Marziale Maria Helena Palucci, Rocha Fernanda Ludmilla Rossi, Robazzi Maria Lúcia do Carmo Cruz, Cenzi Camila Maria, dos Santos Heloisa Ehmke Cardoso, Trovó Marli Elisa Mendes
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, SP, Brazil.
Rev Lat Am Enfermagem. 2013 Jan-Feb;21 Spec No:199-206. doi: 10.1590/s0104-11692013000700025.
to analyze work accidents involving exposure to biological materials which took place among personnel working in nursing and to evaluate the influence of the organizational culture on the occurrence of these accidents.
a retrospective, analytical study, carried out in two stages in a hospital that was part of the Network for the Prevention of Work Accidents. The first stage involved the analysis of the characteristics of the work accidents involving exposure to biological materials as recorded over a seven-year period by the nursing staff in the hospital studied, and registered in the Network databank. The second stage involved the analysis of 122 nursing staff members' perception of the institutional culture, who were allocated to the control group (workers who had not had an accident) and the case group (workers who had had an accident).
386 accidents had been recorded: percutaneous lesions occurred in 79% of the cases, needles were the materials involved in 69.7% of the accidents, and in 81.9% of the accident there was contact with blood. Regarding the influence of the organizational culture on the occurrence of accidents, the results obtained through the analysis of the two groups did not demonstrate significant differences between the average scores attributed by the workers in each organizational value or practice category. It is concluded that accidents involving exposure to biological material need to be avoided, however, it was not possible to confirm the influence of organizational values or practices on workers' behavior concerning the occurrence of these accidents.
分析护理人员工作中发生的涉及生物材料暴露的工作事故，并评估组织文化对这些事故发生的影响。
在一个作为工作事故预防网络一部分的医院分两个阶段进行回顾性分析研究。第一阶段涉及分析该医院护理人员在七年期间记录并登记在网络数据库中的涉及生物材料暴露的工作事故特征。第二阶段涉及分析122名护理人员对机构文化的认知，这些人员被分为对照组（未发生事故的工作人员）和病例组（发生事故的工作人员）。
共记录了386起事故：79%的病例发生了经皮损伤，69.7%的事故涉及针头，81.9%的事故涉及与血液接触。关于组织文化对事故发生的影响，通过对两组的分析获得的结果并未显示出每个组织价值观或实践类别中工作人员给出的平均分数之间存在显著差异。得出的结论是，需要避免涉及生物材料暴露的事故，然而，无法确认组织价值观或实践对工作人员在这些事故发生方面行为的影响。
