Moore David M, Gilbert Mark, Saunders Sharon, Bryce Elizabeth, Yassi Annalee
Occupational Health and Safety Agency for Health Care in British Columbia, Vancouver, British Columbia, Canada.
AAOHN J. 2005 Jun;53(6):257-66.
The spread of severe acute respiratory syndrome (SARS) in 2003 was largely driven by hospital-associated transmission where health care workers experienced the largest burden of disease. In attempting to improve occupational health and infection control procedures to prevent occupationally acquired infections in health care workers, it is important to examine the perceptions of those workers who are expected to adhere to specific policies. The authors conducted 15 focus groups of health care workers representing seven different job classifications in two Canadian provinces where SARS outbreaks occurred in 2003 using a theoretical framework which divided factors associated with self-protective behaviour at work into organizational, environmental, and individual factors. Content analysis of these discussions revealed that workers placed more importance on organizational factors than environmental and individual factors. The results are similar to those of a recently completed literature review of this subject, and should be considered when developing new occupational health initiatives to protect health care workers from existing or emerging respiratory tract infections.
2003年严重急性呼吸综合征（SARS）的传播很大程度上是由医院内传播所致，医护人员承受了最大的疾病负担。在试图改进职业健康和感染控制程序以预防医护人员职业性感染时，审视那些有望遵守特定政策的工作人员的看法非常重要。作者在2003年发生SARS疫情的加拿大两个省份，对代表七种不同工作类别的医护人员进行了15次焦点小组讨论，采用了一个理论框架，该框架将与工作中自我保护行为相关的因素分为组织因素、环境因素和个人因素。对这些讨论的内容分析表明，工作人员对组织因素的重视程度高于环境因素和个人因素。这些结果与最近完成的关于该主题的文献综述结果相似，在制定新的职业健康倡议以保护医护人员免受现有或新出现的呼吸道感染时应予以考虑。
