Infection precaution adherence varies by potential exposure risks to SARS-CoV-2 and job role: Findings from a US medical center
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4 2024
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Source: Am J Infect Control. 52(4):381-386
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Alternative Title:Am J Infect Control
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Description:Background:
Infection precautions (IP) facilitate standardized and safe patient care. Research has demonstrated several barriers to IP adherence among health care personnel (HCP) but potential exposure risk to SARS-CoV-2 and job role has not been considered.
Methods:
Researchers used self-reported baseline surveys with 191 HCPs at a university medical center to examine factors that may have affected IP adherence (eg, personal protective equipment [PPE] and hand hygiene errors) over the 2 weeks prior to the survey. Chi-square tests were used to determine if differences existed first, among job role and IP adherence, and second, the potential risk of exposure to SARS-CoV-2 and IP adherence. A binary logistic regression estimated if PPE nonadherence was associated with COVID-19 stress, job role, and potential exposure risk to SARS-CoV-2.
Results:
PPE nonadherence varied by job role. Those in the Other group (ie, nonphysician/non-nursing HCP) reported significantly fewer errors (9.6%) compared to Physicians (26.5%) and Registered Nurses (33.3%). Hand/glove hygiene errors between COVID-19 patient rooms varied by job role. Respondents who had higher risks of exposure to SARS-CoV-2 were 5.74 times more likely to experience errors.
Conclusions:
The results provide implications for adopting systems-level approaches to support worker knowledge and engagement across job roles to improve IP adherence.
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Pubmed ID:38069921
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Pubmed Central ID:PMC11275448
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Supporting Files:No Additional Files