Background: Many hospitals have implemented COVID-19 risk screening of staff and visitors at point of entry. Little is known about staff perspectives of the screening implementation process. Aims: To investigate the experiences of staff conducting screening at a metropolitan hospital for a novel virus with constantly evolving messaging and knowledge, and to identify potential improvements to screening procedures. Methods: An exploratory cross-sectional survey study of 65 nurses who conducted screening at the hospital. The survey contained quantitative and open-ended questions. Descriptive analyses were conducted for quantitative data. Responses from open-ended questions were analysed using thematic analysis. Findings: Few survey participants (20%) received training prior to screening and under half (47%) felt prepared. A majority of participants rated visitors and staff as often or always willing to complete screening questions and have their temperature checked. Approximately half of participants rated their overall experience of screening as positive and most (81.5%) believed the questions were successful in directing at risk people for COVID-19 testing. Themes identified were: hospital environment and screening station setup;necessity for clear information;difficulties and discomfort;and screening is valuable psychologically and for risk reduction. Discussion: Suggested improvements included training for screening staff, clearly marked screening queues, additional signage explaining requirements, mandatory temperature checking, and separate entry points for staff and visitors. Conclusion: Participants felt their overall experience of conducting screening was more positive than negative and screening provided positive psychological value for staff and visitors;however, various ways to improve screening processes for staff were identified.

中文翻译：

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COVID-19 前门筛查实施：工作人员进行筛查的经验

背景：许多医院在入境点对工作人员和访客实施了 COVID-19 风险筛查。员工对筛查实施过程的看法知之甚少。目的：调查在城市医院进行新型病毒筛查的工作人员的经验，不断发展的信息和知识，并确定筛查程序的潜在改进。方法：对在医院进行筛查的 65 名护士进行探索性横断面调查研究。该调查包含定量和开放式问题。对定量数据进行了描述性分析。使用主题分析分析开放式问题的回答。调查结果：很少有调查参与者 (20%) 在筛选前接受过培训，不到一半 (47%) 的人感到准备好了。大多数参与者认为访客和工作人员经常或总是愿意完成筛查问题并检查他们的体温。大约一半的参与者认为他们的总体筛查经验是积极的，大多数 (81.5%) 认为这些问题成功地指导了高危人群进行 COVID-19 检测。确定的主题是：医院环境和筛查站设置；需要明确的信息；困难和不适；筛查在心理上和降低风险方面很有价值。讨论：建议的改进包括对筛查人员的培训、明确标记的筛查队列、额外的标牌解释要求、强制温度检查以及工作人员和访客的单独入口点。结论：