Hazell Lynne Janette, Stork Laura Amy
University of Johannesburg Doornfontein, Johannesburg, Gauteng, South Africa.
University of Johannesburg Doornfontein, Johannesburg, Gauteng, South Africa.
J Med Imaging Radiat Sci. 2024 Mar;55(1):61-66. doi: 10.1016/j.jmir.2023.12.002. Epub 2024 Jan 3.
Amidst the COVID-19 pandemic, healthcare workers (HCWs) were found to be at a greater risk of becoming infected with severe acute respiratory syndrome (SARS-CoV-2). This disease is highly contagious and is for the most part preventative if correct Personal Protective Equipment (PPE) is used while attending to patients. Subsequently, a lack of PPE in South Africa was putting the lives of health care workers at risk impacting on the functioning of the healthcare system.
This exploratory, descriptive, qualitative study used purposeful sampling to obtain data saturation. The study comprised twelve individual interviews with radiographers from both private and government hospitals in Gauteng, South Africa who worked in x-ray departments during the COVID-19 pandemic. Online video interviews were conducted. The transcripts of the interviews were further coded into themes and categorised using thematic analysis and verified by an independent coder.
The radiographers' experiences of PPE during COVID-19 in Gauteng, South Africa generated 3 themes: radiographers' experiences with PPE supplied during COVID-19, workplace practices and procedures for PPE during COVID-19 and emotional challenges faced during PPE shortage.
While there was an understandable fear of contracting the COVID-19 virus during the height of the pandemic. The researcher also believes that radiographers would benefit greatly by receiving training on how to use PPE correctly for infection control in highly stressful situations. Education is required for use of PPE when supply is scarce and the number of infected patients outweighs the quantities of PPE available. This study further found that there needs to be more support given to healthcare workers (HCW's) to assess their mental health and emotional stress experienced when facing a pandemic.
While COVID-19 has started to settle, the lessons learnt should inform recommendations on PPE use, regarding procurement and preservation. In addition, mental health assessments can be considered for radiographers during future pandemic.
在新冠疫情期间,医护人员被发现感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的风险更高。这种疾病具有高度传染性,在护理患者时如果使用正确的个人防护装备(PPE),在很大程度上是可以预防的。随后,南非个人防护装备的短缺使医护人员的生命处于危险之中,影响了医疗系统的正常运转。
本探索性、描述性、定性研究采用目的抽样法以达到数据饱和。该研究包括对南非豪登省私立和公立医院的放射技师进行的12次个人访谈,这些放射技师在新冠疫情期间在X光科室工作。采用在线视频访谈。访谈记录进一步编码成主题,并使用主题分析法进行分类,由一名独立编码员进行验证。
南非豪登省放射技师在新冠疫情期间使用个人防护装备的经历产生了3个主题:放射技师在新冠疫情期间使用所提供个人防护装备的经历、新冠疫情期间个人防护装备的工作场所实践和程序以及个人防护装备短缺期间面临的情感挑战。
在疫情高峰期,对感染新冠病毒存在可理解的恐惧。研究人员还认为,放射技师如果接受关于如何在高度紧张的情况下正确使用个人防护装备以进行感染控制的培训,将受益匪浅。在供应稀缺且感染患者数量超过可用个人防护装备数量时,需要进行个人防护装备使用方面的教育。本研究还发现,需要给予医护人员更多支持,以评估他们在面对疫情时的心理健康和情感压力。
虽然新冠疫情已开始趋于平稳,但吸取的经验教训应可为关于个人防护装备使用、采购和保存的建议提供参考。此外,在未来疫情期间可考虑对放射技师进行心理健康评估。