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Stress No More! Prioritizing the Healthcare Workers' Pleas for Their Health and Safety. 压力不再!优先考虑医护人员的健康和安全诉求。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-05-01 Epub Date: 2024-03-16 DOI: 10.1177/21650799241235664
Dalmacito A Cordero
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引用次数: 0
Healthcare Workers' Adherence and Attitudes Toward the Adherence to COVID-19 Precautionary Guidelines Post-Vaccination: A Cross-Sectional Pilot Study. 医护人员接种疫苗后对 COVID-19 预防指南的遵守情况和态度:一项横断面试点研究。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-05-01 Epub Date: 2023-12-30 DOI: 10.1177/21650799231212898
Dania M Abu-Alhaija, Gordon Lee Gillespie

Background: Healthcare workers (HCWs) have shown increased adherence to infection control practices during the COVID-19 pandemic. However, there is a need to assess their adherence to and attitude toward COVID-19 guidelines after being vaccinated. The purpose of this pilot study is to assess the adherence to and attitudes toward the adherence to COVID-19 guidelines among HCWs who have been vaccinated.

Methods: A retrospective cross-sectional design was employed. One hundred and eight participants were recruited via email from a medical center in the Midwest United States. The participants completed online surveys measuring the level of adherence to and attitudes toward the adherence to COVID-19 guidelines. The response rate was 5.4%.

Findings: Most participants were female (73.1%) and white (82.4%). The participants adhered to COVID-19 guidelines 79.7% of the time. The most frequently followed guidelines were performing hand hygiene, wearing a respirator or well-fitting mask in areas where patients may be present, and wearing eye protection when entering the room for a patient with suspected or confirmed COVID-19 infection. The least performed precautions were performing COVID-19 testing after exposure to a suspected or confirmed COVID-19 case and maintaining social distancing. There was a significant decrease in the perceived importance of adherence to COVID-19 precautions post-vaccination (p <.001, 95% CI [-0.78, -0.35]).

Conclusions: The increased perception of safety after receiving COVID-19 vaccination may negatively influence HCWs' adherence to COVID-19 precautionary guidelines. Continuous education and monitoring of HCWs' safety practices are important to influence HCWs' attitudes to adhere to COVID-19 precautions, particularly after vaccination.

背景:在 COVID-19 大流行期间,医护人员(HCWs)对感染控制措施的依从性有所提高。然而,有必要评估他们在接种疫苗后对 COVID-19 指南的遵守情况和态度。本试点研究旨在评估已接种疫苗的医护人员对 COVID-19 指南的遵守情况和态度:方法:采用回顾性横断面设计。通过电子邮件从美国中西部的一家医疗中心招募了 108 名参与者。参与者完成了在线调查,以了解他们对 COVID-19 指南的遵守程度和态度。回复率为 5.4%:大多数参与者为女性(73.1%)和白人(82.4%)。79.7%的参与者遵守了 COVID-19 指南。最常遵守的准则是:进行手部卫生、在可能有病人的地方佩戴呼吸器或合适的口罩,以及在进入疑似或确诊感染 COVID-19 的病人病房时佩戴护目镜。执行最少的预防措施是在接触 COVID-19 疑似病例或确诊病例后进行 COVID-19 检测,以及保持社交距离。接种 COVID-19 疫苗后,对坚持 COVID-19 预防措施的重要性的感知明显降低(p 结论:接种 COVID-19 疫苗后,对安全的感知增加了:接种 COVID-19 疫苗后安全感的增强可能会对医护人员遵守 COVID-19 预防指南产生负面影响。对医护人员的安全行为进行持续教育和监测对于影响医护人员遵守 COVID-19 预防措施的态度非常重要,尤其是在接种疫苗后。
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引用次数: 0
Implementation of a COVID-19 Closed/Open POD Partnership: A Creative Professional Practice Exemplar for Occupational and Environmental Health Nurses 实施 COVID-19 封闭式/开放式 POD 伙伴关系:职业与环境健康护士的创新专业实践范例
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-04-27 DOI: 10.1177/21650799241247081
Valerie Gooder, London Lowe
Background:For more than 15 years, the U.S. Centers for Disease Control and Prevention has recommended that all community agencies and workplace environments create structured communication and collaborative plans for emergency or disaster events (2008). This recommendation is aligned with the U.S. Department of Homeland Security’s (2022) National Infrastructure Protection Plan. The Coronavirus Disease 2019 (COVID-19) pandemic ultimately demonstrated the importance of having organized plans and processes in place for the effective and rapid dispensing of medical countermeasures (MCMs) to the general populace. Occupational and environmental health nurses (OHNs) can utilize examples of successful MCM dispensing programs and adjust details to fit individual organizational needs.Methods:This report examines a closed point of dispensing (Closed POD) mass vaccination program as a guide for designing successful workplace partnerships.Findings:Closed PODs are public or private sites that have set up a memorandum of understanding (MOU) with local health authorities to dispense MCMs to their populations during a public health emergency. The desired outcome of a closed POD agreement is the facilitation of employee health and safety, as well as enabling workplace continuity of operations.Conclusions/Applications to Practice:OHNs will play a pivotal role in any future disaster or emergency event. Because OHNs understand the critical need for anticipatory planning, they are in a prime position to drive the creation and implementation of a closed POD partnership between their workplace and their local health department.
背景:15 年多来,美国疾病控制和预防中心一直建议所有社区机构和工作场所针对紧急情况或灾难事件制定结构化的沟通和协作计划(2008 年)。这一建议与美国国土安全部(2022 年)的《国家基础设施保护计划》相一致。2019 年冠状病毒疾病(COVID-19)大流行最终证明了制定有组织的计划和流程,以便有效、快速地向普通民众分发医疗对策 (MCM) 的重要性。方法:本报告研究了一个封闭式分发点(Closed POD)大规模疫苗接种计划,作为设计成功的工作场所合作伙伴关系的指南。研究结果:封闭式分发点是公共或私人场所,它们与当地卫生当局签订了谅解备忘录(MOU),以便在公共卫生突发事件期间向其居民分发 MCM。封闭式 POD 协议的预期结果是促进员工的健康和安全,以及实现工作场所的连续运作。由于职业健康网了解预先规划的关键需求,因此他们在推动其工作场所与当地卫生部门之间建立和实施封闭式 POD 伙伴关系方面处于有利地位。
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引用次数: 0
Care for Staff: A Novel Technical Assistance Approach to Promote Occupational Mental Health Among Healthcare Workers in Lower and Middle Income Country Settings 关爱员工:促进中低收入国家医护人员职业心理健康的新型技术援助方法
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-04-17 DOI: 10.1177/21650799241247154
Emily G. Headrick, Maggie McCarten-Gibbs, Rachel Coley, Graciela Avila, Jerome Mina, Rea Celine Villa, L. Harini Fernando
Background:Healthcare workers (HCWs) in lower- and middle-income countries (LMICs) face unique, intersectional threats to their mental health at work. Despite the existence of recommendations for multi-tiered interventions to promote and protect occupational mental health for HCWs, there remain significant challenges to implementation worldwide.Methods:FHI 360, a global development organization, developed a novel technical assistance framework to accompany partners, including government and healthcare leaders to design, implement, improve, or evaluate any mental health and psychosocial support intervention. The EpiC Project, implemented by FHI 360, has utilized this framework in four countries (Vietnam, Philippines, Paraguay and Sri Lanka) specifically to guide the development of locally adapted occupational mental health interventions for HCWs.Findings:Each country applied this framework in various project cycle phases and in their unique local contexts; all countries reported positive developments in the advancement of their chosen interventions.Conclusions/Application to Practice:With the application of an adaptable, evidence-based technical assistance framework to guide collaborative consultation for project design, implementation, improvement, and/or evaluation, locally led teams pivoted from a solely “mental health” approach to more comprehensive, evidence-based interventions that framed mental health for HCWs as an occupational health priority. This allowed for teams advising interventions in LMICs to consider unique workplace, structural and policy-level factors rather than focusing solely on individual mental health strategies.
背景:中低收入国家(LMICs)的医护人员(HCWs)在工作中面临着独特的、交叉性的心理健康威胁。方法:全球发展组织 FHI 360 开发了一个新颖的技术援助框架,以协助合作伙伴(包括政府和医疗保健领导者)设计、实施、改进或评估任何心理健康和社会心理支持干预措施。由 FHI 360 实施的 EpiC 项目已在四个国家(越南、菲律宾、巴拉圭和斯里兰卡)采用了这一框架,专门用于指导针对高危行业工人的因地制宜的职业心理健康干预措施的开发。研究结果:每个国家都在不同的项目周期阶段和独特的当地环境中采用了这一框架;所有国家都报告了在推进所选干预措施方面取得的积极进展。结论/实践应用:通过应用可调整的循证技术援助框架来指导项目设计、实施、改进和/或评估方面的合作咨询,当地领导的团队从单纯的 "心理健康 "方法转向更全面的循证干预,将高危行业工人的心理健康作为职业健康的优先事项。这使得为低收入和中等收入国家的干预措施提供建议的团队能够考虑到独特的工作场所、结构和政策层面的因素,而不是仅仅关注个别的心理健康策略。
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引用次数: 0
Association Between Acute Kidney Injury Hospital Visits and Environmental Heat Stress at a Nicaraguan Sugarcane Plantation 尼加拉瓜甘蔗种植园急性肾损伤住院人次与环境热应激之间的关系
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-04-09 DOI: 10.1177/21650799241235410
Erik Hansson, Kristina Jakobsson, Jason R. Glaser, Catharina Wesseling, Denis Chavarría, Rebekah A. I. Lucas, David H. Wegman
Background:Mesoamerican sugarcane cutters are at a high risk of chronic kidney disease of non-traditional origin, a disease likely linked to heat-related acute kidney injury (AKI). Studies in general populations have described a positive association between high environmental temperatures and clinically assessed kidney outcomes, but there are no studies in occupational settings.Method:We accessed routine records of clinically diagnosed AKI (AKI-CD) and wet bulb globe temperatures (WBGT) at a large Nicaraguan sugarcane plantation and modeled the relationship between these using negative binomial regression. A rest-shade-hydration intervention was gradually enhanced during the study period, and efforts were made to increase the referral of workers with suspected AKI to healthcare.Results:Each 1°C WBGT was associated with an 18% (95% confidence interval [CI]: [4, 33%]) higher AKI-CD rate on the same day and a 14% (95% CI [−5, 37%]) higher rate over a week. AKI-CD rates and severity, and time between symptoms onset and diagnosis decreased during the study period, that is, with increasing rest-shade-hydration intervention. Symptoms and biochemical signs of systemic inflammation were common among AKI-CD cases.Discussion:Occupational heat stress, resulting from heavy work in environmental heat, was associated with a higher rate of clinically diagnosed AKI in a population at risk of CKDnt. Promoting rest-shade-hydration may have contributed to reducing AKI rates during the study period. Occupational health and safety personnel have key roles to play in enforcing rest, shade, and hydration practices, referring workers with suspected AKI to healthcare as well as collecting and analyzing the data needed to support workplace heat stress interventions.
背景:中美洲甘蔗砍伐工人罹患非传统来源慢性肾病的风险很高,这种疾病很可能与与高温有关的急性肾损伤(AKI)有关。方法:我们访问了尼加拉瓜一个大型甘蔗种植园的临床诊断急性肾损伤(AKI-CD)和球湿温度(WBGT)的常规记录,并使用负二项回归法模拟了两者之间的关系。结果:WBGT 每升高 1°C,当天的 AKI-CD 率就会升高 18%(95% 置信区间 [CI]:[4, 33%]),一周内的 AKI-CD 率会升高 14%(95% 置信区间 [-5, 37%])。在研究期间,随着休息-遮荫-补液干预的增加,AKI-CD 的发生率和严重程度以及从症状出现到确诊的时间均有所下降。讨论:在高温环境下从事繁重的工作所导致的职业热应激与高危人群中临床诊断出的急性肾脏缺血率有关。在研究期间,促进休息-遮阳-补水可能有助于降低AKI发生率。职业健康与安全人员在执行休息、遮阳和补水措施、将疑似发生 AKI 的工人转诊到医疗机构以及收集和分析支持工作场所热应激干预措施所需的数据方面可以发挥关键作用。
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引用次数: 0
Health Care Workers’ Comfort Ratings for Elastomeric Half Mask Respirators Versus N95® Filtering Facepiece Respirators During the COVID-19 Pandemic 在 COVID-19 大流行期间,医护人员对弹性半面罩呼吸器和 N95® 过滤面罩呼吸器的舒适度评分
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-04-08 DOI: 10.1177/21650799241238755
Lisa Pompeii, Janelle Rios, Colleen S. Kraft, Marie Kasbaum, Elisa Benavides, Scott J. Patlovich, Luis Ostrosky-Zeichner, Adam Hornbeck, Caitlin McClain, Rohan D. Fernando, Margaret Sietsema, Morgan Lane
Background:Reusable elastomeric half-mask respirators (EHMR) are an alternative to address shortages of disposable respirators. While respirator discomfort has been noted as a barrier to adherence to wearing an N95 filtering facepiece respirator (FFR) among health care personnel (HCP), few have examined EHMR comfort while providing patient care, which was the purpose of this study.Method:Among a cohort of 183 HCP, we prospectively examined how HCP rated EHMR tolerability using the Respirator Comfort, Wearing Experience, and Function Instrument (R-COMFI) questionnaire at Study Week 2 and Week 10. At the completion of the study (Week-12), HCP compared EHMR comfort with their prior N95 FFR use. Overall R-COMFI scores and three subscales (comfort, wear experience, and function) were examined as well as individual item scores.Findings:The HCP reported an improved overall R-COMFI score (lower score more favorable, 30.0 vs. 28.7/47, respectively) from Week 2 to Week 10. Many individual item scores improved or remained low over this period, except difficulty communicating with patients and coworkers. The overall R-COMFI scores for the EHMR were more favorable than for the N95 FFR (33.7 vs. 37.4, respectively), with a large proportion of workers indicating their perception that EHMR fit better, provided better protection, and they preferred to wear it in pandemic conditions compared with the N95 FFR.Conclusion/Application to Practice:Findings suggest that the EHMR is a feasible respiratory protection device with respect to tolerance. EHMRs can be considered as a possible alternative to the N95 FFR in the health care setting. Future work is needed in the EHMR design to improve communication.
背景:可重复使用的弹性半面罩呼吸器(EHMR)是解决一次性呼吸器短缺问题的替代品。方法:在 183 名医护人员中,我们使用呼吸器舒适度、佩戴体验和功能问卷 (R-COMFI) 对医护人员在研究第 2 周和第 10 周佩戴 N95 过滤面罩呼吸器的耐受性进行了前瞻性研究。在研究结束时(第 12 周),HCP 将 EHMR 的舒适度与之前使用 N95 FFR 时的舒适度进行了比较。研究结果:HCP 报告说,从第 2 周到第 10 周,R-COMFI 总分有所提高(得分越低越有利,分别为 30.0 vs. 28.7/47)。在此期间,除与患者和同事沟通困难外,许多单项得分都有所提高或保持在较低水平。与 N95 FFR 相比,EHMR 的 R-COMFI 总分更高(分别为 33.7 分和 37.4 分),大部分工人认为 EHMR 更合身,能提供更好的保护,他们更愿意在大流行条件下佩戴 EHMR。在医疗保健环境中,超高强度口罩可被视为 N95 FFR 的可能替代品。今后还需要对超高强度呼吸器进行设计,以改善沟通。
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引用次数: 0
The Importance of an Occupational History: Chronic Kidney Disease vs Chronic Kidney Disease of Non-Traditional Etiology. 职业史的重要性:慢性肾脏病与非传统病因的慢性肾脏病。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-04-01 Epub Date: 2024-03-16 DOI: 10.1177/21650799241235412
Daniel J Smith
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引用次数: 0
Worker's Compensation Injury and Illness Care: A Global Round Table. 工伤与疾病护理:全球圆桌会议。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-04-01 Epub Date: 2024-02-28 DOI: 10.1177/21650799231224033
Olivia Begasse de Dhaem, Sally Foster-Chang, Bhargav Chandrashekar, Gleb Chigirinsky, Terrance D'souza, Nehal Mohammed Helmy, Xivananda Priolcar, Fabricio Salgado, Pavel Talmaci, Julie Thurlow, Yumiko Yanase, Steven Serra

Background: Work-related injuries and diseases have a significant impact on workers and their families, society, and the economy. There is a gap in the literature regarding the structures, content, quality, and outcomes of international occupational health systems serving injured and ill workers. This global round table was an attempt to elucidate, evaluate, and identify areas needing improvement.

Methods: International occupational health professionals were identified via chain/snowball sampling and asked to answer five questions designed to evaluate the structures, processes, and outcomes of the workers' compensation systems in each country.

Findings: Areas for improvement identified during this round table included timely access, reducing the impact of liability and eligibility determinations on access to medical care, equitable access to care, and the accuracy of reporting. Canada had successfully utilized a virtual approach to care for the geographically remote worker.

Conclusions: International workers' compensation structures are designed to ensure timely access to quality care and services. Financial incentives optimize the safety of the working environment. There remain areas for improvement. Resources are limited, especially within the public health systems, which may delay care and affect quality. Informal and remote workers often do not have the same access to care. Occupational Health Services (OHS) and national reporting databases exist throughout the world but may not accurately capture data on informal, self-employed, small business, migrant, and remote workers.

背景:工伤和职业病对工人及其家庭、社会和经济有着重大影响。有关为工伤和患病工人提供服务的国际职业健康体系的结构、内容、质量和结果的文献尚存在空白。本次全球圆桌会议旨在阐明、评估和确定需要改进的领域:方法:通过连锁抽样/滚雪球抽样确定国际职业健康专业人员,并要求他们回答五个问题,以评估各国工人赔偿制度的结构、流程和结果:圆桌会议期间确定的需要改进的领域包括:及时获得医疗服务、减少责任和资格确定对获得医疗服务的影响、公平获得医疗服务以及报告的准确性。加拿大成功地利用虚拟方法为地理位置偏远的工人提供医疗服务:国际工人赔偿结构旨在确保及时获得优质医疗和服务。经济激励措施优化了工作环境的安全性。但仍有需要改进的地方。资源有限,尤其是公共卫生系统内的资源有限,这可能会延误治疗并影响质量。非正规和偏远地区的工人往往无法获得同样的医疗服务。世界各地都有职业健康服务(OHS)和国家报告数据库,但可能无法准确获取非正规、自营职业、小企业、移民和偏远地区工人的数据。
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引用次数: 0
Personal, Social, and Workplace Environmental Factors Related to Psychological Well-Being of Staff in University Settings. 与大学教职员工心理健康相关的个人、社会和工作场所环境因素。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-03-01 Epub Date: 2024-01-17 DOI: 10.1177/21650799231214249
Dawn Mopkins, Mikyoung Lee, Ann Malecha

Background: Understanding the psychological well-being (PWB) of university staff and factors that influence it is critical for developing intervention programs that promote PWB and enhance productivity and worker engagement.

Purpose: This study aimed to assess the level of PWB in university staff and identify personal, social, and workplace environmental factors related to their PWB.

Methods: A cross-sectional, correlational study design was used. A convenience sample of university staff was recruited from two universities in Texas. Participants completed an online questionnaire, which included Ryff's PWB scale to measure PWB, along with questions related to personal, social, and workplace factors. Hierarchical multiple regression was used to analyze the influence of these factors on the PWB of university staff.

Results: The PWB of university staff (n = 202) was significantly influenced by personal factors (i.e., race and perceived mental health status), social factors (i.e., social support of friends), and workplace environmental factors (i.e., physical demands).

Conclusion/application to practice: To effectively promote PWB among university staff, occupational health nurses should proactively track and monitor their PWB. Policies and interventions should consider the various personal, social, and workplace environment factors identified in this study, such as mental health, social support resources, and physical demands.

背景:目的:本研究旨在评估大学教职员工的心理健康水平,并确定与他们的心理健康有关的个人、社会和工作场所环境因素:方法:采用横断面相关研究设计。研究采用横断面、相关性研究设计,从得克萨斯州的两所大学招募了大学教职员工样本。参与者填写了一份在线问卷,其中包括 Ryff 的 PWB 量表(用于测量 PWB)以及与个人、社会和工作场所因素相关的问题。采用层次多元回归法分析了这些因素对大学教职员工PWB的影响:结果:大学教职员工(n = 202)的PWB受到个人因素(即种族和感知的心理健康状况)、社会因素(即朋友的社会支持)和工作场所环境因素(即身体要求)的显著影响:为有效促进大学教职员工的公共卫生预算,职业健康护士应主动跟踪和监测他们的公共卫生预算。政策和干预措施应考虑本研究中发现的各种个人、社会和工作场所环境因素,如心理健康、社会支持资源和身体需求。
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引用次数: 0
Relaxation Methods to Reduce Occupational Stress. 减轻职业压力的放松方法。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-03-01 Epub Date: 2023-07-03 DOI: 10.1177/21650799231184375
TaShana Williams-Southers

Background: Healthcare providers putting their patient's health before their own has negative consequences. Utilizing evidence-based research, nurse leaders can implement practices to positively affect employee health. This project assessed the utilization of a workplace relaxation room to reduce occupational stress.

Method: Multiple methods were used to recruit participants. Participants completed pre/post surveys (demographic, PSS-10, GallupQ12, and open-ended questions) via email. The relaxation room contained stress reducing items for staff to utilize while at work. Data was collected using Qualtrics Survey software.

Findings: Data from the PSS-10 and GallupQ12 did not reveal statistically significant results. The participants responses to the open-ended questions did indicate a positive impact.

Conclusions/application to practice: While the aims of the project were not met during the intervention, the open-ended responses indicated that for the employees who participated in the project, the intervention was a positive addition to the workplace.

背景:医疗服务提供者将病人的健康置于自己的健康之前会产生负面影响。利用循证研究,护士长可以实施对员工健康产生积极影响的措施。本项目评估了利用工作场所放松室减轻职业压力的情况:采用多种方法招募参与者。参与者通过电子邮件完成事前/事后调查(人口统计学、PSS-10、GallupQ12 和开放式问题)。放松室里有减压物品,供员工在工作时使用。数据使用 Qualtrics 调查软件收集:来自 PSS-10 和 GallupQ12 的数据没有显示出具有统计学意义的结果。参与者对开放式问题的回答确实显示了积极的影响:虽然在干预过程中没有达到项目的目标,但开放式问题的回答表明,对参与项目的员工而言,干预对工作场所起到了积极的补充作用。
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引用次数: 0
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Workplace Health & Safety
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