Evidence map›Paper›PMID 34936646›Full record

ArticlePloS one2021

Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries.

Nguyen Tien Huy, R Matthew Chico, Vuong Thanh Huan, Hosam Waleed Shaikhkhalil, Vuong Ngoc Thao Uyen, Ahmad Taysir Atieh Qarawi, Shamael Thabit Mohammed Alhady, Nguyen Lam Vuong, Le Van Truong, Mai Ngoc Luu and 54 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Evaluation of asthmatic patient dyspnea in asthma center at Baghdad city.Journal of education and health promotion · 2025
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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

64 authors.

Nguyen Tien HuySchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.ORCID https://orcid.org/0000-0002-9543-9440
R Matthew ChicoDepartment of Disease Control, Faculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID https://orcid.org/0000-0003-1795-7100
Vuong Thanh HuanFaculty of Medicine, Pham Ngoc Thach University, Ho Chi Minh City, Vietnam.
Hosam Waleed ShaikhkhalilFaculty of Medicine, Islamic University of Gaza, Gaza Strip, Palestine.ORCID https://orcid.org/0000-0003-1384-3886
Vuong Ngoc Thao UyenSchool of Biotechnology, International University-Vietnam National University, Ho Chi Minh City, Vietnam.
Ahmad Taysir Atieh QarawiLower Westchester Medical Associates, P.C., Mount Vernon, NY, United States of America.ORCID https://orcid.org/0000-0001-7278-9889
Shamael Thabit Mohammed AlhadyFaculty of medicine, University of Gezira, Wad Medani, Sudan.ORCID https://orcid.org/0000-0001-7463-3300
Nguyen Lam VuongUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0003-2684-3041
Le Van TruongTraditional Medicine Hospital of Ministry of Public Security, Vietnam.
Mai Ngoc LuuDepartment of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Vietnam.
Shyam Prakash DumreDepartment of Immunogenetics, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Atsuko ImotoSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Peter N LeeP.N. Lee Statistics and Computing Ltd., Sutton, United Kingdom.
Dao Ngoc Hien TamAsia Shine Trading & Service CO. LTD., Ho Chi Minh City, Vietnam.
Sze Jia NgHospital Enche' Besar Hajjah Khalsom, Johor, Malaysia.
Mohammad Rashidul HashanGovernment of the People's Republic of Bangladesh-Ministry of Health and Family Welfare, Dhaka, Bangladesh.
Mitsuaki MatsuiSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.ORCID https://orcid.org/0000-0003-4075-1266
Nguyen Tran Minh DucUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0002-9333-7539
Sedighe KarimzadehSchool of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.ORCID https://orcid.org/0000-0002-9981-4404
Nut KoonrungsesomboonDepartment of Pharmacology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Chris SmithSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Sharon CoxLondon School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID https://orcid.org/0000-0002-9908-2936
Kazuhiko MojiSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Kenji HirayamaInstitute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Le Khac LinhVinUniversity, College of Health Sciences, Hanoi, Vietnam.
Kirellos Said AbbasFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID https://orcid.org/0000-0003-0339-9339
Tran Nu Thuy DungUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Tareq Mohammed Ali Al-AhdalDepartment of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Ar-Ramtha, Jordan.
Emmanuel Oluwadare BalogunDepartment of Biochemistry and African Center of Excellence on Neglected Tropical Diseases and Forensic Biotechnology, Ahmadu Bello University, Zaria, Nigeria.
Nguyen The DuyDepartment of Gyn. Endocrinology and Reproductive Medicine, University Hospital Giessen and Marburg, Marburg, Germany.
Mennatullah Mohamed EltarasFaculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Trang HuynhUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Nguyen Thi Linh HueNguyen Trai Hospital, Ho Chi Minh, Vietnam.
Bui Diem KhueUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0003-0918-8049
Abdelrahman GadAin Shams University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-4461-3517
Gehad Mohamed TawfikFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Kazumi KubotaYokohama City University, Yokohama, Japan.
Hoang-Minh NguyenUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0002-0115-2108
Dmytro PavlenkoBogomolets National Medical University, Kyiv, Ukraine.ORCID https://orcid.org/0000-0001-8761-9559
Vu Thi Thu TrangNational Hospital of Traditional Medicine, Hanoi, Vietnam.
Le Thuong VuUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0002-2109-913X
Tran Hai YenSchool of Biotechnology, International University-Vietnam National University, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0003-2917-7363
Nguyen Thi Yen-XuanCambridge University Hospital Foundation Trust, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0001-6334-495X
Luong Thi TrangDanang Oncology Hospital, Danang, Vietnam.
Vinh DongAmerican University of the Caribbean, Cupe Coy, Saint Maarten, United States of America.ORCID https://orcid.org/0000-0002-4071-5938
Akash SharmaUniversity College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India.ORCID https://orcid.org/0000-0002-6822-4946
Vu Quoc DatDepartment of Infectious Diseases, Hanoi Medical University, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-5904-5970
Mohammed SolimanFaculty of Medicine, Zagazig University, Zagazig, Egypt.
Jeza Abdul AzizMedical Laboratory Science, College of Health Science, University of Human Development, Kurdistan Region, Sulaimani, Iraq.
Jaffer ShahDrexel University College of Medicine, Philadelphia, Pennsylvania, United States of America.
Pham Dinh Long HungUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Yap Siang JeeSchool of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Dang Thuy Ha PhuongCenter for Biomedical Research, Pham Ngoc Thach University of Medicine, Vietnam.ORCID https://orcid.org/0000-0001-5750-6959
Tran Thuy Huong QuynhKansai Medical University, Osaka, Japan.
Hoang Thi Nam GiangInstitute of Research and Development, Duy Tan University, Da Nang, Vietnam.
Vy Thi Nhat HuynhFaculty of Medicine, University of Debrecen, Debrecen, Hungary.ORCID https://orcid.org/0000-0002-1211-0296
Nguyen Anh ThiToulouse III Paul Sabatier University, Toulouse, France.
Nacir DhouibiFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.ORCID https://orcid.org/0000-0001-8160-5471
Truc PhanVinmec International Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0000-0003-1771-140X
Vincent DuruDepartment of Parasitology and Entomology, Nnamdi Azikiwe University, Awka, Nigeria.
Nguyen Hai NamDivision of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Sherief GhozyFaculty of Medicine, Mansoura University, Mansoura, Egypt.ORCID https://orcid.org/0000-0001-5629-3023
contributors of the TMGH-Global COVID-19 Collaborative
TMGH-Global COVID-19 Collaborative

Funding

NHLBI NIH HHS L30 HL154200
6 · The paper itself

Abstract

backgroundSince the COVID-19 pandemic began, there have been concerns related to the preparedness of healthcare workers (HCWs). This study aimed to describe the level of awareness and preparedness of hospital HCWs at the time of the first wave.

methodsThis multinational, multicenter, cross-sectional survey was conducted among hospital HCWs from February to May 2020. We used a hierarchical logistic regression multivariate analysis to adjust the influence of variables based on awareness and preparedness. We then used association rule mining to identify relationships between HCW confidence in handling suspected COVID-19 patients and prior COVID-19 case-management training.

resultsWe surveyed 24,653 HCWs from 371 hospitals across 57 countries and received 17,302 responses from 70.2% HCWs overall. The median COVID-19 preparedness score was 11.0 (interquartile range [IQR] = 6.0-14.0) and the median awareness score was 29.6 (IQR = 26.6-32.6). HCWs at COVID-19 designated facilities with previous outbreak experience, or HCWs who were trained for dealing with the SARS-CoV-2 outbreak, had significantly higher levels of preparedness and awareness (p<0.001). Association rule mining suggests that nurses and doctors who had a 'great-extent-of-confidence' in handling suspected COVID-19 patients had participated in COVID-19 training courses. Male participants (mean difference = 0.34; 95% CI = 0.22, 0.46; p<0.001) and nurses (mean difference = 0.67; 95% CI = 0.53, 0.81; p<0.001) had higher preparedness scores compared to women participants and doctors.

interpretationThere was an unsurprising high level of awareness and preparedness among HCWs who participated in COVID-19 training courses. However, disparity existed along the lines of gender and type of HCW. It is unknown whether the difference in COVID-19 preparedness that we detected early in the pandemic may have translated into disproportionate SARS-CoV-2 burden of disease by gender or HCW type.

Indexed as

Health Knowledge, Attitudes, PracticePersonnel, HospitalAdultCOVID-19Cross-Sectional StudiesEducation, Medical, ContinuingFemaleHumansMaleSocioeconomic FactorsSurveys and Questionnaires

Identifiers

PMID34936646
PMCPMC8694437

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.