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Jones AW, King BE, Cumella A, Hopkinson NS, Hurst JR, Holland AE. Use of infection control measures in people with chronic lung disease: mixed methods study. ERJ Open Res 2024; 10:00403-2023. [PMID: 38259806 PMCID: PMC10801757 DOI: 10.1183/23120541.00403-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 11/16/2023] [Indexed: 01/24/2024] Open
Abstract
Background The introduction of community infection control measures during the COVID-19 pandemic was associated with a reduction in acute exacerbations of lung disease. We aimed to understand the acceptability of continued use of infection control measures among people with chronic lung disease and to understand the barriers and facilitators of use. Methods Australian adults with chronic lung disease were invited to an online survey (last quarter of 2021) to specify infection control measures they would continue themselves post-pandemic and those they perceived should be adopted by the community. A subset of survey participants were interviewed (first quarter of 2022) with coded transcripts deductively mapped to the COM-B model and Theoretical Domains Framework. Results 193 people (COPD 84, bronchiectasis 41, interstitial lung disease 35, asthma 33) completed the survey. Physical distancing indoors (83%), handwashing (77%), and avoidance of busy places (71%) or unwell family and friends (77%) were measures most likely to be continued. Policies for the wider community that received most support were those during the influenza season including hand sanitiser being widely available (84%), wearing of face coverings by healthcare professionals (67%) and wearing of face coverings by the general population on public transport (66%). Barriers to use of infection control measures were related to physical skills, knowledge, environmental context and resources, social influences, emotion, beliefs about capabilities and beliefs about consequences. Conclusions Adults with chronic lung diseases in Australia are supportive of physical distancing indoors, hand hygiene, and avoidance of busy places or unwell family and friends as long-term infection control measures.
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Affiliation(s)
- Arwel W. Jones
- Respiratory Research@Alfred, Monash University, Melbourne, Australia
| | - Bill E. King
- Respiratory Research@Alfred, Monash University, Melbourne, Australia
| | | | | | - John R. Hurst
- UCL Respiratory, University College London, London, UK
| | - Anne E. Holland
- Respiratory Research@Alfred, Monash University, Melbourne, Australia
- Physiotherapy Department, Alfred Health, Melbourne, Australia
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Tsang CC, Holroyd-Leduc JM, Ewa V, Conly JM, Leslie MM, Leal JR. Barriers and Facilitators to the Use of Personal Protective Equipment in Long-Term Care: A Scoping Review. J Am Med Dir Assoc 2023; 24:82-89.e2. [PMID: 36473522 DOI: 10.1016/j.jamda.2022.11.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 11/16/2022] [Accepted: 11/17/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE To review existing literature evaluating barriers and facilitators to the use of personal protective equipment (PPE) by health care workers in long-term care (LTC). DESIGN Scoping review. SETTING AND PARTICIPANTS Health care workers in LTC settings. METHODS Several online databases were searched and a gray literature search was conducted. Study inclusion criteria were (1) conducted in nursing homes or LTC settings, (2) focused on LTC health care workers as the study population, and (3) identified barriers and/or facilitators to PPE use. The Theoretical Domains Framework (TDF), which assesses barriers to implementation across 14 behavioral change domains, was used to extract and organize data about barriers and facilitators to appropriate use of PPE from the included studies. RESULTS A total of 5216 references were screened for eligibility and 10 studies were included in this review. Eight of the 10 studies were conducted during the COVID-19 pandemic. Several barriers and facilitators to PPE use were identified. The most common TDF domain identified was environmental context and resources, which was observed in 9 of the 10 studies. Common barriers to PPE use included supply issues (n = 7 studies), the cost of acquisition (n = 3 studies), unclear guidelines on appropriate use of PPE (n = 2 studies), difficulty providing care (n = 2 studies), and anxiety about frightening patients (n = 2 studies). Having PPE readily available facilitated the use of PPE (n = 2 studies). CONCLUSIONS AND IMPLICATIONS Further research is necessary to identify barriers and facilitators more extensively across behavior change domains to develop effective strategies to improve PPE use and prevent infection transmission within LTC.
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Affiliation(s)
- Christian C Tsang
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
| | - Jayna M Holroyd-Leduc
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Department of Medicine, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada
| | - Vivian Ewa
- Department of Family Medicine, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada
| | - John M Conly
- Department of Medicine, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada; Infection Prevention and Control, Alberta Health Services, Calgary, Alberta, Canada
| | - Myles M Leslie
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
| | - Jenine R Leal
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Infection Prevention and Control, Alberta Health Services, Calgary, Alberta, Canada
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Hijab or Niqab Interacts with Facemasks Usage at Healthcare Settings in Kabul, Afghanistan: A Multi-Center Observational Study. Healthcare (Basel) 2022; 10:healthcare10101946. [PMID: 36292393 PMCID: PMC9601979 DOI: 10.3390/healthcare10101946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 09/29/2022] [Accepted: 10/01/2022] [Indexed: 11/16/2022] Open
Abstract
Purpose: We aimed to understand the extent of facemask usage resulting from the third wave of the COVID-19 pandemic in an Afghan context. In Afghanistan, new COVID-19 variants, low vaccination rates, political turmoil, and poverty interact not only with the third wave of the COVID-19 pandemic but also with facemask usage. Methods: We collected data (n = 1970) by visually observing the usage and type of facemasks used among visitors entering healthcare facilities in Kabul. We conducted an observational study observing the use of facemasks among 1279 men and 691 women. Results: While 71% of all participants adhered to wearing facemasks, 94% of these users wore surgical masks, and 86% wore all types of facemasks correctly. Interestingly, women adhered to wearing facemasks more than men. Specifically, of all the participants who were not wearing masks, 20% were men, and only 8% were women. Even though men were more in number in our study (64.9%), women have a higher adherence rate to wearing facemasks than men. Conclusions: We conclude that gender socialization and expectations of women to wear the niqab or hijab interact with their adherence to wearing facemasks. Additionally, since Afghanistan is one of the poorest countries in the world, which has witnessed a considerable period of political turmoil, we spotlight that our findings are rare in scholarship as they represent a distinct non-Western Islamic society with a low scale of COVID-19 vaccination. Therefore, more research is needed to assess the general population's socioeconomic and geopolitical barriers to facemask use, given that Afghanistan is an underrepresented social context. Our findings are expected to aid health policymakers in developing novel prevention strategies for the country.
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Omura M, Stone T. Editorial: Facemasks revisited: what should health professionals be telling the public now about the use of masks? Nurs Health Sci 2022; 24:531-534. [PMID: 35909241 PMCID: PMC9353413 DOI: 10.1111/nhs.12977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 07/04/2022] [Accepted: 07/14/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Mieko Omura
- School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, The University of Newcastle, University Drive, Callaghan, New South Wales, Australia
| | - Teresa Stone
- Yamaguchi University, Faculty of Medicine and Health Sciences, Yamaguchi University, 1-1-1, Minami Kogushi, Ube City, Japan
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Baez‐Leon C, Palacios‐Ceña D, Fernandez‐de‐las‐Peñas C, Velarde‐García JF, Rodríguez‐Martínez MÁ, Arribas‐Cobo P. A qualitative study on a novel peer collaboration care programme during the first COVID-19 outbreak: A SWOT analysis. Nurs Open 2021; 9:765-774. [PMID: 34773372 PMCID: PMC8661913 DOI: 10.1002/nop2.1128] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 09/16/2021] [Accepted: 10/14/2021] [Indexed: 12/23/2022] Open
Abstract
The pandemic has forced nursing teams to incorporate new programmes that modify the organization of care and the use of material resources. AIMS The purpose of this study was to describe the perspectives of the nursing team about the strengths/opportunities and weaknesses/threats of a novel peer collaboration care programme during the first outbreak of the pandemic. DESIGN A qualitative case study with focus groups was conducted in June 2020. METHODS We included 23 participants (seven nurses, seven assistant nursing care technicians and nine charge nurses). Thematic and strengths/opportunities and weaknesses/threats analysis were performed. RESULTS The strengths of the peer collaboration care programme are the optimization of care and protective equipment. Its weaknesses are that veteran nurses carry the entire burden, and the lack of personal protective equipment makes it difficult to implement the peer collaboration care programme. Finally, misinformation, lack of facilities and time to teach the peer collaboration care programme are considered threats. CONCLUSION This strengths/opportunities and weaknesses/threats analysis has led to a comprehensive new project to improve the nursing care. IMPACT The incorporation of the peer collaboration care programme contributed to the development of new organizational and management programmes for the COVID-19 pandemic. This study has gave empirical evidence to nurses and care managers to optimize and organize care, work, human and material resources during the pandemic.
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Affiliation(s)
- Carmen Baez‐Leon
- Department of NursingHospital Universitario Infanta LeonorMadrid Health ServiceMadridSpain
- Department of NursingUniversidad Complutense de MadridMadridSpain
| | - Domingo Palacios‐Ceña
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and RehabilitationResearch Group of Humanities and Qualitative Research in Health Science (Hum&QRinHS)Universidad Rey Juan CarlosAlcorcónSpain
| | - Cesar Fernandez‐de‐las‐Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and RehabilitationResearch Group of Manual Therapy, Dry Needling and Therapeutic Exercise (GITM‐URJC)Universidad Rey Juan CarlosAlcorcónSpain
| | - Juan Francisco Velarde‐García
- Department of NursingResearch Nursing Group of Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM)MadridSpain
- Department of NursingRed Cross College of NursingUniversidad Autónoma de MadridMadridSpain
| | | | - Patricia Arribas‐Cobo
- Department of NursingHospital Universitario Infanta LeonorMadrid Health ServiceMadridSpain
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Kwok APK, Yan M, Huang YT, Gao C, Li WZ. What shapes people's willingness to wear a face mask at the beginning of a public health disaster? A qualitative study based on COVID-19 in China. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2021; 65:102577. [PMID: 34540576 PMCID: PMC8440317 DOI: 10.1016/j.ijdrr.2021.102577] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 07/24/2021] [Accepted: 09/13/2021] [Indexed: 05/09/2023]
Abstract
COVID-19 should not be the world's last public health disaster, so there is an urgent need to learn from COVID-19 to prepare better for the next public health disaster. This study aims to understand the factors that make people wear a face mask at the beginning of an outbreak of public health disaster. Semi-structured interviews were conducted during April 2020 in China, one month after the COVID-19 was declared a pandemic. The respondents were members of the public living in China, covering two age groups: young adults and older adults. They were recruited using a convenient sample and snowball sampling strategy. The results were analysed using content analysis. Seventeen subjects were recruited, among which nine were young adults (average age = 26.4; SD = 10.5), and eight were older adults (average age = 60.4; SD = 12.1). This study found that environmental factors, personal factors, factors concerning wearing masks, specific circumstances, and development of the pandemic were the common factors considered by both young adults and older adults. This study should help the authority formulate prevention policies better to reduce the risk of an outbreak if there is a new virus outbreak in the future, unfortunately.
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Affiliation(s)
- Alex Pak Ki Kwok
- Department of Applied Data Science, Hong Kong Shue Yan University, Hong Kong SAR
- School of Intelligent Systems Science and Engineering, Jinan University, China
| | - Mian Yan
- School of Intelligent Systems Science and Engineering, Jinan University, China
- Institute of Physical Internet, Jinan University, China
| | - Ying Ting Huang
- School of Intelligent Systems Science and Engineering, Jinan University, China
| | - Chang Gao
- School of Intelligent Systems Science and Engineering, Jinan University, China
| | - Wen Zhuo Li
- School of Intelligent Systems Science and Engineering, Jinan University, China
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Omura M, Stone TE, Petrini MA, Cao R. Nurses' health beliefs about paper face masks in Japan, Australia and China: a qualitative descriptive study. Int Nurs Rev 2020; 67:341-351. [PMID: 32686094 PMCID: PMC7404493 DOI: 10.1111/inr.12607] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 06/04/2020] [Accepted: 06/09/2020] [Indexed: 12/23/2022]
Abstract
Aim To explore the health beliefs of clinical and academic nurses from Japan, Australia and China regarding wearing paper masks to protect themselves and others, and to identify differences in participants' health beliefs regarding masks. Background The correct use of face masks and consensus among health professionals across the globe is essential for containing pandemics, and nurses need to act according to policy to protect themselves, educate the public and preserve resources for frontline health workers. Paper masks are worn by health professionals and the general public to avoid the transmission of respiratory infections, such as COVID‐19, but there appear to be differences in health beliefs of nurses within and between countries regarding these. Methods This qualitative descriptive study used content analysis with a framework approach. Findings There were major differences in nurse participants’ beliefs between and within countries, including how nurses use paper masks and their understanding of their efficacy. In addition, there were cultural differences in the way that nurses use masks in their daily lives and nursing practice contexts. Conclusion Nurses from different working environments, countries and areas of practice hold a variety of health beliefs about mask wearing at the personal and professional level. Implications for nursing policy and health policy The COVID‐19 pandemic has sparked much discussion about the critical importance of masks for the safety of health professionals, and there has been considerable discussion and disagreement about health policies regarding mask use by the general public. Improper use of masks may have a role in creating mask shortages or transmitting infections. An evidence‐based global policy on mask use for respiratory illnesses for health professionals, including nurses, and the general public needs to be adopted and supported by a wide‐reaching education campaign.
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Affiliation(s)
- M Omura
- Faculty of Health and Medicine, School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW, Australia
| | - T E Stone
- Faculty of Health and Medicine, School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW, Australia.,Faculty of Medicine and Health Sciences, Yamaguchi University, Ube City, Japan
| | - M A Petrini
- Faculty of Nursing, Chiang Mai University, Mueang Chiang Mai District, Chiang Mai, Thailand
| | - R Cao
- Nursing Department, Zhongnan Hospital of Wuhan University, Wuhan, China
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