Innovative HCW Training: Infectious Disease Risk

描述(申请人提供)：本次岗位前干预的目的 评估方案是开发、实施和评估新型计算机化产品 年减少传染病风险的模拟培训方案 注册护士。 医护人员，包括护士，面临着广泛的 职业健康危害，包括感染传染病的风险 作为血液传播的病原体和肺结核。为了减少发病率和 与职业获得性感染相关的死亡率，一些风险 已经制定了管理战略。同时，安全培训计划正在 被认为是全面风险管理战略的重要组成部分， 然而，有效的健康和安全面临着许多挑战和笑话 培训，特别是在医疗保健工作环境中。 为了解决这个问题，一个由多学科研究人员组成的团队 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。模拟法 基于嵌入式测试理论的练习，被证明是一种 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形式制定。演练， 针对血源性病原体和结核病，将被格式化为 基于网络的计算机化互动计划，对5000名志愿者进行了管理 注册护士将在我们合作伙伴的帮助下招聘 合作者。参与者将获得CEU学分，作为对 参与。这些练习将通过多项测量进行评估，使用 风险行为理论驱动的问卷调查。练习和调查问卷将是 在研究网站上完成了在线员工基线测量 知识、感知、态度、行为意图、当前安全性 做法，以及最近的暴露历史将收集自 参与者，并随后进行3个月和6个月的随访 问卷调查。分析将针对事后风险的变化 行为决定因素，以及护士对模拟的满意度 并采用基于计算机的培训形式。 这项研究的结果可能对有效的健康有重要的影响。 以及对护士的安全培训。

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.