کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2638753 1563543 2009 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروب شناسی
پیش نمایش صفحه اول مقاله
The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector
چکیده انگلیسی

BackgroundPatients continue to enter home health care (HHC) “sicker and quicker,” often with complex health problems that require extensive intervention. This higher level of acuity may increase the risk of percutaneous injury (PI), yet information on the risk and risk factors for PI and other types of exposures in this setting is exceptionally sparse. To address this gap, a large cross-sectional study of self-reported exposures in HHC registered nurses (RNs) was conducted.MethodsA convenience sample of HHC RNs (N = 738) completed a survey addressing 5 major constructs: (1) worker-centered characteristics, (2) patient-related characteristics, (3) household characteristics, (4) organizational factors, and (5) prevalence of PIs and other blood and body fluid exposures. Analyses were directed at determining significant risk factors for exposure.ResultsFourteen percent of RNs reported one or more PIs in the past 3 years (7.6 per 100 person-years). Nearly half (45.8%) of all PIs were not formally reported. PIs were significantly correlated with a number of factors, including lack of compliance with Standard Precautions (odds ratio [OR], 1.72; P = .019; 95% confidence interval [CI]: 1.09-2.71); recapping of needles (OR, 1.78; P = .016; 95% CI: 1.11-2.86); exposure to household stressors (OR, 1.99; P = .005; 95% CI: 1.22-3.25); exposure to violence (OR, 3.47; P = .001; 95% CI: 1.67-7.20); mandatory overtime (OR, 2.44; P = .006; 95% CI: 1.27-4.67); and safety climate (OR, 1.88; P = .004; 95% CI: 1.21-2.91) among others.ConclusionThe prevalence of PI was substantial. Underreporting rates and risk factors for exposure were similar to those identified in other RN work populations, although factors uniquely associated with home care were also identified. Risk mitigation strategies tailored to home care are needed to reduce risk of exposure in this setting.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Infection Control - Volume 37, Issue 7, September 2009, Pages 525–533
نویسندگان
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