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    Access to personal protective equipment in healthcare workers during the COVID-19 pandemic in the United Kingdom: results from a nationwide cohort study (UK-REACH)

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    Martin et al 2022 867.pdf
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    Author
    Martin, Christopher
    Pan, Daniel
    Nazareth, Joshua
    Carr, Sue
    Pareek, Manish
    Simpson, Sandra
    Keyword
    COVID-19
    Personal protective equipment
    Healthcare workers
    United Kingdom
    Pandemic
    Ethnicity
    Health personnel
    Epidemiology
    Ethnic groups
    
    Metadata
    Show full item record
    DOI
    10.1186/s12913-022-08202-z
    Publisher's URL
    https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08202-z
    Abstract
    Background: Healthcare workers (HCWs) are at high risk of SARS-CoV-2 infection. Effective use of personal protective equipment (PPE) reduces this risk. We sought to determine the prevalence and predictors of self-reported access to appropriate PPE (aPPE) for HCWs in the UK during the COVID-19 pandemic. Methods: We conducted cross sectional analyses using data from a nationwide questionnaire-based cohort study administered between December 2020-February 2021. The outcome was a binary measure of self-reported aPPE (access all of the time vs access most of the time or less frequently) at two timepoints: the first national lockdown in the UK in March 2020 (primary analysis) and at the time of questionnaire response (secondary analysis). Results: Ten thousand five hundred eight HCWs were included in the primary analysis, and 12,252 in the secondary analysis. 35.2% of HCWs reported aPPE at all times in the primary analysis; 83.9% reported aPPE at all times in the secondary analysis. In the primary analysis, after adjustment (for age, sex, ethnicity, migration status, occupation, aerosol generating procedure exposure, work sector and region, working hours, night shift frequency and trust in employing organisation), older HCWs and those working in Intensive Care Units were more likely to report aPPE at all times. Asian HCWs (aOR:0.77, 95%CI 0.67-0.89 [vs White]), those in allied health professional and dental roles (vs those in medical roles), and those who saw a higher number of COVID-19 patients compared to those who saw none (≥ 21 patients/week 0.74, 0.61-0.90) were less likely to report aPPE at all times. Those who trusted their employing organisation to deal with concerns about unsafe clinical practice, compared to those who did not, were twice as likely to report aPPE at all times. Significant predictors were largely unchanged in the secondary analysis. Conclusions: Only a third of HCWs in the UK reported aPPE at all times during the first lockdown and that aPPE had improved later in the pandemic. We also identified key determinants of aPPE during the first UK lockdown, which have mostly persisted since lockdown was eased. These findings have important implications for the safe delivery of healthcare during the pandemic.
    Citation
    Martin, C. A., Pan, D., Nazareth, J., Aujayeb, A., Bryant, L., Carr, S., Gray, L. J., Gregary, B., Gupta, A., Guyatt, A. L., Gopal, A., Hine, T., John, C., McManus, I. C., Melbourne, C., Nellums, L. B., Reza, R., Simpson, S., Tobin, M. D., Woolf, K., … UK-REACH Study Collaborative Group (2022). Access to personal protective equipment in healthcare workers during the COVID-19 pandemic in the United Kingdom: results from a nationwide cohort study (UK-REACH). BMC health services research, 22(1), 867.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/15646
    Collections
    Infectious Diseases

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