Factors Influencing Self-reported Facial Protective Equipment adherence among Home Care Nurses and Personal Support Workers – A multi-site cross-sectional study

American Journal of Infection Control(2024)

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Abstract
Background Facial Protective Equipment (FPE) use increased during the SARS-CoV-2 pandemic. This study explored factors influencing home care personal support workers’ (PSWs) and nurses’ self-reported adherence to FPE. Methods A cross-sectional, electronic, survey was distributed to PSWs and nurses (1108 complete responses) at three home care agencies in Ontario, Canada, in May-June 2022. Descriptive, bivariate, and multivariable analysis were used to assess individual, environmental, and organizational factors influencing adherence. Results Among participants (786 PSWs, 322 nurses), 64% reported being adherent to both respiratory and eye FPE (Respiratory: 96%, Eye: 64%). Higher adherence was associated with facility-based work; better knowledge of FPE; pre-pandemic FPE use; good availability and convenient access; strong organizational support for health and safety; and Caribbean identity. Lower adherence was found for men; nurses with 2-year diplomas; shorter length of employment; communal transportation; and experiencing negative mental health effects from workplace infectious disease exposure. Discussion Agencies should prioritize increasing providers’ knowledge of FPE, supporting mental well-being, fostering a supportive culture, and ensuring availability of FPE. The influences of gender, ethnicity, and role require further exploration. Conclusion FPE adherence may be improved by addressing modifiable factors and developing population-specific strategies.
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Key words
facial protective equipment,respiratory protection,eye protection,home care,personal support workers,nurses
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