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Infectious respiratory disease outbreaks and pregnancy: occupational health and safety concerns of Canadian nurses.

Identifieur interne : 001477 ( PubMed/Corpus ); précédent : 001476; suivant : 001478

Infectious respiratory disease outbreaks and pregnancy: occupational health and safety concerns of Canadian nurses.

Auteurs : Karen P. Phillips ; Tracey L. O'Sullivan ; Darcie Dow ; Carol A. Amaratunga

Source :

RBID : pubmed:21888731

English descriptors

Abstract

This paper is a report of a qualitative study of emergency and critical care nurses' perceptions of occupational response and preparedness during infectious respiratory disease outbreaks including severe acute respiratory syndrome (SARS) and influenza.

DOI: 10.1017/S1049023X11000100
PubMed: 21888731

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pubmed:21888731

Le document en format XML

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<name sortKey="Phillips, Karen P" sort="Phillips, Karen P" uniqKey="Phillips K" first="Karen P" last="Phillips">Karen P. Phillips</name>
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<nlm:affiliation>Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Canada. Karen.Phillips@uottawa.ca</nlm:affiliation>
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<name sortKey="O Sullivan, Tracey L" sort="O Sullivan, Tracey L" uniqKey="O Sullivan T" first="Tracey L" last="O'Sullivan">Tracey L. O'Sullivan</name>
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<name sortKey="Dow, Darcie" sort="Dow, Darcie" uniqKey="Dow D" first="Darcie" last="Dow">Darcie Dow</name>
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<name sortKey="Amaratunga, Carol A" sort="Amaratunga, Carol A" uniqKey="Amaratunga C" first="Carol A" last="Amaratunga">Carol A. Amaratunga</name>
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<title xml:lang="en">Infectious respiratory disease outbreaks and pregnancy: occupational health and safety concerns of Canadian nurses.</title>
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<term>Attitude of Health Personnel</term>
<term>Canada</term>
<term>Critical Care (psychology)</term>
<term>Disease Outbreaks</term>
<term>Emergency Nursing</term>
<term>Female</term>
<term>Focus Groups</term>
<term>Humans</term>
<term>Infectious Disease Transmission, Patient-to-Professional</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (transmission)</term>
<term>Male</term>
<term>Pregnancy</term>
<term>Pregnancy Complications, Infectious (epidemiology)</term>
<term>Pregnancy Complications, Infectious (etiology)</term>
<term>Qualitative Research</term>
<term>Respiratory Tract Diseases (epidemiology)</term>
<term>Risk Assessment</term>
<term>Severe Acute Respiratory Syndrome (epidemiology)</term>
<term>Severe Acute Respiratory Syndrome (transmission)</term>
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<term>Canada</term>
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<term>Influenza, Human</term>
<term>Pregnancy Complications, Infectious</term>
<term>Respiratory Tract Diseases</term>
<term>Severe Acute Respiratory Syndrome</term>
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<term>Pregnancy Complications, Infectious</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Critical Care</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en">
<term>Influenza, Human</term>
<term>Severe Acute Respiratory Syndrome</term>
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<term>Attitude of Health Personnel</term>
<term>Disease Outbreaks</term>
<term>Emergency Nursing</term>
<term>Female</term>
<term>Focus Groups</term>
<term>Humans</term>
<term>Infectious Disease Transmission, Patient-to-Professional</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Male</term>
<term>Pregnancy</term>
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<div type="abstract" xml:lang="en">This paper is a report of a qualitative study of emergency and critical care nurses' perceptions of occupational response and preparedness during infectious respiratory disease outbreaks including severe acute respiratory syndrome (SARS) and influenza.</div>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">This paper is a report of a qualitative study of emergency and critical care nurses' perceptions of occupational response and preparedness during infectious respiratory disease outbreaks including severe acute respiratory syndrome (SARS) and influenza.</AbstractText>
<AbstractText Label="PROBLEM" NlmCategory="OBJECTIVE">Healthcare workers, predominantly female, face occupational and personal challenges in their roles as first responders/first receivers. Exposure to SARS or other respiratory pathogens during pregnancy represents additional occupational risk for healthcare workers.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Perceptions of occupational reproductive risk during response to infectious respiratory disease outbreaks were assessed qualitatively by five focus groups comprised of 100 Canadian nurses conducted between 2005 and 2006.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Occupational health and safety issues anticipated by Canadian nurses for future infectious respiratory disease outbreaks were grouped into four major themes: (1) apprehension about occupational risks to pregnant nurses; (2) unknown pregnancy risks of anti-infective therapy/prophylaxis; (3) occupational risk communication for pregnant nurses; and (4) human resource strategies required for pregnant nurses during outbreaks. The reproductive risk perceptions voiced by Canadian nurses generally were consistent with reported case reports of pregnant women infected with SARS or emerging influenza strains. Nurses' fears of fertility risks posed by exposure to infectious agents or anti-infective therapy and prophylaxis are not well supported by the literature, with the former not biologically plausible and the latter lacking sufficient data.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Reproductive risk assessments should be performed for each infectious respiratory disease outbreak to provide female healthcare workers and in particular pregnant women with guidelines regarding infection control and use of anti-infective therapy and prophylaxis.</AbstractText>
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