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      Investigation of a Mask Fitness Test Based on Self-Efficacy and Diversified Training in the Assessment System for Nosocomial Infection Training

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          Abstract

          Objective

          To explore a mask fitness test based on self-efficacy and diversified training in the assessment system for nosocomial infection training.

          Methods

          From March 15 to April 5, 2022, 442 staff members (272 male and 170 female) of the Third People’s Hospital of Shenzhen who planned to enter the quarantine ward for secondary protection skill training assessment were selected. They comprised 56 doctors, 31 medical technicians, 72 nurses, and 283 property logistics staff. During the mask fitness test, a diversified training model based on self-efficacy was adopted to observe the passing status, the identification and selection of mask models, the method of mask-wearing, the fit between the mask and the face, and the changes in self-efficacy.

          Results

          In the assessment system for nosocomial infection training, the passing rate of the mask fitness test was correlated with the identification and selection of mask models, the method of wearing masks, the fit between the mask and the face, and the diversified training, and the differences were statistically significant ( P < 0.05). The difference in the self-efficacy in the test takers between those before and after the mask fitness test was statistically significant ( P < 0.05).

          Conclusion

          In the assessment system for nosocomial infection training, the mask fitness test based on self-efficacy and diversified training might improve the passing rate, the rate of correct mask model identification and selection, the rate of correct mask-wearing, and the degree of facial fit, thus to enhance the awareness of protection and improve self-efficacy.

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          Most cited references25

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          Self-efficacy: toward a unifying theory of behavioral change.

          A Bandura (1977)
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            Efficacy of face mask in preventing respiratory virus transmission: A systematic review and meta-analysis

            Background Conflicting recommendations exist related to whether masks have a protective effect on the spread of respiratory viruses. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement was consulted to report this systematic review. Relevant articles were retrieved from PubMed, Web of Science, ScienceDirect, Cochrane Library, and Chinese National Knowledge Infrastructure (CNKI), VIP (Chinese) database. Results A total of 21 studies met our inclusion criteria. Meta-analyses suggest that mask use provided a significant protective effect (OR = 0.35 and 95% CI = 0.24–0.51). Use of masks by healthcare workers (HCWs) and non-healthcare workers (Non-HCWs) can reduce the risk of respiratory virus infection by 80% (OR = 0.20, 95% CI = 0.11–0.37) and 47% (OR = 0.53, 95% CI = 0.36–0.79). The protective effect of wearing masks in Asia (OR = 0.31) appeared to be higher than that of Western countries (OR = 0.45). Masks had a protective effect against influenza viruses (OR = 0.55), SARS (OR = 0.26), and SARS-CoV-2 (OR = 0.04). In the subgroups based on different study designs, protective effects of wearing mask were significant in cluster randomized trials and observational studies. Conclusions This study adds additional evidence of the enhanced protective value of masks, we stress that the use masks serve as an adjunctive method regarding the COVID-19 outbreak.
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              Face masks to prevent transmission of COVID-19: a systematic review and meta-analysis

              Highlights • This systematic review and meta-analysis evaluated the effectiveness of the use of masks to prevent SARS-CoV-2 transmission. • This study demonstrated the protective effects of masks against COVID-19 infection on HCWs and other populations. • The detailed analysis in different populations, countries and mask types were conducted to better clarify the effectiveness of wearing masks.
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                Author and article information

                Journal
                Infect Drug Resist
                Infect Drug Resist
                idr
                Infection and Drug Resistance
                Dove
                1178-6973
                17 January 2023
                2023
                : 16
                : 313-322
                Affiliations
                [1 ]Department of Outpatient, the Third People’s Hospital of Shenzhen , Shenzhen, 518000, People’s Republic of China
                [2 ]Department of Pediatric, the Third People’s Hospital of Shenzhen , Shenzhen, 518000, People’s Republic of China
                [3 ]Department of Infectious Diseases, the Third People’s Hospital of Shenzhen , Shenzhen, 518000, People’s Republic of China
                [4 ]GI Medicine Department, the Third People’s Hospital of Shenzhen , Shenzhen, 518000, People’s Republic of China
                [5 ]Science and Education Department, the Third People’s Hospital of Shenzhen , Shenzhen, 518000, People’s Republic of China
                Author notes
                Correspondence: Lu-Lu Sun, Department of Pediatric, the Third People’s Hospital of Shenzhen , No. 29 of Bulan Road, Longgang District, Shenzhen, 518000, People’s Republic of China, Tel +86 13510332310, Email sunlulu9x@126.com
                Article
                388784
                10.2147/IDR.S388784
                9863456
                36691491
                c17c674f-e277-4d00-a4e3-655b247da5ae
                © 2023 Xiao et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 05 September 2022
                : 14 December 2022
                Page count
                Figures: 2, Tables: 3, References: 28, Pages: 10
                Funding
                Funded by: Shenzhen Key Medical Discipline Construction Fund;
                Funded by: Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties;
                Shenzhen Key Medical Discipline Construction Fund. Supported by Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties (No:SZGSP011).
                Categories
                Original Research

                Infectious disease & Microbiology
                self-efficacy,mask fitness test,training mode
                Infectious disease & Microbiology
                self-efficacy, mask fitness test, training mode

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