Factors promoting consistent adherence to safe needle precautions among hospital workers.


Journal Article

OBJECTIVE: To examine organizational factors and occupational characteristics associated with adherence to occupational safety guidelines recommending never recapping needles. DESIGN: Mail surveys were conducted with healthcare workers (HCWs) and infection control professionals (ICPs). SETTING: The surveys were conducted at all non-federal general hospitals in Iowa, except one tertiary-care hospital. Survey data were linked to annual survey data of the American Hospital Association (AHA). PARTICIPANTS: HCWs were sampled from statewide rosters of physicians, nurses, and laboratory workers in Iowa. Eligible HCWs worked in a setting and position in which they were likely to routinely handle needles. ICPs at all hospitals in the state were surveyed. RESULTS: Ninety-nine ICPs responded (79% response rate). AHA data were available for all variables from 84 (85%) of the hospitals. Analyses were based on 1,454 HCWs who identified one of these hospitals as their primary hospital (70% response rate). Analyses were conducted using multiple logistic regression. Positive predictors of consistent adherence included infection control personnel hours per full-time-equivalent employee (odds ratio [OR], 1.03), frequency of standard precautions education (OR, 1.11), facilities providing personal protective equipment (OR, 1.82), facilities using needleless intravenous systems (OR, 1.42), and management support for safety (OR, 1.05). Negative predictors were use of "blood and body fluid precautions" isolation category (OR, 0.74) and increased job demands (OR, 0.90). CONCLUSION: Healthcare organizations can improve staff safety by investing wisely in educational programs regarding approaches to minimize these risks, providing protective equipment, and eliminating the use of blood and body fluid precautions as an isolation policy.

Full Text

Cited Authors

  • Vaughn, TE; McCoy, KD; Beekmann, SE; Woolson, RE; Torner, JC; Doebbeling, BN

Published Date

  • July 1, 2004

Published In

Volume / Issue

  • 25 / 7

Start / End Page

  • 548 - 555

PubMed ID

  • 15301026

Pubmed Central ID

  • 15301026

Electronic International Standard Serial Number (EISSN)

  • 1559-6834

International Standard Serial Number (ISSN)

  • 0899-823X

Digital Object Identifier (DOI)

  • 10.1086/502438


  • eng