Respirator Selection Factors and User Acceptance in Healthcare Workers; What Elastomeric Users are Saying

医护人员的呼吸器选择因素和用户接受度；

• 批准号: 8882818
• 负责人: Stella E. Hines
• 金额: $ 24.98万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-01 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8882818
• 关键词: Respirator; Selection; Factors; User; Acceptance

 DESCRIPTION (provided by applicant): Reusable elastomeric respirators are one option being considered to conserve and sustain the vital healthcare respirator supply chain during pandemics and other public health emergencies. Determinants of appropriate elastomeric respirator use in the healthcare setting however, have not been fully described. We will characterize these determinants by evaluating a large University Medical Center respiratory protection program (RPP) that currently includes hundreds of elastomeric respirator users in both inpatient and outpatient settings. Data will be derived from the input of: 1) decision makers determining respiratory selection and program design; 2) respirator users (healthcare workers (HCW)) and 3) economic analysis comparing costs of an elastomeric versus a disposable respirator program. We will perform: i) key informant interviews of decision makers-- Directors of Employee Health, Infection Control, Safety, and Human Resources-- regarding their rationale for elastomeric device selection which will inform and refine the focus and content of a ii) questionnaire to include evidence-based respirator performance requirements (functionality, maintenance, re-use, usability, and durability). Using this questionnaire, a survey of a larger pool of decision makers at the 11 independent facilities within our University System will be performed. To assess user input, we will compare responses to an iii) online survey of current HCWs using elastomeric, compared to disposable N95 respirators regarding usability, comfort and wearability. Finally, we will perform an iv) economic analysis comparing elastomeric versus disposable respirators from modeled scenarios using factual cost data. The work is significant in that it studies a worker population that encounters tuberculosis and other airborne infectious agent exposure regularly, allowing the truest test of RPP effectiveness. This project is innovative as it exploits the real-world experience of a multi-site respiratory protection program which includes > 500 elastomeric respirator users across a variety of patient care environments. This exceptional research to practice (R2P) opportunity uses to advantage our functioning RPP, unique in the region, and perhaps the country, to inform policy-makers nationally in crafting evidence-based decisions about the protection of healthcare workers in future public health emergencies. .

 描述（由适用提供）：可重复使用的弹性呼吸器是一种选择，以保护和维持大流行和其他公共卫生紧急情况期间重要的医疗保健呼吸器供应链。但是，在医疗机构中使用适当的弹性呼吸器使用的决定因素尚未得到充分描述。我们将通过评估一项大型大学医学中心呼吸器保护计划（RPP）来表征这些决定者，该计划目前在住院和门诊设置中包括数百名弹性体呼吸器用户。数据将从：1）确定呼吸选择和程序设计的决策者的输入中得出； 2）呼吸器用户（医疗保健工人（HCW））和3）经济分析比较弹性体与一次性呼吸器计划的成本。我们将执行：i）关于他们的弹性设备选择的理由的决策者的关键建议者访谈 - 员工健康，感染控制，安全和人力资源的董事 - 将为ii的弹性设备选择的理由提供信息，并完善ii ii的重点和内容，以包括循证呼吸器绩效要求（功能，维护，重新使用，可用性，可用性和耐用性）。使用此问卷，将对我们大学系统中11个独立设施的更大决策者进行调查。为了评估用户的输入，我们将比较对使用弹性体的当前HCW在线调查的响应，与可用的N95呼吸器相比，有关可用性，舒适性和佩戴性的响应。最后，我们将进行IV）经济分析，以使用事实成本数据比较模型的弹性体与一次性呼吸器。这项工作很重要，因为它研究了遇到结核病和其他空中感染剂的工人人群定期暴露，从而允许对RPP有效性的信任测试。该项目具有创新性，因为它探讨了多站点呼吸保护计划的现实经验，该计划包括> 500个弹性体呼吸器使用者在各种患者护理环境中。这项对实践的非凡研究（R2P）的机会（R2P）用来优势我们在该地区乃至该国独特的运作RPP，以向全国范围内的政策制定者提供有关在未来公共卫生紧急情况下制定基于证据的决策的政策制定者。 。