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Infection, disease & health. 2021 May;26(2):95-103. doi: 10.1016/j.idh.2020.10.002

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

澳大利亚三级医院医务人员对管理高后果传染病的知识、态度和做法调查研究 翻译改进

Jesse J Fryk  1, Steven Tong  2, Caroline Marshall  3, Arjun Rajkhowa  4, Kirsty Buising  5, Christopher MacIsaac  6, Nicola Walsham  7, Irani Thevarajan  8

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作者单位

  • 1 Victorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia; School of Population and Global Health, University of Melbourne, Parkville, Australia.
  • 2 Victorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia.
  • 3 Victorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia; Infection Prevention and Surveillance Service, The Royal Melbourne Hospital, Parkville, Australia.
  • 4 National Centre for Antimicrobial Stewardship, Department of Medicine and Radiology, University of Melbourne, Parkville, Australia; Department of Medicine and Radiology, The University of Melbourne, Parkville, Australia.
  • 5 Victorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia; National Centre for Antimicrobial Stewardship, Department of Medicine and Radiology, University of Melbourne, Parkville, Australia; Department of Medicine and Radiology, The University of Melbourne, Parkville, Australia.
  • 6 Intensive Care Unit, The Royal Melbourne Hospital, Parkville, Australia; Department of Medicine and Radiology, The University of Melbourne, Parkville, Australia.
  • 7 Emergency Department, The Royal Melbourne Hospital, Parkville, Australia.
  • 8 Victorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia. Electronic address: irani.thevarajan@mh.org.au.

    • DOI: 10.1016/j.idh.2020.10.002 PMID: 33189598

    摘要 Ai翻译

    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.

    Keywords: Patient management; Prepared; SARS-CoV-2; Supported; Viral haemorrhagic fever.

    Keywords：knowledge attitudes; practices; healthcare workers

    关键词：知识; 态度; 实践; 医疗卫生工作者

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