评估医疗服务提供者管理COVID-19患者的准备:一项混合方法研究

Q2 Medicine Oman Medical Journal Pub Date : 2024-07-31 eCollection Date: 2024-07-01 DOI:10.5001/omj.2024.83
Hasina Al Harthi, Hashil Al Hatmi, Kamila Al-Alawi, Khalid Al Busaidi, Issa Al Salmi, Salah T Al Awaidy
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引用次数: 0

摘要

目标:在全球范围内,一线医疗保健提供者(HCPs)准备提供及时和适当的医疗服务已成为一个重大关切。医护人员在遏制措施方面的培训被认为对提高COVID-19患者的护理质量,同时降低病毒向其他患者和医护人员传播的风险至关重要。本研究调查了培训对阿曼一家三级医院医务人员准备管理COVID-19患者的影响。方法:采用混合方法设计,我们使用电子表格向马斯喀特皇家医院的医护人员发出邀请。我们收集了关于医护人员的人口统计数据,他们对医院核心目标和协议的理解,以及通过官方培训或自主学习获得的任何知识。我们的分析方法包括描述性和单变量统计方法,辅以定性成分的专题分析。结果:我们的调查共获得了241人的回复。受访者中67.6%为女护士,年龄在31-40岁之间的占49.8%。性别(p = 0.018和p = 0.001)和职业(p < 0.001和p < 0.001)在意识总分和知识总分上分别存在显著差异。处理确诊或潜在传染性患者的压力和恐惧对近一半的hcp产生了负面影响,医生和护士报告这种影响显著。值得注意的是,61.0%的医护人员表示,对国家大流行计划的信心对他们管理COVID-19病例的信心产生了积极影响。结论:虽然医院的协议和程序很好理解,但缺乏管理高传染性患者的准备和技能培训,导致信心下降,压力增加。为了加强他们应对未来疫情的能力,并以韧性和信心开展工作,医务人员需要持续的、全面的实践培训。
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Assessing Healthcare Providers' Preparedness for Managing COVID-19 Patients: A Mixed-methods Study.

Objectives: Globally, the preparedness of frontline healthcare providers (HCPs) to deliver timely and appropriate medical care has emerged as a significant concern. The training of HCPs in containment measures is considered pivotal in elevating the quality of care for COVID-19 patients while simultaneously mitigating the risk of viral transmission to both fellow patients and HCPs. This study investigates the impact of training on HCPs readiness to manage COVID-19 patients in a tertiary hospital in Oman.

Methods: Employing a mixed-method design, we extended invitations to HCPs at the Royal Hospital in Muscat using electronic forms. We collected data about HCPs demographics, their comprehension of the hospital's core objectives and protocols, and any knowledge acquired through official training or self-directed study. Our analytical approach encompassed descriptive and univariate statistical methods, complemented by thematic analysis for the qualitative component.

Results: Our survey acquired responses from a total of 241 individuals. Among the respondents, 67.6% were female nurses, and 49.8% were aged between 31-40 years old. Significant differences were observed concerning gender (p = 0.018 and p = 0.001) and profession (p < 0.001 and p < 0.001) with the total score in awareness and knowledge, respectively. Stress and fear of handling confirmed or potentially contagious patients negatively impacted nearly half of the HCPs, with doctors and nurses reporting this effect significantly. Remarkably, 61.0% of HCPs expressed that their confidence in managing COVID-19 cases was positively influenced by their faith in national pandemic plans.

Conclusions: While the hospital's protocols and procedures were well comprehended, the lack of preparedness and skills training for managing highly contagious patients resulted in diminished confidence and heightened stress. To fortify their ability to respond to future outbreaks and work with resilience and confidence, HCPs require ongoing, comprehensive, and hands-on training.

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来源期刊
Oman Medical Journal
Oman Medical Journal Medicine-Medicine (all)
CiteScore
3.10
自引率
0.00%
发文量
119
审稿时长
12 weeks
期刊最新文献
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