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A self-report questionnaire to detect hand dermatitis in nurses.

V Parsons1, H C Williams2, J English3

  • 1Occupational Health Service, Guy's and St Thomas' NHS Foundation Trust/Faculty of Life Sciences and Medicine, King's College London, London, UK.

Occupational Medicine (Oxford, England)
|November 21, 2020
PubMed
Summary

Nurses can accurately self-report not having hand dermatitis. However, they are less accurate in identifying early signs, indicating a need for improved screening in workplace health surveillance.

Keywords:
Hand dermatitishand photographshealth surveillanceoccupational healthquestionnaireself-report

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Area of Science:

  • Occupational dermatology
  • Public health surveillance
  • Nursing health

Background:

  • Hand dermatitis is common in nurses due to frequent wet work.
  • Cost-effective dermatological surveillance for nurses is challenging.
  • Occupational skin conditions require effective screening tools.

Purpose of the Study:

  • To evaluate the predictive value of nurses' self-assessment for hand dermatitis.
  • To compare self-reported screening questionnaire results with dermatologist assessments of hand photographs.
  • To determine the utility of a single-question screening tool for occupational dermatitis.

Main Methods:

  • Cross-sectional study design.
  • Utilized a single hand dermatitis screening question for self-reporting.
  • Compared self-assessments with dermatologist evaluations of standardized hand photographs.
  • Included 1599 student and intensive care nurses.

Main Results:

  • The screening question showed high negative predictive value (91%) and specificity (86%).
  • Positive predictive value (39%) and sensitivity (52%) were low, indicating under-recognition of disease.
  • Area under the receiver operator curve was 0.7, suggesting acceptable diagnostic accuracy.

Conclusions:

  • Nurses accurately self-identify absence of hand dermatitis.
  • Self-assessment is less reliable for detecting early or mild hand dermatitis.
  • A single-question screening tool is effective for ruling out hand dermatitis in workplace surveillance programs.