131. Altruistic Motivations Behind Compliance With Respiratory Protective Equipment
Session: Oral Abstract Session: Protecting Healthcare Personnel from Viral Respiratory Infections
Thursday, October 3, 2013: 10:30 AM
Room: The Moscone Center: 200-212

Background: Infection Prevention (IP) requires Healthcare Personnel (HCPs) to wear Respiratory Protective Equipment (RPE) when in contact with respiratory patients. Studies suggest that HCPs show low compliance to such recommendations. Better understanding contributing factors may enhance IP education initiatives around policy adherence. This study assesses whether altruism, one's desire to prioritize another's well-being, is a determining factor in HCWs' choice to don RPE.

Methods: Survey data was collected from HCPs during the peak of the 2011-2012 (YR1) and 2012-2013 (YR2) respiratory seasons as part of the Respiratory Protection Effectiveness Clinical Trial (ResPECT). Using a likert scale in pre and post-study surveys, participants assessed motivations to wear both medical masks (MM) and N95 respirators (N95): protecting self from respiratory infection (self); protecting patients (patient); protecting household members (household); or because of policy (policy). Analysis includes HCPs who completed both pre and post surveys on both RPE types. Data was analyzed using the McNemar test.

Results: Percentage and frequency of HCPs who ranked each factor as most important/or important in pre and post surveys is displayed for MM (Table 1) and N95 (Table 2) for both years. Tendency to wear RPE because of policy declined significantly between pre and post-study surveys for MM in both years and N95 in YR1 (p<0.05) and trended toward decline for N95 use in YR1. HCPs became significantly less motivated to wear N95 to protect patients in YR1 (P<0.002) and MM in YR2 (p<0.0001), with non-significant trends in same direction for both masks in opposite years. There was no significant tendency for HCPs to be more likely to use RPE to protect household or selves at study's end in either year (p>0.05) with either mask type.

Conclusion: Motivating factors to wear RPE changed over the season. HCPs shifted away from wearing RPE because of policy obligation and patient safety while remaining dedicated to protecting themselves and their household. Implications for IP practice suggest that education that focuses on personal and household member benefits and less on policy requirements and patient safety may be more impactful toward achieving desired, sustained behavior.

Amy Irwin, DNP, RN1, Kaitlin Gorman, BS1, Mary Bessesen, MD2, Cynthia Gibert, MD, MSc3, Ann-Christine Nyquist, MD, MSPH4, Trish M. Perl, MD, MSc, FIDSA, FSHEA5, Lewis Radonovich, MD6, Maria Rodriguez-Barradas, MD7, Michael Simberkoff, MD8, Connie Price, MD9 and The ResPECT Team, (1)Medicine, Denver Health Medical Center, Denver, CO, (2)VA Eastern Colorado Health Care System and University of Colorado School of Medicine, Denver, CO, (3)Washington, DC, VAMC, Washington, DC, (4)University of Colorado, Denver, CO, (5)Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, (6)University of Florida College of Medicine, Gainesville, FL, (7)Medicine- Infectious Disease, Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, TX, (8)VA NY Harbor Healthcare System, New York, NY, (9)Denver Health Medical Center, Denver, CO

Disclosures:

A. Irwin, None

K. Gorman, None

M. Bessesen, None

C. Gibert, None

A. C. Nyquist, None

T. M. Perl, None

L. Radonovich, None

M. Rodriguez-Barradas, None

M. Simberkoff, None

C. Price, None

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