TY - JOUR
T1 - Nurses' sharps, including needlestick, injuries in public and private healthcare facilities in New South Wales, Australia
AU - Guest, Maya
AU - Kable, Ashley K.
AU - Boggess, May
AU - Friedewald, Mark
N1 - Funding Information:
Study 1 was funded by NSW Health. Study 2 was funded under the WorkCover NSW WorkCover Assist Program; the research conclusions are those of the authors and any views expressed are not necessarily those of WorkCover NSW.
PY - 2014
Y1 - 2014
N2 - Background The aim of this paper is to determine factors associated with sharps-related injury rates in nurses by analysing the combined data from two state-wide cross-sectional studies of nurses and comparing rates between public and private sectors and between different nurse practice areas in NSW. Methods The data from two studies conducted in 2006 and 2007 were combined for 44 similar data items and for similar nurse participants (registered nurses, registered midwives and enrolled nurses). Both studies had recruited nurses from membership of the NSW Nurses' Association. Data for 256 and 1100 participants respectively were combined for this comparative analysis. Results The sharps-related annual injury rate was 7.2% (95% CI: 5.9, 8.7). It was significantly higher in operating theatres, renal, mental health and paediatric practice areas in private compared with public facilities (17.9% versus 5.2%). Positive aspects of sharps safety practices included: 90% of nurses reported their injuries, were aware of processes required for dealing with sharps injuries and found their managers to be approachable. Areas for improvement included the provision of information about persons responsible for follow-up (21% unsure), increased provision of safety-engineered medical devices (SEMDs) (50% not available), decreased provision of non-SEMDs (75% available) and a focus on the highly-resistant practice of recapping needles (35% report recapping non-SEMDs). Conclusions There are significant differences in sharps-related injuries between public and private facilities. Opportunities exist to improve safety practices across various nursing practice environments.
AB - Background The aim of this paper is to determine factors associated with sharps-related injury rates in nurses by analysing the combined data from two state-wide cross-sectional studies of nurses and comparing rates between public and private sectors and between different nurse practice areas in NSW. Methods The data from two studies conducted in 2006 and 2007 were combined for 44 similar data items and for similar nurse participants (registered nurses, registered midwives and enrolled nurses). Both studies had recruited nurses from membership of the NSW Nurses' Association. Data for 256 and 1100 participants respectively were combined for this comparative analysis. Results The sharps-related annual injury rate was 7.2% (95% CI: 5.9, 8.7). It was significantly higher in operating theatres, renal, mental health and paediatric practice areas in private compared with public facilities (17.9% versus 5.2%). Positive aspects of sharps safety practices included: 90% of nurses reported their injuries, were aware of processes required for dealing with sharps injuries and found their managers to be approachable. Areas for improvement included the provision of information about persons responsible for follow-up (21% unsure), increased provision of safety-engineered medical devices (SEMDs) (50% not available), decreased provision of non-SEMDs (75% available) and a focus on the highly-resistant practice of recapping needles (35% report recapping non-SEMDs). Conclusions There are significant differences in sharps-related injuries between public and private facilities. Opportunities exist to improve safety practices across various nursing practice environments.
KW - health and safety
KW - healthcare-acquired infection
KW - needlestick injuries
KW - nursing
KW - occupational exposure
KW - occupational health.
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U2 - 10.1071/HI13044
DO - 10.1071/HI13044
M3 - Article
AN - SCOPUS:84901793995
VL - 19
SP - 65
EP - 75
JO - Infection, Disease and Health
JF - Infection, Disease and Health
SN - 2468-0451
IS - 2
ER -