Knowledge and perceived barriers for care provision regarding COVID-19 among hospital nurses in Nepal

Bijaya Adhikari, Anju Mahato, Tara Acharya, Bhagawaty Kalikote
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Abstract

COVID-19 pandemic is significantly affecting the overall health and healthcare system globally. It has not shown mercy to Nepal either. All the health facilities are full of COVID-19 patients. Almost all death from COVID-19, has occurred in hospital. Adequate knowledge of nurses regarding the source, transmission, symptoms, and preventive measures of COVID-19 helps to provide effective care and prevent spreading infections from patients to patients, and nurses to patients. Therefore, this study aimed to identify the knowledge regarding COVID-19 and perceived barriers for care provision regarding COVID-19 patients among hospital nurses in Nepal. A cross-sectional descriptive study was conducted in different COVID-19 care designated hospitals of Nepal. Data were collected by using self-administered validated questionnaire through online survey. Descriptive analysis was done by using SPSS-16. More than 80% of nurses had adequate knowledge regarding symptoms, route of transmission, vulnerable population and preventive measures of COVID- 19 and only 15.0% had got training related to COVID-19 pandemic. Nurses perceived negligence of the patients and community people on COVID-19 prevention (84.6%), fear of being infected and carrier to family and community while contacting with patients (80.0%), long duty hour (75.0%), inadequately supply of personal protective equipment and insufficient institutional preparedness (74.0%) were the major barriers for providing care of COVID-19 patients. Thus, hospital authority, nursing administration and nursing professionals’ organizations should play an important role in organizing training to nurses and awareness program to community people. It is also essential in providing required supplies, and facilitates the motivating environment for effective care and prevention of COVID-19.
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尼泊尔医院护士对 COVID-19 的了解以及在提供护理服务时遇到的障碍
COVID-19 大流行严重影响着全球的整体健康和医疗保健系统。它对尼泊尔也毫不留情。所有医疗机构都住满了 COVID-19 患者。几乎所有死于 COVID-19 的病人都住在医院里。护士对 COVID-19 的来源、传播途径、症状和预防措施的充分了解有助于提供有效的护理,防止感染在病人与病人之间、护士与病人之间传播。因此,本研究旨在确定尼泊尔医院护士对 COVID-19 的了解程度,以及在护理 COVID-19 患者时遇到的障碍。本研究在尼泊尔不同的 COVID-19 护理指定医院进行了横断面描述性研究。通过在线调查使用自填式有效问卷收集数据。使用 SPSS-16 进行了描述性分析。超过 80% 的护士对 COVID-19 的症状、传播途径、易感染人群和预防措施有足够的了解,只有 15.0% 的护士接受过与 COVID-19 相关的培训。护士们认为,病人和社区居民对 COVID-19 预防的忽视(84.6%)、与病人接触时害怕被感染并传染给家人和社区(80.0%)、值班时间长(75.0%)、个人防护设备供应不足以及机构准备不足(74.0%)是为 COVID-19 病人提供护理的主要障碍。因此,医院当局、护理管理部门和护理专业人员组织应在组织护士培训和提高社区居民认识计划方面发挥重要作用。此外,还必须提供所需的用品,并为有效护理和预防 COVID-19 创造有利环境。
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