scholarly journals Mutual aid versus volunteerism: Autonomous PPE production in the Covid-19 pandemic crisis

2021 ◽  
pp. 030981682110576
Author(s):  
Katya Lachowicz ◽  
Jim Donaghey
Keyword(s):  
United Kingdom ◽  
Private Sector ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Social Needs ◽  
Protective Equipment ◽  
Mutual Aid ◽  
The United Kingdom ◽  
Political Economies ◽  
Critical Social

The Covid-19 pandemic crisis has confirmed neoliberal capitalism’s inability to meet critical social needs. In the United Kingdom, mutual aid initiatives based on ‘solidarity not charity’ blossomed in a context of state incompetence and private sector negligence – including Scrub Hub, a network of groups that autonomously produced personal protective equipment and provided it directly to health workers. Using a convergence of autonomist and anarchist perspectives, this article examines Scrub Hub as an example of emergent autonomous political economies and considers the challenges of resisting co-optation into volunteerist hierarchies and suppression by the neoliberal state.

scholarly journals The Impact Of COVID-19 On Out-Of-Hours Adult Hospice Care: An Online Survey

2021 ◽  
Author(s):  
Felicity Hasson ◽  
Paul Slater ◽  
Anne Fee ◽  
Tracey McConnell ◽  
Sheila Payne ◽  
...  
Keyword(s):  
Palliative Care ◽  
United Kingdom ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Community Based ◽  
Out Of Hours ◽  
Care Services ◽  
The United Kingdom ◽  
Palliative Care Services ◽  
The Impact

Abstract BackgroundGlobally COVID-19 has had a profound impact on the provision of healthcare, including palliative care. However, there is little evidence about the impact of COVID-19 on delivery of out-of-hours specialist palliative care services in the United Kingdom. The aim of the study is to investigate the impact of the COVID-19 pandemic on the delivery of out-of-hours community-based palliative care services.Methods A national online census survey of managers of adult hospices in the United Kingdom was undertaken. Survey were emailed to managers of adult hospices (n=150) who provided out-of-hours community palliative care services. Fifteen questions related specifically to the impact of COVID-19 and data were analysed thematically.ResultsEighty-one responses to the survey were returned (54% response rate); 59 were complete of which 47 contained COVID-19 data. Findings indicated that COVID-19 impacted on out-of-hours community-based palliative care. To meet increased patient need, hospices reconfigured services; redeployed staff; and introduced new policies and procedures to minimize virus transmission. Lack of integration between charitably and state funded palliative care providers was reported. The interconnected issues of the use and availability of Personal Protective Equipment (n=21) and infection control screening (n=12) resulted in changes in nursing practices due to fear of contagion for patients, carers and staff. Conclusions Survey findings suggest that due to increased demand for community palliative care services, hospices had to rapidly adapt and reconfigure services. Even though this response to the pandemic led to some service improvements, in the main, out-of-hours service reconfiguration resulted in challenges for hospices, including workforce issues, and availability of resources such as Personal Protective Equipment. These challenges were exacerbated by lack of integration with wider healthcare services. More research is required to fully understand the implications of such changes on the quality of care provided.

scholarly journals Your Hair or Your Service: An Issue of Faith for Sikh Healthcare Professionals During the COVID-19 Pandemic

2021 ◽  
Author(s):  
Rajinder Singh ◽  
Bhajneek Grewal
Keyword(s):  
United Kingdom ◽  
Clinical Practice ◽  
Personal Protective Equipment ◽  
Healthcare Professionals ◽  
Significant Proportion ◽  
Protective Equipment ◽  
Healthcare Staff ◽  
The United Kingdom

Abstract Sikh healthcare professionals make up a small but significant proportion of the workforce in the United Kingdom. The COVID-19 pandemic has presented healthcare staff across the country with challenges relating to safe clinical practice whilst wearing personal protective equipment (PPE). Practising Sikhs are mandated to keep their hair unshorn and have been negatively impacted by some standard PPE requirements. This article aims to raise awareness of this issue and provide suggestions on how this conflict can be resolved.

scholarly journals Access to personal protective equipment in healthcare workers during the COVID-19 pandemic in the United Kingdom: results from a nationwide cohort study (UK-REACH)

2021 ◽  
Author(s):  
Christopher A Martin ◽  
Daniel Pan ◽  
Joshua Nazareth ◽  
Avinash Aujayeb ◽  
Luke Bryant ◽  
...  
Keyword(s):  
Cohort Study ◽  
United Kingdom ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Secondary Analysis ◽  
Protective Equipment ◽  
Primary Analysis ◽  
Questionnaire Response ◽  
The United Kingdom ◽  
The Uk

Abstract Objectives: To determine the prevalence and predictors of self-reported access to appropriate personal protective equipment (aPPE) for healthcare workers (HCWs) in the United Kingdom (UK) during the first UK national COVID-19 lockdown (March 2020) and at the time of questionnaire response (December 2020 - February 2021). Design: Two cross sectional analyses using data from a questionnaire-based cohort study. Setting: Nationwide questionnaire from 4th December 2020 to 28th February 2021. Participants: A representative sample of HCWs or ancillary workers in a UK healthcare setting aged 16 or over, registered with one of seven main UK healthcare regulatory bodies. Main outcome measure: Binary measure of self-reported aPPE (access all of the time vs access most of the time or less frequently) at two timepoints: the first national lockdown in the UK (primary analysis) and at the time of questionnaire response (secondary analysis). Results: 10,508 HCWs were included in the primary analysis, and 12,252 in the secondary analysis. 3702 (35.2%) of HCWs reported aPPE at all times in the primary analysis; 6806 (83.9%) reported aPPE at all times in the secondary analysis. After adjustment (for age, sex, ethnicity, migration status, occupation, aerosol generating procedure exposure, work sector, work region, working hours, night shift frequency and trust in employing organisation), older HCWs (per decade increase in age: aOR 1.2, 95% CI 1.16 - 1.26, p<0.001) and those working in Intensive Care Units (1.61, 1.38 - 1.89, p<0.001) were more likely to report aPPE at all times. Those from Asian ethnic groups compared to White (0.77, 0.67 - 0.89, p<0.001), those in allied health professional (AHPs) and dental roles (vs those in medical roles; AHPs: 0.77, 0.68 - 0.87, p<0.001; dental: 0.63, 0.49 - 0.81, p<0.001), and those who saw a higher number of COVID-19 patients compared to those who saw none (≥21 patients 0.74, 0.61 - 0.90, p=0.003) were less likely to report aPPE at all times in the primary analysis. aPPE at all times was also not uniform across UK regions (reported access being better in South West and North East England than London). Those who trusted their employing organisation to deal with concerns about unsafe clinical practice, compared to those who did not, were twice as likely to report aPPE at all times (2.18, 1.97 - 2.40, p<0.001). With the exception of occupation, these factors were also significantly associated with aPPE at all times in the secondary analysis. Conclusions: We found that only a third of HCWs in the UK reported aPPE at all times during the period of the first lockdown and that aPPE had improved later in the pandemic. We also identified key sociodemographic and occupational determinants of aPPE during the first UK lockdown, the majority of which have persisted since lockdown was eased. These findings have important public health implications for HCWs, particularly as cases of infection and long-COVID continue to rise in the UK.

scholarly journals PMMB COVID-19 Bulletin: United Kingdom (22nd April 2020)

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Loh Teng-Hern Tan ◽  
Vengadesh Letchumanan ◽  
Hooi-Leng Ser ◽  
Jodi Woan-Fei Law ◽  
Nurul-Syakima Ab Mutalib ◽  
...  
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Personal Protective Equipment ◽  
European Countries ◽  
Protective Equipment ◽  
Health Threat ◽  
The United Kingdom ◽  
The World ◽  
Public Health Threat ◽  
The Uk

COVID-19 has greatly impacted the world and posed an enormous public health threat. The United Kingdom is hit harder by the COVID-19 crisis than any other European countries, besides Italy, Spain and France. The UK government has come under heavy criticism for its response to COVID-19, with lack of preparedness, shortages of personal protective equipment and COVID-19 testing. Despite the lockdown is in place to slow the spread of COVID-19, UK death toll continues to surge. As of 21st April 2020, more than 120,000 confirmed COVID-19 cases and 16,000 deaths had been recorded in UK.

scholarly journals PERILAKU PENGGUNAAN ALAT PELINDUNG DIRI DAN PENULARAN PENYAKIT KULIT PADA PETUGAS TPS DI KECAMATAN SAWAHAN SURABAYA

2015 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Ni Putu Rusmini
Keyword(s):  
Personal Protective Equipment ◽  
Disease Transmission ◽  
Skin Disease ◽  
Health Workers ◽  
Strong Relationship ◽  
Rank Test ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Spearman Rank ◽  
The Government

ABSTRAKPetugas TPS atau petugas pengangkut sampah merupakan pekerja yang setiap harinya mengambil atau mengangkut sampah dari rumah ke rumah untuk dikumpulkan kemudian di pilah-pilah di TPS dan akan dikirimkan ke tempat pembuangan yang lebih besar yaitu Tempat Pembuangan Akhir (TPA). Sepanjang hari petugas TPS bekerja dengan sampah sehingga membuat mereka mempunyai risiko tinggi terkena penularan penyakit kulit, baik yang memiliki efek secara langsung maupun tidak langsung. Salah satu upaya yang dapat dilakukan untuk mengurangi resiko terkena penularan penyakit kulit adalah dengan menggunakan Alat Pelindung Diri (APD) Kurangnya kesadaran, kepatuhan dan informasi tentang risiko bahaya, sebagian dari mereka tidak tidak menggunakan APD. APD yang kurang lengkap dapat memungkinkan kontak langsung dengan sampah sehingga mengakibatkan terjadinya gangguan kesehatan salah satunya yaitu menyebabkan penularan penyakit kulit. Jenis penelitian ini adalah analitik korelasi dengan pendekatan cross-sectional. Data diuji dengan Spearman rank test. Pengumpulan data dengan cara observasi, wawancara dan kuesioner. Peneliti menggunakan metode total sampling. Hasil uji statistik menunjukkan p=0.00 (α<0.05) dan r=0.761, sehingga terdapat hubungan yang kuat antara perilaku pemakaian APD dengan penularan penyakit kulit pada petugas TPS. Oleh sebab itu, diharapkan program pemerintah dan petugas kesehatan dapat mendukung penggunaan APD sebagai upaya preventif terhadap penularan penyakit kulit pada petugas TPS.Kata kunci : sampah, petugas TPS, alat pelindung diri (APD), penularan penyakit kulitABSTRACTA garbage worker who take or hauling garbage from house to house and collected and then sorted into the TPS every day and will be sent to landfills larger is the final disposal (landfill). Throughout the day poll workers working with litter so as to make them have a higher risk of skin disease transmission, both of which have the effect of directly or indirectly. One effort that can be done to reduce the risk of skin disease transmission is to use Personal Protective Equipment (PPE) Lack of awareness, compliance and information about the risk of harm, some of them not using PPE. APD incomplete can allow direct contact with garbage, which causes health problems one of which causes the skin disease transmission. This type of research is an analytic correlation with cross-sectional approach. Data were tested with Spearman rank test. The collection of data by means of observation, interviews and questionnaires. Researchers used total sampling method. Statistical analysis showed p = 0.00 (α <0,05) and r = 0.761, so there is a strong relationship between the behavior of the use of PPE with the skin disease transmission at the polling station officials. Therefore, it is expected the government programs and health workers can support the use of PPE as a preventative measure against the spread of skin disease at polling station officials.Keywords: garbage, garbage workers, Personal Protective Equipment (PPE), skin disease transmission. DOWNLOAD FULL TEXT PDF >>

FACTORS AFFECTING NURSE ANXIETY IN ROLE AS A CAREGIVER DURING THE COVID-19 PANDEMIC

2021 ◽  
Vol 10 (1) ◽  
pp. 108-115
Author(s):  
Yurike Septianingrum ◽  
Andikawati Fitriasari ◽  
Erika Martining Wardani
Keyword(s):  
Logistic Regression ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Psychological Symptoms ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Multivariate Logistic Regression ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background: During the Covid-19 outbreak, health workers, especially nurses, are vulnerable to potential psychological symptoms such as anxiety, which can prevent nurses from carrying out their role as caregivers in health services (Lai et al., 2020; Shanafelt et al., 2020). Objectives: The purpose of this study is to analyze the factors that can influence the anxiety of nurses in playing the role of caregiver during the Covid-19 pandemic. Methods: This is a cross-sectional study with a population of all nurses who met the inclusion criteria as much as 105 nurses. The research sample was selected through stratified random sampling and obtained 84 nurses. This research was conducted at RSI Jemursari Surabaya from June until September 2020. The research instruments used in this study were the demographic observation sheet, knowledge questionnaire, and the Hamilton Anxiety Rank Scale (HARS). Data analysis used Pearson chi-square test and multivariate logistic regression. Results: The results of the Pearson Chi-square test showed that of all the factors studied, only age (p = 0.004), availability of personal protective equipment (p = 0.002), and knowledge (p = 0.017) influenced nurses' anxiety. The results of the analysis using multivariate logistic regression test showed that the factor that most influenced nurses' anxiety was the availability of personal protective equipment (p = 0.001; OR = -3.062). Conclusion: Younger nurses, inadequate personal protective equipment, and less knowledgeable nurses were at high risk for more severe anxiety. Regular observation of the psychological condition of nurses and the fulfillment of the need for personal protective equipment is needed to prevent increased anxiety in nurses.   Keywords: Nurse, anxiety, Covid-19, caregiver.

Organisational Challenges of Implementing E-Business in the Public Services

2011 ◽  
pp. 2231-2252
Author(s):  
Francesca Andreescu
Keyword(s):  
United Kingdom ◽  
Public Sector ◽  
Private Sector ◽  
Economic Activity ◽  
Public Services ◽  
Geographic Information ◽  
Information Industry ◽  
The Public ◽  
The United Kingdom ◽  
New Strategy

Underpinning £136 billion of economic activity in the United Kingdom, Britain’s National Mapping Agency is a commercialising public sector organisation having trading fund status and existing in the intersection of two different spheres—the public and the private. Recognised as a leading participant in the geographic information industry, within which it is forging partnerships with key private sector companies, the organisation has enthusiastically grasped e-business as an all-embracing phenomenon and implemented a new strategy that transformed the way it did business. Drawing on longitudinal data gathered over a period of four years, this article explores the processes of strategic and organisational transformation engendered by e-business implementation in this organisation and discusses the successful elements, as well as some of the challenges to its change efforts.

scholarly journals Assessment of Health Workers’ Knowledge, Beliefs, Attitudes, and Use of Personal Protective Equipment for Prevention of COVID-19 Infection in Low-Resource Settings

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
M. A. Alao ◽  
A. O. Durodola ◽  
O. R. Ibrahim ◽  
O. A. Asinobi
Keyword(s):  
New York ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Sampling Technique ◽  
Protective Equipment ◽  
Practical Training ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Resource Limited

Background. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious disease with a potential for healthcare workers (HCWs) getting infected due to inadequate protection while attending to patients. Effective use of personal protective equipment (PPE) is key to mitigating the spread of SARS-CoV-2 infection in healthcare settings. Hence, there is a need to understand HCWs’ use of PPE in resource-limited settings and how closely the currently recommended guidelines for PPE are followed. This study assessed the HCWs’ knowledge about, attitudes towards, beliefs on, and use of PPE to prevent SARS-CoV-2 infection in a resource-limited setting. Methods. This cross-sectional study was conducted in April 2020 in Southwest and Northwest Nigeria. The selection of participants was performed via the snowball sampling technique using a 33-item, web-based, self-administered questionnaire via a social media network. We obtained relevant sociodemographic data and information on participants’ occupations and knowledge about, attitudes towards, beliefs on, and use of PPE. We analysed the data using SPSS version 23.0 for Windows (IBM, Armonk, New York, USA). A p values <0.05 were considered statistically significant. Results. A total of 290 subjects responded to the questionnaire, and 18 (6.2%) were excluded because of incomplete data. The mean age of the respondents was 32.3 ± 9.9 years. There were 116 males (42.6%). The majority of the respondents were medical doctors (114, 41.9%), followed by nurses and clinical students. Of the 272 respondents in this survey, only 70 (25.7%) had adequate knowledge about PPE. Of the respondents who presumed they had adequate knowledge about donning and doffing PPE, 94 (56%) were incorrect. The predictors of good knowledge were ages younger than 45 years (p=0.046) and practice location (p=0.009). Conclusion. This study showed that HCWs’ knowledge about, attitudes towards, and beliefs on PPE and their PPE skill in practice in Nigeria were remarkably poor. There is an urgent need for nationwide practical training on PPE use to curtail the spread of SARS-CoV-2 infection among HCWs.

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