Trim Joanna C, Adams Debra, Elliott T S J
Department of Clinical Microbiology and Infection Control, University Hospital, Birmingham.
Br J Nurs. 2003;12(4):215-21. doi: 10.12968/bjon.2003.12.4.11161.
Healthcare workers' (HCWs') occupational risk of exposure to blood-borne pathogens has been well documented. Subsequent educational programmes, awareness campaigns and policy implementation made limited impact on HCWs' level of knowledge of these risks and compliance with universal precautions. Two hundred HCWs completed a questionnaire to evaluate their level of knowledge. Results demonstrated that despite a comprehensive educational programme for nurses and training for medical staff, knowledge of inoculation injuries and associated issues remained inadequate. Indeed, policies and procedures were not followed. Furthermore, gloves were not routinely worn in the clinical setting. Educational programmes ware essential to inform HCWs of occupational risk of exposure to blood-borne pathogens and guide practice following an inoculation injury. However, efficacy of such programmes must be reviewed, alternative strategies evaluated, and the cause of HCWs' limited knowledge determined.
医护人员接触血源性病原体的职业风险已有充分记录。随后开展的教育项目、宣传活动和政策实施对医护人员对这些风险的认知水平以及遵守通用预防措施的情况影响有限。200名医护人员完成了一份调查问卷，以评估他们的知识水平。结果表明，尽管为护士开展了全面的教育项目，并对医务人员进行了培训，但对接种损伤及相关问题的了解仍然不足。事实上，政策和程序并未得到遵循。此外，在临床环境中，手套并非常规佩戴。教育项目对于告知医护人员接触血源性病原体的职业风险以及指导接种损伤后的操作至关重要。然而，必须对这类项目的效果进行评估，对替代策略进行评价，并确定医护人员知识有限的原因。
