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Work Schedule, Needle Use, and Needlestick Injuries Among Registered Nurses

  • Alison M. Trinkoff (a1), Rong Le (a1), Jeanne Geiger-Brown (a1) and Jane Lipscomb (a1)
Abstract
Objective.

To examine the association between working conditions and needlestick injury among registered nurses. We also describe needle use and needlestick injuries according to nursing position, workplace, and specialty.

Design.

Three-wave longitudinal survey conducted between November 2002 and April 2004.

Setting and Participants.

A probability sample of 2,624 actively licensed registered nurses from 2 states in the United States. Follow-up rates for waves 2 and 3 were 85% and 86%, respectively. Respondents who had worked as a nurse during the past year (n = 2,273) prior to wave 1 were included in this analysis.

Results.

Of the nurses, 15.6% reported a history of needlestick injury in the year before wave 1, and the cumulative incidence by wave 3 was 16.3%. The estimated number of needles used per day was significantly related to the odds of sustaining a needlestick injury. Hours worked per day, weekends worked per month, working other than day shifts, and working 13 or more hours per day at least once a week were each significantly associated with needlestick injuries. A factor combining these variables was significantly associated with needlestick injuries even after adjustment for job demands, although this association was somewhat explained by physical job demands.

Conclusions.

Despite advances in protecting workers from needlestick injuries, extended work schedules and their concomitant physical demands are still contributing to the occurrence of injuries and illnesses to nurses. Such working conditions, if modified, could lead to further reductions in needlestick injuries.

Copyright
Corresponding author
University of Maryland School of Nursing, 655 W. Lombard St., Baltimore, MD 21201 (trinkoff@son.umaryland.edu)
References
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1.Landsbergis P, Cahill J, Schall P. The impact of lean production and related new systems of work organization on worker health. J Occup Health Psychol 1999;4:108130.
2.Van der Hulst M. Long workhours and health. Scand J Work Environ Health 2003;29:171188.
3.Lipscomb J, Trinkoff A, Geiger-Brown J, et al. Work-schedule characteristics and reported musculoskeletal disorders of registered nurses. Scand J Work Environ Health 2002;28:394401.
4.Van den Heuvel SG, van der Beek AJ, Blatter BM, et al. Psychosocial work characteristics in relation to neck and upper limb symptoms. Pain 2005;114:4753.
5.Havlovic SJ, Lau DC, Pinfield LT. Repercussions of work schedule congruence among full-time, part-time, and contingent nurses. Health Care Manage Rev 2002;27:3041.
6.Rosa RR. Extended workshifts and excessive fatigue. J Sleep Res 1995;4:5156.
7.Panlilio AL, Orelien JG, Srivastava PU, et al. Estimate of the annual number of percutaneous injuries among hospital-based healthcare workers in the United States, 1997-1998. Infect Control Hosp Epidemiol 2004;25:556562.
8.Wilburn S. Needlestick and sharps injury prevention. Online J Issues Nurs 2004;9:113. Available at: http://nursingworld.org/ojin/topic25/ tpc25_4.htm. Accessed July 7, 2005.
9.International Council of Nurses. ICN on preventing needlestick injuries. 2000. Available at: http://www.icn.ch/matters_needles.htm. Accessed July 7, 2005.
10.Sinclair RC, Maxfield A, Marks EL, et al. Prevalence of safer needle devices and factors associated with their adoption: results of a national hospital survey. Public Health Rep 2002;117:340349.
11.Cowles L. The point of the matter. Adv Nurs Online Ed 2004;6:43. Available at: http://nursing.advanceweb.com/common/EditorialSearch/AViewer.aspx?AN = NW_04aug2_nlp43.html&AD = 08-02-2004. Accessed January 3, 2007.
12.Macias DJ, Hafner J, Brillman JC, et al. Effect of time of day and duration into shift on hazardous exposures to biological fluids. Acad Emerg Med 1996;3:605610.
13.Guastello SJ, Gershon RR, Murphy LR. Catastrophe model for the exposure to blood-borne pathogens and other accidents in health care settings. Accid Anal Prev 1999;31:739749.
14.Gallardo Lopez MT, Masa Calles J, Fernandez-Creheut Navajas R, et al. Factors associated with accidents caused by percutaneus exposure in nursing staff at a tertiary level hospital. Rev Esp Salud Publica 1997;71: 369-381.
15.Aiken LH, Sloane DM, Klocinski JL. Hospital nurses' occupational exposure to blood: prospective, retrospective, and institutional reports. Am J Public Health 1997;87:103107.
16.Tilly C. Half a Job. Philadelphia, PA: Temple University Press; 1993.
17.Capelli P. The New Deal at Work. Boston, MA: Harvard Business School Press; 1999.
18.Barker B, Christensen K.Contingent Work. Ithaca, NY: Cornell University Press; 1998.
19.Dillman DA. Mail and Internet Surveys: The Tailored Design Method. 2nd ed. New York, NY: John Wiley & Sons; 2000.
20.Health Resources and Services Administration. The registered nurse population: findings from the national sample survey of registered nurses. Washington, DC: US Department of Health and Human Services; 2000.
21.Barton J, Spelten E, Totterdell P, et al. Is there an optimum number of night shifts? Relationship between sleep, health and well-being. Work Stress 1995;9:109123.
22.Smith C, Gibby R, Zickar M, et al. Measurement properties of the Shiftwork Survey and Standard Shiftwork Index. J Hum Ergol (Tokyo) 2001;30:191196.
23.Folkard S, Spelten E, Totterdell P, et al. The use of survey measures to assess circadian variations in alertness. Sleep 1995;18:355361.
24.Karasek RA. Job Content Questionnaire and User's Guide. Lowell, MA: University of Massachusetts Lowell; 1985.
25.Trinkoff AM, Lipscomb JA, Geiger-Brown J, et al. Perceived physical demands and reported musculoskeletal problems in registered nurses. Am J Prev Med 2003;24:270275.
26.Perry J, Parker G, Jagger J. EPINet Report: 2002 percutaneous injury rates. Adv Expos Prev 2004;7:1821.
27.Mendelson MH, Short LJ, Schechter CB, et al. Study of a needleless intermittent intravenous-access system for peripheral infusions: analysis of staff, patient, and institutional outcomes. Infect Control Hosp Epidemiol 1998;19:401406.
28.Clarke SP, Rockett JL, Sloane DM, et al. Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. Am J Infect Control 2002;30:207216.
29.Gershon RR, Pearse L, Grimes M, et al. The impact of multifocused interventions on sharps injury rates at an acute-care hospital. Infect Control Hosp Epidemiol 1999;20:806811.
30.Dale JC, Pruett SK, Maker MD. Accidental needlesticks in the phlebotomy service of the Department of Laboratory Medicine and Pathology at Mayo Clinic Rochester. Mayo Clinic Proceedings 1998;73:611615.
31.Bureau of Labor Statistics. Workers on flexible and shift schedules technical note. Available at: http://www.bls.gov/news.release/flex.tn.htm. Accessed January 3, 2007.
32.Kawachi I, Colditz G, Stampfer M, et al. Prospective study of shift work and risk of coronary heart disease in women. Circulation 1995;92:31783182.
33.Schernhammer ES, Laden F, Speizer FE, et al. Rotating night shifts and risk of breast cancer in women participating in the nurses' health study. J Natl Cancer Inst 2001;93:15631568.
34.Torgen M, Winkel J, Alfredsson L, et al. Evaluation of questionnaire-based information on previous physical workloads. Scand J Work Environ Health 1999;25:246254.
35.Pope DP, Silman AJ, Cherry NM, et al. Validity of a self-completed questionnaire measuring the physical demands of work. Scand J Work Environ Health 1998;24:376385.
36.Lee JM, Botteman MF, Nicklasson L, et al. Needlestick injury in acute care nurses caring for patients with diabetes mellitus: a retrospective study. Curr Med Res Opin 2005;21:741747.
37.Dement JM, Epling C, Ostbye T, et al. Blood and body fluid exposure risks among health care workers: results from the Duke Health and Safety Surveillance System. Am J Ind Med 2004;46:637648.
38.Gershon R, Flanagan P, Karkashian C, et al. Health care workers' experience with postexposure management of bloodbourne pathogen exposures: a pilot study. Am J Infect Control 2000;28:421426.
39.Jagger J, Bentley M, Juillet E. Direct cost of follow-up for percutaneous and mucotaneous exposures to at-risk body fluids: data from two hospitals. Adv Expos Prev 1998;3:13.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
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