Factors influencing uptake of protective behaviours by healthcare workers in England during the COVID-19 pandemic: A theory-based mixed-methods study
PLoS ONE,
Год журнала:
2024,
Номер
19(5), С. e0299823 - e0299823
Опубликована: Май 9, 2024
Background
Hospital
infection
control
policies
protect
patients
and
healthcare
workers
(HCWs)
limit
the
spread
of
pathogens,
but
adherence
to
COVID-19
guidance
varies.
We
examined
hospital
HCWs’
enactment
social
distancing
use
personal
protective
equipment
(PPE)
during
pandemic,
factors
influencing
these
behaviours,
acceptability
feasibility
strategies
increase
distancing.
Methods
An
online,
cross-sectional
survey
(n
=
86)
semi-structured
interviews
22)
with
HCWs
in
two
English
hospitals
first
wave
pandemic
(May-December
2020).
The
Capability,
Opportunity,
Motivation
(COM-B)
model
behaviour
change
underpinned
topic
guide
questions.
Spearman
Rho
correlations
associations
between
COM-B
domains
behaviours.
Interviews
were
analysed
using
inductive
deductive
thematic
analysis.
Potential
improve
selected
Behaviour
Change
Wheel
discussed
a
stakeholder
workshop
8
participants).
Results
Social
was
low,
85%
participants
reporting
very
frequently
or
always
being
close
contact
others
communal
areas.
PPE
high
(88%
typical
working
day).
associated
Physical
Opportunity
(e.g.,
size
physical
space),
Psychological
Capability
clarity
guidance),
support
from
managers).
Use
training),
availability),
impact
on
interactions
patients),
Reflective
beliefs
that
is
effective).
Local
champions
team
competition
viewed
as
feasible
Conclusions
It
valuable
understand
compare
drivers
individual
behaviours;
when
faced
same
level
perceived
threat,
whereas
rarely
enacted.
Identified
influences
represent
targets
for
intervention
response
future
infectious
disease
outbreaks.
Язык: Английский
The Family Doctor in the “COVID-19 Era”
Healthcare,
Год журнала:
2024,
Номер
13(1), С. 32 - 32
Опубликована: Дек. 27, 2024
The
SARS-CoV-2
virus
infection,
the
most
severe
pandemic
in
recent
human
history,
found
healthcare
systems
around
world
more
or
less
unprepared.
Adjusting
to
this
challenge
involved
changes
daily
routines
of
systems,
as
well
patients,
once
again
highlighting
importance
primary
care
(family
physician
general
practitioner).
In
context
COVID-19
pandemic,
family
doctor
Romania
played
a
crucial
role
patient
management,
rapidly
adapting
and
challenges
imposed
by
state
emergency.
Their
involvement
quickly
evolved
from
in-person
consultations
online
assessments,
they
took
on
responsibilities
such
monitoring
patients
isolation
quarantine
issuing
necessary
medical
leaves.
Moreover,
doctors
were
directly
vaccination
process,
facing
related
access
scheduling
platforms
limited
resources
protective
equipment.
Although
front
line
response,
recognition
through
incentives
compensations
came
late
incompletely,
their
efforts
combating
often
overlooked.
Designating
doctors’
offices
public
utility
units
(regardless
organisational
form)
supporting
activities
increased
equipment
devices
provided
local
central
authorities
are
keys
fighting
for
lives
critical
situations.
Implementing
clear
universal
rules
regarding
competencies
(skills)
duties
doctors,
both
normal
life
situations
exceptional
circumstances,
is
utmost
importance.
Little
known
about
dedicated
work
dedication
physicians
patients.
Few
studies
have
been
carried
out
activity
professional
difficulties
during
period.
Some
studies,
small
number
subjects,
tried
evaluate
psychological
adaptation
new
epidemiological
situation.
aim
narrative
review
highlight
which
had
adapt,
comparing
data
Romanian
system
with
those
discovered
literature
all
over
world.
Язык: Английский