Personal Protective Equipment and Nurse Self-efficacy due to Coronavirus Disease-19 Pandemic: A Systematic Review
Keywords:Health-associated infections, Personal protective equipment, Nurse, Self-efficacy, Coronavirus disease-19
BACKGROUND: High number of nurses who infected and died from contracting covid-19 put them in a difficult situation during the covid-19. Personal protective equipment is the final line protection for nurses from the risk of Healthcare Associated Infections, while self-efficacy plays an important role in surviving from stressors during the pandemic.
AIM: This review aims to analyze factors related to the use of personal protective equipment and nurse self-efficacy during Covid-19 pandemic.
METHODS: A systematic and comprehensive search using Preferred Reporting Items for Systematic Reviews and Meta-Analyses with six electronic databases were used. Nine cross-sectional, three cohort and survey, one case control, one surveillance study met the inclusion criteria.
RESULTS: From 104 articles screened, 16 articles were included in this review. The high self-protection was the main factor preventing nurses from contracting Covid-19 infection. Lack of personal protective equipment and low cautiousness was the primary factor for nurses of contracting Covid-19. Increased stress, anxiety, depressive symptoms, and insomnia were associated with nurse’s low self-efficacy.
CONCLUSION: The best protection for nurses from Covid-19 exposure is the availability and consistent use of personal protective equipment. Moreover, the consideration for designing staff training programmes and psychological support were recommended for building nurses self-efficacy.
Keywords: Health Associated Infections, Personal Protective Equipment, Nurse, Self-efficacy, Covid-19
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Jiang L, Broome ME, Ning C. The performance and professionalism of nurses in the fight against the new outbreak of COVID-19 epidemic is laudable. Int J Nurs Stud. 2020;107:103578. https://doi.org/10.1016/j.ijnurstu.2020.103578 PMid:32446015 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103578
Putri SI, Anulus A. Preventive actions to minimizing the coronavirus disease 19 (COVID-19) transmissions among health workers: A systematic review. J Med Sci. 2020;52(3):56205. https://doi.org/10.19106/jmedscisi005203202013 DOI: https://doi.org/10.19106/JMedSciSI005203202013
Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470-3. https://doi.org/10.1016/S0140-6736(20)30185-9 PMid:31986257 DOI: https://doi.org/10.1016/S0140-6736(20)30185-9
Worldometer. Coronavirus Update (Live): 214,796,388 Cases and 4,477,495 Deaths from COVID-19 Virus Pandemic-Worldometer. Available from: https://www.worldometers.info/coronavirus/#countries. [Last accessed on 2021 Aug 26].
Sohrabi C, Alsafi Z, O’Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71-6. https://doi.org/10.1016/j.ijsu.2020.02.034 PMid:32112977 DOI: https://doi.org/10.1016/j.ijsu.2020.02.034
Said NB, Chiang VC. The knowledge, skill competencies, and psychological preparedness of nurses for disasters: A systematic review. Int Emerg Nurs. 2020;48:100806. https://doi.org/10.1016/j.ienj.2019.100806 DOI: https://doi.org/10.1016/j.ienj.2019.100806
Baker MG, Peckham TK, Seixas NS. Estimating the burden of United States workers exposed to infection or disease: A key factor in containing risk of COVID-19 infection. PLoS One. 2020;15(4):e0232452. https://doi.org/10.1371/journal.pone.0232452 PMid:32343747 DOI: https://doi.org/10.1371/journal.pone.0232452
Ng K, Poon BH, Kiat Puar TH, Shan Quah JL, Loh WJ, Wong YJ, et al. COVID-19 and the risk to health care workers: A case report. Ann Intern Med. 2020;172(11):766-7. https://doi.org/10.7326/L20-0175 PMid:32176257 DOI: https://doi.org/10.7326/L20-0175
ICN. International Council of Nurses Confirms 1,500 Nurses Have Died From COVID-19 in 44 Countries. Targeted News Service; 2020. Available from: https://www.search.proquest.com/ newspapers/international-council-nurses-confirms-1-500-have/ docview/2455532236/se-2?accountid=17242. [Last accessed on 2020 Oct 29].
Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manage. 2020;28(5):1002-9. https://doi.org/10.1111/jonm.13014 PMid:32255222 DOI: https://doi.org/10.1111/jonm.13014
Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133-4. https://doi.org/10.1001/jama.2020.5893 PMid:32259193 DOI: https://doi.org/10.1001/jama.2020.5893
Chen H, Sun L, Du Z, Zhao L, Wang L. A cross-sectional study of mental health status and self-psychological adjustment in nurses who supported Wuhan for fighting against the COVID-19. J Clin Nurs. 2020;29(21-22):4161-70. https://doi.org/10.1111/jocn.15444 PMid:32757428 DOI: https://doi.org/10.1111/jocn.15444
Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine. 2020;24:100424. https://doi.org/10.1016/j.eclinm.2020.100424 PMid:32766539 DOI: https://doi.org/10.1016/j.eclinm.2020.100424
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ. 2009;339:b2700. https://doi.org/10.1136/bmj.b2700 DOI: https://doi.org/10.1136/bmj.b2700
Campbell M, McKenzie JE, Sowden A, Katikireddi SV, Brennan SE, Ellis S, et al. Synthesis without meta-analysis (SWiM) in systematic reviews: Reporting guideline. BMJ. 2020;368:l6890. https://doi.org/10.1136/bmj.l6890 DOI: https://doi.org/10.1136/bmj.l6890
Al-zoubi NA, Obeidat BR, Al-Ghazo MA, Hayajneh WA, Alomari AH, Mazahreh TS, et al. Prevalence of positive COVID-19 among asymptomatic health care workers who care patients infected with the novel coronavirus: A retrospective study. Ann Med Surg. 2020;57:14-6. https://doi.org/10.1016/j.amsu.2020.06.038 PMid:32690991 DOI: https://doi.org/10.1016/j.amsu.2020.06.038
Liu M, Cheng SZ, Xu KW, Yang Y, Zhu QT, Zhang H, et al. Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: Cross sectional study. BMJ. 2020;369:m2195. https://doi.org/10.1136/bmj.m2195 DOI: https://doi.org/10.1136/bmj.m2195
Chu J, Yang N, Wei Y, Yue H, Zhang F, Zhao J, et al. Clinical characteristics of 54 medical staff with COVID-19: A retrospective study in a single center in Wuhan, China. J Med Virol. 2020;92(7):807-13. https://doi.org/10.1002/jmv.25793 PMid:32222986 DOI: https://doi.org/10.1002/jmv.25793
Jin YH, Huang Q, Wang YY, Zeng XT, Luo LS, Pan ZY, et al. Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: A cross-sectional survey. Mil Med Res. 2020;7(1):24. https://doi.org/10.1186/s40779-020-00254-8 PMid:32393381 DOI: https://doi.org/10.1186/s40779-020-00254-8
Delgado D, Wyss Quintana F, Perez G, Sosa Liprandi A, Ponte-Negretti C, Mendoza I, et al. Personal safety during the COVID-19 pandemic: Realities and perspectives of healthcare workers in Latin America. Int J Environ Res Public Health. 2020;17(8):2798. https://doi.org/10.3390/ijerph17082798 PMid:32325718 DOI: https://doi.org/10.3390/ijerph17082798
Felice C, Di Tanna GL, Zanus G, Grossi U. Impact of COVID-19 outbreak on healthcare workers in Italy: Results from a national E-survey. J Community Health. 2020;45(4):675-83. https://doi.org/10.1007/s10900-020-00845-5 PMid:32440724 DOI: https://doi.org/10.1007/s10900-020-00845-5
Wei XS, Wang XR, Zhang JC, Yang WB, Ma WL, Yang BH, et al. A cluster of health care workers with COVID-19 pneumonia caused by SARS-CoV-2. J Microbiol Immunol Infect. 2021;54(1):54-60. https://doi.org/10.1016/j.jmii.2020.04.013 PMid:32359943 DOI: https://doi.org/10.1016/j.jmii.2020.04.013
Chatterjee P, Anand T, Singh K, Rasaily R, Singh R, Das S, et al. Healthcare workers and SARS-CoV-2 infection in India: A casecontrol investigation in the time of COVID-19. Indian J Med Res. 2020;151(5):459-67. https://doi.org/10.4103/ijmr.ijmr_2234_20 PMid:32611916 DOI: https://doi.org/10.4103/ijmr.IJMR_2234_20
Fusco FM, Pisaturo M, Iodice V, Bellopede R, Tambaro O, Parrella G, et al. COVID-19 among healthcare workers in a specialist infectious diseases setting in Naples, Southern Italy: Results of a cross-sectional surveillance study. J Hosp Infect. 2020;105(4):596-600. https://doi.org/10.1016/j.jhin.2020.06.021 PMid:32565367 DOI: https://doi.org/10.1016/j.jhin.2020.06.021
Wang Y, Wu W, Cheng Z, Tan X, Yang Z, Zeng X, et al. Super-factors associated with transmission of occupational COVID-19 infection among healthcare staff in Wuhan, China. J Hosp Infect. 2020;106(1):25-34. https://doi.org/10.1016/j.jhin.2020.06.023 PMid:32574702 DOI: https://doi.org/10.1016/j.jhin.2020.06.023
Bashirian S, Jenabi E, Khazaei S, Barati M, Karimi-Shahanjarini A, Zareian S, et al. Factors associated with preventive behaviours of COVID-19 among hospital staff in Iran in 2020: An application of the protection motivation theory. J Hosp Infect. 2020;105(3):430-3. https://doi.org/10.1016/j.jhin.2020.04.035 PMid:32360337 DOI: https://doi.org/10.1016/j.jhin.2020.04.035
Papagiannis D, Malli F, Raptis DG, Papathanasiou IV, Fradelos EC, Daniil Z, et al. Assessment of knowledge, attitudes, and practices towards new coronavirus (SARS-CoV-2) of health care professionals in greece before the outbreak period. Int J Environ Res Public Health. 2020;17(14):4925. https://doi.org/10.3390/ijerph17144925 PMid:32650614 DOI: https://doi.org/10.3390/ijerph17144925
Xiong H, Yi S, Lin Y. The psychological status and self-efficacy of nurses during COVID-19 outbreak: A cross-sectional survey. Inquiry. 2020;57:1-6. https://doi.org/10.1177/0046958020957114 PMid:32900271 DOI: https://doi.org/10.1177/0046958020957114
Shahrour G, Dardas LA. Acute stress disorder, coping self-efficacy and subsequent psychological distress among nurses amid COVID-19. J Nurs Manage. 2020;28(7):1686-95. https://doi.org/10.1177/0046958020957114 PMid:32767827 DOI: https://doi.org/10.1111/jonm.13124
Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020;26:e923549. https://doi.org/10.12659/msm.923549 PMid:32132521 DOI: https://doi.org/10.12659/MSM.923549
Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, et al. Risk of COVID-19 among front-line health-care workers and the general community: A prospective cohort study. Lancet Public Health. 2020;5(9):e475-83.
Fischer RJ, Morris DH, van Doremalen N, Sarchette S, Matson MJ, Bushmaker T, et al. Assessment of N95 respirator decontamination and re-use for SARS-CoV-2. MedRxiv. 2020;26(9):2253-5. https://doi.org/10.31219/osf.io/phcsb PMid:32511432 DOI: https://doi.org/10.3201/eid2609.201524
Livingston E, Desai A, Berkwits M. Sourcing personal protective equipment during the COVID-19 pandemic. JAMA. 2020;323(19):1912-4. https://doi.org/10.1001/jama.2020.5317 PMid:32221579 DOI: https://doi.org/10.1001/jama.2020.5317
Verbeek J, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2020;4:CD011621. https://doi.org/10.1002/14651858.cd011621.pub5 PMid:27093058 DOI: https://doi.org/10.1002/14651858.CD011621.pub4
Ali S, Noreen S, Farooq I, Bugshan A, Vohra F. Risk assessment of healthcare workers at the frontline against COVID-19. Pak J Med Sci Quart. 2020;36(S4):S99-103. https://doi.org/10.12669/pjms.36.covid19-s4.2790 PMid:32582323 DOI: https://doi.org/10.12669/pjms.36.COVID19-S4.2790
Huang L, Xu F, Liu H. Emotional responses and coping strategies of nurses and nursing college students during COVID-19 outbreak. MedRxiv. 2020;15(8):e0237303. https://doi.org/10.1101/2020.03.05.20031898 DOI: https://doi.org/10.1371/journal.pone.0237303
Ehrlich H, McKenney M, Elkbuli A. Strategic planning and recommendations for healthcare workers during the COVID-19 pandemic. Am J Emerg Med. 2020;38(7):1446-7. https://doi.org/10.1016/j.ajem.2020.03.057 PMid:32273142 DOI: https://doi.org/10.1016/j.ajem.2020.03.057
Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020;9(3):241-7. https://doi.org/10.1177/2048872620922795 PMid:32342698 DOI: https://doi.org/10.1177/2048872620922795
Yu H, Li M, Li Z, Xiang W, Yuan Y, Liu Y, et al. Coping style, social support and psychological distress in the general Chinese population in the early stages of the COVID-19 epidemic. BMC Psychiatry. 2020;20(1):426. https://doi.org/10.21203/rs.3.rs-20397/v2 DOI: https://doi.org/10.1186/s12888-020-02826-3
Boswell SS. “I deserve success”: Academic entitlement attitudes and their relationships with course self-efficacy, social networking, and demographic variables. Soc Psychol Educ Int J. 2012;15(3):353-65. https://doi.org/10.1007/s11218-012-9184-4 DOI: https://doi.org/10.1007/s11218-012-9184-4
Simak V, Kristamuliana K. The relationship between knowledge of the use of personal protective equipment and the self efficacy of Puskesmas nurses against Covid-19 management. IJNMS. 2020;4(2):304. https://doi.org/10.29082/ijnms/2020/vol4/iss2/304 DOI: https://doi.org/10.29082/IJNMS/2020/Vol4/Iss2/304
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Copyright (c) 2021 Nur Meity Sulistia Ayu, Enie Novieastari, Dewi Gayatri, Hanny Handiyani, Diah Arruum (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Grant numbers Rp. 5.000.000