Taking the Blame Off of Health Care Workers: Using a Systems Approach to Determine the Contributing Factors to Needlestick Injuries

1998 ◽  
Vol 42 (14) ◽  
pp. 1033-1037
Author(s):  
Krista R. McIntosh
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Structural Equation ◽  
Systems Approach ◽  
Health Care Organization ◽  
Organizational Factors ◽  
Care Organization ◽  
Needlestick Injuries ◽  
Contributing Factors ◽  
Care Workers

The purpose of this study was to determine what factors within a health care organization relate to the occurrence of needlestick injuries (NSIs) among Health care workers (HCW). To do this a systems approach was taken. The overall hypothesis was that factors external to the HCWs were related to the occurrence of NSIs and, therefore, the focus of NSI prevention should be taken off the individual. A mail-out questionnaire was completed by 209 Alberta nurses. From the data generated, a structural equation model was tested which examined factors at many levels of a health care organization as well as those associated with HCWs which may be predictive of the occurrence of NSIs. There was support for the hypothesis that organizational factors, not individual ones, account for the most variance in unsafe needle handling behaviours and NSIs. Discussion centers on the specific factors found to be most related to NSIs and possible human factors interventions.

scholarly journals Trapped in the COVID-19 pandemic: The effect of risk concern and emotions on burnout among health care workers

Psicologia ◽  
2021 ◽  
Vol 35 (1) ◽  
pp. 163-173
Author(s):  
Inês Carneiro Sousa ◽  
Teresa Almeida ◽  
Catarina Correia Leal
Keyword(s):  
Health Care ◽  
Negative Affect ◽  
Health Care Workers ◽  
Structural Equation ◽  
Risk Group ◽  
Organizational Factors ◽  
Well Being ◽  
High Risk Group ◽  
Equation Modeling ◽  
Care Workers

The COVID-19 pandemic poses critical challenges for the health care workers (HCWs) around the world due to the increasing demands imposed on health care systems. This study aims to investigate how risk concern impacts burnout via positive and negative affect. Further, the moderating role of risk exposure (low, medium, and high) in this parallel mediation model is examined. A sample of 257 Portuguese HCWs answered a questionnaire. Structural equation modeling (SEM) analysis was applied. Results showed that risk concern positively influences negative affect – but not positive affect – and, consequently, burnout. Contrary to our expectations, this indirect effect was not greater for individuals in the high-risk group (vs. low-risk group), which can be explained by individual and organizational factors' buffering role. These findings draw healthcare organizations' attention to the hazardous effects of risk concern on HCWs' well-being.

scholarly journals The significance of fast diagnostics of SARS-CoV-2, good health care organization and reasonable use of knowledge and resources in the fight against Covid-19

2020 ◽  
Vol 49 (3) ◽  
pp. 75-88
Author(s):  
Miha Skvarč ◽  
Valentina Arsić-Arsenijević
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Care Organization ◽  
Good Health ◽  
Care Organization ◽  
Care Workers ◽  
Novel Coronavirus ◽  
Respiratory Epithelial ◽  
Use Of Knowledge ◽  
Reasonable Use

In December 2019, a new disease appeared, that is, pneumonia of unknown cause, which was linked to a seafood market in Wuhan (China). Human respiratory epithelial cells were used to isolate a novel coronavirus, named according to the clinical picture "Severe Acute Respiratory Syndrome Coronavirus 2" (SARS-CoV-2), whereas the disease was named the coronavirus disease 2019 (Covid-19). This pandemic has proved to be a great challenge for all professionals dealing with microbiological diagnostics, as well as for all health care workers. The aim of this work is to present the significance of fast diagnostics of SARS-CoV-2, the significance of protection of health of health care workers, and the reasonable use of knowledge and resources in the fight against Covid-19. The previous research has confirmed that in the fight against the SARS-Cov-2 infection, fast diagnostics of SARS-CoV-2, protection of health of health care workers and reasonable use of knowledge and resources during the pandemic are of utmost importance. A special emphasis is put on the vaccination against seasonal influenza, as well as against the invasive pneumococcal disease because, with the help of these vaccines, the diagnosis of Covid-19 could be made easier in the future period, in which the efficient antiviral therapy for SARS-CoV-2 and the vaccine for Covid-19 are expected with great hopes.

Organizational Factors and Health Care Workers' Physical Safety

2013 ◽  
Author(s):  
Jane Lipscomb ◽  
Jeanne Geiger-Brown ◽  
Katherine McPhaul ◽  
Karen Calabro
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Organizational Factors ◽  
Care Workers

Epidemiology of needlestick injuries among health-care workers in Awassa City, Southern Ethiopia

2010 ◽  
Vol 40 (2) ◽  
pp. 111-113 ◽  
Author(s):  
Moges Tadesse ◽  
Takele Tadesse
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Cross Sectional Study ◽  
Needlestick Injury ◽  
Public Health Issue ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Needlestick Injuries ◽  
Cross Sectional ◽  
Care Workers

Accidental needlestick injuries sustained by health-care workers are a common occupational hazard and a public health issue in health-care settings. An analytical cross-sectional study was conducted and 30.9% of health-care workers had experienced at least one needlestick injury in the previous year.

scholarly journals Procedure-Specific Rates for Needlestick Injuries in Health Care Workers

2001 ◽  
Vol 43 (5) ◽  
pp. A81
Author(s):  
Lukas Jyuhn-Hsiarn Lee ◽  
Chih-Ting Yu ◽  
Jung-Der Wang
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Needlestick Injuries ◽  
Care Workers

scholarly journals Occupational exposures to blood and body fluids among health care workers at university hospitals

2013 ◽  
Vol 141 (11-12) ◽  
pp. 789-793 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Milos Brankovic ◽  
Natasa Maksimovic ◽  
Bojan Jovanovic ◽  
Ivana Petrovic ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Health Care Workers ◽  
Body Fluid ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Medical Attention ◽  
Needlestick Injuries ◽  
University Hospitals ◽  
Care Workers

Introduction. Occupational exposure to blood and body fluids is a serious concern of health care workers and presents a major risk of transmission of infections such as human immuno-deficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Objective. The aim of this study was to determine the frequency and circumstances of occupational blood and body fluid exposures among health care workers. Methods. Cross-sectional study was conducted in three university hospitals in Belgrade. Anonymous questionnaire was used containing data about demographic characteristics, self-reported blood and body fluid exposures and circumstances of percutaneous injuries. Results. Questionnaire was filled in and returned by 216 health care workers (78.2% of nurses and 21.8% of doctors). 60.6% of participants-health care workers had sustained at least one needlestick injury during their professional practice; 25.9% of them in the last 12 months. Of occupational groups, nurses had higher risk to experience needlestick injuries than doctors (p=0.05). The majority of the exposures occurred in the operating theatre (p=0.001). Among factors contributing to the occurrence of needlestick injuries, recapping needles (p=0.003) and decontamination/cleaning instruments after surgery (p=0.001) were more frequent among nurses, while use of a needle before intervention was common among doctors (p=0.004). Only 41.2% of health care workers had reported their injuries to a supervisor in order to obtain medical attention. 50.2% of health care workers were vaccinated with three doses of hepatitis B vaccine. Conclusion. There is a high rate of needlestick injuries in the daily hospital routine. Implementation of safety devices would lead to improvement in health and safety of medical staff.

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