How Clinicians Manage Routinely Low Supplies of Personal Protective Equipment.

Ridge, Laura Jean; Stimpfel, Amy Witkoski; Dickson, Victoria Vaughan; Klar, Robin Toft; Squires, Allison Patricia

BACKGROUND Recommended personal protective equipment (PPE) is routinely limited or unavailable in low-income countries, but there is limited research as to how clinicians adapt to that scarcity, despite its implications for patients and workers. METHODS This is a qualitative secondary analysis of case study data collected in Liberia in 2019. Data from the parent study were included in this analysis if it addressed availability and use of PPE in the clinical setting. Conventional content analysis was used on data including: field notes documenting nurse practice, semi-structured interview transcripts, and photographs. FINDINGS Data from the majority of participants (32/37) and all facilities (12/12) in the parent studies were included. 83% of facilities reported limited PPE. Five management strategies for coping with limited PPE supplies were observed, reported, or both: rationing PPE, self-purchasing PPE, asking patients to purchase PPE, substituting PPE, and working without PPE. Approaches to rationing PPE included using PPE only for symptomatic patients or not performing physical exams. Substitutions for PPE were based on supply availability. CONCLUSIONS Strategies developed by clinicians to manage low PPE likely have negative consequences for both workers and patients; further research into the topic is important, as is better PPE provision in low-income countries.