Department of Occupational Health and Safety Engineering, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
BMC Public Health. 2023 Oct 16;23(1):2009. doi: 10.1186/s12889-023-16969-x.
Needlestick injuries (NSIs) are a major hazard in the workplace for healthcare workers. To prevent these injuries, it is essential to determine the important factors affecting the occurrence of them. This study aimed to identify, classify and prioritize these factors using techniques of Delphi and fuzzy analytical hierarchy process (FAHP).
This descriptive-analytical study was conducted in 2022. Firstly, the factors affecting the occurrence of needlestick injuries were identified by the literature review. Moreover, the Delphi technique was used to identify the factors. 20 experts (physicians, nurses, and occupational health experts) participated in the steps of the Delphi method. Then, these factors were grouped into six groups. In the next step, the fuzzy analytical hierarchy process (FAHP) was applied to prioritize the factors. For this purpose, the pairwise comparison questionnaire was designed and filled out by 20 experts. Finally, data were analyzed using MATLAB software (version 2018a).
42 factors (31 factors extracted from the literature review and 11 factors obtained from the Delphi technique) were identified in this study. These factors were categorized into six groups. Based on the results, the relative weight of non-demographic personal factors, tool and technology factors, job factors, organizational factors, demographic personal factors, and environmental factors were computed by 0.200, 0.185, 0.184, 0.157, 0.142, and 0.133, respectively.
These results determined the importance of the factors affecting the occurrence of needlestick injuries. These findings can be useful for planning preventive measures.
针刺伤是医护人员在工作场所面临的主要危害。为了预防这些伤害，确定影响其发生的重要因素至关重要。本研究旨在使用德尔菲法和模糊层次分析法（FAHP）来识别、分类和优先考虑这些因素。
本描述性分析研究于 2022 年进行。首先，通过文献回顾确定影响针刺伤发生的因素。此外，还使用德尔菲技术来识别这些因素。20 名专家（医生、护士和职业健康专家）参与了德尔菲法的各个步骤。然后，将这些因素分为六组。下一步，应用模糊层次分析法（FAHP）对这些因素进行优先级排序。为此，设计了配对比较问卷，由 20 名专家填写。最后，使用 MATLAB 软件（版本 2018a）对数据进行分析。
本研究共确定了 42 个因素（31 个从文献综述中提取的因素和 11 个从德尔菲技术中获得的因素）。这些因素被分为六组。根据结果，非人口统计学个人因素、工具和技术因素、工作因素、组织因素、人口统计学个人因素和环境因素的相对权重分别计算为 0.200、0.185、0.184、0.157、0.142 和 0.133。
这些结果确定了影响针刺伤发生的因素的重要性。这些发现可用于规划预防措施。
