The incidence of needle stick and sharp injuries and their associations with visual function among hospital nurses

Abstract

PurposeTo determine the one-year incidence of needle stick and sharp injuries (NSIs and SIs) and their associations with visual function among Iranian nurses.MethodsIn this cross-sectional study, 278 nurses working at one hospital were selected through stratified random sampling. After applying the exclusion criteria, the final analysis was performed on the data of 267 nurses. The data of occupational injuries were collected through a researcher-administered questionnaire. Visual function indices including distance and near best corrected visual acuities (BCVAs), color vision, stereoacuity, distance and near heterophorias, accommodative amplitude and facility, contrast sensitivity (CS) for high and low spatial frequencies (SFs), near point of convergence (NPC), saccadic and pursuit eye movements, distance and near convergence and divergence fusional reserves and peripheral vision were evaluated through optometric examinations using standard protocols.ResultsThe one-year incidence of NSIs and SIs was 41.2% [95% Confidence interval (CI): 35.3–47.1] and 19.1% (95% CI: 14.4–23.8), respectively. Color vision deficiency, pursuit deficiency, abnormal near heterophoria, and decreased CS for high SF had a significant association with the increased incidence of NSIs with odds ratios of 3.26, 2.32, and 1.35, respectively. Moreover, saccadic deficiency, abnormal near heterophoria, and decreased near fusional divergence reserve were significantly associated with the increased incidence of SIs with odds ratios of 2.42, 2.40, and 1.27, respectively.ConclusionsOur findings showed a relatively high incidence of NSIs and SIs in Iranian nurses and their associations with some visual function indices. Therefore, pre-employment and periodic visual examinations are recommended to detect and remove the corresponding visual risk factors. Moreover, preventive strategies should be adopted to decrease the occurrence of the aforementioned injuries.

Needle Stick and Sharp Injuries Among Healthcare Workers: A retrospective six-year study

“…4,5,7,13,[22][23][24][25][26] This finding is in agreement with the results of many studies that found a high incidence rate of NSSIs among nurses and nursing students. 1,15,16,21,23,24,27 The exact cause of the high proportion of NSSIs among HCWs, including nurses, is unknown but could be related to several factors. It is possible that the public in Jordan and many other developing countries prefer injections over other methods for the delivery of drugs and pharmaceuticals.…”

“…11,12 Few studies have examined NSSIs in Jordan and most have only included data collected from practicing nurses or nursing students. 10,[13][14][15] These studies concluded that NSSI rates are high among nurses and nursing students, the level of awareness of universal precaution guidelines is low, reporting occupational exposures to NSSIs is inadequate and young female nurses with fewer years of experience are more vulnerable to NSSIs. 10,[13][14][15] Studies on the proportion of NSSIs among HCWs, except nurses, have not been conducted in Jordan.…”

Sharp injuries and their relationship with stress among nurses working in acute care settings

“…A self-administered questionnaire was designed by the researchers after reviewing the related literature. 1,2,4,7 The questionnaire was written in English and comprised questions about nurses' demographic data and SIs circumstances. SIs stress was measured using the Impact of Event Scale-Revised (IES-R) and the PTSSQI.…”

“…[1][2][3][4][5][6] Working in acute care units is considered an important factor for the occurrence of SIs as noted by many studies. 1,2 SIs can lead to acquiring life-threatening viral infections, the economic burden of medical care for the affected individuals, and possible loss of jobs. [3][4][5] Stress is a major occupational hazard in the nursing profession, and it has been implicated for absence from jobs, productivity reduction, displacement of personnel, work conflicts, and higher health care costs for employees.…”

Perbandingan Pengaruh Sistem Surveilans Berbasis Elektronik Dan Paper Based Terhadap Pencatatan Dan Kemampuan Deteksi Risiko Hais Oleh Perawat Di Rumah Sakit Awal Bros Batam

“…Untuk sistem surveilans dengan tradisional mempunyai kelemahan dalam penerapan dan pelaksanaannya salah satunya adalah proses pengumpulan data manual yang memakan waktu dan sumber daya yang banyak (Mahomed, Mahomed, Sturm, Knight, & Moodley, 2017 Pelaksanaan sistem pencatatan surveilens dengan menggunakan paper based ditemukan bahwa perawat merasakan formulir pengawasan ini menambah beban kerja mereka, dalam mengumpulkan data tidak konsisten, sementara data harus terisis setiap harinya, begitu juga dengan tim penegndali infeksi tidak mampu secara memadai mengawasi proses tersebut ke seluruh ruangan di rumah sakit karena tuntutan pekerjaan yang lainnya. Ghasemi, Khabazkhoob, Hashemi, Yekta, & Nabovati (2017) Berdasarkan hasil analisis dari hasil uji beda sistem pencatatan dengan elektronik dan paper based, didapatkan hasil pencatatan dengan menggunakan paper based mempunyai perbedaan signifikan dengan sistem berbasis elektronik (pvalue=0.000). Meskipun data yang disimpan dalam sebuah system surveilans berbasis elektronik belum spesifik, namun cukup sensitif dalam hal penyimpanan data dan mudah untuk dikaitkan dengan kebutuhan lain dalam surveilans (Bruin, Seeling, Schuh, 2014 Peneliti menyimpulkan bahwa kendala utama dari penggunaan sistem otomatis/elektronik dalam surveilens infeksi adalah keragu-raguan dalam melaksanakan tugas, tanggung jawab, metode cara kerja, harapan pengguna, menjadi penghambat kenapa adopsi sistem ini lambat.…”