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
Hauptverfasser: 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
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container_end_page 550
container_issue 7
container_start_page 545
container_title American journal of infection control
container_volume 37
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.
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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. 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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. 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Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>Hospitals, Teaching - statistics &amp; 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 &amp; control</topic><topic>Nurses</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Nursing Staff, Hospital - statistics &amp; numerical data</topic><topic>Occupational Exposure - statistics &amp; 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 &amp; 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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