Collaboration between infection control and occupational health in three continents: a success story with international impact
Tóm tắt
Globalization has been accompanied by the rapid spread of infectious diseases, and further strain on working conditions for health workers globally. Post-SARS, Canadian occupational health and infection control researchers got together to study how to better protect health workers, and found that training was indeed perceived as key to a positive safety culture. This led to developing information and communication technology (ICT) tools. The research conducted also showed the need for better workplace inspections, so a workplace audit tool was also developed to supplement worker questionnaires and the ICT. When invited to join Ecuadorean colleagues to promote occupational health and infection control, these tools were collectively adapted and improved, including face-to-face as well as on-line problem-based learning scenarios. The South African government then invited the team to work with local colleagues to improve occupational health and infection control, resulting in an improved web-based health information system to track incidents, exposures, and occupational injury and diseases. As the H1N1 pandemic struck, the online infection control course was adapted and translated into Spanish, as was a novel skill-building learning tool that permits health workers to practice selecting personal protective equipment. This tool was originally developed in collaboration with the countries from the Caribbean region and the Pan American Health Organization (PAHO). Research from these experiences led to strengthened focus on building capacity of health and safety committees, and new modules are thus being created, informed by that work. The products developed have been widely heralded as innovative and interactive, leading to their inclusion into “toolkits” used internationally. The tools used in Canada were substantially improved from the collaborative adaptation process for South and Central America and South Africa. This international collaboration between occupational health and infection control researchers led to the improvement of the research framework and development of tools, guidelines and information systems. Furthermore, the research and knowledge-transfer experience highlighted the value of partnership amongst Northern and Southern researchers in terms of sharing resources, experiences and knowledge.
Tài liệu tham khảo
The World Health Report. [http://www.who.int/whr/2002/chapter4/en/index8.html]
Chan-Yeung M: Severe Acute Respiratory Syndrome (SARS) and health care workers. Int J Occup Environ Health. 2004, 10: 421-427.
Staes C, Wuthrich A, Gesteland P, Allison M, Leecaster M, Shakib J, Carter M, Mallin B, Mottice S, Rolfs R, et al: Public health communication with frontline clinicians during the first wave of the 2009 influenza pandemic. J Public Health Manag Pract. 2011, 17 (1): 36-44.
Spiegel JM, Labonte R, Ostry AS: Understanding "globalization" as a determinant of health determinants: a critical perspective. Int J Occup Environ Health. 2004, 10 (Special Edition Spring): 360-367.
Schrecker T, Labonte R: Taming the 'brain drain': A challenge for public health systems in Southern Africa. Int J Occup Environ Health. 2004, Special Edition Spring
Bigelow P, Moore D, Yassi A: Assessing the health implications for healthcare workers of regulatory changes eliminating locally developed occupational exposure limits in favor of TLVs: an evidence-based bipartite approach. Int J Occup Environ Health. 2004, 10: 433-444.
International Air Transportation Association: Fact sheet: IATA-International Air Transport Association. 2009, Available from http://www.iataorg/pressroom/facts_figures/fact_sheets/iatahtm
Haley R, Culver D, White J, Morgan W, Emori T, Munn V, Hooton T: The efficacy of infection surveillance and control programs in preventing nosocomial infection is US hospitals. Am J Epidemiol. 1985, 121 (2): 182-205.
Allegranzi B, Pittet D: Healthcare-associated infection in developing countries: simple solutions to meet complex challenges. Infect Control Hosp Epidemiology. 2007, 28: 1323-1337. 10.1086/521656.
Lazzari S, Allegranzi B, Concia E: Making hospitals safer: the need for a global strategy for infection control in health care settings. World Hosp Health Serv. 2004, 40: 32-42.
Harbarth S, Saxa H, Gastmeierb P: The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect. 2003, 54 (4): 258-266. 10.1016/S0195-6701(03)00150-6.
James P, Christopher DJ, Balamugesh T, Gupta R: Death of a health care worker with nosocomial extensively drug-resistant tuberculosis in India. Int J Tuberc Lung Dis. 2009, 13 (6): 795-796.
Lacy MD, Horn K: Nosocomial transmission of invasive group a streptococcus from patient to health care worker. Clin Infect Dis. 2009, 49 (3): 354-357. 10.1086/599832.
Pruss-Ustun A, Rapiti E, Hutin Y: Sharps injuries: global burden of disease from sharps injuries to health-care workers. WHO Environmental Burden of Disease Series. 2003, 3:
Yassi A, O’Hara L, LoChang J, Lockhart K, Spiegel J: Provision of Workplace Programs for HIV and TB for Healthcare Workers - A Systematic Review to support development of Guidelines for the Implementation of Policies to Improve Health Worker Access to Prevention, Diagnosis, Treatment, and Care Services for HIV and TB. 2009, Vancouver: Prepared for the World Health Organization
O'Donnell MR, Jarand J, Loveday M, Padayatchi N, Zelnick J, Werner L, Naidoo K, Master I, Osburn G, Kvasnovsky C, et al: High incidence of hospital admissions with multidrug-resistant and extensively drug-resistant tuberculosis among South African health care workers. Ann Intern Med. 2010, 153 (8): 516-522.
Yassi A, Lockhart K, Copes R, Kerr M, Corbiere M, Bryce E, Danyluk Q, Keen D, Yu S, Kidd C, et al: Determinants of healthcare workers' compliance with infection control procedures. Healthc Q. 2007, 10 (1): 44-52.
Bryce E, Copes R, Gamage B, Lockhart K, Yassi A: Staff perception and institutional reporting: two views of infection control compliance in British Columbia and Ontario three years after an outbreak of severe acute respiratory syndrome. J Hosp Infect. 2008, 69 (2): 169-176. 10.1016/j.jhin.2008.03.010.
Yassi A, Bryce E, Novak Lauscher H, Maultsaid D, Zhao K: The impact of requiring completion of an on-line infection control course on health professionals’ intentions to comply with infection control guidelines: a comparative study. Can J Infect Dis Med Microbiol. 2009, 20 (1): 15-19.
Moore DM, Gilbert M, Saunders S, Bryce E, Yassi A: Occupational health and infection control practices related to severe acute respiratory syndrome: health care worker perceptions. AAOHN J. 2005, 53 (6): 257-266.
Hon C, Gamage B, LoChang J, Bryce E, Yassi A, Maultsaid D, Yu S: Personal protective equipment in healthcare: Can online infection control courses transfer knowledge and improve proper selection and use?. Am J Infect Cont. 2008, 36 (10): e33-37. 10.1016/j.ajic.2008.07.007.
Bryce E, Choi P, Landstrom M, LoChang J: Using Online Delivery for Workplace Training in Healthcare. J Dist Educ. 2008, 22 (3): 149-156.
Fujii R, Yassi A, Tennassee M, Arauz V, Bryce E, Lavoie M, et al: Healthy Hospitals Project Part I (Audit and Survey): Collaboration between Canada and Ecuador. CARWH conference - Occupational Health and Safety Research in Action: Method, Results and Applications. 2008, Montreal, Quebec
Fujii R, Yassi A, Tennassee M, Cvitkovich Y, Lavoie M: Healthy Hospitals Project Part II (Workshop): Collaboration between Canada and Ecuador. CARWH conference - Occupational Health and Safety Research in Action: Method, Results and Applications. 2008, Montreal, Quebec
Lavoie M-C, Yassi A, Bryce E, Fujii R, Longronio M, Tennassee M: International collaboration to protect health workers from infectious diseases. PAHO Journal. 2010, 27 (5): 396-402.
Yassi A, Bryce E, Spiegel J: Building capacity to secure healthier and safer working conditions for healthcare workers: A South African-Canadian collaboration. Int J Occup Environ Health. 2009, 15 (4): 360-369.
Spiegel JM, Lockhart K, LoChang J, Tremblay J, Dybka L, Yassi A: Workplace and workforce health information systems in healthcare: Acknowledging the role of university researchers and highlighting the importance of health and safety committee capacity-building. Can J Public Health. 2009, 100 (2): 157-
Spiegel J, Yassi A, Rees D, Kielkowski D, Ross M, Ndelu L: Tool, Weapon or White Elephant? A Canadian-South African Collaboration to explore how information systems can be harnessed to help make health care a healthier place to work. American College of Occupational and Environmental Medicine, International Commission on Occupational Health. 2007, Vancouver, BC, Canada
Yassi A, Ostry AS, Hatter B, De Boer HM: Joint health and safety committee education and the value of bipartite cooperation in the healthcare sector in British Columbia, Canada. Int J Occup Environ Health. 2005, 11 (3): 305-312.
Labonte R, Schrecker T: Globalization and social determinants of health: The role of the global marketplace (part 2 of 3). Globalization and Health. 2007, 3 (6):
World Health Organization: World Health Report 2006: Working Together For Health. 2006, [homepage on the internet], [http://www.who.int/hiv/pub/meetingreports/TTRmeetingreport2.pdf]
Gamage B, Moore D, Copes R, Yassi A, Bryce E, Group TBIRP: Protecting health care workers from SARS and other respiratory pathogens: a review of the infection control literature. Am J Infect Control. 2005, 33 (2): 114-121. 10.1016/j.ajic.2004.12.002.
Moore D, Gamage B, Bryce E, Copes R, Yassi A: Protecting health care workers from SARS and other respiratory pathogens: organizational and individual factors that affect adherence to infection control guidelines. Am J Infect Control. 2005, 33 (2): 88-96. 10.1016/j.ajic.2004.11.003.
Yassi A, Moore D, Fitzgerald JM, Bigelow P, Hon CY, Bryce E: Research gaps in protecting healthcare workers from SARS and other respiratory pathogens: an interdisciplinary, multi-stakeholder, evidence-based approach. J Occup Environ Med. 2005, 47 (1): 41-50.
Yassi A, Bryce E, Spiegel J: Assuming our global responsibility: Improving working conditions for healthcare workers globally. Open Medicine. 2009, 3 (3): 174-177.
Nichol K, Bigelow P, O'Brien-Pallas L, McGeer A, Manno M, Holness D: The individual, environmental, and organizational factors that influence nurses' use of facial protection to prevent occupational transmission of communicable respiratory illness in acute care hospitals. Am J Infect Control. 2008, 36 (7): 481-487. 10.1016/j.ajic.2007.12.004.
Bryce E, Yassi A, Nophale L, Scharf S, Dybka L, Lavoie M-C, Tennassee M, Fujii R: International adaptation and sharing of an infection control and occupational health inspection tool for healthcare facilities: Bringing lessons back home. International Commission on Occupational Health Congress. 2009, Cape Town, South Africa
Grimshaw J, Santesso N, Cumpston M, Mayhew A, McGowan J: Knowledge for knowledge translation: The role of the Cochrane Collaboration. J Contin Educ Health Prof. 2006, 26 (1): 55-62. 10.1002/chp.51.
Yassi A: The development of worker-controlled occupational health centers in Canada. Am J Public Health. 1988, 78 (6): 689-693. 10.2105/AJPH.78.6.689.
Yassi A, Ostry AS, Spiegel J, Walsh G, de Boer HM: A collaborative evidence-based approach to making healthcare a healthier place to work. Hosp Q. 2002, 5 (3): 70-78.
O’Hara L, Bryce E, Scharf S, Yassi A: Innovative training for occupational health and infection control workplace assessment in healthcare: Necessity as the mother of invention. Am J Health Educ. 2011, accepted for publication
Kohl R: Implementing best practices in reproductive health: A guide for fostering change to scale up effective health services. 2007
UBC UILO: Global access. Retrieved March 7 2011, [http://www.uilo.ubc.ca/about/initiatives/global.html]
Creative Commons licensing. Retrieved March 8 2011, [http://creativecommons.org]