Special attention to nurses’ protection during the COVID-19 epidemic

Huang, Lijuan; Lin, Guanwen; Tang, Li; Lingna, Yu; Zhou, Zhilai

doi:10.1186/s13054-020-2841-7

Cited by 328 publications

(361 citation statements)

References 1 publication

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“…The fact that individuals infected with the COVID-19 virus experience respiratory difficulty and require intensive care necessitates that they should be treated in intensive care settings [7]. Healthcare providers are at high risk and it has been reported that more than 3,000 medical staff have been infected in China [8]. Anesthesiologists are in close contact with infected patients and are vulnerable in terms of exposure to respiratory droplets or aerosols from patients' airways.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of Anesthesiology Specialists and Residents toward Patients Infected with the Novel Coronavirus (COVID-19): A National Survey Study

Dost

Köksal

Terzi

et al. 2020

Surgical Infections

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A total of 346 anesthesiology specialists and residents participated in the study. Although the majority of the participants exhibited the correct attitudes toward airway management, research assistants with little professional experience were observed to be undecided or had the tendency to make incorrect decisions. Conclusions: The COVID-19 pandemic is spreading rapidly worldwide. The incidence of COVID-19 cases is increasing daily, and this disease can cause patient death. Anesthesiology specialists and residents who perform emergency operations on these patients in settings other than intensive care units should follow simple and easy-to-understand algorithms to ensure safety. The provision of theoretical and practical training to healthcare providers before they meet patients will help ensure patient-healthcare provider safety and prevent panic, which can cause distress among healthcare providers.

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Section: Discussionmentioning

confidence: 99%

Attitudes of Anesthesiology Specialists and Residents toward Patients Infected with the Novel Coronavirus (COVID-19): A National Survey Study

Dost

Köksal

Terzi

et al. 2020

Surgical Infections

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show abstract

“…Nurses who involved in first line treatment of patients with COVID-19 received education and training on use of PPE and personal emotion management in some hospitals [11] . Meanwhile, the daily working time was restricted to avoid PPE-associated complications, such as dehydration, as described by us and the other study [11] . However, as described in this study, due to shortage of nurses in this pandemic, the proportion of nurses who had no experience to work in PPE before this pandemic in frontline of treating COVID-19 was higher than expected.…”

Section: Discussionmentioning

confidence: 99%

The impact of goggle-associated harms to health and working status of nurses during management of COVID-19

Feng²,

et al. 2020

Preprint

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Background To investigate the impact of goggles on their health and clinical practice during management of patients with COVID-19.Methods 231 nurse practitioners were enrolled who worked in isolation region in designated hospitals to admit patients with COVID-19 in China. Demographic data, goggle-associated symptoms and underlying reasons, incidence of medical errors or exposures, the effects of fog in goggles on practice were all collected. Data were stratified and analyzed by age or working experience. Risk factors of goggle-associated medical errors were analyzed by multivariable logistical regression analysis.Findings Goggle-associated symptoms and foggy goggles widely presented in nurses. The most common symptoms were headache, skin pressure injury and dizziness. Headache, vomit and nausea were significantly fewer reported in nurses with longer working experience while rash occurred higher in this group. The underlying reasons included tightness of goggles, unsuitable design and uncomfortable materials. The working status of nurses with more working experience was less impacted by goggles. 11.3% nurses occurred medical exposures in clinical practice while 19.5% nurses made medical errors on patients. The risk factors for medical errors were time interval before adapting to goggle-associated discomforts, adjusting goggles and headache.

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“…There were more than 3,000 health workers in China and at least 9,000 in US reported infected. [12,13] More than 40,000 health workers were infected in Europe according to local media. The importance of protecting health worker from high infection risk has been emphasized by many authors.…”

Section: Discussionmentioning

confidence: 99%

“…Huang et al recommended a working shift system of continuously working for six hours because working for longer duration made workers feel exhausted and even dizzy. [12] Thus, health workers involved in this study were divided into two groups according to different working duration (less than or over six hours) in isolation wards. No signi cant difference was observed between these two groups.…”

Section: Discussionmentioning

confidence: 99%

Lung Function Decline and Other Physiological Changes in Health Workers after Working in COVID-19 Isolation Wards: An Observational Study

Chen

Zhu

Wang

et al. 2020

Preprint

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Background:Global healthcare systems have been under huge pressure since Coronavirus Disease 2019 (COVID-19) was declared a pandemic. It is critical to prevent further spread of COVID-19 and to protect health workers from infection. This study aims to figure out short-term physiological impact on health workers induced by working in isolation wards for hours with personal protective equipment (PPE), so as to provide insights on reducing physiological impact and infection risk of health workers.Methods:Health workers who had worked in COVID-19 isolation wards for at least five weeks in Wuhan, China were recruited. Parameters including lung function, heart rate, oxygen saturation and weight were respectively measured before and after they worked in isolation wards. Comparison and regression analyses were conducted. Correlations between changing levels of measured parameters (lung function and heart rate) and baseline characteristics (body mass index, age, and working duration) were also analyzed. Results: After working in isolation wards for four to nine hours, the forced vital capacity (FVC) of health workers (74.32±17.59 versus 81.28±16.35, P<0.001) as well as weight (54.79 (48.50, 61.00) versus 55.50 (48.90, 61.00) P<0.01) showed significant decrease, while HR showed significant increase (110.31±14.65 versus 103.94±16.38, P=0.04). Correlation between BMI and the decline levels of FEV1/FVC (β=2.87, P=0.02) and correlation between BMI and the decline levels of FEF25-75 % predicted (β=1.80, P<0.05) were reported.Conclusions:After working in COVID-19 isolation wards with PPE for four to nine hours, the lung function of health workers declined. The decline levels were associated with BMI. HR increase and weight loss were reported. In order to reduce the potential infection risk of health workers, the balance between working duration and physiological changes should be considered when making shifting schedule.

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Special attention to nurses’ protection during the COVID-19 epidemic

Cited by 328 publications

References 1 publication

Attitudes of Anesthesiology Specialists and Residents toward Patients Infected with the Novel Coronavirus (COVID-19): A National Survey Study

Attitudes of Anesthesiology Specialists and Residents toward Patients Infected with the Novel Coronavirus (COVID-19): A National Survey Study

The impact of goggle-associated harms to health and working status of nurses during management of COVID-19

Lung Function Decline and Other Physiological Changes in Health Workers after Working in COVID-19 Isolation Wards: An Observational Study

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