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Barriers and facilitators to the use of personal protective equipment in long-term care: a qualitative study
Christian C Tsang1, Jayna M Holroyd-Leduc2, Vivian Ewa3
1Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Background:
Long-term care (LTC) residents are vulnerable to invasive infection. Appropriate use and training on personal protective equipment (PPE) is important for protecting residents and healthcare workers (HCWs). Studies on the barriers and facilitators to PPE use are limited in LTC settings.
Aim:
To characterize HCWs' perceptions of barriers and facilitators to the uptake and appropriate use of PPE in LTC facilities in Calgary, Alberta.
Methods:
Semi-structured interviews were conducted with HCWs from April to October 2022. Interview transcripts were analysed deductively to identify themes from the Theoretical Domains Framework.
Findings:
Seven HCWs were interviewed. Barriers and facilitators fell within six overarching themes including: availability and quality of PPE; knowing how to use PPE; familial obligations; convenience and comfort; sense of professional duty; and social influences and identity. Additional factors such as understaffing and the need for more training sessions were highlighted. Strategies to improve PPE use were identified by HCWs, including the use of PPE champions, regular audits, and constructive feedback.
Conclusion:
Identification of unique barriers and facilitators regarding PPE use by HCWs in LTC will facilitate targeted interventions to improve PPE use in this setting.
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