Australian critical care nurses' knowledge, preparedness, and experiences of managing SARS-COV-2 and COVID-19 pandemic (original) (raw)

Abstract

Background: Coronavirus disease 2019 (COVID-19) has again highlighted the crucial role of healthcare workers in case management, disease surveillance, policy development, and healthcare education and training. The ongoing pandemic demonstrates the importance of having an emergency response plan that accounts for the safety of frontline healthcare workers, including those working in critical care settings. Objectives: The aim of the study was to explore Australian critical care nurses' knowledge, preparedness, and experiences of managing patients diagnosed with severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2) and COVID-19. Methods: An exploratory cross-sectional study of Australian critical care nurses was conducted between June and September 2020. An anonymised online survey was sent to Australian College of Critical Care Nurses' members to collect information about their knowledge, preparedness, and experiences during the COVID-19 pandemic. Descriptive statistics were used to summarise and report data. Results: A total of 157 critical care nurses participated, with 138 fully complete surveys analysed. Most respondents reported 'good' to 'very good' level of knowledge about COVID-19 and obtained up-to-date COVID-19 information from international and local sources. Regarding managing patients with COVID-19, 82.3% felt sufficiently prepared at the time of data collection, and 93.4% had received specific education, training, or instruction. Most participants were involved in assessing (89.3%) and treating (92.4%) patients with COVID-19. Varying levels of concerns about SARS-CoV-2 infection were expressed by respondents, and 55.7% thought the pandemic had increased their workload. The most frequent concerns expressed by participants were a lack of appropriate personal protective equipment (PPE) and fear of PPE shortage. Conclusions: While most nurses expressed sufficient preparedness for managing COVID-19 patients, specific education had been undertaken and experiential learning was evident. Fears of insufficient or lack of appropriate PPE made the response more difficult for nurses and the community. Preparedness

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References (24)

  1. World Health Organization (WHO). Novel coronavirus (2019-nCoV): situation report-1. Geneva: World Health Organization; 21 January 2020.
  2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel Coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382(8): 727e33.
  3. World Health Organization (WHO). WHO Director-General's statement on IHR Emergency Committee on novel coronavirus (2019-nCoV). Geneva: World Health Organization; 2020.
  4. Australia Department of Health. First confirmed case of novel coronavirus in Australia. 2020. Available from: https://www.health.gov.au/ministers/the- hon-greg-hunt-mp/media/first-confirmed-case-of-novel-coronavirus-in- australia.
  5. Caly L, Druce J, Roberts J, Bond K, Tran T, Kostecki R, et al. Isolation and rapid sharing of the 2019 novel coronavirus (SARS-CoV-2) from the first patient diagnosed with COVID-19 in Australia. Med J Aust 2020;212(10):459e62.
  6. Blecher GE, Blashki GA, Judkins S. Crisis as opportunity: how COVID-19 can reshape the Australian health system. Med J Aust 2020;213(5):196e198.e1.
  7. Desborough J, Hall Dykgraaf S, de Toca L, Davis S, Roberts L, Kelaher C, et al. Australia's national COVID-19 primary care response. Med J Aust 2020;213(3): 104e106.e1.
  8. O'Sullivan D, Rahamathulla M, Pawar M. The Impact and implications of COVID-19: an Australian perspective. Int J Comm Soc Develop 2020;2(2): 134e51.
  9. Deng JF, Olowokure B, Kaydos-Daniels SC, Chang HJ, Barwick RS, Lee ML, et al. Severe acute respiratory syndrome (SARS): knowledge, attitudes, practices and sources of information among physicians answering a SARS fever hotline service. Publ Health 2006;120(1):15e9.
  10. Jalloh MF, Li WS, Bunnell RE, Ethier KA, O'Leary A, Hageman KM, et al. Impact of Ebola experiences and risk perceptions on mental health in Sierra Leone, July 2015. BMJ Glob Health 2018;3(2).
  11. Khan MU, Shah S, Ahmad A, Fatokun O. Knowledge and attitude of healthcare workers about middle east respiratory syndrome in multispecialty hospitals of Qassim, Saudi Arabia. BMC Publ Health 2014;14:1281. https://doi.org/ 10.1186/1471-2458-14-1281.
  12. Alsahafi AJ, Cheng AC. Knowledge, attitudes and behaviours of healthcare workers in the kingdom of Saudi Arabia to MERS Coronavirus and other emerging infectious diseases. Int J Environ Res Publ Health 2016;13(12):1214.
  13. Al-Dorzi HM, Aldawood AS, Khan R, Baharoon S, Alchin JD, Matroud AA, et al. The critical care response to a hospital outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection: an observational study. Ann Intensive Care 2016;6(1):101. https://doi.org/10.1186/s13613-016-0203-z.
  14. Arabi YM, Murthy S, Webb S. COVID-19: a novel coronavirus and a novel challenge for critical care. Intensive Care Med 2020;46(5):833e6.
  15. Johnson SS, Barranta N, Chertow D. Ebola at the National Institutes of Health: perspectives from critical care nurses. AACN Adv Crit Care 2015;26(3):262e7. https://doi.org/10.4037/NCI.0000000000000103.
  16. El-Masri MM, Williamson KM, Fox-Wasylyshyn SM. Severe acute respiratory syndrome: another challenge for critical care nurses. AACN Adv Crit Care 2004;15(1):150e9.
  17. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 2011;6. https://doi.org/10.1186/1748-5908-6-42.
  18. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15(9):1277e88.
  19. The Australian and New Zealand Intensive Care Society (ANZICS). COVID-19 guidelines. 2020. Available from: https://mcusercontent.com/ 03cbd5b8a6d36c351c46c235e/files/86e36972-a552-45da-8eab-8fd8c52a788d/ ANZICS_COVID_19_Guidelines_Version_1.pdf?fbclid¼IwAR2IPlq7SV3tWgG4_ T6Xxz9XglMD1CxO1kHJSsAucqrXOjL_EVJZVK6InOw.
  20. Australian and New Zealand Intensive Care Society. ANZICS COVID-19 guidelines. 2020. Available from: https://www.anzics.com.au/coronavirus- guidelines/.
  21. Marshall AP, Austin DE, Chamberlain D, Chapple L-AS, Cree M, Fetterplace K, et al. A critical care pandemic staffing framework in Australia. Aust Crit Care 2020;S1036e7314(20):30300e3. https://doi.org/10.1016/j.aucc.2020.08.007.
  22. Litton E, Bucci T, Chavan S, Ho YY, Holley A, Howard G, et al. Surge capacity of intensive care units in case of acute increase in demand caused by COVID-19 in Australia. Med J Aust 2020;212(10):463e7.
  23. Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res 2016;14(1):7e14.
  24. Nickell LA, Crighton EJ, Tracy CS, Al-Enazy H, Bolaji Y, Hanjrah S, et al. Psycho- social effects of SARS on hospital staff: survey of a large tertiary care institution. Can Med Assoc J 2004;170(5):793e8. https://doi.org/10.1503/cmaj.1031077.