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Citation

Haas, Emily J.; Kelly-Reif, Kaitlin; Edirisooriya, Mihili; Reynolds, Laura; Beatty Parker, Cherese; Zhu, Deanna R.; Weber, David J.; Sickbert-Bennett, Emily; Boyce, Ross M.; & Ciccone, Emily J., et al. (Online ahead of print). Infection Precaution Adherence Varies by Potential Exposure Risks to SARS-CoV-2 and Job Role: Findings from a US Medical Center. American Journal of Infection Control.

Abstract

BACKGROUND: Infection precautions (IP) facilitate standardized and safe patient care. Research has demonstrated several barriers to IP adherence among health care personnel (HCP) but potential exposure risk to SARS-CoV-2 and job role has not been considered.
METHODS: Researchers used self-reported baseline surveys with 191 HCPs at a university medical center to examine factors that may have affected IP adherence (eg, personal protective equipment [PPE] and hand hygiene errors) over the 2 weeks prior to the survey. Chi-square tests were used to determine if differences existed first, among job role and IP adherence, and second, the potential risk of exposure to SARS-CoV-2 and IP adherence. A binary logistic regression estimated if PPE nonadherence was associated with COVID-19 stress, job role, and potential exposure risk to SARS-CoV-2.
RESULTS: PPE nonadherence varied by job role. Those in the Other group (ie, nonphysician/non-nursing HCP) reported significantly fewer errors (9.6%) compared to Physicians (26.5%) and Registered Nurses (33.3%). Hand/glove hygiene errors between COVID-19 patient rooms varied by job role. Respondents who had higher risks of exposure to SARS-CoV-2 were 5.74 times more likely to experience errors.
CONCLUSIONS: The results provide implications for adopting systems-level approaches to support worker knowledge and engagement across job roles to improve IP adherence.

URL

http://dx.doi.org/10.1016/j.ajic.2023.10.010

Reference Type

Journal Article

Year Published

Online ahead of print

Journal Title

American Journal of Infection Control

Author(s)

Haas, Emily J.
Kelly-Reif, Kaitlin
Edirisooriya, Mihili
Reynolds, Laura
Beatty Parker, Cherese
Zhu, Deanna R.
Weber, David J.
Sickbert-Bennett, Emily
Boyce, Ross M.
Ciccone, Emily J.
Aiello, Allison E.

Article Type

Regular

Continent/Country

United States

State

North Carolina

ORCiD

Boyce, R - 0000-0002-9489-6324