Factors associated with needlestick and sharp injuries among hospital nurses: A cross-sectional questionnaire survey

Eunhee Cho, Hyeonkyeong Lee, Miyoung Choi, Su Ho Park, Il Young Yoo, Linda H. Aiken

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Background: The current status of needlestick or sharp injuries of hospital nurses and factors associated with the injuries have not been systematically examined with representative registered nurse samples in South Korea. Objective: To examine the incidence to needlestick or sharp injuries and identify the factors associated with such injuries among hospital nurses in South Korea. Design, settings and participants: A cross-sectional survey of hospital nurses in South Korea. Data were collected from 3079 registered nurses in 60 acute hospitals in South Korea by a stratified random sampling method based on the region and number of beds. Methods: The dependent variable was the occurrence of needlestick or sharp injuries in the last year, and the independent variables were protective equipment, nurse characteristics, and hospital characteristics. This study employed logistic regression analysis with generalized estimating equation clustering by hospital to identify the factors associated with needlestick or sharp injuries. Results: The majority (70.4%) of the hospital nurses had experienced needlestick or sharp injuries in the previous year. The non-use of safety containers for disposal of sharps and needles, less working experience as a registered nurse, poor work environments in regards to staffing and resource adequacy, and high emotional exhaustion significantly increased risk for needlestick or sharp injuries. Working in perioperative units also significantly increased the risk for such injuries but working in intensive care units, psychiatry, and obstetrics wards showed a significantly lower risk than medical-surgical wards. Conclusions: The occurrence of needlestick or sharp injuries of registered nurses was associated with organizational characteristics as well as protective equipment and nurse characteristics. Hospitals can prevent or reduce such injuries by establishing better work environments in terms of staffing and resource adequacy, minimizing emotional exhaustion, and retaining more experienced nurses. All hospitals should make safety-engineered equipment available to registered nurses. Hospitals as well as specific units showing higher risk for needlestick and sharp injuries should implement organizational strategies to prevent such injuries. It is also necessary to establish a monitoring system of needlestick and sharp injuries at a hospital level and a reporting system at the national level in South Korea.

Original languageEnglish
Pages (from-to)1025-1032
Number of pages8
JournalInternational Journal of Nursing Studies
Volume50
Issue number8
DOIs
Publication statusPublished - 2013 Aug 1

Fingerprint

Needlestick Injuries
Cross-Sectional Studies
Nurses
Republic of Korea
Wounds and Injuries
Surveys and Questionnaires
Equipment Safety
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

@article{9e982a138bed4e608b920e7d5a696dbb,
title = "Factors associated with needlestick and sharp injuries among hospital nurses: A cross-sectional questionnaire survey",
abstract = "Background: The current status of needlestick or sharp injuries of hospital nurses and factors associated with the injuries have not been systematically examined with representative registered nurse samples in South Korea. Objective: To examine the incidence to needlestick or sharp injuries and identify the factors associated with such injuries among hospital nurses in South Korea. Design, settings and participants: A cross-sectional survey of hospital nurses in South Korea. Data were collected from 3079 registered nurses in 60 acute hospitals in South Korea by a stratified random sampling method based on the region and number of beds. Methods: The dependent variable was the occurrence of needlestick or sharp injuries in the last year, and the independent variables were protective equipment, nurse characteristics, and hospital characteristics. This study employed logistic regression analysis with generalized estimating equation clustering by hospital to identify the factors associated with needlestick or sharp injuries. Results: The majority (70.4{\%}) of the hospital nurses had experienced needlestick or sharp injuries in the previous year. The non-use of safety containers for disposal of sharps and needles, less working experience as a registered nurse, poor work environments in regards to staffing and resource adequacy, and high emotional exhaustion significantly increased risk for needlestick or sharp injuries. Working in perioperative units also significantly increased the risk for such injuries but working in intensive care units, psychiatry, and obstetrics wards showed a significantly lower risk than medical-surgical wards. Conclusions: The occurrence of needlestick or sharp injuries of registered nurses was associated with organizational characteristics as well as protective equipment and nurse characteristics. Hospitals can prevent or reduce such injuries by establishing better work environments in terms of staffing and resource adequacy, minimizing emotional exhaustion, and retaining more experienced nurses. All hospitals should make safety-engineered equipment available to registered nurses. Hospitals as well as specific units showing higher risk for needlestick and sharp injuries should implement organizational strategies to prevent such injuries. It is also necessary to establish a monitoring system of needlestick and sharp injuries at a hospital level and a reporting system at the national level in South Korea.",
author = "Eunhee Cho and Hyeonkyeong Lee and Miyoung Choi and Park, {Su Ho} and Yoo, {Il Young} and Aiken, {Linda H.}",
year = "2013",
month = "8",
day = "1",
doi = "10.1016/j.ijnurstu.2012.07.009",
language = "English",
volume = "50",
pages = "1025--1032",
journal = "International Journal of Nursing Studies",
issn = "0020-7489",
publisher = "Elsevier Limited",
number = "8",

}

Factors associated with needlestick and sharp injuries among hospital nurses : A cross-sectional questionnaire survey. / Cho, Eunhee; Lee, Hyeonkyeong; Choi, Miyoung; Park, Su Ho; Yoo, Il Young; Aiken, Linda H.

In: International Journal of Nursing Studies, Vol. 50, No. 8, 01.08.2013, p. 1025-1032.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Factors associated with needlestick and sharp injuries among hospital nurses

T2 - A cross-sectional questionnaire survey

AU - Cho, Eunhee

AU - Lee, Hyeonkyeong

AU - Choi, Miyoung

AU - Park, Su Ho

AU - Yoo, Il Young

AU - Aiken, Linda H.

PY - 2013/8/1

Y1 - 2013/8/1

N2 - Background: The current status of needlestick or sharp injuries of hospital nurses and factors associated with the injuries have not been systematically examined with representative registered nurse samples in South Korea. Objective: To examine the incidence to needlestick or sharp injuries and identify the factors associated with such injuries among hospital nurses in South Korea. Design, settings and participants: A cross-sectional survey of hospital nurses in South Korea. Data were collected from 3079 registered nurses in 60 acute hospitals in South Korea by a stratified random sampling method based on the region and number of beds. Methods: The dependent variable was the occurrence of needlestick or sharp injuries in the last year, and the independent variables were protective equipment, nurse characteristics, and hospital characteristics. This study employed logistic regression analysis with generalized estimating equation clustering by hospital to identify the factors associated with needlestick or sharp injuries. Results: The majority (70.4%) of the hospital nurses had experienced needlestick or sharp injuries in the previous year. The non-use of safety containers for disposal of sharps and needles, less working experience as a registered nurse, poor work environments in regards to staffing and resource adequacy, and high emotional exhaustion significantly increased risk for needlestick or sharp injuries. Working in perioperative units also significantly increased the risk for such injuries but working in intensive care units, psychiatry, and obstetrics wards showed a significantly lower risk than medical-surgical wards. Conclusions: The occurrence of needlestick or sharp injuries of registered nurses was associated with organizational characteristics as well as protective equipment and nurse characteristics. Hospitals can prevent or reduce such injuries by establishing better work environments in terms of staffing and resource adequacy, minimizing emotional exhaustion, and retaining more experienced nurses. All hospitals should make safety-engineered equipment available to registered nurses. Hospitals as well as specific units showing higher risk for needlestick and sharp injuries should implement organizational strategies to prevent such injuries. It is also necessary to establish a monitoring system of needlestick and sharp injuries at a hospital level and a reporting system at the national level in South Korea.

AB - Background: The current status of needlestick or sharp injuries of hospital nurses and factors associated with the injuries have not been systematically examined with representative registered nurse samples in South Korea. Objective: To examine the incidence to needlestick or sharp injuries and identify the factors associated with such injuries among hospital nurses in South Korea. Design, settings and participants: A cross-sectional survey of hospital nurses in South Korea. Data were collected from 3079 registered nurses in 60 acute hospitals in South Korea by a stratified random sampling method based on the region and number of beds. Methods: The dependent variable was the occurrence of needlestick or sharp injuries in the last year, and the independent variables were protective equipment, nurse characteristics, and hospital characteristics. This study employed logistic regression analysis with generalized estimating equation clustering by hospital to identify the factors associated with needlestick or sharp injuries. Results: The majority (70.4%) of the hospital nurses had experienced needlestick or sharp injuries in the previous year. The non-use of safety containers for disposal of sharps and needles, less working experience as a registered nurse, poor work environments in regards to staffing and resource adequacy, and high emotional exhaustion significantly increased risk for needlestick or sharp injuries. Working in perioperative units also significantly increased the risk for such injuries but working in intensive care units, psychiatry, and obstetrics wards showed a significantly lower risk than medical-surgical wards. Conclusions: The occurrence of needlestick or sharp injuries of registered nurses was associated with organizational characteristics as well as protective equipment and nurse characteristics. Hospitals can prevent or reduce such injuries by establishing better work environments in terms of staffing and resource adequacy, minimizing emotional exhaustion, and retaining more experienced nurses. All hospitals should make safety-engineered equipment available to registered nurses. Hospitals as well as specific units showing higher risk for needlestick and sharp injuries should implement organizational strategies to prevent such injuries. It is also necessary to establish a monitoring system of needlestick and sharp injuries at a hospital level and a reporting system at the national level in South Korea.

UR - http://www.scopus.com/inward/record.url?scp=84879605717&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84879605717&partnerID=8YFLogxK

U2 - 10.1016/j.ijnurstu.2012.07.009

DO - 10.1016/j.ijnurstu.2012.07.009

M3 - Article

C2 - 22854116

AN - SCOPUS:84879605717

VL - 50

SP - 1025

EP - 1032

JO - International Journal of Nursing Studies

JF - International Journal of Nursing Studies

SN - 0020-7489

IS - 8

ER -