Healthcare assistant and carers in Ireland: battling for resources during SARS CoV-2, Wave 1: a rapid-response survey
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Association of Schools of Public Health in the European Region (ASPHER), Dublin, Ireland
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University College Dublin, Dublin, Ireland
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HCA and Carers Ireland, Kildare, Ireland
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University College Dublin, Ireland
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Woodview House, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland
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School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland
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School of Public Health, Physiotherapy and Sports Science, University College Dublin, Association of Schools of Public Health in the European Region, Dublin, Ireland
Publication date: 2023-04-27
Popul. Med. 2023;5(Supplement):A382
ABSTRACT
Background and Objective: The first wave of SARS-CoV-2 enveloped the world with uncertainty and fear. At-risk-populations including the elderly, those living with disabilities and those who were immuno-compromised relied heavily on frontline healthcare staff for much of their care. In Ireland, little is known of key workers at the helm of this effort, notably Healthcare Assistants and qualified carers (HCAs). This study highlights how HCAs managed in the most difficult period of the SARs-CoV-2 pandemic and the already delicate systems in which they function. Methods: A mixed method rapid-response survey was carried out by the HCA Research Group at University College Dublin in conjunction with HCA and Carers Ireland, a national social association for healthcare assistants and qualified carers which provided education and assistance for research activities for policy change. The rapid-response survey was made available online for a 24-hour period in April 2020. The information was gained in a confidential and anonymous manner. Results: Of 456 responses received within 24-hours, the majority worked in the private sector (56%). Homecare was the most common healthcare environment (44%) followed by nursing homes (29%). At the time of the survey 31% had not received any training in infection prevention and control (IPC), 29% of respondents worked in different locations weekly; 38% did not have access to an adequate supply of personal professional equipment (PPE); 55% did not have appropriate PPE for their duties; 29% did not feel supported at work. Conclusions: Fear of the unknown was a common concern early in the pandemic. SARs-CoV-2 was an emerging infection about which little was known and early information was conflicting. Lack of prior IPC training and inadequate supplies of appropriate PPE in residential care settings reflected failure to direct resources to these important preventative measures. HCAs and carers are a vital source of this important information.