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Perceived barriers to the process of COVID-19 control among frontline healthcare workers in South Korea: a qualitative study

OBJECTIVE: This study aimed to explore barriers to disease control perceived by frontline healthcare workers (HCWs) working in community settings during the COVID-19 pandemic in South Korea. DESIGN: A qualitative study was conducted using semistructured focus group interviews. All interviews were co...

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Autores principales: Kwon, Sijoung, Kang, Bee-Ah, You, Myoungsoon, Lee, Heeyoung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716782/
https://www.ncbi.nlm.nih.gov/pubmed/36456012
http://dx.doi.org/10.1136/bmjopen-2022-063899
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author Kwon, Sijoung
Kang, Bee-Ah
You, Myoungsoon
Lee, Heeyoung
author_facet Kwon, Sijoung
Kang, Bee-Ah
You, Myoungsoon
Lee, Heeyoung
author_sort Kwon, Sijoung
collection PubMed
description OBJECTIVE: This study aimed to explore barriers to disease control perceived by frontline healthcare workers (HCWs) working in community settings during the COVID-19 pandemic in South Korea. DESIGN: A qualitative study was conducted using semistructured focus group interviews. All interviews were conducted in Korean on Zoom between October and November 2020, audio-recorded and transcribed for reflexive thematic analysis. SETTING: All participants were working in Gyeonggi-do, the most populous province in South Korea. The province had the second-highest COVID-19 infection rates at the time of the interview. PARTICIPANTS: Participants serving as HCWs in Gyeonggi Province were eligible to participate in the study. A total of 20 HCWs comprised of public health doctors and professional epidemiologists agreed to participate in the study. RESULTS: Four themes were generated. Each theme described how these barriers affected a disease control process: (1) ‘uncooperative public and unprepared community health centre’ delayed the investigation of newly diagnosed COVID-19 cases; (2) ‘uncoordinated disease control system’ impeded the collection and analysis of digital data; (3) ‘the gap between responsibilities and capabilities’ hindered the classification of close and casual contacts; and (4) ‘conflicts with persons who have different interests and priorities’ hampered epidemiological decision-making. CONCLUSIONS: Our study found that frontline HCWs experienced various challenges disrupting their work performance to control COVID-19. We provide several recommendations, such as providing HCWs with systematic interview skill training, strengthening patient information security systems, providing sufficient resources, securing a regular workforce, collecting the field experiences of HCWs, implementing task-shifting, and having regular stakeholder meetings. These strategies may promote work capacity among the frontline HCWs and subsequently strengthen emergency preparedness.
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spelling pubmed-97167822022-12-03 Perceived barriers to the process of COVID-19 control among frontline healthcare workers in South Korea: a qualitative study Kwon, Sijoung Kang, Bee-Ah You, Myoungsoon Lee, Heeyoung BMJ Open Public Health OBJECTIVE: This study aimed to explore barriers to disease control perceived by frontline healthcare workers (HCWs) working in community settings during the COVID-19 pandemic in South Korea. DESIGN: A qualitative study was conducted using semistructured focus group interviews. All interviews were conducted in Korean on Zoom between October and November 2020, audio-recorded and transcribed for reflexive thematic analysis. SETTING: All participants were working in Gyeonggi-do, the most populous province in South Korea. The province had the second-highest COVID-19 infection rates at the time of the interview. PARTICIPANTS: Participants serving as HCWs in Gyeonggi Province were eligible to participate in the study. A total of 20 HCWs comprised of public health doctors and professional epidemiologists agreed to participate in the study. RESULTS: Four themes were generated. Each theme described how these barriers affected a disease control process: (1) ‘uncooperative public and unprepared community health centre’ delayed the investigation of newly diagnosed COVID-19 cases; (2) ‘uncoordinated disease control system’ impeded the collection and analysis of digital data; (3) ‘the gap between responsibilities and capabilities’ hindered the classification of close and casual contacts; and (4) ‘conflicts with persons who have different interests and priorities’ hampered epidemiological decision-making. CONCLUSIONS: Our study found that frontline HCWs experienced various challenges disrupting their work performance to control COVID-19. We provide several recommendations, such as providing HCWs with systematic interview skill training, strengthening patient information security systems, providing sufficient resources, securing a regular workforce, collecting the field experiences of HCWs, implementing task-shifting, and having regular stakeholder meetings. These strategies may promote work capacity among the frontline HCWs and subsequently strengthen emergency preparedness. BMJ Publishing Group 2022-12-01 /pmc/articles/PMC9716782/ /pubmed/36456012 http://dx.doi.org/10.1136/bmjopen-2022-063899 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Kwon, Sijoung
Kang, Bee-Ah
You, Myoungsoon
Lee, Heeyoung
Perceived barriers to the process of COVID-19 control among frontline healthcare workers in South Korea: a qualitative study
title Perceived barriers to the process of COVID-19 control among frontline healthcare workers in South Korea: a qualitative study
title_full Perceived barriers to the process of COVID-19 control among frontline healthcare workers in South Korea: a qualitative study
title_fullStr Perceived barriers to the process of COVID-19 control among frontline healthcare workers in South Korea: a qualitative study
title_full_unstemmed Perceived barriers to the process of COVID-19 control among frontline healthcare workers in South Korea: a qualitative study
title_short Perceived barriers to the process of COVID-19 control among frontline healthcare workers in South Korea: a qualitative study
title_sort perceived barriers to the process of covid-19 control among frontline healthcare workers in south korea: a qualitative study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716782/
https://www.ncbi.nlm.nih.gov/pubmed/36456012
http://dx.doi.org/10.1136/bmjopen-2022-063899
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