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Perspectives on COVID-19 testing policies and practices: a qualitative study with scientific advisors and NHS health care workers in England.
Martindale, Anne-Marie; Pilbeam, Caitlin; Mableson, Hayley; Tonkin-Crine, Sarah; Atkinson, Paul; Borek, Aleksandra; Lant, Suzannah; Gobat, Nina; Solomon, Tom; Sheard, Sally.
  • Martindale AM; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, England. a.martindale@liverpool.ac.uk.
  • Pilbeam C; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
  • Mableson H; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, England.
  • Tonkin-Crine S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
  • Atkinson P; Institute of Population Health, University of Liverpool, Liverpool, England.
  • Borek A; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
  • Lant S; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, England.
  • Gobat N; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
  • Solomon T; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, England.
  • Sheard S; Institute of Population Health, University of Liverpool, Liverpool, England.
BMC Public Health ; 21(1): 1216, 2021 06 24.
Article in English | MEDLINE | ID: covidwho-1282252
ABSTRACT

BACKGROUND:

As COVID-19 death rates have risen and health-care systems have experienced increased demand, national testing strategies have come under scrutiny. Utilising qualitative interview data from a larger COVID-19 study, this paper provides insights into influences on and the enactment of national COVID-19 testing strategies for health care workers (HCWs) in English NHS settings during wave one of the COVID-19 pandemic (March-August 2020). Through the findings we aim to inform learning about COVID-19 testing policies and practices; and to inform future pandemic diagnostic preparedness.

METHODS:

A remote qualitative, semi-structured longitudinal interview method was employed with a purposive snowball sample of senior scientific advisors to the UK Government on COVID-19, and HCWs employed in NHS primary and secondary health care settings in England. Twenty-four interviews from 13 participants were selected from the larger project dataset using a key term search, as not all of the transcripts contained references to testing. Framework analysis was informed by the non-adoption, abandonment, scale-up, spread, and sustainability of patient-facing health and care technologies implementation framework (NASSS) and by normalisation process theory (NPT).

RESULTS:

Our account highlights tensions between the communication and implementation of national testing developments; scientific advisor and HCW perceptions about infectiousness; and uncertainties about the responsibility for testing and its implications at the local level.

CONCLUSIONS:

Consideration must be given to the implications of mass NHS staff testing, including the accuracy of information communicated to HCWs; how HCWs interpret, manage, and act on testing guidance; and the influence these have on health care organisations and services.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: State Medicine / COVID-19 Type of study: Clinical Practice Guide / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: Europa Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: S12889-021-11285-8

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Full text: Available Collection: International databases Database: MEDLINE Main subject: State Medicine / COVID-19 Type of study: Clinical Practice Guide / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: Europa Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: S12889-021-11285-8