IF 1.5 4区 医学 Q4 ENVIRONMENTAL SCIENCES
Emily J Haas, Mihili Edirisooriya
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引用次数: 0

摘要

制定和监督呼吸保护计划(RPP)对于确保员工有效使用呼吸器至关重要。迄今为止,将弹性半面罩呼吸器 (EHMR) 作为医疗机构主要呼吸器的研究还存在空白,这就需要在呼吸防护计划中考虑更多因素,而不仅仅是更常见的 N95 过滤面罩呼吸器。本文介绍了在对 2021 年和 2022 年从国家战略储备中获得超薄型呼吸器的医疗保健和急救人员环境进行的为期一年的影响评估中吸取的经验教训。该研究探讨了与超高清呼吸器相关的优缺点,以及与建立、实施、维护和维持基于超高清呼吸器的 RPP 相关的挑战。该研究从 42 个参与超高清磁共振示范项目的组织获得了数据,以解决以下问题:(1) 基于超高清磁共振的 RPP 在支持长期计划方面最重要的、可感知的要素和实践;(2) 基于组织和公司规模(即小型、中型和大型)对最重要要素和实践的感知差异。持续开展环境健康与风险管理程序被认为是未来工作重点的最重要领域(4 分制,中位数 = 2.94;标度数 = 1.12),其次分别是程序的日常维护(中位数 = 2.72;标度数 = 0.974)、程序的开发与实施(中位数 = 2.42;标度数 = 1.05)以及获取环境健康与风险管理程序(中位数 = 1.91;标度数 = 1.11)。研究结果还显示,不同组织规模的用户在认知方面存在显著的统计学差异,特别是在获取超高清模型/设计方面。调查结果表明,用户责任、组织支持和文化对基于 EHMR 的 RPP 支持应急准备工作具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lessons learned in establishing and sustaining elastomeric half mask respirator-based respiratory protection programs: An impact evaluation.

Developing and overseeing Respiratory Protection Programs (RPPs) is crucial for ensuring effective respirator use among employees. To date, a gap exists in research that focuses on elastomeric half mask respirators (EHMRs) as the primary respirator in health delivery settings which would necessitate additional considerations in RPPs beyond the more common N95 filtering facepiece respirators. This paper presents lessons learned during a one-year impact evaluation with healthcare and first responder settings that received EHMRs from the Strategic National Stockpile in 2021 and 2022. The study explored the advantages and disadvantages associated with EHMRs and the challenges related to establishing, implementing, maintaining, and sustaining EHMR-based RPPs. Data was received from 42 organizations that participated in EHMR demonstration projects to address (1) the most important, perceived, elements and practices of an EHMR-based RPP to support a long-term program; and (2) differences in perceptions of the most important elements and practices based on organizational and company size (i.e., small, medium, and large). Sustaining an EHMR program was considered the most important area to focus future efforts (M = 2.94; SD = 1.12 on a 4-point scale), followed by daily maintenance of the program (M = 2.72; SD = 0.974), development and implementation of the program (M = 2.42; SD = 1.05), and access to EHMRs (M = 1.91; SD = 1.11), respectively. Findings also revealed statistically significant differences in perceptions based on organization size, particularly in access to EHMR models/designs. Results underscored the significance of user accountability, organizational support, and culture in EHMR-based RPPs to support emergency preparedness efforts.

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来源期刊
Journal of Occupational and Environmental Hygiene
Journal of Occupational and Environmental Hygiene 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
12-24 weeks
期刊介绍: The Journal of Occupational and Environmental Hygiene ( JOEH ) is a joint publication of the American Industrial Hygiene Association (AIHA®) and ACGIH®. The JOEH is a peer-reviewed journal devoted to enhancing the knowledge and practice of occupational and environmental hygiene and safety by widely disseminating research articles and applied studies of the highest quality. The JOEH provides a written medium for the communication of ideas, methods, processes, and research in core and emerging areas of occupational and environmental hygiene. Core domains include, but are not limited to: exposure assessment, control strategies, ergonomics, and risk analysis. Emerging domains include, but are not limited to: sensor technology, emergency preparedness and response, changing workforce, and management and analysis of "big" data.
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