In their own words: a qualitative survey of healthcare providers’ experiences with personal protective equipment during the COVID-19 pandemic

Author:

Becene Iris1ORCID,Shah Aarushi2,Nguyen Katie3,West Madeline4,Berrill Jane15,Stuart Jennifer16,Borba Christina7,Rich-Edwards Janet16

Affiliation:

1. Division of Women’s Health, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School , United States

2. Columbia University Irving Medical Center, Sociomedical Sciences , 722 West 168th Street, New York, NY 10032-3784 , United States

3. Harvard College , Cambridge, MA , United States

4. New York University, School of Global Public Health , New York, NY , United States

5. Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School , United States

6. Department of Epidemiology, Harvard T.H. Chan School of Public Health , United States

7. Boston University School of Medicine Boston , MA , United States

Abstract

Abstract Background At the beginning of the coronavirus disease (COVID-19) pandemic, healthcare personnel (HCP) faced a dire shortage of personal protective equipment (PPE). This shortage has been identified as a major source of distress among HCP during the early COVID-19 pandemic, though the specific consequences of this shortage have not been identified in the qualitative literature. Methods We sought to fill this gap by conducting a qualitative analysis of PPE related free-text comments from online surveys completed by 923 HCP during Spring 2020. Results We found that HCP used words such as “required” and “had” to describe how their use of non-standard PPE was imposed on them by their workplace, suggesting that they felt little control over their protection at work. HCP described cleaning PPE with novel methods, such as bleach, alcohol, hydrogen peroxide, and UV light, in addition to creating their own PPE out of materials such as garbage bags, sheets, and cloth. Furthermore, HCP expressed frustration with PPE policies at their workplaces, which continued throughout the early pandemic due to the rapidly changing guidelines and the inability to express their opinions to their institutions. The combination of these concerns left HCP scared of being infected with COVID-19 while at work and subsequently infecting their loved ones at home. Conclusion It is critical that healthcare institutions understand HCP’s experiences with and feelings towards PPE, as providing the proper protection is vital in ensuring an adequate HCP workforce.

Funder

National Institute for Occupational Safety and Health

National Institutes of Health

Publisher

Oxford University Press (OUP)

Reference44 articles.

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3. Anxiety, trauma and well-being in health-care professionals during COVID-19 first wave in Spain: the moderating role of personal protection equipment availability;Bajo,2021

4. Origin, methods, and evolution of the three nurses’ health studies;Bao,2016

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