{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:39:18Z","timestamp":1780465158013,"version":"3.54.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,11,21]],"date-time":"2020-11-21T00:00:00Z","timestamp":1605916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000664","name":"Health Technology Assessment Programme","doi-asserted-by":"publisher","award":["13\/LO\/0981"],"award-info":[{"award-number":["13\/LO\/0981"]}],"id":[{"id":"10.13039\/501100000664","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Hand dermatitis is highly prevalent among nurses due to their frequent exposure to wet work. Providing cost-effective dermatological health surveillance for this occupational group presents a challenge to health service providers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To ascertain the predictive value of nurses\u2019 self-assessment of whether they had current hand dermatitis using a screening questionnaire when compared with the assessment made by a dermatologist of the nurses\u2019 hand photographs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a cross-sectional study comparing the self-report decision made by student and intensive care nurses using a single hand dermatitis screening question with the clinical assessment of their hand photographs made by dermatologists using a standardized photographic guide.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We analysed data collected at study baseline (n = 1599). The results showed that the screening question had a high negative predictive value (91%; 95% CI 89\u201393), but a low positive predictive value (39%; 95% CI 34\u201345). It demonstrated acceptable accuracy in distinguishing those with and without the disease (area under the receiver operator curve = 0.7) and had a high specificity (86%; 95% CI 84\u201388) but a sensitivity of only 52% (95% CI 46\u201359) in identifying hand dermatitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We found that nurses were able to accurately self-assess themselves as not having any signs of hand dermatitis. By contrast, they were less able to accurately self-assess positive cases suggesting under-recognition of early disease. We propose that a questionnaire containing a single hand dermatitis screening question should be considered as a tool for screening out clear cases as part of a workplace health surveillance programme for detecting hand dermatitis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqaa188","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T12:10:02Z","timestamp":1603887002000},"page":"645-648","source":"Crossref","is-referenced-by-count":6,"title":["A self-report questionnaire to detect hand dermatitis in nurses"],"prefix":"10.1093","volume":"70","author":[{"given":"V","family":"Parsons","sequence":"first","affiliation":[{"name":"Occupational Health Service, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust\/Faculty of Life Sciences and Medicine, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H C","family":"Williams","sequence":"additional","affiliation":[{"name":"Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"English","sequence":"additional","affiliation":[{"name":"Dermatology, Circle Nottingham NHS Treatment Centre, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Llewellyn","sequence":"additional","affiliation":[{"name":"Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Ntani","sequence":"additional","affiliation":[{"name":"Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Madan","sequence":"additional","affiliation":[{"name":"Occupational Health Service, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust\/Faculty of Life Sciences and Medicine, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,21]]},"reference":[{"key":"2020123013295924300_CIT0001","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1111\/j.1600-0536.2009.01669.x","article-title":"The epidemiology of hand eczema in the general population\u2014prevalence and main findings","volume":"62","author":"Thyssen","year":"2010","journal-title":"Contact Dermatitis"},{"key":"2020123013295924300_CIT0002","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1111\/bjd.18862","article-title":"A behaviour change package to prevent hand dermatitis in nurses working in the National Health Service: results of a cluster randomized controlled trial","volume":"183","author":"Madan","year":"2020","journal-title":"Br J Dermatol"},{"key":"2020123013295924300_CIT0003","author":"Health & Safety 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