"I don't mean to be rude, but could you put a mask on while I'm here?" A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID-19 pandemic.
"I don't mean to be rude, but could you put a mask on while I'm here?" A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID-19 pandemic.
复制标题
DOI：
10.1111/hsc.14109
复制
发表时间：
2022-11
影响因子：
2.4
通讯作者：
Robling M
中科院分区：
文献类型：
--
作者：
Prout H;Lugg-Widger FV;Brookes-Howell L;Cannings-John R;Akbari A;John A;Thomas DR;Robling M
在整个COVID-19大流行期间，家庭护理人员（DCW）继续在自己家中为成年人提供护理。COVID-19对儿童看护工作者健康结果影响的证据目前好坏参半。OSCAR研究将量化COVID-19对威尔士DCW健康结果的影响，探索变化的原因，并外推到英国其他DCW人群。一项嵌入式定性研究旨在探索DCW在大流行期间的经验，包括可能具有不同COVID-19暴露风险以及不利健康和福祉结果的因素。在威尔士各地工作的注册DCW被邀请参加半结构化的电话采访。2021年2月至7月期间，共访问了24名社区工作者。通过使用主题编码的归纳分析确定了主题。出现了几个与COVID-19风险相关的主题。首先，确定了DCW在大流行期间的作用的一般变化。第二，报告了DCW在工作场所的实际挑战，包括工作人员短缺，客户和家庭不遵守安全程序，个人防护设备（PPE）的初始短缺，DCW对标准使用PPE的批评，客户对PPE的困难和快速抗原检测的管理。第三，政府/雇主对大流行缺乏准备，包括员工客户和服务的重组，许多DCW的信息不足或混乱，COVID-19培训以及需要改进实用指导和对DCW的官方标准风险评估有限。此外，亦有报告指工作压力及对COVID-19风险及疫苗接种的看法。综上所述，本文描述了与疫情期间工作相关的风险因素。我们使用这些定性研究结果为每个问题绘制了建议，包括为孤立的团队成员提供量身定制的培训和更好的支持，并在几个社会生态层面确定了所需的变化。
Domiciliary care workers (DCWs) continued to provide care to adults in their own homes throughout the COVID‐19 pandemic. The evidence of the impact of COVID‐19 on health outcomes of DCWs is currently mixed. The OSCAR study will quantify the impact of COVID‐19 upon health outcomes of DCWs in Wales, explore causes of variation and extrapolate to the rest of the UK DCW population. An embedded qualitative study aimed to explore DCW experiences during the pandemic, including factors that may have varied risk of exposure to COVID‐19 and adverse health and wellbeing outcomes. Registered DCWs working throughout Wales were invited to participate in a semi‐structured telephone interview. 24 DCWs were interviewed between February and July 2021. Themes were identified through inductive analysis using thematic coding. Several themes emerged relating to risk of exposure to COVID‐19. First, general changes to the role of the DCW during the pandemic were identified. Second, practical challenges for DCWs in the workplace were reported, including staff shortages, clients and families not following safety procedures, initial shortages of personal protective equipment (PPE), DCW criticism of standard use PPE, client difficulty with PPE and management of rapid antigen testing. Third, lack of government/employer preparation for a pandemic was described, including the reorganisation of staff clients and services, inadequate or confusing information for many DCWs, COVID‐19 training and the need for improved practical instruction and limited official standard risk assessments for DCWs. Pressure to attend work and perceptions of COVID‐19 risk and vaccination was also reported. In summary, this paper describes the risk factors associated with working during the pandemic. We have mapped recommendations for each problem using these qualitative findings including tailored training and better support for isolated team members and identified the required changes at several socio‐ecological levels.
登录
查看更多内容
提出一种社会生态学方法，以解决小型企业雇用的低薪和少数族裔工人的职业暴露和健康方面的差异。
DOI：
10.1038/s41370-021-00317-5
发表时间：
2021-05
影响因子：
4.5
作者：
Ingram M;Wolf AMA;López-Gálvez NI;Griffin SC;Beamer PI
通讯作者：
Beamer PI
影响因子：
--
作者：
Lugg-Widger F;Cannings-John R;Akbari A;Brookes-Howell L;Hood K;John A;Jones H;Prout H;Schoenbuchner S;Thomas D;Robling M
通讯作者：
Robling M
影响因子：
2.7
作者：
Nyashanu, Mathew;Pfende, Farai;Ekpenyong, Mandu
通讯作者：
Ekpenyong, Mandu
影响因子：
39
作者：
Sterling, Madeline R.;Tseng, Emily;Dell, Nicola
通讯作者：
Dell, Nicola
影响因子：
2.4
作者：
Ravalier, Jermaine;Morton, Rheanna;Fidalgo, Antonio Rei
通讯作者：
Fidalgo, Antonio Rei