Infection Precaution Adherence Varies by Potential Exposure Risks to SARS-CoV-2 and Job Role: Findings from a US Medical Center

Details

• Personal Author:
  Aiello AE ; Beatty Parker CN ; Boyce RM ; Ciccone EJ ; Edirisooriya M ; Haas, Emily J. ; Kelly-Reif K ; Reynolds L ; Sickbert-Bennett E ; Weber DJ ; Zhu D
• 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. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Health Personnel Occupational Health Personal Protective Equipment Safety
• Keywords:
  Author Keywords: COVID-19 COVID-19 Disease Control Hand Washing Health Care Personnel Health Care Workers Infection Control Job Task Exposure Nurses Personal Protective Equipment Physicians PPE SARS-CoV-2 Socio-technical Systems

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• ISSN:
  0196-6553
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  New York ; North Carolina ; Ohio ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; Pennsylvania ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  NPPTL - National Personal Protective Technology Laboratory ; DFSE - Division of Field Studies and Engineering ; RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  381-386
• Volume:
  52
• Issue:
  4
• NIOSHTIC Number:
  nn:20068950
• Citation:
  Am J Infect Control 2024 Apr; 52(4):381-386
• Contact Point Address:
  Emily J. Haas, 626 Cochrans Mill Rd., Pittsburgh, PA 15236
• Email:
  wcq3@cdc.gov
• Federal Fiscal Year:
  2024
• NORA Priority Area:
  Healthcare and Social Assistance
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Infection Control
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f8b5c9a663dd2674fc964fdfa0242f0a6d4c52a6513a717ed16cb5c66ce89aad983052ff2e1569b362e6ebf2177899b8edd1419965ac2773cf3edb67c654b70e
• Download URL:
  https://stacks.cdc.gov/view/cdc/207507/cdc_207507_DS1.pdf
• File Type:
  [PDF - 457.97 KB ]