Development of a questionnaire to assess worker knowledge, attitudes and perceptions underlying dermal exposure

Geer, Laura A.; Curbow, Barbara; Anna, Daniel H.; Lees, Peter S.J.; Buckley, Timothy J.

doi:10.5271/sjweh.1001

Cited by 35 publications

(28 citation statements)

References 36 publications

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“…Participants reported decreased perception of workplace safety during times of high workflow. The current study confirmed the influence of high workload, measured by nurse–patient ratio, as a significant barrier to nurse HD precaution adoption; mean number of patients assigned per day proved the only significant predictor of HD precaution use, with more patients assigned per day predicting less nurse HD precaution use controlling for self-efficacy, perceived risk, and workplace safety (Geer, Curbow, Anna, Lees, & Buckley, 2006; Mahon et al, 1994; Valanis, McNeil, & Driscoll, 1991). In contrast, Polovich and Clark (2012) found that two additional theoretical predictor variables, perceived barriers and workplace safety climate, significantly influenced HD precaution use.…”

Section: Discussionsupporting

confidence: 72%

Factors Influencing Nurses’ Use of Hazardous Drug  Safe-Handling Precautions

Callahan¹,

Ames²,

Manning³

et al. 2016

ONF

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Purpose/Objectives To identify factors associated with oncology nurses’ use of hazardous drug (HD) safe-handling precautions in inpatient clinical research units. Design Descriptive, cross-sectional. Setting The National Institutes of Health Clinical Center in Bethesda, Maryland. Sample 115 RNs working on high-volume HD administration units. Methods Survey data were collected online using the Hazardous Drug Handling Questionnaire. Data were analyzed using descriptive statistics and multiple regression analysis. Main Research Variables Exposure knowledge, self-efficacy, barriers to personal protective equipment use, perceived risk, conflict of interest, interpersonal influences, workplace safety climate, and total mean HD precaution use. Findings Participants demonstrated high exposure knowledge, self-efficacy, perceived risk, interpersonal influences, and workplace safety climate. Participants demonstrated moderate barriers and conflict of interest. Total mean HD precaution use proved highest during HD administration and lowest for handling excreta at 48 hours. Average patients per day significantly influenced total HD precaution: nurses exhibited more HD precaution use when assigned fewer patients. Conclusions Despite high exposure knowledge, barriers to personal protective equipment use and conflict of interest may contribute to reduced adoption of personal protective practices among oncology nurses. Implications for Nursing Hospital and unit-specific factors captured by the predictor variables could contribute to institutional HD policy.

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Section: Discussionsupporting

confidence: 72%

Factors Influencing Nurses’ Use of Hazardous Drug  Safe-Handling Precautions

Callahan¹,

Ames²,

Manning³

et al. 2016

ONF

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“…The internal reliability of our dependent variable – the PPE use scale – was lower in our sample (0.61) than reported previously (Geer et al, 2006). The distribution of various types of PPE (included on the PPE use scale) had a bimodal pattern; many respondents either reported using PPE very frequently or never.…”

Section: Discussioncontrasting

confidence: 81%

“…Nurses’ reported barriers to wearing PPE were measured from 13 items in Geer’s Dermal Exposure Survey (Geer, Curbow, Anna, Lees, & Buckley, 2006). Nurses scored items on a 5-point Likert scale from strongly disagree (1) to strongly agree (5); the mean across all 13 items was used in analyses.…”

Section: Methodsmentioning

confidence: 99%

Personal Protective Equipment Use and Hazardous Drug Spills Among Ambulatory Oncology Nurses

He¹,

Mendelsohn-Victor²,

McCullagh³

et al. 2017

ONF

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Purpose/Objectives To examine patterns and organizational correlates of personal protective equipment (PPE) use and hazardous drug spills. Design Cross-sectional mailed survey. Setting Ambulatory practices in California, Georgia, and Michigan. Sample 252 Oncology Nursing Society members who administer hazardous drugs. Methods Bivariate and multivariable regression analyses. Main Research Variables Outcomes were PPE use and hazardous drug spills. Covariates included nursing workloads, nurses’ practice environments, and barriers to PPE use. Findings 26% reported a recent drug spill. 90% wore only one pair of chemotherapy-tested gloves. Increased PPE use was significantly associated with nurse participation in practice affairs (β = 0.25, 95% CI 0.10 to 0.41), non-private ownership (β= 0.37, 95% CI 0.10 to 0.64), increased nursing workloads (β = 0.03, 95% CI 0.01 to 0.04), and fewer barriers to PPE use (β = 0.65, 95% CI 0.36 to 0.93). Spills were significantly associated with less favorable manager leadership and support (OR 0.68, 95% CI 0.47 to 0.98), and higher workloads (OR 1.03, 95% CI 1.01 to 1.06). Conclusions Drug spills occur often in ambulatory settings. PPE use remains low and barriers to use persist. Higher workloads are associated with both lower PPE use and more spills. Implications Managers should monitor and correct aberrant workloads and assure PPE is available and staff are trained. Knowledge Translation 1) Workloads are an important factor to consider in reducing hazardous drug exposures. 2) Nurses report substantial barriers to exposure prevention, including absence of equipment and lack of training. 3) Educational interventions are needed to improve use of PPE and reduction in hazardous drug exposures

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“…Training programme implemented had helped to overcome these barriers, and as a result the respondents continued to use the PPE. Geer et al, (2006) also proved that the self-protective behaviours work well, when the worker feels that they are informed about the risks, and believe that precautionary methods are effective and has a clearer perception about their own ability to avoid or control exposure.…”

Section: Pre and Post Kap Survey Findingsmentioning

confidence: 86%

Effectiveness of health and safety training for municipal waste collectors: a case study from Galle, Sri Lanka

et al. 2017

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Municipal waste collectors are exposed to numerous hazardous substances during the process of collection, transportation and the disposal of municipal solid wastes, resulting in occupational health and safety risks including mortality and morbidity. An efficient and safe municipal solid waste collection system is vital to protect the environment, the community and the workers involved. Therefore, a training module was developed based on the needs analysis, and after conducting a series of training and awareness programmes, personal protective equipment was distributed to all the 115 municipal waste collectors in Galle Municipal Council, the provincial capital of Southern Province of Sri Lanka. The objective of this study was to determine the effectiveness of those project interventions. A questionnaire survey, key informant discussions and expert observations were used as primary data collection tools, while secondary data were gathered from various reports. Knowledge, Attitudes, Practices (KAP) questionnaire was used to evaluate the conditions of 115 municipal waste collectors before and after conducting the training programme and distributing the personal protective equipment. The interventions made by conducting the training programme described in this study had effectively created a significant improvement in knowledge, attitude and practices of the respondents (p < 0.05). Personal protective equipment distributed has resulted in an increase of dignity among the waste collectors giving them recognition by both Galle Municipal Council and the general public of the area.

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Development of a questionnaire to assess worker knowledge, attitudes and perceptions underlying dermal exposure

Cited by 35 publications

References 36 publications

Factors Influencing Nurses’ Use of Hazardous Drug  Safe-Handling Precautions

Factors Influencing Nurses’ Use of Hazardous Drug  Safe-Handling Precautions

Personal Protective Equipment Use and Hazardous Drug Spills Among Ambulatory Oncology Nurses

Effectiveness of health and safety training for municipal waste collectors: a case study from Galle, Sri Lanka

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Development of a questionnaire to assess worker knowledge, attitudes and perceptions underlying dermal exposure

Cited by 35 publications

References 36 publications

Factors Influencing Nurses’ Use of Hazardous Drug Safe-Handling Precautions

Factors Influencing Nurses’ Use of Hazardous Drug Safe-Handling Precautions

Personal Protective Equipment Use and Hazardous Drug Spills Among Ambulatory Oncology Nurses

Effectiveness of health and safety training for municipal waste collectors: a case study from Galle, Sri Lanka

Contact Info

Product

Resources

About

Factors Influencing Nurses’ Use of Hazardous Drug  Safe-Handling Precautions

Factors Influencing Nurses’ Use of Hazardous Drug  Safe-Handling Precautions