Knowledge and attitudes of healthcare workers in Chinese intensive care units regarding 2009 H1N1 influenza pandemic

Ma, Xiaochun; He, Zhenyang; Yu-shan, Wang; Jiang, Li; Xu, Yuan; Qian, Chuanyun; Sun, Rongqing; Chen, Erzhen; Hu, Zhenjie; Zhou, Lihua; Zhou, Fachun; Qin, Tiehe; Cao, Xiangyuan; An, Youzhong; Sun, Renhua; Zhang, Xijing; Lin, Jiandong; Ai, Yuhang; Wu, Dawei; Du, Bin

doi:10.1186/1471-2334-11-24

Cited by 34 publications

(56 citation statements)

References 26 publications

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“…Some PHEs are common, such as severe weather events. 6,10,[19][20][21][22][23][24][25][26][27] However, for a mass-casualty incident, 83%-90% of study participants implied they were willing to respond to such events as an airplane crash or tornado. The nature of a PHE appears to influence HCP's responses.…”

Section: Nature Of the Phementioning

confidence: 99%

When and Why Health Care Personnel Respond to a Disaster: The State of the Science

Connor

2014

Prehosp. Disaster med.

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Section: Nature Of the Phementioning

confidence: 99%

When and Why Health Care Personnel Respond to a Disaster: The State of the Science

Connor

2014

Prehosp. Disaster med.

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“…For the planning of effective risk communication, it is necessary to assess the public's knowledge level to determine vulnerable target groups. Multiple cross-sectional studies have been done to assess knowledge and attitude of the public on past respiratory disease outbreaks [13][14][15][16][17][18]. Ethnicity, age and education level were found to influence an individual's knowledge level of infectious outbreaks.…”

Section: Introductionmentioning

confidence: 99%

Adequacy of public health communications on H7N9 and MERS in Singapore: insights from a community based cross-sectional study

et al. 2018

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BackgroundSingapore remains vulnerable to worldwide epidemics due to high air traffic with other countries This study aims to measure the public’s awareness of the Middle East Respiratory Syndrome (MERS) and Avian Influenza A (H7N9), identify population groups who are uninformed or misinformed about the diseases, understand their choice of outbreak information source, and assess the effectiveness of communication channels in Singapore.MethodsA cross-sectional study, comprising of face-to-face interviews, was conducted between June and December 2013 to assess the public’s awareness and knowledge of MERS and H7N9, including their choice of information source. Respondents were randomly selected and recruited from 3 existing cohort studies. An opportunistic sampling approach was also used to recruit new participants or members in the same household through referrals from existing participants.ResultsOut of 2969 participants, 53.2% and 79.4% were not aware of H7N9 and MERS respectively. Participants who were older and better educated were most likely to hear about the diseases. The mean total knowledge score was 9.2 (S.D ± 2.3) out of 20, and 5.9 (S.D ± 1.2) out of 10 for H7N9 and MERS respectively. Participants who were Chinese, more educated and older had better knowledge of the diseases. Television and radio were the primary sources of outbreak information regardless of socio-demographic factors.ConclusionHeightening education of infectious outbreaks through appropriate media to the young and less educated could increase awareness.

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“…A simulation study by Swaminathan and the colleagues reported that, for a patient with suspected avian or pandemic influenza who was not clinically unwell or hypoxic, the mean number of close contacts was 12.3 (range 6-17; 85% HCWs), and mean exposures were 19.3 (range [15][16][17][18][19][20][21][22][23][24][25][26] during the first 6 hours in the emergency departments [7]. In comparison, critical care clinicians are likely to encounter even more repeated close contacts, and are at significantly high risk of acquiring such an infectious disease during patient care.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic

Zhang

et al. 2012

PLoS ONE

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BackgroundCritically ill patients with 2009 H1N1 influenza are often treated in intensive care units (ICUs), representing significant risk of nosocomial transmission to critical care clinicians and other patients. Despite a large body of literature and guidelines recommending infection control practices, numerous barriers have been identified in ICUs, leading to poor compliance to the use of personal protective equipment (PPE). The use of PPE among critical care clinicians has not been extensively evaluated, especially during the pandemic influenza. This study examined the knowledge, attitudes, and self-reported behaviors, and barriers to compliance with the use of PPE among ICU healthcare workers (HCWs) during the pandemic influenza.Methodology/Principal FindingsA survey instrument consisting of 36 questions was developed and mailed to all HCWs in 21 ICUs in 17 provinces in China. A total of 733 physicians, nurses, and other professionals were surveyed, and 650 (88.7%) were included in the analysis. Fifty-six percent of respondents reported having received training program of pandemic influenza before they cared for H1N1 patients, while 77% reported to have adequate knowledge of self and patient protection. Only 18% of respondents were able to correctly identify all components of PPE, and 55% reported high compliance (>80%) with PPE use during patient care. In multivariate analysis, vaccination for 2009 H1N1 influenza, positive attitudes towards PPE use, organizational factors such as availability of PPE in ICU, and patient information of influenza precautions, as well as reprimand for noncompliance by the supervisors were associated with high compliance, whereas negative attitudes towards PPE use and violation of PPE use were independent predictors of low compliance.Conclusion/SignificanceKnowledge and self-reported compliance to recommended PPE use among Chinese critical care clinicians is suboptimal. The perceived barriers should be addressed in order to close the significant gap between perception and knowledge or behavior.

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Knowledge and attitudes of healthcare workers in Chinese intensive care units regarding 2009 H1N1 influenza pandemic

Abstract: Background: To describe the knowledge and attitudes of critical care clinicians during the 2009 H1N1 influenza pandemic.

Cited by 34 publications

References 26 publications

When and Why Health Care Personnel Respond to a Disaster: The State of the Science

When and Why Health Care Personnel Respond to a Disaster: The State of the Science

Adequacy of public health communications on H7N9 and MERS in Singapore: insights from a community based cross-sectional study

Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic

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