Department of Health Information Management School of Allied Health Sciences College of Health and Allied Health Sciences University of Cape Coast, Cape Coast, Ghana.
School of Medicine and Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Glob Health Epidemiol Genom. 2024 Jul 5;2024:8862660. doi: 10.1155/2024/8862660. eCollection 2024.
The impact of contracting coronavirus on healthcare providers (HCPs) affects their ability to combat the infection. The virus can be transmitted through droplets from sneezing, coughing, and yelling, making it essential for HCPs to plan ahead when dealing with patients with respiratory symptoms. The need to assess healthcare providers' perceived adherence to COVID-19 Prevention and Control Practices (PCP) in Health Records and Information Management is vital for optimizing healthcare operations and ensuring the safety of both patients and providers. This study assesses healthcare providers' perceived adherence to COVID-19 PCP in Health Records and Information Management. . A cross-sectional survey was conducted to collect data from 1268 HCPs working in eight randomly selected hospitals across five regions in Ghana. The survey was carried out from May 15, 2022, to August 13, 2022. Simple random sampling was used to choose these eight facilities from a total of 204 hospitals. Within each facility, HCPs from various departments were selected using simple random sampling. The EpiInfo 7 software's StatCalc tool was used to choose a total sample size of 1268 from an estimated 4482 HCP-PR from the eight hospitals. Compliance with COVID-19 PCP was assessed using a 3-point scale, ranging from one (Yes always) to three (No). Cronbach's alpha reliability coefficient was used to examine the statistical reliability of the variables in the dataset. Cronbach's alpha was 0.73 overall, suggesting strong reliability. Bartlett's test for equal variances was used for comparative analysis of health facility and overall mean COVID-19 PCP in different areas of health facilities. IBM SPSS (version 23) statistical software was used for the data analysis process.
A total of 1268 HCP-PR participated in the survey, resulting in a 99.6% response rate. Findings reveal that 760 healthcare professionals who handle patients' records (HCP-PR), constituting 60%, consistently followed COVID-19 protocols in the registration and clinic preparation zones. Another 390 individuals (30.7%) adhered to these protocols occasionally, while 119 (9.4%) failed to comply. Similarly, in the filing area, 739 respondents (58.3%) consistently adhered to COVID-19 protocols, 358 (28.3%) occasionally did so, and 170 (13.4%) did not follow the protocols at all. Regarding handling health records cautiously, 540 participants (42.5%) always did, 448 (35.3%) did so sometimes, and 280 (22.2%) neglected these precautions. Additionally, 520 respondents (41.0%) consistently followed COVID-19 precautions when handling computers and other equipment, 393 (31.0%) did so occasionally, and 355 (28.0%) did not adhere to these precautions.
The majority of respondents showed good compliance with COVID-19 protocol in the registration and clinic preparation areas. However, in the filing area, just over four out of every seven respondents consistently adhered to COVID-19 PCP. Additionally, four out of every seven participants did not comply with COVID-19 PCP when handling patients' records. Analysis reveals diverse adherence to COVID-19 PCP, and statistical tests show variable performance, highlighting standout health facilities.
冠状病毒对医护人员（HCPs）的影响会影响他们对抗感染的能力。病毒可以通过打喷嚏、咳嗽和大喊时的飞沫传播，因此 HCPs 在处理有呼吸道症状的患者时必须提前计划。评估医护人员在医疗记录和信息管理中对 COVID-19 预防和控制措施（PCP）的认知遵守情况对于优化医疗操作和确保患者和医护人员的安全至关重要。本研究评估了医护人员在医疗记录和信息管理中对 COVID-19 PCP 的认知遵守情况。采用横断面调查，从加纳五个地区的 8 家随机选择的医院中收集了 1268 名 HCP 的数据。调查于 2022 年 5 月 15 日至 2022 年 8 月 13 日进行。简单随机抽样用于从 204 家医院中选择这 8 家医院。在每个设施中，使用简单随机抽样从各个部门选择 HCP。使用 EpiInfo 7 软件的 StatCalc 工具从 8 家医院的 4482 名 HCP-PR 中估算出 1268 名总样本量。使用 3 分制评估 COVID-19 PCP 的遵守情况，范围从 1（始终是）到 3（从不）。使用 Cronbach's alpha 可靠性系数来检查数据集中变量的统计可靠性。总体 Cronbach's alpha 为 0.73，表明可靠性较高。Bartlett 方差相等检验用于比较不同卫生设施区域的卫生设施和总体 COVID-19 PCP 的均值。使用 IBM SPSS（第 23 版）统计软件进行数据分析过程。
共有 1268 名 HCP-PR 参与了调查，回应率为 99.6%。研究结果表明，在注册和诊所准备区，有 760 名处理患者记录的医疗保健专业人员（HCP-PR），占 60%，始终遵循 COVID-19 协议。另有 390 人（30.7%）偶尔遵守这些协议，119 人（9.4%）则不遵守。同样，在归档区，有 739 名受访者（58.3%）始终遵守 COVID-19 协议，358 人（28.3%）偶尔遵守，170 人（13.4%）则完全不遵守。在谨慎处理健康记录方面，540 名参与者（42.5%）始终这样做，448 名（35.3%）有时这样做，280 名（22.2%）则忽略了这些预防措施。此外，有 520 名受访者（41.0%）在处理电脑和其他设备时始终遵守 COVID-19 预防措施，393 名（31.0%）偶尔这样做，355 名（28.0%）则不遵守这些预防措施。
大多数受访者在注册和诊所准备区表现出良好的 COVID-19 协议遵守情况。然而，在归档区，只有超过四分之三的受访者始终遵守 COVID-19 PCP。此外，四分之三的参与者在处理患者记录时不遵守 COVID-19 PCP。分析表明 COVID-19 PCP 的遵守情况存在差异，统计检验显示表现存在差异，突出了表现良好的卫生设施。
