scholarly journals Using a Critical Safety Behavior Scoring Tool for N95 Respirator Use to Evaluate Training Interventions

2020 ◽  
Vol 41 (S1) ◽  
pp. s425-s425
Author(s):  
Elizabeth Beam ◽  
Kevin Kupzyk ◽  
Jocelyn Herstein ◽  
Shawn Gibbs
Keyword(s):  
Healthcare Workers ◽  
Worker Safety ◽  
Instructional Video ◽  
Just In Time ◽  
Safety Behaviors ◽  
Safety Behavior ◽  
Training Interventions ◽  
Video Reflection ◽  
Scoring Tool ◽  
The Impact

Background: Hospitals struggle nationally to educate healthcare workers on the safe use of N95 respirators as part of their respiratory protection programs. Practical and effective interventions are needed to improve this clinical behavior, which is critical to healthcare worker safety in airborne precautions, hazardous drug administration, and pandemic response. Objective: In this analysis, we specifically investigated 2 just-in-time training interventions that would be practical to implement in a hospital setting. Methods: A simulation approach was used to evaluate 2 interventions for N95 respirator use at a Midwestern Academy Hospital system (n = 62 respirators: 32 control and 30 treatment). Healthcare workers were asked to don and doff an N95 respirator while being video-recorded in an empty hospital corridor and room. After a randomized intervention was applied, they repeated the respirator donning and doffing while being video-recorded. One intervention used an instructional video alone, and the other used the same instructional video but added a video reflection intervention. The video reflection intervention asked the participant to review and score their first performance of N95 donning and doffing using the Critical Safety Behavior Scoring Tool (CSBST). The research team used the same CSBST to score all performances of donning and doffing for comparison and evaluation. Result: The critical safety behaviors at the pretest and posttest for the 2 intervention groups reveal the impact of the 2 types of just-in-time training on demonstrated N95 respirator skills. The video alone and video reflection scores were not significantly different at pretest between the 2 groups. Scores were significantly higher on the posttest for the reflective practice intervention. Findings related to demographic information included years in healthcare, frequency of use, history of needlestick, and fatigue. Conclusions: Video reflection may improve compliance with critical safety behaviors for just-in-time training on N95 respirator use. Further research should examine the video-recorded findings for measurement elements that can be expanded in a scoring tool such as facial hair, hairstyle, and the quality of hand hygiene. Intervention studies should also examine how often the training must be repeated to maintain competency. This intervention may have implications for the training of other critical safety behaviors in infection control and other high-risk procedures.Funding: NoneDisclosures: None

Using a Critical Safety Behavior Scoring Tool for Just-in-Time Training for N95 Respirator Use

2021 ◽  
pp. 216507992110311
Author(s):  
Jocelyn J. Herstein ◽  
Shawn G. Gibbs ◽  
Kevin A. Kupzyk ◽  
Elizabeth L. Beam
Keyword(s):  
Instructional Video ◽  
Just In Time ◽  
Respiratory Protection ◽  
Safety Behavior ◽  
Intervention Participant ◽  
Hospital System ◽  
Training Interventions ◽  
Hospital Safety ◽  
Video Reflection ◽  
Scoring Tool

Background Historically, health care workers (HCWs) have exhibited marginal adherence to proper N95 respirator use. During the COVID-19 pandemic, HCWs with little to no prior training on N95 respirator use are relying on N95s as their primary respiratory protection. There is a need for simple, effective, and easily implementable just-in-time training (JITT) interventions to improve N95 respirator-related safety behavior. This study investigated two JITT interventions. Methods A pilot experimental pretest posttest study design was used to evaluate two training interventions for N95 respirator donning/doffing performance at a Midwestern hospital system. HCW participants were randomly assigned to an intervention: one used a 4-minute instructional video alone, while the other used the same video but added a video reflection intervention (participant watched and scored a video of their own performance). All performances were scored using a 10-point Critical Safety Behavior Scoring Tool (CSBST). Findings Sixty-two HCWs participated (32 video alone, 30 video reflection). The two groups’ CSBST scores were not significantly different at pretest. Averaged participant scores on the CSBST improved immediately following both interventions. Scores were significantly higher on the posttest for the reflective practice intervention ( p<.05). Years of experience and frequency of N95 respirator use did not predict pre or post scores. Conclusions/Applications to Practice We provide evidence to support the use of a time-efficient JITT intervention to improve HCW N95 respirator donning/doffing practices during the COVID-19 pandemic and beyond. Hospital safety professionals should consider this type of training for HCWs required to wear respiratory protection.

scholarly journals Exerting Explanatory Accounts of Safety Behavior of Older Construction Workers within the Theory of Planned Behavior

2019 ◽  
Vol 16 (18) ◽  
pp. 3342 ◽  
Author(s):  
Peng ◽  
Chan
Keyword(s):  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Construction Workers ◽  
Worker Safety ◽  
Work Behavior ◽  
Safety Behaviors ◽  
Personal Factors ◽  
Safety Behavior ◽  
Related Factors ◽  
Age Related

Older construction workers are vulnerable to accident risks at work. Work behavior affects the occurrence of accidents at construction sites. This study aims to investigate the organizational and personal factors that underlie the safety behaviors of older construction workers considering their age-related characteristics. A cross-sectional questionnaire survey, which involves 260 older construction workers (aged 50 and over), was conducted, and an integrative old-construction-worker safety behavior model (OSBM) was established on the basis of the theory of planned behavior (TPB). Results showed that the OSBM provides a considerably good explanation of the safety behaviors of older construction workers. The explained variances for safety participation and compliance are 74.2% and 63.1%, respectively. Subjective norms and perceived behavioral control are two critical psychological drivers that proximally affect the safety behaviors of workers. Moreover, safety knowledge, management commitment, and aging expectation are the distal antecedents that significantly influence psychological drivers. This study proves the mediating role of psychological factors on predicting safety behaviors among older construction workers, thereby promoting an understanding of “how” and “why” their safety behaviors occur. Furthermore, the identified effects of several critical organizational and personal factors, particularly age-related factors, provide new insights into the safety behaviors of older construction workers.

scholarly journals The Impact of Sleep Deprivation on Work Performance towards Night-shift Healthcare Workers: An Evidence-based Case Report

2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Muhammad Habiburrahman ◽  
Elvira Lesmana ◽  
Fadhilah Harmen ◽  
Nadya Gratia ◽  
Listya Tresnanti Mirtha
Keyword(s):  
Case Report ◽  
Physical Fitness ◽  
Sleep Deprivation ◽  
Healthcare Workers ◽  
Work Performance ◽  
Night Shift ◽  
Worker Safety ◽  
Work Behavior ◽  
Evidence Based ◽  
The Impact

Background. Poor sleep and excessive fatigue among workers can reduce well-being and physical fitness. However, not many studies have mentioned how sleeping deprivation among night-shift healthcare workers impacted their work performance in multiple aspects. Method. We conducted an evidence-based case report (EBCR) of a night shift nurse who was worried about the impact of her sleep deprivation on her work performance in the future due to prior history of needle-stick injuries. We aimed to determine whether sleeping deprivation caused by regular night shifts leads to decreased work performance among night-shift healthcare workers by formulating a clinical question. Evidence was searched systematically using five major journal databases (Proquest, EBSCO-Host, PubMed, ScienceDirect, and Cochrane) and was assessed thoroughly using inclusion and exclusion criteria. Results. Eleven eligible studies were obtained with a medium level of evidence (III-IV), three systematic reviews with meta-analyses (SR-MA), three SR without MA, and five observational studies. All of them were analyzed and critically appraised using Oxford Evidence-Based Medicine and Joanna Briggs Institute tools. We found that reduced quantity and quality of sleep impacted all dimensions of work performance among healthcare professionals, be it in task performance (e.g., skill proficiency), contextual performance (e.g., communication skill and mental health issues), and patient and health worker safety (accident and medication error). It could also encourage counterproductive work behavior, such as absenteeism. Furthermore, sleep deprivation changes circadian rhythms, causing decreased information processing and affective recognition functions in some vital brain areas, ultimately affecting several work dimensions. Conclusion. In conclusion, stakeholders need to adjust proper shift scheduling for health care workers, practice sleep hygiene, maintain physical fitness, and consume nutritional food, positively correlated to health and productivity.

Impact of emotional intelligence on the stress and safety of construction workers' in Saudi Arabia

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hemaid Alsulami ◽  
Suhail H. Serbaya ◽  
Ali Rizwan ◽  
Muhammad Saleem ◽  
Yassine Maleh ◽  
...  
Keyword(s):  
Emotional Intelligence ◽  
Saudi Arabia ◽  
Construction Industry ◽  
Construction Workers ◽  
Safety Behaviors ◽  
Structured Interviews ◽  
Safety Behavior ◽  
Content Type ◽  
Stress Levels ◽  
The Impact

PurposeIn a country like Saudi Arabia, where the construction industry is witnessing an impressive growth in the post-oil era, it is important to examine the occupational health and safety behaviors of construction workers (CWs).Design/methodology/approachThe present study aims to investigate the impact of emotional intelligence (EI) on workers' stress and safety behaviors. Data were collected from CWs (n = 265) at a major construction site in the city of Jeddah. Two questionnaires comprising 25 and 32 questions were used to measure their EI and stress levels, respectively. Furthermore, structured interviews were conducted with the managers and supervisors to inquire about the safety behavior of their respective workers. Descriptive statistics, simple and companion regression were used for data analysis.FindingsThe findings indicate that EI plays an important role to enhance the safety behaviors of the CWs besides reducing their workplace stresses. Furthermore, workers' stress levels are found to negatively impact their safety behaviors, indicating that any reduction in occupational stress can reciprocally enhance their safety compliance. The findings are further discussed with the concerned stakeholders to recommend a seven-point therapeutic role of EI for the safety of CWs.Originality/valueResults of the study can be used by managers and supervisors of the Saudi construction industry to reduce workplace accidents and improve the productivity of their organizations.

scholarly journals A safety marketing stimuli-response model of passenger behaviour in the ferry context

2018 ◽  
Vol 3 (4) ◽  
pp. 354-374 ◽  
Author(s):  
Chin-Shan Lu ◽  
Ho Yee Poon ◽  
Hsiang-Kai Weng
Keyword(s):  
Structural Equation ◽  
Equation Modeling ◽  
Safety Behaviors ◽  
Response Model ◽  
Safety Behavior ◽  
Content Type ◽  
Stimulus Response ◽  
Safety Awareness ◽  
Stimuli Response ◽  
The Impact

PurposeThis study aims to propose a safety marketing stimuli-response model to explain passengers’ safety behavior in the ferry services context.Design/methodology/approachStructural equation modeling was conducted to examine the impact of safety marketing stimuli on passengers’ safety awareness and behavior by using data obtained from a survey of 316 ferry passengers in Hong Kong.FindingsThe authors found that passengers’ perceptions of ferry safety marketing stimuli positively affected their safety awareness and safety awareness positively affected passengers’ safety behaviors. Specifically, they found that safety awareness played a mediating role in the relationship between ferry safety marketing stimuli and passengers’ safety behaviors.Practical/implicationsThe empirically validated scales can be adapted to practices of safety marketing, while providing helpful information for ferry operators to evaluate their efforts of safety marketing and implications for improvement.Originality/valueAccording to the authors' knowledge, this study is one of the first attempts to fill this research gap by empirically validating and theoretically conceptualizing measures of safety marketing stimuli based on the marketing stimulus-response model.

Warning Compliance: Effects of a Video Warning Sign and Modeling on Behavior

1992 ◽  
Vol 36 (8) ◽  
pp. 608-610 ◽  
Author(s):  
Bernadette M. Racicot ◽  
Michael S. Wogalter
Keyword(s):  
Video Modeling ◽  
Training Programs ◽  
Research Literature ◽  
Future Research ◽  
Warning Sign ◽  
Safety Behaviors ◽  
Safety Behavior ◽  
Training Interventions ◽  
Effectiveness Of Training ◽  
Video Model

The effectiveness of warnings and social influence (modeling) for improving safety behavior was examined in a laboratory setting. Although training programs aimed at improving safety behavior in the workplace frequently use videotapes with models portraying safe and unsafe behaviors, the effectiveness of training interventions of this type are rarely evaluated nor have results been published in the research literature. Training to increase safety behaviors can translate into large savings to an organization in terms of reductions in equipment damage, cost of liability litigation, and decreases in injury to both consumers and employees. The present research examined the effects of a posted (video) warning, video role-modeling, and a voice warning on compliance with safety behaviors. Participants were randomly assigned to one of three conditions, warning alone, warning and exposure to a video model performing the appropriate safety behaviors, or warning, video modeling, and a voice warning. The results showed that behavioral modeling presented through a video display significantly enhanced behavioral compliance compared to a video sign warning alone. The addition of a voice warning did not further increase compliance due to ceiling effects produced by the powerful influence of the modeling. Implications of this research for safety training programs and forensic human factors as well as suggestions for future research are discussed.

Examination of Safety Climate, Affective Organizational Commitment, and Safety Behavior Outcomes Among Fire Service Personnel

2019 ◽  
Vol 14 (5) ◽  
pp. 559-562
Author(s):  
Todd D. Smith
Keyword(s):  
Organizational Commitment ◽  
Emergency Response ◽  
Safety Climate ◽  
Equation Modeling ◽  
Safety Behaviors ◽  
Affective Organizational Commitment ◽  
Safety Behavior ◽  
The Public ◽  
Behavior Outcomes ◽  
The Impact

ABSTRACTObjectives:This research aims to provide guidance on means to bolster safe and effective emergency response. Safe and effective performance among firefighters is key to protecting firefighters, to ensure mission completion, and to protect the public during emergency response situations. Although some studies have shown the impact of safety climate on firefighter performance, few studies have explored the impact of safety climate on affective organizational commitment and safety behaviors among firefighters, which are critical to more effective emergency response.Methods:Data collected from 349 career firefighters in the southern United States were analyzed by means of structural equation modeling to assess posited relationships in the proposed model.Results:This study confirmed a model that describes the relationships between safety climate, affective organizational commitment, and safety behaviors. Safety climate significantly predicted affective organizational commitment (P < 0.001) and affective organizational commitment was positively associated with both safety compliance (P < 0.001) and safety participation (P < 0.001).Conclusions:This study has implications for researchers and practitioners. Firefighters exhibit positive affective organizational commitment as a result of positive safety climate perceptions. This commitment is then associated with positive safety behavior outcomes, which bolsters personal safety and enhances the likelihood of safe and effective mission completion to protect the public.

Effect of Safety Socialization on New-Worker Safety Behavior

2012 ◽  
Author(s):  
Jane Mullen ◽  
Kevin Kelloway ◽  
Mike Teed
Keyword(s):  
Worker Safety ◽  
Safety Behavior

Regulatory and sustainability initiatives lead to improved polyaminopolyamide epichlorohydrin (PAE) wet-strength resins and paper products

TAPPI Journal ◽  
2018 ◽  
Vol 17 (09) ◽  
pp. 519-532 ◽  
Author(s):  
Mark Crisp ◽  
Richard Riehle
Keyword(s):  
Health And Safety ◽  
Cost Effective ◽  
Worker Safety ◽  
Regulatory Requirements ◽  
Wet Strength ◽  
The Past ◽  
Consumer Safety ◽  
Federal Institute ◽  
Sustainability Initiatives ◽  
The Impact

Polyaminopolyamide-epichlorohydrin (PAE) resins are the predominant commercial products used to manufacture wet-strengthened paper products for grades requiring wet-strength permanence. Since their development in the late 1950s, the first generation (G1) resins have proven to be one of the most cost-effective technologies available to provide wet strength to paper. Throughout the past three decades, regulatory directives and sustainability initiatives from various organizations have driven the development of cleaner and safer PAE resins and paper products. Early efforts in this area focused on improving worker safety and reducing the impact of PAE resins on the environment. These efforts led to the development of resins containing significantly reduced levels of 1,3-dichloro-2-propanol (1,3-DCP) and 3-monochloropropane-1,2-diol (3-MCPD), potentially carcinogenic byproducts formed during the manufacturing process of PAE resins. As the levels of these byproducts decreased, the environmental, health, and safety (EH&S) profile of PAE resins and paper products improved. Recent initiatives from major retailers are focusing on product ingredient transparency and quality, thus encouraging the development of safer product formulations while maintaining performance. PAE resin research over the past 20 years has been directed toward regulatory requirements to improve consumer safety and minimize exposure to potentially carcinogenic materials found in various paper products. One of the best known regulatory requirements is the recommendations of the German Federal Institute for Risk Assessment (BfR), which defines the levels of 1,3-DCP and 3-MCPD that can be extracted by water from various food contact grades of paper. These criteria led to the development of third generation (G3) products that contain very low levels of 1,3-DCP (typically <10 parts per million in the as-received/delivered resin). This paper outlines the PAE resin chemical contributors to adsorbable organic halogens and 3-MCPD in paper and provides recommendations for the use of each PAE resin product generation (G1, G1.5, G2, G2.5, and G3).

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