Dataset Information
Increasing face-mask compliance among healthcare personnel during the coronavirus disease 2019 (COVID-19) pandemic.
Ontology highlight
ABSTRACT: 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.
SUBMITTER: Datta R
PROVIDER: S-EPMC8144836 | biostudies-literature | 2021 May
REPOSITORIES: biostudies-literature
Publications
Increasing face-mask compliance among healthcare personnel during the coronavirus disease 2019 (COVID-19) pandemic.
Infection control and hospital epidemiology 20210503 5
<h4>Objective</h4>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.<h4>Design</h4>Mixed-methods study.<h4>Setting</h4>Tertiary-care center in West Haven, Connecticut.<h4>Patients</h4>HCP including physicians, nurses, and ancillary staff.<h4>Methods</h4>Face-mask compliance was measured through direc ...[more]