Provider Perceptions of a Humanizing Intervention for Health Care Workers-A Survey Study of PPE Portraits.
Identifieur interne : 000362 ( Main/Exploration ); précédent : 000361; suivant : 000363Provider Perceptions of a Humanizing Intervention for Health Care Workers-A Survey Study of PPE Portraits.
Auteurs : Jennifer Reidy [États-Unis] ; Cati Brown-Johnson [États-Unis] ; Nancy Mccool [États-Unis] ; Shawna Steadman [États-Unis] ; Mary B. Heffernan [États-Unis] ; Vandana Nagpal [États-Unis]Source :
- Journal of pain and symptom management [ 1873-6513 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
CONTEXT
Reports from patients and health care workers dealing with coronavirus disease 2019 (COVID-19) underscore experiences of isolation and fear. Some of this experience results from the distancing effect of masks, gloves, and gowns known as personal protective equipment (PPE). One approach to bridging the divide created by PPE is the use of PPE portraits, postcard-sized pictures affixed to PPE.
OBJECTIVES
Our confidential electronic mail-based survey aimed to quantify provider attitudes toward PPE portraits.
METHODS
PPE portraits were piloted at an academic safety-net health system experiencing a COVID-19 patient surge during April-May 2020, necessitating use of full PPE for COVID-positive patients and surgical masks in all hospital settings. Our survey assessed staff exposure to PPE portraits, attitudes toward PPE portraits, and potential program expansion. For staff wearing PPE portraits, we also assessed perceptions of interactions with other staff and patients/families and impact on personal well-being. The University of Massachusetts Medical School's Institutional Review Board designated this as a quality improvement project (#H00020279).
RESULTS
More than half of survey respondents (n = 111 of 173; 64%) reported exposure to PPE portraits. Attitudes toward PPE portraits were positive overall, with agreement that PPE portraits were a good idea (89%), improved provider mood (79%), enhanced perception of team connection (72%), and more positive among those who reported exposure. Open-ended responses (n = 41) reinforced positive survey data and also raised concerns about infection control (n = 6), cost/logistics (n = 5), and provider vulnerability (n = 3).
CONCLUSION
Providers report that PPE portraits may represent a positive patient-centered idea that helps reassure patients, is well received by interdisciplinary staff, and may enhance patient and team interactions. Potential adaptations to address concerns include photo pins and donor/patient and family experience department support for costs.
DOI: 10.1016/j.jpainsymman.2020.08.038
PubMed: 32911039
PubMed Central: PMC7476604
Affiliations:
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Electronic address: jennifer.reidy@umassmemorial.org.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA; University of Massachusetts Medical School, Worcester, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Brown Johnson, Cati" sort="Brown Johnson, Cati" uniqKey="Brown Johnson C" first="Cati" last="Brown-Johnson">Cati Brown-Johnson</name><affiliation wicri:level="2"><nlm:affiliation>Division of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Mccool, Nancy" sort="Mccool, Nancy" uniqKey="Mccool N" first="Nancy" last="Mccool">Nancy Mccool</name><affiliation wicri:level="2"><nlm:affiliation>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Steadman, Shawna" sort="Steadman, Shawna" uniqKey="Steadman S" first="Shawna" last="Steadman">Shawna Steadman</name><affiliation wicri:level="2"><nlm:affiliation>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA; University of Massachusetts Graduate School of Nursing, Worcester, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA; University of Massachusetts Graduate School of Nursing, Worcester, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Heffernan, Mary B" sort="Heffernan, Mary B" uniqKey="Heffernan M" first="Mary B" last="Heffernan">Mary B. 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Some of this experience results from the distancing effect of masks, gloves, and gowns known as personal protective equipment (PPE). One approach to bridging the divide created by PPE is the use of PPE portraits, postcard-sized pictures affixed to PPE.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Our confidential electronic mail-based survey aimed to quantify provider attitudes toward PPE portraits.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>PPE portraits were piloted at an academic safety-net health system experiencing a COVID-19 patient surge during April-May 2020, necessitating use of full PPE for COVID-positive patients and surgical masks in all hospital settings. Our survey assessed staff exposure to PPE portraits, attitudes toward PPE portraits, and potential program expansion. For staff wearing PPE portraits, we also assessed perceptions of interactions with other staff and patients/families and impact on personal well-being. The University of Massachusetts Medical School's Institutional Review Board designated this as a quality improvement project (#H00020279).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>More than half of survey respondents (n = 111 of 173; 64%) reported exposure to PPE portraits. Attitudes toward PPE portraits were positive overall, with agreement that PPE portraits were a good idea (89%), improved provider mood (79%), enhanced perception of team connection (72%), and more positive among those who reported exposure. Open-ended responses (n = 41) reinforced positive survey data and also raised concerns about infection control (n = 6), cost/logistics (n = 5), and provider vulnerability (n = 3).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Providers report that PPE portraits may represent a positive patient-centered idea that helps reassure patients, is well received by interdisciplinary staff, and may enhance patient and team interactions. Potential adaptations to address concerns include photo pins and donor/patient and family experience department support for costs.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32911039</PMID><DateCompleted><Year>2020</Year><Month>11</Month><Day>09</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-6513</ISSN><JournalIssue CitedMedium="Internet"><Volume>60</Volume><Issue>5</Issue><PubDate><Year>2020</Year><Month>11</Month></PubDate></JournalIssue><Title>Journal of pain and symptom management</Title><ISOAbbreviation>J Pain Symptom Manage</ISOAbbreviation></Journal><ArticleTitle>Provider Perceptions of a Humanizing Intervention for Health Care Workers-A Survey Study of PPE Portraits.</ArticleTitle><Pagination><MedlinePgn>e7-e10</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0885-3924(20)30726-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpainsymman.2020.08.038</ELocationID><Abstract><AbstractText Label="CONTEXT">Reports from patients and health care workers dealing with coronavirus disease 2019 (COVID-19) underscore experiences of isolation and fear. Some of this experience results from the distancing effect of masks, gloves, and gowns known as personal protective equipment (PPE). One approach to bridging the divide created by PPE is the use of PPE portraits, postcard-sized pictures affixed to PPE.</AbstractText><AbstractText Label="OBJECTIVES">Our confidential electronic mail-based survey aimed to quantify provider attitudes toward PPE portraits.</AbstractText><AbstractText Label="METHODS">PPE portraits were piloted at an academic safety-net health system experiencing a COVID-19 patient surge during April-May 2020, necessitating use of full PPE for COVID-positive patients and surgical masks in all hospital settings. Our survey assessed staff exposure to PPE portraits, attitudes toward PPE portraits, and potential program expansion. For staff wearing PPE portraits, we also assessed perceptions of interactions with other staff and patients/families and impact on personal well-being. The University of Massachusetts Medical School's Institutional Review Board designated this as a quality improvement project (#H00020279).</AbstractText><AbstractText Label="RESULTS">More than half of survey respondents (n = 111 of 173; 64%) reported exposure to PPE portraits. Attitudes toward PPE portraits were positive overall, with agreement that PPE portraits were a good idea (89%), improved provider mood (79%), enhanced perception of team connection (72%), and more positive among those who reported exposure. Open-ended responses (n = 41) reinforced positive survey data and also raised concerns about infection control (n = 6), cost/logistics (n = 5), and provider vulnerability (n = 3).</AbstractText><AbstractText Label="CONCLUSION">Providers report that PPE portraits may represent a positive patient-centered idea that helps reassure patients, is well received by interdisciplinary staff, and may enhance patient and team interactions. Potential adaptations to address concerns include photo pins and donor/patient and family experience department support for costs.</AbstractText><CopyrightInformation>Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Reidy</LastName><ForeName>Jennifer</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA; University of Massachusetts Medical School, Worcester, Massachusetts, USA. Electronic address: jennifer.reidy@umassmemorial.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brown-Johnson</LastName><ForeName>Cati</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McCool</LastName><ForeName>Nancy</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Steadman</LastName><ForeName>Shawna</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA; University of Massachusetts Graduate School of Nursing, Worcester, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heffernan</LastName><ForeName>Mary B</ForeName><Initials>MB</Initials><AffiliationInfo><Affiliation>Department of Art and Art History, Occidental College, Los Angeles, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nagpal</LastName><ForeName>Vandana</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Division of Palliative Care, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA; University of Massachusetts Medical School, Worcester, Massachusetts, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Pain Symptom Manage</MedlineTA><NlmUniqueID>8605836</NlmUniqueID><ISSNLinking>0885-3924</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="Y">Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000067393" MajorTopicYN="Y">Personal Protective Equipment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011369" MajorTopicYN="Y">Professional-Patient Relations</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">PPE</Keyword><Keyword MajorTopicYN="Y">PPE portraits</Keyword><Keyword MajorTopicYN="Y">patient-provider connection</Keyword><Keyword MajorTopicYN="Y">personal protective equipment</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>08</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>08</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>11</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>10</Day><Hour>20</Hour><Minute>11</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32911039</ArticleId><ArticleId IdType="pii">S0885-3924(20)30726-0</ArticleId><ArticleId IdType="doi">10.1016/j.jpainsymman.2020.08.038</ArticleId><ArticleId IdType="pmc">PMC7476604</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Gen Intern Med. 2020 Jul;35(7):2240-2242</Citation><ArticleIdList><ArticleId IdType="pubmed">32410125</ArticleId></ArticleIdList></Reference><Reference><Citation>J Pain Symptom Manage. 2020 Jul;60(1):e31-e40</Citation><ArticleIdList><ArticleId IdType="pubmed">32278097</ArticleId></ArticleIdList></Reference><Reference><Citation>J Infect. 2018 Dec;77(6):496-502</Citation><ArticleIdList><ArticleId IdType="pubmed">30176274</ArticleId></ArticleIdList></Reference><Reference><Citation>Asian J Psychiatr. 2020 Jun;51:102104</Citation><ArticleIdList><ArticleId IdType="pubmed">32325391</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Apr 11;395(10231):1168</Citation><ArticleIdList><ArticleId IdType="pubmed">32278369</ArticleId></ArticleIdList></Reference><Reference><Citation>J Pain Symptom Manage. 2020 Jul;60(1):e70-e76</Citation><ArticleIdList><ArticleId IdType="pubmed">32298748</ArticleId></ArticleIdList></Reference><Reference><Citation>J Palliat Med. 2013 Apr;16(4):436-45</Citation><ArticleIdList><ArticleId IdType="pubmed">23488450</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Reidy, Jennifer" sort="Reidy, Jennifer" uniqKey="Reidy J" first="Jennifer" last="Reidy">Jennifer Reidy</name></region><name sortKey="Brown Johnson, Cati" sort="Brown Johnson, Cati" uniqKey="Brown Johnson C" first="Cati" last="Brown-Johnson">Cati Brown-Johnson</name><name sortKey="Heffernan, Mary B" sort="Heffernan, Mary B" uniqKey="Heffernan M" first="Mary B" last="Heffernan">Mary B. Heffernan</name><name sortKey="Mccool, Nancy" sort="Mccool, Nancy" uniqKey="Mccool N" first="Nancy" last="Mccool">Nancy Mccool</name><name sortKey="Nagpal, Vandana" sort="Nagpal, Vandana" uniqKey="Nagpal V" first="Vandana" last="Nagpal">Vandana Nagpal</name><name sortKey="Steadman, Shawna" sort="Steadman, Shawna" uniqKey="Steadman S" first="Shawna" last="Steadman">Shawna Steadman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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