Factors promoting consistent adherence to safe needle precautions among hospital workers.
OBJECTIVE
To examine organizational factors and occupational characteristics associated with adherence to occupational safety guidelines recommending never recapping needles.


METHODS
Mail surveys were conducted with healthcare workers (HCWs) and infection control professionals (ICPs).


METHODS
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).


METHODS
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).


CONCLUSIONS
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.
Department of Health Management and Policy, The University of Iowa College of Public Health, Iowa City, Iowa, USA.
Thomas E
TE
Vaughn
Kimberly D
KD
McCoy
Susan E
SE
Beekmann
Robert E
RE
Woolson
James C
JC
Torner
Bradley N
BN
Doebbeling
D004867:Equipment Design; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006801:Humans; D017053:Infection Control / Q000592:standards* / Q000706:statistics & numerical data; D007484:Iowa; D016015:Logistic Models; D015999:Multivariate Analysis; D009339:Needles; D016602:Needlestick Injuries / Q000517:prevention & control*; D009784:Occupational Diseases / Q000517:prevention & control*; D016273:Occupational Exposure / Q000517:prevention & control*; D015279:Organizational Culture; D016134:Organizational Policy; D010564:Personnel, Hospital / Q000706:statistics & numerical data*; D017751:Safety Management / Q000592:standards* / Q000706:statistics & numerical data