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Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases

BACKGROUND: Adequate preparation and support for healthcare workers (HCWs) managing high-consequence infectious diseases (HCIDs) is critical to the overall clinical management of HCIDs. Qualitative studies examining how well prepared and supported HCWs feel are lacking despite their key role. This s...

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Autores principales: Fryk, Jesse J., Tong, Steven, Marshall, Caroline, Rajkhowa, Arjun, Buising, Kirsty, MacIsaac, Christopher, Walsham, Nicola, Thevarajan, Irani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier B.V. on behalf of Australasian College for Infection Prevention and Control. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657000/
https://www.ncbi.nlm.nih.gov/pubmed/33189598
http://dx.doi.org/10.1016/j.idh.2020.10.002
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author Fryk, Jesse J.
Tong, Steven
Marshall, Caroline
Rajkhowa, Arjun
Buising, Kirsty
MacIsaac, Christopher
Walsham, Nicola
Thevarajan, Irani
author_facet Fryk, Jesse J.
Tong, Steven
Marshall, Caroline
Rajkhowa, Arjun
Buising, Kirsty
MacIsaac, Christopher
Walsham, Nicola
Thevarajan, Irani
author_sort Fryk, Jesse J.
collection PubMed
description BACKGROUND: Adequate preparation and support for healthcare workers (HCWs) managing high-consequence infectious diseases (HCIDs) is critical to the overall clinical management of HCIDs. Qualitative studies examining how well prepared and supported HCWs feel are lacking despite their key role. This study investigated how prepared and supported front-line HCWs at an Australian tertiary hospital felt about managing HCIDs such as viral haemorrhagic fever (VHF). METHODS: A qualitative research approach was used to undertake interviews with 45 Royal Melbourne Hospital medical and nursing staff from emergency, intensive care and infectious diseases. Interview questions captured data on HCWs’ role, familiarity with using protocols, psychological attributes and training for scenarios related to VHF patient management. Interviews were recorded and transcribed. Categorical responses were analysed quantitatively and open-ended responses were analysed thematically. RESULTS: Ninety-eight percent of participants indicated feeling capable of undertaking their role in managing VHF patients; 77% felt supported through personnel/resources. However, 69% indicated barriers to managing these patients effectively; and 68% felt anxious at the prospect of managing VHF patients. Themes emerging from participants’ observations included concerns about training frequency, miscommunication, difficulty with uncertainty, feeling underprepared, and fear of transmitting infection to others. CONCLUSION: Although the majority of HCWs feel confident about their ability to care for VHF patients, they also have a moderately-high degree of anxiety. Perceptions of interviewed staff have fed into recommendations to increase HCW preparedness and reduce anxiety, which include investigating support services, and exploring training options that create multi-departmental groups of highly specialised medical officers and nurses.
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spelling pubmed-76570002020-11-12 Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases Fryk, Jesse J. Tong, Steven Marshall, Caroline Rajkhowa, Arjun Buising, Kirsty MacIsaac, Christopher Walsham, Nicola Thevarajan, Irani Infect Dis Health Research Paper BACKGROUND: Adequate preparation and support for healthcare workers (HCWs) managing high-consequence infectious diseases (HCIDs) is critical to the overall clinical management of HCIDs. Qualitative studies examining how well prepared and supported HCWs feel are lacking despite their key role. This study investigated how prepared and supported front-line HCWs at an Australian tertiary hospital felt about managing HCIDs such as viral haemorrhagic fever (VHF). METHODS: A qualitative research approach was used to undertake interviews with 45 Royal Melbourne Hospital medical and nursing staff from emergency, intensive care and infectious diseases. Interview questions captured data on HCWs’ role, familiarity with using protocols, psychological attributes and training for scenarios related to VHF patient management. Interviews were recorded and transcribed. Categorical responses were analysed quantitatively and open-ended responses were analysed thematically. RESULTS: Ninety-eight percent of participants indicated feeling capable of undertaking their role in managing VHF patients; 77% felt supported through personnel/resources. However, 69% indicated barriers to managing these patients effectively; and 68% felt anxious at the prospect of managing VHF patients. Themes emerging from participants’ observations included concerns about training frequency, miscommunication, difficulty with uncertainty, feeling underprepared, and fear of transmitting infection to others. CONCLUSION: Although the majority of HCWs feel confident about their ability to care for VHF patients, they also have a moderately-high degree of anxiety. Perceptions of interviewed staff have fed into recommendations to increase HCW preparedness and reduce anxiety, which include investigating support services, and exploring training options that create multi-departmental groups of highly specialised medical officers and nurses. Published by Elsevier B.V. on behalf of Australasian College for Infection Prevention and Control. 2021-05 2020-11-11 /pmc/articles/PMC7657000/ /pubmed/33189598 http://dx.doi.org/10.1016/j.idh.2020.10.002 Text en Crown Copyright © 2020 Published by Elsevier B.V. on behalf of Australasian College for Infection Prevention and Control. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Research Paper
Fryk, Jesse J.
Tong, Steven
Marshall, Caroline
Rajkhowa, Arjun
Buising, Kirsty
MacIsaac, Christopher
Walsham, Nicola
Thevarajan, Irani
Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases
title Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases
title_full Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases
title_fullStr Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases
title_full_unstemmed Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases
title_short Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases
title_sort knowledge, attitudes and practices of healthcare workers within an australian tertiary hospital to managing high-consequence infectious diseases
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657000/
https://www.ncbi.nlm.nih.gov/pubmed/33189598
http://dx.doi.org/10.1016/j.idh.2020.10.002
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