الفهرس 
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Abstract
Summary
Influenza is one of the most important viral respiratory infections of humans, capable of causing epidemic or pandemic outbreaks of acute respiratory illness. Influenza is a major contributor and the principal cause of morbidity and mortality throughout the world. Influenza poses a serious risk and infection may lead to hospitalization and in some cases death. Frequently, the cause of hospitalization or death is viral pneumonia or secondary bacterial pneumonia. Substantial levels of community morbidity occur during an influenza outbreak, resulting in a significant strain on the health care system. The economic burden of influenza on society can also be significant.
Aim of the Study:
1. This study aims to assess health care providers’ knowledge and verbated attitude regarding bird and swine influenza
Research question:
1. What is the current knowledge of Health care providers regarding bird and swine influenza?
2. Do health care providers possess positive attitude toward caring of expected infected cases?
Methodology:
Setting:
This study was conducted at Ain Shams University Hospital in the chest inpatient and out patients units and intensive care chest units.
Subject:
Convenience subjects of multidisciplinary team representing all health care providers working at the above mentioned setting (Twenty two physicians, thirty two nurses, plus ten workers).
Tools of data collection
1. Health care providers’ knowledge interview questionnaire sheet to assess health care providers’ knowledge regarding bird and swine influenza. It was developed by researcher based on review of literature. (Guarneri and Escobedo, Osborn; Wraa and Watson, Smeltzer; Bare, Hinkle and Cheever. Alenzi. (2010) Dewitt, Galwankar and Clem, CDC, WHO, 2009 and the National Nursing Committee, 2009). It was written in an Arabic language.
It contains the fowlling four parts:
A. The first part: socio-demographic data of health care providers such as age, sex, education level, years of experience and attendance of training courses about bird and swine.
B. The second part: questions to assess health care providers’ and workers knowledge regarding anatomy and physiology of the respiratory system, bird and swine influenza.
C. Third part: questions to assess health care providers’ (nurses and physicians) knowledge regarding polices of study sitting to safeguard health during pandemic bird and swine influenza.
D. Four parts: questions to assess knowledge of workers regarding cleaning and disinfection during pandemic bird and swine influenza.
2- Health care providers’ verbated attitude by using 5likert type rating scale to assess health care providers’ verbated attitude regarding bird and swine influenza. It was developed by researcher based on review of literature. (en.wikipedia.org. (2010) McLeod. (2008), Del siegle. (2006), Jamieson. (2004). It was written in Arabic language.
Results:
• As regarding socio-demographic that the mean age for studied subjects included in this study were (28.5 ±2.5), the majority of studied subjects were females (71.9%), the mean years of experience for studied subjects included in this study were (9.2 ±5.3), and also More than three quarters (76.6%) of studied subjects not attending of training courses about bird and swine influenza.
• The present study revealed that (86.4%) of physician had satisfactory knowledge while half of nurses had satisfactory knowledge regarding anatomy and physiology of the respiratory statistical significance difference.
• The present study revealed that tow third (72.7%) of physician had satisfactory knowledge while more than half (59.3%) of nurses had satisfactory knowledge regarding swine influenza statistical significance difference.
• The present study revealed that more than three quarters (80%) of workers had unsatisfactory level of knowledge regarding swine influenza.
• The present study revealed that more than half (68.2 %) of physician had satisfactory knowledge while 65.6% of nurses had unsatisfactory knowledge regarding bird influenza statistical significance difference.
• The present study revealed that majority 90% of workers had unsatisfactory knowledge regarding bird influenza.
• The present study revealed that more than three quarters 81.8 % of physician had satisfactory knowledge also more than three quarters 81.2% of nurses had satisfactory knowledge of care of patient suffering from bird and swine influenza with statistical significance difference.
• The present study revealed that more than three quarters 80% of worker had satisfactory level of knowledge regarding cleaning and disinfection during pandemic bird and swine influenza.
• The present study revealed that the majority (95.5%) of physicians had unsatisfactory level of knowledge while more than half (68.7%) of nurses had unsatisfactory level of knowledge regarding polices of study sitting to safeguard health during pandemic bird and swine influenza statistical significance difference.
• The present study revealed that more than tow third (72.73%) of physicians were having negative attitude while majority (93.75%) of nurses were having negative attitude regarding bird and swine influenza statistical significance difference.
• The present study revealed that majority (90%) of workers were having negative attitude regarding bird and swine influenza.
• There was no statistical significance relationship between physicians and nurses’ knowledge and their previous attendance of training courses about bird and swine influenza.
• There was statistical significance correlation between nurses’ verbated attitude and their previous attendance of training courses about bird and swine influenza.
• There was statistical significance correlation between physicians’ verbated attitude and their previous attendance of training courses about bird and swine influenza.
Conclusion
It can be concluded that
Almost tow third of physicians and almost third of nurses had satisfactory level of knowledge regarding bird and swine influenza and this answer the first research question.
Three quarters physicians and majority of nurses had negative attitude regarding bird and swine influenza and this answer the second research question.
Majority of workers had unsatisfactory level of knowledge regarding bird influenza A (H5N1) and swine influenza A (H1N1). More than three quarters of workers had satisfactory level of knowledge regarding cleaning and disinfections of heath unit during pandemic bird and swine influenza. Majority of workers had negative attitude regarding bird and swine influenza
Level of Knowledge and verbated attitude not differed significantly according to attendance of training courses about bird and swine influenza.
Recommendations
Following based on current study finding, the recommendation can be suggested.
• Periodic educational program and training courses should be designed for health care providers’ to improve their knowledge regarding infectious diseases especially bird and swine influenza.
• A simplified and comprehensive Arabic and English books should be available for health care providers regarding bird and swine influenza.
• Developing further research on a large probability sample in various settings in order to generalize the results.
• Proper selections of workers assigned to the clinical units to insure level of education.