Unmasking the impact of facemasks on healthcare professionals and patients during the COVID-19 pandemic

Abstract

The foundations of patient interactions are heavily dependent on facial expression, tone and inflection that help communicate treatment plans, obtain consent and break bad news. The expansion in use of face masks during the COVID-19 pandemic may adversely affect the quality of patient-clinician interaction and service provision. ##OBJECTIVES: To assess the impact of face masks on the experience of dental staff and patients at Guy’s and St Thomas’ NHS Foundation Trust. ##METHODS: A survey was developed using a combination of validated psychometric and demographic questions. The survey was administered to 166 dental staff and 57 patients. Data was electronically analysed. Qualitative data was thematically analysed. ##RESULTS: Themes identified included: clinical; physical effects; psychological; pre-existing communication difficulties; communication barriers; and accessibility to dental services. Sixty-three percent (32/57) of patients noted that PPE affected their communication and interaction. Over 70% (119/164) of dental staff reported repetition during consultations. ##CONCLUSION: This study highlights the positive and adverse physical and psychological impacts of facemasks on healthcare professionals and patients. Alternative solutions to mitigate the negative impact of face masks on communication include the use of virtual and visual aids. Furthermore, the implementation of wellbeing and support resources can aid in the challenges presented to healthcare teams.