Evaluation of health worker acceptance and tolerance of respirators in clinical practice-An Australian perspective

Susan Jain; Kathy Dempsey; Kate Clezy; Patricia Bradd

doi:10.1016/j.ajic.2023.07.003

Evaluation of health worker acceptance and tolerance of respirators in clinical practice-An Australian perspective

Am J Infect Control. 2024 Jan;52(1):46-53. doi: 10.1016/j.ajic.2023.07.003. Epub 2023 Jul 16.

Authors

Susan Jain¹, Kathy Dempsey², Kate Clezy², Patricia Bradd²

Affiliations

¹ Healthcare Associated Infection Program, Clinical Excellence Commission, Sydney, New South Wales, Australia. Electronic address: susan.jain@health.nsw.gov.au.
² Healthcare Associated Infection Program, Clinical Excellence Commission, Sydney, New South Wales, Australia.

PMID: 37454930
DOI: 10.1016/j.ajic.2023.07.003

Abstract

Background: One of the main infection prevention and control measures introduced during the COVID-19 pandemic was the focused application of respiratory protection to ensure health worker safety and the effective use of personal protective equipment. However, user acceptance of these strategies is paramount in sustainable compliance. This study explores various aspects of respirator use and provides recommendations to improve and maximize health worker safety. The aim of this study was to understand the relationship between respirator (P2/N95) comfort and user experience toward respiratory protection. The aim of this study was to understand the relationship between respirator (P2/N95) comfort and user experience toward respiratory protection.

Methods: The nonexperimental cross-sectional design study was conducted in New South Wales, Australia between November and December 2022 using an anonymous self-administered online questionnaire in Microsoft Forms.

Results: Of 2,514 respondents, 65% reported to have used a respirator every working day with only a few using a respirator once weekly or less (9%). Almost all respondents had completed at least one quantitative fit test (96%) prior to the survey. Fifty-nine percent reported to have experienced discomfort from wearing a respirator and the most reported adverse effect was difficulty communicating (64%), followed by skin irritation or acne (62%) and headache (56%).

Conclusions: Despite somewhat less favorable ratings on comfort and communication, health workers are in favor of respiratory protection. However, a focus on tolerance of respirators and strategies to address adverse effects from prolonged respirator use must be considered when implementing policies and procedures. Moreover, resources must be allocated to improve the design, breathability, and sustainability of a respirator along with education and training on how to use respiratory protection safely and effectively.

Keywords: Adverse effect; Fit testing; Health worker comfort; P2/N95 respirator; Respiratory protection; Safety.

MeSH terms

Australia
Cross-Sectional Studies
Drug-Related Side Effects and Adverse Reactions*
Humans
Occupational Exposure* / prevention & control
Pandemics / prevention & control
Respiratory Protective Devices*
Ventilators, Mechanical