Factors promoting consistent adherence to safe needle precautions among hospital workers

Thomas E. Vaughn, Kimberly D. McCoy, Susan E. Beekmann, Robert F. Woolson, James C. Torner, Bradley Doebbeling

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

OBJECTIVE: To examine organizational factors and occupational characteristics associated with adherence to occupational safety guidelines recommending never recapping needles. DESIGN: Mail surveys were conducted with healthcare workers (HCWs) and infection control professionals (ICPs). SETTING: The surveys were conducted at all non-federal general hospitals in Iowa, except one tertiary-care hospital. Survey data were linked to annual survey data of the American Hospital Association (AHA). PARTICIPANTS: HCWs were sampled from statewide rosters of physicians, nurses, and laboratory workers in Iowa. Eligible HCWs worked in a setting and position in which they were likely to routinely handle needles. ICPs at all hospitals in the state were surveyed. RESULTS: Ninety-nine ICPs responded (79% response rate). AHA data were available for all variables from 84 (85%) of the hospitals. Analyses were based on 1,454 HCWs who identified one of these hospitals as their primary hospital (70% response rate). Analyses were conducted using multiple logistic regression. Positive predictors of consistent adherence included infection control personnel hours per full-time-equivalent employee (odds ratio [OR], 1.03), frequency of standard precautions education (OR, 1.11), facilities providing personal protective equipment (OR, 1.82), facilities using needleless intravenous systems (OR, 1.42), and management support for safety (OR, 1.05). Negative predictors were use of "blood and body fluid precautions" isolation category (OR, 0.74) and increased job demands (OR, 0.90). CONCLUSION: Healthcare organizations can improve staff safety by investing wisely in educational programs regarding approaches to minimize these risks, providing protective equipment, and eliminating the use of blood and body fluid precautions as an isolation policy.

Original languageEnglish (US)
Pages (from-to)548-555
Number of pages8
JournalInfection Control and Hospital Epidemiology
Volume25
Issue number7
DOIs
StatePublished - Jul 2004
Externally publishedYes

Fingerprint

Needles
Odds Ratio
Infection Control
Delivery of Health Care
American Hospital Association
Body Fluids
Safety Management
State Hospitals
Postal Service
Occupational Health
Tertiary Healthcare
Tertiary Care Centers
General Hospitals
Logistic Models
Nurses
Organizations
Guidelines
Physicians
Safety
Education

ASJC Scopus subject areas

  • Immunology
  • Microbiology (medical)

Cite this

Factors promoting consistent adherence to safe needle precautions among hospital workers. / Vaughn, Thomas E.; McCoy, Kimberly D.; Beekmann, Susan E.; Woolson, Robert F.; Torner, James C.; Doebbeling, Bradley.

In: Infection Control and Hospital Epidemiology, Vol. 25, No. 7, 07.2004, p. 548-555.

Research output: Contribution to journalArticle

Vaughn, Thomas E. ; McCoy, Kimberly D. ; Beekmann, Susan E. ; Woolson, Robert F. ; Torner, James C. ; Doebbeling, Bradley. / Factors promoting consistent adherence to safe needle precautions among hospital workers. In: Infection Control and Hospital Epidemiology. 2004 ; Vol. 25, No. 7. pp. 548-555.
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