Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries
Date
2021-12-22Author
Nguyen, Tien Huy
Chico, R. Matthew
Vuong, Thanh Huan
Shaikhkhalil, Hosam Waleed
Vuong, Ngoc Thao Uyen
Qarawi, Ahmad Taysir Atieh
Alhady, Shamael Thabit Mohammed
Nguyen, Lam Vuong
Le, Van Truong
Luu, Mai Ngoc
Dumre, Shyam Prakash
Imoto, Atsuko
Lee, Peter N.
Dao, Ngoc Hien Tam
Ng, Sze Jia
Hashan, Mohammad Rashidul
Matsui, Mitsuaki
Nguyen, Tran Minh Duc
Karimzadeh, Sedighe
Koonrungsesomboon, Nut
Smith, Chris
Cox, Sharon
Moji, Kazuhiko
Hirayama, Kenji
Abbas, Kirellos Said
Le, Khac Linh
Tran, Nu Thuy Dung
AL-Ahdal, Tareq Mohammed Ali
Balogun, Emmanuel Oluwadare
Nguyen, The Duy
Eltaras, Mennatullah Mohamed
Huynh, Trang
Nguyen, Thi Linh Hue
Bui, Diem Khue
Gad, Abdelrahman
Tawfik, Gehad Mohamed
Kubota, Kazumi
Nguyen, Hoang Minh
Pavlenko, Dmytro
Le
Vu, Thi Thu Trang
Le, Thuong Vu
Tran, Hai Yen
Nguyen, Thi Yen Xuan
Luong, Thi Trang
Vinh, Dong
Sharma, Akash
Vu, Quoc Dat
Soliman, Mohammed
Abdul Aziz, Jeza
Shah, Jaffer
Pham, Dinh Long Hung
Jee, Yap Siang
Dang, Thuy Ha Phuong
Tran, Thuy Huong Quynh
Hoang, Thi Nam Giang
Vy, Thi Nhat Huynh
Nguyen, Anh Thi
Truc, Phan
Nguyen, Hai Nam
Dhouibi, Nacir
Duru, Vincent
Ghozy, Sherief
Metadata
Show full item recordAbstract
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.
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