Abstract
BACKGROUND: High number of nurses who infected and died from contracting covid-19 put them in a difficult situation during the covid-19. Personal protective equipment is the final line protection for nurses from the risk of Healthcare Associated Infections, while self-efficacy plays an important role in surviving from stressors during the pandemic.
 AIM: This review aims to analyze factors related to the use of personal protective equipment and nurse self-efficacy during Covid-19 pandemic.
 METHODS: A systematic and comprehensive search using Preferred Reporting Items for Systematic Reviews and Meta-Analyses with six electronic databases were used. Nine cross-sectional, three cohort and survey, one case control, one surveillance study met the inclusion criteria.
 RESULTS: From 104 articles screened, 16 articles were included in this review. The high self-protection was the main factor preventing nurses from contracting Covid-19 infection. Lack of personal protective equipment and low cautiousness was the primary factor for nurses of contracting Covid-19. Increased stress, anxiety, depressive symptoms, and insomnia were associated with nurse’s low self-efficacy.
 CONCLUSION: The best protection for nurses from Covid-19 exposure is the availability and consistent use of personal protective equipment. Moreover, the consideration for designing staff training programmes and psychological support were recommended for building nurses self-efficacy.
 
 Keywords: Health Associated Infections, Personal Protective Equipment, Nurse, Self-efficacy, Covid-19
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