BLOODBORNE EXPOSURE MANAGEMENT

提出的是一个合作，多学科，横断面研究设计， 描述和评估员工对公共卫生服务的依从性 血源性接触管理指南。 的目的 研究的目的是确定与合规有关的障碍， 接受建议的接触后护理的员工。 代表机构 五个不同的员工组将帮助确定样本框架 包括7000名有暴露风险的员工，包括 基于医院的和非基于医院的健康护理工作者（例如，护士和 矫正卫生保健工作者）和公共安全雇员（例如，紧急 医务人员、惩教人员和警察）。 将招募员工完成一项关于血源性暴露的调查， 接触后治疗和后续护理。 我们假设两个工人- 中心和组织因素可能成为遵守的障碍， 暴露报告和暴露后治疗方案，因此， 调查问卷将解决这两个结构（例如，对风险的误解，缺乏 缺乏知识、缺乏组织资源、缺乏培训等）。 数据 将使用逻辑回归技术进行分析。 调查数据将 提供给由代表组成的参与性行动研究小组 的研究小组。 这些团队将与研究人员合作， 确定数据驱动的战略（以员工为中心和组织）， 改善对接触后准则的遵守情况。 这项研究将确定 适当执行准则的障碍，并使我们能够集中精力 我们的精力和资源用于具体的改进，以尽量减少 暴露员工的感染风险。

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.