Evaluation of Turkish Validity and Reliability of Knowledge, Attitude, Practice and Perceived Barriers in Infection Control Questionnaire among Emergency Healthcare Professionals regarding COVID-19

Year 2021, Volume: 13 Issue: S1, 373 - 382, 30.08.2021

Seval Çalışkan Pala , Selma Metintas , Muhammed Fatih Önsüz , Engin Özakın , Veli Görkem Pala

https://doi.org/10.18521/ktd.911759

Abstract

Objective: Determination of deficiencies in knowledge, attitude, practice (KAP) and perceived barriers in infection control among healthcare professionals (HCP) is important for fighting against epidemics. This study aims to conduct Turkish validity and reliability of the "KAP and Perceived Barriers in Infection Control" among HCP and to evaluate the status of this group.

Method: This is a methodological, cross-sectional study conducted among emergency HCP during the 12-24th week of the pandemic. The questionnaire was applied online and consisted of sociodemographic characteristics, COVID-19 KAP and perceived barriers in infection control questionnaire. In first stage of the study, to evaluate the Turkish reliability-validity of the questionnaire, this study was conducted among 177 HCP. In the second stage, it was aimed to reach the whole group which was consisted of 307(72.8%) HCP. The Cronbach's alpha values of the sub-dimensions were calculated as 0.68-0.90 and factor loads as 0.38-0.88.

Result: Knowledge level of those with associate and higher degree was found to be superior. Those who had university or higher education degree, paramedics indicated more positive attitude. It was observed that female compared to male, emergency medical technicians compared to other occupational groups had better practice level. Moreover, those who had an associate or higher degree; those who had 6-10 years working experience; those who did not experience COVID-19 symptoms had better practice level (p<0.05).

Conclusion: The questionnaire is a valid-reliable measurement tool. In Turkey, it was observed that HCP had better knowledge and practice than average however deficiencies were found in all sub-dimensions.

Keywords

COVID-19, Knowledge, Attitude, Practice, Healthcare professionals

References

• Ehrlich H, McKenney M, Elkbuli A. Protecting our healthcare workers during the COVID-19 pandemic. The American journal of emergency medicine. 2020;38(7):1527-8.
• Guan W-j, Ni Z-y, Hu Y, Liang W-h, Ou C-q, He J-x, et al. Clinical characteristics of coronavirus disease 2019 in China. New England journal of medicine. 2020;382(18):1708-20.
• Hunter E, Price DA, Murphy E, van der Loeff IS, Baker KF, Lendrem D, et al. First experience of COVID-19 screening of health-care workers in England. The Lancet. 2020;395(10234):e77-e8.
• Remuzzi A&Remuzzi G. COVID-19 and Italy: what next? The lancet, 2020;395(10231), 1225-1228.
• Folgueira MD, Munoz-Ruiperez C, Alonso-Lopez MA, Delgado R. SARS-CoV-2 infection in Health Care Workers in a large public hospital in Madrid, Spain, during March 2020. medRxiv; 2020.
• Republic of Turkey, Minister of health, Press Briefing. The number of healthcare workers diagnosed with COVID-19 has exceeded 120 thousand. [cited 2020 Dec 9] Available from: https://www.saglik.gov.tr/TR,3187/basin-merkezi.html
• Turkish Medical Association, Lost healthcare workers, 2021. [cited 2021 Feb 17] Available from: https://siyahkurdele.com/ Date: 17.02.2021.
• Pala SÇ, Metintaş S. COVID-19 Pandemisinde Sağlık Çalışanları. ESTÜDAM Halk Sağlığı Dergisi. 2020;5:175-87.
• Vatan A, Güçlü E, Öğütlü A, Kibar FA, Karabay O. Knowledge and attitudes towards COVID-19 among emergency medical service workers. Revista da Associação Médica Brasileira. 2020;66(11):1553-9.
• Raab M, Pfadenhauer LM, Millimouno TJ, Hoelscher M, Froeschl G. Knowledge, attitudes and practices towards viral haemorrhagic fevers amongst healthcare workers in urban and rural public healthcare facilities in the N’zérékoré prefecture, Guinea: a cross-sectional study. BMC public health. 2020;20(1):1-8.
• World Health Organization (WHO). Guidance for managing ethical issues in infectious disease outbreaks. [cited 2021 Feb 17] Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
• Abdelhafiz AS, Mohammed Z, Ibrahim ME, Ziady HH, Alorabi M et al. Knowledge, perceptions, and attitude of Egyptians towards the novel coronavirus disease (COVID-19). Journal of Community Health. 2020;45(5), 881-890.
• Ajilore K, Atakiti I, Onyenankeya K. College students’ knowledge, attitudes and adherence to public service announcements on Ebola in Nigeria: Suggestions for improving future Ebola prevention education programmes. Health Education Journal. 2017;76(6):648-60.
• Abdi H, Williams LJ. Principal component analysis. Wiley interdisciplinary reviews: computational statistics. 2010;2(4):433-59.
• World Health Organization (WHO). Coronavirus disease (COVID-19) outbreak: rights, roles and responsibilities of health workers, including key considerations for occupational safety and health. World Health Organization, Interim guidance. 2020;19. [cited 2021 Feb 17] Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
• Enochs LG, Smith PL, Huinker D. Establishing factorial validity of the mathematics teaching efficacy beliefs instrument. School Science and mathematics. 2000; 100(4), 194-202.
• Schreiber JB, Nora A, Stage FK, Barlow EA, King J. Reporting structural equation modeling and confirmatory factor analysis results: A review. The Journal of educational research. 2006; 99(6), 323-338.
• McCrae RR, Costa Jr PTA. Contemplated revision of the NEO Five-Factor Inventory. Personality and individual differences. 2004;36(3), 587-596.
• Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S et al. Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. Journal of Hospital Infection. 2020;105(3), 419-423.
• Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian nurses’ knowledge and anxiety toward COVID-19 during the current outbreak in Iran. Archives of Clinical Infectious Diseases. 2020;15.
• Huynh G, Nguyen TNH, Vo KN, Pham LA. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pacific Journal of Tropical Medicine. 2020;13(6):260.
• Zhang M, Zhou M, Tang F, Wang Y, Nie H et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. Journal of Hospital Infection. 2020;105(2), 183-187.
• Jamil KF, Winardi W, Yufika A, Anwar S, Librianty N, Prashanti NAP, et al. Knowledge of coronavirus disease 2019 (COVID-19) among healthcare providers: A cross-sectional study in Indonesia. Asian Pacific Journal of Tropical Medicine. 2020;13(9):402.
• Kadoya Y, Zen K, Wakana N, Yanishi K, Senoo K et al. Knowledge, perception, and level of confidence regarding COVID-19 care among healthcare workers involved in cardiovascular medicine: a web-based cross-sectional survey in Japan. Journal of cardiology. 2021;77(3), 239-244.
• Olum R, Chekwech G, Wekha G, Nassozi DR, Bongomin F. Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Frontiers in Public Health. 2020;8:181.
• Neupane HC, Shrestha N, Adhikari S, Angadi S, Shrestha BK, Gauli B. Knowledge of Health Care Professionals and Medical Students Regarding Covid-19 in a Tertiary Care Hospital in Nepal. Journal of the Nepal Medical Association. 2020;58(227).
• Nepal R, Sapkota K, Paudel P, Adhikari B, Adhikari K et al. Knowledge, Attıtude and Practice Regarding COVID-19 among Healthcare Workers In Chitwan, Nepal. Journal of Chitwan Medical College. 2020;10(3).
• Ayinde OO, Usman AB, Posi A, Gbolahan A. A Cross-Sectional Study on Oyo State Health Care Worker’s Knowledge, Attitude and Practice regarding Corona Virus Disease 2019 (COVID-19). Advances in Infectious Diseases. 2020;10(03), 6.
• Reuben RC, Danladi MM, Saleh DA, Ejembi PE. Knowledge, attitudes and practices towards COVID-19: an epidemiological survey in North-Central Nigeria. Journal of community health. 2020:1-14.
• Olaimat AN, Aolymat I, Shahbaz HM, Holley RA. Knowledge and Information Sources About COVID-19 Among University Students in Jordan: A Cross-Sectional Study. Frontiers in Public Health. 2020;8:254.