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医院工作人员的健康观念与针刺伤报告

The health beliefs of hospital staff and the reporting of needlestick injury.

作者信息

Tabak Nili, Shiaabana Amal Musaa, Shasha Shaul

机构信息

Department of Nursing, School of Health Professions, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

J Clin Nurs. 2006 Oct;15(10):1228-39. doi: 10.1111/j.1365-2702.2006.01423.x.

Abstract

AIM

The aim of this study is to examine the connection between the health beliefs of hospital staff (doctors, nurses and auxiliary staff) and their failure to report needlestick injuries.

BACKGROUND

Needlestick injury to hospital staff is quite frequent and can result in infections and disease, but staff frequently do not report the injury despite their awareness of the risk of blood-borne pathogens.

METHODS

Five questionnaires were constructed based on three existing research tools and were tested for validity and reliability. Two hundred and forty questionnaires were distributed to eight randomly chosen departments of a single Israeli hospital. Seventy-six percent of the questionnaires were anonymously completed and returned.

RESULTS

Nurses had the highest rate of needlestick injury, followed by auxiliary staff and doctors. Auxiliary staff showed the highest rate of compliance with the duty to report such injuries, while doctors showed the lowest. Perceived severity of contractable disease, the perceived efficacy of reporting injuries and overall motivation to maintain health were the best predictors of reporting compliance. Non-compliers emphasized the negative aspects of reporting the injuries, primarily that it took up too much time.

CONCLUSIONS

The solution to non-compliance with the duty to report must be a targeted investment in training and education. Relevance to clinical practice. Finding the reasons for compliance and non-compliance with the duty to report needlestick injuries will help in designing educational programmes for hospital staff and in determining a strategy for improving health behaviour.

摘要

目的

本研究旨在探讨医院工作人员(医生、护士和辅助人员)的健康观念与他们未报告针刺伤之间的联系。

背景

医院工作人员针刺伤相当常见,可能导致感染和疾病,但尽管工作人员意识到血源性病原体的风险,他们却经常不报告此类伤害。

方法

基于三种现有的研究工具构建了五份问卷,并对其有效性和可靠性进行了测试。向一家以色列医院随机挑选的八个科室发放了240份问卷。76%的问卷被匿名填写并返还。

结果

护士针刺伤发生率最高,其次是辅助人员和医生。辅助人员报告此类伤害的合规率最高,而医生的合规率最低。对可感染疾病的感知严重程度、报告伤害的感知效果以及维护健康的总体动机是报告合规性的最佳预测因素。不遵守规定者强调报告此类伤害的负面影响,主要是耗时过多。

结论

解决不遵守报告义务问题的办法必须是有针对性地投入培训和教育。与临床实践的相关性。找出遵守和不遵守针刺伤报告义务的原因,将有助于为医院工作人员设计教育方案,并确定改善健康行为的策略。

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