Department of Otolaryngology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Health Education England North East, Newcastle, UK.
Int J Clin Pract. 2021 May;75(5):e14029. doi: 10.1111/ijcp.14029. Epub 2021 Jan 27.
On the 11th of March 2020, the World Health Organisation (WHO) declared a global pandemic following the upsurge of the novel coronavirus disease 2019 (COVID-19). Unprecedented global demand for personal protective equipment (PPE) resulted in restricted availability, as well as evolving guidance on use, the latter of which was complicated by conflicting guidance provided by numerous healthcare bodies.
To assess perceived confidence and knowledge of PPE guidance as published by Public Health England (PHE) amongst doctors of varying specialties and grades.
A nationwide 11-point survey comprising of multiple-choice questions (MCQs) and a 5-point Likert scale assessing perceived confidence was disseminated to UK-based doctors using multiple platforms. Statistical analysis using one-way analysis of variance (ANOVA), Tukey's honest significant difference (Tukey HSD) and Pearson's chi-squared test was undertaken to assess for statistical significance.
Data collated from 697 respondents revealed that average perceived confidence was low across all specialties and grades. Notably, 59% (n = 411) felt they had received insufficient education regarding up-to-date guidance, with 81% (n = 565) advocating further training. Anaesthetics and ophthalmology were highest and lowest scoring specialties in knowledge-based MCQs, achieving scores of 59% and 31%, respectively. Statistical analysis revealed significant differences between specialty, but not grade.
Ensuring uniformity in published guidance, coupled with education may aid knowledge and subsequent confidence regarding the appropriate use of PPE. The absence of a unified consensus and sustained training not only poses significant ramifications for patient and healthcare professional (HCP) safety, but also risks further depletion of already sparse resources. Because of the novelty of COVID-19, appropriate PPE is continually evolving leaving an absence in formal training and education. This paper reveals insight into confidence and knowledge of PPE amongst doctors of various specialities/grades during a global pandemic, highlighting key deficits in education and training.
2020 年 3 月 11 日，世界卫生组织（WHO）宣布 2019 年新型冠状病毒病（COVID-19）疫情爆发为全球大流行。由于对个人防护设备（PPE）的需求空前增加，导致供应有限，同时使用指南也在不断发展，而后者由于众多医疗机构提供的相互冲突的指导意见而变得复杂。
评估不同专业和级别的英国医生对英国公共卫生部（PHE）发布的 PPE 指南的认知和信心。
使用多项选择题（MCQs）和 5 分李克特量表对认知进行评估，向英国医生分发了一项全国性的 11 点调查。使用单因素方差分析（ANOVA）、Tukey 诚实显著差异（Tukey HSD）和 Pearson 卡方检验进行统计分析，以评估统计学意义。
从 697 名受访者中收集的数据表明，所有专业和级别对 PPE 指南的认知信心普遍较低。值得注意的是，59%（n=411）的人认为他们没有接受过关于最新指南的足够教育，81%（n=565）的人主张进一步培训。在基于知识的 MCQs 中，麻醉科和眼科得分最高和最低，分别为 59%和 31%。统计分析显示，专业之间存在显著差异，但与等级无关。
确保发布指南的一致性，并结合教育，可以帮助提高对 PPE 正确使用的知识和信心。缺乏统一的共识和持续的培训不仅对患者和医疗保健专业人员（HCP）的安全构成重大影响，而且还会进一步消耗已经稀缺的资源。由于 COVID-19 的新颖性，适当的 PPE 还在不断发展，导致正规培训和教育的缺失。本文揭示了在全球大流行期间，不同专业/等级的医生对 PPE 的认知和信心，突出了教育和培训方面的关键缺陷。
