Behind the mask: Determinants of nurse's adherence to facial protective equipment

Nichol, Kathryn; McGeer, Allison; Bigelow, Philip; O’Brien‐Pallas, Linda; Scott, James A.; Holness, D. Linn

doi:10.1016/j.ajic.2011.12.018

Cited by 73 publications

(93 citation statements)

References 32 publications

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“…It is important for hospital infection prevention programs to recognize that if face protection supplies are not available at every bedspace or room, a substantial proportion of providers may choose to omit using face protection in situations in which it is indicated. 4,5 In addition, our survey revealed that face protection was perceived by many providers as unnecessary, despite our inclusion of education about standard precautions as part of our hospital's required annual computer-based training for all clinicians.…”

Section: Discussionmentioning

confidence: 94%

Barriers to the use of face protection for standard precautions by health care providers

Kinlay

Flaherty

Scanlon

et al. 2015

American Journal of Infection Control

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Health care providers sometimes choose not to use face protection even when indicated as part of standard precautions. We performed a survey of pediatric health care providers to determine barriers to the routine use of face protection. Lack of availability at the point of care and a perceived lack of need were the most commonly cited issues. Continuing education is needed regarding situations in which face protection is indicated for standard precautions.

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Section: Discussionmentioning

confidence: 94%

Barriers to the use of face protection for standard precautions by health care providers

Kinlay

Flaherty

Scanlon

et al. 2015

American Journal of Infection Control

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“…One recent study found that nurses who were knowledgeable about respiratory protection recommendations were 2.9 times more likely to demonstrate competency in using an N95 FFR. 24 Both insufficient protection and improper use can negatively impact HCWs’ safety and health. The Jaeger et al study 10 involving the 2009 H1N1 pandemic found that increased rates of health care–associated transmission among HCWs were correlated with irregular use of proper PPE.…”

Section: Discussionmentioning

confidence: 99%

Hospital respiratory protection practices in 6 U.S. states: A public health evaluation study

Peterson

Novak

Stradtman

et al. 2015

American Journal of Infection Control

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Background Lessons learned from the influenza A (H1N1) virus revealed a need to better understand hospitals’ respiratory protection programmatic practice gaps. This article reports findings from a multistate assessment of hospitals’ adherence to the Occupational Safety and Health Administration’s respiratory protection program (RPP) requirements and the Centers for Disease Control and Prevention’s infection control guidance. Methods Onsite surveys were conducted in 98 acute care hospitals in 6 U.S. states, including >1,500 hospital managers, unit managers, and health care workers. Descriptive statistics were used to assess hospital adherence. Results Most acute care hospitals adhere to requirements for initial medical evaluations, fit testing, training, and recommended respiratory protection when in close contact with patients who have suspected or confirmed seasonal influenza. Low hospital adherence was found for respiratory protection with infectious diseases requiring airborne precautions, aerosol-generating procedures with seasonal influenza, and checking of the respirator’s user seal. Hospitals’ adherence was also low with follow-up program evaluations, medical re-evaluations, and respirator maintenance. Conclusion Efforts should be made to closely examine ways of strengthening hospitals’ RPPs to ensure the program’s ongoing effectiveness and workers’ proper selection and use of respiratory protection. Implications for improved RPPs and practice are discussed.

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“…Therefore, it is recommended that HCWs should wear N95 respirator masks when taking care of patients with TB or those surmised to have TB [21]. However, adherence to the use of facial N95 respirator masks is not always observed in clinical practice because of their inadequate availability [8]. …”

Section: Discussionmentioning

confidence: 99%

“…Administrative infection control (IC) measures, such as educational programs, can reduce TB infection [7]. In addition, environmental control and personal protective equipment are crucial contributors to the prevention of TB transmission [1, 8]. The compliance of HCWs with IC measures is influenced by organizational, environmental, and individual factors.…”

Section: Introductionmentioning

confidence: 99%

Perceived risk of tuberculosis infection among healthcare workers in Swaziland

et al. 2016

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BackgroundThe incidence of tuberculosis (TB) in the Kingdom of Swaziland is extremely high. How healthcare workers (HCWs) in Swaziland perceive infection control (IC) measures for preventing TB transmission is unclear. This study aimed to determine perceived risk of TB infection in relation to IC measures among HCWs in three institutions of Swaziland.MethodsA cross-sectional questionnaire survey was conducted in 2014. Demographic data and IC measures were collected from main and allied HCWs.ResultsIn total, 186 HCWs (19 doctors, 99 nurses, and 68 allied HCWs) were enrolled. The multivariate logistic regression analyses revealed that nurses (OR = 39.87, 95% CI = 2.721–584.3) and other HCWs (OR =99.34, 95% CI = 7.469–1321) perceived a higher TB infection risk than did doctors. Moreover, HCWs working for <4 years at the TB department perceived a lower TB infection risk (OR = 0.099, 95% CI = 0.022–0.453). Availability of N95 respirator masks (OR = 0.055, 95% CI = 0.005–0.586) and a designated sputum collection area (OR = 0.142, 95% CI = 0.037–0.545) also carried lower TB infection risks.ConclusionThis study depicts the current status of IC measures for TB infection in a high prevalence country. The results suggest that HCWs perceived a greater TB infection risk at inadequate environmental IC measures.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-2029-6) contains supplementary material, which is available to authorized users.

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Behind the mask: Determinants of nurse's adherence to facial protective equipment

Cited by 73 publications

References 32 publications

Barriers to the use of face protection for standard precautions by health care providers

Barriers to the use of face protection for standard precautions by health care providers

Hospital respiratory protection practices in 6 U.S. states: A public health evaluation study

Perceived risk of tuberculosis infection among healthcare workers in Swaziland

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