Factors affecting healthcare workers' compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: rapid evidence review.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
16 08 2021
Historique:
entrez: 17 8 2021
pubmed: 18 8 2021
medline: 24 8 2021
Statut: epublish

Résumé

The 2019-2020 outbreak of novel coronavirus has raised concerns about nosocomial transmission. This review's aim was to explore the existing literature on emerging infectious disease outbreaks to identify factors associated with compliance with infection control measures among healthcare staff. A rapid evidence review for primary studies relevant to healthcare workers' compliance with infection control measures. Fifty-six papers were reviewed. Staff working in emergency or intensive care settings or with contact with confirmed cases appeared more likely to comply with recommendations. There was some evidence that anxiety and concern about the risk of infection were more associated with compliance, and that monitoring from superiors could improve compliance. Observed non-compliance of colleagues could hinder compliance. Staff identified many barriers to compliance related to personal protective equipment, including availability, perceived difficulty and effectiveness, inconvenience, discomfort and a negative impact on patient care. There were many issues regarding the communication and ease of understanding of infection control guidance. We recommend provision of training and education tailored for different occupational roles within the healthcare setting, managerial staff 'leading by example', ensuring adequate resources for infection control and timely provision of practical evidence-based infection control guidelines.

Identifiants

pubmed: 34400459
pii: bmjopen-2021-049857
doi: 10.1136/bmjopen-2021-049857
pmc: PMC8370838
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e049857

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Samantha K Brooks (SK)

Department of Psychological Medicine, King's College London, London, UK samantha.k.brooks@kcl.ac.uk.

N Greenberg (N)

Department of Psychological Medicine, King's College London, London, UK.

Simon Wessely (S)

Department of Psychological Medicine, King's College London, London, UK.

G J Rubin (GJ)

Department of Psychological Medicine, King's College London, London, UK.

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