Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries
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. This multinational, multicenter, cross-sectional survey was condu...
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creator | Huy, Nguyen Tien Chico, R Matthew Huan, Vuong Thanh Shaikhkhalil, Hosam Waleed Uyen, Vuong Ngoc Thao Qarawi, Ahmad Taysir Atieh Alhady, Shamael Thabit Mohammed Vuong, Nguyen Lam Truong, Le Van Luu, Mai Ngoc Dumre, Shyam Prakash Imoto, Atsuko Lee, Peter N Tam, Dao Ngoc Hien Ng, Sze Jia Hashan, Mohammad Rashidul Matsui, Mitsuaki Duc, Nguyen Tran Minh Karimzadeh, Sedighe Koonrungsesomboon, Nut Smith, Chris Cox, Sharon Moji, Kazuhiko Hirayama, Kenji Linh, Le Khac Abbas, Kirellos Said Dung, Tran Nu Thuy Mohammed Ali Al-Ahdal, Tareq Balogun, Emmanuel Oluwadare Duy, Nguyen The Mohamed Eltaras, Mennatullah Huynh, Trang Hue, Nguyen Thi Linh Khue, Bui Diem Gad, Abdelrahman Tawfik, Gehad Mohamed Kubota, Kazumi Nguyen, Hoang-Minh Pavlenko, Dmytro Trang, Vu Thi Thu Vu, Le Thuong Hai Yen, Tran Yen-Xuan, Nguyen Thi Trang, Luong Thi Dong, Vinh Sharma, Akash Dat, Vu Quoc Soliman, Mohammed Abdul Aziz, Jeza Shah, Jaffer Hung, Pham Dinh Long Jee, Yap Siang Phuong, Dang Thuy Ha Quynh, Tran Thuy Huong Giang, Hoang Thi Nam Huynh, Vy Thi Nhat Thi, Nguyen Anh Dhouibi, Nacir Phan, Truc Duru, Vincent Nam, Nguyen Hai Ghozy, Sherief |
description | 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.
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.
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 |
doi_str_mv | 10.1371/journal.pone.0258348 |
format | Article |
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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.
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.
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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0258348</identifier><identifier>PMID: 34936646</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Adult ; Biology and Life Sciences ; Biotechnology ; Collaboration ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - prevention & control ; Cross-Sectional Studies ; Data mining ; Disease transmission ; Education, Medical, Continuing - statistics & numerical data ; Engineering and Technology ; Female ; Gender ; Health aspects ; Health care ; Health Knowledge, Attitudes, Practice ; Hospitals ; Humans ; Hygiene ; Male ; Medical personnel ; Medicine ; Medicine and Health Sciences ; Multivariate analysis ; Nurses ; Outbreaks ; Pandemics ; Patients ; People and Places ; Personnel, Hospital - statistics & numerical data ; Pharmacy ; Physicians ; Polls & surveys ; R&D ; Research & development ; Services ; Severe acute respiratory syndrome ; Severe acute respiratory syndrome coronavirus 2 ; Socioeconomic Factors ; Surveys and Questionnaires ; Training ; Tropical diseases ; Viral diseases]]></subject><ispartof>PloS one, 2021-12, Vol.16 (12), p.e0258348-e0258348</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Huy et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Huy et al 2021 Huy et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c695t-8c115589ebf88b388412636df04dce168fc6ae681b6306be960ee70a181bd81b3</citedby><cites>FETCH-LOGICAL-c695t-8c115589ebf88b388412636df04dce168fc6ae681b6306be960ee70a181bd81b3</cites><orcidid>0000-0002-6822-4946 ; 0000-0001-7278-9889 ; 0000-0001-8761-9559 ; 0000-0002-1211-0296 ; 0000-0003-0918-8049 ; 0000-0002-0115-2108 ; 0000-0003-2684-3041 ; 0000-0003-0339-9339 ; 0000-0003-1795-7100 ; 0000-0001-8160-5471 ; 0000-0001-6334-495X ; 0000-0003-4075-1266 ; 0000-0002-9333-7539 ; 0000-0002-9543-9440 ; 0000-0002-2109-913X ; 0000-0002-9981-4404 ; 0000-0003-1771-140X ; 0000-0002-4461-3517 ; 0000-0003-1384-3886 ; 0000-0002-9908-2936 ; 0000-0003-2917-7363 ; 0000-0001-5750-6959 ; 0000-0001-7463-3300 ; 0000-0002-5904-5970 ; 0000-0001-5629-3023 ; 0000-0002-4071-5938</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8694437/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8694437/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34936646$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huy, Nguyen Tien</creatorcontrib><creatorcontrib>Chico, R Matthew</creatorcontrib><creatorcontrib>Huan, Vuong Thanh</creatorcontrib><creatorcontrib>Shaikhkhalil, Hosam Waleed</creatorcontrib><creatorcontrib>Uyen, Vuong Ngoc Thao</creatorcontrib><creatorcontrib>Qarawi, Ahmad Taysir Atieh</creatorcontrib><creatorcontrib>Alhady, Shamael Thabit Mohammed</creatorcontrib><creatorcontrib>Vuong, Nguyen Lam</creatorcontrib><creatorcontrib>Truong, Le Van</creatorcontrib><creatorcontrib>Luu, Mai Ngoc</creatorcontrib><creatorcontrib>Dumre, Shyam Prakash</creatorcontrib><creatorcontrib>Imoto, Atsuko</creatorcontrib><creatorcontrib>Lee, Peter N</creatorcontrib><creatorcontrib>Tam, Dao Ngoc Hien</creatorcontrib><creatorcontrib>Ng, Sze Jia</creatorcontrib><creatorcontrib>Hashan, Mohammad Rashidul</creatorcontrib><creatorcontrib>Matsui, Mitsuaki</creatorcontrib><creatorcontrib>Duc, Nguyen Tran Minh</creatorcontrib><creatorcontrib>Karimzadeh, Sedighe</creatorcontrib><creatorcontrib>Koonrungsesomboon, Nut</creatorcontrib><creatorcontrib>Smith, Chris</creatorcontrib><creatorcontrib>Cox, Sharon</creatorcontrib><creatorcontrib>Moji, Kazuhiko</creatorcontrib><creatorcontrib>Hirayama, Kenji</creatorcontrib><creatorcontrib>Linh, Le Khac</creatorcontrib><creatorcontrib>Abbas, Kirellos Said</creatorcontrib><creatorcontrib>Dung, Tran Nu Thuy</creatorcontrib><creatorcontrib>Mohammed Ali Al-Ahdal, Tareq</creatorcontrib><creatorcontrib>Balogun, Emmanuel Oluwadare</creatorcontrib><creatorcontrib>Duy, Nguyen The</creatorcontrib><creatorcontrib>Mohamed Eltaras, Mennatullah</creatorcontrib><creatorcontrib>Huynh, Trang</creatorcontrib><creatorcontrib>Hue, Nguyen Thi Linh</creatorcontrib><creatorcontrib>Khue, Bui Diem</creatorcontrib><creatorcontrib>Gad, Abdelrahman</creatorcontrib><creatorcontrib>Tawfik, Gehad Mohamed</creatorcontrib><creatorcontrib>Kubota, Kazumi</creatorcontrib><creatorcontrib>Nguyen, Hoang-Minh</creatorcontrib><creatorcontrib>Pavlenko, Dmytro</creatorcontrib><creatorcontrib>Trang, Vu Thi Thu</creatorcontrib><creatorcontrib>Vu, Le Thuong</creatorcontrib><creatorcontrib>Hai Yen, Tran</creatorcontrib><creatorcontrib>Yen-Xuan, Nguyen Thi</creatorcontrib><creatorcontrib>Trang, Luong Thi</creatorcontrib><creatorcontrib>Dong, Vinh</creatorcontrib><creatorcontrib>Sharma, Akash</creatorcontrib><creatorcontrib>Dat, Vu Quoc</creatorcontrib><creatorcontrib>Soliman, Mohammed</creatorcontrib><creatorcontrib>Abdul Aziz, Jeza</creatorcontrib><creatorcontrib>Shah, Jaffer</creatorcontrib><creatorcontrib>Hung, Pham Dinh Long</creatorcontrib><creatorcontrib>Jee, Yap Siang</creatorcontrib><creatorcontrib>Phuong, Dang Thuy Ha</creatorcontrib><creatorcontrib>Quynh, Tran Thuy Huong</creatorcontrib><creatorcontrib>Giang, Hoang Thi Nam</creatorcontrib><creatorcontrib>Huynh, Vy Thi Nhat</creatorcontrib><creatorcontrib>Thi, Nguyen Anh</creatorcontrib><creatorcontrib>Dhouibi, Nacir</creatorcontrib><creatorcontrib>Phan, Truc</creatorcontrib><creatorcontrib>Duru, Vincent</creatorcontrib><creatorcontrib>Nam, Nguyen Hai</creatorcontrib><creatorcontrib>Ghozy, Sherief</creatorcontrib><creatorcontrib>TMGH-Global COVID-19 Collaborative</creatorcontrib><creatorcontrib>contributors of the TMGH-Global COVID-19 Collaborative</creatorcontrib><title>Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.
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.
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.
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.</description><subject>Adult</subject><subject>Biology and Life Sciences</subject><subject>Biotechnology</subject><subject>Collaboration</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - prevention & control</subject><subject>Cross-Sectional Studies</subject><subject>Data mining</subject><subject>Disease transmission</subject><subject>Education, Medical, Continuing - statistics & numerical data</subject><subject>Engineering and Technology</subject><subject>Female</subject><subject>Gender</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Multivariate analysis</subject><subject>Nurses</subject><subject>Outbreaks</subject><subject>Pandemics</subject><subject>Patients</subject><subject>People and Places</subject><subject>Personnel, Hospital - statistics & numerical data</subject><subject>Pharmacy</subject><subject>Physicians</subject><subject>Polls & surveys</subject><subject>R&D</subject><subject>Research & development</subject><subject>Services</subject><subject>Severe acute respiratory syndrome</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Training</subject><subject>Tropical diseases</subject><subject>Viral 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and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries</title><author>Huy, Nguyen Tien ; Chico, R Matthew ; Huan, Vuong Thanh ; Shaikhkhalil, Hosam Waleed ; Uyen, Vuong Ngoc Thao ; Qarawi, Ahmad Taysir Atieh ; Alhady, Shamael Thabit Mohammed ; Vuong, Nguyen Lam ; Truong, Le Van ; Luu, Mai Ngoc ; Dumre, Shyam Prakash ; Imoto, Atsuko ; Lee, Peter N ; Tam, Dao Ngoc Hien ; Ng, Sze Jia ; Hashan, Mohammad Rashidul ; Matsui, Mitsuaki ; Duc, Nguyen Tran Minh ; Karimzadeh, Sedighe ; Koonrungsesomboon, Nut ; Smith, Chris ; Cox, Sharon ; Moji, Kazuhiko ; Hirayama, Kenji ; Linh, Le Khac ; Abbas, Kirellos Said ; Dung, Tran Nu Thuy ; Mohammed Ali Al-Ahdal, Tareq ; Balogun, Emmanuel Oluwadare ; Duy, Nguyen The ; Mohamed Eltaras, Mennatullah ; Huynh, Trang ; Hue, Nguyen Thi Linh ; Khue, Bui Diem ; Gad, Abdelrahman ; Tawfik, Gehad Mohamed ; Kubota, Kazumi ; Nguyen, Hoang-Minh ; Pavlenko, Dmytro ; Trang, Vu Thi Thu ; Vu, Le Thuong ; Hai Yen, Tran ; Yen-Xuan, Nguyen Thi ; Trang, Luong Thi ; Dong, Vinh ; Sharma, Akash ; Dat, Vu Quoc ; Soliman, Mohammed ; Abdul Aziz, Jeza ; Shah, Jaffer ; Hung, Pham Dinh Long ; Jee, Yap Siang ; Phuong, Dang Thuy Ha ; Quynh, Tran Thuy Huong ; Giang, Hoang Thi Nam ; Huynh, Vy Thi Nhat ; Thi, Nguyen Anh ; Dhouibi, Nacir ; Phan, Truc ; Duru, Vincent ; Nam, Nguyen Hai ; Ghozy, Sherief</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c695t-8c115589ebf88b388412636df04dce168fc6ae681b6306be960ee70a181bd81b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Biology and Life Sciences</topic><topic>Biotechnology</topic><topic>Collaboration</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>COVID-19 - prevention & control</topic><topic>Cross-Sectional Studies</topic><topic>Data 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2</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>Training</topic><topic>Tropical diseases</topic><topic>Viral diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huy, Nguyen Tien</creatorcontrib><creatorcontrib>Chico, R Matthew</creatorcontrib><creatorcontrib>Huan, Vuong Thanh</creatorcontrib><creatorcontrib>Shaikhkhalil, Hosam Waleed</creatorcontrib><creatorcontrib>Uyen, Vuong Ngoc Thao</creatorcontrib><creatorcontrib>Qarawi, Ahmad Taysir Atieh</creatorcontrib><creatorcontrib>Alhady, Shamael Thabit Mohammed</creatorcontrib><creatorcontrib>Vuong, Nguyen Lam</creatorcontrib><creatorcontrib>Truong, Le Van</creatorcontrib><creatorcontrib>Luu, Mai Ngoc</creatorcontrib><creatorcontrib>Dumre, Shyam Prakash</creatorcontrib><creatorcontrib>Imoto, Atsuko</creatorcontrib><creatorcontrib>Lee, Peter N</creatorcontrib><creatorcontrib>Tam, Dao Ngoc Hien</creatorcontrib><creatorcontrib>Ng, Sze Jia</creatorcontrib><creatorcontrib>Hashan, Mohammad Rashidul</creatorcontrib><creatorcontrib>Matsui, Mitsuaki</creatorcontrib><creatorcontrib>Duc, Nguyen Tran Minh</creatorcontrib><creatorcontrib>Karimzadeh, Sedighe</creatorcontrib><creatorcontrib>Koonrungsesomboon, Nut</creatorcontrib><creatorcontrib>Smith, Chris</creatorcontrib><creatorcontrib>Cox, Sharon</creatorcontrib><creatorcontrib>Moji, Kazuhiko</creatorcontrib><creatorcontrib>Hirayama, Kenji</creatorcontrib><creatorcontrib>Linh, Le Khac</creatorcontrib><creatorcontrib>Abbas, Kirellos Said</creatorcontrib><creatorcontrib>Dung, Tran Nu Thuy</creatorcontrib><creatorcontrib>Mohammed Ali Al-Ahdal, Tareq</creatorcontrib><creatorcontrib>Balogun, Emmanuel Oluwadare</creatorcontrib><creatorcontrib>Duy, Nguyen The</creatorcontrib><creatorcontrib>Mohamed Eltaras, Mennatullah</creatorcontrib><creatorcontrib>Huynh, Trang</creatorcontrib><creatorcontrib>Hue, Nguyen Thi Linh</creatorcontrib><creatorcontrib>Khue, Bui Diem</creatorcontrib><creatorcontrib>Gad, Abdelrahman</creatorcontrib><creatorcontrib>Tawfik, Gehad Mohamed</creatorcontrib><creatorcontrib>Kubota, Kazumi</creatorcontrib><creatorcontrib>Nguyen, Hoang-Minh</creatorcontrib><creatorcontrib>Pavlenko, Dmytro</creatorcontrib><creatorcontrib>Trang, Vu Thi Thu</creatorcontrib><creatorcontrib>Vu, Le Thuong</creatorcontrib><creatorcontrib>Hai Yen, Tran</creatorcontrib><creatorcontrib>Yen-Xuan, Nguyen Thi</creatorcontrib><creatorcontrib>Trang, Luong Thi</creatorcontrib><creatorcontrib>Dong, Vinh</creatorcontrib><creatorcontrib>Sharma, Akash</creatorcontrib><creatorcontrib>Dat, Vu Quoc</creatorcontrib><creatorcontrib>Soliman, Mohammed</creatorcontrib><creatorcontrib>Abdul Aziz, Jeza</creatorcontrib><creatorcontrib>Shah, Jaffer</creatorcontrib><creatorcontrib>Hung, Pham Dinh Long</creatorcontrib><creatorcontrib>Jee, Yap Siang</creatorcontrib><creatorcontrib>Phuong, Dang Thuy Ha</creatorcontrib><creatorcontrib>Quynh, Tran Thuy 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Atsuko</au><au>Lee, Peter N</au><au>Tam, Dao Ngoc Hien</au><au>Ng, Sze Jia</au><au>Hashan, Mohammad Rashidul</au><au>Matsui, Mitsuaki</au><au>Duc, Nguyen Tran Minh</au><au>Karimzadeh, Sedighe</au><au>Koonrungsesomboon, Nut</au><au>Smith, Chris</au><au>Cox, Sharon</au><au>Moji, Kazuhiko</au><au>Hirayama, Kenji</au><au>Linh, Le Khac</au><au>Abbas, Kirellos Said</au><au>Dung, Tran Nu Thuy</au><au>Mohammed Ali Al-Ahdal, Tareq</au><au>Balogun, Emmanuel Oluwadare</au><au>Duy, Nguyen The</au><au>Mohamed Eltaras, Mennatullah</au><au>Huynh, Trang</au><au>Hue, Nguyen Thi Linh</au><au>Khue, Bui Diem</au><au>Gad, Abdelrahman</au><au>Tawfik, Gehad Mohamed</au><au>Kubota, Kazumi</au><au>Nguyen, Hoang-Minh</au><au>Pavlenko, Dmytro</au><au>Trang, Vu Thi Thu</au><au>Vu, Le Thuong</au><au>Hai Yen, Tran</au><au>Yen-Xuan, Nguyen Thi</au><au>Trang, Luong Thi</au><au>Dong, Vinh</au><au>Sharma, Akash</au><au>Dat, Vu Quoc</au><au>Soliman, Mohammed</au><au>Abdul Aziz, Jeza</au><au>Shah, Jaffer</au><au>Hung, Pham Dinh Long</au><au>Jee, Yap Siang</au><au>Phuong, Dang Thuy Ha</au><au>Quynh, Tran Thuy Huong</au><au>Giang, Hoang Thi Nam</au><au>Huynh, Vy Thi Nhat</au><au>Thi, Nguyen Anh</au><au>Dhouibi, Nacir</au><au>Phan, Truc</au><au>Duru, Vincent</au><au>Nam, Nguyen Hai</au><au>Ghozy, Sherief</au><aucorp>TMGH-Global COVID-19 Collaborative</aucorp><aucorp>contributors of the TMGH-Global COVID-19 Collaborative</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-12-22</date><risdate>2021</risdate><volume>16</volume><issue>12</issue><spage>e0258348</spage><epage>e0258348</epage><pages>e0258348-e0258348</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.
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.
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.
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34936646</pmid><doi>10.1371/journal.pone.0258348</doi><orcidid>https://orcid.org/0000-0002-6822-4946</orcidid><orcidid>https://orcid.org/0000-0001-7278-9889</orcidid><orcidid>https://orcid.org/0000-0001-8761-9559</orcidid><orcidid>https://orcid.org/0000-0002-1211-0296</orcidid><orcidid>https://orcid.org/0000-0003-0918-8049</orcidid><orcidid>https://orcid.org/0000-0002-0115-2108</orcidid><orcidid>https://orcid.org/0000-0003-2684-3041</orcidid><orcidid>https://orcid.org/0000-0003-0339-9339</orcidid><orcidid>https://orcid.org/0000-0003-1795-7100</orcidid><orcidid>https://orcid.org/0000-0001-8160-5471</orcidid><orcidid>https://orcid.org/0000-0001-6334-495X</orcidid><orcidid>https://orcid.org/0000-0003-4075-1266</orcidid><orcidid>https://orcid.org/0000-0002-9333-7539</orcidid><orcidid>https://orcid.org/0000-0002-9543-9440</orcidid><orcidid>https://orcid.org/0000-0002-2109-913X</orcidid><orcidid>https://orcid.org/0000-0002-9981-4404</orcidid><orcidid>https://orcid.org/0000-0003-1771-140X</orcidid><orcidid>https://orcid.org/0000-0002-4461-3517</orcidid><orcidid>https://orcid.org/0000-0003-1384-3886</orcidid><orcidid>https://orcid.org/0000-0002-9908-2936</orcidid><orcidid>https://orcid.org/0000-0003-2917-7363</orcidid><orcidid>https://orcid.org/0000-0001-5750-6959</orcidid><orcidid>https://orcid.org/0000-0001-7463-3300</orcidid><orcidid>https://orcid.org/0000-0002-5904-5970</orcidid><orcidid>https://orcid.org/0000-0001-5629-3023</orcidid><orcidid>https://orcid.org/0000-0002-4071-5938</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Biology and Life Sciences Biotechnology Collaboration Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control Cross-Sectional Studies Data mining Disease transmission Education, Medical, Continuing - statistics & numerical data Engineering and Technology Female Gender Health aspects Health care Health Knowledge, Attitudes, Practice Hospitals Humans Hygiene Male Medical personnel Medicine Medicine and Health Sciences Multivariate analysis Nurses Outbreaks Pandemics Patients People and Places Personnel, Hospital - statistics & numerical data Pharmacy Physicians Polls & surveys R&D Research & development Services Severe acute respiratory syndrome Severe acute respiratory syndrome coronavirus 2 Socioeconomic Factors Surveys and Questionnaires Training Tropical diseases Viral diseases |
title | Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries |
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