학술논문

Feeling safe versus being safe: Perceptions of safety versus actual disease exposure across the entire health care team.
Document Type
Academic Journal
Author
Boitet LM; Department of Health Services Administration, UAB Medicine Office of Wellness, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.; Department of Health Services Administration and Director of Wellness Research, University of Alabama at Birmingham (UAB), UAB Medicine Office of Wellness, UAB, Birmingham, Alabama, USA.; Meese KA; Department of Health Services Administration, UAB Medicine Office of Wellness, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.; Department of Health Services Administration and Director of Wellness Research, University of Alabama at Birmingham (UAB), UAB Medicine Office of Wellness, UAB, Birmingham, Alabama, USA.; Colón-López A; Department of Medical Education, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.; Sweeney KL; Department of Health Services Administration and Director of Wellness Research, University of Alabama at Birmingham (UAB), UAB Medicine Office of Wellness, UAB, Birmingham, Alabama, USA.; Department of Sociology, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.; Rogers DA; Department of Health Services Administration and Director of Wellness Research, University of Alabama at Birmingham (UAB), UAB Medicine Office of Wellness, UAB, Birmingham, Alabama, USA.; Department of Surgery and Chief Wellness Officer, UAB Medicine Office of Wellness, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Source
Publisher: American Society for Healthcare Risk Management of the American Hospital Association Country of Publication: United States NLM ID: 9305245 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2040-0861 (Electronic) Linking ISSN: 10744797 NLM ISO Abbreviation: J Healthc Risk Manag
Subject
Language
English
Abstract
As supply chains experienced disruptions early in the COVID-19 pandemic, personal protective equipment (PPE) quickly became scarce. The purpose of this study was to examine the impact of perceptions of inadequate PPE, fear of COVID-19 infection, and self-reported direct COVID-19 exposure on health care workers. Data to assess distress, resilience, social-ecological factors, and work and nonwork-related stressors were collected from June to July 2020 at a large medical center. Stressors were analyzed by role using descriptive statistics and multivariate regression analysis. Our data indicate that job role influenced fear of infection and perceptions of inadequate PPE in the early phase of the COVID-19 pandemic. Perceived organizational support was also related to perceptions of inadequate PPE supply. Interestingly, work location, rather than job role, was predictive of direct COVID-19 exposure. Our data highlight a disconnect between the perception of safety in the health care setting with real risk of exposure to infectious disease. This study suggests that leaders in health care should focus on cultivating supportive organizational cultures, assessing both perceived and actual safety, and provide adequate training in safety practices may improve preparedness and organizational trust during times of both certainty and crisis particularly for clinical workers with less education and training.
(© 2023 The Authors. Journal of Healthcare Risk Management published by Wiley Periodicals LLC on behalf of American Society for Healthcare Risk Management.)