Hospital nurses' occupational exposure to blood: prospective, retrospective, and institutional reports
This study examined nurses risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and the factors affecting risks. Nurses on 40 medical units in 20 hospitals in cities with a high incidence of AIDS were studied. Percutaneous injuries were do...
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Published in | American journal of public health (1971) Vol. 87; no. 1; pp. 103 - 107 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Washington, DC
Am Public Health Assoc
01.01.1997
American Public Health Association |
Subjects | |
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Abstract | This study examined nurses risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and the factors affecting risks.
Nurses on 40 medical units in 20 hospitals in cities with a high incidence of AIDS were studied. Percutaneous injuries were documented for every shift during a 30-day period. These prospective reports were compared with retrospective and institutional reports. Factors affecting the likelihood of injuries were explored.
Based on the prospective reports, the rate of injuries to staff nurses was 0.8 per nurse-year. Prospective and retrospective rates were similar, while institutional rates were significantly lower. Factors associated with increased injuries included recapping needles and temporary work assignments. Working in hospitals characterized by professional nurse practice models and taking precautions to avoid blood contact were associated with fewer injuries.
Injuries from needlesticks are more common than institutional reports suggest and do not occur at random. Diminishing the frequency with which nurses recap needles, increasing precautions they take, reducing use of temporary nursing personnel, and implementing organizational changes may lower the odds of nurses being injured. |
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AbstractList | This study examined nurses risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and the factors affecting risks. Nurses on 40 medical units in 20 hospitals in cities with a high incidence of AIDS were studied. Percutaneous injuries were documented for every shift during a 30-day period. These prospective reports were compared with retrospective and institutional reports. Factors affecting the likelihood of injuries were explored. Based on the prospective reports, the rate of injuries to staff nurses was 0.8 per nurse-year. Prospective and retrospective rates were similar, while institutional rates were significantly lower. Factors associated with increased injuries included recapping needles and temporary work assignments. Working in hospitals characterized by professional nurse practice models and taking precautions to avoid blood contact were associated with fewer injuries. Injuries from needlesticks are more common than institutional reports suggest and do not occur at random. Diminishing the frequency with which nurses recap needles, increasing precautions they take, reducing use of temporary nursing personnel, and implementing organizational changes may lower the odds of nurses being injured. This study examined nurses risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and the factors affecting risks. Nurses on 40 medical units in 20 hospitals in cities with a high incidence of AIDS were studied. Percutaneous injuries were documented for every shift during a 30-day period. These prospective reports were compared with retrospective and institutional reports. Factors affecting the likelihood of injuries were explored. Based on the prospective reports, the rate of injuries to staff nurses was 0.8 per nurse-year. Prospective and retrospective rates were similar, while institutional rates were significantly lower. Factors associated with increased injuries included recapping needles and temporary work assignments. Working in hospitals characterized by professional nurse practice models and taking precautions to avoid blood contact were associated with fewer injuries. Injuries from needlesticks are more common than institutional reports suggest and do not occur at random. Diminishing the frequency with which nurses recap needles, increasing precautions they take, reducing use of temporary nursing personnel, and implementing organizational changes may lower the odds of nurses being injured. OBJECTIVES: This study examined nurses risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and the factors affecting risks. METHODS: Nurses on 40 medical units in 20 hospitals in cities with a high incidence of AIDS were studied. Percutaneous injuries were documented for every shift during a 30-day period. These prospective reports were compared with retrospective and institutional reports. Factors affecting the likelihood of injuries were explored. RESULTS: Based on the prospective reports, the rate of injuries to staff nurses was 0.8 per nurse-year. Prospective and retrospective rates were similar, while institutional rates were significantly lower. Factors associated with increased injuries included recapping needles and temporary work assignments. Working in hospitals characterized by professional nurse practice models and taking precautions to avoid blood contact were associated with fewer injuries. CONCLUSIONS: Injuries from needlesticks are more common than institutional reports suggest and do not occur at random. Diminishing the frequency with which nurses recap needles, increasing precautions they take, reducing use of temporary nursing personnel, and implementing organizational changes may lower the odds of nurses being injured. This study examined nurses' risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and the factors affecting risks. Nurses on 40 medical units in 20 hospitals in cities with a high incidence of AIDS were studied. Based on the prospective reports, the rate of injuries to staff nurses was 0.8 per nurse-year. Prospective and retrospective rates were similar, while institutional rates were significantly lower. Factors associated with increased injuries included recapping needles and temporary work assignments. Working in hospitals characterized by professional nurse practice models and taking precautions to avoid blood contact were associated with fewer injuries. Nurses on 40 medical units in 20 hospitals in cities with a high incidence of AIDS were studied. Percutaneous injuries were documented for every shift during a 30-day period. These prospective reports were compared with retrospective and institutional reports. Factors affecting the likelihood of injuries were also explored. Injuries from needlesticks are more common than institutional reports suggest and do not occur at random. Diminishing the frequency with which nurses recap needles, increasing precautions they take, reducing use of temporary nursing personnel, and implementing organizational changes may lower the odds of nurses being injured. (Original abstract-amended) |
Author | Klocinski, J L Sloane, D M Aiken, L H |
AuthorAffiliation | Center for Health Services and Policy Research, University of Pennsylvania, Philadelphia 19104-6096, USA |
AuthorAffiliation_xml | – name: Center for Health Services and Policy Research, University of Pennsylvania, Philadelphia 19104-6096, USA |
Author_xml | – sequence: 1 fullname: Aiken, L H – sequence: 2 fullname: Sloane, D M – sequence: 3 fullname: Klocinski, J L |
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Keywords | Human Immunopathology Occupational disease Health staff Hepatic disease Hospital environment AIDS Occupational exposure Immune deficiency Epidemiology Blood Infection Viral hepatitis B Viral disease Risk factor Digestive diseases Occupational medicine Nurse |
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References | p_16 Lumsdon K (p_23) 1995 p_17 p_2 p_18 p_1 p_4 p_12 p_3 p_14 p_8 Gravell EL (p_21) 1995; 4 p_7 p_9 Centers for Disease Control and Prevention (p_13) 1995; 44 Centers for Disease Control and Prevention. Table 16 (p_6) 1995; 7 Centers for Disease Control and Prevention (p_19) 1987; 36 p_10 p_11 p_22 Jagger J (p_20) 1994; 1 |
References_xml | – volume: 36 start-page: 1S year: 1987 ident: p_19 publication-title: MMWR. contributor: fullname: Centers for Disease Control and Prevention – volume: 1 start-page: 1 year: 1994 ident: p_20 publication-title: Adv Exposure Prev. contributor: fullname: Jagger J – ident: p_3 doi: 10.1016/0277-9536(91)90357-I – ident: p_8 doi: 10.1001/jama.275.19.1474 – ident: p_14 doi: 10.1016/0895-4356(95)00546-3 – start-page: 31 year: 1995 ident: p_23 publication-title: Hosp Hosp Networks. contributor: fullname: Lumsdon K – ident: p_2 – ident: p_18 – ident: p_7 doi: 10.1056/NEJM198808043190506 – ident: p_17 doi: 10.1097/00005650-199408000-00002 – ident: p_10 doi: 10.1056/NEJM198810273191703 – ident: p_16 doi: 10.1097/00005110-198802010-00005 – ident: p_4 doi: 10.1016/0196-6553(94)90016-7 – ident: p_1 doi: 10.1001/jama.1990.03440180009001 – ident: p_9 – volume: 7 start-page: 21 issue: 2 year: 1995 ident: p_6 publication-title: United States. HIVIAIDS Surveill. contributor: fullname: Centers for Disease Control and Prevention. Table 16 – ident: p_22 – volume: 44 start-page: 929 year: 1995 ident: p_13 publication-title: MMWR. contributor: fullname: Centers for Disease Control and Prevention – volume: 4 start-page: 48 year: 1995 ident: p_21 publication-title: Materials Manage Healthcare. contributor: fullname: Gravell EL – ident: p_11 doi: 10.1016/S0039-6109(16)46781-2 – ident: p_12 doi: 10.1016/S0039-6109(16)46791-5 |
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Snippet | This study examined nurses risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and the factors... OBJECTIVES: This study examined nurses risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and... This study examined nurses' risk of exposure to blood resulting from injuries with needles and sharps, the methods of estimating those risks, and the factors... Nurses on 40 medical units in 20 hospitals in cities with a high incidence of AIDS were studied. Percutaneous injuries were documented for every shift during a... |
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SubjectTerms | Acquired immune deficiency syndrome Acquired Immunodeficiency Syndrome - transmission AIDS Biological and medical sciences Blood Chemical, physic and infectious diseases Data collection Discount coupons Estimates Hepatitis HIV Human immunodeficiency virus Humans Immune system Incidence Infections Medical sciences Needlestick injuries Needlestick Injuries - complications Needlestick Injuries - epidemiology Nurses Nursing Nursing Staff, Hospital Occupational accidents Occupational Exposure Occupational medicine Physic and infectious agents Prospective Studies Public health Public health. Hygiene-occupational medicine Questionnaires Retrospective Studies Risk Factors United States - epidemiology Urban Health USA |
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Title | Hospital nurses' occupational exposure to blood: prospective, retrospective, and institutional reports |
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