Abstract：
OBJECTIVE: This study aims to investigate the current situation of needlestick injuries (NSIs) of clinical nurses and identify associated factors by using the theoretical framework of the human factors analysis and classification system (HFACS).
METHODS: A nationwide cross-sectional survey was conducted.
METHODS: Multi-stage sampling was used to investigate 3336 nurses in 14 Chinese hospitals. Descriptive statistics and univariate and multivariate logistic regression were employed to reveal the rate of NSIs and their associated factors.
RESULTS: A total of 970 nurses (29.1%) reported having experienced at least one NSI in the past year. The multivariate logistic regression analysis showed that good hospital safety climate and clinical nurses in intensive care unit (ICU) and emergency department had protective effects against NSIs compared with nurses in internal medicine department. The nurse, senior nurse, and nurse in charge have significantly increased the risk for NSIs compared with the associate chief nurse or above. Patients with poor vision but wearing glasses and poor vision but not wearing glasses were more prone to have NSIs. Working in the operating room compared with internal medicine, average weekly working time of >45 h compared with ≤40 h and poor general health led to increased risk of NSIs.
CONCLUSIONS: The rate of NSIs in clinical nurses was high in China. Individual factors including professional title, department, visual acuity and general mental health and organisational factors including weekly working hours and hospital safety atmosphere were significantly correlated with the occurrence of NSIs.
CONCLUSIONS: Nursing managers should focused on physical and psychological conditions of clinical nurses, and organisational support is required to enhance the hospital safety atmosphere.
UNASSIGNED: Contributions from patients or the public are irrelevant because this study aims to explore current situation and factors associated with NSIs in clinical nurses.
METHODS: A nationwide cross-sectional survey was conducted.
METHODS: Multi-stage sampling was used to investigate 3336 nurses in 14 Chinese hospitals. Descriptive statistics and univariate and multivariate logistic regression were employed to reveal the rate of NSIs and their associated factors.
RESULTS: A total of 970 nurses (29.1%) reported having experienced at least one NSI in the past year. The multivariate logistic regression analysis showed that good hospital safety climate and clinical nurses in intensive care unit (ICU) and emergency department had protective effects against NSIs compared with nurses in internal medicine department. The nurse, senior nurse, and nurse in charge have significantly increased the risk for NSIs compared with the associate chief nurse or above. Patients with poor vision but wearing glasses and poor vision but not wearing glasses were more prone to have NSIs. Working in the operating room compared with internal medicine, average weekly working time of >45 h compared with ≤40 h and poor general health led to increased risk of NSIs.
CONCLUSIONS: The rate of NSIs in clinical nurses was high in China. Individual factors including professional title, department, visual acuity and general mental health and organisational factors including weekly working hours and hospital safety atmosphere were significantly correlated with the occurrence of NSIs.
CONCLUSIONS: Nursing managers should focused on physical and psychological conditions of clinical nurses, and organisational support is required to enhance the hospital safety atmosphere.
UNASSIGNED: Contributions from patients or the public are irrelevant because this study aims to explore current situation and factors associated with NSIs in clinical nurses.
摘要：
目的：本研究旨在利用人为因素分析与分类系统（HFACS）的理论框架，调查临床护士针刺伤（NSI）的现状，并确定相关因素。
方法：进行了全国横断面调查。
方法：采用多阶段抽样的方法对中国14家医院的3336名护士进行调查。采用描述性统计以及单变量和多变量逻辑回归来揭示NSI的发生率及其相关因素。
结果：共有970名护士（29.1%）报告在过去一年中至少经历过一次NSI。多因素logistic回归分析显示，与内科护士相比，重症监护病房（ICU）和急诊科良好的医院安全氛围和临床护士对NSI具有保护作用。护士,高级护士,与副主任或以上护士相比，主管护士显著增加了NSI的风险。视力差但戴眼镜和视力差但不戴眼镜的患者更容易患有NSI。在手术室工作与内科相比，平均每周工作时间>45h与≤40h相比，一般健康状况差导致NSI风险增加。
结论：我国临床护士的NSI率较高。个人因素包括职称，部门,视力和一般心理健康以及组织因素，包括每周工作时间和医院安全氛围与NSI的发生显着相关。
结论：护理管理者应关注临床护士的身心状况，需要组织支持来增强医院的安全氛围。
■患者或公众的贡献无关紧要，因为本研究旨在探讨临床护士与NSI相关的现状和因素。
方法：进行了全国横断面调查。
方法：采用多阶段抽样的方法对中国14家医院的3336名护士进行调查。采用描述性统计以及单变量和多变量逻辑回归来揭示NSI的发生率及其相关因素。
结果：共有970名护士（29.1%）报告在过去一年中至少经历过一次NSI。多因素logistic回归分析显示，与内科护士相比，重症监护病房（ICU）和急诊科良好的医院安全氛围和临床护士对NSI具有保护作用。护士,高级护士,与副主任或以上护士相比，主管护士显著增加了NSI的风险。视力差但戴眼镜和视力差但不戴眼镜的患者更容易患有NSI。在手术室工作与内科相比，平均每周工作时间>45h与≤40h相比，一般健康状况差导致NSI风险增加。
结论：我国临床护士的NSI率较高。个人因素包括职称，部门,视力和一般心理健康以及组织因素，包括每周工作时间和医院安全氛围与NSI的发生显着相关。
结论：护理管理者应关注临床护士的身心状况，需要组织支持来增强医院的安全氛围。
■患者或公众的贡献无关紧要，因为本研究旨在探讨临床护士与NSI相关的现状和因素。
