Health Care Workers' Perceived Self-Efficacy to Manage COVID-19 Patients in Central Uganda: A Cross-Sectional Study.

COVID-19 COVID-19 knowledge COVID-19 management COVID-19 training Uganda health care workers perceived self-efficacy

Journal

Risk management and healthcare policy
ISSN: 1179-1594
Titre abrégé: Risk Manag Healthc Policy
Pays: England
ID NLM: 101566264

Informations de publication

Date de publication:
2022
Historique:
received: 30 12 2021
accepted: 10 06 2022
entrez: 30 6 2022
pubmed: 1 7 2022
medline: 1 7 2022
Statut: epublish

Résumé

The novel coronavirus disease 2019 (COVID-19) pandemic placed health workers at the frontline of the emergency task force response; a duty that requires professional expertise and confidence to rapidly identify and treat patients with COVID-19. This study explored perceived self-efficacy (PSE) of health care workers (HCWs) in the management of patients with COVID-19 and associated factors in central Uganda. We recruited 418 HCWs from four national referral hospitals in Uganda. Multivariate linear regression analysis was utilized to determine factors associated with PSE. A p-value > 0.05 was considered statistically significant. Majority of the participants were female, about half were nurses/midwives, and had 10 years of work experience on average. Overall, HCWs reported moderate PSE in managing COVID-19 patients which reduced with increasing severity of the COVID-19 illness. Having a PhD, being a medical doctor, agreeing or completely agreeing that one has knowledge about COVID-19 management, and having COVID-19 management training were significantly associated with increase in one's level of PSE. This study highlights an unsatisfactory, moderate level of PSE among HCWs in the management of patients with COVID-19 in central Uganda. The health sector should focus on improving HCWs' self-efficacy through continuous training of all HCWs in the clinical management of especially the severe and critically ill cases of COVID-19. Non-doctor HCWs should be given priority as they scored lower levels of PSE; yet they are the corner stone of the primary health care system and make majority of the health human resource in low- and middle-income countries. Interventions towards creating a safe working environment for HCWs through provision of adequate infection prevention and control strategies are essential in boosting HCWs confidence to manage COVID-19 patients.

Sections du résumé

Background UNASSIGNED
The novel coronavirus disease 2019 (COVID-19) pandemic placed health workers at the frontline of the emergency task force response; a duty that requires professional expertise and confidence to rapidly identify and treat patients with COVID-19. This study explored perceived self-efficacy (PSE) of health care workers (HCWs) in the management of patients with COVID-19 and associated factors in central Uganda.
Methods UNASSIGNED
We recruited 418 HCWs from four national referral hospitals in Uganda. Multivariate linear regression analysis was utilized to determine factors associated with PSE. A p-value > 0.05 was considered statistically significant.
Results UNASSIGNED
Majority of the participants were female, about half were nurses/midwives, and had 10 years of work experience on average. Overall, HCWs reported moderate PSE in managing COVID-19 patients which reduced with increasing severity of the COVID-19 illness. Having a PhD, being a medical doctor, agreeing or completely agreeing that one has knowledge about COVID-19 management, and having COVID-19 management training were significantly associated with increase in one's level of PSE.
Conclusion UNASSIGNED
This study highlights an unsatisfactory, moderate level of PSE among HCWs in the management of patients with COVID-19 in central Uganda. The health sector should focus on improving HCWs' self-efficacy through continuous training of all HCWs in the clinical management of especially the severe and critically ill cases of COVID-19. Non-doctor HCWs should be given priority as they scored lower levels of PSE; yet they are the corner stone of the primary health care system and make majority of the health human resource in low- and middle-income countries. Interventions towards creating a safe working environment for HCWs through provision of adequate infection prevention and control strategies are essential in boosting HCWs confidence to manage COVID-19 patients.

Identifiants

pubmed: 35769499
doi: 10.2147/RMHP.S356410
pii: 356410
pmc: PMC9234180
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1253-1270

Subventions

Organisme : FIC NIH HHS
ID : R25 TW011213
Pays : United States

Informations de copyright

© 2022 Najjuka et al.

Déclaration de conflit d'intérêts

All authors declare no conflicts of interest in relation to this work.

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Auteurs

Sarah Maria Najjuka (SM)

College of Health Sciences, Makerere University, Kampala, Uganda.

Tom Denis Ngabirano (TD)

Department of Nursing, College of Health Sciences, Makerere University, Kampala, Uganda.

Thomas Balizzakiwa (T)

College of Health Sciences, Makerere University, Kampala, Uganda.

Rebecca Nabadda (R)

College of Health Sciences, Makerere University, Kampala, Uganda.

Mark Mohan Kaggwa (MM)

Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda.

David Patrick Kateete (DP)

Department of Immunology and Molecular Biology, College of Health Sciences Makerere University, Kampala, Uganda.

Samuel Kalungi (S)

Department of Pathology, Mulago National Referral Hospital, Kampala, Uganda.

Jolly Beyeza-Kashesya (J)

Department of Obstetrics and Gynecology, Mulago Specialized Women and Neonatal Hospital, Kampala, Uganda.

Sarah Kiguli (S)

Department of Pediatrics and Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.

Classifications MeSH