A Pilot Study of Healthcare Workers’ Experience With Personal Protective Equipment

Abstract

Personal protective equipment (PPE) compliance in healthcare settings has continued to be an issue before and during the pandemic. The purpose of this study was to understand the overall experience of healthcare workers with PPE, including types and uses of PPE, their duties, satisfaction, and dissatisfaction with PPE. By examining the PPE design characteristics and requirements of healthcare workers, the ultimate goal is to redesign PPE to increase comfort and work efficiency. As a pilot study, one-to-one online interviews were conducted with three healthcare workers who had experience wearing PPE while working in a hospital. The transcripts were analyzed using NVivo software, and a total of 5 subgroups were created based on the 69 unique codes by grouping them into semantic units: environmental situation and characteristics, satisfaction, improvement and suggestion, issues and problems, and PPE wearing experience. Masks (N95 and surgical), eye protections (goggle and face shield), gowns, and gloves were investigated, and high risk of infection, discomfort and distrust about reusing PPE, low degree of protection, low usability, and low work efficiency were observed.

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References

Allam

(2020). Oil, Health Equipment, and Trade: Revisiting Political Economy and International Relations During the COVID-19 Pandemic. In Surveying the Covid-19 Pandemic and its Implications (pp. 119–127). Elsevier. https://doi.org/10.1016/b978-012-824313-8.00009-7

Baloh

Reisinger

H. S.

Dukes

Silva da

J. P.

Salehi

H. P.

Ward

Chasco

E. E.

Pennathur

P.R.

Herwaldt

(2019). Healthcare Workers’ Strategies for Doffing Personal Protective Equipment. Clinical Infectious Diseases, 69(Supplement_3), S192–S198. https://doi.org/10.1093/cid/ciz613

CDC. (2004). Guidance for the Selection and Use of PPE in Healthcare. Centers for Disease Control and Prevention. https://www.cdc.gov/hai/pdfs/ppe/ppeslides6-2904.pdf%0A

Creswell

J. W.

(2012). Educational Research: Planning, Conducting, and Evaluating Quantitative and Qualitative Research. In Pearson Education. https://www.pearson.com/us/highereducation/product/Creswell-Educational-ResearchPlanning-Conducting-and-Evaluating-Quantitative-andQualitative-Research-4th-Edition/9780131367395.html

Lim

E. C. H.

Seet

R. C. S.

Lee

K. H.

Wilder-Smith

E. P. V.

Chuah

B. Y. S.

Ong

B. K. C.

(2006). Headaches and the N95 face-mask amongst healthcare providers. In Acta Neurologica Scandinavica (Vol. 113, Issue 3, pp. 199–202). Wiley-Blackwell. https://doi.org/10.1111/j.1600-0404.2005.00560.x

Locatelli

S. M.

LaVela

S. L.

Gosch

(2014). Health care workers’ reported discomfort while wearing filtering face-piece respirators. Workplace Health and Safety, 62(9), 362–368. https://doi.org/10.3928/21650799-20140804-03

Loibner

Hagauer

Schwantzer

Berghold

Zatloukal

(2019). Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study. PLOS ONE, 14(1), e0210775. https://doi.org/10.1371/journal.pone.0210775

Martel

Bui-Xuan

E. F.

Carreau

A. M.

Carrier

J. D.

Larkin

É.

Vlachos-Mayer

Dumas

M. E.

(2013). Respiratory hygiene in emergency departments: Compliance, beliefs, and perceptions. American Journal of Infection Control, 41(1), 14–18. https://doi.org/10.1016/j.ajic.2011.12.019

Mayer

Korhonen

(1999). Assessment of the protection efficiency and comfort of personal protective equipment in real conditions of use. International Journal of Occupational Safety and Ergonomics, 5(3), 347–360. https://doi.org/10.1080/10803548.1999.11076425

10.

Nichol

McGeer

Bigelow

O’Brien-Pallas

Scott

Holness

D. L.

(2013). Behind the mask: Determinants of nurse’s adherence to facial protective equipment. American Journal of Infection Control, 41(1), 8–13. https://doi.org/10.1016/j.ajic.2011.12.018

11.

Ong

J. J.

Bharatendu

Goh

Tang

J. Z.

Sooi

K. W.

Tan Lin

Tan

B. Y.

Teoh

H.-L.

Ong

S. T.

Allen

D. M.

Sharma

V. K.

Ong

Bharatendu

Goh

Sooi

Tan

Teoh

Sharma

Ong

(2020). Research Submissions Headaches Associated With Personal Protective Equipment-A Cross-Sectional Study Among Frontline Healthcare Workers During COVID-19. https://doi.org/10.1111/head.13811

12.

Peeri

N. C.

Shrestha

Rahman

M. S.

Zaki

Tan

Bibi

Baghbanzadeh

Aghamohammadi

Zhang

Haque

(2020). The SARS, MERS and novel coronavirus (COVID-19) epidemics, the newest and biggest global health threats: what lessons have we learned? International Journal of Epidemiology, 49(3), 717–726. https://doi.org/10.1093/ije/dyaa033

13.

Round

Isherwood

(2020). Speech intelligibility in respiratory protective equipment - Implications for verbal communication in critical care. In Trends in Anaesthesia and Critical Care. Churchill Livingstone. https://doi.org/10.1016/j.tacc.2020.08.006

14.

Suen

L. K. P.

Guo

Y. P.

S. S. K.

Au-Yeung

C. H.

Lam

S. C.

(2020). Comparing mask fit and usability of traditional and nanofibre N95 filtering facepiece respirators before and after nursing procedures. Journal of Hospital Infection, 104(3), 336–343. https://doi.org/10.1016/j.jhin.2019.09.014

15.

WHO. (2020). Rational use of personal protective equipment for coronavirus disease (COVID-19): interim guidance2-Recommendations for optimizing the availability of PPE. WHO Guidelines, March, 1–7. https://apps.who.int/iris/bitstream/handle/10665/331498/ WHO-2019-nCoV-IPCPPE_use-2020.2-eng.pdf