Effects of Safety Zone Implementation on Perceptions of Safety and Well-being When Caring for COVID-19 Patients

Author:

Skinner Claudia1,Ablir Lilian2,Bloom Todd3,Fujimoto Stacie4,Rozenfeld Yelena5,Leung Peggy6

Affiliation:

1. Claudia Skinner is director of clinical excellence, St Jude Medical Center, Fullerton, California.

2. Lilian Ablir is an infection prevention RN specialist, St Jude Medical Center.

3. Todd Bloom is an infection preventionist specialist, St Jude Medical Center.

4. Stacie Fujimoto is an infection prevention RN specialist, St Jude Medical Center.

5. Yelena Rozenfeld is director of advanced analytics and data science, St Jude Medical Center.

6. Peggy Leung is an infection prevention RN specialist, St Jude Medical Center.

Abstract

Background In March 2020, the caseload of patients positive for COVID-19 in hospitals began increasing rapidly, creating fear and anxiety among health care workers and concern about supplies of personal protective equipment. Objectives To determine if implementing safety zones improves the perceptions of safety, well-being, workflow, and teamwork among hospital staff caring for patients during a pandemic. Methods A safety zone process was implemented to designate levels of contamination risk and appropriate activities for certain areas. Zones were designated as hot (highest risk), warm (moderate risk), or cold (lowest risk). Caregivers working in the safety zones were invited to complete a survey regarding their perceptions of safety, caregiver well-being, workflow, and teamwork. Each question was asked twice to obtain caregiver opinions for the periods before and after implementation of the zones. Results Significant improvements were seen in perceptions of caregiver safety (P < .001) and collaboration within a multidisciplinary staff (P < .001). Significant reductions in perceived staff fatigue (P = .03), perceived cross contamination (P < .001), anxiety (P < .001), and fear of exposure (P < .001) were also seen. Teamwork (P = .23) and workflow (P = .69) were not significantly affected. Conclusions Safety zone implementation improved caregivers’ perceptions of their safety, their well-being, and collaboration within the multidisciplinary staff but did not improve their perceptions of teamwork or workflow.

Publisher

AACN Publishing

Subject

Critical Care Nursing,General Medicine

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