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Healthcare organization policies for employee safety and COVID-19 pandemic response: A mixed-methods study.

OBJECTIVE
The coronavirus (COVID-19) pandemic impacted the well-being of healthcare workers. We examined the association between pre-pandemic perceptions of perceived organizational support for safety(using NOSACQ-50), safety hazards and the pandemic's impact on individual workers and institutions.


METHODS
Questionnaires from healthcare staff of five public healthcare facilities were collected in 2018 (n = 1059) and 2021 (n = 1553). In 2021,17 workers were interviewed from the same facilities.


RESULTS
Interviewees reported that their organizations struggled to communicate due to changing guidelines, inadequate PPE, training, and infection control, early in the pandemic. Questionnaire reports of decreased staffing and increased workload during the pandemic were associated with lower baseline NOSACQ scores.


CONCLUSION
Survey findings predicted some variation in organizational response to the pandemic. Better organizational policies for employee safety and pandemic planning could improve healthcare institutions' preparedness.