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Provision and use of personal protective equipment among home care and hospice nurses in North Carolina.

Authors
Leiss-JK; Sitzman-KL; Kendra-MA
Source
Am J Infect Control 2011 Mar; 39(2):123-128
NIOSHTIC No.
20038857
Abstract
Background: We investigated the frequency with which home care/hospice nurses are provided with and use personal protective equipment (PPE) and factors associated with use. Methods: We conducted a mail survey among home care/hospice nurses in North Carolina in 2006. Results: The adjusted response rate was 69% (n = 833). Between 68% and 86% of nurses were always provided with the relevant types of PPE; these nurses were 2.5-3 times more likely to use the PPE in scenarios involving a potential for blood exposure compared with nurses who were not always provided with PPE. Nurses who always had sufficient time during home visits were 50% more likely to use PPE. Nurses who visited more homes with adverse working conditions were less likely to use PPE. Conclusion: The public health policy of providing PPE to health care workers and ensuring that they use that equipment to prevent occupational blood exposure is not being fully implemented for home care and hospice nurses. Greater provision of PPE could reduce blood exposure in this population. Conditions of the home care/hospice work environment may be impeding nurses' ability to use PPE.
Keywords
Bloodborne-pathogens; Health-care-personnel; Health-protection; Health-services; Injury-prevention; Medical-personnel; Medical-services; Nurses; Occupational-health-nursing; Occupational-safety-programs; Paramedical-services; Personal-protection; Personal-protective-equipment; Protective-equipment; Protective-measures; Psychological-effects; Psychological-reactions; Quantitative-analysis; Questionnaires; Respiratory-irritants; Risk-factors; Safety-equipment; Safety-measures; Safety-practices; Safety-programs; Statistical-analysis; Surveillance-programs; Work-environment; Worker-health; Worker-motivation; Work-organization; Work-performance; Work-practices; Author Keywords: Blood exposure; epidemiology; home nursing; occupational exposure; surveys
Contact
Jack K. Leiss, Epidemiology Research Program, Cedar Grove Institute for Sustainable Communities, 6919 Lee Street, Mebane, NC 27302
CODEN
AJICDC
Publication Date
20110301
Document Type
Journal Article
Email Address
jackl@mcmoss.org
Funding Type
Grant
Fiscal Year
2011
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-008241
Issue of Publication
3
ISSN
0196-6553
Source Name
American Journal of Infection Control
State
NC; UT; OH
Performing Organization
Constella Group - Durham, North Carolina
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