COVID-19: how prepared are front-line healthcare workers in England?

Prescott, Katherine; Baxter, Elaine; Lynch, Chris; Jassal, Simran; Bashir, Amreen; Gray, J.

doi:10.1016/j.jhin.2020.04.031

Cited by 51 publications

(68 citation statements)

References 7 publications

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“…Even though some studies have looked at the HCWs' infection and psychological well-being, our study sought to assess the factors contributing to these outcomes. [13][14][15] Overall, our results corroborate presumptions regarding the correlation between various risk factors and HCW infection with more recent studies showing adequacy of PPE, clinical settings, gender and ethnic background as important factors of HCW infection. [22][23][24][25] Our sample of HCWs, overall had higher reported COVID-19 infection risk (29%) compared with general population estimates.…”

Section: Discussionsupporting

confidence: 90%

“…Additionally, few studies have looked at the association of factors such as PPE availability and testing, with subsequent COVID-19 infection in HCWs. [11][12][13][14][15] Finally, the association of these variables with psychological distress and clinician burn-out has not been described. While previous studies have broadly described occupational stressors and lack of availability of PPE for frontline providers, few studies have attempted to sample a broad range of both clinicians and non-clinical healthcare staff.…”

Section: Open Accessmentioning

confidence: 99%

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Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA

et al. 2020

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ObjectiveThe COVID-19 pandemic has been associated with significant occupational stressors and challenges for front-line healthcare workers (HCWs), including COVID-19 exposure risk. Our study sought to assess factors contributing to HCW infection and psychological distress during the COVID-19 pandemic in the USA.DesignWe conducted a cross sectional survey of HCWs (physicians, nurses, emergency medical technicians (EMTs), non-clinical staff) during May 2020. Participants completed a 42-item survey assessing disease transmission risk (clinical role, work environment, availability of personal protective equipment) and mental health (anxiety, depression and burn-out).SettingThe questionnaire was disseminated over various social media platforms. 3083 respondents from 48 states, the District of Columbia and US territories accessed the survey.ParticipantsUsing a convenience sample of HCWs who worked during the pandemic, 3083 respondents accessed the survey and 2040 participants completed at least 80% of the survey.Primary outcomePrevalence of self-reported COVID-19 infection, in addition to burn-out, depression and anxiety symptoms.ResultsParticipants were largely from the Northeast and Southern USA, with attending physicians (31.12%), nurses (26.80%), EMTs (13.04%) with emergency medicine department (38.30%) being the most common department and specialty represented. Twenty-nine per cent of respondents met the criteria for being a probable case due to reported COVID-19 symptoms or a positive test. HCWs in the emergency department (31.64%) were more likely to contract COVID-19 compared with HCWs in the ICU (23.17%) and inpatient settings (25.53%). HCWs that contracted COVID-19 also reported higher levels of depressive symptoms (mean diff.=0.31; 95% CI 0.16 to 0.47), anxiety symptoms (mean diff.=0.34; 95% CI 0.17 to 0.52) and burn-out (mean diff.=0.54; 95% CI 0.36 to 0.71).ConclusionHCWs have experienced significant physical and psychological risk while working during the COVID-19 pandemic. These findings highlight the urgent need for increased support for provider physical and mental health well-being.

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Section: Discussionsupporting

confidence: 90%

Section: Open Accessmentioning

confidence: 99%

Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA

et al. 2020

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“…These results challenge the inclination of our front-line healthcare workers to combat the prevailing circumstance. Another study showed that about 76% of the front-line healthcare workers had some level of confidence in isolating a suspected case while 72% of respondents of the study felt somewhat confident about what and how to use PPE [11]. The disparity in these percentages signifies that the level of training of doctors in our hospitals is notably unsatisfactory regarding PPE usage.…”

Section: Discussionmentioning

confidence: 91%

Physician Preparedness in Response to the Coronavirus Disease 2019 Pandemic: A Cross-Sectional Study From a Developing Country

Hashim¹,

Khan²,

Ullah³

et al. 2020

Cureus

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Background December 2019 marked the inception of a global pandemic, with cases being reported worldwide. In the developing nations with scarce healthcare resources, the reliance on healthcare workers who are amply prepared to withstand the prevailing scenario is indispensable. Our study aimed to assess the level of preparedness of doctors working in various hospitals across Pakistan to combat coronavirus disease 2019 (COVID-19). Methods We conducted an online questionnaire-based survey in May 2020 to estimate the level of preparedness of doctors working in various departments of various private and public hospitals across Pakistan. The survey comprised 36 questions, with items evaluating the provision of adequate protective equipment, training, mental health resources, and sound collaboration between healthcare workers and the hospital management during the COVID-19 crisis. Results A total of 346 doctors responded to the survey, among whom 56.4% were working in public sector hospitals and 46.5% were working more than five days per week. Of those included, 87.6% were being provided with disposable gloves, but 72.8% and 43.4% of respondents professed to having no access to eye protective equipment and gowns, respectively. Only 35.3% of respondents claimed to be trained regarding the use of personal protective equipment and 28.95% were being tested. Of the physicians, 43.4% claimed to have no proper triage system for the suspected patients and 98.3% were concerned about transmitting the disease to their family members. Of the doctors, 53.5% reported that there was sound collaboration between the hospital management and healthcare staff. Conclusion The survey provided evidence of inadequate delivery of personal protective equipment and training to doctors working in various hospitals across Pakistan. A sound collaboration between the hospital management and departments needs to be addressed.

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“…Different reasons have been described as a cause of COVID-19 spread among healthcare workers including inadequate availability of PPE due to international shortage, lack of knowledge, inadequate training, intensity of work and long-time exposure to infected patients. Another concept among healthcare workers is to protect their health by expanding COVID-19 screening tests among them in order to reduce the risk of transmission [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional survey on availability of facilities to healthcare workers in Pakistan during the COVID-19 pandemic

Dhahri¹,

Iqbal²,

Khan³

2020

Annals of Medicine and Surgery

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Introduction COVID-19 pandemic has caused a healthcare crisis across the world. Low-economic countries like Pakistan lag behind in an adequate response including supply of Personal Protective Equipment (PPE), leading to panic among healthcare workers. We aim to evaluate hospital settings and state in Pakistan regarding availability of resources and views of healthcare workers on COVID-19. Method A questionnaire survey was carried out among healthcare workers in public and private sector hospitals across Pakistan for a period of one month. The primary measured outcomes were presence of local Standard Operating Procedures (SOPs), availability and training of PPE, specific isolation wards and staff wellbeing support by the hospital management. Results There were 337 participants, 307 (91.1%) doctors and 11 nurses (3.3%). About two-third of the participants (n = 199, 59%) reported non-availability of PPE and 40% (n = 136) denied availability of local Standard Operating Procedures. About a quarter of the participants (n = 94, 27.8%) had training in Donning and Doffing. Most of the participants (n = 277, 82.1%) felt that it was necessary to have testing available for frontline workers. Conclusion There is lack of PPE and adequate facilities in hospitals as COVID-19 continue to spread in Pakistan. Local medical governing bodies and societies should come forward with guidelines to ascertain wellbeing of the healthcare workers.

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COVID-19: how prepared are front-line healthcare workers in England?

Cited by 51 publications

References 7 publications

Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA

Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA

Physician Preparedness in Response to the Coronavirus Disease 2019 Pandemic: A Cross-Sectional Study From a Developing Country

A cross-sectional survey on availability of facilities to healthcare workers in Pakistan during the COVID-19 pandemic

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