Association of adherence and use of personal protective equipment with sick leave during the Covid-19 pandemic
Keywords:
Personal protective equipment, Sick leave, Health professionals, Primary health care, Covid-19Abstract
Objective: Evaluate the association between adherence and the use of Personal Protective
Equipment (PPE) with absence from work activities by Primary Health Care (PHC) workers and professionals linked to Health Residency Programs. Methods: This is of a cross-sectional, descriptive, and analytical study. Data collection took place in Brazil, between August/2020 and
March/2021. The sample was composed of all PHC workers listed in the National Council of
Health Establishments (CNES) and professionals linked to Health Residency Programs. The validated self-administered questionnaire made available in a virtual environment by the free platform KoBoToolbox (https://www.kobotoolbox.org/) was used. For analysis, descriptive and inferential statistics were employed. The research was approved by the Human Research Ethics Committee under opinion No. 5,429,839. Results: 682 health workers participated in the study, 455 (66.7%) were from PHC and 227 (33.3%) were residency professionals. Of these, 62.4% PHC workers and 62.9% residency professionals were on leave of absence from their work activities due to suspicion of Covid-19. While 27.4% of PHC workers and 33.3% of residency professionals were laid off due to a diagnosis of Covid-19. PHC and residency workers who properly used goggles / face shield PPE had, respectively, 0.74 and 0.66 times lower prevalence of absence from work activities compared to those who did not use it properly. Conclusion: Leave of absence is associated with adherence and adequate use of PPE goggles/face shields among PHC workers and professionals linked to Health Residency Programs.
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References
Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020, 395(10223):470-473. DOI: https://doi.org/10.1016/S0140-6736(20)30185-9
WHO - World Health Organization. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19): Interim guidance. Geneva, 19 de março 2020. Disponível em: https://apps.who.int/iris/handle/10665/331498.
Gallasch CH, Cunha ML, Pereira LAS, Silva-Junior JS. Prevention related to the occupational exposure of health professionals workers in the COVID-19 scenario. Rev Enferm UERJ. 2020; 28:e49596. DOI: http://dx.doi.org/10.12957/reuerj.2020.49596
Farias LABG, Colares MP, Barretoti FKA, Cavalcanti LPG. O papel da atenção primária no combate ao Covid-19: impacto na saúde pública e perspectivas futuras. Rev Bras Med Fam Comunidade. 2020; 15(42):2455. DOI: https://doi.org/10.5712/rbmfc15(42)2455
Zoorob D, Shah S, La Saevig D, Murphy C, Aouthmany S, Brickman K. Insight into resident burnout, mental wellness, and coping mechanisms early in the COVID-19 pandemic. PLoS One. 2021; 16(4):e0250104. DOI: https://doi.org/10.1371/journal.pone.0250104
Teixeira CFS, Soares CM, Souza EA, Lisboa ES, Pinto ICM, Andrade LR, Espiridão MA. The health of healthcare professionals coping with the Covid-19 pandemic. Ciên saúde coletiva. 2020; 25(9):3465-74. DOI: https://doi.org/10.1590/1413-81232020259.19562020
Moura MSS, Santos e Silva RK, Mendes PM, Sousa ASJ, Carvalho Neto FJ. Knowledge and use of personal protective equipment by nursing professionals during the Covid-19 pandemic. Rev Esc Enferm USP. 2021; 55:e20210125. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2021-0125
Oliveira LB, Souza LM, Lima FM, Fhon JRS, Püschel VAA, Carbogim FDC. Factors Associated With the Illness of Nursing Professionals Caused by COVID-19 in Three University Hospitals in Brazil. Safety and Health at Work. 2022; 13(2):255-260. DOI: https://doi.org/10.1016/j.shaw.2022.03.001
Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, et al. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. The Lancet Public Health. 2020; 5(9):e475–e483. DOI: https://doi.org/10.1016/S2468-2667(20)30164-X
Püschel VAA, Fhon JRS, Noggueira LS, Poveda VB, Oliveira LB, Salvetti MG, et al. Factors associated with infection and hospitalization due to COVID-19 in Nursing professionals: a cross-sectional study. Rev. Latino-Americana de Enfermagem. 2022; 30(e3571). DOI: https://doi.org/10.1590/1518-8345.5593.3571
Nunciaroni AT, Cunha FTS, Vargas LA, Corrêa VAF. New Coronavirus: (Re)thinking the care process in Primary Health and Nursing. Rev Bras Enferm. 2020; 73(suppl 2):e20200256. DOI: https://doi.org/10.1590/0034-7167-2020-0256
Marziale MHP, Rocha FLP, Cassenote AJF, Robazzi MLCC, Palha PF, Ballestero JGA, et al. Carta ao Editor sobre o artigo - Avaliação do risco de exposição profissional ao covid-19: adaptação transcultural. Texto Contexto Enferm. 2022; 31:e2022c001):1-8. DOI: https://doi.org/10.1590/1980-265X-TCE-2022-c001
Alajmi J, Jeremiyenko AM, Abraham JC, Alishaq M, Concepcion EG, Butt AA, et al. COVID-19 infection among healthcare workers in a national healthcare system: The Qatar experience. International Journal of Infectious Diseases: IJID: Official publication of the International Society for Infectious Diseases 2020; 100(s.n.): 386-389. DOI: https://doi.org/10.1016/j.ijid.2020.09.027
Iser BPM, Sliva I, Raymundo VT, Poleto MB, Schuelter-Trevisol F, Bobinski F. Definição de caso suspeito da COVID-19: uma revisão narrativa dos sinais e sintomas mais frequentes entre os casos confirmados. Epidemiol. Serv. Saude. 2020; 29(3):e2020233. DOI: https://doi.org/10.5123/S1679-49742020000300018
Alves JS, Gonçalves AMS, Bittencourt MN, Alves VM, Mendes DT, Nóbrega MDPSS. Psychopathological symptoms and work status of Southeastern Brazilian nursing in the context of COVID-19. Rev. Latino-Americana de Enfermagem. 2022; 30:e3518. DOI: https://doi.org/10.1590/1518-8345.5768.3518
Laurindo CR, Silva GAB, Pereira AB, Assis CCG, Costa KAR, Silva RNA et al. Development and validation of the questionnaire “Adherence and use of Personal Protective Equipment by professionals in Primary Health Care in combating the Covid-19 pandemic” – PPE-PHC Covid-19. Cadernos Saúde Coletiva. 2023. No prelo.
Pedroso GG, Vidigal ACVF, Silva CC, Silva GAB, Lanza FM, Coelho ACO. Pesquisa quantitativa online na pandemia da Covid-19: relato de experiência. Rev Enferm UFSM. 2021; 12:e1-17. DOI: https://doi.org/10.5902/2179769267023
Etafa W, Gadisa G, Jabessa S, Takele T. Healthcare workers’ compliance and its potential determinants to prevent COVID-19 in public hospitals in Western Ethiopia. BMC Infect Dis. 2021;21(454):1-8. DOI: https://doi.org/10.1186/s12879-021-06149-w.
Sax H, Perneger T, Hugonnet S, Herrault P, Chraïti M-N, Pittet D. Knowledge of standard and isolation precautions in a large teaching hospital. Infect Control Hosp Epidemiol. 2005;26(3):298-304. DOI: https://doi.org/10.1086/502543.
Kowalski LP, Sanabria A, Ridge JA, Ng WTBR, Rinaldo A, Takes RP, et al. COVID-19 pandemic: effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Head Neck. 2020; 42(6): 1259-1267. DOI: https://doi.org/10.1002/hed.26164
Brasil. Ministério da Saúde. Boletim epidemiológico da COVID 19: Balanço de infecções dos profissionais de saúde. Brasília: Ministério da Saúde, 2020. Disponível em: https://www.saude.gov.br/noticias/agencia-saude/47179-novo-boletim-epidemiologico-da-covid-19-traz-balanco-de-infeccoes-em-profissionais-de-saude.
Souza e Souza LPS, SOUZA AG. Enfermagem brasileira na linha de frente contra o novo Coronavírus: quem cuidará de quem cuida? J. nurs. health. 2020;10(n.esp.):e20104005. Disponível em: https://periodicos.ufpel.edu.br/index.php/enfermagem/article/view/18444
Perencevich EN, Diekema DJ, Edmond MB. Moving Personal Protective Equipment Into the Community: Face Shields and Containment of COVID-19. JAMA. 2020; 323(22):2252–3. DOI: https://doi.org/10.1001/jama.2020.7477
Santana TS, Portela PP, Morais AC, Souza KEP, Marques JAM, Silva SSB, et al. Experience of a public university in the production of technologies for the protection of workers in the COVID-19 pandemic. J Contemp Nurs. 2022; 11:e4178. DOI: http://dx.doi.org/10.17267/2317-3378rec.2022.e4178
Garcia GPA, Fracarolli IFL, Santos HEC, Souza VRS, Cenzi CM, Marziale MHP. MHP. Use of personal protective equipment to care for patients with COVID-19: scoping review. Rev Gaúcha Enferm. 2021; 42(spe):e20200150. DOI: https://doi.org/10.1590/1983-1447.2021.20200150
Cruz Neto L, Leite GMS, Araruna VHC, Batista MIO, Albuquerque GA. Uso de equipamentos de proteção individual no enfrentamento à covid-19. Rev. Enferm. Atual In Derme. 2022; 96(38):e021238. DOI: https://doi.org/10.31011/reaid-2022-v.96-n.38-art.1286
Prasad P, Brown L, Ma s, McDavid A, Rudmann A, Lent D, et al. "If the glove fits": Hospital-wide universal gloving is associated with improved hand hygiene and may reduce Clostridioides difficile infection. Infection Control and Hospital Epidemiology. 2021; 42(11):1351-1355. DOI: https://doi.org/10.1017/ice.2020.1422
Silva CPG, Silva VC, Brito PF, Jesus D, Wermelinger V, Vilella RR. Atividades Educativas para o uso adequado de Equipamentos de Proteção Individual em hospital federal de referência. Enfermagem em foco. 2020;11(1)Especial:228-233. Diponível em: http://revista.cofen.gov.br/index.php/enfermagem/article/view/3630/833
Ferigato S, Fernandez M, Amorim M, Ambrogi I, Fernandes LMM, Pacheco R. The Brazilian Government's mistakes in responding to the COVID-19 pandemic. Lancet. 2020; 396(10263):1636. DOI: https://doi.org/10.1016/S0140-6736(20)32164-4
Vedovato TG, Andrade CB, Santos DL, Bitencourt SM, Almeida LP, Sampaio JFS. Health workers and COVID-19: flailing working conditions?. Rev Bras Saúde Ocup. 2021; 46:e1. DOI: https://doi.org/10.1590/2317-6369000028520
Chughtai AA, Seale H, Islam MS, Owais M, Macintyre CR. Policies on the use of respiratory protection for hospital health workers to protect from coronavirus disease (COVID-19). International Journal of Nursing Studies. 2020; 105:e03567. DOI: https://doi.org/10.1016/j.ijnurstu.2020.103567
Ripp J, Peccoralo L, Charney D. Attending to the Emotional Well-Being of the Health Care Workforce in a New York City Health System During the COVID-19 Pandemic. Academic Medicine: journal of the Association of American Medical Colleges. 2020; 95(8):1136-1139. DOI: https://doi.org/10.1097/ACM.0000000000003414
Ortega R, Gonzalez M, Nozari A, Canelli R. Personal Protective Equipment and Covid-19. NEJM. 2020, 383:e105. DOI: https://doi.org/10.1056/NEJMvcm2014809
Rodrigues LP, Rezende MP, Silva AMB, Ferreira LA, Goulart BF. Knowledge and adheerence of the nursing team to the use of personal protective equipment. REME – Rev Min Enferm. 2019; 23:e-1225. DOI: https://doi.org/10.5935/1415-2762.20190073
CONASS. Conselho Nacional de Secretários de Saúde. Demografia Médica no Brasil 2023. 2023. Disponível em: https://www.conass.org.br/lancada-a-demografia-medica-no-brasil-2023/.
Scheffer M, Guilloux AGA, Miotto BA, Almeida CJ, Guerra A, Cassenote A, et al. Demografia Médica no Brasil 2023. São Paulo, SP: FMUSP, AMB. 2023. 344 p. ISBN: 978-65-00-60986-8. Disponível em: https://amb.org.br/wp-content/uploads/2023/02/DemografiaMedica2023_8fev-1.pdf
CONASEMS. Conselho Nacional de Secretarias Municipais de Saúde. Protagonismo feminino na saúde: mulheres são a maioria nos serviços e na gestão do SUS. ASCON, CONASEMS, 2020. Disponível em: https://www.cosemssp.org.br/noticias/protagonismo-feminino-na-saude-mulheres-sao-a-maioria-nos-servicos-e-na-gestao-do-sus/
COFEN. Conselho Federal de Enfermagem. Pesquisa inédita traça perfil da enfermagem: Diagnóstico da profissão aponta concentração regional, tendência à masculinização, situações de desgaste profissional e subsalário. 2015. Disponível em: http://www.cofen.gov.br/pesquisa-inedita-traca-perfil-da-enfermagem_31258.html#:~:text=Mais%20da%20metade%20dos%20enfermeiros,2%25%20das%20equipes%20de%20enfermagem
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Copyright (c) 2024 Ana Carolina Vidigal Vieira Ferreira, Gabrielle Guedes Pedroso, Kelly Aline Rodrigues Costa, Camila Cristina Gregório de Assis, Fábio da Costa Carbogim, Érika Andrade e Silva, Fernanda Moura Lanza, Angélica da Conceição Oliveira Coelho

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Conselho Nacional de Desenvolvimento Científico e Tecnológico
Grant numbers 401457/2020/6 -
Ministério da Ciência, Tecnologia e Inovação
Grant numbers 401457/2020/6



