Level of Self-Care and Patient Care Against COVID-19 Among Emergency Medical Services Personnel; a Cross-sectional Study
学术急诊医学档案,
卷 11 编号 1 (2023),
15 十一月 2022
,
第 e4 页
https://doi.org/10.22037/aaem.v11i1.1771
摘要
Introduction: Provision of pre-hospital care by emergency medical services (EMS) requires paying attention to self-care and patient care against possible infections. The present study was conducted with the aim of determining the level of self-care and patient care against COVID-19.
Methods: The present correlational, descriptive, analytical study was carried out on 301 EMS personnel in Iran. Data were collected using a demographic information form and questionnaires made by the researcher on the level of self-care and patient care against COVID-19.
Results: The results showed that more than half of the participants (55%) were aged 27 to 34 years. The majority of the participants had an experience of participating in self-care (88.7%) and patient care (83.7%) training courses against COVID-19. The overall score of self-care was 55.96 ± 6.97 out of 72 and that of patient care was 26.86± 3.39 out of 32, both of which revealed a favorable level. However, in some questions, the mean score was lower than the optimal level. The lowest mean score among items related to self-care against COVID-19 was allocated to wearing protective clothing (1.77±1.19). Among items related to patient care against COVID-19, the lowest mean score was related to training the patient about hand hygine after touching contaminated equipment (2.83±1.08 out of 4). There was a positive (r=0.491) and significant correlation between self-care and patient care against COVID-19 (p=0.001) based on our findings.
Conclusion: Although the general level of self-care and patient care against COVID-19 was favorable, due to the undesired level of some domains, it seems necessary to implement corrective planning through periodical training and monitoring the performance of the personnel.
- COVID-19
- Emergency Medical Services
- Infection control
- Patient care
- Self care
##submission.howToCite##
参考
Nohl A, Afflerbach C, Lurz C, Brune B, Ohmann T, Weichert V, et al. Acceptance of COVID-19 Vaccination among Front-Line Health Care Workers: A Nationwide Survey of Emergency Medical Services Personnel from Germany. Vaccines (Basel). 2021;9(5):1-12.
Pereira ER, Rocha RG, Monteiro NdCA, Oliveira ABd, Paes GO. Infection risks associated with care in prehospital care: impacts on patient safety. Res., Soc. Dev. 2020;9(8): 1-17.
Bahadori M, Nasiripur A, Tofighi S, Gohari M. Emergency Medical Services In Iran: An Overview. AMJ. 2010;3(6):335-9.
Salian VS, Wright JA, Vedell PT, Nair S, Li C, Kandimalla M, et al. COVID-19 Transmission, Current Treatment, and Future Therapeutic Strategies. Mol Pharm. 2021;18(3):754-71.
Lowe JJ, Jelden KC, Schenarts PJ, Rupp LE, Hawes KJ, Tysor BM, et al. Considerations for safe EMS transport of patients infected with Ebola virus. Prehosp Emerg Care. 2015;19(2):179-83.
Şan İ, Usul E, Bekgöz B, Korkut S. Effects of COVID-19 Pandemic on Emergency Medical Services. IJCP. 2021;75(5): doi: 10.1111/ijcp.13885.
Bledsoe BE, Sweeney RJ, Berkeley RP, Cole KT, Forred WJ, Johnson LD. EMS provider compliance with infection control recommendations is suboptimal. Prehosp Emerg Care. 2014;18(2):290-4.
Mohamadkhani M, Mohamadyari t, Khodaveisi M, Amini R, Karami M. Assessing knowledge and performance of pre-hospital emergency staff regarding infection control standard precautions.IJEC. 2017;1(3):74-81.
Nouri B, Hajizadeh M, Bahmanpour K, Sadafi M, Rezaei S, Valiee S. Hand hygiene adherence among Iranian nurses: A systematic review and meta-analysis. NPT. 2021;8(1):11-24.
Gregory ME, MacEwan SR, Powell JR, Volney J, Kurth JD, Kenah E, Panchal AR, McAlearney AS. The COVID-19 vaccine concerns scale: Development and validation of a new measure. Hum Vaccin Immunother. 2022 Apr 2:1-7.
Wang Y, Wu W, Cheng Z, Tan X, Yang Z, Zeng X, et al. Super-factors associated with transmission of occupational COVID-19 infection among healthcare staff in Wuhan, China. J Hosp Infect. 2020;106(1):25-34.
Martin-Delgado J, Viteri E, Mula A, Serpa P, Pacheco G, Prada D, et al. Availability of personal protective equipment and diagnostic and treatment facilities for healthcare workers involved in COVID-19 care: A cross-sectional study in Brazil, Colombia, and Ecuador. PLoS One. 2020;15(11): DOI: 10.1371/journal.pone.0242185.
Olsson H, Olsson S, Sturesson L, Lindström V. Do we need a pandemic to improve hygiene routines in the ambulance service? A cross-sectional study. Int Emerg Nurs. 2022;62: https://doi.org/10.1016/j.ienj.2022.101171.
Atnafie SA, Anteneh DA, Yimenu DK, Kifle ZD. Assessment of exposure risks to COVID-19 among frontline health care workers in Amhara Region, Ethiopia: A cross-sectional survey. PLoS One. 2021;16(4): https://doi.org/10.1371/journal.pone.0251000
Zhang YG, Shen L, Zhang SJ, Wang HZ, Zhang XH, Huang YG. [Head and Face Protection of the Health Care Workers in the Operating Room of Peking Union Medical College Hospital during the Corona Virus Disease-19 Pandemic]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2021;43(5):767-72. ( in china)
Harris SA, Nicolai LA. Occupational exposures in emergency medical service providers and knowledge of and compliance with universal precautions. Am J Infect Control. 2010;38(2):86-94.
Lai X, Wang X, Yang Q, Xu X, Tang Y, Liu C, et al. Will healthcare workers improve infection prevention and control behaviors as COVID-19 risk emerges and increases, in China? Antimicrob Resist Infect Control. 2020;9(1): DOI: 10.1186/s13756-020-00746-1.
Tabah A, Ramanan M, Laupland KB, Buetti N, Cortegiani A, Mellinghoff J, et al. Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey. J Crit Care. 2020;59:70-5.
Alexandre ACS, Galindo Neto NM, Souza Silva MA, Silva Santos DC, Alcoforado J, Melo DB. Construction and validation of checklist for disinfecting ambulances to transport Covid-19 patients. Rev Gaucha Enferm. 2021;42(spe): DOI: 10.1590/1983-1447.2021.20200312.
World Health Organization. Coronavirus disease 2019 (COVID-19): Situation Report – 69. 2020. [Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200329- sitrep-69-covid-
Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2. [Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html].
Lindsley WG, Blachere FM, McClelland TL, Neu DT, Mnatsakanova A, Martin SB, Jr., et al. Efficacy of an ambulance ventilation system in reducing EMS worker exposure to airborne particles from a patient cough aerosol simulator. J Occup Environ Hyg. 2019;16(12):804-16.
Mikos M, Dymura K, Gałązkowski R, Rzońca P, Żurowska-Wolak M. Transport safety concerning a patient infected with SARS-CoV-2 and emergency service officers in an ambulance accident - a case study. Disaster Med Public Health Prep. 2022:1-10.
.Medcalf DS. Alhallaf M, "Planning and Facilitating the Training of Emergency Medical Services on the Safe Transport of Patients with Highly Infectious Diseases" (2020). Theses & Dissertations. 437. Spring 5-9-2020.
Mouajou V, Adams K, DeLisle G, Quach C. Hand hygiene compliance in the prevention of hospital-acquired infections: a systematic review. J Hosp Infect. 2022;119:33-48.
Gulsen MF, Kurt M, Kaleli I, Ulasti A. Personal Protective Equipment (PPE) Using in Antalya 112 Emergency Ambulance Services During Outbreak. medRxiv. 2020 Jan 1. Theses & Dissertations. doi: 10.24966/ets-8798/s1002.
- 摘要 ##plugins.themes.ojsPlusA.frontend.article.viewed##: 808 ##plugins.themes.ojsPlusA.frontend.article.times##
- pdf (English) ##plugins.themes.ojsPlusA.frontend.article.downloaded##: 999 ##plugins.themes.ojsPlusA.frontend.article.times##
##plugins.themes.ojsPlusA.frontend.article.downloadstatastics##
##plugins.block.makeSubmission.linkLabel##
SJR
COPE
