Healthcare Providers' Adherence to COVID-19 Prevention and Control Practices in Health Records and Information Management, Ghana.

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Epidemiology and Genomics Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI:10.1155/2024/8862660
Richard Okyere Boadu, Kwame Adu Okyere Boadu, Nathan Kumasenu Mensah, Godwin Adzakpah, Fortune Afaglo, Rosemary Bermaa Abrefa, Emmanuella Aryee, Nancy Gyamena Botwe, Dinah Baiden-Amissah, Dennis Bless Ashiavor, Larry Lee Mensah, Lovemond Kojo Asamoah, Judith Obiri-Yeboah
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Abstract

Background: The impact of contracting coronavirus on healthcare providers (HCPs) affects their ability to combat the infection. The virus can be transmitted through droplets from sneezing, coughing, and yelling, making it essential for HCPs to plan ahead when dealing with patients with respiratory symptoms. The need to assess healthcare providers' perceived adherence to COVID-19 Prevention and Control Practices (PCP) in Health Records and Information Management is vital for optimizing healthcare operations and ensuring the safety of both patients and providers. This study assesses healthcare providers' perceived adherence to COVID-19 PCP in Health Records and Information Management. Subjects and Method. A cross-sectional survey was conducted to collect data from 1268 HCPs working in eight randomly selected hospitals across five regions in Ghana. The survey was carried out from May 15, 2022, to August 13, 2022. Simple random sampling was used to choose these eight facilities from a total of 204 hospitals. Within each facility, HCPs from various departments were selected using simple random sampling. The EpiInfo 7 software's StatCalc tool was used to choose a total sample size of 1268 from an estimated 4482 HCP-PR from the eight hospitals. Compliance with COVID-19 PCP was assessed using a 3-point scale, ranging from one (Yes always) to three (No). Cronbach's alpha reliability coefficient was used to examine the statistical reliability of the variables in the dataset. Cronbach's alpha was 0.73 overall, suggesting strong reliability. Bartlett's test for equal variances was used for comparative analysis of health facility and overall mean COVID-19 PCP in different areas of health facilities. IBM SPSS (version 23) statistical software was used for the data analysis process.

Results: A total of 1268 HCP-PR participated in the survey, resulting in a 99.6% response rate. Findings reveal that 760 healthcare professionals who handle patients' records (HCP-PR), constituting 60%, consistently followed COVID-19 protocols in the registration and clinic preparation zones. Another 390 individuals (30.7%) adhered to these protocols occasionally, while 119 (9.4%) failed to comply. Similarly, in the filing area, 739 respondents (58.3%) consistently adhered to COVID-19 protocols, 358 (28.3%) occasionally did so, and 170 (13.4%) did not follow the protocols at all. Regarding handling health records cautiously, 540 participants (42.5%) always did, 448 (35.3%) did so sometimes, and 280 (22.2%) neglected these precautions. Additionally, 520 respondents (41.0%) consistently followed COVID-19 precautions when handling computers and other equipment, 393 (31.0%) did so occasionally, and 355 (28.0%) did not adhere to these precautions.

Conclusion: The majority of respondents showed good compliance with COVID-19 protocol in the registration and clinic preparation areas. However, in the filing area, just over four out of every seven respondents consistently adhered to COVID-19 PCP. Additionally, four out of every seven participants did not comply with COVID-19 PCP when handling patients' records. Analysis reveals diverse adherence to COVID-19 PCP, and statistical tests show variable performance, highlighting standout health facilities.

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加纳医疗保健提供者在健康记录和信息管理中对 COVID-19 预防和控制措施的遵守情况。
背景:感染冠状病毒对医护人员(HCPs)的影响会影响他们的抗感染能力。病毒可通过打喷嚏、咳嗽和大喊大叫时产生的飞沫传播,因此,医护人员在处理有呼吸道症状的患者时必须未雨绸缪。在健康记录和信息管理中评估医疗保健提供者对 COVID-19 预防和控制措施(PCP)的认知遵守情况,对于优化医疗保健运营、确保患者和医疗保健提供者的安全至关重要。本研究旨在评估医疗服务提供者对健康记录和信息管理中 COVID-19 预防和控制措施的认知遵守情况。研究对象和方法。本研究对加纳五个地区随机抽取的八家医院的 1268 名医护人员进行了横断面调查,以收集数据。调查时间为 2022 年 5 月 15 日至 2022 年 8 月 13 日。这八家医院是从总共 204 家医院中随机抽取的。在每家医院内,采用简单随机抽样法选取了不同科室的保健医生。使用 EpiInfo 7 软件的 StatCalc 工具,从八家医院估计的 4482 名 HCP-PR 中抽取了 1268 个样本。对 COVID-19 PCP 合规性的评估采用 3 点量表,从 1(总是)到 3(否)不等。Cronbach's alpha 信度系数用于检验数据集中各变量的统计可靠性。总体上,Cronbach's alpha 为 0.73,表明可靠性很高。巴特利特(Bartlett)等差数列检验用于比较分析医疗机构和不同地区医疗机构 COVID-19 PCP 的总体平均值。数据分析过程使用了 IBM SPSS(23 版)统计软件:共有 1268 名医护人员参与了调查,回复率为 99.6%。调查结果显示,760 名处理患者病历的医护人员(HCP-PR)(占 60%)在挂号和门诊准备区始终遵循 COVID-19 协议。另有 390 人(30.7%)偶尔遵守这些规程,119 人(9.4%)没有遵守。同样,在存档区,739 名受访者(58.3%)始终遵守 COVID-19 规程,358 名(28.3%)偶尔遵守,170 名(13.4%)完全不遵守。在谨慎处理健康档案方面,540 名受访者(42.5%)一贯如此,448 名(35.3%)偶尔如此, 280 名(22.2%)忽视了这些预防措施。此外,520 名受访者(41.0%)在处理计算机和其他设备时始终遵守 COVID-19 预防措施,393 名受访者(31.0%)偶尔遵守,355 名受访者(28.0%)没有遵守这些预防措施:结论:大多数受访者在挂号和诊疗准备区都很好地遵守了 COVID-19 规程。然而,在存档区,每七名受访者中只有四名多一点的人始终遵守 COVID-19 PCP。此外,每七位受访者中就有四位在处理患者记录时没有遵守 COVID-19 PCP。分析表明,对 COVID-19 PCP 的遵守情况各不相同,统计测试表明表现各异,突出显示了医疗机构的突出特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Global Health Epidemiology and Genomics
Global Health Epidemiology and Genomics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
10
审稿时长
20 weeks
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