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Examining the Roles of Training, Fit Testing, and Safety Climate on User Confidence in Respiratory Protection: A Case
Mihili Edirisooriya1, Emily J Haas1
1National Personal Protective Technology Laboratory, National Institute for Occupational Safety and Health, Pittsburgh, PA 15236, USA.
New respirator designs (elastomeric half-mask respirators without exhalation valves or with filters) increase worker confidence when fit tested, trained, and supported by a positive safety climate. This enhances workplace safety.
Area of Science:
- Occupational Health
- Respiratory Protection
- Public Health Emergencies
Background:
- Worker confidence in respiratory protection is crucial for workplace safety.
- New elastomeric half-mask respirator (EHMR) designs without exhalation valves (EVs) or with exhalation valve filters (EVFs) aim to improve source control.
- Limited research exists on the workplace introduction and efficacy perception of these novel EHMRs.
Purpose of the Study:
- To investigate worker confidence in novel EHMRs (no EV/EVF) during the COVID-19 pandemic.
- To identify factors influencing worker confidence in the efficacy of these respirators.
- To understand the role of organizational safety climate in respirator use.
Main Methods:
- Online survey administered to 882 EHMR users across 32 health delivery settings.
- Data collected between October 2021 and September 2022.
- Statistical analysis of survey responses regarding respirator efficacy, fit testing, training, and safety climate.
Main Results:
- Fit testing and training were statistically significantly associated with higher user confidence in EHMR efficacy, including protection against COVID-19.
- A positive organizational safety climate perception correlated with increased confidence in EHMR efficacy.
- These factors are vital for worker acceptance and adherence to respiratory protection protocols.
Conclusions:
- Tailored fit testing and training are essential for enhancing worker confidence in new respirator designs.
- Organizational safety climate plays a significant role in supporting worker engagement with health and safety behaviors, even during public health crises.
- Future respirator development should consider user comfort and the impact of organizational factors on effective implementation.
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