Attitudes of Healthcare Professionals Toward the Prevention and Treatment of COVID-19 After the Outbreak
Keywords:
attitude, healthcare professionals, after the COVID-19 outbreakAbstract
Background and Objective: Coronavirus disease 2019 (COVID‐19) continues to pose a significant health concern that requires ongoing vigilance. However, data on the attitudes of healthcare professionals (HCPs) post-pandemic remain limited. This study aims to explore the attitudes of HCPs and the factors associated with these attitudes.
Methods: A cross-sectional descriptive study was conducted at Srinagarind Hospital, Queen Sirikit Heart Center of Northeastern, and Sawangdandin Crown Prince Hospital over two months. A total of 668 participants were selected using a purposive sampling method. The questionnaire used a 5-point scale to rate opinions. The total attitude scores were classified into three categories: low, moderate, and high.
Results: The majority of respondents were nurses, comprising 69.5%, followed by physicians and pharmacists (20.9% and 9.6%, respectively). Most had a moderate attitude towards COVID-19 prevention and treatment after the outbreak (71.7%). A large proportion agreed that consultations on disease, medication, and vaccines against COVID-19 were beneficial to patients (89.1%), with 85.3% supporting regular medication counseling to improve patient care. Additionally, 80.5% recognized that improved screening and surveillance systems helped reduce the risk of COVID-19 infection. Multiple logistic regression analysis showed that attending COVID-19 training or conferences three or more times was independently associated with attitudes toward prevention and treatment in the post-pandemic period (AOR= 2.67, 95% CI: 1.56-4.56)
Conclusion: Most HCPs have a moderate attitude. Promoting COVID-19 training or conferences is a key factor in enhancing positive attitudes and improving work performance.
References
Wang L, Wang Y, Ye D, Liu Q. Review of the 2019 novel coronavirus (SARS-CoV-2) based on current evidence. Int J Antimicrob Agents 2020;55(6):105948–55. doi:10.1016/j.ijantimicag.2020.105948
World Health Organization. WHO COVID-19 dashboard [Internet]. 2024 [cited Nov 26, 2024]. Available from: https://data.who.int/dashboards/covid19/cases?n=o
Ministry of Public Health. DDC COVID-19 interactive dashboard [Internet]. 2024 [cited Nov 26, 2024]. Available from: https://ddc.moph.go.th/covid19-dashboard/
United Nations (UN). WHO chief declares end to COVID-19 as a global health emergency [Internet]. 2024 [cited Jun 3, 2024]. Available from: https://news.un.org/en/story/2023/05/1136367
Drug and Medical Supply Information Center, Ministry of Public Health. Plan and measures for managing the COVID-19 situation towards an endemic disease. [Internet]. 2025 [cited 2023 Apr 16]. Available from: http://dmsic.moph.go.th/index/detail/8962
Han Y, Guo J, Li X, Zhong Z. Differences in clinical characteristics between coronavirus disease 2019 (COVID-19) and influenza: a systematic review and meta-analysis. NPJ Prim Care Respir Med 2025;35(1):8–20. doi:10.1038/s41533-025-00414-0
Department of Medical Services. Clinical practice guidelines for diagnosis, treatment, and prevention of hospital-acquired infections in the case of coronavirus disease 2019 (COVID-19) for physicians and healthcare professionals [Internet]. 2025 [cited Feb 27, 2023]. Available from: https://covid19.dms.go.th/Content/Select_Landding_page?contentId=180
Hou Y, Gu T, Ni Z, Shi X, Ranney ML, Mukherjee B. Global prevalence of long COVID, its subtypes and risk factors: an updated systematic review and meta-Analysis. medRxiv (preprint) 2025;2025.01.01.24319384. doi:10.1101/2025.01.01.24319384
Lopez-Leon S, Wegman-Ostrosky T, Perelman C, Sepulveda R, Rebolledo PA, Cuapio A, et al. More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Sci Rep 2021;11(1):16144. doi:10.1038/s41598-021-95565-8
Bliddal S, Banasik K, Pedersen OB, Nissen J, Cantwell L, Schwinn M, et al. Acute and persistent symptoms in non-hospitalized PCR-confirmed COVID-19 patients. Sci Rep 2021;11(1):13153. doi:10.1038/s41598-021-92045-x
Abdelrahman MM, Abd-Elrahman NM, Bakheet TM. Persistence of symptoms after improvement of acute COVID19 infection, a longitudinal study. J Med Virol 2021;93(10):5942–6. doi:10.1002/jmv.27156
Raudenská J, Steinerová V, Javůrková A, Urits I, Kaye AD, Viswanath O, et al. Occupational burnout syndrome and post-traumatic stress among healthcare professionals during the novel coronavirus disease 2019 (COVID-19) pandemic. Best Pract Res Clin Anaesthesiol 2020;34(3):553–60. doi:10.1016/J.BPA.2020.07.008
Mohammed Basheeruddin Asdaq S, Alshrari AS, Imran M, Sreeharsha N, Sultana R. Knowledge, attitude and practices of healthcare professionals of Riyadh, Saudi Arabia towards covid-19: a cross-sectional study. Saudi J Biol Sci 2021;28(9):5275–82. doi:10.1016/j.sjbs.2021.05.036
McEachan R, Taylor N, Harrison R, Lawton R, Gardner P, Conner M. Meta-analysis of the reasoned action approach (RAA) to understanding health behaviors. Annals of Behavioral Medicine 2016;50(4):592–612. doi:10.1007/s12160-016-9798-4
Shampile JN, Lingenda G, Zambwe M, Chipimo PJ. Knowledge, attitudes and practice among healthcare workers towards covid-19 preventive measures at women and new-born hospital, university teaching hospital, Lusaka, Zambia. medRxiv (preprint) 2021. doi:10.1101/2021.12.20.21267829
Adam AM. Sample size determination in survey research. J Sci Res Rep 2020;26(5):90–7. doi:10.9734/jsrr/2020/v26i530263
Papagiannis D, Malli F, Raptis DG, Papathanasiou IV, Fradelos EC, Daniil Z, et al. Assessment of knowledge, attitudes, and practices towards new coronavirus (SARS-CoV-2) of health care professionals in Greece before the outbreak period. Int J Environ Res Public Health 2020;17(14):4925. doi:10.3390/IJERPH17144925
Olum R, Chekwech G, Wekha G, Nassozi DR, Bongomin F. Coronavirus disease-2019: knowledge, attitude, and practices of health care workers at Makerere university teaching hospitals, Uganda. Front Public Health 2020;8:181. doi:10.3389/FPUBH.2020.00181
Huynh G, Nguyen T, Tran V, Vo K, Vo V, Pham L. Knowledge and attitude toward COVID-19 among healthcare workers at district 2 hospital, Ho Chi Minh City. Asian Pac J Trop Med 2020;13(6):260–5. doi:10.4103/1995-7645.280396
Muhammad K, Saqlain M, Muhammad G, Hamdard A, Naveed M, Butt MH, et al. Knowledge, attitude, and practices (KAPs) of community pharmacists regarding COVID-19: a cross-sectional survey in 2 provinces of Pakistan. Disaster Med Public Health Prep 2022;16(5):1864-72. doi:10.1017/DMP.2021.54
Nepal R, Sapkota K, Adhikari K, Paudel P, Adhikari B, Paudyal N, et al. Knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, Nepal. Journal of Chitwan Medical College 2020;10(33):98-102.
Tegegne GT, Kefale B, Engidaw MT, Degu A, Tesfa D, Ewunetei A, et al. Knowledge, attitude, and practice of healthcare providers toward novel coronavirus 19 during the first months of the pandemic: a systematic review. Front Public Health 2021;9:606666. doi:10.3389/fpubh.2021.606666.
Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S, Ahmed Z, et al. Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. J Hosp Infect 2020;105(3):419-23. doi:10.1016/J.JHIN.2020.05.007
Basheti IA, Nassar R, Barakat M, Alqudah R, Abufarha R, Mukattash TL, et al. Pharmacists’ readiness to deal with the coronavirus pandemic: assessing awareness and perception of roles. Res Social Adm Pharm 2021;17(3):514–22. doi:10.1016/J.SAPHARM.2020.04.020
Okonkwo R, Okunoye O, Oyedele O, Edun M, Ezenwelu U, Aminu-Alhaji A, et al. Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022. BMJ Public Health 2025;3(1): e001307. doi:10.1136/bmjph-2024-001307
Hatami H, Kolahi AA, Ghamari SH, Abbasi-Kangevari M. Knowledge, attitudes, and practices about COVID-19 among healthcare workers in Iran during the first wave of the pandemic. Front Public Health 2022;10:827817. doi:10.3389/FPUBH.2022.827817
Kamacooko O, Kitonsa J, Bahemuka UM, Kibengo FM, Wajja A, Basajja V, et al. Knowledge, attitudes, and practices regarding covid-19 among healthcare workers in uganda: a cross-sectional survey. Int J Environ Res Public Health 2021;18(13):7004. doi:10.3390/ijerph18137004
Al Marzouqi AM, Otim ME, Kehail LS, Kamal RA. Knowledge, attitudes, and practices of healthcare workers towards COVID-19 patients in the United Arab Emirates: a cross-sectional study. BMC Health Serv Res 2023;23(1):252. doi:10.1186/s12913-023-09215-y.
Qadah T. Knowledge and attitude among healthcare workers towards COVID-19: a cross sectional study from Jeddah city, Saudi Arabia. J Infect Dev Ctries 2020;14(10):1090–7. doi:10.3855/jidc.13083
Gopalakrishnan S, Kandasamy S, Abraham B, Senthilkumar M, Almohammed OA. Knowledge, attitude, and practices associated with COVID-19 among healthcare workers in hospitals: a cross-sectional study in India. Front Public Health 2021;9:787845. doi:10.3389/FPUBH.2021.787845
Thomas CM, Searle K, Galván A, Liebman AK, Mann EM, Kirsch JD, et al. Healthcare worker perspectives on COVID-19 vaccines: implications for increasing vaccine acceptance among healthcare workers and patients. Vaccine 2022;40(18):2612–8. doi:10.1016/j.vaccine.2022.03.011
Burrowes SAB, Casey SM, Dobbins S, Hall T, Ma M, Bano R, et al. Healthcare workers’ perspectives on the COVID-19 vaccine and boosters for themselves, their patients, and their communities: a mixed methods study. Z Gesundh Wiss 2022:1-14. doi:10.1007/s10389-022-01793-1.
Centers for Disease Control and Prevention U.S. Benefits of getting COVID-19 vaccinated [Internet]. 2025. [cited Mar 15, 2025]. Available from: https://www.cdc.gov/covid/vaccines/benefits.html
Henry DA, Jones MA, Stehlik P, Glasziou PP. Effectiveness of COVID‐19 vaccines: findings from real world studies. Med J Aust 2021;215(4):149–51. doi:10.5694/MJA2.51182
Almohammed OA, Aldwihi LA, Alragas AM, Almoteer AI, Gopalakrishnan S, Alqahtani NM. Knowledge, attitude, and practices associated with COVID-19 among healthcare workers in hospitals: a cross-sectional study in Saudi Arabia. Front Public Health 2021;9:643053. doi:10.3389/fpubh.2021.643053
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Srinagarind Medical Journal

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
