Volume 14, Issue 1 (1-2024)                   PCNM 2024, 14(1): 64-70 | Back to browse issues page


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Sadeghi G, Gheiasi F, Rabie Siahkali S, Mansori K. Obstacles to complying with health protocols in coronavirus disease 2019 patient care among emergency medical staff of Zanjan province in 202. PCNM 2024; 14 (1) :64-70
URL: http://nmcjournal.zums.ac.ir/article-1-881-en.html
Department of Operating Room and Anesthesiology, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , Rabie2@zums.ac.ir
Abstract:   (337 Views)
Background: As a capable arm of the healthcare system, emergency medical staff play a major role in the evolution and growth of healthcare services and the improvement and promotion of society’s health. One of the problems in providing ideal care during the coronavirus disease 2019 (COVID-19) pandemic across the world, including Iran, was complying with health protocols.
Objectives: The current study aimed to investigate the obstacles to complying with health protocols in COVID-19 patient care from the emergency medical staff’s perspectives.
Methods: This cross-sectional study was conducted on 197 emergency medical staff in Zanjan province in 2022. Sampling was done by cluster random method. Data were collected using a researcher-made questionnaire in 4 parts, including demographic characteristics, organizational obstacles, social obstacles, and individual obstacles. Data were analyzed using descriptive and inferential statistics in SPSS 16 software.
Results: All participants were male, with a mean (SD) age of 33.15 (5.09) years. The mean (SD) score of the obstacles to complying with health protocols questionnaire from the participants’ perspectives for organizational, individual, and social factors were 3.92 (0.49), 3.47 (1.06), and 3.32 (1.12), respectively. According to the participants’ perspectives, shortage of equipment 4.53 (0.79), long-term use of personal protective equipment (PPE) 4.46 (0.66), and insufficient specialized training for COVID-19 4.18 (1.11) were the most important obstacles in complying with the COVID-19 health protocols.
Conclusion: It is suggested that managers and policymakers pay attention to the obstacles identified in the present study and take these obstacles into account in the emergence of newfound future diseases.
Full-Text [PDF 702 kb]   (208 Downloads)    
Type of Study: Orginal research | Subject: Nursing
Received: 2023/07/9 | Accepted: 2024/01/2 | Published: 2024/01/2

References
1. 1. Alhouri A, Shokor MA, Marwa K, Sharabi A, Arrouk DMN, Al Houri FN, et al. COVID-19 and its impact on healthcare workers: understanding stigma, stress, and quality of life. Cureus. 2023; 15(4). https://doi.org/10.7759/cureus.37846 [Crossref]
2. Modjo R, Lestari F, Tanjung H, Kadir A, Putra RS, Rahmadani M, et al. COVID-19 infection prevention and control for hospital workers in Indonesia. Frontiers in Public Health. 2024; 11: 1276898. https://doi.org/10.3389/fpubh.2023.1276898 [Crossref]
3. Leo CG, Sabina S, Tumolo MR, Bodini A, Ponzini G, Sabato E, et al. Burnout among healthcare workers in the COVID 19 era: a review of the existing literature. Frontiers in public health. 2021;9:750529. https://doi.org/10.3389/fpubh.2021.750529 [Crossref]
4. Sadeghi M, Sohrabizadeh S. Exploring Emergency Medical Technicians (EMTs) Challenges in Providing Pre-Hospital Care During COVID-19 Pandemic: A Qualitative Study. Journal of Iranian Medical Council. 2023; 7(1): 28-39. https://doi.org/10.18502/jimc.v7i1.14198 [Crossref]
5. Rodríguez-González R, Galloza A, Medina EJ, Oliver V, Rodríguez NI, Ramos-Colón E, et al. Preventive Measures among Healthcare Workers (HCWs) during the COVID-19 Pandemic. International journal of environmental research and public health. 2023; 20(5): 4434. https://doi.org/10.3390/ijerph20054434 [Crossref]
6. Sagar M, Sharma S, Chaudhary A, Sharma S. A mixed-method study to assess the knowledge-practice gap regarding hand hygiene among healthcare providers in a tertiary care hospital. Journal of Anaesthesiology Clinical Pharmacology. 2020; 36(3): 359-65. https://doi.org/10.4103/joacp.JOACP_331_19 [Crossref]
7. Fajrianti G, Astuti DA, Widyaningsih DS. Compliance with the Implementation of Health Protocols During the COVID-19 Pandemic for Employees in Hospitals. Journal of Health Sciences and Medical Development. 2023; 2(01):1-6. https://doi.org/10.56741/hesmed.v2i01.166 [Crossref]
8. Garosi E, Danesh MK, Mazloumi A. Nurses and COVID-19 phenomenon: challenges and consequences. Iran Occup Health. 2020;17(S1):1-5.
9. Mersha A, Shibiru S, Girma M, Ayele G, Bante A, Kassa M, et al. Perceived barriers to the practice of preventive measures for COVID-19 pandemic among health professionals in public health facilities of the Gamo zone, southern Ethiopia: a phenomenological study. BMC Public Health. 2021; 21:1-10. https://doi.org/10.1186/s12889-021-10256-3 [Crossref]
10. NeJhaddadgar N, Toghroli R, Yoosefi Lebni J, A Melca I, Ziapour A. Exploring the barriers in maintaining the health guidelines amid the COVID-19 pandemic: a qualitative study approach. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2022; 59: 00469580221100348. https://doi.org/10.1177/00469580221100348 [Crossref]
11. Dehghani S, Pooladi A, Nouri B, Valiee S. Barriers and facilitators of adherence to the COVID-19 prevention guidelines: A qualitative study. Caspian Journal of Health Research. 2021; 6(1):9-20. https://doi.org/10.32598/CJHR.6.1.343.1 [Crossref]
12. Yoosefi Lebni J, Pavee S, Saki M, Ziapour A, Ahmadi A, Khezeli M. Determinants of observing health protocols related to preventing COVID-19 in adult women: A qualitative study in Iran. Frontiers in Public Health. 2022; 10: 969658. https://doi.org/10.3389/fpubh.2022.969658 [Crossref]
13. Evenstad B, Larsen LS, Gravningen K. Barriers to compliance with guidelines for health personnel in hospital. Sykepleien Forskning. 2020; 15(82573): e-82573. https://doi.org/10.4220/Sykepleienf.2020.82573 [Crossref]
14. Abed Alah M, Abdeen S, Selim N, Hamdani D, Radwan E, Sharaf N, et al. Compliance and barriers to the use of infection prevention and control measures among health care workers during COVID‐19 pandemic in Qatar: A national survey. Journal of nursing management. 2021; 29(8): 2401-11. https://doi.org/10.1111/jonm.13440 [Crossref]
15. Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, et al. Barriers and facilitators to healthcare workers' adherence with infection prevention and control guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Emergencias: revista de la Sociedad Espanola de Medicina de Emergencias. 2021; 33(1): 62-4. https://doi.org/10.1002/14651858.CD013582 [Crossref]
16. Cheng BT, Ali RA, Collet JC, Towell TD, Han G, Keen D, et al. Barriers to healthcare-worker adherence to infection prevention and control practices in British Columbia during the coronavirus disease 2019 (COVID-19) pandemic: A cross-sectional study. Infection Control & Hospital Epidemiology. 2024; 45(4): 474-82. https://doi.org/10.1017/ice.2023.242 [Crossref]
17. Brooks SK, Greenberg N, Wessely S, Rubin GJ. Factors affecting healthcare workers' compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: Rapid evidence review. BMJ open. 2021; 11(8): e049857. https://doi.org/10.1136/bmjopen-2021-049857 [Crossref]
18. Hadian M, Jabbari A, Abdollahi M, Hosseini E, Sheikhbardsiri H. Explore pre-hospital emergency challenges in the face of the COVID-19 pandemic: a quality content analysis in the Iranian context. Frontiers in Public Health. 2022; 10: 864019. https://doi.org/10.3389/fpubh.2022.864019 [Crossref]
19. Ahmadipour M, Dehghan M, Ahmadinejad M, Jabarpour M, Mangolian Shahrbabaki P, Ebrahimi Rigi Z. Barriers to hand hygiene compliance in intensive care units during the COVID-19 pandemic: A qualitative study. Frontiers in public health. 2022; 10: 968231. https://doi.org/10.3389/fpubh.2022.968231 [Crossref]
20. Setiawan HW, Pratiwi IN, Nimah L, Pawanis Z, Bakhtiar A, Fauziningtyas R, et al. Challenges for healthcare workers caring for COVID-19 patients in Indonesia: a qualitative study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2021; 58:1-13. https://doi.org/10.1177/00469580211060291 [Crossref]
21. Yavari R, Rezaei Z, Keshavarz Mohammadi N. The influencing factors of compliance with health protocols related to Covid-19: a scoping review. Payesh (Health Monitor). 2022; 21(5): 491-500. [Crossref]

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