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Understanding the Predictors that Contribute to Liberian Health Care Workers Feeling Protected From Ebola While at Work

Published online by Cambridge University Press:  29 May 2020

Kayla Enriquez Open the ORCID record for Kayla Enriquez [Opens in a new window] ,
Kanagasabai Udhayashankar  and
Michelle Niescierenko
Kayla Enriquez*
Affiliation:
University of California San Francisco, San Francisco, CA
Kanagasabai Udhayashankar
Affiliation:
Liberian College of Physicians and Surgeons, Monrovia, Liberia
Michelle Niescierenko
Affiliation:
Boston Children’s Hospital, Boston, MA
*
Correspondence and reprint requests to Kayla Enriquez, University of California San Francisco, 1001 Potrero Ave, Suite 6A, San Francisco, CA (e-mail: kayla.enriquez@ucsf.edu).
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Abstract

Objective:

To assess Liberian health care workers’ feelings around safety in returning to work in the setting of the Ebola virus disease outbreak of 2014–2015 after receiving infection prevention and control (IPC) training.

Methods:

Academic Consortium Combating Ebola in Liberia (ACCEL) training surveys were done at 21 public, Liberian hospitals to understand health care workers’ attitudes surrounding Ebola and whether they felt safe while at work based on multiple factors. Logistic regression was used for analysis.

Results:

We found that health care workers feeling safe at work during the Ebola outbreak was primarily predicted by the number of IPC/Ebola trainings received pre-ACCEL interventions. Health care workers felt increasingly safer and motivated to return to work as trainings approached 3 (OR 8, p-value < 0.001); however, more than 3 trainings resulted in decreased safety and motivation. In addition, health care workers who reported washing their hands before and after patient contact were 3.4 times more likely to understand how to protect themselves from Ebola.

Conclusions:

These results help to better understand the utility of repeated trainings on health care worker practice attitudes and the importance of IPC policies within hospitals, such as hand hygiene promotion and education, when coordinating humanitarian efforts.

Keywords

Ebolahand hygieneinfection control
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 5 , October 2021 , pp. 589 - 594
Copyright
© 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Liberia Demographic and Health Survey 2013 – preliminary report. Published 2013. https://dhsprogram.com/pubs/pdf/PR39/PR39.pdf. Accessed February 15, 2016.Google Scholar
Thomas, C. At the heart of Ebola – health systems that need strengthening. USAID. Published October 6, 2014. http://blog.usaid.gov/2014/10/at-the-heart-of-ebola-health-systems-that-need-strengthening/. Accessed February 15, 2016.Google Scholar
World Health Organization. Health worker Ebola infections in Guinea, Liberia and Sierra Leone – preliminary report. Published 2015. http://www.who.int/hrh/documents/21may2015_web_final.pdf. Accessed February 15, 2016.Google Scholar
Mutua, GA, Wal, DM. Living under the constant threat of Ebola: a phenomenological study among survivors and family caregivers during an Ebola outbreak. J Nurs Res. 2015;3:217-224.CrossRefGoogle Scholar
Kobayashi, M, Beer, KD, Bjork, A, et al. Community knowledge, attitudes and practices regarding Ebola virus disease – five counties, Liberia, September–October 2014. MMWR Morb Mortality Wkly Rep. 2015;64:714-718.Google ScholarPubMed
Speroni, KG, Seibert, DJ, Mallinson, RK. Nurses’ perceptions on Ebola care in the United States, part 2: a qualitative analysis. J Nurs Adm. 2015;45:544-550.CrossRefGoogle ScholarPubMed
Kalra, S, Kelka, D, Galwankar, S, et al. The emergence of Ebola as a global health security threat: from lessons learned to coordinate multilateral containment efforts. J Glob Infect Dis. 2014;6:164-177.Google Scholar
Bursac, Z, Gauss, CH, Williams, DK, Hosmer, DW. Purposeful selection of variables in logistic regression. Source Code Biol Med. 2008; 3:17.Google Scholar
Srigley, JA, Corace, K, Hargadon, DP, et al. Applying psychological frameworks of behavior change to improve healthcare worker hand hygiene: a systematic review. J Hosp Infect. 2015;91(3):202-210.CrossRefGoogle ScholarPubMed