Knowledge, Attitudes and Perceptions of Nurses on Personal Protective Equipment: Response to the Middle East Respiratory Syndrome Coronavirus

Purpose:Personal protective equipment (PPE) is critical to protect healthcare workers from pandemic outbreaks. This study was designed to identify nurses’ knowledge, attitude and perceptions on PPE. Methods: Data were collected from 154 nurses working at a tertiary general hospital, where positively diagnosed and suspected patients were accepted and admitted during the Middle East Respiratory Syndrome Coronavirus outbreak in 2015. The PPE tool consists of 20 items for knowledge, and 5 each for attitudes and perceptions.Results:Overall, knowledge for PPEwas higher thanmoderate (76.95/100), but there was a lack for items related to powered air purifying respirator (PAPR). For attitudes, willingness to work in pandemic outbreaks was the most positive (4.04/5.00). Goggles and PAPRwere perceived as themost uncomfortable barriers to work. There was no correlation between knowledge, attitude and perceptions, despite a strong positive correlation between attitude and perceptions. PPE training was identified as a factor to improve knowledge and attitudes on PPE.Conclusion:To respond to pandemic influenza, nurses need to expand their knowledge on PPE up to Level C, and be updated through regular training. Study findings suggest that repetitive studies targeting nurses and other healthcare workers at various hospital settings are necessary.

[1]  J. Choi,et al.  Factors influencing emergency nurses’ ethical problems during the outbreak of MERS-CoV , 2018, Nursing ethics.

[2]  Jin Hee Park,et al.  Factors Influencing Compliance for Influenza Infection Control by Nurses , 2016 .

[3]  J. Choi,et al.  Crisis prevention and management by infection control nurses during the Middle East respiratory coronavirus outbreak in Korea , 2016, American Journal of Infection Control.

[4]  K. June,et al.  Infection Control of Hospital Nurses: Cases of Middle East Respiratory Syndrome , 2016 .

[5]  A. Devereaux Pandemic influenza: an evolutionary concept analysis. , 2015, Journal of advanced nursing.

[6]  C. Beck,et al.  Healthcare workers' willingness to work during an influenza pandemic: a systematic review and meta-analysis , 2015, Influenza and other respiratory viruses.

[7]  D. Hui,et al.  Infection control and MERS-CoV in health-care workers , 2014, The Lancet.

[8]  Stav Shapira,et al.  Health Care Workers’ Knowledge and Confidence in Personal Protective Equipment During the H1N1 Pandemic in Israel , 2014, Disaster Medicine and Public Health Preparedness.

[9]  K. Lam,et al.  Perceptions of emergency nurses during the human swine influenza outbreak: A qualitative study , 2013, International Emergency Nursing.

[10]  D. Gravel,et al.  Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals , 2012, American Journal of Infection Control.

[11]  Hui-ying Zhao,et al.  Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic , 2012, PloS one.

[12]  S. Martin Nurses' ability and willingness to work during pandemic flu. , 2011, Journal of nursing management.

[13]  A. F. Tipple,et al.  Safety of nursing staff and determinants of adherence to personal protective equipment. , 2011, Revista latino-americana de enfermagem.

[14]  J. Lee,et al.  2009 H1N1 influenza infection in Korean healthcare personnel , 2011, European Journal of Clinical Microbiology & Infectious Diseases.

[15]  Elizabeth L Beam,et al.  A method for evaluating health care workers’ personal protective equipment technique , 2011, American Journal of Infection Control.

[16]  J. Fraser,et al.  The experiences of health care workers employed in an Australian intensive care unit during the H1N1 Influenza pandemic of 2009: A phenomenological study , 2010, International Journal of Nursing Studies.

[17]  N. Basta,et al.  Assessing public health department employees' willingness to report to work during an influenza pandemic. , 2009, Journal of public health management and practice : JPHMP.

[18]  D. Needham,et al.  The use of personal protective equipment for control of influenza among critical care clinicians: A survey study , 2009, Critical care medicine.

[19]  J E Enstone,et al.  Personal protective equipment in an influenza pandemic: a UK simulation exercise. , 2009, The Journal of hospital infection.

[20]  L. Morrison,et al.  Use of personal protective equipment during infectious disease outbreak and nonoutbreak conditions: a survey of emergency medical technicians. , 2009, CJEM.