COVID-19的诊断和管理在很大程度上取决于对标准化方案的遵守。在许多机构中,医护人员在COVID-19的病例管理中发挥着至关重要的作用。全球范围内,疾病负担日益加重,死亡率已超过2041426人,而2020年5月为323000人。在西非,这一流行病在许多国家显示出缓慢但稳定的上升。在索引案例发生后,最好评估现有的协议及其利用率。总目标。该研究评估了卫生工作者对COVID-19协议的反应,在医院管理护理分类的三个指定区域,holdingarea,和治疗中心。方法。定性设计用于评估医护人员对早期病例发现的反应,预防感染,与客户进行风险沟通并遵守协议。该研究进行了观察性访问,并有目的地选择了由临床医生组成的医护人员,护士,紧急医疗技术人员,和实验室技术人员在分诊时执行日常工作,holding,和治疗中心。在两周内总共进行了41次观察。结果。参与者包括23名男性和18名女性。在所有观察到的单位,案例定义被用来筛选在场的服务员,并确保对患者进行适当分类。通常遵守在单位筛选COVID-19时使用温度。只有50%的参与者使用规定的PPEs。医护人员和客户之间以及客户和护理人员之间的身体距离没有得到加强;然而,实行手部卫生。大部分时间使用0.5%氯或70%醇基摩擦对工作表面和设备进行消毒。然而,据观察,没有向疑似病例或其亲属提供心理咨询。结论。医护人员对COVID-19方案的不同部分表现出不一致的反应,特别是适当的距离。医护人员的意识得到了提高,感染预防方案得到了改善。该研究还观察到,随着感染风险从分类到保存区和治疗中心的增加,医护人员对COVID-19方案的反应也有所改善。风险沟通是COVID-19管理策略的重要组成部分。在治疗中心,医护人员遵守这项协议,而这是分类和持有区域的主要差距。
The diagnosis and management of COVID-19 are much dependent on the adherence to standardized protocols. Healthcare workers play a crucial role in the
case management of COVID-19 in many institutions. Globally, the disease burden is increasing, and the mortality has reached over 2 041 426 compared with 323 000 in May 2020. In West Africa, the pandemic has shown a slow but steady rise in many countries. Existing protocols and their utilization are best assessed after the occurrence of the index
case. General aim. The study assessed the health worker\'s response to COVID-19 protocols at three designated areas of the in-hospital management care triaging, holding area, and treatment centers. Method. A qualitative design was used to assess the response of healthcare workers with regards to early
case detection, infection prevention, risk communication to clients and compliance to protocols. The study conducted observational visits and purposively selected healthcare workers comprising of clinicians, nurses, emergency medical technicians, and laboratory technicians who perform routine duties at the triaging, holding, and treatment centers. A total of 41 observations were made over two weeks. Results. Participants comprised 23 males and 18 females. At all observed units, the
case definition was being used to screen attendants presenting, and appropriate categorization of patients was ensured. The use of temperature in screening for COVID-19 at the units was generally adhered to. Only 50% of participants used the prescribed PPEs. The physical distancing between healthcare workers and client and between clients and caregivers were not enforced; however, hand hygiene was practiced. Disinfection of working surfaces and equipment with 0.5% chlorine or 70% alcohol-based rubs were used most of the time. It was observed however that no psychological counselling was given to suspected cases or their relatives. Conclusion. Healthcare workers showed discordant response to different parts of the protocols for COVID-19 especially appropriate distancing. There was an enhanced awareness among healthcare workers and improvement in infection prevention protocols. The study also observed that as the risk of infection increased from triaging to holding area and to treatment centers, the response of healthcare workers to COVID-19 protocols also improved. Risk communication is an essential part of the COVID-19 management strategy. At the treatment centers, healthcare workers adhered to this protocol, whereas it was a major gap at the triaging and holding areas.