Safety and Health for Home Care Aides in Healthcare and Social Assistance: The Safe Home Care Intervention Study

医疗保健和社会援助中家庭护理助手的安全与健康：安全家庭护理干预研究

• 批准号: 10412889
• 负责人: MARGARET M QUINN
• 金额: $ 61.75万
• 依托单位: UNIVERSITY OF MASSACHUSETTS LOWELL
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10412889
• 关键词: Safety; Health; Home; Care; Aides

PROJECT SUMMARY/ABSTRACT This resubmission of a competitive renewal application for NIOSH PAR-18-812, addresses the NORA sector Healthcare and Social Assistance and NORA cross-sectors: 1) musculoskeletal health, 2) respiratory health, 3) infectious disease prevention, and 4) traumatic injury prevention. The long-term goal of the study is to protect the occupational safety and health (OSH) of home care (HC) aides. Due to the rapidly aging population, HC aide jobs are among the fastest growing occupations. There is increasing evidence that aides experience many serious OSH hazards to which they are particularly vulnerable because they are low-wage workers and yet there are few HC OSH intervention studies. A major challenge for HC OSH is that the employer has limited control over the work environment because it is a home. To address these challenges, the proposed intervention study will engage HC employers and case managers (CMs), clients and their families, in changing the home-work environment to reduce hazards for HC aides. The overall objectives are to evaluate the effectiveness of interventions and the implementation process and to translate findings to reduce OSH hazards, illness, and injuries among HC aides. The study builds on a highly productive, multidisciplinary research team working with an extensive, active industry-labor-public health-elder services partnership network. Central hypotheses are a) HC aide OSH hazards can be reduced by clients and families with assistance and tools from HC employers and CMs introduced during a client’s home assessment; and b) the interventions will lead to fewer OSH hazards to HC aides. Mixed methods with a research-to-practice (r2p) approach will be used to accomplish specific aims to: 1) Develop OSH interventions and an implementation process to reduce OSH hazards to HC aides; 2) Evaluate the extent to which changes in the home environment by HC clients can reduce the OSH hazards of the aides who visit them by: 2a) implementing OSH hazard interventions and 2b) evaluating the interventions’ effectiveness; 3) Evaluate the intervention implementation process; and 4) Translate and disseminate findings via the HC partners. The approach is innovative because it aligns aide and HC client safety; targets a new, potentially powerful leverage point for HC OSH interventions; and seeks to expand OSH into the delivery of elder HC services. It is significant because it aims to reduce OSH hazards, injuries and illnesses among HC aides, a large, low-wage workforce. OSH hazards are also increasingly becoming a burden on HC employers. Expected outputs: evidence-based interventions consisting of activities, tools, and training to reduce OSH hazards for HC aides; lessons learned about how to engage HC clients and families in aide OSH. Expected outcomes- immediate: a reduction in HC aide OSH hazards; intermediate: increased awareness of aide OSH preventive measures among HC clients; incorporation of HC aide OSH in elder services and policies; new knowledge in OSH community about effective HC interventions. Long-term: a healthier, more stable HC workforce to care for our aging population.

项目摘要/摘要 对NIOSH PAR-18-812的竞争更新申请的重新提交诺拉部门 医疗保健和社会援助以及NORA跨界：1）肌肉骨骼健康，2）呼吸健康，3） 预防传染病，4）预防创伤性损伤。该研究的长期目标是保护 家庭护理（HC）助手的职业安全与健康（OSH）。由于人口迅速衰老，HC 助手工作是增长最快的职业之一。越来越多的证据表明助手经历 他们特别脆弱的许多严重的OSH危害，因为他们是低工资工人和 然而，HC OSH干预研究很少。 HC OSH的主要挑战是员工有限 控制工作环境，因为它是家。为了应对这些挑战，提议 干预研究将吸引HC雇主和案例经理（CMS），客户及其家人，以改变 减少HC助手危害的家庭工作环境。总体目标是评估 干预措施和实施过程的有效性并翻译发现以减少OSH HC助手之间的危害，疾病和伤害。该研究以高产，多学科为基础 研究团队与广泛的，活跃的行业 - 公共健康 - 健康服务伙伴关系合作 网络。中心假设是a）HC助手OSH危害可以由客户和家庭降低 在客户住房评估期间引入的HC雇主和CMS的帮助和工具； b） 干预措施将导致HC助手的OSH危害更少。具有研究对实践的混合方法（R2P） 方法将用于实现特定目标：1）制定OSH干预措施和实施 减少对HC助手的OSH危害的过程； 2）评估房屋变化的程度 HC客户的环境可以减少访问他们的助手的OSH危害：2A）实施OSH 危害干预措施和2B）评估干预措施的有效性； 3）评估干预措施 实施过程； 4）通过HC合作伙伴翻译和传播发现。方法是 创新，因为它可以使助手和HC客户安全保持一致；针对HC的新的，潜在的强大杠杆点 OSH干预措施；并试图将OSH扩展到较旧的HC服务的交付中。这很重要，因为它 旨在减少HC助手的危害，伤害和疾病，这是一个大型低薪劳动力。 OSH 危害也越来越多地成为HC雇主的Burnen。预期输出：基于证据的输出 包括活动，工具和培训的干预措施，以减少HC助手的OSH危害；经验教训 关于如何让HC客户和家庭参与助手OSH。预期的结果 - 立即：HC减少 助理危险；中级：HC客户对助手OSH预防措施的认识提高； 将HC Aide OSH纳入老年人服务和政策；关于OSH社区的新知识 有效的HC干预措施。长期：一个更健康，更稳定的HC劳动力，可以照顾我们的老龄化人口。

项目成果

The Snowman: A model of injuries and near-misses for the prevention of sharps injuries.

雪人：预防锐器伤害的伤害和未遂事故模型。

• DOI: 10.1002/ajim.20871
• 发表时间: 2010
• 期刊: American journal of industrial medicine
• 影响因子: 3.5
• 作者: Kim,Hyun;Kriebel,David;Quinn,MargaretM;Davis,Letitia
• 通讯作者: Davis,Letitia

Healthy Aging Requires a Healthy Home Care Workforce: the Occupational Safety and Health of Home Care Aides.

• DOI: 10.1007/s40572-021-00315-7
• 发表时间: 2021-09
• 期刊: Current environmental health reports
• 影响因子: 7.9
• 作者: Quinn MM;Markkanen PK;Galligan CJ;Sama SR;Lindberg JE;Edwards MF
• 通讯作者: Edwards MF

Understanding sharps injuries in home healthcare: The Safe Home Care qualitative methods study to identify pathways for injury prevention.

• DOI: 10.1186/s12889-015-1673-x
• 发表时间: 2015-04-11
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Markkanen P;Galligan C;Laramie A;Fisher J;Sama S;Quinn M
• 通讯作者: Quinn M

"It changed everything": The safe Home care qualitative study of the COVID-19 pandemic's impact on home care aides, clients, and managers.

• DOI: 10.1186/s12913-021-07076-x
• 发表时间: 2021-10-05
• 期刊: BMC health services research
• 影响因子: 2.8
• 作者: Markkanen P;Brouillette N;Quinn M;Galligan C;Sama S;Lindberg J;Karlsson N
• 通讯作者: Karlsson N

Coaching Home Care Clients to Prepare Their Homes for Safe Care Visits: A Mixed-Methods Study to Evaluate a Nurse-Led Educational Intervention Process.

指导家庭护理客户为安全护理就诊做好准备：一项评估护士主导的教育干预过程的混合方法研究。

• DOI: 10.3390/ijerph21030360
• 发表时间: 2024
• 期刊: International journal of environmental research and public health
• 作者: Markkanen,PiaK;Gore,RebeccaJ;Sama,SusanR;Lindberg,JohnE;Galligan,CatherineJ;Quinn,MargaretM
• 通讯作者: Quinn,MargaretM