A recent study by Cochrane Reviews looked at the different factors that influence healthcare workers to follow infection prevention and control (IPC) guidelines. IPC guidelines include using PPE such as masks, face shields, gloves and gowns; separating patients with respiratory infections from others; and stricter cleaning routines. This review is one of a series of rapid reviews that Cochrane contributors prepared to inform the 2020 COVID‐19 pandemic.

Healthcare workers felt unsure about proper procedure when local guidelines were long, unclear or did not match national or international guidelines. They could feel overwhelmed because local guidelines were constantly changing. They also described how IPC strategies led to increased workloads and fatigue, for instance because they had to use PPE and take on additional cleaning. Another important factor was the level of support they felt they received from their management team.

Clear communication about IPC guidelines was seen as vital, but healthcare workers pointed to a lack of training about the infection itself and how to use PPE. Workplace culture could also influence whether healthcare workers followed IPC guidelines, particularly management culture.

The report also covers guidance on communicating the importance of proper IPC and adapting guidelines to work in different enviroments.

Visit the Cochrane review website for the full study and analysis of their findings.