Homecare Work in Social Assistance and Healthcare: Safe Cleaning and Disinfection

社会救助和医疗保健中的家庭护理工作：安全清洁和消毒

• 批准号: 8926709
• 负责人: MARGARET M QUINN
• 金额: $ 60.67万
• 依托单位: UNIVERSITY OF MASSACHUSETTS LOWELL
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8926709
• 关键词: Homecare; Work; Social; Assistance; Healthcare

DESCRIPTION (provided by applicant): This is a competitive renewal application for occupational health & safety research with the ultimate goal of providing a healthy, productive home care (HC) workforce. HC aides are the fastest growing occupation in the U.S., and the accelerating trend towards more medical care at home increases the urgency to identify HC aides' work hazards and prevent associated injuries and illness. Cleaning and disinfection (C&D) is a major part of the daily work of HC aides because of the growing risks from multi-drug resistant organisms like methicillin resistant Staphylococcus aureus (MRSA) and Clostridium difficile (C diff). Yet at the same time, there is growing evidence that many C&D chemicals widely used for infection prevention are associated with respiratory illnesses. Cleaning products are among the leading causes of occupational asthma. Currently, occupational respiratory health and infection prevention efforts are disconnected, creating a gap in our ability to fully protect HC workers. The proposed research will develop an integrated, multidisciplinary approach that optimizes occupational respiratory health and effective C&D for infection prevention, rather than trading off one for the other. This will be accomplished with the following specific aims: 1) Determine the extent to which pathogens and other micro-organisms found on surfaces in the home care environment can be reduced by different types of C&D. 2) Evaluate respiratory exposures and health effects from C&D as practiced in HC environments. 3) Synthesize the findings from aim 1 and 2, translate and disseminate them for HC stakeholders. The proposed research addresses the NIOSH National Occupational Research Agenda (NORA) sector of Healthcare and Social Assistance (HCSA) and addresses sector priority areas of Chemical Hazards and Infectious Diseases. The HC occupations addressed are employed both in healthcare and social assistance services. The NORA cross-sector programs addressed are: 1) Exposure Assessment; 2) Respiratory Diseases; 3) Prevention through Design; and 4) Occupational Health Disparities. The expected outputs will be quantitative and qualitative data and communication products to serve the expected outcome of providing the evidence base for guidance on safe, effective C&D in HC. Research to Practice (r2p) methods will be engaged at all stages of the proposed research in collaboration with our well-established, successful HC industry partnership network to insure that the findings are relevant and disseminated to the practice communities that can use them for preventive workplace interventions. Expected intermediate outcomes of the proposed research are an improved understanding of the OSH risks and benefits of C&D and an integrated evaluation of the OSH dimensions of C&D that can contribute to the evidence base for good practice guidelines in HC. The end outcome of this work is expected to be a healthier and more productive HC aide workforce.

描述（由申请人提供）：这是一项针对职业健康与安全研究的竞争性更新申请，最终目标是提供健康、高效的家庭护理（HC）劳动力。HC助手是美国增长最快的职业，越来越多的家庭医疗护理的趋势增加了识别HC助手工作危险和预防相关伤害和疾病的紧迫性。清洁和消毒（C&D）是HC助手日常工作的主要部分，因为耐甲氧西林金黄色葡萄球菌（MRSA）和艰难梭菌（C diff）等多重耐药生物体的风险越来越大。然而，越来越多的证据表明，许多广泛用于预防感染的C&D化学品与呼吸道疾病有关。清洁产品是职业性哮喘的主要原因之一。目前，职业呼吸道健康和感染预防工作脱节，在我们充分保护HC工人的能力方面存在差距。拟议的研究将开发一种综合的多学科方法，优化职业呼吸健康和有效的C&D预防感染，而不是权衡两者。这将通过以下方式实现 具体目标：1）确定不同类型的C&D可以减少家庭护理环境中表面上发现的病原体和其他微生物的程度。2)评估在碳氢化合物环境中实施的C&D的呼吸暴露和健康影响。3)综合目标1和2的结果，翻译并向人道主义事务利益攸关方传播。拟议的研究涉及NIOSH国家职业研究议程（诺拉）的医疗保健和社会援助（HCSA）部门，并涉及化学危害和传染病的部门优先领域。所涉及的人道主义职业是在保健和社会援助服务部门就业的。诺拉的跨部门方案包括：1）接触评估; 2）呼吸系统疾病; 3）通过设计预防; 4）职业健康差异。预期的产出将是定量和定性的数据和交流产品，以服务于预期的成果，即为指导HC中安全、有效的C&D提供证据基础。研究实践（r2 p）的方法将在所有阶段的拟议的研究与我们的完善，成功的HC行业合作伙伴关系网络合作，以确保调查结果是相关的，并传播到实践社区，可以使用它们的预防性工作场所干预措施。拟议的研究的预期中期成果是更好地理解的奥什风险和C&D的好处和C&D的奥什方面的综合评价，可以有助于在HC的良好做法指南的证据基础。这项工作的最终结果预计将是一个更健康和更有成效的人道主义援助工作人员队伍。