Source avec lien : American Journal of Infection Control, (En ligne). 10.1016/j.ajic.2022.10.009
Background Staff actions to prevent infection introduction and transmission in long-term care facilities (LTCFs) were key to reducing morbidity and mortality from COVID-19. Implementing infection control measures (ICMs) requires training, adherence and complex decision making while trying to deliver high quality care. We surveyed LTCF staff in England about their preparedness and morale at 3 timepoints during the COVID-19 epidemic. Methods Online structured survey targeted at LTCF workers (any role) administered at 3 timepoints (November 2020-January 2021; August-November 2021; March-May 2022). Narrative summary of answers, narrative and statistical summary (proportionality with Pearson’s chi-square or Fisher’s Exact Test) of possible differences in answers between waves. Results Across all 3 survey waves, 387 responses were received. Morale, attitudes towards working environment and perception about colleague collaboration were mostly positive at all survey points. Infection control training was perceived as adequate. Staff felt mostly positive emotions at work. The working environment remained challenging. Masks were the single form of PPE most consistently used; eye protection the least used. Mask-wearing was linked to poorer communication and resident discomfort as well as mild negative health impacts on many staff, such as dehydration and adverse skin reactions. Hand sanitizer caused skin irritation. Concusions Staff morale and working practices were generally good even though the working environment provided many new challenges that did not exist pre-pandemic.
Les mesures prises par le personnel pour prévenir l’introduction et la transmission des infections dans les établissements de soins de longue durée ont été déterminantes pour réduire la morbidité et la mortalité dues au COVID-19. La mise en œuvre de mesures de lutte contre les infections (MCI) nécessite une formation, une adhésion et une prise de décision complexe tout en essayant de fournir des soins de haute qualité. Nous avons interrogé le personnel des établissements de soins de longue durée en Angleterre sur leur état de préparation et leur moral à trois moments de l’épidémie de COVID-19.