Australian health care workers experience of PPE related side-effects. A cross-sectional survey

IntroductionProtection of health care workers (HCWs) is a fundamental aspect of an effective pandemic response. During the COVID-19 pandemic, frequency, and duration of Personal Protective Equipment (PPE) use increased. The experience of PPE-related side-effects has potential to contribute to decrea...

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Main Authors: Karen McKenna, Stephane Bouchoucha, Bernice Redley, Anastasia Hutchinson
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1325376/full
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author Karen McKenna
Karen McKenna
Stephane Bouchoucha
Stephane Bouchoucha
Stephane Bouchoucha
Stephane Bouchoucha
Bernice Redley
Anastasia Hutchinson
Anastasia Hutchinson
Anastasia Hutchinson
author_facet Karen McKenna
Karen McKenna
Stephane Bouchoucha
Stephane Bouchoucha
Stephane Bouchoucha
Stephane Bouchoucha
Bernice Redley
Anastasia Hutchinson
Anastasia Hutchinson
Anastasia Hutchinson
author_sort Karen McKenna
collection DOAJ
description IntroductionProtection of health care workers (HCWs) is a fundamental aspect of an effective pandemic response. During the COVID-19 pandemic, frequency, and duration of Personal Protective Equipment (PPE) use increased. The experience of PPE-related side-effects has potential to contribute to decreased compliance resulting in breaches in infection prevention and increasing risk of HCW exposure. This study aims were to measure the frequency of PPE-related side-effects amongst HCW in Australia, and to establish if an increased frequency of adverse reactions was related to the significant increase in use and extended duration of time spent in PPE.MethodsA descriptive cross-sectional survey was used.ResultsOf the 559 respondents the majority were female (83.7%), aged 31–45 years old (33.6%). A pre-existing skin condition was reported by 266 (47.6%). Frequency of PPE related side-effects were: pressure-related 401 (71.7%), skin 321 (57.4%) and respiratory 20 (3.6%). Surgical mask use was significantly associated with pre-exiting skin conditions (β = 1.494 (SE 0.186), df (1), p < 0.001). Side effects to N95 respirator use was more commonly reported by staff working in COVID-19 high-risk areas (β = 0.572 (SE 0.211), df (1), p = 0.007) independent of work duration (β = −0.056 (SE 0.075), df (1), p = 0.456), and pre-existing skin conditions (β = 1.272, (SE.198), df (1), p < 0.001).ConclusionThe COVID-19 pandemic has seen a significant increase in the use of PPE. While the preventative benefits of PPE are significant, adverse events related to PPE use are frequently reported by HCW. Findings in this study highlight the need for innovation in PPE design to maximize protection while decreasing adverse effects and maintaining adhere to use.
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spelling doaj.art-6b2df8aee78145c1a1cce1068f51ed142024-02-07T12:28:04ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-02-011210.3389/fpubh.2024.13253761325376Australian health care workers experience of PPE related side-effects. A cross-sectional surveyKaren McKenna0Karen McKenna1Stephane Bouchoucha2Stephane Bouchoucha3Stephane Bouchoucha4Stephane Bouchoucha5Bernice Redley6Anastasia Hutchinson7Anastasia Hutchinson8Anastasia Hutchinson9Deakin University Geelong, Faculty of Health, School of Nursing & Midwifery, Geelong, VIC, AustraliaDeakin University Geelong, Institute of Health Transformation, Centre for Quality & Patient Safety Research, Geelong, VIC, AustraliaDeakin University Geelong, Faculty of Health, School of Nursing & Midwifery, Geelong, VIC, AustraliaDeakin University Geelong, Institute of Health Transformation, Centre for Quality & Patient Safety Research, Geelong, VIC, AustraliaDeakin University Geelong, Centre for Innovation in Infectious Diseases and Immunology Research, Geelong, VIC, AustraliaAdjunct Faculty, Manipal College of Nursing (MCON), Manipal Academy of Higher Education (MAHE), Manipal, IndiaDeakin University Geelong, Faculty of Health, School of Nursing & Midwifery, Geelong, VIC, AustraliaDeakin University Geelong, Faculty of Health, School of Nursing & Midwifery, Geelong, VIC, AustraliaDeakin University Geelong, Institute of Health Transformation, Centre for Quality & Patient Safety Research, Geelong, VIC, AustraliaDeakin University Geelong, Centre for Innovation in Infectious Diseases and Immunology Research, Geelong, VIC, AustraliaIntroductionProtection of health care workers (HCWs) is a fundamental aspect of an effective pandemic response. During the COVID-19 pandemic, frequency, and duration of Personal Protective Equipment (PPE) use increased. The experience of PPE-related side-effects has potential to contribute to decreased compliance resulting in breaches in infection prevention and increasing risk of HCW exposure. This study aims were to measure the frequency of PPE-related side-effects amongst HCW in Australia, and to establish if an increased frequency of adverse reactions was related to the significant increase in use and extended duration of time spent in PPE.MethodsA descriptive cross-sectional survey was used.ResultsOf the 559 respondents the majority were female (83.7%), aged 31–45 years old (33.6%). A pre-existing skin condition was reported by 266 (47.6%). Frequency of PPE related side-effects were: pressure-related 401 (71.7%), skin 321 (57.4%) and respiratory 20 (3.6%). Surgical mask use was significantly associated with pre-exiting skin conditions (β = 1.494 (SE 0.186), df (1), p < 0.001). Side effects to N95 respirator use was more commonly reported by staff working in COVID-19 high-risk areas (β = 0.572 (SE 0.211), df (1), p = 0.007) independent of work duration (β = −0.056 (SE 0.075), df (1), p = 0.456), and pre-existing skin conditions (β = 1.272, (SE.198), df (1), p < 0.001).ConclusionThe COVID-19 pandemic has seen a significant increase in the use of PPE. While the preventative benefits of PPE are significant, adverse events related to PPE use are frequently reported by HCW. Findings in this study highlight the need for innovation in PPE design to maximize protection while decreasing adverse effects and maintaining adhere to use.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1325376/fullCOVID-19personal protective equipmentpandemichealthcare workersside effectspressure injuries
spellingShingle Karen McKenna
Karen McKenna
Stephane Bouchoucha
Stephane Bouchoucha
Stephane Bouchoucha
Stephane Bouchoucha
Bernice Redley
Anastasia Hutchinson
Anastasia Hutchinson
Anastasia Hutchinson
Australian health care workers experience of PPE related side-effects. A cross-sectional survey
Frontiers in Public Health
COVID-19
personal protective equipment
pandemic
healthcare workers
side effects
pressure injuries
title Australian health care workers experience of PPE related side-effects. A cross-sectional survey
title_full Australian health care workers experience of PPE related side-effects. A cross-sectional survey
title_fullStr Australian health care workers experience of PPE related side-effects. A cross-sectional survey
title_full_unstemmed Australian health care workers experience of PPE related side-effects. A cross-sectional survey
title_short Australian health care workers experience of PPE related side-effects. A cross-sectional survey
title_sort australian health care workers experience of ppe related side effects a cross sectional survey
topic COVID-19
personal protective equipment
pandemic
healthcare workers
side effects
pressure injuries
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1325376/full
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