A preliminary study about needlestick and sharps injuries among Doctors and Nurses in a medical center
Date Issued
2007
Date
2007
Author(s)
Huang, Szu-Fen
DOI
zh-TW
Abstract
Needlestick and sharps injuries (NSIs) are the main issue of occupational safety among healthcare workers injuries because of the potential risk of transmission of infectious diseases. The purposes of this study include:(1)understanding the occurrence and reporting rate of NSIs among doctors and nurses in a medical center; (2)identifying associated factors with NSIs. From May 10th to May 30th in 2007, purposive sampling of subjects was conducted for this cross-sectional survey in a medical center, by means of structured questionnaires. From 418 doctors and 814 nurses , 251 and 814 completed questionnaires were respectively obtained with response rates of the doctors and nurses being 60.0% and 80.5% respectively (totally 73.5%).
The results of this study are as follow:
(1) Totally, 45.5% of the subjects experienced NSI in the previous year with an average of occurrence 0.76 events/
person/year. 43% of NSI events involved contamininated devices. Doctors and nurses had NSIs with averages of occurrence to be 0.74 events/doctor/yearand 0.77 events/nurse/year respectively.
(2) 62.3% of NSI events were reported. The reasons of no motivation in reporting NSI events included the complicated procedure of reporting NSI events, no known infection diseases in the involved patients and lack of enough time for reporting.
(3) The commonest devices of NSIs were syringe-needles and opening an ampoule or vial in descending order. The most common medical procedure causing NSIs was recapping of syringe needles.
(4) On recalling the recent ten times of handling syringe needles, the subjects got the
averages of disposal of uncapped syringe needles directly to the collecting boxes,
recapping synringe needles by single hand and recapping by double hands to be 5.95 times, 2.46 times and 1.56 times respectively.
(5) Of the mean occurrences of NSIs, male was higher than female and doctors were higher than nurses. Besides, the Bachelors were the highest considering educational
level. The mean occurrences were highest at surgery wards, followed by operation rooms, but lowest at intensive care units. The younger and lesser job experience of the subjects, the higher were the occurrences of NSIs.
(6) The better knowledge about NSIs of the subjects, the lesser was the occurrence. The better attitude of subjects to NSIs, the lesser was the occurrence.
(7) The knowledges of female subjects about NSIs were better than these of males. The subjects from department of internal medicine got the highest knowledge score while those from the operation rooms got the lowest score. Those who had ever received educational courses about NSIs got higher score than those uneducated.
(8) Considering scoring of attitudes to NSIs, females were higher than males and nurses higher than doctors. In addition, the subjects in operation rooms got the highest score while those in Department of Surgery got the lowest.
(9) The scores of knowledge about and attitudes to NSIs got significantly positive Pearson correlation with the frequencies of disposing uncapped syringe needles while the scores of attitudes got significantly positive Pearson correlation with frequencies of uncapped syringe needles.
(10) The important predictive factors in occurrence of NSIs are education level and attitude scores. Logistic regression indicated that the odds ratio in NSIs of those getting Bachelor degree to those getting Master degree or higher degree is 2.646(95% C.I.=1.106–6.330).
The important predictive factors in contaminated NSIs included titles, departments and net attitudes. Besides, the odds ratio in NSIs of doctors to nurses was 2.302 (95% C.I.=1.127-4.704) and the odds ratio of subject in operation room to subjects in intensive care units was 3.895 (95% C.I.=1.682-9.017).
In conclusion, the highest risk group of NSI included doctors, those working in operation room and the less experienced. The most important predictive factor in NSI was attitude of each staff. The outcome of this study may provide information for improving safety policy in hospital.
Subjects
針扎
尖銳物扎傷
職業安全
Needlestick
Sharps injuries
Occupational safety
SDGs
Type
thesis
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