healthcareCOVID: a national cross-sectional observational study identifying risk factors for developing suspected or confirmed COVID-19 in UK healthcare workers.

Journal article


Kua, J., Patel, R., Nurmi, E., Tian, S., Gill, H., Wong, D., Moorley, C., Nepogodiev, D., Ahmad, I. and El-Boghdadly, K. (2021). healthcareCOVID: a national cross-sectional observational study identifying risk factors for developing suspected or confirmed COVID-19 in UK healthcare workers. PeerJ. 9, p. e10891. https://doi.org/10.7717/peerj.10891
AuthorsKua, J., Patel, R., Nurmi, E., Tian, S., Gill, H., Wong, D., Moorley, C., Nepogodiev, D., Ahmad, I. and El-Boghdadly, K.
AbstractTo establish the prevalence, risk factors and implications of suspected or confirmed coronavirus disease 2019 (COVID-19) infection among healthcare workers in the United Kingdom (UK). Cross-sectional observational study. UK-based primary and secondary care. Healthcare workers aged ≥18 years working between 1 February and 25 May 2020. A composite endpoint of laboratory-confirmed diagnosis of SARS-CoV-2, or self-isolation or hospitalisation due to suspected or confirmed COVID-19. Of 6,152 eligible responses, the composite endpoint was present in 1,806 (29.4%) healthcare workers, of whom 49 (0.8%) were hospitalised, 459 (7.5%) tested positive for SARS-CoV-2, and 1,776 (28.9%) reported self-isolation. Overall, between 11,870 and 21,158 days of self-isolation were required by the cohort, equalling approximately 71 to 127 working days lost per 1,000 working days. The strongest risk factor associated with the presence of the primary composite endpoint was increasing frequency of contact with suspected or confirmed COVID-19 cases without adequate personal protective equipment (PPE): 'Never' (reference), 'Rarely' (adjusted odds ratio 1.06, (95% confidence interval: [0.87-1.29])), 'Sometimes' (1.7 [1.37-2.10]), 'Often' (1.84 [1.28-2.63]), 'Always' (2.93, [1.75-5.06]). Additionally, several comorbidities (cancer, respiratory disease, and obesity); working in a 'doctors' role; using public transportation for work; regular contact with suspected or confirmed COVID-19 patients; and lack of PPE were also associated with the presence of the primary endpoint. A total of 1,382 (22.5%) healthcare workers reported lacking access to PPE items while having clinical contact with suspected or confirmed COVID-19 cases. Suspected or confirmed COVID-19 was more common in healthcare workers than in the general population and is associated with significant workforce implications. Risk factors included inadequate PPE, which was reported by nearly a quarter of healthcare workers. Governments and policymakers must ensure adequate PPE is available as well as developing strategies to mitigate risk for high-risk healthcare workers during future COVID-19 waves. [Abstract copyright: © 2021 Kua et al.]
KeywordsCOVID-19; Coronavirus; Healthcare workers; Medical workers; SARS-CoV-2
Year2021
JournalPeerJ
Journal citation9, p. e10891
PublisherPeerJ
ISSN2167-8359
Digital Object Identifier (DOI)https://doi.org/10.7717/peerj.10891
https://doi.org/10891
Publication dates
Online04 Feb 2021
Publication process dates
Deposited24 Mar 2022
Accepted12 Jan 2021
Publisher's version
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/8z944

Download files


Publisher's version
peerj-10891.pdf
License: CC BY 4.0
File access level: Open

  • 356
    total views
  • 50
    total downloads
  • 203
    views this month
  • 0
    downloads this month

Export as

Related outputs

Young adults with kidney failure lived experiences of kidney replacement therapy decision‐making
Ofori‐Ansah, S., Evans, M., Baillie, L. and Moorley, C. (2024). Young adults with kidney failure lived experiences of kidney replacement therapy decision‐making. Journal of Renal Care. https://doi.org/10.1111/jorc.12508
Person-centred oral hydration care for older people with dementia admitted to acute hospital wards: Empirical research qualitative.
Higgins, S., Baillie, L., Moorley, C. and Nolan, F. (2023). Person-centred oral hydration care for older people with dementia admitted to acute hospital wards: Empirical research qualitative. Journal of Clinical Nursing. 32 (19-20), pp. 7467-7482. https://doi.org/10.1111/jocn.16807
Diffusion of social media in nursing education: A scoping review.
Cathala, X. and Moorley, C. (2023). Diffusion of social media in nursing education: A scoping review. Nurse Education Today. 127, p. 105846. https://doi.org/10.1016/j.nedt.2023.105846
Social justice in nursing education: A review of the literature
Abu, V. and Moorley, C. (2023). Social justice in nursing education: A review of the literature. Nurse Education Today. 126, p. 105825. https://doi.org/10.1016/j.nedt.2023.105825
Reflecting on the experiential journey: Creating, developing and understanding leadership in Equality, Diversity and Inclusion within a Faculty
Premkumar, P., Leadley-Meade, Z., Moorley, C., Rye, S., Clegg, D. and Alasia, S. (2023). Reflecting on the experiential journey: Creating, developing and understanding leadership in Equality, Diversity and Inclusion within a Faculty. Equality, Diversity and Inclusion Conference 2023: The Shoulders of Giants: Listening, Learning and Improving our Practice.
An exploration of social participation in Caribbean student nurses' use of social media in their learning journey
Cathala, X., Ocho, O., Mcintosh, N., Watts, P. and Moorley, C. (2022). An exploration of social participation in Caribbean student nurses' use of social media in their learning journey. Journal of Advanced Nursing. https://doi.org/10.1111/jan.15499
Inclusivity in nurse education.
Moorley, C. and West, R. (2022). Inclusivity in nurse education. Evidence-Based Nursing. 25, pp. 75-76. https://doi.org/10.1136/ebnurs-2022-103570
Senior nurses’ perceptions of junior nurses incident reporting: A qualitative study
Atwal, Anita, Phillip, Miriam and Moorley, Calvin (2020). Senior nurses’ perceptions of junior nurses incident reporting: A qualitative study. Journal of Nursing Management. https://doi.org/10.1111/jonm.13063
Performing an A-G patient assessment: a step-by-step guide
Cathala, X and Moorley, C (2020). Performing an A-G patient assessment: a step-by-step guide. Nursing Times. 115 (11), pp. 53-55.
Gender and health literacy: men’s health beliefs and behavior in Trinidad
Wills, J., Sykes, S., Hardy, S., Joshua, K., Moorley, C. and Ocho, O (2019). Gender and health literacy: men’s health beliefs and behavior in Trinidad. Health Promotion International. https://doi.org/10.1093/heapro/daz076
How to appraise qualitative research
Moorley, C and Cathala, X (2019). How to appraise qualitative research. Evidence-Based Nursing. 22 (1), pp. 10-13. https://doi.org/10.1136/ebnurs-2018-103044
A narrative synthesis on healthcare students use and understanding of social media: Implications for practice
Ramage, C and Moorley, C (2019). A narrative synthesis on healthcare students use and understanding of social media: Implications for practice. Nurse Education Today. 77, pp. 40-52. https://doi.org/10.1016/j.nedt.2019.03.010
Fathers’ presence in the birth room – implications for professional practice in the Caribbean
Ocho, O, Lootawan, K A and Moorley, CR (2018). Fathers’ presence in the birth room – implications for professional practice in the Caribbean. Contemporary Nurse. 54 (6), pp. 617-629. https://doi.org/10.1080/10376178.2018.1552524
Stroke among African-Caribbean women: lay beliefs of risks and causes.
Moorley, CR, Cahill, S and Corcoran, N (2016). Stroke among African-Caribbean women: lay beliefs of risks and causes. Journal of Clinical Nursing. 25 (3-4), pp. 403 - 411. https://doi.org/10.1111/jocn.13061
First year nursing students’ experiences of social media during the transition to university: a focus group study
Moorley, CR (2016). First year nursing students’ experiences of social media during the transition to university: a focus group study. Contemporary Nurse. https://doi.org/10.1080/10376178.2016.1205458
The condom imperative in anal sex – one size may not fit all: A qualitative descriptive study of men who have sex with men (MSM).
Nevillie, S, Adams, J, Moorley, CR and Jackson, D (2016). The condom imperative in anal sex – one size may not fit all: A qualitative descriptive study of men who have sex with men (MSM). Journal of Clinical Nursing. 25 (23-24), pp. 3589-3596. https://doi.org/10.1111/jocn.13507
Being Responsive: Promoting LGBTI Health and Well-being.
Moorley, CR, Nevillie, S and Johnson, J (2016). Being Responsive: Promoting LGBTI Health and Well-being. Journal of Clinical Nursing. 25 (23-24), pp. 3413-3414. https://doi.org/10.1111/jocn.13596
A comparative study focusing on the clinical decision making processes of nurse practitioners versus medical doctors using scenarios within a secondary care environment
Thompson, T, Barratt, J and Moorley, CR (2016). A comparative study focusing on the clinical decision making processes of nurse practitioners versus medical doctors using scenarios within a secondary care environment. Journal of Advanced Nursing. 73 (5), pp. 1097-1110. https://doi.org/10.1111/jan.13206
Improving the physical health assessment of people with serious mental illness
Bardi, J and Moorley, CR (2016). Improving the physical health assessment of people with serious mental illness. Primary Health Care. 26 (10), pp. 28-33. https://doi.org/10.7748/phc.2016.e1149
Editorial: Defining, profiling and locating older people: an inner city Afro-Caribbean experience
Moorley, CR and Corcoran, N (2014). Editorial: Defining, profiling and locating older people: an inner city Afro-Caribbean experience. Journal of Clinical Nursing. 23 (15-16), pp. 2083 - 2085. https://doi.org/10.1111/jocn.12487