Characteristics of personal protective equipment training programs in Australia and New Zealand hospitals: A survey

Infect Dis Health. 2020 Nov;25(4):253-261. doi: 10.1016/j.idh.2020.05.005. Epub 2020 Jun 26.

Abstract

Background: Using personal protective equipment (PPE) is one of several fundamental measures to prevent the transmission of infection and infectious diseases and is particularly pertinent in the current COVID-19 pandemic. Appropriate use of PPE by healthcare workers is, however, often suboptimal. Training and monitoring of PPE competency are essential components of an infection prevention and control program but there is a paucity of research and data on the content of such training programs across Australasia. This paper reports the results of a survey that characterised the nature of PPE training in Australian and New Zealand hospitals.

Methods: A population-based online survey was distributed to members of three major Australasian colleges representing infection prevention and control.

Results: Results indicate that, although training is frequently provided at orientation, many healthcare workers do not receive regular updates. Training programmes combine online and classroom sessions, but over a third do not include a practical component. The frequency of monitoring PPE competency is variable with one third of respondents indicating that no auditing occurs. PPE items used for high-level training are variable, with use of powered air purifying respirators (PAPRs) uncommon.

Conclusion: The results of this study suggest that HCWs' confidence, competence and familiarity with PPE are a concern, which in the context of the current global COVID-19 pandemic is problematic. More research is needed into how PPE training programs could be better designed, to prepare HCWs for practice using PPE safely and confidently.

Keywords: COVID-19; Education; Infection prevention and control; Personal protective equipment; Training.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Australasia
  • Australia
  • Betacoronavirus / isolation & purification
  • COVID-19
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / prevention & control*
  • Coronavirus Infections / transmission
  • Cross-Sectional Studies
  • Health Personnel / education*
  • Hospitals
  • Humans
  • Infection Control / methods
  • Infectious Disease Transmission, Patient-to-Professional / prevention & control*
  • New Zealand
  • Pandemics / prevention & control*
  • Personal Protective Equipment*
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / prevention & control*
  • Pneumonia, Viral / transmission
  • Respiratory Protective Devices
  • SARS-CoV-2
  • Surveys and Questionnaires