Skip to main content

Ashley Land Schoenfisch

Consulting Associate in the School of Nursing
School of Nursing
307 Trent Drive, Durham, NC 27710
307 Trent Drive, Durham, NC 27710

Selected Publications


Factors associated with lift equipment use during patient lifts and transfers by hospital nurses and nursing care assistants: A prospective observational cohort study.

Journal Article Int J Nurs Stud · March 2019 BACKGROUND: Despite wide availability of patient lift equipment in hospitals to promote worker and patient safety, nursing staff do not consistently use equipment. OBJECTIVE: To determine the influence of factors on the use or non-use of lift equipment dur ... Full text Link to item Cite

Impact of Behavior Management Training on Nurses' Confidence in Managing Patient Aggression.

Journal Article The Journal of nursing administration · February 2019 ObjectiveThe aim of this study was to evaluate the impact of behavior management training on nurses' confidence in managing aggressive patients.BackgroundNurses are at a high risk of experiencing violence directed toward them by patients. ... Full text Cite

Use of Assistive Devices to Lift, Transfer, and Reposition Hospital Patients.

Journal Article Nurs Res · 2019 BACKGROUND: Devices to lift, transfer, and reposition patients are recommended for healthcare workers' and patients' safety, but their intended use has yet to be fully realized. OBJECTIVE: The aim of this study was to describe hospital nursing staff use of ... Full text Link to item Cite

Barriers to Engagement in a Workplace Weight Management Program: A Qualitative Study.

Journal Article Am J Health Promot · March 2018 PURPOSE: To investigate (1) why some participants in a workplace weight management program were more engaged in the program, (2) specific barriers and facilitators for engagement and weight loss, and (3) suggest how workplaces may better engage employees i ... Full text Link to item Cite

Occupational safety and health concerns in logging: A cross-sectional assessment in Virginia

Journal Article Forests · November 15, 2017 Increased logging mechanization has helped improve logging safety and health, yet related safety risks and concerns are not well understood. A cross-sectional study was completed among Virginia loggers. Participants (n = 122) completed a self-administered ... Full text Cite

Safety of union home care aides in Washington State.

Journal Article Am J Ind Med · September 2017 INTRODUCTION: A rate-based understanding of home care aides' adverse occupational outcomes related to their work location and care tasks is lacking. METHODS: Within a 30-month, dynamic cohort of 43 394 home care aides in Washington State, injury rates were ... Full text Link to item Cite

Perceived Barriers to Healthy Eating and Physical Activity Among Participants in a Workplace Obesity Intervention.

Journal Article J Occup Environ Med · August 2017 OBJECTIVE: To characterize barriers to healthy eating (BHE) and physical activity (BPA) among participants in a workplace weight management intervention. METHODS: Steps to health participants completed a questionnaire to ascertain barriers to physical acti ... Full text Link to item Cite

The Relationship Between BMI and Work-Related Musculoskeletal (MSK) Injury Rates is Modified by Job-Associated Level of MSK Injury Risk.

Journal Article J Occup Environ Med · May 2017 OBJECTIVE: The aim of this study was to examine the relationship between body mass index (BMI) and occupational musculoskeletal (MSK) injury rates, and the statistical interaction between BMI and occupational exposure to MSK hazards (measured by level of M ... Full text Link to item Cite

Effectiveness of OSHA Outreach Training on carpenters' work-related injury rates, Washington State 2000-2008.

Journal Article Am J Ind Med · January 2017 INTRODUCTION: Despite the size and breadth of OSHA's Outreach Training program for construction, information on its impact on work-related injury rates is limited. METHODS: In a 9-year dynamic cohort of 17,106 union carpenters in Washington State, the effe ... Full text Link to item Cite

Security Personnel Practices and Policies in U.S. Hospitals: Findings From a National Survey.

Journal Article Workplace health & safety · November 2016 Concerns of violence in hospitals warrant examination of current hospital security practices. Cross-sectional survey data were collected from members of a health care security and safety association to examine the type of personnel serving as security in h ... Full text Cite

Hospital workers bypass traditional occupational injury reporting systems when reporting patient and visitor perpetrated (type II) violence.

Journal Article Am J Ind Med · October 2016 BACKGROUND: Under-reporting of type II (patient/visitor-on-worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. METHODS: Mixed methods including surveys and focus groups were used to e ... Full text Link to item Cite

Prevalence of occupational injury and its contributing factors among rubber tappers in Galle, Sri Lanka.

Journal Article Int J Occup Environ Health · October 2016 BACKGROUND: Rubber tapping involves carrying heavy loads, navigating rough terrain, and using sharp tools. However, little is known about occupational injury among this vulnerable working population. OBJECTIVE: To assesses the prevalence, severity, and con ... Full text Link to item Cite

Prevalence and risk factors of musculoskeletal disorders among Sri Lankan rubber tappers.

Journal Article Int J Occup Environ Health · April 2016 BACKGROUND: Rubber tapping exposes workers to risk factors for musculoskeletal disorders (MSDs). OBJECTIVES: This cross-sectional study assessed the prevalence and factors associated with MSDs among Sri Lankan rubber tappers. METHODS: Questionnaires were a ... Full text Link to item Cite

An urgent need to understand and address the safety and well-being of hospital "sitters".

Journal Article Am J Ind Med · December 2015 BACKGROUND: Hospital sitters provide continuous observation of patients at risk of harming themselves or others. Little is known about sitters' occupational safety and well-being, including experiences with patient/visitor-perpetrated violence (type II). M ... Full text Link to item Cite

Physical assault, physical threat, and verbal abuse perpetrated against hospital workers by patients or visitors in six U.S. hospitals.

Journal Article Am J Ind Med · November 2015 BACKGROUND: An elevated risk of patient/visitor perpetrated violence (type II) against hospital nurses and physicians have been reported, while little is known about type II violence among other hospital workers, and circumstances surrounding these events. ... Full text Link to item Cite

Contrasting patterns of care for musculoskeletal disorders and injuries of the upper extremity and knee through workers' compensation and private health care insurance among union carpenters in Washington State, 1989 to 2008.

Journal Article Am J Ind Med · September 2015 BACKGROUND: Musculoskeletal symptoms and disorders (MSDIs) are common reasons for visits to medical providers in the general population and they are common work-related complaints. Prior reports raise concerns as to whether declines in workers' compensatio ... Full text Link to item Cite

Nail gun injuries treated in U.S emergency departments, 2006-2011: not just a worker safety issue.

Journal Article Am J Ind Med · August 2015 BACKGROUND: Nail guns increase productivity in residential building but with a corresponding increase in worker injuries. They are also easily accessible, at low cost, to consumers. METHODS: Data from the occupational supplement to the National Electronic ... Full text Link to item Cite

Non-reporting of work injuries and aspects of jobsite safety climate and behavioral-based safety elements among carpenters in Washington State.

Journal Article Am J Ind Med · April 2015 BACKGROUND: Declining work injury rates may reflect safer work conditions as well as under-reporting. METHODS: Union carpenters were invited to participate in a mailed, cross-sectional survey designed to capture information about injury reporting practices ... Full text Link to item Cite

Workers' compensation claims for musculoskeletal disorders and injuries of the upper extremity and knee among union carpenters in Washington State, 1989-2008.

Journal Article Am J Ind Med · April 2015 BACKGROUND: Numerous aspects of construction place workers at risk of musculoskeletal disorders and injuries (MSDIs). Work organization and the nature of MSDIs create surveillance challenges. METHODS: By linking union records with workers' compensation cla ... Full text Link to item Cite

Rates of and circumstances surrounding work-related falls from height among union drywall carpenters in Washington State, 1989-2008.

Journal Article J Safety Res · December 2014 BACKGROUND: Drywall installers are at high risk for work-related falls from height (FFH). METHODS: We defined a 20-year (1989-2008) cohort of 5,073 union drywall carpenters in Washington State, their worker-hours, and FFH. FFH rate patterns were examined u ... Full text Link to item Cite

Twenty years of workers' compensation costs due to falls from height among union carpenters, Washington state.

Journal Article Am J Ind Med · September 2014 BACKGROUND: Falls from height (FFH) are a longstanding, serious problem in construction. METHODS: We report workers' compensation (WC) payments associated with FFH among a cohort (n = 24,830; 1989-2008) of carpenters. Mean/median payments, cost rates, and ... Full text Link to item Cite

Impact of hospital type II violent events: use of psychotropic drugs and mental health services.

Journal Article Am J Ind Med · June 2014 BACKGROUND: While violence can adversely affect mental health of victims, repercussions of violence against workers is not as well characterized. MATERIALS AND METHODS: We explored relationships between workplace violent events perpetrated by patients or v ... Full text Link to item Cite

Declining rates of work-related overexertion back injuries among union drywall installers in Washington State, 1989-2008: Improved work safety or shifting of care?

Journal Article Am J Ind Med · February 2014 INTRODUCTION: Construction workers are at high risk of work-related musculoskeletal back disorders, and research suggests medical care and costs associated with these conditions may be covered by sources other than workers' compensation (WC). Little is kno ... Full text Link to item Cite

How well are we controlling falls from height in construction? Experiences of union carpenters in Washington State, 1989-2008.

Journal Article Am J Ind Med · January 2014 BACKGROUND: Falls from height (FFH) continue to cause significant morbidity and mortality across the construction industry. METHODS: By linking data on work hours with workers' compensation records, rates of work-related injuries resulting from FFH and ass ... Full text Link to item Cite

Work-related injuries among union drywall carpenters in Washington State, 1989-2008.

Journal Article Am J Ind Med · October 2013 BACKGROUND: Drywall installers are at high-risk of work-related injury. Comprehensive descriptive epidemiology of injuries among drywall installers, particularly over time, is lacking. METHODS: We identified worker-hours and reported and accepted workers' ... Full text Link to item Cite

Work-related injuries involving a hand or fingers among union carpenters in Washington State, 1989 to 2008.

Journal Article J Occup Environ Med · July 2013 OBJECTIVE: We evaluated work-related injuries involving a hand or fingers and associated costs among a cohort of 24,830 carpenters between 1989 and 2008. METHODS: Injury rates and rate ratios were calculated by using Poisson regression to explore higher ri ... Full text Link to item Cite

Twenty years of work-related injury and illness among union carpenters in Washington State.

Journal Article Am J Ind Med · April 2013 BACKGROUND: Individuals who work in the construction industry are at high risk of occupational injury. Robust surveillance systems are needed to monitor the experiences of these workers over time. METHODS: We updated important surveillance data for a uniqu ... Full text Link to item Cite

Perpetrator, worker and workplace characteristics associated with patient and visitor perpetrated violence (Type II) on hospital workers: a review of the literature and existing occupational injury data.

Journal Article J Safety Res · February 2013 PROBLEM: Non-fatal type II violence experienced by hospital workers (patient/visitor-on-worker violence) is not well described. METHODS: Hospital administration data (2004-2009) were examined for purposes of calculating rates of type II violent events expe ... Full text Link to item Cite

Musculoskeletal injuries among hospital patient care staff before and after implementation of patient lift and transfer equipment.

Journal Article Scand J Work Environ Health · January 2013 OBJECTIVE: Using an observational research design and robust surveillance data, we evaluated rates of musculoskeletal (MS) injuries, days away from work, and restricted work days among patient care staff at a medical center and community hospital in the Un ... Full text Link to item Cite

Evaluation of direct workers' compensation costs for musculoskeletal injuries surrounding interventions to reduce patient lifting.

Journal Article Occup Environ Med · May 2012 OBJECTIVES: We evaluated costs for workers' compensation (WC) injuries of a musculoskeletal (MS) nature in a large tertiary care hospital and an affiliated community hospital in the 13 years surrounding an institution-wide shift to a 'minimal manual patien ... Full text Link to item Cite

Cultural influences on workplace safety: An example of hospital workers' adoption of patient lifting devices

Journal Article Safety Science · March 1, 2012 Aims: A sociological and anthropological view of culture was used to investigate how work culture, independent of " safety culture" , may affect safety in the workplace. We explored how work cultures of nurses and physical/occupational therapists (PT/OTs) ... Full text Cite

Implementation and adoption of mechanical patient lift equipment in the hospital setting: The importance of organizational and cultural factors.

Journal Article Am J Ind Med · December 2011 BACKGROUND: Work focused on understanding implementation and adoption of interventions designed to prevent patient-handling injuries in the hospital setting is lacking in the injury literature and may be more insightful than more traditional evaluation mea ... Full text Link to item Cite

Objective measures of adoption of patient lift and transfer devices to reduce nursing staff injuries in the hospital setting.

Journal Article Am J Ind Med · December 2011 BACKGROUND: Interventions to reduce patient-handling injuries in the hospital setting are often evaluated based on their effect on outcomes such as injury rates. Measuring intervention adoption could address how and why observed trends in the outcome occur ... Full text Link to item Cite

A lift assist team in an acute care hospital-prevention of injury or transfer of risk during patient-handling tasks?

Journal Article AAOHN J · August 2011 A Lift Assist Team (LAT) was created on three units at a medical center where nursing staff were at high risk for patient-handling injuries. LAT members were drawn from the hospital's pool of patient transporters. Using qualitative and quantitative data, t ... Full text Link to item Cite

Cytomegalovirus (CMV) shedding is highly correlated with markers of immunosuppression in CMV-seropositive women.

Journal Article Journal of medical microbiology · June 2011 Cytomegalovirus (CMV) enters latency following primary infection and can subsequently reactivate. Reinfection with a different viral strain can also occur. During these events, CMV is shed in bodily fluids. This study examined correlates of CMV shedding in ... Full text Cite

Non-fatal construction industry fall-related injuries treated in US emergency departments, 1998-2005.

Journal Article Am J Ind Med · February 2011 BACKGROUND: There is a growing recognition that common occupational injury surveillance systems in the US fail to reflect true injury risk; this failure limits efforts to accurately monitor efforts to prevent work-related injuries on a national level. METH ... Full text Link to item Cite

Non-fatal contact injuries among workers in the construction industry treated in U.S. emergency departments, 1998-2005.

Journal Article J Safety Res · June 2010 PROBLEM: The National Occupational Research Agenda (NORA) for the construction industry calls for efforts to identify areas where guidance and regulation are needed to adequately prevent traumatic injuries resulting from a worker coming into contact with o ... Full text Link to item Cite

Nonfatal tool- or equipment-related injuries treated in US emergency departments among workers in the construction industry, 1998-2005.

Journal Article Am J Ind Med · June 2010 BACKGROUND: Individuals in the construction industry are exposed to a variety of tools and pieces of equipment as they work. METHODS: Data from the National Institute for Occupational Safety and Health (NIOSH) occupational supplement to the National Electr ... Full text Link to item Cite

Nonfatal construction industry-related injuries treated in hospital emergency departments in the United States, 1998-2005.

Journal Article Am J Ind Med · June 2010 BACKGROUND: This study documented the burden of nonfatal construction industry work-related injuries treated in hospital emergency departments in the United States (US) from 1998 through 2005 and described injured worker demographics and injury characteris ... Full text Link to item Cite

Musculoskeletal injuries resulting from patient handling tasks among hospital workers.

Journal Article Am J Ind Med · July 2009 BACKGROUND: The purpose of this study was to evaluate musculoskeletal injuries and disorders resulting from patient handling prior to the implementation of a "minimal manual lift" policy at a large tertiary care medical center. We sought to define the circ ... Full text Link to item Cite

Job characteristics and work organization factors associated with patient-handling injury among nursing personnel.

Journal Article Work · 2009 The aim of this cross-sectional study was to explore the association of worker characteristics and work organization factors with prevalence of patient-handling injury among nursing personnel in an acute-care inpatient setting. Self-administered questionna ... Full text Link to item Cite

Systematic reviews of workplace injury interventions: what are we missing?

Journal Article Med Lav · 2009 BACKGROUND: There are pitfalls associated with applying a biomedical model with its emphasis on experimental designs to the evaluation of workplace injury interventions. OBJECTIVES: Evaluation over enough time is essential in occupational safety when inter ... Link to item Cite

Demographic, clinical and occupational characteristics associated with early onset of delivery: findings from the Duke Health and Safety Surveillance System, 2001-2004.

Journal Article Am J Ind Med · December 2008 BACKGROUND: This cross-sectional study explores associations between preterm delivery and demographic, clinical and occupational characteristics of women employed within a university and health system. METHODS: A comprehensive surveillance system linking i ... Full text Link to item Cite

Are we failing vulnerable workers? The case of black women in poultry processing in rural north Carolina

Journal Article New Solutions · August 1, 2007 Ā© 2007, Baywood Publishing Co., Inc. In 1989, North Carolina Occupational Safety and Health Administration (OSHA) inspectors cited two poultry processing plants in northeastern North Carolina for serious repetitive motion problems. In 1990, investigators f ... Cite

Are we failing vulnerable workers? The case of black women in poultry processing in rural North Carolina.

Journal Article New Solut · 2007 In 1989, North Carolina Occupational Safety and Health Administration (OSHA) inspectors cited two poultry processing plants in northeastern North Carolina for serious repetitive motion problems. In 1990, investigators from the National Institute for Occupa ... Full text Link to item Cite

Depressive symptoms among working women in rural North Carolina: a comparison of women in poultry processing and other low-wage jobs.

Journal Article Int J Law Psychiatry · 2007 We report on the prevalence of self-reported depressive symptoms and associated factors among women employed in a poultry processing plant and a community comparison group of other employed women in northeastern North Carolina in the southern United States ... Full text Link to item Cite