When Information Does Not Translate into Knowledge. Ebola and Hemorrhagic Fevers Knowledge among Primary Care Physicians and Nurses

Abstract

After the first secondarily-transmitted ebola case in Spain, a wave of divergent opinions flooded mass and sanitary media. Very few of these opinions, however, came from experts on epidemiology or hemorrhagic fevers. This observational study aimed to assess the specific knowledge of Primary Care physicians and nurses about ebola and hemorrhagic fevers by means of analyzing the results obtained from a 5-item self-reported questionnaire dealing on hemorrhagic fevers basic knowledge. Validity and reliability of questionnaire were confirmed by a pilot study. The participants were 138 family doctors and nurses from the 64 public Primary Care centers sited in the North Metropolitan Area of Barcelona (1,400,000 inhab; Catalonia, Spain) taking part in training-the-trainers ebola workshops. Overall, there were 117 (84.8%) respondents out from 138 workshop participants; of them were physicians 61 (51.2%). The main age was 46.7 (8.8) years; stating previous specific knowledge on hemorrhagic fevers 39 (33.3%). On the whole, up to 92 (78.6%) of respondents shown a poor knowledge. Previous specific formation was significantly and independently associated with having proper knowledge (p < 0.001); OR = 8.6 (CI 95%: 3.199 - 23.623). In summary, confusion that accompanied the single secondary-transmitted ebola case in Spain could probably be explained by the existence of a serious gap on hemorrhagic fevers knowledge. More accurate, scientific and formally-presented information should be provided to Primary Care physicians and nurses.

Share and Cite:

Valerio, L. , Pérez-Quílez, O. , Roure, S. , Fructuoso, E. , Amilibia, I. , Moreno, N. , Sañudo, L. , Bocanegra, C. and Martínez-Cuevas, O. (2015) When Information Does Not Translate into Knowledge. Ebola and Hemorrhagic Fevers Knowledge among Primary Care Physicians and Nurses. Open Journal of Preventive Medicine, 5, 122-127. doi: 10.4236/ojpm.2015.53014.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Parra, J.M., Salmeron, O.J. and Velasco, M. (2014) The First Case of Ebola Virus Disease Acquired outside Africa. The New England Journal of Medicine, 371, 2439-2440.
http://dx.doi.org/10.1056/NEJMc1412662
[2] Lozano-Garcia, D., Miró, J.M., Málaga, S., Loscertales, M., Blanch, L., Iniesta-álvarez, D., et al. (2014) Protocolo deactuación frente a casos sospechosos de enfermedad por virus ébola. Inter-territorial Council. Ministry of Health and Social Affairs, 3 October 2014.
https://www.msssi.gob.es/profesionales/saludPublica/ccayes/alertasActual/ebola/docs
/13102014ProtocoloDeActuacionEVE_CISNS.pdf
[3] Tosh, P.K. and Sampathkumar, P. (2014) What Clinicians Should Know about the Ebola 2014 Outbreak. Mayo Clinic Proceedings, 89, 1710-1717.
http://dx.doi.org/10.1016/j.mayocp.2014.10.010
[4] Murthy, S., Keystone, J. and Kisson, N. (2013) Infections of the Developing World. Critical Care Clinics, 29, 485-507.
http://dx.doi.org/10.1016/j.ccc.2013.03.005
[5] Kanapathipillai, R. (2014) Ebola Virus Disease—Current Knowledge. The New England Journal of Medicine, 371, e18.
[6] Phillips, M. and Markham, A. (2014) Ebola: A Failure of International Collective Action. Lancet, 384, 1181.
http://dx.doi.org/10.1016/S0140-6736(14)61606-8
[7] Gatherer, D. (2014) The 2014 Ebola Virus Disease Outbreak in West Africa. Journal of General Virology, 95, 1619-1624.
http://dx.doi.org/10.1099/vir.0.067199-0
[8] Heymann, D.L., Barakamfitiye, D., Szczeniowski, M., Muyenbe-Tamfum, J.J., Bele, O. and Rodier, G. (1999) Ebola Hemorrhagic Fever: Lessons from Kikwit, Democratic Republic of the Congo. The Journal of Infectious Diseases, 179, S283-S286.
http://dx.doi.org/10.1086/514287
[9] Hewlett, B.L. and Hewlett, B.S. (2005) Providing Care and Facing Death: Nursing during Ebola Outbreaks in Central Africa. Journal of Transcultural Nursing, 16, 289-297.
http://dx.doi.org/10.1177/1043659605278935
[10] Bannister, B. (2010) Viral Haemorrhagic Fevers Imported into Non-Endemic Countries: Risk Assessment and Management. British Medical Bulletin, 95, 193-225.
http://dx.doi.org/10.1093/bmb/ldq022
[11] Formenty, P., Epelboin, A., Allarangar, Y., Libama, F., Boumandouki, P., Koné, L., et al. (2005) Training the Trainers Seminar and Analysis of the Ebola Virus Hemorrhagic Fever Outbreaks in Central Africa from 2001 to 2004. (Brazzaville, Republic of the Congo, April 6-8, 2004). Bulletin de la Société de pathologie exotique, 98, 244-254.
[12] Bruce, J. and Brysiewicz, P. (2002) Ebola Fever: The African Emergency. International Journal of Trauma Nursing, 8, 36-41.
http://dx.doi.org/10.1067/mtn.2002.123083
[13] Househ, M. (2015) Communicating Ebola through Social Media and Electronic News Media Outlets: A Cross-Sectional Study. Health Informatics Journal, pii: 1460458214568037. [Epub ahead of print]
http://dx.doi.org/10.1177/1460458214568037
[14] Van Ree, J.W. (2003) Changing World, Changing Doctors, Changing Education! Sante Publique, April 2003, 15 Spec No: 151-5.
[15] Hall, R.C., Hall, R.C. and Chapman, M.J. (2008) The 1995 Kikwit Ebola Outbreak: Lessons Hospitals and Physicians Can Apply to Future Viral Epidemics. General Hospital Psychiatry, 30, 446-452.
http://dx.doi.org/10.1016/j.genhosppsych.2008.05.003
[16] Yakubu, A., Folayan, M.O., Sani-Gwarzo, N., Nguku, P., Petersn, K. and Brown, B. (2014) The Ebola Outbreak in Western: Ethical Obligations for Care. Journal of Medical Ethics, pii: medethics-2014-102434.
[17] Martin-Moreno, J.M., Ricciardi, W., Bjiegovic-Mikanovic, V., Maguire, P. and McKee, M. (2014) Ebola: An Open Letter to European Governments. Lancet, 384, 1259.
http://dx.doi.org/10.1016/S0140-6736(14)61611-1

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.