{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T21:02:27Z","timestamp":1760821347402},"reference-count":16,"publisher":"Mark Allen Group","issue":"15","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2022,8,11]]},"abstract":"<jats:sec><jats:title>Aim:<\/jats:title><jats:p> To explore the impact that prolonged use of personal protective equipment (PPE) has on the skin integrity of Canadian health professionals. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> A descriptive, pan-Canadian, cross-sectional, online survey was carried out to explore the type and prevalence of PPE-related skin injury among Canadian health professionals. Convenience sampling was used to disseminate the online survey link to health professionals. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> There were responses from 757 health professionals. Masks worn included surgical masks (90%), a combination of surgical or N95\/KN95 masks (7.7%) and an N95\/KN95 mask alone (2.7%). Responses showed 84.6% of providers always wear a mask while at work with 38.5% wearing the same mask all shift; 90% of participants wore protective eye wear. Complications included soreness or pressure injuries behind the ears (70%), new or worsening acne (52%), a runny nose or sneezing (45%), itching (39%), and dry skin (37%). Hand issues included dry skin (53%), red skin (30%), itching (26%), broken skin (20%), rash (16%), and dermatitis (11%) \u2013 51% of respondents did not moisturise their hands. Complications related to gown use included itching (6%), moisture-associated skin damage (5.5%), feeling claustrophobic (4.5%), and new or worsening acne (3%). Increased perspiration due to PPE was experienced in 87.5% of respondents. Some 43% of respondents noted their mental health became worse due to wearing PPE for prolonged periods. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> These findings should be used in the development of guidelines to prevent and manage PPE-related skin injuries among health professionals. Education for professionals should focus on skin protection, prevention of PPE-related skin complications and support for mental health issues. <\/jats:p><\/jats:sec>","DOI":"10.12968\/bjon.2022.31.15.s30","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T17:34:40Z","timestamp":1660844080000},"page":"S30-S36","source":"Crossref","is-referenced-by-count":3,"title":["Impact of prolonged PPE use on Canadian health professionals"],"prefix":"10.12968","volume":"31","author":[{"given":"Kimberley","family":"LeBlanc","sequence":"first","affiliation":[{"name":"Academic Chair, Wound, Ostomy and Continence Institute, Ottawa, Ontario, Canada\/Advanced Practice Nurse, KDS Professional Consulting, Ottawa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Woo","sequence":"additional","affiliation":[{"name":"Nurse Specialized in Wound, Ostomy and Continence, Queen's University, Kingston, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorne","family":"Wiesenfeld","sequence":"additional","affiliation":[{"name":"Vice Dean, Postgraduate Medical Education, Department of Emergency Medicine, University of Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Bresnai-Harris","sequence":"additional","affiliation":[{"name":"Tissue Viability Nurse, Charing Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corey","family":"Heerschap","sequence":"additional","affiliation":[{"name":"Nurse Specialized in Wound, Ostomy and Continence, Royal Victoria Regional Health Centre, Barrie, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Britney","family":"Butt","sequence":"additional","affiliation":[{"name":"Nurse Specialized in Wound, Ostomy and Continence, North York General Hospital, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie","family":"Chaplain","sequence":"additional","affiliation":[{"name":"Nurse Specialized in Wound, Ostomy and Continence, Montfort Hospital, Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Wiesenfeld","sequence":"additional","affiliation":[{"name":"MScN Student, McGill University, Montr\u00e9al, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2020.03.012"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2006.00953.x"},{"issue":"10","key":"B4","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1016\/j.ajic.2021.04.084","volume":"49","author":"Galanis P","year":"2021","journal-title":"Am J Infect Control"},{"issue":"4","key":"B5","first-page":"6","volume":"66","author":"Gefen A.","year":"2020","journal-title":"Wound Management & Prevention"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1186\/1471-5945-6-1"},{"issue":"5","key":"B7","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1016\/j.jaad.2020.03.013","volume":"82","author":"Kantor J.","year":"2020","journal-title":"J Am Acad Dermatol"},{"issue":"3","key":"B8","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1111\/jdv.16925","volume":"35","author":"Lee HC","year":"2021","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"3","key":"B9","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/j.jhin.2020.04.036","volume":"105","author":"Lepelletier D","year":"2020","journal-title":"J Hosp Infect"},{"issue":"1","key":"B10","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/DER.0000000000000682","volume":"32","author":"Montero-Vilchez T","year":"2021","journal-title":"Dermatitis"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2021.104566"},{"key":"B13","unstructured":"Public Health Ontario. 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