Learning from healthcare workers’ experiences with personal protective equipment during the COVID-19 pandemic in Aotearoa/New Zealand: a thematic analysis and framework for future practice

• Published in: BMJ open Vol. 12; no. 10; p. e061413
• Main Authors: Wild, Cervantée E K, Wells, Hailey, Coetzee, Nicolene, Grant, Cameron C, Sullivan, Trudy A, Derraik, José G B, Anderson, Yvonne C
• Format: Journal Article
• Language: English
• Published: London British Medical Journal Publishing Group 14-10-2022; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Anxiety; Communication; Coronaviruses; COVID-19; Datasets; Decision making; Demographics; Essential workers; Ethnicity; Medical personnel; Medical supplies; Organisation of health services; Pandemics; Personal protective equipment; Polls & surveys; Public Health; QUALITATIVE RESEARCH; New Zealand; United States > US
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2022-061413

ObjectivesSafety and welfare are critical as pandemic-related demands on the healthcare workforce continue. Access to personal protective equipment (PPE) has been a central concern of healthcare workers throughout the COVID-19 pandemic. Against the backdrop of an already strained healthcare system, our study aimed to explore the experiences of healthcare workers with PPE during the first COVID-19 surge (February–June 2020) in Aotearoa/New Zealand (NZ). We also aimed to use these findings to present a strengths-based framework for supporting healthcare workers moving forward.DesignWeb-based, anonymous survey including qualitative open-text questions. Questions were both closed and open text, and recruitment was multimodal. We undertook inductive thematic analysis of the dataset as a whole to explore prominent values related to healthcare workers’ experiences.SettingOctober–November 2020 in New Zealand.Participants1411 healthcare workers who used PPE during surge one of the COVID-19 pandemic.ResultsWe identified four interactive values as central to healthcare workers’ experiences: transparency, trust, safety and respect. When healthcare workers cited positive experiences, trust and safety were perceived as present, with a sense of inclusion in the process of stock allocation and effective communication with managers. When trust was low, with concerns over personal safety, poor communication and lack of transparency resulted in perceived lack of respect and distress among respondents. Our proposed framework presents key recommendations to support the health workforce in terms of communication relating to PPE supply and distribution built on those four values.ConclusionsHealthcare worker experiences with PPE access has been likened to ‘the canary in the coalmine’ for existing health system challenges that have been exacerbated during the COVID-19 pandemic. The four key values identified could be used to improve healthcare worker experience in the future.