Surjadi Miranda, Nuchols Beverly, Souza Denise, Wolfe Lori, Burgel Barbara
1 University of California, San Francisco.
2 Sutter Health.
Workplace Health Saf. 2019 Aug;67(8):399-413. doi: 10.1177/2165079919841637. Epub 2019 Jun 10.
In the United States, approximately one half of individuals with chronic hepatitis C virus (HCV) are not aware of their status. Current HCV treatment is highly successful and is associated with a decrease in all-cause mortality. Occupational health nurses (OHNs) are often the sole health care providers at worksites and have a unique opportunity to provide HCV education, screening, and linkage to care. This project measured changes in OHN HCV competency and outreach, and identified barriers to screening. In June 2017, Survey 1 was emailed to 3,414 American Association of Occupational Health Nurse (AAOHN) members. For HCV competence, HCV knowledge and confidence in educating and counseling employees regarding HCV were assessed. HCV outreach and barriers to screening were identified. The HCV educational campaign launched in October 2017 with a webinar, a webpage/toolkit, and educational emails. Survey 2 was emailed in January 2018 to assess for changes in HCV competency and outreach. A total of 445 OHNs responded to Survey 1, and 111 completed both surveys, and participant demographics represented AAOHN membership base (95% female, mean age 56.4). The average HCV knowledge pretest score was 76% and posttest score was 77%. Confidence in educating/counseling employees about HCV increased from 2.6 to 2.9 (on a 1-5 scale; = .052). Higher pretest scores were associated with bachelor's degree (BS/BA) education or above, greater confidence in HCV education/counseling of employees, and HCV education participation within the prior 12 months. There are ongoing HCV learning needs for OHNs and greater opportunities for HCV outreach in worksites.
在美国,约一半的慢性丙型肝炎病毒(HCV)感染者并不知道自己的感染状况。目前的HCV治疗非常成功,且与全因死亡率的降低相关。职业健康护士(OHNs)通常是工作场所唯一的医疗保健提供者,有独特的机会提供HCV教育、筛查及护理衔接服务。本项目测量了OHNs的HCV能力和外展服务的变化,并确定了筛查的障碍。2017年6月,向3414名美国职业健康护士协会(AAOHN)成员发送了调查问卷1。对于HCV能力,评估了HCV知识以及在教育和咨询员工关于HCV方面的信心。确定了HCV外展服务和筛查障碍。2017年10月开展了HCV教育活动,包括网络研讨会、网页/工具包和教育邮件。2018年1月发送了调查问卷2,以评估HCV能力和外展服务的变化。共有445名OHNs回复了调查问卷1,111人完成了两份调查问卷,参与者的人口统计学特征代表了AAOHN的会员基础(95%为女性,平均年龄56.4岁)。HCV知识测试前的平均分数为76%,测试后的分数为77%。在教育/咨询员工关于HCV方面的信心从2.6提高到了2.9(1-5分制;P = 0.052)。测试前分数较高与拥有学士(BS/BA)及以上学位、对员工进行HCV教育/咨询的信心更强以及在过去12个月内参与过HCV教育有关。OHNs在HCV方面持续存在学习需求,在工作场所进行HCV外展服务的机会也更多。