Occupational safety and health practices among physical therapists in metro Manila during the COVID-19 pandemic: a qualitative descriptive study

Introduction: The purpose of Occupational Safety and Health (OSH) is to protect workers from risks and hazards detrimental to their health and safety. The coronavirus disease 2019 (COVID19) is currently one of the most significant occupational health outcomes to physical therapists (PTs). However, minimal studies have been conducted on the experiences and OSH practices of PTs during the pandemic. This study, therefore, aims to understand the experiences of clinical PTs in Metro Manila, Philippines during the pandemic and to explore their OSH practices and responses to presenting occupational hazards. Methods: In this qualitative descriptive study, maximum variation purposeful sampling was used in recruiting 12 participants. Data was gathered through one-to-one semi-structured online interviews, which were transcribed verbatim and recorded with audio and video. Coding was done in Google Sheets during data analysis. Emerging themes were identified using thematic inductive analysis. Results: After identifying 98 codes through transcripts of the interviews, 3 themes emerged: Period of Uncertainty, Period of Adjustment, and Period of Hopeful Prospect. Discussion: The Period of Uncertainty describes the time of surges of COVID-19 cases and series of lockdowns with minimal established protocols resulting in the challenges in the delivery of services and to the overall well-being of physical therapists. The Period of Adjustment was initiated by nationwide vaccination programs resulting in strengthening of OSH protocols. The Period of Hopeful Prospect describes the implications of the situation to both the PTs and the profession. The OSH practices of PTs varied with each period as changes occurred to their overall perceptions towards the pandemic and their personal health and safety. Findings can be considered in future formulation of OSH guidelines for potential outbreaks of infectious diseases within the practice of physical therapy.