Perception of readiness to manage COVID-19 among hospital workers: An individual, collective, and institutional process
Keywords:COVID-19, readiness perception, hospital workers
The coronavirus disease 2019 (COVID-19) pandemic has had adverse effects worldwide and has overwhelmed the health systems of many countries. Yet, to manage sanitary crises as COVID-19 pandemic, skills, commitment, and motivation of hospital workers are essential. However, most research on the preparedness of hospital workers for sanitary crises shows a mismatch between their level of preparedness, their perceived preparedness, and the estimated needs to manage these situations. After a definition of the concepts mobilized in this study, actual preparedness, declared preparedness, perceived preparedness, and perceived readiness, this study aims to explore hospital workers readiness perception to manage a sanitary crisis upcoming (COVID-19 pandemic) and determinants of this perception. Four hundred and eight French hospital workers respond to an online survey containing 11 items about COVID-19. Variables studied concern perception of personal preparedness, colleagues’ preparedness, and institutional preparedness. Results show that hospital workers have a relatively low readiness perception to manage COVID-19 before it came out. This study proposed a model explaining personal readiness perception to manage COVID-19, and the most important variables are as follows: colleague from the same hospital department (β = .37***), personal preparedness perception (β = .29***), perception of hospital human resources sufficient (β = .22**), perceived capacity for professional action (β = .097***), and perception of personal skills as sufficient (β = .11**). These results show that hospital workers did not feel ready, either individually or collectively, to manage the COVID-19 pandemic before it destabilized their hospital. The preparedness process is not an individual process, and it is necessary to emphasize its collective and institutional side. The results also show that preparedness would benefit from concentrating on exercises such as lessons learned (feedback sessions about the management of anterior sanitary crisis) and simulation exercises ***p < 0.001, ** p < 0.01.
World Health Organization: COVID-19—WHO timeline. Available at https://www.who.int/fr/news/item/27-04-2020-whotimeline–-covid-19. Accessed January 14, 2021.
Zaninetti J-M: Catastrophes et adaptation sur le Littoral du Mississippi. Ann Geogr. 2013; 692(4): 445-465.
Quenault B: Du double affrontement ontologique/axiologique autour de la resilience aux risques de catastrophe: Les spécificités de l’approche française. VertigO. 2013; 13(3): 1-22. DOI: 10.4000/vertigo.14510.
Kruk ME, Myers M, Varpilah ST, et al.: What is a resilient health system? Lessons from Ebola. The Lancet. 2015; 385(9980): 1910-1912. DOI: 10.1016/S0140-6736(15)60755-3.
Linde CV: La gestion des situations sanitaires exceptionnelles et de crise. In Louazel M, Mourier A, Ollivier E, et al. (eds.): Le Management en Santé. Rennes, France: Presses de l’EHESP, 2018: 493-524.
Turenne CP, Gautier L, Degroote S, et al.: Conceptual analysis of health systems resilience: A scoping review. Soc Sci Med. 2019; 232: 168-180. DOI: 10.1016/j.socscimed.2019.04.020.
Barasa E, Mbau R, Gilson L: What is resilience and how can it be nurtured? A systematic review of empirical literature on organizational resilience. Int J Health Policy Manag. 2018; 7(6): 491-503. DOI: 10.15171/ijhpm.2018.06.
World Health Organization: International Health Regulations: 2005. Geneva, Switzerland: WHO, 2008.
Combalbert L: L’agilité des organisations dans la gestion des crises. Secur Strateg. 2012; 10(3): 42-48.
International Council of Scientific Unions: A Science Plan for Integrated Research on Disaster Risk: Addressing the Challenge of Natural and Human-Induced Environmental Hazards. Paris, France: International Council of Scientific Unions, 2008.
Berhanu N, Abrha H, Ejigu Y, et al.: Knowledge, experiences and training needs of health professionals about disaster preparedness and response in southwest Ethiopia: A cross sectional study. Ethiop J Health Sci. 2016; 26(5): 415-426. DOI: 10.4314/ejhs.v26i5.3.
Gowing JR, Walker KN, Elmer SL, et al.: Disaster preparedness among health professionals and support staff: What is effective? An integrative literature review. Prehosp Disaster Med. 2017; 32(3): 321-328. DOI: 10.1017/S1049023X1700019X.
Labrague LJ, Hammad K, Gloe DS, et al.: Disaster preparedness among nurses: A systematic review of literature. Int Nurs Rev. 2018; 65(1): 41-53. DOI: 10.1111/inr.12369.
Naser WN, Saleem HB: Emergency and disaster management training; knowledge and attitude of Yemeni health professionals—a cross-sectional study. BMC Emerg Med. 2018; 18(1): 23. DOI: 10.1186/s12873-018-0174-5.
Paganini M, Borrelli F, Cattani J, et al.: Assessment of disaster preparedness among emergency departments in Italian hospitals: A cautious warning for disaster risk reduction and management capacity. Scand J Trauma Resusc Emerg Med. 2016; 24(1): 101. DOI: 10.1186/s13049-016-0292-6.
Said NB, Chiang VCL: The knowledge, skill competencies, and psychological preparedness of nurses for disasters: A systematic review. Int Emerg Nurs. 2020; 48. DOI: 10.1016/j.ienj.2019.100806.
Su T, Han X, Chen F, et al.: Knowledge levels and training needs of disaster medicine among health professionals, medical students, and local residents in shanghai, China. PLoS ONE. 2013; 8(6): e67041. DOI: 10.1371/journal.pone.0067041.
Harries T: Feeling secure or being secure? Why it can seem better not to protect yourself against a natural hazard. Health Risk Soc. 2008; 10(5): 479-490. DOI: 10.1080/13698570802381162.
Johnson BB, Nakayachi K: Examining associations between citizens’ beliefs and attitudes about uncertainty and their earthquake risk judgments, preparedness intentions, and mitigation policy support in Japan and the United States. Int J Disaster Risk Reduct. 2017; 22: 37-45. DOI: 10.1016/j.ijdrr.2017.02.019.
Levac J, Toal-Sullivan D, O’Sullivan TL: Household emergency preparedness: A literature review. J Community Health. 2012; 37(3): 725-733. DOI: 10.1007/s10900-011-9488-x.
Lindell MK, Arlikatti S, Prater CS: Why people do what they do to protect against earthquake risk: Perceptions of hazard adjustment attributes. Risk Anal. 2009; 29(8): 1072-1088. DOI: 10.1111/j.1539-6924.2009.01243.x.
Solberg C, Rossetto T, Joffe H: The social psychology of seismic hazard adjustment: Re-evaluating the international literature. Nat Hazards Earth Syst Sci. 2010; 10(8): 1663-1677. DOI: 10.5194/nhess-10-1663-2010.
Mishra S, Mazumdar S: Psychology of disaster preparedness. Ecopsychology. 2015; 7(4): 211-223. DOI: 10.1089/eco.2015.0006.
Paton D: Disaster risk reduction: Psychological perspectives on preparedness. Aust J Psychol. 2019; 71(4): 327-341. DOI: 10.1111/ajpy.12237.
Slepski LA: Emergency preparedness: Concept development for nursing practice. Nurs Clin. 2005; 40(3): 419-430. DOI: 10.1016/j.cnur.2005.04.011.
Vogt WP, Johnson B (eds.): Dictionary of Statistics & Methodology: A Nontechnical Guide for the Social Sciences. New York: Sage, 2011.
French Government: COVID-19 in France. Available at https://www.gouvernement.fr/info-coronavirus/carte-et-donnees. Accessed April 6, 2020.
Miles J, Banyard P (eds.): Understanding and Using Statistics in Psychology: A Practical Introduction or, How I Came to Know and Love the Standard Error. New York: Sage, 2007.
Al-Ashwal FY, Kubas M, Zawiah M, et al.: Healthcare workers’ knowledge, preparedness, counselling practices, and perceived barriers to confront COVID-19: A cross-sectional study from a War-Torn country, Yemen. PLoS ONE. 2020; 15(12): e0243962. DOI: 10.1371/journal.pone.0243962.
Elhadi M, Msherghi A, Alkeelani M, et al.: Assessment of healthcare workers’ levels of preparedness and awareness regarding COVID-19 infection in low-resource settings. Am J Trop Med Hyg. 2020; 103(2): 828-833. DOI: 10.4269/ajtmh.20-0330.
Olum R, Chekwech G, Wekha G, et al.: Coronavirus disease- 2019: Knowledge, attitude, and practices of health care workers at Makerere University teaching hospitals. Front Public Health. 2020; 8: 181. DOI: 10.3389/fpubh.2020.00181.
Prescott K, Baxter E, Lynch C, et al.: COVID-19: How prepared are front-line healthcare workers in England? J Hosp Infect. 2020; 105(2): 142-145. DOI: 10.1016/j.jhin.2020.04.031.
Baack ST: Analysis of Texas Nurses’ Preparedness and Perceived Competence in Managing Disasters. Master’s thesis. University of Texas, 2011. Available at https://scholarworks.uttyler.edu/nursing_grad/22/. Accessed December 23, 2020.
Lam RPK, Balsari S, Hung KKC, et al.: How do doctors and nurses in emergency departments in Hong Kong view their disaster preparedness? A cross-sectional territory-wide online survey. Disaster Med Public Health Prep. 2018; 12(3): 329-336. DOI: 10.1017/dmp.2017.71.
Lim GH, Lim BL, Vasu A: Survey of factors affecting health care workers’ perception towards institutional and individual disaster preparedness. Prehosp Disaster Med. 2013; 28(4): 353-358. DOI: 10.1017/S1049023X1300349X.
Drogrey M, Pernet J, Hausfater P: Retour d’expérience sur la réorganisation d’un service d’urgence de Centre hospitalo-universitaire en réponse à l’épidémie de covid-19. Ann Fr Med Urgence. 2020; 10(4-5): 233-242. DOI: 10.3166/afmu-2020-0274.
Oulehri W, Rolling J: Covid-19, retour d’expérience de la prise en charge réanimatoire des patients et du soutien médicopsychologique aux soignants à strasbourg. Rev Neuropsychol. 2020; 12(2): 115-121. DOI: 10.1684/nrp.2020.0545.
Goniewicz K, Goniewicz M, Burkle FM, et al.: The impact of experience, length of service, and workplace preparedness in physicians’ readiness in the response to disasters. JCM. 2020; 9(10): 3328. DOI: 10.3390/jcm9103328.
Arbon P, Ranse J, Cusack L, et al.: Australasian emergency nurses’ willingness to attend work in a disaster: A survey. Australas Emerg Nurs J. 2013; 16(2): 52-57. DOI: 10.1016/j.aenj.2013.05.003.
Walczyszyn M, Patel S, Oron M, et al.: Perceptions of hospital medical personnel on disaster preparedness. F1000Res. 2016; 5: 1938. DOI: 10.12688/f1000research.8738.1.
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