Zafar Nowera, Jamal Zohaib, Mujeeb Khan Muhammad
Department of Infectious Diseases, Rawalpindi Medical University and Allied Hospitals, Rawalpindi, Pakistan.
Front Public Health. 2020 Sep 11;8:502. doi: 10.3389/fpubh.2020.00502. eCollection 2020.
With the increasing spread and mortality of the COVID-19 (Coronavirus disease 2019) pandemic, it is essential for the healthcare community to be prepared per the international standards. This study is focused on assessing the preparedness of healthcare personnel and the effectiveness of an educational intervention to improve this preparedness in those dealing with the COVID-19 infection. A prospective, multicenter audit cycle was conducted on 400 healthcare professionals (271 junior doctors, 90 nurses, 39 non-clinical hospital workers) sampled through stratified random sampling. A questionnaire that was based on "Centers for Disease Control and Prevention (CDC's) checklist for healthcare personnel's preparedness for transport and arrival of patients with confirmed or possible COVID-19" was sent to the participants after which an informative document, framed on the information provided by World Health Organization (WHO), CDC, and local guidelines from the Government of Pakistan's website, was distributed through social media platforms. The questionnaire was repeated after 2 weeks to close the audit loop. Chi-Square test and paired sample -test were used to test significance. In the pre-intervention portion of the study, it was found out that the doctors and nurses had higher knowledge scores compared to the non-clinical hospital staff ( ≤ 0.05). A statistically significant improvement was seen after the educational intervention was deployed ( ≤ 0.05). The study concludes that the non-clinical staff, being a vital part of the healthcare framework, need to be educated and effective approaches for official inclusion of relevant information need to be incorporated into clinical practice to limit the transmission of COVID-19.
随着2019冠状病毒病（COVID-19）大流行的传播范围不断扩大以及死亡率不断上升，医疗保健界按照国际标准做好准备至关重要。本研究的重点是评估医护人员的准备情况以及一项教育干预措施在提高应对COVID-19感染人员的准备方面的有效性。通过分层随机抽样对400名医疗保健专业人员（271名初级医生、90名护士、39名非临床医院工作人员）进行了一项前瞻性多中心审计周期研究。向参与者发送了一份基于“疾病控制与预防中心（CDC）关于医护人员对确诊或疑似COVID-19患者转运和接诊准备情况的检查表”的问卷，之后通过社交媒体平台分发了一份根据世界卫生组织（WHO）、CDC以及巴基斯坦政府网站的当地指南提供的信息编写的资料文件。两周后重复进行问卷调查以完成审计循环。采用卡方检验和配对样本检验来检验显著性。在研究的干预前阶段，发现医生和护士的知识得分高于非临床医院工作人员（≤0.05）。在实施教育干预后，出现了具有统计学意义的改善（≤0.05）。该研究得出结论，非临床工作人员作为医疗保健框架的重要组成部分，需要接受教育，并且需要将正式纳入相关信息的有效方法纳入临床实践，以限制COVID-19的传播。
