Abstract：
We characterized experiences and strategies used by frontline healthcare workers to prevent severe-acute-respiratory-syndrome-related coronavirus transmission at work and to household members during the coronavirus disease pandemic. Alongside an online questionnaire (n = 234), remote semi-structured interviews (n = 23: 15 clinicians, 8 non-clinicians) were conducted in 2021. Mitigation challenges and facilitators were identified from data to represent experiences as a process considering the before, during, and after work shifts. Journey mapping was utilized to visually describe how healthcare workers experienced the stages of the work environment, leaving work, commuting home, and the home environment, and strategies implemented to stay safe. Major facilitators included the uptake of coronavirus disease vaccines and testing, information regarding virus transmission, and adequate personal protective equipment. The most critical challenges identified included a lack of designated areas for end-of-day disinfection, changing rooms, showers, and lockers in the leaving work stage. Psychosocial and environmental factors must be considered in future hospital pandemic preparations.
摘要：
我们描述了一线医护人员在冠状病毒大流行期间预防与严重急性呼吸道综合症相关的冠状病毒在工作中和家庭成员传播的经验和策略。除了在线问卷(n=234)，远程半结构化访谈(n=23：15临床医生，8名非临床医生)于2021年进行。从数据中确定了缓解挑战和促进者，以代表经验，作为一个考虑之前的过程，during,轮班后。旅程地图被用来直观地描述医护人员如何经历工作环境的阶段，离开工作,通勤回家,和家庭环境，以及为保持安全而实施的策略。主要促进者包括冠状病毒病疫苗的摄取和测试，关于病毒传播的信息，和足够的个人防护设备。确定的最关键的挑战包括缺乏指定的日终消毒区域，更衣室,淋浴,离开工作阶段的储物柜。在未来的医院大流行准备工作中，必须考虑社会心理和环境因素。
