Evidence map›Paper›PMID 30638674›Full record

ArticleAmerican journal of infection control2019

User acceptance of reusable respirators in health care.

Stella E Hines, Clayton Brown, Marc Oliver, Patricia Gucer, Melissa Frisch, Regina Hogan, Tracy Roth, James Chang, Melissa McDiarmid

Open access · bronzeAbstract read
In one paragraph

Article in American journal of infection control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 67 citations in OpenAlex.

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  11. Respiratory Protection: Lessons Learned from a Global Pandemic.Risk management and healthcare policy · 2023
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  15. Respiratory Protection Perceptions among Malian Health Workers: Insights from the Health Belief Model.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Stella E HinesDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD. Electronic address: shines@som.umaryland.edu.
Clayton BrownDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.
Marc OliverDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.
Patricia GucerDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.
Melissa FrischDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.
Regina HoganDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.
Tracy RothDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.
James ChangDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.
Melissa McDiarmidDepartment of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.
University of Maryland, Baltimore · US

Funding

Respirator Selection Factors and User Acceptance in Healthcare Workers; What Elastomeric Users are SayingR21OH010868 · OH · UNIVERSITY OF MARYLAND BALTIMORE · PI HINES, STELLA E. · 2014 to 2015
$500k
NIOSH CDC HHS R21 OH010868
6 · The paper itself

Abstract

backgroundInclusion of reusable respirators, such as elastomeric half-face respirators (EHFRs) and powered air-purifying respirators (PAPRs), in hospital respiratory protection inventories may represent 1 solution to the problem of N95 respirator shortages experienced during pandemics. User acceptance of these devices is 1 potential barrier to implementing such a strategy in respiratory protection programs.

methodsTo assess user attitudes toward various respirators, health care workers enrolled in respiratory protection programs in a medical system using EHFRs, N95s, and PAPRs and completed an online questionnaire that addressed attitudes, beliefs, and respirator preferences under different risk scenarios. Responses were compared between user groups.

resultsOf 1,152 participants, 53% currently used N95s, 24% used EHFRs, and 23% used PAPRs. N95 users rated their respirators more favorably compared with EHFR and PAPR users (P < .001) regarding comfort and communication, however, EHFR users rated their respirators much more highly regarding sense of protection (P < .001). For all user groups, reusable respirators were significantly more likely (odds ratios 2.3-7.7) to be preferred over N95 filtering facepiece respirators in higher risk scenarios compared to "usual circumstance" scenarios.

conclusionsDespite somewhat less favorable ratings on comfort and communication, experienced EHFR and PAPR users still prefer reusable respirators over N95s in certain higher risk scenarios. This suggests that reusable respirators are an acceptable alternative to N95 respirators in health care and offer 1 viable solution to prevent pandemic-generated respirator shortages.

Indexed as

Attitude of Health PersonnelEquipment ReusePersonal Protective EquipmentVentilators, MechanicalAdultCross InfectionCross-Sectional StudiesFemaleHealth PersonnelHumansMaleMiddle AgedPatient Acceptance of Health CareRespiratory Tract InfectionsComfortElastomeric respiratorN95 respiratorPowered air-purifying respiratorPreferenceProtection

Identifiers

PMID30638674
PMCPMC7115316
OpenAlexW2910422542

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.