看法与较差的知识相关，并且在男性 HCWs、医生/药剂师和经验不足的 HCWs 中更为普遍。医院应始终参考有效的知识共享和教育策略，为患者、HCWs 和公众带来有益的结果。
