Clarke Sean P
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA 19104-6096, USA.
Am J Infect Control. 2007 Jun;35(5):302-9. doi: 10.1016/j.ajic.2006.07.014.
A growing body of research links working conditions, such as staffing levels and work environment characteristics, with safety for both patients and workers in health care settings, including sharps injuries in hospital staff nurses.
Surveys of 11,516 staff nurses from 188 Pennsylvania general acute care hospitals in 1999 were analyzed. Hospital work environments, measured using the Practice Environment Scales of the Nursing Work Index--Revised, and staffing were tested as predictors of experiencing at least one sharps injury in the preceding year, both before and after controlling for nurse risk factors, use of safety-engineered devices, and hospital structural characteristics.
Nurses with less than 5 years of experience, perioperative nurses, and those performing routine venipuncture for blood draws were more likely to be injured. Nurses working in hospitals with the most favorable working environments were one-third less likely to be injured. Staffing levels were not associated with sharps injuries.
Across a large state, nurses working in acute care hospitals with better practice environments had fewer sharps injuries. Work environment conditions and specialty- and setting-specific risk factors deserve continued attention in sharps injury research.
越来越多的研究将工作条件，如人员配备水平和工作环境特征，与医疗环境中患者和工作人员的安全联系起来，包括医院护士的锐器伤。
对1999年宾夕法尼亚州188家综合急症医院的11516名护士进行了调查分析。使用修订后的护理工作指数实践环境量表来衡量医院工作环境，并在控制护士风险因素、安全工程设备的使用和医院结构特征之前和之后，将人员配备作为前一年至少发生一次锐器伤的预测因素进行测试。
工作经验少于5年的护士、围手术期护士以及进行常规静脉采血的护士更容易受伤。在工作环境最有利的医院工作的护士受伤的可能性要小三分之一。人员配备水平与锐器伤无关。
在一个大州，在实践环境较好的急症医院工作的护士锐器伤较少。在锐器伤研究中，工作环境条件以及特定专业和环境的风险因素值得持续关注。
