BLOODBORNE EXPOSURE MANAGEMENT

建议的是一项协作性、多学科、横断面研究 描述和评估员工对公共卫生服务的遵从性 血源性接触管理指南。该计划的目的是 研究是确定与合规相关的障碍，这些障碍可能会阻碍 接受建议的暴露后护理的员工。代理机构代表 五个不同的员工组将帮助确定样本框架 由7000名面临风险的员工组成，包括 以医院为基础和非以医院为基础的保健工作者(例如护士和 惩教保健工作者)和公共安全雇员(例如，紧急情况 医疗服务人员、惩教人员和警察)。 将招募员工完成血源性接触调查和 暴露后治疗和后续护理。我们假设两个工人- 中心因素和组织因素可能会成为遵守的障碍 暴露报告和暴露后处理方案，因此 调查问卷将解决这两个概念(例如，对风险的误解、缺乏 知识匮乏、缺乏组织资源、缺乏培训等)。数据 将使用Logistic回归技术进行分析。然后，调查数据将 提供给由代表组成的参与性行动研究小组 研究小组的成员。这些团队将与研究人员合作，以 确定数据驱动的战略(包括以员工为中心和以组织为中心)以 提高对暴露后指南的遵从性。这项研究将确定 妨碍适当执行《准则》，使我们能够集中精力 我们将精力和资源用于具体的改进，以最大限度地减少 接触过的员工有感染的风险。

Proposed is a collaborative, multidisciplinary, cross-sectional study designed to characterize and assess employee compliance with the Public Health Service Guidelines for the management of bloodborne exposures. The purpose of the study is to identify barriers related to compliance that might hinder employees receiving recommended post-exposure care. Agencies representing five different employee groups will assist in identifying a sample frame consisting of seven thousand employees at risk of exposure, including hospital-based and non-hospital based health care workers (e.g., nurses and correctional health care workers) and public safety employees (e.g., emergency medical service employees, correctional officers and police officers). Employees will be recruited to complete a survey on bloodborne exposures and post-exposure treatment and follow-up care. We hypothesize that both worker- centered and organizational factors may serve as barriers to compliance with exposure reporting and post-exposure treatment protocols, therefore the questionnaire will address both constructs (e.g., misperception of risk, lack of knowledge, lack of organizational resources, lack of training, etc.). Data will be analyzed using logistic regression techniques. Survey data will then be provided to participatory action research teams composed of representatives of the study groups. The teams will work collaboratively with researchers to identify data driven strategies (both worker-centered and organizational) to improve compliance with post-exposure guidelines. This study will identify barriers to appropriate implementation of the Guidelines and allow us to focus our energies and resources on specific improvements in order to minimize the risk of infection to exposed employees.