Personal protective equipment implementation in healthcare: A scoping review - 28/07/22
, Juliana Rizzo Gnatta, PhD b, Caroline Lopes Ciofi-Silva, PhD a, Amy Price, PhD b, Naila Albertina de Oliveira, PhD c, Rodrigo M.A. Almeida, PhD d, Giulia M. Mainardi, MSc a, Shrinidhy Srinivas b, Whitney Chan b, Anna Sara S. Levin, PhD e, Maria Clara Padoveze, PhD aHighlights |
• | Protective personal equipment adherence is related to organizational policy and individual engagement. |
• | Protective personal equipment implementation is a complex cycle of elements all of which are required to achieve optimal use. |
• | Innovative and participatory interventions enhance infection and prevention control. |
• | Implementation as a political practice impacts equity and promotes health. |
Abstract |
Background |
Adherence to infection prevention and control (IPC) measures, including the proper use of protective personal equipment (PPE), in health care is complex and is influenced by many factors. Isolated interventions do not have the potential to achieve optimal PPE adherence and appropriate provision, leading to incomplete PPE implementation.
Objective |
To map PPE implementation in health care with a focus on its barriers and facilitators.
Methods |
A scoping review was conducted across 14 electronic databases using the Joanna Briggs Institute methodology.
Results |
Seventy-four papers were included in the review. Findings were analyzed and synthesized into categories to match the Consolidated Framework for Implementation Research domains. The content was then synthesized into barriers for PPE implementation and interventions to address them. The main barriers were discomfort in clinical work; shortage, supply and logistics problems; inadequacies in facilities infrastructure, weakness in policies and communication procedures; and health workers’ (HW) psychological issues and lack of preparedness. Implementation interventions reported were related to HW wellbeing assurance; work reorganization; IPC protocols; adoption of strategies to improve communication and HW training; and adoption of structural and organizational changes to improve PPE adherence.
Conclusions |
PPE implementation, which is critical IPC programs, involves multilevel transdisciplinary complexity. It relies on the development of context-driven implementation strategies to inform and harmonize IPC policy in collaboration with local and international health bodies.
Le texte complet de cet article est disponible en PDF.Key words : Personal protective equipment, Masks, Respiratory protective device, Implementation, Training, Infection prevention
Plan
| Funding/Support: Open access of this article is sponsored by the World Health Organization. |
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| Conflicts of interest: None to report. |
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| Author contributions: LC and MCP had the idea for the project. LC and JRG undertook searches and selection with contribution of AP. AP, CLCS, GMM, LC, NAO, RMAA, SS and WC did data extraction and worked independently reading the full articles. Elaboration of figures was done by JRG, LC and RMAA. JRG and LC wrote the paper with input from CLCS and MCP. AP, ASL, CLCS and RMAA provided valuable comments on the report. LC and NAO formatted the manuscript. All authors had full access to all data in the study and read and approved the final version. |
Vol 50 - N° 8
P. 898-905 - août 2022 Retour au numéro
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