Introduction: The COVID-19 pandemic has a serious impact on health care workers both physically and psychologically since they become more susceptible to COVID-19 infection due to frequent exposure to individuals infected by COVID-19, work pressure, inadequate conditions of protective equipment, and the accuracy of decision making. This study aims to identify factors affecting the spread of COVID-19 in hospitals.
Methods: The study used the literature review method, with article searches on five databases, namely PubMed, EBSCOhost, MEDLINE, ProQuest, and google scholar. The searching process for articles used keywords, including related word synonyms and MESH. The number of the research articles identified included PubMed, EBSCOhost, MEDLINE, ProQuest and google scholar, with 1302. The next step was to use prism chart analysis and select 15 journals that met the inclusion and predefined exclusion criteria.
Results: The research analysis results showed that the health workers who were most affected by the COVID-19 transmission were the nursing profession. Factors that influenced the message of COVID-19 in hospitals included internal factors, such as comorbidities, work experience, education and training, stress, hand hygiene, and external factors: hospital environmental design, reduction of personal protective equipment, culture and ethnicity, government policies.
Conclusion: The COVID-19 pandemic that has not ended requires changes in the design of care facilities, culture, the behavior of health workers, government policies that can break the chain of transmission of COVID-19 to health workers in hospitals.