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“I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic

Hayley Prout Orcid Logo, Fiona V. Lugg‐Widger Orcid Logo, Lucy Brookes‐Howell Orcid Logo, Rebecca Cannings‐John Orcid Logo, Ashley Akbari Orcid Logo, Ann John Orcid Logo, Daniel Rh. Thomas Orcid Logo, Michael Robling Orcid Logo

Health and Social Care in the Community, Volume: 30, Issue: 6

Swansea University Authors: Ashley Akbari Orcid Logo, Ann John Orcid Logo

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DOI (Published version): 10.1111/hsc.14109

Abstract

Domiciliary care workers (DCWs) continued to provide care to adults in their own homes throughout the COVID-19 pandemic. The evidence of the impact of COVID-19 on health outcomes of DCWs is currently mixed. The OSCAR study will quantify the impact of COVID-19 upon health outcomes of DCWs in Wales, e...

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Published in: Health and Social Care in the Community
ISSN: 0966-0410 1365-2524
Published: Wiley 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa62058
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Second, practical challenges for DCWs in the workplace were reported, including staff shortages, clients and families not following safety procedures, initial shortages of personal protective equipment (PPE), DCW criticism of standard use PPE, client difficulty with PPE and management of rapid antigen testing. Third, lack of government/employer preparation for a pandemic was described, including the reorganisation of staff clients and services, inadequate or confusing information for many DCWs, COVID-19 training and the need for improved practical instruction and limited official standard risk assessments for DCWs. Pressure to attend work and perceptions of COVID-19 risk and vaccination was also reported. In summary, this paper describes the risk factors associated with working during the pandemic. 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spelling 2022-12-28T19:12:36.3713613 v2 62058 2022-11-26 “I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 2022-11-26 HDAT Domiciliary care workers (DCWs) continued to provide care to adults in their own homes throughout the COVID-19 pandemic. The evidence of the impact of COVID-19 on health outcomes of DCWs is currently mixed. The OSCAR study will quantify the impact of COVID-19 upon health outcomes of DCWs in Wales, explore causes of variation and extrapolate to the rest of the UK DCW population. An embedded qualitative study aimed to explore DCW experiences during the pandemic, including factors that may have varied risk of exposure to COVID-19 and adverse health and wellbeing outcomes. Registered DCWs working throughout Wales were invited to participate in a semi-structured telephone interview. 24 DCWs were interviewed between February and July 2021. Themes were identified through inductive analysis using thematic coding. Several themes emerged relating to risk of exposure to COVID-19. First, general changes to the role of the DCW during the pandemic were identified. Second, practical challenges for DCWs in the workplace were reported, including staff shortages, clients and families not following safety procedures, initial shortages of personal protective equipment (PPE), DCW criticism of standard use PPE, client difficulty with PPE and management of rapid antigen testing. Third, lack of government/employer preparation for a pandemic was described, including the reorganisation of staff clients and services, inadequate or confusing information for many DCWs, COVID-19 training and the need for improved practical instruction and limited official standard risk assessments for DCWs. Pressure to attend work and perceptions of COVID-19 risk and vaccination was also reported. In summary, this paper describes the risk factors associated with working during the pandemic. We have mapped recommendations for each problem using these qualitative findings including tailored training and better support for isolated team members and identified the required changes at several socio-ecological levels. Journal Article Health and Social Care in the Community 30 6 Wiley 0966-0410 1365-2524 COVID-19; domiciliary care workers; qualitative; risk; social care 15 12 2022 2022-12-15 10.1111/hsc.14109 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University Economic and Social Research Council. Grant Number: ES/V015206/1 2022-12-28T19:12:36.3713613 2022-11-26T17:50:29.3899475 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Hayley Prout 0000-0003-0170-7027 1 Fiona V. Lugg‐Widger 0000-0003-0029-9703 2 Lucy Brookes‐Howell 0000-0002-8263-7130 3 Rebecca Cannings‐John 0000-0001-5235-6517 4 Ashley Akbari 0000-0003-0814-0801 5 Ann John 0000-0002-5657-6995 6 Daniel Rh. Thomas 0000-0002-2426-5893 7 Michael Robling 0000-0002-1004-036x 8 62058__25993__1abdf363087648e8b150e280bc432515.pdf 62058.pdf 2022-12-02T18:15:47.5363067 Output 554053 application/pdf Version of Record true © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License true eng http://creativecommons.org/licenses/by/4.0/
title “I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic
spellingShingle “I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic
Ashley Akbari
Ann John
title_short “I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic
title_full “I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic
title_fullStr “I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic
title_full_unstemmed “I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic
title_sort “I don't mean to be rude, but could you put a mask on while I'm here?” A qualitative study of risks experienced by domiciliary care workers in Wales during the COVID‐19 pandemic
author_id_str_mv aa1b025ec0243f708bb5eb0a93d6fb52
ed8a9c37bd7b7235b762d941ef18ee55
author_id_fullname_str_mv aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
author Ashley Akbari
Ann John
author2 Hayley Prout
Fiona V. Lugg‐Widger
Lucy Brookes‐Howell
Rebecca Cannings‐John
Ashley Akbari
Ann John
Daniel Rh. Thomas
Michael Robling
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container_title Health and Social Care in the Community
container_volume 30
container_issue 6
publishDate 2022
institution Swansea University
issn 0966-0410
1365-2524
doi_str_mv 10.1111/hsc.14109
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description Domiciliary care workers (DCWs) continued to provide care to adults in their own homes throughout the COVID-19 pandemic. The evidence of the impact of COVID-19 on health outcomes of DCWs is currently mixed. The OSCAR study will quantify the impact of COVID-19 upon health outcomes of DCWs in Wales, explore causes of variation and extrapolate to the rest of the UK DCW population. An embedded qualitative study aimed to explore DCW experiences during the pandemic, including factors that may have varied risk of exposure to COVID-19 and adverse health and wellbeing outcomes. Registered DCWs working throughout Wales were invited to participate in a semi-structured telephone interview. 24 DCWs were interviewed between February and July 2021. Themes were identified through inductive analysis using thematic coding. Several themes emerged relating to risk of exposure to COVID-19. First, general changes to the role of the DCW during the pandemic were identified. Second, practical challenges for DCWs in the workplace were reported, including staff shortages, clients and families not following safety procedures, initial shortages of personal protective equipment (PPE), DCW criticism of standard use PPE, client difficulty with PPE and management of rapid antigen testing. Third, lack of government/employer preparation for a pandemic was described, including the reorganisation of staff clients and services, inadequate or confusing information for many DCWs, COVID-19 training and the need for improved practical instruction and limited official standard risk assessments for DCWs. Pressure to attend work and perceptions of COVID-19 risk and vaccination was also reported. In summary, this paper describes the risk factors associated with working during the pandemic. We have mapped recommendations for each problem using these qualitative findings including tailored training and better support for isolated team members and identified the required changes at several socio-ecological levels.
published_date 2022-12-15T04:21:22Z
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