Home Healthcare Workers' Occupational Exposures
Elizabeth Bien1, Kermit Davis, Gordon Gillespie
1Elizabeth Bien, PhD, RN, is a Targeted Research Training Program Trainee, College of Nursing, University of Cincinnati, Cincinnati, Ohio. Kermit Davis, PhD, is an Associate Professor, Department of Environmental and Public Health Sciences, University of Cincinnati, Cincinnati, Ohio. Gordon Gillespie, PhD, DNP, RN, is an Associate Dean for Research, College of Nursing, University of Cincinnati, Cincinnati, Ohio.
Home healthcare workers face significant occupational hazards, including biological exposures and unsafe conditions. Further research is needed to enhance safety protocols for these essential workers.
Area of Science:
- Occupational Health
- Healthcare Management
- Public Health
Background:
- The home healthcare industry is rapidly expanding, with increasing complexity of patient care delivered at home.
- Home healthcare workers (HHCWs) face unpredictable environments, heightening their risk of occupational hazards.
- Technological advancements and chronic disease prevalence contribute to the growing demand for home-based care.
Purpose of the Study:
- To conduct an integrative review identifying occupational hazards faced by home healthcare workers.
- To synthesize findings from existing literature on the risks encountered by HHCWs.
- To highlight the need for improved safety measures in home healthcare settings.
Main Methods:
- A comprehensive integrative review of nine relevant articles was performed.
- Data were collected through self-report methods, including surveys, interviews, and focus groups.
- Both quantitative and qualitative data were analyzed to understand occupational exposures.
Main Results:
- Occupational hazards reported by HHCWs are consistent across studies.
- Identified hazards include exposure to blood and saliva, unsafe home environments, secondhand smoke, aggressive pets, violence, and ergonomic issues.
- Methodological limitations primarily involved self-reported data.
Conclusions:
- Home healthcare workers are exposed to a range of significant occupational hazards.
- Existing research, though methodologically limited, consistently identifies similar risks.
- Further research is crucial to identify specific exposures and develop targeted interventions to protect HHCW health and safety.
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