Healthcare Workers’ Infection Risk Perceptions of Aerosol-Generating Procedures and Affective Response

Details

• Personal Author:
  Benishek LE ; Blackley, Brie H. ; Radonovich LJ ; Weissman, David N.
• Description:
  Objective: To understand healthcare worker (HCW) perceptions of infection risk associated with aerosol-generating procedures (AGPs) and their affective response to performing AGPs. Design: Systematic review. Methods: Systematic searches of PubMed, CINHAL Plus, and Scopus were conducted using combinations of selected keywords and synonyms. To reduce bias, titles and abstracts were screened for eligibility by 2 independent reviewers. Also, 2 independent reviewers extracted data from each eligible record. Discrepancies were discussed until consensus was reached. Results: In total, 16 reports from across the globe were included in this review. Findings suggest that AGPs are generally perceived to place HCWs at high risk of becoming infected with respiratory pathogens and that this perception stimulates a negative affective response and hesitancy to participate in the procedures. Conclusions: AGP risk perception are complex and context dependent but have important influences on HCW infection control practices, decision to participate in AGPs, emotional welfare, and workplace satisfaction. New and unfamiliar hazards paired with uncertainty lead to fear and anxiety about personal and others' safety. These fears may create a psychological burden conducive to burnout. Empirical research is needed to thoroughly understand the interplay between HCW risk perceptions of distinct AGPs, their affective responses to conducting these procedures under various conditions, and their resulting decision to participate in these procedures. Results from such studies are essential for advancing clinical practice; they point to methods for mitigating provider distress and better recommendations for when and how to conduct AGPs. [Description provided by NIOSH]
• Subjects:
  Aerosols Communicable Diseases Epidemiology Health Personnel Mental Health Nervous System Occupational Health Risk Assessment Safety
• Keywords:
  COVID-19 Health Care Workers Infection Control Infectious Diseases Mental Health Pathogens Psychological Responses Risk Analysis
• ISSN:
  2732-494X
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  3
• Issue:
  1
• NIOSHTIC Number:
  nn:20067029
• Citation:
  Antimicrob Steward Healthc Epidemiol 2023 Feb; 3(1):e29
• Contact Point Address:
  Lauren E. Benishek, PhD, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, 750 E Pratt Street, Baltimore, MD 21224
• Email:
  ebenishek@jhu.edu
• Federal Fiscal Year:
  2023
• Peer Reviewed:
  True
• Source Full Name:
  Antimicrobial Stewardship & Healthcare Epidemiology
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6c4cedbc050b37d3250da1e086ce4fbbcdbae8ec75c3983d26c161377429ad0ea80c62cd0d62370b7339f29fb8ac2a795ece04285f64f162e113ad6034d87e62
• Download URL:
  https://stacks.cdc.gov/view/cdc/231254/cdc_231254_DS1.pdf
• File Type:
  [PDF - 392.43 KB ]