Personal Healthcare Worker (HCW) and Work-Site Characteristics That Affect HCWs' Use of Respiratory-Infection Control Measures in Ambulatory Healthcare Settings
| Autor: | Terri Simpson, William E. Daniell, Edward W. Lipkin, Noah S. Seixas, Wayne Turnberg, Jude Van Buren, Jeffery Duchin |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Microbiology (medical) Pediatrics medicine.medical_specialty Epidemiology Cross-sectional study Health Personnel media_common.quotation_subject Ambulatory Care Facilities Hygiene Occupational Exposure Surveys and Questionnaires Health care medicine Humans Workplace Respiratory Tract Infections media_common Cross Infection Infection Control business.industry Public health Respiratory infection Odds ratio Universal Precautions Confidence interval Cross-Sectional Studies Infectious Diseases Family medicine Ambulatory Female Guideline Adherence business |
| Zdroj: | Infection Control & Hospital Epidemiology. 30:47-52 |
| ISSN: | 1559-6834 0899-823X 0195-9417 |
| DOI: | 10.1086/592707 |
| Popis: | Objectives.To identify healthcare worker (HCW) and work-site characteristics associated with HCWs' reported use of recommended respiratory-infection control practices in primary and emergency care settings.Design.A cross-sectional study using a self-administered questionnaire for HCWs during the summer and fall of 2005.Setting.Primary and emergency care clinics at 5 medical centers in King County, Seattle, Washington.Results.Nurse professionals who reported receiving training (odds ratio [OR], 2.5 [confidence interval {CI}, 1.1–5.9]; P = .029), instructional feedback from supervisors (OR, 3.0 [CI, 1.5–5.9]; P = .002), and management support for implementing safe work practices had a higher odds of also reporting adherence to recommended respiratory precautions, compared with nurses who did not. Training was the only important determinant for adherence to respiratory precaution measures among medical practitioners (OR, 5.5 [CI, 1.2–25.8]; P = .031). The reported rate of adherence to hand hygiene practices was higher among nurse professionals who were male (OR, 2.2 [CI, 1.0–4.9]; P = .045), had infants, small children, or older adults living at home (OR, 2.2 [CI, 1.2–3.9]; P = .007), reported cleanliness and orderliness of the establishment where they worked (OR, 2.0 [CI, 1.1–3.5]; P = .019), had received respiratory-infection control training (OR, 3.2 [CI, 1.8–6.0]; PP= .011).Conclusion.A number of HCW and work-site characteristics associated with HCWs' use of recommended respiratory-infection control measures have been identified. These potentially influential characteristics should be considered as targets or guides for further investigation, which should include the evaluation of intervention strategies. |
| Databáze: | OpenAIRE |
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