Abstract
Purpose
Psychosocial work characteristics may be associated with needle stick and sharps injuries (NSIs) among nurses. The current evidence is, however, sparse, inconclusive, and mainly limited to cross-sectional investigations. We aimed to contribute prospective data.
Methods
We conducted a prospective study among 1,791 female hospital nurses from China. At baseline and at a 1-year follow-up, fourteen psychosocial work characteristics were assessed by the short Copenhagen Psychosocial Questionnaire. At follow-up, any NSI in the workplace during the previous year was measured by participants’ self-reports. We quantified associations between (1) psychosocial work characteristics at baseline and NSIs at follow-up by multivariate relative risks (Poisson regression) and (2) NSIs reported at follow-up with psychosocial work characteristics at follow-up (multivariate linear regression, among others, adjusted for psychosocial work characteristics at baseline).
Results
The only psychosocial work characteristic associated with a slightly increased risk of subsequent NSIs was quantitative demands. Examining the opposite direction of effect, we found that NSIs during the year preceding the follow-up were associated with slightly worse ratings of seven psychosocial work characteristics at follow-up (i.e., influence at work, meaning of work, commitment to the workplace, quality of leadership, social support, social community at work, and job insecurity).
Conclusions
Overall, our study does not provide compelling evidence for an association of psychosocial work characteristics and subsequent occurrence of NSIs. By contrast, experience of NSIs may predict less favorable perceptions of psychosocial work characteristics.
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References
Ashat M, Bhatia V, Puri S, Thakare M, Koushal V (2011) Needle stick injury and HIV risk among health care workers in North India. Indian J Med Sci 65:371–378
Askarian M, Shaghaghian S, McLaws ML (2007) Needlestick injuries among nurses of Fars province, Iran. Ann Epidemiol 17:988–992
Chunxiang F, Bike Z, Lijie Z, Hutin Y, Jie L, Jiang T, Qin L, Jiang L, Guang Z (2012) Injection safety assessments in two Chinese provinces, 2001–2009: progress and remaining challenges. Int Health 4:295–302
Clarke SP, Rockett JL, Sloane DM, Aiken LH (2002a) Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. Am J Infect Control 30:207–216
Clarke SP, Sloane DM, Aiken LH (2002b) Effects of hospital staffing and organizational climate on needlestick injuries to nurses. Am J Public Health 92:1115–1119
de Lange AH, Taris TW, Kompier MA, Houtman IL, Bongers PM (2005) Different mechanisms to explain the reversed effects of mental health on work characteristics. Scand J Work Environ Health 31:3–14
Gershon RR, Karkashian CD, Grosch JW, Murphy LR, Escamilla-Cejudo A, Flanagan PA, Bernacki E, Kasting C, Martin L (2000) Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. Am J Infect Control 28:211–221
Gershon RR, Qureshi KA, Pogorzelska M, Rosen J, Gebbie KM, Brandt-Rauf PW, Sherman MF (2007) Non-hospital based registered nurses and the risk of bloodborne pathogen exposure. Ind Health 45:695–704
Green B, Griffiths EC (2013) Psychiatric consequences of needlestick injury. Occup Med (Lond) 63:183–188
Kristensen TS, Hannerz H, Hogh A, Borg V (2005) The Copenhagen Psychosocial Questionnaire—a tool for the assessment and improvement of the psychosocial work environment. Scand J Work Environ Health 31:438–449
Lavoie MC, Verbeek JH, Pahwa M (2014) Devices for preventing percutaneous exposure injuries caused by needles in healthcare personnel. Cochrane Database Syst Rev 3:CD009740
Lee JM, Botteman MF, Xanthakos N, Nicklasson L (2005a) Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues. AAOHN J 53:117–133
Lee WC, Nicklasson L, Cobden D, Chen E, Conway D, Pashos CL (2005b) Short-term economic impact associated with occupational needlestick injuries among acute care nurses. Curr Med Res Opin 21:1915–1922
Li J, Fu H, Hu Y, Shang L, Wu Y, Kristensen TS, Mueller BH, Hasselhorn HM (2010) Psychosocial work environment and intention to leave the nursing profession: results from the longitudinal Chinese NEXT study. Scand J Public Health 38:69–80
Li J, Galatsch M, Siegrist J, Muller BH, Hasselhorn HM (2011) Reward frustration at work and intention to leave the nursing profession—prospective results from the European longitudinal NEXT study. Int J Nurs Stud 48:628–635
Mehrdad R, Atkins EH, Sharifian SA, Pouryaghoub G (2014) Psychosocial factors at work and blood-borne exposure among nurses. Int J Occup Environ Med 5:32–39
Naghavi SH, Shabestari O, Alcolado J (2013) Post-traumatic stress disorder in trainee doctors with previous needlestick injuries. Occup Med (Lond) 63:260–265
Shang L, Liu P, Fan L, Gu H, Li J (2008) Psychometric properties of the Chinese version of Copenhagen Psychosocial Questionnaire [in Chinese]. J Environ Occup Med 25:572–576
Sharma R, Rasania S, Verma A, Singh S (2010) Study of prevalence and response to needle stick injuries among health care workers in a tertiary care hospital in Delhi, India. Indian J Community Med 35:74–77
Smith DR, Choe MA, Jeong JS, Jeon MY, Chae YR, An GJ (2006a) Epidemiology of needlestick and sharps injuries among professional Korean nurses. J Prof Nurs 22:359–366
Smith DR, Mihashi M, Adachi Y, Nakashima Y, Ishitake T (2006b) Epidemiology of needlestick and sharps injuries among nurses in a Japanese teaching hospital. J Hosp Infect 64:44–49
Smith DR, Muto T, Sairenchi T, Ishikawa Y, Sayama S, Yoshida A, Townley-Jones M (2010) Hospital safety climate, psychosocial risk factors and needlestick injuries in Japan. Ind Health 48:85–95
Smith DR, Zhao I, Wang L, Ho A (2013) Dimensions and reliability of a hospital safety climate questionnaire in Chinese health-care practice. Int J Nurs Pract 19:156–162
Sohn JW, Kim BG, Kim SH, Han C (2006) Mental health of healthcare workers who experience needlestick and sharps injuries. J Occup Health 48:474–479
Wang S, Yao L, Li S, Liu Y, Wang H, Sun Y (2012) Sharps injuries and job burnout: a cross-sectional study among nurses in China. Nurs Health Sci 14:332–338
Wilburn SQ, Eijkemans G (2004) Preventing needlestick injuries among healthcare workers: a WHO-ICN collaboration. Int J Occup Environ Health 10:451–456
World Health Organization (2002) The World Health Report (Box 4.4) http://www.who.int/whr/2002/chapter4/en/index8.html. Accessed 19 Dec 2013
Zafar A, Aslam N, Nasir N, Meraj R, Mehraj V (2008) Knowledge, attitudes and practices of health care workers regarding needle stick injuries at a tertiary care hospital in Pakistan. J Pak Med Assoc 58:57–60
Zhang MX, Yu Y (2013) A study of the psychological impact of sharps injuries on health care workers in China. Am J Infect Control 41:186–187
Acknowledgments
This project was partly supported by a Marie Curie International Incoming Fellowship within the 7th European Community Framework Programme (PIIF-GA-2008-220641). The authors would like to thank all the nurses of the Chinese NEXT Study for their continuous participation. We also gratefully acknowledge Dr. Hua Fu and Dr. Yan Hu for their excellent scientific collaboration during field work and data collection.
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The authors declare that they have no conflict of interest.
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Loerbroks, A., Shang, L., Angerer, P. et al. Psychosocial work characteristics and needle stick and sharps injuries among nurses in China: a prospective study. Int Arch Occup Environ Health 88, 925–932 (2015). https://doi.org/10.1007/s00420-015-1021-6
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DOI: https://doi.org/10.1007/s00420-015-1021-6