"I'm smiling back at you": Exploring the impact of mask wearing on communication in healthcare
"I'm smiling back at you": Exploring the impact of mask wearing on communication in healthcare
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DOI：
10.1111/1460-6984.12578
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发表时间：
2020-10-10
影响因子：
2.4
通讯作者：
Ditton, Annabel
中科院分区：
文献类型：
--
作者：
Marler, Hollyanna;Ditton, Annabel
背景 佩戴外科口罩和呼吸面罩是为了降低飞沫和空气传播病毒性呼吸道疾病的风险。由于新型冠状病毒 (COVID-19) 大流行，在可预见的未来，在英国医院工作的医疗保健专业人员必须佩戴口罩。因此，从患者和临床医生的角度考虑佩戴口罩对医疗机构内沟通的长期影响是及时的。 目的主要目标是确定与现场工作的医疗保健专业人员佩戴口罩经历相对应的研究证据。通过总结说明与佩戴口罩相关的潜在挑战的文献，可以将其应用于各种临床队列并制定一套初步的、基于证据的支持策略。本文还探讨了言语和语言治疗师 (SLT) 在支持佩戴口罩情况下的沟通中的作用。方法和程序通过对相关文献的范围界定，本文全面反映了各种医疗机构和患者群体中与佩戴口罩相关的潜在挑战。随后的结论已用于为拟议的安全有效实践临床指南提供信息。 结果与结果 目前，关于非医疗和非临床医护人员佩戴口罩及其对专业和个人可能产生的影响，目前存在研究空白。在缺乏初步数据的情况下，相关沟通支持策略的制定受到阻碍。本文借鉴了医疗保健专业人员面临的各种临床上可能出现的问题，概述了重要的实践和伦理考虑因素，并针对所发现的一些挑战提出了基于证据的解决方案。未来的研究需要收集有关佩戴口罩的实际临床经验的证据，以证实假设。 结论与启示 尽管对于保护工作人员和患者的健康无疑至关重要，但佩戴口罩会带来许多后勤、生理、心理、社会和经济方面的并发症。医护人员与患者和同事成功沟通的能力受到损害，这可能会对治疗干预的效率、有效性、公平性，尤其是安全性产生不利影响。 SLT 在促进沟通以保障服务的提供、可及性和有效性方面发挥着独特的作用。
Background Surgical and respirator masks are worn to reduce the risk of droplet and airborne transmission of viral respiratory disease. As a result of the novel coronavirus (COVID-19) pandemic, mask wearing has been designated mandatory for healthcare professionals working in UK hospitals for the foreseeable future. It is thus timely to consider the long-term implications of mask wearing on communication within healthcare settings, from both a patient and a clinician perspective.Aims The primary objective is to identify research evidence that corresponds to the mask-wearing experiences of healthcare professionals working on the ground. By drawing together a summary of the literature illustrating the potential challenges associated with mask wearing, it is possible to make an application to various clinical cohorts and to formulate a set of preliminary, evidence-based support strategies. The paper additionally explores the role for the Speech and Language Therapist (SLT) in supporting communication in the context of mask wearing.Methods & Procedures Through a scoping review of the relevant literature, this paper reflects holistically on the prospective challenges associated with mask wearing across a variety of healthcare settings and patient populations. The subsequent conclusions have been used to inform the proposed clinical guidelines for safe and effective practice.Outcomes & Results There is a current research gap with regards to mask wearing in non-medical and non-clinical healthcare workers, and the impact this may have on both a professional and a personal basis. In the absence of preliminary data, the development of associated communication support strategies is hindered. This paper draws upon a variety of clinically conceivable issues faced by healthcare professionals, outlines important practical and ethical considerations, and proposes evidence-based solutions to some of the challenges identified. Future research is required to gather evidence with regards to actual clinical experiences of mask wearing to substantiate hypotheses.Conclusions & Implications Although undoubtedly essential in protecting the health of staff and patients, there are numerous logistical, physiological, psychological, social and economic complications associated with the wearing of masks. The ability of healthcare staff to successfully communicate with patients and with colleagues is jeopardized, which may adversely affect the efficiency, effectiveness, equitability and, most notably, safety of therapeutic intervention. The SLT has a distinct role in facilitating communication in order to safeguard the provision, accessibility and efficacy of services.