Compliance with personal protective equipment use among non-medical healthcare professionals during Covid-19 pandemic
Abstract
Non-medical healthcare professionals, including pharmacists, pharmacy technicians, nutritionists, and radiographers, have a high risk of COVID-19 infection during work. Personal protective equipment use has shown effective in preventing virus transmission. This study aimed to investigate the compliance with personal protective equipment use and identify the factors that may influence their compliance.
The study was designed cross-sectionally, with a self-administered questionnaire. The respondents were non-medical healthcare professionals recruited from covid and non-covid ward at Saiful Anwar General Hospital. The data were collected in November 2020. The questionnaire consists of four questions to assess compliance and eighteen questions to explore the factors that may relate to their compliance. This study used the Chi-square test to differentiate the level of compliance between two groups and binary logistic regression to analyze factors that may influence the compliance.
Most participants in this study were female (84.8%), with a median age of 33 (23 – 57) years. More than 80 % of participants worked in the non-covid ward. Only one-fifth of participants had work experience of more than 15 years. The compliance with personal protective equipment was 67.3%. In univariate analysis, factors that influenced the compliance were difficulty using, removing, and disposing of personal protective equipment, lack of training and regular monitoring, unsure about the effectiveness of personal protective equipment, uncomfortable in donning personal protective equipment. Co-workers never reminding themselves to use personal protective equipment also influence compliance. In the multivariate analysis, the difficulty of using, removing and disposing of personal protective equipment (OR 2.83 (0.730 – 3.478), p=0.025) significantly influenced compliance with personal protective equipment use.
References
Brooks, S., Greenberg, N., Wessely, S., & Rubin, G. J. (2020). Factors affecting healthcare workers’ compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: Rapid evidence review. https://doi.org/10.1101/2020.05.27.20114744
Cahyaning Pramesti, A. (2017). Evaluation of Knowledge and Compliance of Nurses on The Use Personal Protective Equipment (PPE) in Intensive Care Unit (ICU) RSUD Panembahan Senopati Bantul Yogyakarta. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 6(3), 187–193. https://doi.org/10.18196/jmmr.6144
Cook, T. M. (2020). Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic – a narrative review. Anaesthesia, 75(7), 920–927. https://doi.org/10.1111/anae.15071
Erdem, H., & Lucey, D. R. (2021). Healthcare worker infections and deaths due to COVID-19: A survey from 37 nations and a call for WHO to post national data on their website. International Journal of Infectious Diseases, 102, 239–241. https://doi.org/10.1016/j.ijid.2020.10.064
Fan, J., Jiang, Y., Hu, K., Chen, X., Xu, Q., Qi, Y., Yin, H., Gou, X., & Liang, S. (2020). Barriers to using personal protective equipment by healthcare staff during the COVID-19 outbreak in China. Medicine, 99(48), e23310. https://doi.org/10.1097/MD.0000000000023310
Gunawan, I., & Chalidyanto, D. (2020). Analysis of Determinant Factors for Hospital Staff Adherence to the Use of PPE the Care of COVID-19 Patients. 9(December 2019), 187–194.
Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., Xhs, C., Devane, D., Lm, B., Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., Xhs, C., Devane, D., & Lm, B. (2020). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis (Review). Cochrane Database of Systematic Reviews, 4, CD013582. https://doi.org/10.1002/14651858.CD013582.www.cochranelibrary.com
Hozhabri, H., Sparascio, F. P., Sohrabi, H., Mousavifar, L., Roy, R., Scribano, D., De Luca, A., Ambrosi, C., & Sarshar, M. (2020). The global emergency of novel coronavirus (SARS-CoV-2): An update of the current status and forecasting. International Journal of Environmental Research and Public Health, 17(16), 1–35. https://doi.org/10.3390/ijerph17165648
Hu, X., Zhang, Z., Li, N., Liu, D., Zhang, L., He, W., Zhang, W., Li, Y., Zhu, C., Zhu, G., Zhang, L., Xu, F., Wang, S., Cao, X., Zhao, H., Li, Q., Zhang, X., Lin, J., Zhao, S., … Du, B. (2012). Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic. PLoS ONE, 7(9), 3–9. https://doi.org/10.1371/journal.pone.0044723
Jahawir Gustav Rizal. (n.d.). Sudah 507 Nakes Meninggal karena Covid-19, Terbanyak di Bulan Desember Halaman all - Kompas.com. Retrieved January 15, 2021, from https://www.kompas.com/tren/read/2020/12/29/130000965/sudah-507-nakes-meninggal-karena-covid-19-terbanyak-di-bulan-desember?page=all
Katanami, Y., Hayakawa, K., Shimazaki, T., Sugiki, Y., Takaya, S., Yamamoto, K., Kutsuna, S., Kato, Y., & Ohmagari, N. (2018). Adherence to contact precautions by different types of healthcare workers through video monitoring in a tertiary hospital. Journal of Hospital Infection, 100(1), 70–75. https://doi.org/10.1016/j.jhin.2018.01.001
Kementerian Kesehatan RI. (2020). Penggunaan Alat Pelindungan Wabah COVID-19. Penggunaan Alat Pelindungan Wabah COVID-19, April, 1–27.
Morioka, S., Tajima, T., Sugiki, Y., Hayakawa, K., & Ohmagari, N. (2020). Adherence to personal protective equipment use among nurses in Japanese tertiary care hospitals: what determines variability? Journal of Hospital Infection, 104(3), 344–349. https://doi.org/10.1016/j.jhin.2019.11.019
Neuwirth, M. M., Mattner, F., & Otchwemah, R. (2020). Adherence to personal protective equipment use among healthcare workers caring for confirmed COVID-19 and alleged non-COVID-19 patients Meike. Antimicrobial Resistance & Infection Control, 1–5. https://doi.org/10.21203/rs.3.rs-42553/v1
Offeddu, V., Yung, C. F., Low, M. S. F., & Tam, C. C. (2017). Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis. Clinical Infectious Diseases, 65(11), 1934–1942. https://doi.org/10.1093/cid/cix681
Okello, T. R., Kansime, K., Odora, J., Apio, J. A., & Pecorella, I. (2017). Barriers and factors affecting personal protective equipment usage in St. Mary’s Hospital Lacor in Northern Uganda. East and Central African Journal of Surgery, 22(1), 59. https://doi.org/10.4314/ecajs.v22i1.8
Organisation, W. H. (2020). WHO Director-General’s Opening Remarks at The Media Briefing On COVID-19 - 11 March 2020. In WHO Director General’s Speeches (Issue March, p. 4). https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
Santoso, K. H. (2019). RENCANA STRATEGIS (RENSTRA) RSUD Dr. SAIFUL ANWAR MALANG. 2.
Sasongko, D. (n.d.). RSSA Malang Tambah Fasilitas Layanan Khusus Bagi Pasien Covid-19 | merdeka.com. Retrieved January 15, 2021, from https://www.merdeka.com/peristiwa/rssa-malang-tambah-fasilitas-layanan-khusus-bagi-pasien-covid-19.html
Sharma, N., Hasan, Z., Velayudhan, A., M. A, E., Mangal, D. K., & Gupta, S. D. (2020). Personal Protective Equipment: Challenges and Strategies to Combat COVID-19 in India: A Narrative Review. Journal of Health Management, 22(2), 157–168. https://doi.org/10.1177/0972063420935540
STPC19. (2021). Peta Sebaran | Satgas Penanganan COVID-19. In Https://Covid19.Go.Id/Peta-Sebaran (p. ). https://covid19.go.id/peta-sebaran
Verbeek, J. H., Rajamaki, B., Ijaz, S., Sauni, R., Toomey, E., Blackwood, B., Tikka, C., Ruotsalainen, J. H., & Kilinc Balci, F. S. (2020). Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. The Cochrane Database of Systematic Reviews, 5, CD011621. https://doi.org/10.1002/14651858.CD011621.pub5
WHO. (2020). Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19) and considerations during severe shortages. Who, April, 1–28. https://apps.who.int/iris/handle/10665/331695
World Health Organisaton. (2020). COVID-19 Weekly Epidemiological Update Global summary. November, 1–22. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
Copyright (c) 2021 Indonesian Journal of Pharmacy
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.