دورية أكاديمية
أعرض في EDS

COVID-19 infection prevention and control procedures and institutional trust: Perceptions of Canadian intensive care and emergency department nurses.

التفاصيل البيبلوغرافية
العنوان: COVID-19 infection prevention and control procedures and institutional trust: Perceptions of Canadian intensive care and emergency department nurses.
عنوان ترانسليتريتد: Procédures de prévention et de contrôle des infections à la COVID-19 et confiance institutionnelle : perceptions du personnel infirmier des services de soins intensifs et d’urgence au Canada.
المؤلفون: Silverberg SL; Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada. sarah.silverberg@alumni.ubc.ca.; Department of Pediatrics, BC Children's Hospital, 4500 Oak Street, Vancouver, BC, V6H 3N1, Canada. sarah.silverberg@alumni.ubc.ca., Puchalski Ritchie LM; Department of Medicine, University of Toronto, Toronto, ON, Canada.; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.; Department of Emergency Medicine, University Health Network, Toronto, ON, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada., Gobat N; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Murthy S; Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
المصدر: Canadian journal of anaesthesia = Journal canadien d'anesthesie [Can J Anaesth] 2021 Aug; Vol. 68 (8), pp. 1165-1175. Date of Electronic Publication: 2021 May 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer New York Country of Publication: United States NLM ID: 8701709 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1496-8975 (Electronic) Linking ISSN: 0832610X NLM ISO Abbreviation: Can J Anaesth Subsets: MEDLINE
أسماء مطبوعة: Publication: New York : Springer New York
Original Publication: [Toronto, Ont.] : Canadian Anaesthetists' Society, [c1987-
مواضيع طبية MeSH: COVID-19* , Nurses*, Canada ; Critical Care ; Cross-Sectional Studies ; Emergency Service, Hospital ; Humans ; Perception ; SARS-CoV-2 ; Surveys and Questionnaires ; Trust
مستخلص: Purpose: Healthcare workers must ensure effective infection prevention and control (IPC) to prevent nosocomial spread of SARS-CoV-2, the virus that causes COVID-19. This questionnaire study aims to evaluate Canadian critical care and emergency department nurses' readiness to follow IPC guidelines in their workplace, and to understand their perceptions of trust in organizational preparedness, communication, and infection risk.
Methods: We adapted an internationally distributed survey for the Canadian context. This cross-sectional questionnaire, incorporating validated scales for items including institutional trust, was distributed by email to nurses via the Canadian Association of Critical Care Nurses and the Canadian Association of Emergency Physicians networks between 16 March and 25 May 2020. We evaluated intensive care unit and emergency department nurses' adherence to IPC protocols, barriers and facilitators to IPC guideline adherence, and their level of institutitonal trust.
Results: Three hundred and nineteen nurses responded to the survey. There was higher trust in organizational preparedness among nurses who were older (B = 0.31, P < 0.001) and more experienced (F = 18.09, P < 0.001), and particularly among those with previous experience working in outbreak settings (F = 7.87, P = 0.005). Compared with those without experience working in outbreak settings, respondents with this experience reported higher levels of fear of becoming ill and fear of providing care for COVID-19 patients (χ 2 = 21.48, P = 0.002 and χ 2 = 12.61, P = 0.05, respectively). Older and more experienced nurses reported greater comfort with IPC skills and easier access to personal protective equipment. While the vast majority (96%) of respondents reported using masks and gloves, only 83% had access to isolation facilities for suspected or confirmed COVID-19 cases.
Conclusion: Canadian nurses had strong self-reported adherence to IPC measures and personal protective equipment use. There were high levels of trust in health system leadership to ensure protective measures are present and reliable. Trust was particularly high among older and more experienced nurses despite these populations reporting higher levels of fear of personal illness.
(© 2021. The Author(s).)
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معلومات مُعتمدة: OV2170359 CIHR Coronavirus Rapid Research Funding Opportunity
فهرسة مساهمة: Keywords: COVID-19; infection prevention and control; nurses; pandemic preparedness
Local Abstract: [Publisher, French] RéSUMé: OBJECTIF: Les travailleurs de la santé doivent assurer l’efficacité de la prévention et du contrôle des infections (PCI) pour prévenir la propagation nosocomiale du SRAS-CoV-2, le virus qui cause la COVID-19. Cette étude sous forme de questionnaire vise à évaluer le degré de préparation des infirmières et infirmiers des services d’urgence et de soins intensifs canadiens à suivre les lignes directrices de la PCI sur leur lieu de travail, ainsi qu’à comprendre leur degré de confiance dans la préparation, la communication et le risque d’infection au niveau de l’organisation. MéTHODE: Nous avons adapté un sondage distribué à l’échelle internationale au contexte canadien. Ce questionnaire sectoriel, incorporant des échelles validées pour des éléments tels que la confiance institutionnelle, a été distribué par courriel aux infirmières et infirmiers par l’entremise de l’Association canadienne des infirmiers/infirmières en soins intensifs et des réseaux de l’Association canadienne des médecins d’urgence entre le 16 mars et le 25 mai 2020. Nous avons évalué l’adhésion du personnel infirmier des unités de soins intensifs et des services d’urgence aux protocoles de la PCI, les obstacles et les facilitateurs à l’observance des lignes directrices de la PCI, ainsi que leur niveau de confiance institutionnelle. RéSULTATS: Trois cent dix-neuf infirmières et infirmiers ont répondu au questionnaire. Il y avait une plus grande confiance dans la préparation organisationnelle chez les infirmières et infirmiers plus âgés (B = 0,31, P < 0,001) et plus expérimentés (F = 18,09, P < 0,001), et en particulier parmi celles et ceux qui avaient déjà travaillé dans des contextes d’éclosion (F = 7,87, P = 0,005). Comparativement à celles et ceux qui n’ont pas d’expérience dans des contextes d’éclosion, les répondant(e)s avec expérience ont signalé des niveaux plus élevés de peur de tomber malade et de peur de fournir des soins aux patients atteints de la COVID-19 (χ 2 = 21,48, P = 0,002 et χ 2 = 12,61, P = 0,05, respectivement). Les infirmières et infirmiers plus âgés et plus expérimentés ont déclaré être plus à l’aise avec leurs compétences en PCI et avoir un meilleur accès aux équipements de protection individuelle. Alors que la grande majorité (96 %) des répondant(e)s ont déclaré avoir utilisé des masques et des gants, seulement 83 % avaient accès à des zones d’isolement pour les cas présumés ou confirmés de COVID-19. CONCLUSION: Les infirmières et infirmiers canadiens ont rapporté une forte adhésion aux mesures de la PCI et à l’utilisation des équipements de protection individuelle. Il y avait un niveau élevé de confiance dans le leadership du système de santé pour s’assurer que les mesures de protection étaient présentes et fiables. La confiance était particulièrement élevée chez le personnel infirmier plus âgé et plus expérimenté, bien les niveaux de peur d’être personnellement atteint de la maladie étaient plus élevés pour ces infirmières et infirmiers.
تواريخ الأحداث: Date Created: 20210528 Date Completed: 20210720 Latest Revision: 20240103
رمز التحديث: 20240104
مُعرف محوري في PubMed: PMC8158085
DOI: 10.1007/s12630-021-02028-9
PMID: 34046822
قاعدة البيانات: MEDLINE
الوصف
تدمد:1496-8975
DOI:10.1007/s12630-021-02028-9