Knowledge, Attitude, and Practice of Nurses Towards the Prevention and Control of COVID-19

Abstract

Background: Coronavirus disease 2019(COVID-19) has been spreading globally, with severe impacts on health and economies. Nursing is an essential component of medical care, and nurses’ knowledge, attitude, and practice (KAP) about the prevention and control of the disease directly affects patient’s outcomes ,but there is little know about the nurses’ KAP during the COVID-19 epidemic.Methods: An anonymous survey was conducted using customized questionnaires designed by Sojump platform. 1323 nurses in Wuhan were the survey object for the KAP survey. The survey included 48 questions regarding the basic information of nurses and knowledge, attitude, and prevention measures for COVID-19. Results: A total of 1323 nurses in Wuhan were included in the survey, of whom women (95.7%) under 40 years old (94.6%) accounted for the majority. Nurses have a comprehensive knowledge of problems such as the COVID-19 susceptible population, isolation ward layout process, environmental cleaning and disinfection, hand hygiene measures, infectious disease case reporting processes, standard prevention measures, and personal protection level, with more than 60% accuracy. However, they have a general lack of knowledge about the route of transmission of COVID-19, the use of protective equipment, patient management, medical waste disposal, and occupational exposure emergency response, with less than 45% accuracy. There was a gap between the attitude and the practice of nurses (p <0.05). Moreover, the knowledge level of nurses has an impact on their attitude (OR 1.52, 95% CI 1.10-2.08, p = 0.008), and title (OR 1.48, 95% CI 1.01-2.15, p = 0.042), place of work (OR 1.59, 95% CI 1.36-1.85, p <0.001), and attitude (OR 1.93, 95% CI 1.52-2.46, p <0.001) had an impact on their practice.Conclusion: The nurses in Wuhan during the epidemic have insufficient knowledge about COVID-19 infection prevention and control, and there are gaps in attitude and practice, which further affect their attitude and practice. It is therefore necessary to strengthen relevant knowledge training on COVID-19 among nurses.

Readiness of Nurses to Provide Nursing Care for COVID-19 Patients at COVID Dedicated Hospitals in Dhaka, Bangladesh

“…This finding is inconsistent with the previous study of ZhengjiangJin et al in China. 28 In the study of China, nurses had better knowledge on COVID-19 in comparison to current study. The difference might be due to the sources of information about COVID-19 were not available or differences in educational background or different healthcare context.…”

Knowledge, Attitude, Practice, Perception, and Psychological Response of Nurses Regarding Covid-19; Literature Review

“…Based on the results of the literature search found 21 articles (Table 1) generally assessed the knowledge, attitudes, practices, perceptions, anxiety, and psychological responses of nurses related to COVID-19. Four articles were found in China (Chen et al, 2020;Huang et al, 2020;Jin & Yi, 2020;Li et al, 2020), two in Arabian (Al-Dossary et al, 2020;Alreshidi, 2020), two in India (Adhikari et al, 2020;Patidar et al, 2020), one in Nepal (Kafle et al, 2020), three in Turkey (Aydin & Balci, 2020;Gumus & Basgun, 2020;Semerci et al,2020), one in Northern Ethiopia (Tadesse et al, 2020), two in Pakistan (Alwani et al, 2020;Zafar et al, 2020), one in Iran (Nemati et al, 2020), one in Lebanon (Saadeh et al,2020), one in Ghana (Buertey et al, 2020), one in Indonesia (Sahar et al, 2020), one in Bangladesh (Saha, et al, 2020), and one in Egypt (Goda Elbqry, 2020). The number of samples between 85-1.323 nurses, using a questionnaire as an instrument, the study used a cross-sectional study.…”

“…There are nine studies on nursing practice related to COVID-19, including; research in Wuhan China, the study results show nurses have good practices in personal protection, hand hygiene, pre-diagnosis and triage, patient management, and training on infection in hospitals, implementing practical precautions such as proper use of PPE, strict hand hygiene measures, established fever clinics, isolation wards, and designated hospitals. However, this research shows a mismatch between attitudes and practices in standard precautionary measures, proper ward division, strict environmental disinfection, proper disposal of medical waste, and occupational exposure emergency response (Jin & Yi, 2020). Research in Turkey showed as many as 278 (67%) nurses have good infection prevention practices (Tadesse et al, 2020).…”

“…There were 11 studies on nurses' attitudes related to COVID-19, research in Wuhan China, this study showed nurses had positive attitudes towards self-protection, hand hygiene, pre diagnosis and triage, patient management, and training on infection in hospitals, applying practical precautions such as the use of proper PPE, strict hand hygiene measures, setting up fever clinics, isolation wards, and designated hospitals. However, this research shows a mismatch between attitudes and practices in standardized prevention measures, proper ward division, strict environmental disinfection, proper disposal of medical waste, and occupational exposure emergency response (Jin & Yi, 2020).Research in Saudi Arabia, nurses show a cooperative attitude in fighting the virus, 87% of nurses adapt to an open learning attitude to get more information about the virus (Alreshidi, 2020). Research in Turkey showing that as many as 299 (72%) nurses have a good attitude towards COVID-19 (Tadesse et al, 2020).…”

“…However, nurses have insufficient knowledge about the transmission route (23.7%), use of PPE (19.6%), patient management (40.7%), disposal of medical waste (19.1%), and occupational exposure emergency response (28.6%). The level of knowledge of nurses has an effect on attitudes, and title, workplace, and attitudes have an impact on their practice (Jin & Yi, 2020).…”