A qualitative study of factors affecting personal protective equipment use among health care personnel

Harrod, Molly; Weston, Lauren E.; Gregory, Lynn; Petersen, Laura; Mayer, Jeanmarie; Drews, Frank A.; Krein, Sarah L.

doi:10.1016/j.ajic.2019.08.031

Cited by 35 publications

(42 citation statements)

References 23 publications

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“…Several studies have focused on the use of PPE [45][46][47][48]. Both individual and organizational factors can affect whether workers use PPE or not.…”

Section: Discussionmentioning

confidence: 99%

“…Underestimating work hazards, over-confidence with routine tasks and increased workload may also discourage workers from PPE compliance. Organisational factors, such as prioritising safety and the importance and value the organization places on safety within the workplace influence the use of PPE [ 9 , 46 ]. It is also imperative that employers provide high-quality PPE that meets recognised standards [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

et al. 2020

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Background: The petrochemical industry is hazardous, in part because of the inherently dangerous nature of the work conducted, and incidents frequently result in significant financial and social losses. The most common immediate cause of incidents and injuries in this industry is unsafe worker behaviour. Identifying the factors encouraging unsafe work behaviours is the first step in taking action to discourage them. The aim of this study was to (a) explore workers', supervisors' and safety managers' attitudes and perceptions of safety in a petrochemical company in Iran, and (b) identify the factors that discourage safe work behaviours. Methods: A qualitative study was conducted by applying the steps described by Graneheim and Lundman (2004). Twenty participants were recruited from an Iranian petrochemical company using a multi-stage approach, with initial purposive sampling followed by snowball sampling to enhance recruitment. Individual face-to-face and semistructured interviews were conducted to gain an in-depth understanding of factors acting as barriers to safe behaviour. The interviews were recorded and transcribed in Persian and then translated into English. Conventional content analysis was performed. Results: The main themes emerging from the interviews were: (i) poor direct safety management and supervision; (ii) unsafe workplace conditions; (iii) workers' perceptions, skills and training; and (iv) broader organisational factors. Conclusions: The findings give insights into practical organisational measures that can be implemented by management to promote workers' commitment to safety and engage in safe behaviours in their workplace. Trial registration: Iranian Registry of Clinical Trials: IRCT20170515033981N2. Retrospectively registered 19 June 2018.

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“…Several studies have focused on the use of PPE [45][46][47][48]. Both individual and organizational factors can affect whether workers use PPE or not.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Several studies have focused on the use of PPE [44][45][46][47]. Both individual and organizational factors can affect whether workers use PPE or not.…”

Section: Discussionmentioning

confidence: 99%

“…Underestimating work hazards, over-con dence with routine tasks and increased workload may also discourage workers from PPE compliance. Organisational factors, such as prioritising safety and the importance and value the organization places on safety within the workplace in uence the use of PPE [9,45]. It is also imperative that employers provide high-quality PPE that meets recognised standards [48].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with unsafe work behaviours in an Iranian petrochemical company: Perspectives of workers, supervisors, and safety managers

Harsini

Ghofranipour

Sanaeinasab

et al. 2020

Preprint

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Background: The petrochemical industry is hazardous, in part because of the inherently dangerous nature of the work conducted, and incidents frequently result in significant financial and social losses. The most common immediate cause of incidents and injuries in this industry is unsafe worker behaviour. Identifying the factors encouraging unsafe work behaviours is the first step in taking action to discourage them. The aim of this study was to (a) explore workers', supervisors' and safety managers' attitudes and perceptions of safety in a petrochemical company in Iran, and (b) identify the factors that discourage safe work behaviours. Methods: A qualitative study was conducted by applying the steps described by Graneheim and Lundman (2004). Twenty participants were recruited from an Iranian petrochemical company using a multi-stage approach, with initial purposive sampling followed by snowball sampling to enhance recruitment. Individual face-to-face and semi-structured interviews were conducted to gain an in-depth understanding of factors acting as barriers to safe behaviour. The interviews were recorded and transcribed in Persian and then translated into English. Conventional content analysis was performed. Results: The main themes emerging from the interviews were: (i) poor direct safety management and supervision; (ii) unsafe workplace conditions; (iii) workers' perceptions, skills and training; and (iv) broader organisational factors. Conclusions: The findings give insights into practical organisational measures that can be implemented by management to promote workers’ commitment to safety and engage in safe behaviours in their workplace. Trial registration: Iranian Registry of Clinical Trials: IRCT20170515033981N2. Registered 19 June 2018.

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“…More broadly, it is well established that health care worker compliance with recommended PPE is not consistent and that PPE is often donned and doffed incorrectly when worn; surveys revealed gaps in understanding and inconsistent implementation. 2,3 In the absence of formal teaching, medical students learn about PPE on the job and by example and are therefore frequently modeling suboptimal techniques.…”

Section: Introductionmentioning

confidence: 99%

Infectious Diseases Simulation for Medical Students: Experiential Instruction on Personal Protective Equipment

Villamagna

Bonura

2020

MedEdPORTAL

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Introduction: The emergence of COVID-19 highlighted the critical importance of appropriate use of personal protective equipment (PPE) for the safety of patients and health care personnel. However, previously published survey data indicated that formal instruction on the correct utilization of PPE is uncommon in medical school curricula, and there is no published guidance about optimal instruction methods. The infectious disease (ID) simulation lab at Oregon Health & Science University filled this need. Methods: Second-through fourth-year medical students participated in the infection intersession, a 2-week didactic session that students were required to enroll in once during their clinical rotations. As part of the course, students completed the ID simulation lab, during which they were presented with common ID syndromes (suspected tuberculosis, C. difficile colitis, and neutropenic fever) and asked to select the proper PPE prior to interacting with standardized patients. ID physicians acted as the patients and then conducted feedback sessions, which focused on PPE choice, donning and doffing techniques, and ID diagnosis and management principles. Results: More than 500 medical students participated between 2016 and 2020, demonstrating the feasibility of the experience. The average exam scores were above 80%, and the average student evaluation score of the session was 8.9 out of 10, demonstrating acceptability. Discussion: The ID simulation lab allowed students to reinforce didactic teaching about PPE, dispel common misconceptions, and receive real-time feedback from ID clinicians. Availability of the lab and facilitators were limiting factors. Future work will focus on better understanding the efficacy of the sessions.

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A qualitative study of factors affecting personal protective equipment use among health care personnel

Cited by 35 publications

References 23 publications

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

Factors associated with unsafe work behaviours in an Iranian petrochemical company: perspectives of workers, supervisors, and safety managers

Factors associated with unsafe work behaviours in an Iranian petrochemical company: Perspectives of workers, supervisors, and safety managers

Infectious Diseases Simulation for Medical Students: Experiential Instruction on Personal Protective Equipment

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