Table 6.
Percentage of respondents selecting each barrier to care (average and range across sub-categories)
| Barrier | Physical Care | Relational Care | Psychosocial care |
|---|---|---|---|
| Wearing PPE | 33% (21–44%) | 61% (37–77%) | 44% (36–48%) |
| Severity of the patient’s condition | 41% (33–50%) | 29% (21–47%) | 37% (35–39%) |
| Difficulties taking items / equipment in and out of isolation rooms for patients nursed in these environments | 38% (28–54%) | 13% (9–18%) | 17% (13–21%) |
| Lack of time | 22% (12–29%) | 31% (24–41%) | 37% (30–40%) |
| Lack of personnel, skill mix, catering, housekeeping or dietetic support | 30% (11–38%) | 12% (9–17%) | 24% (20–27%) |
| Lack of knowledge about COVID-19 | 23% (13–34%) | 16% (8–28%) | 25% (18–30%) |
| Not enough physical resources such as equipment/washing facilities/stock items e.g. water jugs, disposable cups, patients’ teeth | 24% (12–28%) | 12% (4–34%) | 14% (10–19%) |
| Fear of catching COVID-19 | 21% (13–30%) | 19% (11–25%) | 23% (22–24%) |
| Frequent changes in hospital, Trust or organizational policies | 22% (15–35%) | 12% (7–20%) | 15% (14–15%) |
| Lack of appropriate PPE | 17% (11–26%) | 8% (5–11%) | 10% (10%) |
| Lack of ability to establish a meaningful rapport with the patient | 9% (5–17%) | 15% (12–22%) | 14% (11–19%) |
| Lack of information about the ward or patient | 10% (6–14%) | 9% (7–11%) | 16% (12–24%) |
| Competing requirements of essential medical interventions | 15% (13–20%) | 9% (4–11%) | 11% (10–13%) |
| Lack of ability to regulate the environment (noise level, lighting, remote monitoring) | 42% (34–49%) | N/A | N/A |
| Lack of relevant personal expertise | 11% (6–16%) | 7% (4–11%) | 11% (9–12%) |
| Lack of personal psychological support | 7% (5–10%) | 7% (5–10%) | 11% (7–17%) |
| Lack of personal emotional capacity | 6% (2–9%) | 7% (5–10%) | 9% (7–14%) |
| Lack of access to changing facilities for PPE | 9% (6–17%) | 4% (2–5%) | 5% (4–7%) |
| Lack of leadership from senior nurses or managers | 8% (5–13%) | 6% (3–9%) | 8% (7–10%) |
| Lack of privacy for the patient | 51%a | N/A | N/A |
| Inability to meet the patient’s dietary requirements | 13%a | N/A | N/A |
| Other | 5% (3–7%) | 5% (2–17%) | 7% (6–9%) |
aNo range provided as barrier only offered as an option for one sub-category of care