Nguyen Tien Huy1, R Matthew Chico2, Vuong Thanh Huan3, Hosam Waleed Shaikhkhalil4, Vuong Ngoc Thao Uyen5, Ahmad Taysir Atieh Qarawi6, Shamael Thabit Mohammed Alhady7, Nguyen Lam Vuong8, Le Van Truong9, Mai Ngoc Luu10, Shyam Prakash Dumre11, Atsuko Imoto1, Peter N Lee12, Dao Ngoc Hien Tam13, Sze Jia Ng14, Mohammad Rashidul Hashan15, Mitsuaki Matsui1, Nguyen Tran Minh Duc8, Sedighe Karimzadeh16, Nut Koonrungsesomboon17, Chris Smith1,18, Sharon Cox18, Kazuhiko Moji1, Kenji Hirayama19, Le Khac Linh20, Kirellos Said Abbas21, Tran Nu Thuy Dung8, Tareq Mohammed Ali Al-Ahdal22, Emmanuel Oluwadare Balogun23, Nguyen The Duy24,25, Mennatullah Mohamed Eltaras26, Trang Huynh8, Nguyen Thi Linh Hue27, Bui Diem Khue8, Abdelrahman Gad28, Gehad Mohamed Tawfik29, Kazumi Kubota30, Hoang-Minh Nguyen8, Dmytro Pavlenko31, Vu Thi Thu Trang32, Le Thuong Vu8, Tran Hai Yen5, Nguyen Thi Yen-Xuan33, Luong Thi Trang34, Vinh Dong35, Akash Sharma36, Vu Quoc Dat37, Mohammed Soliman38, Jeza Abdul Aziz39,40, Jaffer Shah41, Pham Dinh Long Hung8, Yap Siang Jee42, Dang Thuy Ha Phuong43, Tran Thuy Huong Quynh44, Hoang Thi Nam Giang45,46, Vy Thi Nhat Huynh47, Nguyen Anh Thi48, Nacir Dhouibi49, Truc Phan50, Vincent Duru51, Nguyen Hai Nam52, Sherief Ghozy53. 1. School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan. 2. Department of Disease Control, Faculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom. 3. Faculty of Medicine, Pham Ngoc Thach University, Ho Chi Minh City, Vietnam. 4. Faculty of Medicine, Islamic University of Gaza, Gaza Strip, Palestine. 5. School of Biotechnology, International University-Vietnam National University, Ho Chi Minh City, Vietnam. 6. Lower Westchester Medical Associates, P.C., Mount Vernon, NY, United States of America. 7. Faculty of medicine, University of Gezira, Wad Medani, Sudan. 8. University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. 9. Traditional Medicine Hospital of Ministry of Public Security, Vietnam. 10. Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Vietnam. 11. Department of Immunogenetics, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan. 12. P.N. Lee Statistics and Computing Ltd., Sutton, United Kingdom. 13. Asia Shine Trading & Service CO. LTD., Ho Chi Minh City, Vietnam. 14. Hospital Enche' Besar Hajjah Khalsom, Johor, Malaysia. 15. Government of the People's Republic of Bangladesh-Ministry of Health and Family Welfare, Dhaka, Bangladesh. 16. School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran. 17. Department of Pharmacology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. 18. London School of Hygiene & Tropical Medicine, London, United Kingdom. 19. Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan. 20. VinUniversity, College of Health Sciences, Hanoi, Vietnam. 21. Faculty of Medicine, Alexandria University, Alexandria, Egypt. 22. Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Ar-Ramtha, Jordan. 23. Department of Biochemistry and African Center of Excellence on Neglected Tropical Diseases and Forensic Biotechnology, Ahmadu Bello University, Zaria, Nigeria. 24. Department of Gyn. Endocrinology and Reproductive Medicine, University Hospital Giessen and Marburg, Marburg, Germany. 25. Philipps University Marburg, Marburg, Germany. 26. Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt. 27. Nguyen Trai Hospital, Ho Chi Minh, Vietnam. 28. Ain Shams University, Cairo, Egypt. 29. Faculty of Medicine, Ain Shams University, Cairo, Egypt. 30. Yokohama City University, Yokohama, Japan. 31. Bogomolets National Medical University, Kyiv, Ukraine. 32. National Hospital of Traditional Medicine, Hanoi, Vietnam. 33. Cambridge University Hospital Foundation Trust, Cambridge, United Kingdom. 34. Danang Oncology Hospital, Danang, Vietnam. 35. American University of the Caribbean, Cupe Coy, Saint Maarten, United States of America. 36. University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India. 37. Department of Infectious Diseases, Hanoi Medical University, Hanoi, Vietnam. 38. Faculty of Medicine, Zagazig University, Zagazig, Egypt. 39. Medical Laboratory Science, College of Health Science, University of Human Development, Kurdistan Region, Sulaimani, Iraq. 40. Baxshin Research Training Organization, Baxshin Hospital, Kurdistan Region, Sulaimani, Iraq. 41. Drexel University College of Medicine, Philadelphia, Pennsylvania, United States of America. 42. School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia. 43. Center for Biomedical Research, Pham Ngoc Thach University of Medicine, Vietnam. 44. Kansai Medical University, Osaka, Japan. 45. Institute of Research and Development, Duy Tan University, Da Nang, Vietnam. 46. Faculty of Medicine and Pharmacy, University of Da Nang, Da Nang, Vietnam. 47. Faculty of Medicine, University of Debrecen, Debrecen, Hungary. 48. Toulouse III Paul Sabatier University, Toulouse, France. 49. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia. 50. Vinmec International Hospital, Hanoi, Vietnam. 51. Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka, Nigeria. 52. Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. 53. Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Abstract
BACKGROUND: Since the COVID-19 pandemic began, there have been concerns related to the preparedness of healthcare workers (HCWs). This study aimed to describe the level of awareness and preparedness of hospital HCWs at the time of the first wave. METHODS: This multinational, multicenter, cross-sectional survey was conducted among hospital HCWs from February to May 2020. We used a hierarchical logistic regression multivariate analysis to adjust the influence of variables based on awareness and preparedness. We then used association rule mining to identify relationships between HCW confidence in handling suspected COVID-19 patients and prior COVID-19 case-management training. RESULTS: We surveyed 24,653 HCWs from 371 hospitals across 57 countries and received 17,302 responses from 70.2% HCWs overall. The median COVID-19 preparedness score was 11.0 (interquartile range [IQR] = 6.0-14.0) and the median awareness score was 29.6 (IQR = 26.6-32.6). HCWs at COVID-19 designated facilities with previous outbreak experience, or HCWs who were trained for dealing with the SARS-CoV-2 outbreak, had significantly higher levels of preparedness and awareness (p<0.001). Association rule mining suggests that nurses and doctors who had a 'great-extent-of-confidence' in handling suspected COVID-19 patients had participated in COVID-19 training courses. Male participants (mean difference = 0.34; 95% CI = 0.22, 0.46; p<0.001) and nurses (mean difference = 0.67; 95% CI = 0.53, 0.81; p<0.001) had higher preparedness scores compared to women participants and doctors. INTERPRETATION: There was an unsurprising high level of awareness and preparedness among HCWs who participated in COVID-19 training courses. However, disparity existed along the lines of gender and type of HCW. It is unknown whether the difference in COVID-19 preparedness that we detected early in the pandemic may have translated into disproportionate SARS-CoV-2 burden of disease by gender or HCW type.
BACKGROUND: Since the COVID-19 pandemic began, there have been concerns related to the preparedness of healthcare workers (HCWs). This study aimed to describe the level of awareness and preparedness of hospital HCWs at the time of the first wave. METHODS: This multinational, multicenter, cross-sectional survey was conducted among hospital HCWs from February to May 2020. We used a hierarchical logistic regression multivariate analysis to adjust the influence of variables based on awareness and preparedness. We then used association rule mining to identify relationships between HCW confidence in handling suspected COVID-19 patients and prior COVID-19 case-management training. RESULTS: We surveyed 24,653 HCWs from 371 hospitals across 57 countries and received 17,302 responses from 70.2% HCWs overall. The median COVID-19 preparedness score was 11.0 (interquartile range [IQR] = 6.0-14.0) and the median awareness score was 29.6 (IQR = 26.6-32.6). HCWs at COVID-19 designated facilities with previous outbreak experience, or HCWs who were trained for dealing with the SARS-CoV-2 outbreak, had significantly higher levels of preparedness and awareness (p<0.001). Association rule mining suggests that nurses and doctors who had a 'great-extent-of-confidence' in handling suspected COVID-19 patients had participated in COVID-19 training courses. Male participants (mean difference = 0.34; 95% CI = 0.22, 0.46; p<0.001) and nurses (mean difference = 0.67; 95% CI = 0.53, 0.81; p<0.001) had higher preparedness scores compared to women participants and doctors. INTERPRETATION: There was an unsurprising high level of awareness and preparedness among HCWs who participated in COVID-19 training courses. However, disparity existed along the lines of gender and type of HCW. It is unknown whether the difference in COVID-19 preparedness that we detected early in the pandemic may have translated into disproportionate SARS-CoV-2 burden of disease by gender or HCW type.
Authors: Giuliana Buresti; Bruna Maria Rondinone; Diana Gagliardi; Marta Petyx; Fortunato Paolo D'Ancona; Patrizio Pezzotti; Flavia Riccardo; Sergio Iavicoli Journal: Int J Environ Res Public Health Date: 2022-04-25 Impact factor: 4.614