Eric's Risk AssessmentI really despise how risky hospitals are for respiratory transmission today.
Its mitigatable right up to the point you have an issue that makes it not mitigatable.
Hospitals should not be a place of unmanaged risk resulting in health danger.
Les LoreI have no background in psychology so I find surprising the level of "whatever" modeled by those who should know better.
Janitorial staff wears masks but doctors waltzing around without.
My daughter worked emerg & ICU where many co-workers got sick repeatedly and accept it as unavoidable.
Is it a weird form of bravado?
Flying Donny for Democracy@leslore @EricCarroll
I noticed that when I was in the hospital in Feb. Many or most of the janitorial staff indeed were masked but few nurses or doctors (although the latter categories did don masks if asked).
I noticed that when I was in the hospital in Feb. Many or most of the janitorial staff indeed were masked but few nurses or doctors (although the latter categories did don masks if asked).
Paul Wermer, CC BY-NC-SA 4.0@kateiacy @leslore @EricCarroll
Sick leave coverage for some but not for all? Health care access ditto?
Jennifer Moore 😷I think it's many factors interlocking, such as:
• Not wanting to go against the flow socially, or against the hierarchy, when so many colleagues have taken official advice at face value, such that disregarding infection control in this area is "normal".
• Lack of support from the system, and/or an expectation that infection control is organised from above, so that most individual staff aren't thinking in terms of "should we be getting air filters on the ward / in the room" etc.
• Lack of supplies, and/or people further up the hierarchy who will rebuke them for using the more expensive masks when the rule is none or baggy blues.
• Lack of correct info, because the info available to us geeks who read the research is not necessarily the same as the info reaching people who are working long busy days in healthcare!
• Trauma from death, stress and moral injury in 2020, and masking being a reminder of that time, so it's emotionally easier to act as if things are back to 2019-normal.
• An assumption that they themselves will be okay: perhaps selected for because you're more likely to think of doctoring/ nursing as an attractive job if you're a bit blasé about catching things.
• A sort of "sunk ethical cost" which would have to be acknowledged in relation to patients they infected and thereby harmed over the last few years, about which they're currently in denial. And this one of course also applies to management making funding decisions.
That's just based on stories I've heard and my own intuitions about human nature. Would be interesting to see some actual qualitative research on which of these factors or which others are most at play.
#medicine #InfectionControl #covid #CovidIsntOver #doctors #nurses #NHS
Great points! Thanks for posting.
Definitely a potential research avenue for a public health post-grad.
Another person posted about the Smoky Room Experiment which had some cool insights and points that paralleled some of your comments.
I live in Manitoba where public health messaging is up against vaccine hesitancy and religious fundamentalism.
But I imagine if we could just get vaccines mixed into Roundup and malathion we could at least deal with communicable diseases here. Cause peeps have no problems with toxic pesticides. Go figure...
Sam@unchartedworlds @leslore @EricCarroll #COVID
plus
* pressure from management and peers in organizations to not 'scare' the patients.
* pressure associated with treating MAGA and losing business if they turn away.
@samohTmaS @leslore @EricCarroll
Yes, I hadn't thought of that, but anti-mask hostility from patients could also be a factor. In the UK, probably a minority of patients - but not a _predictable_ minority, so the unpredictable possibility of someone having a problem with it would still act as a deterrent, like "simpler not to bother".
K-ZO da Snowman@unchartedworlds @leslore @EricCarroll yup, also see Semmelweis and stomach ulcer model change. It's all these things.
COVID is a hyperobject.
Feisty@leslore I think this is part of it. They’ve survived this far, so they think they’re invulnerable? @EricCarroll