title: Organizational climate and its relationship with needlestick and sharps injuries among Japanese nurses.
abstract: BACKGROUND
  Although certain aspects of organizational climate have been shown to influence needlestick and sharps injuries (NSI) among nurses, this issue has not been adequately investigated in Japan.
  
  
  METHODS
  Our study involved a modified version of the Hospital Safety Climate Scale, which was distributed to a large cross section of nurses in a Japanese teaching hospital.
  
  
  RESULTS
  Various aspects of safety climate were associated with a reduced NSI risk, such as being involved in health and safety matters (odds ratio [OR], 0.13; 95% confidence interval [CI]: 0.02-0.65) and being properly trained in risk control procedures (OR, 0.32; 95% CI: 0.12-0.78). Nurses working in departments in which health and safety information was readily available were more likely to report any NSI they sustained (OR, 4.91; 95% CI: 1.30-18.51), whereas nurses working in departments with minimal conflict were less likely to underreport their NSI (OR, 0.45; 95% CI: 0.22-0.87).
  
  
  CONCLUSIONS
  Overall, this study suggests that hospital safety climate has an important influence on NSI injury rates and reporting behavior among Japanese nurses. Given the multifaceted nature of identified risk, a comprehensive approach to infection control is clearly required and one that encompasses preventive strategies in both the cultural and physical domains.
authors.affiliation: WorkCover New South Wales Research Centre of Excellence, University of Newcastle, Ourimbah, Australia. derek.smith@newcastle.edu.au
authors.forename: Derek R
authors.initials: DR
authors.lastname: Smith
authors.forename: Mutsuko
authors.initials: M
authors.lastname: Mihashi
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Adachi
authors.forename: Yukimi
authors.initials: Y
authors.lastname: Shouyama
authors.forename: Fusayo
authors.initials: F
authors.lastname: Mouri
authors.forename: Noriko
authors.initials: N
authors.lastname: Ishibashi
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Ishitake
mesh_terms: D000062:Accidents, Occupational / Q000523:psychology / Q000706:statistics & numerical data*; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D016602:Needlestick Injuries / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000706:statistics & numerical data*; D016273:Occupational Exposure / Q000706:statistics & numerical data; D015279:Organizational Culture; D011482:Protective Devices; D012308:Risk Management; D017751:Safety Management; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control