Opportunities to bridge gaps between respiratory protection guidance and practice in US health care

Braun, Barbara I.; Tschurtz, Brette; Hafiz, Hasina; Novak, Debra; Montero, Maria; Alexander, Cynthia M; Fauerbach, L.L.; Gruden, MaryAnn; Isakari, Marcia; Kuhar, David T.; Pompeii, Lisa; Swift, Melanie D.; Radonovich, Lewis J.

doi:10.1017/ice.2018.361

Cited by 2 publications

(4 citation statements)

References 6 publications

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“…As many factors contribute to worker awareness and adherence, these surveys suggest the need to revisit policy, guidance, and education at all levels-institutional, federal, and global-to promote a culture of safety that anticipates the spread of a virus that threatens HCP interacting with infectious but asymptomatic patients. 25,26 As observed elsewhere, frontline HCP were at increased risk of testing positive for SARS-CoV-2 infection or having symptoms consistent with COVID-19, although we found lower relative risk than reported by the U.S./U.K. study.…”

Section: Discussionsupporting

confidence: 53%

“…As many factors contribute to worker awareness and adherence, these surveys suggest the need to revisit policy, guidance, and education at all levels—institutional, federal, and global—to promote a culture of safety that anticipates the spread of a virus that threatens HCP interacting with infectious but asymptomatic patients. 25 , 26 …”

Section: Discussionmentioning

confidence: 99%

“…A convenience sample of HCP in June–July of 2020 in the United States found that adherence to recommended PPE (based on type of patient contact) ranged from 42.5% to 86.5% depending on state, HCP role, and type of contact 12 ; however, this survey did not assess whether PPE was available to these staff. As many factors contribute to worker awareness and adherence, these surveys suggest the need to revisit policy, guidance, and education at all levels—institutional, federal, and global—to promote a culture of safety that anticipates the spread of a virus that threatens HCP interacting with infectious but asymptomatic patients 25,26 …”

Section: Discussionmentioning

confidence: 99%

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American Frontline Healthcare Personnel's Access to and Use of Personal Protective Equipment Early in the COVID-19 Pandemic

Rich‐Edwards

Ding

Rocheleau

et al. 2021

Journal of Occupational &Amp; Environmental Medicine

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Objectives: To quantify adequacy of personal protective equipment (PPE) for U.S. healthcare personnel (HCP) at the outset of the COVID-19 pandemic and its association with infection risk. Methods: March–May 2020 survey of the national Nurses’ Health Studies and the Growing Up Today study regarding self-reported PPE access, use, and reuse. COVID-19 endpoints included SARS-CoV-2 tests and COVID-19 status predicted from symptoms. Results: Nearly 22% of 22,232 frontline HCP interacting with COVID-19 patients reported sometimes or always lacking PPE. Fifty percent of HCP reported not needing respirators, including 13% of those working in COVID-19 units. Lack of PPE was cross-sectionally associated with two-fold or greater odds of COVID-19 among those who interacted with infected patients. Conclusion: These data show the need to improve the U.S. infection prevention culture of safety when confronting a novel pathogen.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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American Frontline Healthcare Personnel's Access to and Use of Personal Protective Equipment Early in the COVID-19 Pandemic

Rich‐Edwards

Ding

Rocheleau

et al. 2021

Journal of Occupational &Amp; Environmental Medicine

View full text Add to dashboard Cite

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“…Health care settings are high-risk environments where employees are exposed to a wide range of respiratory hazards including bacteria, viruses, fungi, infectious aerosols, and chemical agents (Braun, Tschurtz, Hafiz, & Williams, 2014; Bunyan, Ritchie, Jenkins, & Coia, 2013; Lenhart, Seitz, Trout, & Bollinger, 2004; U.S. Department of Labor, 2015; U.S.…”

mentioning

confidence: 99%

Respiratory Protection Program Compliance in Iranian Hospitals: Application of Fuzzy Analytical Hierarchy Process

Honarbakhsh

Jahangiri

Ghaem

et al. 2017

Workplace Health Saf

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In hospitals, health care workers (HCWs) are exposed to a wide range of respiratory hazards, which requires using respiratory protective equipment and implementing Respiratory Protection Programs (RPPs). The aim of this cross-sectional study was to investigate RPP implementation in 36 teaching hospitals located in the Fars province of Iran. A researcher-developed checklist, including nine components of the RPP standard, was completed by industrial hygienists in the study hospitals. The Fuzzy Analytical Hierarchy Process (FAHP) was used to determine the weight coefficient of RPP components. Finally, a Respiratory Protection Program Index (RPPI) was developed to calculate hospital compliance with RPP. The results showed that RPP were not fully implemented in the studied hospitals, and the highest and lowest RPPI scores were related to training and fit testing, respectively. To promote the implementation of RPP, significant efforts are required for all components, especially fit testing and worker evaluation.

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Opportunities to bridge gaps between respiratory protection guidance and practice in US health care

Cited by 2 publications

References 6 publications

American Frontline Healthcare Personnel's Access to and Use of Personal Protective Equipment Early in the COVID-19 Pandemic

American Frontline Healthcare Personnel's Access to and Use of Personal Protective Equipment Early in the COVID-19 Pandemic

Respiratory Protection Program Compliance in Iranian Hospitals: Application of Fuzzy Analytical Hierarchy Process

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