背景:尽管引入了一系列旨在保护医护人员的安全政策和锐器设备,职业暴露于锐器的经皮损伤率仍然很高。这项研究检查了三级医院急诊科各种类型的锐器设备的可用性和使用情况,了解临床医生在非安全和安全装置之间的选择;并记录他们安全和不安全使用锐器。
方法:这项混合方法研究包括库存水平的观察,对员工使用情况的调查,并对半结构化访谈数据进行内容分析,以探索影响员工对不同锐器设备偏好的因素。
结果:工作人员发现了一系列尖锐的风险,以及使用安全装置的障碍和推动者。可用性,和偏好,熟悉的设备影响了临床实践中使用的设备的选择,尽管意识到相关的风险。
结论:对设备使用的这种理解以及激发这种使用的因素为知识到行动周期的第一阶段提供了信息。知识翻译,应包括制定政策以帮助降低锐器受伤的风险。文化变革和持续的技能发展可能有助于克服根深蒂固的程序,并通过更安全的锐器增加自愿参与。
BACKGROUND: Despite the introduction of a range of safety policies and sharps equipment designed to protect healthcare workers, rates of percutaneous injuries from occupational exposure to sharps remains high. This study examined the availability and use of various types of sharps devices in a tertiary hospital emergency department, to understand clinician choice between non-safety and safety devices; and to document their safe and unsafe use of sharps.
METHODS: This mixed methods study consisted of areview of stock levels, a survey of staff usage, and a content analysis of semi-structured interview data to explore factors which impact on staff preferences for different sharps devices.
RESULTS: Staff identified a range of sharps risks, as well as barriers and enablers to the use of safety devices. Availability of, and preference for, familiar devices influenced choice of devices used in clinical practice, despite awareness of associated risks.
CONCLUSIONS: This understanding of equipment use and the factors that motivate such use have informed the first stage of the knowledge-to-action cycle. Knowledge translation, should include the development of policies to help reduce the risk of sharps injury. Culture change and ongoing skills development might help to overcome entrenched procedures and increase voluntary engagement with safer sharps.