Personal protective equipment related skin changes among nurses working in pandemic intensive care unit: A qualitative study

Ünver, Seher; Yildirim, Meltem; Yeni̇ğün, Seda Cansu

doi:10.1016/j.jtv.2022.01.007

Cited by 7 publications

(11 citation statements)

References 51 publications

(77 reference statements)

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“…An overview of the included studies ( n = 19) has been illustrated in Table 2 . Nine articles were published in 2021 ( 29 – 32 , 34 , 36 , 38 , 41 , 42 ) and 10 were published in 2022 ( 27 , 28 , 33 , 35 , 37 , 39 , 40 , 43 – 45 ).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies were from Turkey ( 28 , 33 , 39 , 44 , 45 ) three from Iran ( 31 , 41 , 42 ), two from the USA ( 30 , 36 ), two from Spain ( 34 , 35 ), two from Sweden ( 27 , 29 ), one from China ( 38 ), one from Israel ( 37 ), one from Brazil ( 32 ), one from Canada ( 43 ), and one from Taiwan ( 40 ). The included studies were conducted in various contexts, in terms of the healthcare system, the number of deaths and cases of COVID-19, the nurse-to-patient ratio, economic and political status, population age pyramid, culture, equipment, and access to health services.…”

Section: Resultsmentioning

confidence: 99%

“…In Sweden, ICU nurses are registered nurses specializing in intensive care or anesthesia, and the nurse-patient ratio in the ICU is usually 1: 1–2, which was the case even before COVID-19 ( 29 ). Regarding the studies' methodologies, seventeen studies ( 27 , 28 , 30 – 39 , 41 – 45 ) used a qualitative design and two had a mixed method design ( 29 , 40 ).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies were from Turkey (28,33,39,44,45) three from Iran (31,41,42), two from the USA (30,36) (J) How valuable is the research? (38), one from Israel (37), one from Brazil (32), one from Canada (43), and one from Taiwan (40).…”

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

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Experiences of intensive care unit nurses working with COVID-19 patients: A systematic review and meta-synthesis of qualitative studies

Nasrabadi

Abbasi

Mardani

et al. 2022

Front. Public Health

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ObjectivesIntensive Care Unit (ICU) nurses are at the forefront of fighting and treating the Coronavirus 2019 (COVID-19) pandemic and are often directly exposed to this virus and at risk of disease, due to their direct care for infected patients. This study aims to synthesize the experiences of ICU nurses working with COVID-19 patients.MethodsA systematic review and meta-synthesis of qualitative studies were undertaken. A systematic literature search in four databases, including Web of Sciences, Scopus, Embase, and PubMed (including Medline), was performed. Original qualitative studies and the qualitative section of mixed method studies, written in English, which focused on the experiences of only ICU nurses working with COVID-19 patients, were included.ResultsSeventeen qualitative studies and two mixed-method studies were included in the review. As a result of the inductive content analysis, six main categories were identified, as follows: “distance from holistic nursing,” “psychosocial experiences,” “efforts for self-protection and wellbeing,” “organizational inefficiency,” “job burnout,” and “emerging new experiences in the workplace.”ConclusionsThe findings from this study suggest that healthcare authorities and policymakers can facilitate the provision of high-quality patient care during the COVID-19 pandemic through appropriate planning to provide adequate support and training, prevent shortages of nursing staff and equipment, and provide adequate attention to the psychological needs and job satisfaction of ICU nurses.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=256070, identifier: CRD42021256070.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Experiences of intensive care unit nurses working with COVID-19 patients: A systematic review and meta-synthesis of qualitative studies

Nasrabadi

Abbasi

Mardani

et al. 2022

Front. Public Health

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“…Team relations were tested by the added pressures, with some connections strengthened and others damaged( 9 , 10 ). Some staff reported skin problems from constant use of PPE ( [14] , [15] , [16] ). Furthermore, PPE hindered communication between nurses, patients and between staff( 17 ).…”

Section: Introductionmentioning

confidence: 99%

Staff experiences, perceptions of care, and communication in the intensive care unit during the COVID-19 pandemic in Australia

Digby

Manias

Haines

et al. 2023

Australian Critical Care

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Maskne—Dermatosis of a Pandemic. A Survey on the Impact of PPE on Facial Skin Among HCW and N-HCW in Poland

Malczynska

Krych

Baran

et al. 2022

Dermatol Ther (Heidelb)

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Introduction During the SARS-CoV-2 pandemic, personal protective equipment (PPE) became the new social norm for preventing COVID-19, but with an impact on the skin barrier. This study aimed to analyze the factors influencing PPE wearing, following hygiene rules, and effect on facial skin, including onset or exacerbation of dermatoses among healthcare workers (HCW) and non-healthcare workers (N-HCW). Methods In 2020, an original survey was carried out among 300 N-HCW and 60 HCW with 60 questions about using PPE and skin lesions experienced before and during the pandemic. Cross-sectional statistical analysis was completed to assess the interplay between environmental factors and maskne occurrence. Results The N-HCW group included 74% females and 26% males with an average age 24.67 ± 0.74. Among HCW respondents 91.7% were women and 8.3% were men, with an average age of 30.07 ± 0.36. All participants used PPE. Volunteers for N-HCW mainly chose a disposable (53.3%) and reusable masks (37.3%), while HCW preferred surgical (66.7%) and FFP2/FFP3/N95 masks (30%) and almost never used reusable masks (3.3%). HCW mainly spent 5–8 h with PPE, and N-HCW spent 1–4 h with PPE/day. Respondents with dermatological problems before the pandemic were more aware of the maskne and paid more attention to hygiene with PPE. Significantly, HCW experienced more severe facial skin lesions than N-HCW ( p < 0.0001). There was statistical significance in following the basic hygienic rules of wearing PPE between both groups, where HCW practiced them more. Conclusions Maskne is a current and urgent problem to be cured. HCW should receive help if they develop maskne, such as limited time spent in PPE and treatment of the results of wearing it, as it is the main trigger of developing maskne. In addition, education about the correct use and choice of PPE should be improved. Supplementary Information The online version contains supplementary material available at 10.1007/s13555-022-00796-w.

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Personal protective equipment related skin changes among nurses working in pandemic intensive care unit: A qualitative study

Cited by 7 publications

References 51 publications

Experiences of intensive care unit nurses working with COVID-19 patients: A systematic review and meta-synthesis of qualitative studies

Experiences of intensive care unit nurses working with COVID-19 patients: A systematic review and meta-synthesis of qualitative studies

Staff experiences, perceptions of care, and communication in the intensive care unit during the COVID-19 pandemic in Australia

Maskne—Dermatosis of a Pandemic. A Survey on the Impact of PPE on Facial Skin Among HCW and N-HCW in Poland

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