Table 2 Types of initiatives implemented, and facilitators/barriers identified
Country | Intervention(s) reported | Facilitators | Barriers |
|---|---|---|---|
Canada | Support programs for psychological and mental health. | Organizational readiness | Challenges in engaging staff on the uptake of initiatives Inadequate external knowledge translation / changing national guidelines |
Chad | IPC surveillance, training, and PPE provision | Government/national engagement with the organization and/or intervention(s) Communication across the organization | HCWs fear of contracting COVID-19 / fear of passing COVID-19 to family members |
Colombia | Health and safety at work initiatives, including adaptation of workplaces. IPC surveillance, training, and PPE provision. | Adequate financial resources Commitment from leadership Staff input, feedback, and engagement Teamwork across the organization | Lack of adequate education and training for staff / Misinformation HCWs fear of contracting COVID-19 / fear of passing COVID-19 to family members The wider political and public health context |
Egypt | Active surveillance of psychological and mental health of staff. Health and safety at work initiatives, including adaptation of workplaces. | Commitment from leadership Organizational readiness Staff input, feedback, and engagement | HCWs fear of contracting COVID-19 / fear of passing COVID-19 to family members Lack of human resources within the organization |
India | Health and safety at work initiatives, including adaptation of workplaces. IPC surveillance, training, and PPE provision. Support programs for psychological and mental health. Redeployment and workload re-distribution. | Commitment from leadership Communication across the organization Development of guidelines and protocols Government/national engagement with the organization and/or intervention(s) | Inadequate knowledge translation / changing guidelines HCWs fear of contracting COVID-19 / fear of passing COVID-19 to family members Lack of human resources within the organization |
Kenya | Health and safety at work initiatives, including adaptation of workplaces. IPC surveillance, training, and PPE provision Support programs for psychological and mental health. | Adequate financial resources Government/national engagement with the organization and/or intervention(s) | PPE challenges |
Malawi | IPC surveillance, training, and PPE provision Support programs for psychological and mental health. Recognition and awards for staff. | Staff input, feedback, and engagement | Challenges in engaging staff on the uptake of initiatives HCWs fear of contracting COVID-19 / fear of passing COVID-19 to family members PPE challenges The wider political and public health context |
Mexico | Health and safety at work initiatives, including adaptation of workplaces. IPC surveillance, training, and PPE provision | Adequate financial resources Communication across the organization Staff input, feedback, and engagement | PPE challenges |
New Zealand | Creation of new role for staff support | Commitment from leadership Communication across the organization Staff input, feedback, and engagement Teamwork across the organization The wider political and public health content | Challenges in engaging staff on the uptake of initiatives Staff exhaustion |
Pakistan | Health and safety at work initiatives, including adaptation of workplaces. IPC training and PPE provision. Support programs for psychological and mental health. | Staff input, feedback, and engagement | |
Singapore | Health and safety at work initiatives, including adaptation of workplaces. IPC surveillance, training, and PPE provision. Redeployment and workload re-distribution. | Commitment from leadership Communication across the organization Government/national engagement with the organization and/or intervention(s) | “Fake news” and misinformation circulating on social media PPE challenges |
Spain | Support programs for psychological and mental health. | Pressure of the media to address HCWs health and wellbeing | Challenges in engaging staff on the uptake of initiatives Lack of focus on teams and organizations in developing initiatives |
United States | IPC surveillance, training, and PPE provision Support programs for psychological and mental health. Recognition and awards for staff. Redeployment and workload re-distribution. | Commitment from leadership Effective infection prevention and control Staff input, feedback, and engagement | “Fake news” and misinformation circulating on social media Inadequate external knowledge translation / changing national guidelines Lack of human resources within the organization The wider political and public health context Trust in the organization or health system |