Jane Lipscomb - Academia.edu (original) (raw)
Papers by Jane Lipscomb
American Journal of Public Health, 1994
Nurse practitioners with master's degrees were surveyed to assess the type and volume of occu... more Nurse practitioners with master's degrees were surveyed to assess the type and volume of occupational health services provided by primary care as compared with occupational health practitioners and the knowledge base in occupational health in these two groups. Thirty-six percent of 224 nonoccupational health nurse practitioners reported caseloads with 10% or more occupationally related chief complaints; 21% reported treating work-related injury or illness at least once per week. By contrast, a large percentage of nonoccupational health practitioners failed the knowledge-based exam. Large-scale prevention of occupational illness and injury warrants that primary care providers receive training in occupational health.
All in-text references underlined in blue are linked to publications on ResearchGate, letting you... more All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately.
Special Topics and Particular Occupations, Professions and Sectors, 2021
Work, 2019
BACKGROUND: Workplace violence is a global problem that includes actions collectively defined as ... more BACKGROUND: Workplace violence is a global problem that includes actions collectively defined as bullying as perpetrated by a work colleague. PURPOSE: Two distinct studies were conducted to assess the feasibility of using an abridged 6-item scale within the 21item Negative Acts Questionnaire-Revised (NAQ-R) designed to assess workplace bullying. METHODS: The pilot study was a psychometric review of the 21-item NAQ-R, and the main study was conducted to determine the reliability and the validity of using a 6-item version. Cronbach's alpha assessed the internal consistency of the two versions of the NAQ-R. Validity was assessed using logistic regression with theoretically related constructs with a pilot study (n = 420) using the 21-item scale, followed by the main study (n = 12,546) using the 6-item version. RESULTS: Both the pilot study (21-item)and the main study (6-item) versions of the NAQ-R demonstrated high internal consistency (Cronbach's alpha 0.93-0.86, respectively). Similar to the 21-item, the 6-item version had a significant impact on the intent to remain on the job, being personally affected, and supported the protective role of the organizational climate against exposure to negative acts. CONCLUSION: This study supports using the 6-item NAQ-R, which can reduce respondent burden and streamline data gathering and analysis.
ED management : the monthly update on emergency department management, 2017
Investigators have applied epidemiological principles to the study of workplace violence, produci... more Investigators have applied epidemiological principles to the study of workplace violence, producing results that offer intriguing information to hospitals struggling for a way forward on this issue. In a randomized, to hospitals struggling for a wary forward on this issue. In a randomized, controlled trial, the researchers found that a one-time, unit-based intervention can reduce the incidence of violent events, and that the approach offers some lasting effect over time. The intervention consisted of a 45-minute discussion with unit supervisors in which unit-specific data regarding violent incidents in their workplace were shared along with an array of improvement strategies. Unit supervisors then were directed to work with their teams to develop action plans to address violence, although they were free to adopt whatever solutions they deemed best. At six moths post-intervention, there was a clear reduction in the incident rate ratios of violent events on the intervention units as c...
Canadian Journal of Nursing Research, 2006
In 1996 the NewYork State Office of Mental Health issued a policy requiring all State-operated ps... more In 1996 the NewYork State Office of Mental Health issued a policy requiring all State-operated psychiatric facilities to develop and implement a proactive violence-prevention program based on guidelines issued by the US Occupational Safety and Health Administration. This presented an opportunity to evaluate the impact of the guidelines on worker health and safety. The authors report the findings of a mixed-method study to evaluate the feasibility and impact of a participatory intervention to prevent workplace violence. They describe the implementation of the intervention in 3 in-patient facilities, including an extensive worksite analysis, staff focus groups, and a baseline and post-intervention survey of changes in staff perception of the quality of the program's elements and physical assault following implementation of the program. The authors provide evidence for the feasibility and positive impact of a comprehensive violence-prevention program in the in-patient mental health...
Workplace Health & Safety
Background Type II (customer-on-worker) workplace violence (WPV) against nurses and its underrepo... more Background Type II (customer-on-worker) workplace violence (WPV) against nurses and its underreporting are ongoing safety and health challenges in health care. The COVID-19 pandemic has strained patients and nurses and, in turn, may have increased WPV. The purpose of this cross-sectional study was to describe and compare a sample of nurses’ reported prevalence of Type II WPV and their reporting of these events during the pandemic. Methods Data from an online survey of registered nurses ( N = 373) working in hospitals were included. Prevalence was calculated for physical violence and verbal abuse, and their reporting of these events, including the experience of violence between nurses who did and did not care for patients with COVID-19. Findings Overall, 44.4% and 67.8% of the nurses reported experiencing physical violence and verbal abuse, respectively, between February and May/June 2020. Nurses who provided care for patients with COVID-19 experienced more physical violence (adjuste...
In July 1982, the National. Institute for Occupational Safety and Health (NIOSH) received a •requ... more In July 1982, the National. Institute for Occupational Safety and Health (NIOSH) received a •request for a Health Hazard Evaluation at Great Lakes Carbon Corporation (GLC), Wilmington, California. Workers requested that NIOSH evaluate possible adverse respiratory effects due to expo. sure to petroleum coke dust during th.e calcining process. : NIOSll investigators conducted• an environmental survey in Feb~uary 1984, consisting of ~ersonal and area air sampling for total coke dust, polynuclear aromatic hydrocarbons (PNAs), and oil mist. Among the 75 total • employees, 75t were administered the NIOSH questionnaire by a GLC nurse. A private contractor provided pulmonary function test (PFTs) to 69"1 of the workers and chest x-rays to 6410. All m'j?dical tes"t results were reviewed and evaluated by NIOSH. Personal breathing-zone concentrations of .total airborne dust ranged from 0.1. to 12 mg/m3 with a median of 1.6 mg/m3, among 10 air samples collected from workers engaged in a variety of typical daily jobs. ~~~ticle $i~ing 0£ ai~borne dust. by cascade impactors indicated a mass 10edi~n diameter of about 8 micrometers. Four very high personal •breathing-zone (PBZ) concentrations of coke dust were fouri• d d.uring a semimonthly cleanup job in the underground coke pi ts. . These levels ranged from 98 to 190 mg/m3 with a mean of 140 mg/m3. Respiratory protection was worn~ Three PBZ air samples for oil mist were .nondetectable {< 0.5 mglm3). .. Exposures to polynuclear aromatic compounds (PNAs) were below the analytical limit of detection (<0. 25 ug/m3) among workers doing rouf::ine jobs. 'the medical e. valuation revealed abnormal PFT results (1 restdcti ve and 5 obstructive) among 1~ of those tested. : The questionnaire identified five (IOI.) cases of chronic bronchitis and seven (131o) cas.es of chronic cough among those interviewed. The abnormal (obstructive) PFT and questionnaire results appeared to be more closely associated.with cigarette smoking than employment category (salaried, operator assistants, and other production workers). Ch.est x-rays sho~ed no evidence of pneumoconiosis.
African Journal of Midwifery and Women's Health
Journal of occupational and environmental medicine, Jan 7, 2018
To address the gap of knowledge about slips, trips, and falls (STFs) among home care aides (HCAs)... more To address the gap of knowledge about slips, trips, and falls (STFs) among home care aides (HCAs) who work in clients' homes. This mixed method study used survey and focus group data of HCAs in a Medicaid-funded homecare program. STFs were common with over 12% of HCAs reporting occurrence in the previous 12 months. Multiple logistic regression analysis indicated higher STF risks among African Americans than non-African Americans, and among those with higher workload or higher education. Focus group data explained the reasons for not reporting STFs, even among those who sustained injury, and added HCAs' voices to the understanding of causes, consequences and prevention strategies for STFs. Empowering HCAs with knowledge, training and involvement may transform "near miss" STFs into opportunities to prevent STFs among care workers and their clients.
Workplace Health & Safety
Commercial workplace violence (WPV) prevention training programs differ in their approach to viol... more Commercial workplace violence (WPV) prevention training programs differ in their approach to violence prevention and the content they present. This study reviews 12 such programs using criteria developed from training topics in the Occupational Safety and Health Administration’s (OSHA) Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers and a review of the WPV literature. None of the training programs addressed all the review criteria. The most significant gap in content was the lack of attention to facility-specific risk assessment and policies. To fill this gap, health care facilities should supplement purchased training programs with specific training in organizational policies and procedures, emergency action plans, communication, facility risk assessment, and employee post-incident debriefing and monitoring. Critical to success is a dedicated program manager who understands risk assessment, facility clinical operations, and program management ...
Violence and Victims
This study explored potential risk factors for injuries from patient violence among direct care w... more This study explored potential risk factors for injuries from patient violence among direct care workers in U.S. homes (DCWHs). A national probability sample of 3,377 DCWHs including home health and personal care aides was analyzed using complex sample analysis and generalized estimating equation. Injury from violence was defined as a work-related injury sustained by aggression, violence, or abuse that was reported to the agency, required medical attention or resulted in absenteeism from work. An association between suffering an injury from patient violence and having a language barrier with patients was noted (OR = 4.44; 95% CI = 1.57, 12.56; p = .005). Findings illuminate the importance of homecare providers to match language between DCWHs and patients to reduce patient violence and improve quality of care in the home setting.
Annals of Global Health, 2016
University of Haifa and the University of Maryland, Baltimore faculty developed a parallel binati... more University of Haifa and the University of Maryland, Baltimore faculty developed a parallel binational, interprofessional American-Israeli course which explores social justice in the context of increasing urban, local, and global inequities. This article describes the course&amp;amp;amp;amp;amp;#39;s innovative approach to critically examine how social justice is framed in mixed/divided cities from different professional perspectives (social work, health, law). Participatory methods such as photo-voice, experiential learning, and theatre of the oppressed provide students with a shared language and multiple media to express and problematize their own and others&amp;amp;amp;amp;amp;#39; understanding of social (in)justice and to imagine social change. Much learning about &amp;amp;amp;amp;amp;quot;self&amp;amp;amp;amp;amp;quot; takes place in an immersion experience with &amp;amp;amp;amp;amp;quot;others.&amp;amp;amp;amp;amp;quot; Crucial conversations about &amp;amp;amp;amp;amp;quot;the other&amp;amp;amp;amp;amp;quot; and social justice can occur more easily within the intercultural context. In these conversations, students and faculty experience culture as diverse, complex, and personal. Students and faculty alike found the course personally and professionally transformative. Examination of social justice in Haifa and Baltimore strengthened our appreciation for the importance of context and the value of global learning to provide insights on local challenges and opportunities.
Geriatric nursing (New York, N.Y.), Jan 3, 2017
The bonds and relationships that direct care workers in the home setting (DCWHs) develop with the... more The bonds and relationships that direct care workers in the home setting (DCWHs) develop with their elderly or disabled home care patients may put them at risk for patient violence. This study used a data-driven approach, latent class analysis, to identify distinct underlying patterns of DCWH-patient relationships and then assessed how DCWH-patient class membership was associated with patient violence. This study analyzed survey data obtained from 964 DCWHs working in two not-for-profit home care agencies. Four classes of DCWH-patient relationships emerged: Non-familial (40% of the sample), Overly Concerned (14%); Boundary-keeping (22%), and Overly Involved (24%). DCWHs in the Overly Involved class were more likely to experience physical violence from their patients relative to those in the Non-familial class (probability = 0.11 vs. 0.04, p = 0.01). Building a positive relationship with boundaries between caregivers and patients may have a potential to reduce patient violence toward...
Mental health and occupational safety advocates have a strong incentive to work together. The saf... more Mental health and occupational safety advocates have a strong incentive to work together. The safety of clients and the mental health workforce are closely linked. Advocates from both disciplines can cite a high incidence of injuries in the consumer and worker populations. The ...
American Journal of Public Health, 1994
Nurse practitioners with master's degrees were surveyed to assess the type and volume of occu... more Nurse practitioners with master's degrees were surveyed to assess the type and volume of occupational health services provided by primary care as compared with occupational health practitioners and the knowledge base in occupational health in these two groups. Thirty-six percent of 224 nonoccupational health nurse practitioners reported caseloads with 10% or more occupationally related chief complaints; 21% reported treating work-related injury or illness at least once per week. By contrast, a large percentage of nonoccupational health practitioners failed the knowledge-based exam. Large-scale prevention of occupational illness and injury warrants that primary care providers receive training in occupational health.
All in-text references underlined in blue are linked to publications on ResearchGate, letting you... more All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately.
Special Topics and Particular Occupations, Professions and Sectors, 2021
Work, 2019
BACKGROUND: Workplace violence is a global problem that includes actions collectively defined as ... more BACKGROUND: Workplace violence is a global problem that includes actions collectively defined as bullying as perpetrated by a work colleague. PURPOSE: Two distinct studies were conducted to assess the feasibility of using an abridged 6-item scale within the 21item Negative Acts Questionnaire-Revised (NAQ-R) designed to assess workplace bullying. METHODS: The pilot study was a psychometric review of the 21-item NAQ-R, and the main study was conducted to determine the reliability and the validity of using a 6-item version. Cronbach's alpha assessed the internal consistency of the two versions of the NAQ-R. Validity was assessed using logistic regression with theoretically related constructs with a pilot study (n = 420) using the 21-item scale, followed by the main study (n = 12,546) using the 6-item version. RESULTS: Both the pilot study (21-item)and the main study (6-item) versions of the NAQ-R demonstrated high internal consistency (Cronbach's alpha 0.93-0.86, respectively). Similar to the 21-item, the 6-item version had a significant impact on the intent to remain on the job, being personally affected, and supported the protective role of the organizational climate against exposure to negative acts. CONCLUSION: This study supports using the 6-item NAQ-R, which can reduce respondent burden and streamline data gathering and analysis.
ED management : the monthly update on emergency department management, 2017
Investigators have applied epidemiological principles to the study of workplace violence, produci... more Investigators have applied epidemiological principles to the study of workplace violence, producing results that offer intriguing information to hospitals struggling for a way forward on this issue. In a randomized, to hospitals struggling for a wary forward on this issue. In a randomized, controlled trial, the researchers found that a one-time, unit-based intervention can reduce the incidence of violent events, and that the approach offers some lasting effect over time. The intervention consisted of a 45-minute discussion with unit supervisors in which unit-specific data regarding violent incidents in their workplace were shared along with an array of improvement strategies. Unit supervisors then were directed to work with their teams to develop action plans to address violence, although they were free to adopt whatever solutions they deemed best. At six moths post-intervention, there was a clear reduction in the incident rate ratios of violent events on the intervention units as c...
Canadian Journal of Nursing Research, 2006
In 1996 the NewYork State Office of Mental Health issued a policy requiring all State-operated ps... more In 1996 the NewYork State Office of Mental Health issued a policy requiring all State-operated psychiatric facilities to develop and implement a proactive violence-prevention program based on guidelines issued by the US Occupational Safety and Health Administration. This presented an opportunity to evaluate the impact of the guidelines on worker health and safety. The authors report the findings of a mixed-method study to evaluate the feasibility and impact of a participatory intervention to prevent workplace violence. They describe the implementation of the intervention in 3 in-patient facilities, including an extensive worksite analysis, staff focus groups, and a baseline and post-intervention survey of changes in staff perception of the quality of the program's elements and physical assault following implementation of the program. The authors provide evidence for the feasibility and positive impact of a comprehensive violence-prevention program in the in-patient mental health...
Workplace Health & Safety
Background Type II (customer-on-worker) workplace violence (WPV) against nurses and its underrepo... more Background Type II (customer-on-worker) workplace violence (WPV) against nurses and its underreporting are ongoing safety and health challenges in health care. The COVID-19 pandemic has strained patients and nurses and, in turn, may have increased WPV. The purpose of this cross-sectional study was to describe and compare a sample of nurses’ reported prevalence of Type II WPV and their reporting of these events during the pandemic. Methods Data from an online survey of registered nurses ( N = 373) working in hospitals were included. Prevalence was calculated for physical violence and verbal abuse, and their reporting of these events, including the experience of violence between nurses who did and did not care for patients with COVID-19. Findings Overall, 44.4% and 67.8% of the nurses reported experiencing physical violence and verbal abuse, respectively, between February and May/June 2020. Nurses who provided care for patients with COVID-19 experienced more physical violence (adjuste...
In July 1982, the National. Institute for Occupational Safety and Health (NIOSH) received a •requ... more In July 1982, the National. Institute for Occupational Safety and Health (NIOSH) received a •request for a Health Hazard Evaluation at Great Lakes Carbon Corporation (GLC), Wilmington, California. Workers requested that NIOSH evaluate possible adverse respiratory effects due to expo. sure to petroleum coke dust during th.e calcining process. : NIOSll investigators conducted• an environmental survey in Feb~uary 1984, consisting of ~ersonal and area air sampling for total coke dust, polynuclear aromatic hydrocarbons (PNAs), and oil mist. Among the 75 total • employees, 75t were administered the NIOSH questionnaire by a GLC nurse. A private contractor provided pulmonary function test (PFTs) to 69"1 of the workers and chest x-rays to 6410. All m'j?dical tes"t results were reviewed and evaluated by NIOSH. Personal breathing-zone concentrations of .total airborne dust ranged from 0.1. to 12 mg/m3 with a median of 1.6 mg/m3, among 10 air samples collected from workers engaged in a variety of typical daily jobs. ~~~ticle $i~ing 0£ ai~borne dust. by cascade impactors indicated a mass 10edi~n diameter of about 8 micrometers. Four very high personal •breathing-zone (PBZ) concentrations of coke dust were fouri• d d.uring a semimonthly cleanup job in the underground coke pi ts. . These levels ranged from 98 to 190 mg/m3 with a mean of 140 mg/m3. Respiratory protection was worn~ Three PBZ air samples for oil mist were .nondetectable {< 0.5 mglm3). .. Exposures to polynuclear aromatic compounds (PNAs) were below the analytical limit of detection (<0. 25 ug/m3) among workers doing rouf::ine jobs. 'the medical e. valuation revealed abnormal PFT results (1 restdcti ve and 5 obstructive) among 1~ of those tested. : The questionnaire identified five (IOI.) cases of chronic bronchitis and seven (131o) cas.es of chronic cough among those interviewed. The abnormal (obstructive) PFT and questionnaire results appeared to be more closely associated.with cigarette smoking than employment category (salaried, operator assistants, and other production workers). Ch.est x-rays sho~ed no evidence of pneumoconiosis.
African Journal of Midwifery and Women's Health
Journal of occupational and environmental medicine, Jan 7, 2018
To address the gap of knowledge about slips, trips, and falls (STFs) among home care aides (HCAs)... more To address the gap of knowledge about slips, trips, and falls (STFs) among home care aides (HCAs) who work in clients' homes. This mixed method study used survey and focus group data of HCAs in a Medicaid-funded homecare program. STFs were common with over 12% of HCAs reporting occurrence in the previous 12 months. Multiple logistic regression analysis indicated higher STF risks among African Americans than non-African Americans, and among those with higher workload or higher education. Focus group data explained the reasons for not reporting STFs, even among those who sustained injury, and added HCAs' voices to the understanding of causes, consequences and prevention strategies for STFs. Empowering HCAs with knowledge, training and involvement may transform "near miss" STFs into opportunities to prevent STFs among care workers and their clients.
Workplace Health & Safety
Commercial workplace violence (WPV) prevention training programs differ in their approach to viol... more Commercial workplace violence (WPV) prevention training programs differ in their approach to violence prevention and the content they present. This study reviews 12 such programs using criteria developed from training topics in the Occupational Safety and Health Administration’s (OSHA) Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers and a review of the WPV literature. None of the training programs addressed all the review criteria. The most significant gap in content was the lack of attention to facility-specific risk assessment and policies. To fill this gap, health care facilities should supplement purchased training programs with specific training in organizational policies and procedures, emergency action plans, communication, facility risk assessment, and employee post-incident debriefing and monitoring. Critical to success is a dedicated program manager who understands risk assessment, facility clinical operations, and program management ...
Violence and Victims
This study explored potential risk factors for injuries from patient violence among direct care w... more This study explored potential risk factors for injuries from patient violence among direct care workers in U.S. homes (DCWHs). A national probability sample of 3,377 DCWHs including home health and personal care aides was analyzed using complex sample analysis and generalized estimating equation. Injury from violence was defined as a work-related injury sustained by aggression, violence, or abuse that was reported to the agency, required medical attention or resulted in absenteeism from work. An association between suffering an injury from patient violence and having a language barrier with patients was noted (OR = 4.44; 95% CI = 1.57, 12.56; p = .005). Findings illuminate the importance of homecare providers to match language between DCWHs and patients to reduce patient violence and improve quality of care in the home setting.
Annals of Global Health, 2016
University of Haifa and the University of Maryland, Baltimore faculty developed a parallel binati... more University of Haifa and the University of Maryland, Baltimore faculty developed a parallel binational, interprofessional American-Israeli course which explores social justice in the context of increasing urban, local, and global inequities. This article describes the course&amp;amp;amp;amp;amp;#39;s innovative approach to critically examine how social justice is framed in mixed/divided cities from different professional perspectives (social work, health, law). Participatory methods such as photo-voice, experiential learning, and theatre of the oppressed provide students with a shared language and multiple media to express and problematize their own and others&amp;amp;amp;amp;amp;#39; understanding of social (in)justice and to imagine social change. Much learning about &amp;amp;amp;amp;amp;quot;self&amp;amp;amp;amp;amp;quot; takes place in an immersion experience with &amp;amp;amp;amp;amp;quot;others.&amp;amp;amp;amp;amp;quot; Crucial conversations about &amp;amp;amp;amp;amp;quot;the other&amp;amp;amp;amp;amp;quot; and social justice can occur more easily within the intercultural context. In these conversations, students and faculty experience culture as diverse, complex, and personal. Students and faculty alike found the course personally and professionally transformative. Examination of social justice in Haifa and Baltimore strengthened our appreciation for the importance of context and the value of global learning to provide insights on local challenges and opportunities.
Geriatric nursing (New York, N.Y.), Jan 3, 2017
The bonds and relationships that direct care workers in the home setting (DCWHs) develop with the... more The bonds and relationships that direct care workers in the home setting (DCWHs) develop with their elderly or disabled home care patients may put them at risk for patient violence. This study used a data-driven approach, latent class analysis, to identify distinct underlying patterns of DCWH-patient relationships and then assessed how DCWH-patient class membership was associated with patient violence. This study analyzed survey data obtained from 964 DCWHs working in two not-for-profit home care agencies. Four classes of DCWH-patient relationships emerged: Non-familial (40% of the sample), Overly Concerned (14%); Boundary-keeping (22%), and Overly Involved (24%). DCWHs in the Overly Involved class were more likely to experience physical violence from their patients relative to those in the Non-familial class (probability = 0.11 vs. 0.04, p = 0.01). Building a positive relationship with boundaries between caregivers and patients may have a potential to reduce patient violence toward...
Mental health and occupational safety advocates have a strong incentive to work together. The saf... more Mental health and occupational safety advocates have a strong incentive to work together. The safety of clients and the mental health workforce are closely linked. Advocates from both disciplines can cite a high incidence of injuries in the consumer and worker populations. The ...