Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital
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Background: Needlestick and sharp injuries (NSIs) remain one of the main occupational hazards among health care workers (HCWs) that lead to blood-borne pathogen exposure. Purpose: This study examined the risk factors for NSIs among HCWs at a tertiary referral hospital in Bali. Methods: A case-control study was conducted at Sanglah General Hospital, Bali, involving 171 HCWs, divided into 81 cases and 90 control subjects. The sample was selected using a simple random sampling technique. Data were collected using questionnaires and analyzed using multiple logistic regression. Results: The majority of respondents had experienced NSIs once, in the morning shift, and had affected an individual's hands. The most frequent activity leading to NSIs was giving an injection and most of the situations causing NSIs involved accidental self-action, and recapping needles. Factors associated with the incidence of NSIs were work career or experience of <5 years (p < 0.01; adjusted odds ratio [AOR]=5.04; 95% confidence interval [CI] = 2.04–12.42), non-compliance with working procedures (p = 0.01; AOR = 2.47; 95%CI= 1.26–4.82), female HCWs (p = 0.03; AOR = 2.21; 95% CI = 1.01–4.55), and unsafe workplace conditions (p = 0.04; AOR = 2.23; 95% CI = 1.01–4.92). Conclusion: Personal and environmental factors such as gender, work experience, compliance with working procedures, and workplace conditions are among the risk factors for NSIs. Occupational health and safety policies and programs focusing on the relevant factors, accompanied by adequate supervision, are necessary to reduce the risk of NSIs occurring.
Akbari, H., Ghasemi, F., Akbari, H., & Adibzadeh, A. (2018). Predicting needlestick and sharps injuries and determining preventive strategies using a Bayesian network approach in Tehran, Iran. Epidemiology and Health, 40, 1–9. https://doi.org/10.4178/epih.e2018042
Anupriya, A., & Manivelan, S. (2015). KAP study on the assessment of needlestick injuries and occupational safety among health-care workers. International Journal of Medical Science and Public Health, 4(3), 342–345. https://doi.org/10.5455/ijmsph.2015.1810201464
Asilian-Mahabadi, H., Khosravi, Y., Hassanzadeh-Rangi, N., Hajizadeh, E., & Behzadan, A. H. (2018). A qualitative investigation of factors influencing unsafe work behaviors on construction projects. Work, 61, 281–293. https://doi.org/10.3233/WOR-182799
Bekele, T., Gebremariam, A., Kaso, M., & Ahmed, K. (2015). Factors associated with occupational needle stick and sharps injuries among hospital healthcare workers in bale zone, Southeast Ethiopia. PLoS ONE, 10(10), 1–11. https://doi.org/10.1371/journal.pone.0140382
Fathi, Y., Barati, M., Zandiyeh, M., & Bashirian, S. (2017). Prediction of preventive behaviors of the needlestick injuries during surgery among operating room personnel: application of the health belief model. International Journal of Occupational and Environmental Medicine, 8(4), 232–240. https://doi.org/10.15171/ijoem.2017.1051
Gabr, H. M., El-Badry, A. S., & Younis, F. E. (2018). Risk factors associated with needlestick injuries among health care workers in Menoufia governorate, Egypt. International Journal of Occupational and Environmental Medicine, 9(2), 63–68. https://doi.org/10.15171/ijoem.2018.1156
Garus-Pakowska, A., & Górajski, M. (2019). Epidemiology of needlestick and sharp injuries among health care workers based on records from 252 hospitals for the period 2010-2014, Poland. BMC Public Health, 19(1), 1–8. https://doi.org/10.1186/s12889-019-6996-6
Gheshlagh, R. G., Aslani, M., Shabani, F., Dalvand, S., & Parizad, N. (2018). Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals: an updated meta-analysis. Environmental Health and Preventive Medicine, 23(1), 1–11. https://doi.org/10.1186/s12199-018-0734-z
Ibrahim, K., Mardiah, W., & Priambodo, A. P. (2014). Nurses' knowledge, attitudes, and practices of universal precaution toward HIV/AIDS transmission. Jurnal NERS, 9(1), 11–18. https://doi.org/10.20473/jn.v9i1.2953
Ishak, A. S., Haque, M. S., & Sadhra, S. S. (2018). Needlestick injuries among Malaysian healthcare workers. Occupational Medicine, 69(2), 99–105. https://doi.org/10.1093/occmed/kqy129
Lo, W.-Y., Chiou, S.-T., Huang, N., & Chien, L.-Y. (2016). Long work hours and chronic insomnia are associated with needlestick and sharps injuries among hospital nurses in Taiwan: a national survey. International Journal of Nursing Studies, 64, 130–136. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2016.10.007
Makayaino, H., Wahyudiono, D. A., & Qomaruddin, M. B. (2016). Relationship of hospital factors and individual behavior prevention of the injury needle stick against nurse in treatment room of general hospital of Jombang District. American Scientific Research Journal for Engineering, Technology, and Sciences, 17(1), 1–14.
Matsubara, C., Sakisaka, K., Sychareun, V., Phensavanh, A., & Ali, M. (2017). Prevalence and risk factors of needle stick and sharp injury among tertiary hospital workers, Vientiane, Lao PDR. Journal of Occupational Health, 59(6), 581–585. https://doi.org/10.1539/joh.17-0084-FS
Mohohammadnejad, E., & Dopolani, F. N. (2015). Risk factors of needle stick and sharp injuries among health care workers. Journal of Nursing and Midwifery Sciences, 2(1), 34–39. https://doi.org/10.4103/2345-5756.231417
Powers, D., Armellino, D., Dolansky, M., & Fitzpatrick, J. (2016). Factors influencing nurse compliance with standard precautions. American Journal of Infection Control, 44(1), 4–7. https://doi.org/10.1016/j.ajic.2015.10.001
Putranto, T. J., Setyaningsih, Y., & Kurniawan, B. (2019). Determinant factors of needlestick injuries among in-patient department nurses at the Hospital X, Semarang City (in Indonesian). Jurnal Kesehatan Masyarakat (e-Journal), 7(4), 279–286.
Qazi, A. R., Siddiqui, F. A., Faridi, S., Nadeem, U., Umer, N. I., Mohsini, Z. S., ... Khan, M. (2016). Comparison of awareness about precautions for needle stick injuries: a survey among health care workers at a tertiary care center in Pakistan. Patient Safety in Surgery, 10(1), 1–6. https://doi.org/10.1186/s13037-016-0108-7
Reddy, V. K., Lavoie, M. C., Verbeek, J. H., & Pahwa, M. (2017). Devices for preventing percutaneous exposure injuries caused by needles in healthcare personnel (review). Cochrane Database of Systematic Reviews, (11), 1–74. https://doi.org/10.1002/14651858.CD009740.
Soleman, S. R., & Nugroho, T. (2017). Risk factors sharp injury among healthcare workers in Sleman State Hospital Yogyakarta Province Indonesia. Jurnal Kedokteran Dan Kesehatan Indonesia, 8(1), 58–67. https://doi.org/10.20885/jkki.vol8.iss1.art88
Zhang, X., Chen, Y., Li, Y., Hu, J., Zhang, C., Li, Z., ... Xiang, H. (2018). Needlestick and sharps injuries among nursing students in Nanjing, China. Workplace Health and Safety, 66(6), 276–284. https://doi.org/10.1177/2165079917732799
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