Healthcare workers' experiences protecting themselves and their families during the COVID-19 pandemic in 2020-2021.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Diana M Ceballos, Diana Vasquez, Lina M Ceballos, Julia E Noguchi, Jonathan I Levy, Jennifer Greif Green, William E Baker, Elissa M Schechter-Perkins, Jessica H Leibler
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引用次数: 0

Abstract

We characterized experiences and strategies used by frontline healthcare workers to prevent severe-acute-respiratory-syndrome-related coronavirus transmission at work and to household members during the coronavirus disease pandemic. Alongside an online questionnaire (n = 234), remote semi-structured interviews (n = 23: 15 clinicians, 8 non-clinicians) were conducted in 2021. Mitigation challenges and facilitators were identified from data to represent experiences as a process considering the before, during, and after work shifts. Journey mapping was utilized to visually describe how healthcare workers experienced the stages of the work environment, leaving work, commuting home, and the home environment, and strategies implemented to stay safe. Major facilitators included the uptake of coronavirus disease vaccines and testing, information regarding virus transmission, and adequate personal protective equipment. The most critical challenges identified included a lack of designated areas for end-of-day disinfection, changing rooms, showers, and lockers in the leaving work stage. Psychosocial and environmental factors must be considered in future hospital pandemic preparations.

医护人员在 2020-2021 年 COVID-19 大流行期间保护自己和家人的经验。
我们描述了一线医护人员在冠状病毒疾病大流行期间在工作场所和家庭成员中预防与重症急性呼吸综合征相关的冠状病毒传播的经验和策略。除了在线问卷调查(n = 234),2021 年还进行了远程半结构化访谈(n = 23:15 名临床医生,8 名非临床医生)。从数据中确定了缓解挑战和促进因素,将工作前、工作中和工作后的经历作为一个过程来体现。利用旅程图直观地描述了医护人员如何经历工作环境、下班、通勤回家和家庭环境等阶段,以及为保持安全而实施的策略。主要的促进因素包括冠状病毒疾病疫苗的接种和检测、有关病毒传播的信息以及充足的个人防护设备。所发现的最严峻挑战包括缺乏下班消毒的指定区域、更衣室、淋浴室和离岗阶段的储物柜。在未来的医院大流行准备工作中,必须考虑社会心理和环境因素。
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来源期刊
Annals Of Work Exposures and Health
Annals Of Work Exposures and Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.60
自引率
19.20%
发文量
79
期刊介绍: About the Journal Annals of Work Exposures and Health is dedicated to presenting advances in exposure science supporting the recognition, quantification, and control of exposures at work, and epidemiological studies on their effects on human health and well-being. A key question we apply to submission is, "Is this paper going to help readers better understand, quantify, and control conditions at work that adversely or positively affect health and well-being?" We are interested in high quality scientific research addressing: the quantification of work exposures, including chemical, biological, physical, biomechanical, and psychosocial, and the elements of work organization giving rise to such exposures; the relationship between these exposures and the acute and chronic health consequences for those exposed and their families and communities; populations at special risk of work-related exposures including women, under-represented minorities, immigrants, and other vulnerable groups such as temporary, contingent and informal sector workers; the effectiveness of interventions addressing exposure and risk including production technologies, work process engineering, and personal protective systems; policies and management approaches to reduce risk and improve health and well-being among workers, their families or communities; methodologies and mechanisms that underlie the quantification and/or control of exposure and risk. There is heavy pressure on space in the journal, and the above interests mean that we do not usually publish papers that simply report local conditions without generalizable results. We are also unlikely to publish reports on human health and well-being without information on the work exposure characteristics giving rise to the effects. We particularly welcome contributions from scientists based in, or addressing conditions in, developing economies that fall within the above scope.
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