Knowledge of severe acute respiratory syndrome among community physicians, nurses, and emergency medical responders.
BACKGROUND
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.


CONCLUSIONS
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.
Tice
Alan Douglas
AD
Department of Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii 96813-2427, USA. alantice@idlinks.com
Kishimoto
Mitsumasa
M
Dinh
Chuong Hoang
CH
Lam
Geoffrey Tak-Kin
GT
Marineau
Michelle
M
D003153:Community Health Services; D004189:Disaster Planning; D004632:Emergency Medical Services; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009740:Nursing Staff / Q000193:education*; D010821:Physicians, Family / Q000193:education*; D045169:Severe Acute Respiratory Syndrome; D011795:Surveys and Questionnaires; D014481:United States