Applying Human Factors to Reduce Healthcare-Associated Infections Caused by Face Touching

Kailyn Henderson, Trevor Hall, Nataly Farshait, M. Chignell
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Abstract

Canada is currently facing a critical healthcare worker (HCW) shortage, in part resulting from absenteeism due to healthcare-associated infection (HAI). HCWs are at greater risk of infection and are among the most common sources of HAI transmission. Face touching is a behaviour that HCWs engage in on average 20-23 times per hour, and is one way for HCWs to infect themselves. While personal protective equipment (e.g., face masks) has been found to decrease face touching, the behaviour still occurs. We conducted a literature review on face touching, previously proposed solutions for addressing face touching, and the applications of human factors in mitigating face touching behaviours. We also conducted a pilot study of semi-structured interviews with three HCWs using the Lead User method to understand their needs and explore how best to decrease face touching, which resulted in several suggested interventions for reducing face touching.
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应用人为因素减少面部触摸引起的医疗相关感染
加拿大目前面临严重的医护人员短缺,部分原因是医疗相关感染(HAI)导致的缺勤。HCW感染的风险更大,是HAI传播的最常见来源之一。摸脸是HCW平均每小时进行20-23次的行为,也是HCW感染自己的一种方式。虽然人们发现个人防护装备(如口罩)可以减少面部接触,但这种行为仍然会发生。我们对面部触摸、先前提出的解决面部触摸的解决方案以及人为因素在减轻面部触摸行为中的应用进行了文献综述。我们还使用“主要用户”方法对三名HCW进行了半结构化访谈的试点研究,以了解他们的需求,并探讨如何最好地减少面部触摸,从而提出了一些减少面部触摸的干预措施。
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