Factors Related to COVID-19 Prevention Practices Among Operating Room Nurses

Authors

  • Wasuphorn Phatthanakhuha Faculty of Nursing, Chiang Mai University
  • Nongyao Kasatpibal Faculty of Nursing, Chiang Mai University
  • Nongkran Viseskul Faculty of Nursing, Chiang Mai University

Keywords:

Practices, COVID-19, COVID-19 prevention, Operating room nurses

Abstract

Operating room nurses play a vital role in COVID-19 prevention in operating rooms. This descriptive correlational research aimed to examine COVID-19 prevention practices of operating rooms nurses, factors related to practice, and the relationship between factors related to COVID-19 prevention practices among operating room nurses. The study was performed at a university hospital in Northern Thailand. The participants were 74 operating room nurses. The research instruments were a demographic questionnaire; a COVID-19 prevention practices questionnaire; and questionnaires on knowledge, attitude, organizational support, and environmental support for COVID-19 prevention practices among operating room nurses. The content validity of the questionnaires was examined by six experts, demonstrating a content validity index of 1.00. The reliabilities of the practices, knowledge, attitudes, organizational support, and environmental support questionnaires were .92, .86, .88, .85, and .82, respectively. The data were analyzed using descriptive statistics and Spearman’s correlation coefficient statistics.

The results of the study revealed that the participants had practices of COVID-19 prevention at a high level with a median score of 182.50 out of 189.00 points; knowledge of COVID-19 prevention practices at a high level with a median score of 15.00 out of 20.00 points; attitude towards COVID-19 prevention practices at a moderate level with a median score of 58.00 out of 80.00 points; working experience with a median of 13.50 years and a range of 1-38 years; organizational support for COVID-19 prevention practices at a high level with a median score of 31.00 out of 40.00 points; and environmental support for COVID-19 prevention practices at a high level with a median score of 73.00 out of 92.00 points. In addition, knowledge, attitude, working experience, and organizational support were significantly positively correlated with practices at a moderate level (r = .345, p = .003; r = .374, p = .001; r = .484, p < .001; and r = .471, p < .001, respectively). Environmental support was significantly positively correlated with COVID-19 prevention practices at a low level (r = .193, p = .041).

The results show that COVID-19 prevention practices for nurses in operating rooms will increase if the nurses have good knowledge, a good attitude, and more extensive working experience; receive support from the organization; and have a conducive environment. Therefore, these factors should be promoted for operating room nurses to prevent COVID-19.

References

Abene, E. E., Ocheke, A. N., Ozoilo, K. N., Gimba, Z. M., Okeke, E. N., Agbaji, O. O., & Agaba, E. I. (2021). Knowledge, attitudes, and practices towards COVID-19 among Nigerian healthcare workers during the COVID-19 pandemic: A single center survey. Nigerian Journal of Clinical Practice, 24(12), 1846-1851. https://doi.org/10.4103/njcp.njcp_365_20

Alvino, R. T., & Caughell, C. M. (2021). COVID-19 in the perioperative setting: Applying a hierarchy of controls to prevent transmission. AORN Journal, 113(2), 147–164. https://doi.org/10.1002/aorn.13301

American College of Surgeons [ACS]. (2020). COVID-19: Considerations for optimum surgeon protection before, during, and after operation. https://www.facs.org/media/ngcbzggz/considerations_optimum_surgeon_protection.pdf

Amro, F. M., Rayan, A. H., Eshah, N. F., & Albashtawy, M. S. (2022). Knowledge, attitude, and practices concerning covid-19 preventive measures among healthcare providers in Jordan. SAGE Open Nursing, 8, 237796082211064. https://doi.org/10.1177/23779608221106422

C, O. L., Calistus, E. O., O, O. E., Chiedu, E. M., Ilo, C. I., Helen, O. I., & Nwankwo, C. U. (2022). Knowledge and compliance to practice of preventive measures to covid-19 among nurses in a selected tertiary hospital in South-south, Nigeria. African Journal of Infectious Diseases, 16(2), 55–62. https://doi.org/10.21010/Ajid.v16i2.6

Centers for Disease Control and Prevention. (2020). What healthcare personnel should know about caring for patients with confirmed or possible Coronavirus disease 2019 (COVID-19). https://portal.ct.gov/-/media/doc/pdf/coronavirus-3-20/cdc-what-health-care-professionals-should-know.pdf

COVIDSurg Collaborative. (2020). Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: An international cohort study. The Lancet, 396(10243), 27–38. https://doi.org/10.1016/S0140-6736(20)31182-X

Deesawat, C., Geerapong, P., & Pensirinapa, N. (2021). Factors affecting safety behaviors for preventing novel coronavirus-2019 infection among personnel in Buriram Hospital. Regional Health Promotion Center 9 Journal, 15(38), 399–413. https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/251209 (in Thai)

Department of Medical Services. (2020). Guidelines for performing procedures and surgery during the outbreak of coronavirus disease 2019. https://covid19.dms.go.th (in Thai)

Eyayu, M., Motbainor, A., & Gizachew, B. (2022). Practices and associated factors of infection prevention of nurses working in public and private hospitals toward COVID-19 in Bahir Dar City, Northwest Ethiopia: Institution-based cross-sectional study. SAGE Open Medicine, 10, 205031212210982. https://doi.org/10.1177/20503121221098238

Gholami, M., Fawad, I., Shadan, S., Rowaiee, R., Ghanem, H., Khamis, A. H., & Ho, S. B. (2021). COVID-19 and healthcare workers: A systematic review and meta-analysis. International Journal of Infectious Diseases, 104, 335–346. https://doi.org/10.1016/j.ijid.2021.01.013

Green, L. W., & Kreuter, M. W. (2005). Health promotion planning: An education and ecological approach (4th ed.). McGraw-Hill.

Gümüs, K., & Basgun, A. (2021). Evaluation of the knowledge of operating room nurses of preventive practices for protection against COVID-19. Journal of Peri Anesthesia Nursing, 36(3), 300–304. https://doi.org/10.1016/j.jopan.2020.10.003

Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., Chan, X. H. S., Devane, D., & Biesty, L. M. (2020). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: A rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, 4(4), CD013582. https://doi.org/10.1002/14651858.CD013582

Hussain, Z. B., Shoman, H., Yau, P. W. P., Thevendran, G., Randelli, F., Zhang, M., Kocher, M. S., Norrish, A., & Khanduja, V. (2020). Protecting healthcare workers from COVID-19: Learning from variation in practice and policy identified through a global cross-sectional survey. Bone and Joint Open, 1(5), 144-151. https://doi.org/10.1302/2633-1462.15.BJO-2020-0024.R1

Kaye, A. D., Okeagu, C. N., Pham, A. D., Silva, R. A., Hurley, J. J., Arron, B. L., Sarfraz, N., Lee, H. N., Ghali, G. E., Gamble, J. W., Liu, H., Urman, R. D., & Cornett, E. M. (2021). Economic impact of COVID-19 pandemic on healthcare facilities and systems: International perspectives. Best Practice & Research Clinical Anaesthesiology, 35(3), 293–306. https://doi.org/10.1016/j.bpa.2020.11.009

Kibbe, M. R. (2020). Surgery and COVID-19. Journal of the American Medical Association, 324(12), 1151-1152. https://doi.org/10.1001/jama.2020.15191

Koksal, E., Dost, B., Terzi, Ö., Ustun, Y. B., Özdin, S., & Bilgin, S. (2020). Evaluation of depression and anxiety levels and related factors among operating theater workers during the novel coronavirus (COVID-19) pandemic. Journal of PeriAnesthesia Nursing, 35(5), 472–477. https://doi.org/10.1016/j.jopan.2020.06.017

Limbu, D. K., Piryani, R. M., & Sunny, A. K. (2020). Healthcare workers’ knowledge, attitude, and practices during the COVID-19 pandemic response in a tertiary care hospital of Nepal. PLOS ONE, 15(11), e0242126. https://doi.org/10.1371/journal.pone.0242126

Lin, E. E., Blumberg, T. J., Adler, A. C., Fazal, F. Z., Talwar, D., Ellingsen, K., & Shah, A. S. (2020). Incidence of COVID-19 in pediatric surgical patients among 3 US children’s hospitals. JAMA Surgery, 155(8), 775-777. https://doi.org/10.1001/jamasurg.2020.2588

Maurya, V. K., Upadhyay, V., Dubey, P., Shukla, S., & Chaturvedi, A. (2022). Assessment of front-line healthcare workers’ knowledge, attitude, and practice after several months of COVID-19 pandemic. Journal of Healthcare Quality Research, 37(1), 20–27. https://doi.org/10.1016/j.jhqr.2021.07.004

Millan, D. L. M., Carrion-Nessi, F. S., Bernard, M. D. M., Marcano-Rojas, M. V., Avila, O. D. O., Fernandez, J. M. D., Labrador, F. R. C., Rodríguez, A. Q., Vega, S. G., Tami, A., Maricuto, A. L., Velasquez, V. L., Landaeta, M. E., Figuera, M., Chavero, M., Figuera, L., Camejo-Avila, N. A., & Forero-Pena, D. A. (2021). Knowledge, attitudes, and practices regarding COVID-19 among healthcare workers in Venezuela: An online cross-sectional survey. Frontiers in Public Health, 9, 633723. https://doi.org/10.3389/fpubh.2021.633723

Mohammadi, F., Tehranineshat, B., Bijani, M., Oshvandi, K., & Badiyepeymaiejahromi, Z. (2021). Exploring the experiences of operating room health care professionals from the challenges of the COVID-19 pandemic. BMC Surgery, 21(1), 434. https://doi.org/10.1186/s12893-021-01437-3

Mulianingsih, M., Hadi, I., Istianah., Yusron, M. A., & Pramana, C. (2020). Analysis knowledge, attitude, and practice of COVID-19 among the nursing staffs in Mataram city, Indonesia. Psychology and Education, 57(9), 2112-2116. https://papers.ssrn.com/abstract=3779249

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Lippincott Williams & Wilkins.

Saqlain, M., Munir, M. M., Rehman, S. U., Gulzar, A., Naz, S., Ahmed, Z., Tahir, A. H., & Mashhood, M. (2020). Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: A cross-sectional survey from Pakistan. Journal of Hospital Infection, 105(3), 419–423. https://doi.org/10.1016/j.jhin.2020.05.007

Savsar, A., & Karayurt, Ö. (2023). Factors affecting COVID-19-related fear and burnout in surgical nurses. Irish Journal of Medical Science, 192(6), 3011-3021. https://doi.org/10.1007/s11845-023-03347-0

Simpong, S., Auppasit, S., Nakornlam, S., Tonsawan, S., Sukson, S., Phosai, S., Aunjungharn, S., Arjkaew, A., Srigosol, A., Saitong, W., & Aramwiroj, M. (2021). Factors related to prevention behavior for coronavirus (COVID-19) of nursing students in Ratchathani University. Journal for Public Health Research, 10(2), 148-158. https://he02.tci-thaijo.org/index.php/ubruphjou/article/view/249812/173653

Somjai, C., Klunklin, P., & Unahalekhaka, A. (2021). Factors related to practices for ventilator-associated pneumonia prevention among registered nurses, neonatal intensive care units. Nursing Journal, 48(2), 1-12. https://cmudc.library.cmu.ac.th/frontend/Info/item/dc:137633 (in Thai)

Thato, R. (2018). Nursing research: Concepts to application. Chulalongkorn University press.

Thongbai, P., & Butsorn, A. (2022). Factors affecting prevention and control of Corona Virus 2019 (COVID-19) among public health personnel at Tambon health promoting hospitals, Amnat Charoen province. Regional Health Promotion Center 9 Journal, 16(3), 741–757. https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/258312 (in Thai)

Ti, L. K., Ang, L. S., Foong, T. W., & Ng, B. S. W. (2020). What we do when a COVID-19 patient needs an operation: Operating room preparation and guidance. Canadian Journal of Anesthesia, 67(6), 756–758. https://doi.org/10.1007/s12630-020-01617-4

Wong, J., Goh, Q. Y., Tan, Z., Lie, S. A., Tay, Y. C., Ng, S. Y., & Soh, C. R. (2020). Preparing for a COVID-19 pandemic: A review of operating room outbreak response measures in a large tertiary hospital in Singapore. Canadian Journal of Anesthesia, 67(6), 732–745. https://doi.org/10.1007/s12630-020-01620-9

Worldometers. (2023). COVID-19 coronavirus pandemic. https://www.worldometers.info/coronavirus/

Yamane, T. (1973). Statistics: An introductory analysis (2nd ed.). Herper & Row.

Yang, D., Wangsrikhun, S., & Yothayai, C. (2022). Knowledge, attitudes, and practices regarding COVID-19 management among emergency nurses in Chengdu, the People’s Republic of China. Nursing Journal CMU, 49(4), 1-14.

Zhang, M., Zhou, M., Tang, F., Wang, Y., Nie, H., Zhang, L., & You, G. (2020). Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. Journal of Hospital Infection, 105(2), 183–187. https://doi.org/10.1016/j.jhin.2020.04.012

Downloads

Published

2024-09-29

How to Cite

Phatthanakhuha, W., Kasatpibal, N., & Viseskul, N. (2024). Factors Related to COVID-19 Prevention Practices Among Operating Room Nurses. Nursing Journal CMU, 51(3), 247–264. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/266568

Issue

Section

Research Article