School of Environmental and Geographical Sciences, University of Nottingham Malaysia, Semenyih, Malaysia.
Department of Geography and Environmental Studies, University of Chittagong, Chittagong, Bangladesh.
BMC Health Serv Res. 2021 Oct 11;21(1):1079. doi: 10.1186/s12913-021-07071-2.
The safety of health care workers (HCWs) in Bangladesh and the factors associated with getting COVID-19 have been infrequently studied. The aim of this study was to address this gap by assessing the capacity development and safety measures of HCWs in Bangladesh who have been exposed to COVID-19 and by identifying the factors associated with respondents' self-reported participation in capacity development trainings and their safety practices.
This cross-sectional study was based on an online survey of 811 HCWs working at 39 dedicated COVID-19 hospitals in Bangladesh. A pretested structured questionnaire consisting of questions related to respondents' characteristics, capacity development trainings and safety measures was administered. Binary logistic regressions were run to assess the association between explanatory and dependent variables.
Among the respondents, 58.1% had been engaged for at least 2 months in COVID-19 care, with 56.5% of them attending capacity development training on the use of personal protective equipment (PPE), 44.1% attending training on hand hygiene, and 35% attending training on respiratory hygiene and cough etiquette. Only 18.1% reported having read COVID-19-related guidelines. Approximately 50% of the respondents claimed that there was an inadequate supply of PPE for hospitals and HCWs. Almost 60% of the respondents feared a high possibility of becoming COVID-19-positive. Compared to physicians, support staff [odds ratio (OR) 4.37, 95% confidence interval (CI) 2.25-8.51] and medical technologists (OR 8.77, 95% CI 3.14-24.47) were more exhausted from working in COVID-19 care. Respondents with longer duty rosters were more exhausted, and those who were still receiving infection prevention and control (IPC) trainings were less exhausted (OR 0.54, 95% CI 0.34-0.86). Those who read COVID-19 guidelines perceived a lower risk of being infected by COVID-19 (OR 0.44, 95% CI 0.29-0.67). Compared to the respondents who strongly agreed that hospitals had a sufficient supply of PPE, others who disagreed (OR 2.68, 95% CI 1.31-5.51) and strongly disagreed (OR 5.05, 95% CI 2.15-11.89) had a higher apprehension of infection by COVID-19.
The findings indicated a need for necessary support, including continuous training, a reasonable duty roster, timely diagnosis of patients, and an adequate supply of quality PPE.
孟加拉国医护人员（HCWs）的安全状况以及与感染 COVID-19 相关的因素很少被研究。本研究旨在通过评估在孟加拉国专门的 39 家 COVID-19 医院工作并接触过 COVID-19 的 HCWs 的能力发展和安全措施，以及确定与受访者自我报告参与能力发展培训和安全实践相关的因素，来解决这一差距。
这是一项基于对孟加拉国 811 名 HCWs 的在线调查的横断面研究。使用与受访者特征、能力发展培训和安全措施相关的预测试结构化问卷进行调查。采用二项逻辑回归分析评估解释变量和因变量之间的关联。
在受访者中，58.1%的人从事 COVID-19 护理工作至少 2 个月，其中 56.5%的人参加了个人防护设备（PPE）使用方面的能力发展培训，44.1%的人参加了手部卫生培训，35%的人参加了呼吸卫生和咳嗽礼仪培训。只有 18.1%的受访者表示阅读过 COVID-19 相关指南。大约 50%的受访者表示医院和 HCWs 的 PPE 供应不足。近 60%的受访者担心自己有很高的感染 COVID-19 的可能性。与医生相比，支持人员（OR 4.37，95%置信区间[CI] 2.25-8.51）和医学技术人员（OR 8.77，95%CI 3.14-24.47）因在 COVID-19 护理中工作而感到更疲惫。轮班时间较长的受访者更容易感到疲惫，而仍在接受感染预防和控制（IPC）培训的受访者则较少感到疲惫（OR 0.54，95%CI 0.34-0.86）。阅读 COVID-19 指南的受访者认为感染 COVID-19 的风险较低（OR 0.44，95%CI 0.29-0.67）。与强烈同意医院有足够 PPE 供应的受访者相比，不同意（OR 2.68，95%CI 1.31-5.51）和强烈不同意（OR 5.05，95%CI 2.15-11.89）的受访者对感染 COVID-19 的担忧程度更高。
研究结果表明，需要提供必要的支持，包括持续培训、合理的轮班时间表、及时诊断患者和充足供应高质量的 PPE。
