Abstract:
INTRODUCTION:There are no publicly available national data on healthcare worker infections in Australia. It has been documented in many countries that healthcare workers (HCW) are at increased occupational risk of COVID-19. We aimed to estimate the burden of COVID-19 on Australia HCW and the health system by obtaining and organizing data on HCW infections, analyzing national HCW cases in regards to occupational risk and analyzing healthcare outbreak. METHODS:We searched government reports and websites and media reports to create a comprehensive line listing of Australian HCW infections and nosocomial outbreaks between January 25th and July 8th, 2020. A line list of HCW related COVID-19 reported cases was created and enhanced by matching data extracted from media reports of healthcare related COVID-19 relevant outbreaks and reports, using matching criteria. Rates of infections and odds ratios (ORs) for HCW were calculated per state, by comparing overall cases to HCW cases. To investigate the sources of infection amongst HCW, transmission data were collated and graphed to show distribution of sources. RESULTS:We identified 36 hospital outbreaks or HCW infection reports between January 25th and July 8th, 2020. According to our estimates, at least 536 HCW in Australia had been infected with COVID-19, comprising 6.03% of all reported infections. The rate of HCW infection was 90/100000 and of community infection 34/100,000. HCW were 2.69 times more likely to contract COVID-19 (95% CI 2.48 to 2.93; P < 0.001). The timing of hospital outbreaks did not always correspond to community peaks. Where data were available, a total of 131 HCW across 21 outbreaks led to 1656 HCW being furloughed for quarantine. In one outbreak, one hospital was closed and 1200 HCW quarantined. CONCLUSION:The study shows that HCW were at nearly 3 times the risk of infection. Of concern, this nearly tripling of risk occurred during a period of low community prevalence suggesting failures at multiple hazard levels including PPE policies within the work environment. Even in a country with relatively good control of COVID-19, HCW are at greater risk of infection than the general community and nosocomial outbreaks can have substantial effects on workforce capacity by the quarantine of numerous HCW during an outbreak. The occurrence of hospital outbreaks even when community incidence was low highlights the high risk setting that hospitals present. Australia faced a resurgence of COVID-19 after the study period, with multiple hospital outbreaks. We recommend formal reporting of HCW infections, testing protocols for nosocomial outbreaks, cohorting of workforce to minimize the impact, and improved PPE guidelines to provide precautionary and optimal protection for HCW.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Quigley AL,Stone H,Nguyen PY,Chughtai AA,MacIntyre CRdoi
10.1016/j.ijnurstu.2020.103811subject
Has Abstractpub_date
2021-02-01 00:00:00pages
103811eissn
0020-7489issn
1873-491Xpii
S0020-7489(20)30297-2journal_volume
114pub_type
杂志文章abstract:OBJECTIVES:The objective of this study was to synthesize qualitative studies of how adolescents and young adults with chronic diseases experience the transition from paediatric to adult hospital care. DESIGN:The review is designed as a qualitative metasynthesis and is following Sandelowski and Barroso's guidelines for...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2013.02.001
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Nursing professionals and care assistants are often subject to a combination of negative physical and psychosocial work environment factors, but most disability pension studies on such occupations have focused on one or the other of these factors. As they often coexist, there are reasons to assume that simul...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2019.103484
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Measuring pain is important for the adequate pain management of postoperative patients. The actual compliance with pain assessment in postoperative patients after implementation of a national safety program is unknown. OBJECTIVES:The aim of this study is to examine the compliance with pain assessment in pos...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.001
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Against the backdrop in the western world of increasing prevalence of chronic disease, active and informed patients and a policy emphasis on self-management, this English study explored health professionals' responses to expert patients. OBJECTIVES:To: DESIGN:A grounded theory approach was utilised with tw...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.10.011
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Around the world, guidelines and clinical practice for the prevention of complications associated with central venous catheters (CVC) vary greatly. To prevent occlusion, most institutions recommend the use of heparin when the CVC is not in use. However, there is debate regarding the need for heparin and evid...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.02.014
更新日期:2016-07-01 00:00:00
abstract::The purpose of this transcultural qualitative study was to discover, describe and explain the meaning of a caring student-teacher encounter within the context of clinical education. Clinical teachers are registered nurses who have completed a university undergraduate nursing degree program and at least 1 year of post-...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00032-9
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:The past decade has seen a growing recognition in Ireland and internationally that children and young people have a right to participate in matters that affect their lives. OBJECTIVES:To critique the research literature on children's, parents and healthcare professionals' experiences of children's participa...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2008.05.002
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Chronic obstructive pulmonary disease (COPD) is predominantly caused by cigarette smoking and is considered a worldwide preventable chronic illness. Smoking cessation is considered the primary intervention for disease management and nurses should play a major role in assisting patients to stop smoking. Curre...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.01.002
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Fatigue is the most common symptom experienced by cancer patients. However, longitudinal studies of changes in the severity and predictors of fatigue are limited. OBJECTIVES:The purposes of this study were to evaluate changes in fatigue severity in women with breast cancer prior to and for twelve months aft...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.09.003
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes. OBJECTIVES:To describe patient self-care and care par...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103574
更新日期:2020-03-14 00:00:00
abstract::The concept of privacy is used in many disciplines and is recognised as one of the important concepts also in nursing. In this review, a description about the perspectives and dimensions of the concept will be made and empirical studies in the area will be analysed. Perspectives include units experiencing privacy, des...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(00)00111-5
更新日期:2001-12-01 00:00:00
abstract::Recent studies suggest that violence in health care environments, especially mental health care, appears to be increasing. Although there is a lack of cross-cultural studies to prove it, this increase in violence would seem to be an international phenomenon. The present study sought to compare the extent and nature of...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(00)00089-4
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Clinically, there is an increasing trend in using motivational interviewing as a counseling method to help clients with cardiovascular diseases to modify their unhealthy lifestyle in order to decrease the risk of disease occurrence. As motivational interviewing has gained increased attention, r...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.09.010
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The pandemic of COVID-19 is growing, and a shortage of masks and respirators has been reported globally. Policies of health organizations for healthcare workers are inconsistent, with a change in policy in the US for universal face mask use. The aim of this study was to review the evidence around the efficac...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103629
更新日期:2020-08-01 00:00:00
abstract::In order to identify which features contribute to attenuating or intensifying the deleterious consequences of a perinatal loss such that some family systems endure and sometimes even thrive when faced with such a situational stressor, while other family units seem to deteriorate and disintegrate under similar circumst...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.03.013
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Literature review indicated there is no existing nursing competency framework or instrument for Chinese registered nurses. By virtue of its global leadership role in nursing, the International Council of Nurses (ICN) developed an ICN Framework of Competencies for the Generalist Nurses in 2003. On the basis o...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.01.010
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Aggressive behavior and violence directed by patients at nurses are increasing worldwide. Aggressive behavior against nurses in their workplace can result in personal problems, such as impairment of physical and mental well-being, and, consequently, in organizational problems. Underreporting of patients' agg...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.12.011
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Nursing staff spend long periods in high-risk working environments. OBJECTIVE:The purpose of this study was to compare the hospitalization risk between nursing staff and the general population. DESIGN:This study adopted a retrospective observational design. SETTING:Data from the Taiwan National Health Ins...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2018.11.012
更新日期:2019-03-01 00:00:00
abstract::Recruitment and retention of nursing personnel is a major problem in many parts of the world, particularly developing countries. Strategies for promoting job satisfaction can help reduce the costs of high turnover and increase the quality of patient care. As part of a larger international study on women's health, a co...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/0020-7489(96)00001-6
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:This study was designed to evaluate fathers' experiences of stillbirth and psychosocial care. METHODS:Data were collected between 27 March 2008 and 1 April 2010 via a questionnaire posted on the homepage of the Swedish National Infant Foundation. The responses to the following open-ended questions were anal...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.10.014
更新日期:2013-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2013.07.001
更新日期:2014-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2020.103814
更新日期:2021-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ijnurstu.2004.05.016
更新日期:2005-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(97)00013-8
更新日期:1997-08-01 00:00:00
abstract::This study compared six dimensions of adult life among 39 hospitalized elders with a mean age of 72.1 years and 44 elders with a mean age of 75.7 years living in the community. The dimensions of life were physical function, work, spirituality, family, community and self concept. Multivariate analysis of variance revea...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(94)90067-1
更新日期:1994-12-01 00:00:00
abstract:STUDY AIM:To test a model derived from the Nursing Worklife Model linking elements of supportive practice environments to nurses' turnover intentions and behaviours in Canada and Australia. BACKGROUND:With the worldwide shortage of nurses, retaining nurses within fiscally challenged health care systems is critical to ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2014.10.016
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVES:To identify rehabilitation interventions that can be integrated into ward-based nursing for patients with hemispatial neglect following stroke in the right brain hemisphere. DESIGN:A systematic review of interdisciplinary literature. DATA SOURCES:A preliminary literature search without time limits was cond...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.04.004
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:It is generally assumed that integrated care has a cost-saving potential in comparison with traditional care. However, there is little evidence on this potential with respect to integrated nursing home care. AIMS AND OBJECTIVES:DESIGN/METHODS/SETTINGS/PARTICIPANTS: Between 1999 and 2003, formal and informal...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.05.005
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:Investigating the effectiveness of the Lively Legs program for promoting adherence with ambulant compression therapy and physical exercise as well as effects on leg ulcer recurrence. DESIGN:A randomized controlled trial. SETTING:Eleven outpatient clinics for dermatology in the Netherlands participated in th...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ijnurstu.2011.09.005
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:Knowledge of women's experience with breast cancer is based on studies on middle-class Caucasian women. Generalizations are drawn from the few studies of South Asian women such as lack of desire to discuss personal and family issues. The purpose of this qualitative study was to understand the experience of C...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.08.023
更新日期:2008-02-01 00:00:00