Innovative HCW Training: Infectious Disease Risk

描述（由申请人提供）：此前后干预的目的 评估建议是开发，实施和评估新的计算机化 模拟培训计划，以减少传染病的风险， 注册护士 包括护士在内的医疗工作者面临着各种各样的风险。 职业健康危害，包括传染病的风险， 血液传播的病原体和肺结核。为了降低发病率， 与职业获得性感染相关的死亡率， 制定了管理战略。同时，安全培训计划 作为整体风险管理战略的重要组成部分， 然而，对有效的健康和安全来说， 培训，特别是在医疗保健工作环境中。 为了解决这个问题，一个多学科的研究小组已经合作， 有两个大型医疗中心和一个专业护士协会， 评估护士安全培训的创新方法。仿真 练习，这是基于嵌入式测试理论和证明是一个 在其他职业环境中有效的安全培训方法，将 采用参与式行动研究的形式。演习， 针对血液传播的病原体和结核病，将被格式化为一个 一个计算机化的交互式网络程序，管理5000名志愿者 注册护士将在我们合作伙伴的协助下招聘 合作者参加者将获得CEU学分作为奖励， 参与的这些练习将通过使用 风险行为理论驱动问卷。练习和问卷将 在研究网站上在线填写 知识、感知、态度、行为意图、当前安全 实践，以及最近的暴露历史将从 参与者，并随后进行3个月和6个月的随访 问卷调查分析将针对前后风险的变化 行为决定因素，以及护士对模拟的满意度 练习和基于计算机的培训格式。 这项研究的结果可能对有效的健康有重要的意义 对护士进行安全培训。

DESCRIPTION (provided by applicant): The purpose of this pre-post intervention assessment proposal is to develop, implement, and evaluate novel computerized simulation training programs for the reduction of infectious disease risk in registered nurses. Healthcare workers, including nurses, are at risk for a wide range of occupational health hazards, including the risk from infectious diseases such as blood borne pathogens and tuberculosis. In order to reduce morbidity and mortality associated with occupationally acquired infections, a number of risk management strategies have been developed. While, safety training programs are acknowledged as an important part of an overall risk management strategy, there are however, a number of challenges and banters to effective health and safety training, especially in the healthcare work setting. To address this problem, a multidisciplinary team of researchers has partnered with two large medical centers and a professional nurses' association in order to evaluate an innovative approach to safety training for nurses. Simulation exercises, which are based on embedded testing theories arid shown to be an effective safety training method in other occupational settings, will be developed using a participatory action research format. The exercises, targeting blood born pathogens and tuberculosis, will be formatted into a computerized interactive web-based program and administered to 5000 volunteer registered nurses who will be recruited with assistance from our partner collaborators. Participants will receive CEU credits as an incentive for participation. The exercises will be evaluated by multiple measurements using a risk behavior theory driven questionnaire. Exercises and questionnaires will be completed on-line at the study's website Baseline measures of employee knowledge, perceptions, attitudes, behavioral intentions, current safety practices, and recent past history of exposures will be collected from participants, and followed by three month and six month follow-up questionnaires. Analyses will be directed towards change in pre-post risk behavior determinants, as well as nurses' satisfaction with simulation exercises and with computer-based training formats. The results of this study may have important implications for effective health and safety training for nurses.