Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T09:59:41.309Z Has data issue: false hasContentIssue false

Knowledge of Severe Acute Respiratory Syndrome among Community Physicians, Nurses, and Emergency Medical Responders

Published online by Cambridge University Press:  28 June 2012

Alan Douglas Tice*
Affiliation:
Department of Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii, USA
Mitsumasa Kishimoto
Affiliation:
Department of Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii, USA
Chuong Hoang Dinh
Affiliation:
Department of Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii, USA
Geoffrey Tak-Kin Lam
Affiliation:
University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii, USA
Michelle Marineau
Affiliation:
Kaiser Permanente Medical Center, Honolulu, Hawaii, USA
*
Alan D. Tice, MD Department of Medicine, John A Burns School of Medicine, University Tower–7th floor, 1356 Lusitana Street, Honolulu, Hawaii 96813-2427, USA E-mail: alantice@idlinks.com

Abstract

Introduction:

The preparedness levels of front-line clinicians including physicians, nurses, emergency medical responders (EMRs), and other medical staff working in clinics, offices and ambulatory care centers must be assessed, so these personnel are able to deal with communicable and potentially lethal diseases, such as severe acute respiratory syndrome (SARS). In order to determine the knowledge of these clinicians, a survey of their understanding of SARS and their use of educational resources was administered.

Methods:

A questionnaire was distributed to physicians, nurses, and EMRs attending conferences on SARS in the summer of 2003. Questions related to information sources, knowledge of SARS, and plans implemented in their workplace to deal with it. Statistical analysis was performed using the Statistical Package for the Social Sciences (10.1 Program, SPSS Inc., Chicago, Illinois).

Results:

A total of 201 community healthcare providers (HCPs) participated in the study. A total of 51% of the participants correctly identified the incubation period of SARS; 48% correctly identified the symptoms of SARS; and 60% knew the recommended infection control precautions to take for families. There was little difference in knowledge among the physicians, nurses, and EMRs evaluated. Media outlets such as newspapers, journals, television, and radio were reported as the main sources of information on SARS. However, there appears to be a growing use of the Internet, which correlated best with the correct answers on symptoms of SARS. Fewer than one-third of respondents were aware of a protocol for SARS in their workplace. A total of 60% reported that N-95 masks were available in their workplace.

Conclusion:

These findings suggest the need for more effective means of education and training for front-line clinicians, as well as the institution of policies and procedures in medical offices, clinics, and emergency services in the community.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.World Health Organization: Cumulative number of reported probable cases of severe acute respiratory syndrome. Available at http://www.who.int/csr/sars/country/2003_06_24/en/. Accessed 17 December 2003.Google Scholar
2.Ksiazek, TG, Erdman, D, Goldsmith, CS et al: A novel coronavirus associated with severe acute respiratory syndrome. N Engl J Med 2003;348:19531966.CrossRefGoogle ScholarPubMed
3.US Centers for Disease Control and Prevention (CDC): Clinical aspects of severe acute respiratory syndrome (SARS), 2003. Available at http://www.cdc.gov/ncidod/sars/webcast/broadcast050803.htm. Accessed 17 December 2003.Google Scholar
4.Centers for Disease Control and Prevention: Update: Severe acute respiratory syndrome—United States, June 18, 2003. MMWR 2003;52:570.Google Scholar
5.Centers for Disease Control and Prevention: Outbreak of severe acute respiratory syndrome—Worldwide, 2003. MMWR 2003;52:226228.Google Scholar
6.McCarthy, M: Attacks heighten US concern about threat of bioterrorism. Lancet 2001;358:1071.CrossRefGoogle ScholarPubMed
7.Centers for Disease Control and Prevention: Draft: Public health guidance for community-level preparedness and response to severe acute respiratory syndrome (SARS). Available at http://www.cdc.gov/ncidod/sars/sarsprepplan.htm. Accessed 17 December 2003.Google Scholar
8.Poutanen, SM, Low, DE, Henry, B et al: Identification of severe acute respiratory syndrome in Canada. N Engl J Med 2003;348:19952005.CrossRefGoogle ScholarPubMed
9.Knowles, M: The Adult Learner: A Neglected Species. Houston, TX: Gulf Publishing Company; 1978:p 58.Google Scholar
10.Leung, GM, Lam, TH, Ho, LM et al: The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong. J Epidemiol Community Health 2003;57(11):857863.CrossRefGoogle ScholarPubMed
11.Lanzilotti, SS, Galanis, D, Leoni, N, Craig, B: Hawaii medical professionals assessment. Hawaii Med J 2002;61(8);162173.Google ScholarPubMed
12.Shadel, BN, Rebmann, T, Clements, B et al: Infection control practitioners' perceptions and educational needs regarding bioterrorism: Results from a national needs assessment survey. Am J Infect Control 2003;31:2934.CrossRefGoogle ScholarPubMed
13.Means, RP: How Family Physicians Use Infromtion Sources: Implications for New Approaches. In: Green, JS, Grosswald, SJ, Suter, E, Walthall, DB III, (eds). Continuing Education for the Health Professions. San Francisco, CA: Joss-Bass;1984:7286.Google Scholar
14.Lanzilotti, SS: Practice Integrated Learning Sequence. In Lanzilotti, SS, Finestone, AJ, Sobel, E, Marks, AD: The practice integrated learning sequence: Linking education with the practice of medicine. Adult Educ Q 1986;37(1):3847.CrossRefGoogle Scholar
15.Lanzilotti, SS, Finestone, AJ, Sobel, E: The role of evaluation in a practiceintegrated continuing medical education program. J Contin Edu Health Prof 1986;6(4):1518.Google Scholar
16.Wang, X, Zhang, J, Zhang, Y, Wang, Y: A knowledge, attitude and practice survey on severe acute respiratory syndrome in a rural area. Beijing Da Xue Xue Bao 2003;35 Suppl:102105.Google ScholarPubMed
17.Tse, MM, Pun, SP, Benzie, IF: Experiencing severe acute respiratory syndrome: Perspectives of the elderly residents and health care professionals in a Hong Kong nursing home. Geriatr Nurs 2003;24(5):266269.CrossRefGoogle Scholar
18.Booth, CM, Stewart, TE: Communication in the Toronto critical care community: Important lessons learned during severe acute respiratory syndrome. Crit Care 2003;7(6):405406.CrossRefGoogle Scholar
19.Schappert, SM, Burt, CW: Ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments: United States 2001–02. Vital Health Stat 2006:159:166.Google Scholar