MSC Health Economics, Policy and Management, The London School of Economics and Political Science, London, United Kingdom.
Department of Pediatrics, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia.
Front Public Health. 2023 Sep 19;11:1204878. doi: 10.3389/fpubh.2023.1204878. eCollection 2023.
The COVID-19 pandemic has become an important cause of morbimortality, and healthcare workers are at the highest risk of infection. As a result, policies and guidelines have been issued, and behavioral changes have been crucial in hospitals. Among these measures, the implementation of personal protective equipment (PPE) and its appropriate use in the workplace is key to avoiding contagion, as is understanding new measures regarding patient admission, distribution, constant education on virtual platforms, among others, and changing conduct to reduce contagion. However, behavioral change interventions in healthcare workers are challenging as contextual characteristics, attributes of the intervention, and psychological factors are involved.
The issue under investigation is the impact of COVID-19 on frontline healthcare workers in the emergency department of the Fundación Cardioinfantil (FCI). The objective was to describe their behavioral changes by studying and monitoring SARS-CoV-2 infection and their relationship through the tracing process in 2020.
We conducted a case study to identify and relate the SARS-CoV-2 infection rate within the personnel in the department and the response of healthcare workers to the implementation and adherence to the use of PPE through the analysis of the different variables that contributed to behavioral change. Data were collected by a single author and analyzed by two authors using both the individual-level logic model technique and the triangulation of information, with approval from the institutional review board.
Several interventions for behavior change were registered in the data collection process. The data obtained indicated that implementation, embedding, and integration were perceived as collective and individual behavioral processes. This was supported by evidence from healthcare interventions, such as education, incentivization, training, restriction, environmental restructuring, modeling, and enablement.
Behavioral science should be part of public health responses, as the theoretical basis suggests that change may modify the response to avoid the transmission of infectious diseases. Therefore, individuals at the highest risk appear to adopt guidance with targeted behavior adaptation interventions. Efforts to inform, instruct, and motivate healthcare workers must be continuous, and actions at the community level must be strengthened, as it is human behavior that determines the spread and mortality of infectious diseases, where community compliance to preventive behaviors plays a crucial role.
COVID-19 大流行已成为导致发病和死亡的重要原因，医护人员面临着最高的感染风险。因此，已经发布了相关政策和指南，医院内的行为改变至关重要。在这些措施中，在工作场所实施个人防护设备（PPE）并正确使用是避免感染的关键，了解有关患者收治、分配、在虚拟平台上持续教育等方面的新措施以及改变行为以减少感染也是关键。然而，医护人员的行为改变干预具有挑战性，因为涉及到背景特征、干预措施的属性和心理因素。
本研究旨在调查 COVID-19 对 Fundación Cardioinfantil（FCI）急诊部一线医护人员的影响。目的是通过 2020 年对 SARS-CoV-2 感染及其通过追踪过程的关系进行研究和监测，描述他们的行为变化。
我们进行了一项案例研究，以确定和关联该部门人员的 SARS-CoV-2 感染率，以及医护人员对个人防护设备使用的实施和遵守情况的反应，通过分析促成行为改变的不同变量。数据由一名作者收集，两名作者使用个体逻辑模型技术和信息三角化进行分析，同时获得了机构审查委员会的批准。
在数据收集过程中记录了几个行为改变干预措施。所获得的数据表明，实施、嵌入和整合被视为集体和个人的行为过程。这得到了来自医疗保健干预措施的证据的支持，例如教育、激励、培训、限制、环境重构、建模和赋权。
行为科学应该成为公共卫生应对措施的一部分，因为理论基础表明，改变可能会改变反应以避免传染病的传播。因此，处于最高风险的个体似乎会采用具有针对性行为适应干预措施的指导。必须持续不断地向医护人员提供信息、指导和激励，并且必须加强社区层面的行动，因为决定传染病传播和死亡率的是人类行为，社区对预防行为的遵守起着至关重要的作用。
