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'Shifting from anxiety to the new normal': A qualitative exploration on personal protective equipment use by otorhinolaryngology health-care professionals during COVID-19 pandemic.

Lookup NU author(s): Dr Britzer Vincent Paul RajORCiD



This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).


Background: The novel coronavirus pandemic has influenced the working practice of health‑care professionals who come across symptomatic and asymptomatic COVID patients in their day-to-day practice. Especially, among HCWs in otorhinolaryngology, with the risk of exposure being high, hence were mandated to use personal protective equipment (PPE). Materials and Methods: The change in perceptions and patterns of PPE use throughout the COVID-19 pandemic was studied in detail through interviews conducted among 15 key informants, and the data were analyzed using health belief model in our study. Results: A health belief model explains the trajectory of PPE use by otorhinolaryngology health care providers during the COVID-19 pandemic. The course of usage of PPE by otorhinolaryngology health-care professionals during the COVID-19 pandemic was explained through the health belief model. During the initial days of the COVID-19 pandemic, intense perceived severity and susceptibility to COVID infection led to PPE use, and otorhinolaryngology HCWs resorted to higher grade PPEs which gave optimal protection; but in course of time with a better understanding of the natural course of illness, minimal PPEs without compromising HCW safety were used with minimal discomfort. Perceived severity of COVID infection on self and family, health knowledge, influence of peers, and support from the institution encouraged them in using PPEs. Conclusion: We found that various aspects of health belief model such as the perceived susceptibility, perceived severity of the disease, perceived barriers and benefits in PPE use, self‑efficacy, health‑related knowledge, and the cues to action influence PPE use among otorhinolaryngology HCWs. The key findings can be applied in behavior change models to promote the use of PPE in the hospitals, especially during the time of pandemic.

Publication metadata

Author(s): Sivaraman G, Lakshmanan J, Vincent BP, Thulasingam M, Raghavan B, Raghu N, Raja K, Saxena SK

Publication type: Article

Publication status: Published

Journal: Nigerian Postgraduate Medical Journal

Year: 2022

Volume: 29

Issue: 2

Pages: 110-115

Print publication date: 01/04/2022

Online publication date: 23/04/2022

Acceptance date: 08/03/2022

Date deposited: 07/07/2023

ISSN (print): 1117-1936

ISSN (electronic): 2468-6875

Publisher: Wolters Kluwer ‑ Medknow


DOI: 10.4103/npmj.npmj_10_22


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