Increasing face-mask compliance among healthcare personnel during the coronavirus disease 2019 (COVID-19) pandemic.

Autor:	Datta R; Hospital Epidemiology and Infection Prevention Program, Veterans Affairs Connecticut Healthcare System (VACHS), West Haven, Connecticut.; Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut., Glenn K; Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut., Pellegrino A; Hospital Epidemiology and Infection Prevention Program, Veterans Affairs Connecticut Healthcare System (VACHS), West Haven, Connecticut., Tuan J; Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut., Linde B; Occupational Health Services, VACHS, West Haven, Connecticut.; Occupational and Environmental Medicine, Yale School of Medicine, New Haven, Connecticut., Kayani J; Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut., Patel K; Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut., Calo L; Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut., Dembry LM; Hospital Epidemiology and Infection Prevention Program, Veterans Affairs Connecticut Healthcare System (VACHS), West Haven, Connecticut.; Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut.; Section of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut., Fisher A; Hospital Epidemiology and Infection Prevention Program, Veterans Affairs Connecticut Healthcare System (VACHS), West Haven, Connecticut.; Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut.
Jazyk:	angličtina
Zdroj:	Infection control and hospital epidemiology [Infect Control Hosp Epidemiol] 2022 May; Vol. 43 (5), pp. 616-622. Date of Electronic Publication: 2021 May 03.
DOI:	10.1017/ice.2021.205
Abstrakt:	Objective: Prior studies of universal masking have not measured face-mask compliance. We performed a quality improvement study to monitor and improve face-mask compliance among healthcare personnel (HCP) during the coronavirus disease 2019 (COVID-19) pandemic. Design: Mixed-methods study. Setting: Tertiary-care center in West Haven, Connecticut. Patients: HCP including physicians, nurses, and ancillary staff. Methods: Face-mask compliance was measured through direct observations during a 4-week baseline period after universal masking was mandated. Frontline and management HCP completed semistructured interviews from which a multimodal intervention was developed. Direct observations were repeated during a 14-week period following implementation of the multimodal intervention. Differences between units were evaluated with χ2 testing using the Bonferroni correction. Face-mask compliance between baseline and intervention periods was compared using time-series regression. Results: Among 1,561 observations during the baseline period, median weekly face-mask compliance was 82.2% (range, 80.8%-84.4%). Semistructured interviews were performed with 16 HCP. Qualitative analysis informed the development of a multimodal intervention consisting of audit and passive feedback, active discussion, and increased communication from leadership. Among 2,651 observations during the intervention period, median weekly face-mask compliance was 92.6% (range, 84.6%-97.9%). There was no difference in weekly face-mask compliance between COVID-19 and non-COVID-19 units. The multimodal intervention was associated with an increase in face-mask compliance (β = 0.023; P = .002). Conclusions: Face-mask compliance remained suboptimal among HCP despite a facility-wide mandate for universal masking. A multimodal intervention consisting of audit and passive feedback, active discussion, and increased communication from leadership was effective in increasing face-mask compliance among HCP.
Databáze:	MEDLINE
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