Health care workers' views about respirator use and features that should be included in the next generation of respirators
Open accessAbstract
Background Numerous studies have demonstrated that health care workers are, in general, poorly compliant with respiratory protection guidelines, especially when a N95 respirator is recommended. The purpose of this study was to assess health care workers' views about respirator use and the features they prefer to be included in the next generation of respirators. Methods A 63-item survey was distributed to health care workers in 27 units of 2 tertiary care medical centers. Results From a total of 559 surveys distributed at both hospitals, 159 responses were returned (response rate, 28%). Survey results indicated that health care workers seek respirators that are more comfortable, interfere less with breathing, diminish heat buildup, are disposable, and permit the user to have facial hair. Multivariate analyses suggest that emergency department staff had 12.3 greater odds of wanting a new respirator (P = .031) as compared with their referent group. Males were more likely to indicate that the N95 respirator was comfortable to wear versus females (P = .003). Conclusion To increase substantially the acceptance of respiratory protective equipment and improve compliance rates, respirators should be modified to meet the specific needs of health care workers.
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Cites
Schwarz, S. (1941) · Columbia University Press eBooks · doi:10.7312/schw92626-009 · Cited by 4,698 · see citing works
Jensen, P. A., Lambert, L. A., Iademarco, M. F., & Ridzon, R. (2005) · PsycEXTRA Dataset · doi:10.1037/e545842006-001 · Cited by 1,269 · see citing works
Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution
Nickell, L. A. (2004) · Canadian Medical Association Journal · doi:10.1503/cmaj.1031077 · Cited by 711 · see citing works
Loeb, M., Dafoe, N., Mahony, J., John, M., Sarabia, A., Glavin, V., Webby, R., Smieja, M., Earn, D. J. D., Chong, S., et al. (2009) · JAMA · doi:10.1001/jama.2009.1466 · Cited by 465 · see citing works
Gershon, R., Karkashian, C. D., Grosch, J. W., Murphy, L. R., Escamilla-Cejudo, A., Flanagan, P. A., Bernacki, E. J., Kasting, C., & Martin, L. (2000) · American Journal of Infection Control · doi:10.1067/mic.2000.105288 · Cited by 460 · see citing works
Compliance with universal precautions among health care workers at three regional hospitals
Gershon, R., Vlahov, D., Felknor, S. A., Vesley, D., Johnson, P. C., Delcios, G. L., & Murphy, L. R. (1995) · American Journal of Infection Control · doi:10.1016/0196-6553(95)90067-5 · Cited by 310 · see citing works
SARS Transmission among Hospital Workers in Hong Kong
Lau, J. T. F., Fung, K. S. C., Wong, T. W., Kim, J. H., Wong, E. Y. L., Chung, S., Ho, D. T. Y., Chan, L. Y., Lui, S., & Cheng, A. F. (2004) · Emerging infectious diseases · doi:10.3201/eid1002.030534 · Cited by 224 · see citing works
Respirator Tolerance in Health Care Workers
Radonovich, L. J. (2009) · JAMA · doi:10.1001/jama.2008.894 · Cited by 217 · see citing works
Self-citationMoore, D., Gamage, B., Bryce, E., et al. (2005) · American Journal of Infection Control · doi:10.1016/j.ajic.2004.11.003 · Cited by 169 · see citing works
Gamage, B., MOORE, D., Copes, R., Yassi, A., & Bryce, E. (2005) · American Journal of Infection Control · doi:10.1016/j.ajic.2004.12.002 · Cited by 160 · see citing works
Comfort of personal protective equipment
Akbar‐Khanzadeh, F., Bisesi, M. S., & Rivas, R. D. (1995) · Applied Ergonomics · doi:10.1016/0003-6870(95)00017-7 · Cited by 139 · see citing works
HIV, trauma, and infection control: universal precautions are universally ignored.
Hammond, J., Eckes, J., Gómez, G. A., et al. (1990) · PubMed · Cited by 121 · see citing works
Influences on compliance with standard precautions among operating room nurses
Osborne, S. R. (2003) · American Journal of Infection Control · doi:10.1067/mic.2003.68 · Cited by 116 · see citing works
Kelen, G. D., DiGiovanna, T., Dd, C., et al. (1990) · PubMed · Cited by 111 · see citing works
Behavior-diagnostic analysis of compliance with universal precautions among nurses.
DeJoy, D. M., Searcy, C. A., Murphy, L. R., & Gershon, R. (2000) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.5.1.127 · Cited by 100 · see citing works
Sex differences in denture satisfaction
Pan, S., Awad, M., Thomason, J. M., Dufresne, E., Kobayashi, T., Kimoto, S., Wollin, S. D., & Feine, J. S. (2008) · Journal of Dentistry · doi:10.1016/j.jdent.2008.02.009 · Cited by 99 · see citing works
DeJoy, D. M., Murphy, L. R., & Gershon, R. M. (1995) · International Journal of Industrial Ergonomics · doi:10.1016/0169-8141(94)00075-e · Cited by 93 · see citing works
Gender differences in thermal comfort and mental performance at different vertical air temperatures
Hashiguchi, N., Feng, Y., & Tochihara, Y. (2009) · European Journal of Applied Physiology · doi:10.1007/s00421-009-1158-7 · Cited by 92 · see citing works
Evanoff, B., Kim, L. E., Mutha, S., Jeffe, D. B., Haase, C., Andereck, D., & Fraser, V. J. (1999) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(99)70389-6 · Cited by 90 · see citing works
THE PHYSIOLOGICAL COST OF WEARING A DISPOSABLE RESPIRATOR
Jones, J. G. (1991) · American Industrial Hygiene Association Journal · doi:10.1080/15298669191364631 · Cited by 84 · see citing works
Compliance with universal precautions among health care workers at three regional hospitals
Gershon, R., Vlahov, D., Felknor, S., et al. (1996) · American Journal of Ophthalmology · doi:10.1016/s0002-9394(14)70613-0 · Cited by 77 · see citing works
Preparing for an influenza pandemic: personal protective equipment for healthcare workers.
Goldfrank, L. R., & Liverman, C. T. (2008) · Cited by 73 · see citing works
Physiological effects associated with the use of respiratory protective devices. A review.
Louhevaara, V. (1984) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.2327 · Cited by 70 · see citing works
Willy, M. E., Dhillon, G. L., Loewen, N. L., et al. (1990) · Infection Control and Hospital Epidemiology · doi:10.1086/646186 · Cited by 62 · see citing works
The Effect on Heart Rate and Facial Skin Temperature of Wearing Respiratory Protection at Work
Laird, I., Goldsmith, R. H., Pack, R. J., & Vitalis, A. (2002) · The Annals of Occupational Hygiene · doi:10.1093/annhyg/mef015 · Cited by 61 · see citing works
Nelsing, S., Nielsen, T. L., & Nielsen, J. O. (1997) · Infection Control and Hospital Epidemiology · doi:10.1086/647514 · Cited by 58 · see citing works
Determinants of Healthcare Workers' Compliance with Infection Control Procedures
Yassi, A., Lockhart, K., Copes, R., Kerr, M. S., Corbière, M., Bryce, E., Keen, D., Yu, S., Kidd, C., Fitzgerald, M., et al. (2007) · Healthcare Quarterly · doi:10.12927/hcq.2007.18648 · Cited by 55 · see citing works
What do healthcare workers think? A survey of facial protection equipment user preferences
Bryce, E., Forrester, L., Scharf, S., & Eshghpour, M. (2008) · Journal of Hospital Infection · doi:10.1016/j.jhin.2007.12.007 · Cited by 51 · see citing works
Institute of Medicine (2001) · National Academies Press eBooks · doi:10.17226/10045 · Cited by 48 · see citing works
Yen, M., Lin, Y. E., Su, I. J., Huang, F., Huang, F., Ho, M. S., Chang, S., Tan, K.-H., Chen, K.-T., Chang, H., et al. (2005) · Journal of Hospital Infection · doi:10.1016/j.jhin.2005.02.011 · Cited by 48 · see citing works
Risk Factors for SARS Infection within Hospitals in Hanoi, Vietnam
Nishiyama, A., Wakasugi, N., Kirikae, T., Quy, T., Hà, L. D., Ban, V. V., Long, H. T., Keicho, N., Sasazuki, T., & Kuratsuji, T. (2008) · Japanese Journal of Infectious Diseases · doi:10.7883/yoken.jjid.2008.388 · Cited by 46 · see citing works
Moore, D. M., Gilbert, M., Saunders, S., et al. (2005) · AAOHN Journal · doi:10.1177/216507990505300606 · Cited by 37 · see citing works
Respirator Physiological Effects under Simulated Work Conditions
Bansal, S., Harber, P. I., Yun, D., Liu, D., Liu, Y., Wu, S., Ng, D., & Santiago, S. (2009) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459620902729218 · Cited by 35 · see citing works
Moon, R. Y., Kington, M. L., Oden, R. P., et al. (2007) · Clinical Pediatrics · doi:10.1177/0009922807303894 · Cited by 35 · see citing works
Gwosdow, A. R., NIELSEN, R., Berglund, L. G., et al. (1989) · American Industrial Hygiene Association Journal · doi:10.1080/15298668991374499 · Cited by 33 · see citing works
Physician Beliefs and Practices Regarding SIDS and SIDS Risk Reduction
Moon, R. Y., Gingras, J. L., & Erwin, R. (2002) · Clinical Pediatrics · doi:10.1177/000992280204100603 · Cited by 33 · see citing works
Noncompliance of Health Care Workers With Universal Precautions During Trauma Resuscitations
Madan, A. K., RENTZ, D. E., WAHLE, M. J., et al. (2001) · Southern Medical Journal · doi:10.1097/00007611-200103000-00002 · Cited by 30 · see citing works
HIV, trauma, and infection control: Universal precautions are universally ignored
Copeland, M. E. (1990) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(05)82579-x · Cited by 30 · see citing works
Noncompliance of Health Care Workers With Universal Precautions During Trauma Resuscitations
Madan, A. K., RENTZ, D. E., WAHLE, M. J., et al. (2001) · Southern Medical Journal · doi:10.1097/00007611-200194030-00002 · Cited by 22 · see citing works
PHYSIOLOGIC AND SUBJECTIVE EFFECTS OF RESPIRATOR MASK TYPE
Harber, P. I., Beck, J. C., Brown, C., et al. (1991) · American Industrial Hygiene Association Journal · doi:10.1080/15298669191364875 · Cited by 20 · see citing works
The Physician’s Role in Reducing SIDS
Eron, N. B., Dygert, K. M., Squillace, C., et al. (2009) · Health Promotion Practice · doi:10.1177/1524839909341033 · Cited by 16 · see citing works
Effects of industrial respirators on respiratory timing and psychophysiologic load sensitivity.
Harber, P. I., SooHoo, K., & Lew, M. (1988) · PubMed · Cited by 14 · see citing works
Lu, Y., Chen, P.-J., Sheu, C.-Y., et al. (2006) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2005.03.011 · Cited by 12 · see citing works
Eck, E. K., & Vannier, A. M. (1997) · Infection Control and Hospital Epidemiology · doi:10.1086/647566 · Cited by 10 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [24]National Institute for Occupational Safety and Health and the University of Minnesota Midwest Center for Occupational Health and Safety. No fit test respirator workshop. Pittsburgh: National Institute for Occupational Safety and Health: November 6, 2008. Available from: http://cpheo.sph.umn.edu/mcohs/courses/nofit/. Accessed April 14, 2009.
- [42]Institute of Medicine Reusability of facemasks during an influenza pandemic: facing the flu 2006 The National Academies Press Washington, DC
Cited by
Sorted by citations
Lore, M. B., Sebastian, J. M., Brown, T. L., Viner, A. S., McCullough, N. V., & Hinrichs, S. H. (2012) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2011.640273 · Cited by 17 · see citing works
- Authors
- Baig, A. S., Knapp, C., Eagan, A. E., & Radonovich, L. J.
- Affiliations
- United States Department of Veterans Affairs (US)
- Corresponding author
- Baig, Aliya S.
- Venue
- American Journal of Infection Control
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 38
- Issue
- 1
- Pages
- 18-25
- ISSN
- 0196-6553 (ISSN-L)
- PMC
- PMC7132692
- OpenAlex
- W1981878148
- Semantic Scholar
- e584e01f7536006c9ebc80f90f19d8eb692a9b6a
- Cited by
- 126
- References
- 44
- Citations by year
- 2025: 4 · 2024: 8 · 2023: 6 · 2022: 12 · 2021: 22 · 2020: 16 · 2019: 11 · 2018: 5 · 2017: 7 · 2016: 5 · 2015: 4 · 2014: 6 · 2013: 6 · 2012: 7
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Infection Control (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Keywords
- N95 respirators, respiratory protection, healthcare workers, comfort, emergency department staff, gender differences, facial hair, heat build-up
- MeSH terms
- Adolescent, Adult, Health Personnel, Hospitals, Humans, Male, Middle Aged, Surveys and Questionnaires, Respiratory Protective Devices, Infection Control, Disease Transmission, Infectious, Inhalation Exposure, Guideline Adherence, Young Adult
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