“We could have used a lot more of this before…”: A qualitative study understanding barriers and facilitators to implementing a provincial PPE safety coach program during the COVID-19 pandemic - 20/07/24
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Résumé |
Background |
A Provincial PPE Safety Coach Program was introduced to support appropriate use of personal protective equipment by health care workers. The objective was to understand barriers and facilitators to implementation.
Methods |
A qualitative study was conducted mid-2021. Participants were recruited using a purposive sampling strategy. Interviews were conducted using a guide informed by the Theoretical Domains Framework and Consolidated Framework for Implementation Research. Analysis was conducted using the Theoretical Domains Framework.
Results |
Prominent domains identified by staff were “social influences and skills”, “environmental context and resources”, “social/professional role and identity”, “emotion”, and “belief of consequences”. Prominent domains identified by safety coaches were “knowledge”, “social/professional role and identity”, “environmental context and resources”, and “memory”. Only “environmental context and resources” and “social/professional role and identity” were similar. The main facilitators were fear of COVID-19 and leadership commitment, while the main barriers were lack of clarity and balancing the role.
Discussion |
Understanding the local context of a health care environment influenced the success of safety coaches. The role allowed individuals to develop leadership skills and help staff improve their perceived competence in using personal protective equipment.
Conclusions |
Safety coaches were well received. Influencing factors provide a basis for strategies to embed this approach throughout a health care system.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Our study found that safety coaches were well received by HCWs. |
• | HCWs identified safety coaches as a support system that improved their PPE use. |
• | Main barriers were a lack of clarity around the role and balancing this role with other tasks. |
• | Main facilitators were fear of COVID-19 and leadership commitment. |
• | Studies should consider behavior change theories to understand IPAC practices. |
Key Words : Coaching, Theoretical Domains Framework (TDF), Consolidated Framework for Implementation Research (CIFR), Interviews, Health care workers
Plan
| Conflicts of interest: JL and HH report funding paid to their institution from Healthcare Excellence Canada for pandemic preparedness and response in long term care. All other authors report no conflicts of interest. |
Vol 52 - N° 8
P. 947-957 - août 2024 Retour au numéro
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