Spanish nurses’ experiences with personal protective equipment and perceptions of risk of contagion from COVID-19: A qualitative rapid appraisal

dc.contributor.authorRomeu Labayen, Maria
dc.contributor.authorTort Nasarre, Glòria
dc.contributor.authorÁlvarez Mora, Bruna
dc.contributor.authorSubías Miquel, Martí
dc.contributor.authorVázquez Segura, Eva
dc.contributor.authorMarre, Diana
dc.contributor.authorGalbany Estragués, Paola
dc.description.abstractAims and Objetives: Explore nurses' experiences and perception of risk regarding the use of personal protective equipment during the first wave of the pandemic in Spain. Background: The contribution of our study is to use qualitative methods to understand nurses' experiences and perceptions of the risk of the contagion linked to the shortage of PPE during the first wave of the pandemic, whose explosive start strained health systems around the globe. Design: Qualitative descriptive design according to the Rapid Research Evaluation and Appraisal model. Methods: Semi-structured videoconference interviews were conducted to explore the experiences of 29 nurses including staff nurses, nursing supervisors and nursing directors from hospital and community services of the Spanish health system. Interviews lasted 30–45 min and were conducted in May 2020. We carried out a thematic analysis using Dedoose. The COREQ checklist was used to report findings. Results: We identified the following themes and subthemes: 1. Experiences with personal protective equipment: scarcity, inequality, reutilization, self-protection, delegation of responsibility, and gap between protocols and reality; 2. Perception of the risk of contagion: lack of credibility, lack of trust, lack of support, and meeting subjective needs. Conclusions: The scarcity of personal protective equipment and inequality in its distribution led nurses to take initiatives to feel more protected. Mid-ranking supervisors were caught between the responsibility of monitoring and rationing personal protective equipment and providing the necessary protection to nurses. The disjuncture between protocols and the available supply of personal protective equipment caused confusion. Lack of credibility, lack of trust and lack of support from management influenced participants' perception of the risk of contagion. Mid-ranking supervisors were often responsible for trying to alleviate fear among nursing staff. Relevance to clinical practice: Understanding the factors involved in risk perception can be helpful to decision-makers who help protect nurses in clinical practice. These results can help administrators and policymakers because they point to the need for nurses to feel that their departments and centers look after their safety at work. Transparent communication and emotional support may contribute to their well-being in the face of risk.ca_ES
dc.relation.isformatofReproducció del document publicat a:
dc.relation.ispartofJournal of Clinical Nursing, 2021, p. 1-13ca_ES
dc.rightscc-by-nc-nd (c) The Authors, 2021ca_ES
dc.subject.otherCrisis interventionca_ES
dc.subject.otherHealth riskca_ES
dc.subject.otherPractice nursingca_ES
dc.subject.otherQualitative approachesca_ES
dc.titleSpanish nurses’ experiences with personal protective equipment and perceptions of risk of contagion from COVID-19: A qualitative rapid appraisalca_ES
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