Your browser doesn't support javascript.
loading
Perspectives on COVID-19 testing policies and practices: a qualitative study with scientific advisors and NHS health care workers in England.
Martindale, Anne-Marie; Pilbeam, Caitlin; Mableson, Hayley; Tonkin-Crine, Sarah; Atkinson, Paul; Borek, Aleksandra; Lant, Suzannah; Gobat, Nina; Solomon, Tom; Sheard, Sally.
Afiliación
  • Martindale AM; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, England. a.martindale@liverpool.ac.uk.
  • Pilbeam C; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
  • Mableson H; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, England.
  • Tonkin-Crine S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
  • Atkinson P; Institute of Population Health, University of Liverpool, Liverpool, England.
  • Borek A; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
  • Lant S; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, England.
  • Gobat N; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
  • Solomon T; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, England.
  • Sheard S; Institute of Population Health, University of Liverpool, Liverpool, England.
BMC Public Health ; 21(1): 1216, 2021 06 24.
Article en En | MEDLINE | ID: mdl-34167491
BACKGROUND: As COVID-19 death rates have risen and health-care systems have experienced increased demand, national testing strategies have come under scrutiny. Utilising qualitative interview data from a larger COVID-19 study, this paper provides insights into influences on and the enactment of national COVID-19 testing strategies for health care workers (HCWs) in English NHS settings during wave one of the COVID-19 pandemic (March-August 2020). Through the findings we aim to inform learning about COVID-19 testing policies and practices; and to inform future pandemic diagnostic preparedness. METHODS: A remote qualitative, semi-structured longitudinal interview method was employed with a purposive snowball sample of senior scientific advisors to the UK Government on COVID-19, and HCWs employed in NHS primary and secondary health care settings in England. Twenty-four interviews from 13 participants were selected from the larger project dataset using a key term search, as not all of the transcripts contained references to testing. Framework analysis was informed by the non-adoption, abandonment, scale-up, spread, and sustainability of patient-facing health and care technologies implementation framework (NASSS) and by normalisation process theory (NPT). RESULTS: Our account highlights tensions between the communication and implementation of national testing developments; scientific advisor and HCW perceptions about infectiousness; and uncertainties about the responsibility for testing and its implications at the local level. CONCLUSIONS: Consideration must be given to the implications of mass NHS staff testing, including the accuracy of information communicated to HCWs; how HCWs interpret, manage, and act on testing guidance; and the influence these have on health care organisations and services.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina Estatal / COVID-19 Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Humans País/Región como asunto: Europa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2021 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina Estatal / COVID-19 Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Humans País/Región como asunto: Europa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2021 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido