Organizational climate and its relationship with needlestick and sharps injuries among Japanese nurses
Background Although certain aspects of organizational climate have been shown to influence needlestick and sharps injuries (NSI) among nurses, this issue has not been adequately investigated in Japan. Methods Our study involved a modified version of the Hospital Safety Climate Scale, which was distr...
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Veröffentlicht in: | American journal of infection control 2009-09, Vol.37 (7), p.545-550 |
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creator | Smith, Derek R., MPH, PhD, DrMedSc Mihashi, Mutsuko, RN, PhD Adachi, Yasuko, RN Shouyama, Yukimi, RN Mouri, Fusayo, RN Ishibashi, Noriko, RN Ishitake, Tatsuya, MD, PhD |
description | Background Although certain aspects of organizational climate have been shown to influence needlestick and sharps injuries (NSI) among nurses, this issue has not been adequately investigated in Japan. Methods Our study involved a modified version of the Hospital Safety Climate Scale, which was distributed to a large cross section of nurses in a Japanese teaching hospital. Results Various aspects of safety climate were associated with a reduced NSI risk, such as being involved in health and safety matters (odds ratio [OR], 0.13; 95% confidence interval [CI]: 0.02-0.65) and being properly trained in risk control procedures (OR, 0.32; 95% CI: 0.12-0.78). Nurses working in departments in which health and safety information was readily available were more likely to report any NSI they sustained (OR, 4.91; 95% CI: 1.30-18.51), whereas nurses working in departments with minimal conflict were less likely to underreport their NSI (OR, 0.45; 95% CI: 0.22-0.87). Conclusion Overall, this study suggests that hospital safety climate has an important influence on NSI injury rates and reporting behavior among Japanese nurses. Given the multifaceted nature of identified risk, a comprehensive approach to infection control is clearly required and one that encompasses preventive strategies in both the cultural and physical domains. |
doi_str_mv | 10.1016/j.ajic.2008.11.004 |
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Methods Our study involved a modified version of the Hospital Safety Climate Scale, which was distributed to a large cross section of nurses in a Japanese teaching hospital. Results Various aspects of safety climate were associated with a reduced NSI risk, such as being involved in health and safety matters (odds ratio [OR], 0.13; 95% confidence interval [CI]: 0.02-0.65) and being properly trained in risk control procedures (OR, 0.32; 95% CI: 0.12-0.78). Nurses working in departments in which health and safety information was readily available were more likely to report any NSI they sustained (OR, 4.91; 95% CI: 1.30-18.51), whereas nurses working in departments with minimal conflict were less likely to underreport their NSI (OR, 0.45; 95% CI: 0.22-0.87). Conclusion Overall, this study suggests that hospital safety climate has an important influence on NSI injury rates and reporting behavior among Japanese nurses. Given the multifaceted nature of identified risk, a comprehensive approach to infection control is clearly required and one that encompasses preventive strategies in both the cultural and physical domains.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2008.11.004</identifier><identifier>PMID: 19272674</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject><![CDATA[Accidents, Occupational - psychology ; Accidents, Occupational - statistics & numerical data ; Adult ; Biological and medical sciences ; Cross-Sectional Studies ; Epidemiology. Vaccinations ; Female ; General aspects ; Hospitals, Teaching - statistics & numerical data ; Humans ; Infection Control ; Infections ; Infectious Disease ; Infectious diseases ; Japan ; Japan - epidemiology ; Male ; Medical sciences ; Needlestick and sharps injury ; Needlestick injuries ; Needlestick Injuries - epidemiology ; Needlestick Injuries - etiology ; Needlestick Injuries - prevention & control ; Nurses ; Nursing Staff, Hospital - psychology ; Nursing Staff, Hospital - statistics & numerical data ; Occupational Exposure - statistics & numerical data ; Occupational safety ; Organizational Culture ; prevalence ; Protective Devices ; risk ; Risk Management ; safety climate ; Safety Management ; Teaching hospitals ; Working conditions ; Wounds and Injuries - epidemiology ; Wounds and Injuries - etiology ; Wounds and Injuries - prevention & control]]></subject><ispartof>American journal of infection control, 2009-09, Vol.37 (7), p.545-550</ispartof><rights>Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2009 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Mosby-Year Book, Inc. Sep 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-b9a16ccc02a96fadedf255c8289a541e94e9f3794e4f70a901672d246dbff8fe3</citedby><cites>FETCH-LOGICAL-c466t-b9a16ccc02a96fadedf255c8289a541e94e9f3794e4f70a901672d246dbff8fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajic.2008.11.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21997717$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19272674$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, Derek R., MPH, PhD, DrMedSc</creatorcontrib><creatorcontrib>Mihashi, Mutsuko, RN, PhD</creatorcontrib><creatorcontrib>Adachi, Yasuko, RN</creatorcontrib><creatorcontrib>Shouyama, Yukimi, RN</creatorcontrib><creatorcontrib>Mouri, Fusayo, RN</creatorcontrib><creatorcontrib>Ishibashi, Noriko, RN</creatorcontrib><creatorcontrib>Ishitake, Tatsuya, MD, PhD</creatorcontrib><title>Organizational climate and its relationship with needlestick and sharps injuries among Japanese nurses</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Background Although certain aspects of organizational climate have been shown to influence needlestick and sharps injuries (NSI) among nurses, this issue has not been adequately investigated in Japan. Methods Our study involved a modified version of the Hospital Safety Climate Scale, which was distributed to a large cross section of nurses in a Japanese teaching hospital. Results Various aspects of safety climate were associated with a reduced NSI risk, such as being involved in health and safety matters (odds ratio [OR], 0.13; 95% confidence interval [CI]: 0.02-0.65) and being properly trained in risk control procedures (OR, 0.32; 95% CI: 0.12-0.78). Nurses working in departments in which health and safety information was readily available were more likely to report any NSI they sustained (OR, 4.91; 95% CI: 1.30-18.51), whereas nurses working in departments with minimal conflict were less likely to underreport their NSI (OR, 0.45; 95% CI: 0.22-0.87). Conclusion Overall, this study suggests that hospital safety climate has an important influence on NSI injury rates and reporting behavior among Japanese nurses. Given the multifaceted nature of identified risk, a comprehensive approach to infection control is clearly required and one that encompasses preventive strategies in both the cultural and physical domains.</description><subject>Accidents, Occupational - psychology</subject><subject>Accidents, Occupational - statistics & numerical data</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology. Vaccinations</subject><subject>Female</subject><subject>General aspects</subject><subject>Hospitals, Teaching - statistics & numerical data</subject><subject>Humans</subject><subject>Infection Control</subject><subject>Infections</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Japan</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Needlestick and sharps injury</subject><subject>Needlestick injuries</subject><subject>Needlestick Injuries - epidemiology</subject><subject>Needlestick Injuries - etiology</subject><subject>Needlestick Injuries - prevention & control</subject><subject>Nurses</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Nursing Staff, Hospital - statistics & numerical data</subject><subject>Occupational Exposure - statistics & numerical data</subject><subject>Occupational safety</subject><subject>Organizational Culture</subject><subject>prevalence</subject><subject>Protective Devices</subject><subject>risk</subject><subject>Risk Management</subject><subject>safety climate</subject><subject>Safety Management</subject><subject>Teaching hospitals</subject><subject>Working conditions</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - etiology</subject><subject>Wounds and Injuries - prevention & control</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kktv1DAQgC1ERZfCH-CALCSOSW0nsWMJIaGKV1WpB-BseZ1x12nWCZ4EVH49TndVpB44zcHfvL4xIa84Kznj8rwvbR9cKRhrS85LxuonZMMboYpKaPmUbBjXspBNU52S54g9Y0xXsnlGTrkWSkhVb4i_Tjc2hj92DmO0A3VD2NsZqI0dDTPSBMP9E-7CRH-HeUcjQDcAzsHd3lO4s2lCGmK_pABI7X6MN_TSTjYCAo1LQsAX5MTbAeHlMZ6RH58-fr_4Ulxdf_568eGqcLWUc7HVlkvnHBNWS2876LxoGteKVtum5qBr0L5SOdReMauzBSU6Uctu633roTojbw51pzT-XPKUph-XlBdD0yrRtKptVYbEAXJpREzgzZTy1unOcGZWs6Y3q1mzmjWcm2w2J70-Vl62e-j-pRxVZuDtEbDo7OCTjS7gAye41krxtfu7AwfZw68AyaALEB10IYGbTTeG_8_x_lF6PlkMueMt3AE-rMsNCsPMt_UPrF-A6Xx-VrHqLwkkrYQ</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Smith, Derek R., MPH, PhD, DrMedSc</creator><creator>Mihashi, Mutsuko, RN, PhD</creator><creator>Adachi, Yasuko, RN</creator><creator>Shouyama, Yukimi, RN</creator><creator>Mouri, Fusayo, RN</creator><creator>Ishibashi, Noriko, RN</creator><creator>Ishitake, Tatsuya, MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Mosby-Year Book, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20090901</creationdate><title>Organizational climate and its relationship with needlestick and sharps injuries among Japanese nurses</title><author>Smith, Derek R., MPH, PhD, DrMedSc ; Mihashi, Mutsuko, RN, PhD ; Adachi, Yasuko, RN ; Shouyama, Yukimi, RN ; Mouri, Fusayo, RN ; Ishibashi, Noriko, RN ; Ishitake, Tatsuya, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-b9a16ccc02a96fadedf255c8289a541e94e9f3794e4f70a901672d246dbff8fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidents, Occupational - psychology</topic><topic>Accidents, Occupational - statistics & numerical data</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology. Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>Hospitals, Teaching - statistics & numerical data</topic><topic>Humans</topic><topic>Infection Control</topic><topic>Infections</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Japan</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Needlestick and sharps injury</topic><topic>Needlestick injuries</topic><topic>Needlestick Injuries - epidemiology</topic><topic>Needlestick Injuries - etiology</topic><topic>Needlestick Injuries - prevention & control</topic><topic>Nurses</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Nursing Staff, Hospital - statistics & numerical data</topic><topic>Occupational Exposure - statistics & numerical data</topic><topic>Occupational safety</topic><topic>Organizational Culture</topic><topic>prevalence</topic><topic>Protective Devices</topic><topic>risk</topic><topic>Risk Management</topic><topic>safety climate</topic><topic>Safety Management</topic><topic>Teaching hospitals</topic><topic>Working conditions</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - etiology</topic><topic>Wounds and Injuries - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Derek R., MPH, PhD, DrMedSc</creatorcontrib><creatorcontrib>Mihashi, Mutsuko, RN, PhD</creatorcontrib><creatorcontrib>Adachi, Yasuko, RN</creatorcontrib><creatorcontrib>Shouyama, Yukimi, RN</creatorcontrib><creatorcontrib>Mouri, Fusayo, RN</creatorcontrib><creatorcontrib>Ishibashi, Noriko, RN</creatorcontrib><creatorcontrib>Ishitake, Tatsuya, MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Derek R., MPH, PhD, DrMedSc</au><au>Mihashi, Mutsuko, RN, PhD</au><au>Adachi, Yasuko, RN</au><au>Shouyama, Yukimi, RN</au><au>Mouri, Fusayo, RN</au><au>Ishibashi, Noriko, RN</au><au>Ishitake, Tatsuya, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Organizational climate and its relationship with needlestick and sharps injuries among Japanese nurses</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>37</volume><issue>7</issue><spage>545</spage><epage>550</epage><pages>545-550</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Background Although certain aspects of organizational climate have been shown to influence needlestick and sharps injuries (NSI) among nurses, this issue has not been adequately investigated in Japan. Methods Our study involved a modified version of the Hospital Safety Climate Scale, which was distributed to a large cross section of nurses in a Japanese teaching hospital. Results Various aspects of safety climate were associated with a reduced NSI risk, such as being involved in health and safety matters (odds ratio [OR], 0.13; 95% confidence interval [CI]: 0.02-0.65) and being properly trained in risk control procedures (OR, 0.32; 95% CI: 0.12-0.78). Nurses working in departments in which health and safety information was readily available were more likely to report any NSI they sustained (OR, 4.91; 95% CI: 1.30-18.51), whereas nurses working in departments with minimal conflict were less likely to underreport their NSI (OR, 0.45; 95% CI: 0.22-0.87). Conclusion Overall, this study suggests that hospital safety climate has an important influence on NSI injury rates and reporting behavior among Japanese nurses. Given the multifaceted nature of identified risk, a comprehensive approach to infection control is clearly required and one that encompasses preventive strategies in both the cultural and physical domains.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>19272674</pmid><doi>10.1016/j.ajic.2008.11.004</doi><tpages>6</tpages></addata></record> |
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subjects | Accidents, Occupational - psychology Accidents, Occupational - statistics & numerical data Adult Biological and medical sciences Cross-Sectional Studies Epidemiology. Vaccinations Female General aspects Hospitals, Teaching - statistics & numerical data Humans Infection Control Infections Infectious Disease Infectious diseases Japan Japan - epidemiology Male Medical sciences Needlestick and sharps injury Needlestick injuries Needlestick Injuries - epidemiology Needlestick Injuries - etiology Needlestick Injuries - prevention & control Nurses Nursing Staff, Hospital - psychology Nursing Staff, Hospital - statistics & numerical data Occupational Exposure - statistics & numerical data Occupational safety Organizational Culture prevalence Protective Devices risk Risk Management safety climate Safety Management Teaching hospitals Working conditions Wounds and Injuries - epidemiology Wounds and Injuries - etiology Wounds and Injuries - prevention & control |
title | Organizational climate and its relationship with needlestick and sharps injuries among Japanese nurses |
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