Evidence map›Paper›PMID 33189598›Full record

ArticleInfection, disease & health2021

Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases.

Jesse J Fryk, Steven Tong, Caroline Marshall, Arjun Rajkhowa, Kirsty Buising, Christopher MacIsaac, Nicola Walsham, Irani Thevarajan

Abstract read
PubMed Full text at PMC Publisher
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Article in Infection, disease & health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jesse J FrykVictorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia; School of Population and Global Health, University of Melbourne, Parkville, Australia.
Steven TongVictorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia.
Caroline MarshallVictorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia; Infection Prevention and Surveillance Service, The Royal Melbourne Hospital, Parkville, Australia.
Arjun RajkhowaNational Centre for Antimicrobial Stewardship, Department of Medicine and Radiology, University of Melbourne, Parkville, Australia; Department of Medicine and Radiology, The University of Melbourne, Parkville, Australia.
Kirsty BuisingVictorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia; National Centre for Antimicrobial Stewardship, Department of Medicine and Radiology, University of Melbourne, Parkville, Australia; Department of Medicine and Radiology, The University of Melbourne, Parkville, Australia.
Christopher MacIsaacIntensive Care Unit, The Royal Melbourne Hospital, Parkville, Australia; Department of Medicine and Radiology, The University of Melbourne, Parkville, Australia.
Nicola WalshamEmergency Department, The Royal Melbourne Hospital, Parkville, Australia.
Irani ThevarajanVictorian Infectious Disease Service, The Royal Melbourne Hospital, Parkville, Australia; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia. Electronic address: irani.thevarajan@mh.org.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdequate preparation and support for healthcare workers (HCWs) managing high-consequence infectious diseases (HCIDs) is critical to the overall clinical management of HCIDs. Qualitative studies examining how well prepared and supported HCWs feel are lacking despite their key role. This study investigated how prepared and supported front-line HCWs at an Australian tertiary hospital felt about managing HCIDs such as viral haemorrhagic fever (VHF).

methodsA qualitative research approach was used to undertake interviews with 45 Royal Melbourne Hospital medical and nursing staff from emergency, intensive care and infectious diseases. Interview questions captured data on HCWs' role, familiarity with using protocols, psychological attributes and training for scenarios related to VHF patient management. Interviews were recorded and transcribed. Categorical responses were analysed quantitatively and open-ended responses were analysed thematically.

resultsNinety-eight percent of participants indicated feeling capable of undertaking their role in managing VHF patients; 77% felt supported through personnel/resources. However, 69% indicated barriers to managing these patients effectively; and 68% felt anxious at the prospect of managing VHF patients. Themes emerging from participants' observations included concerns about training frequency, miscommunication, difficulty with uncertainty, feeling underprepared, and fear of transmitting infection to others.

conclusionAlthough the majority of HCWs feel confident about their ability to care for VHF patients, they also have a moderately-high degree of anxiety. Perceptions of interviewed staff have fed into recommendations to increase HCW preparedness and reduce anxiety, which include investigating support services, and exploring training options that create multi-departmental groups of highly specialised medical officers and nurses.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeHealth PersonnelAdultAnxietyFemaleHemorrhagic Fevers, ViralHumansInfection ControlMaleMiddle AgedQualitative ResearchSimulation TrainingTertiary Care CentersPatient managementPreparedSARS-CoV-2SupportedViral haemorrhagic fever

Identifiers

PMID33189598
PMCPMC7657000

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.