Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.
BACKGROUND
Safety climate and nurses' working conditions may have an impact on both patient outcomes and nurse occupational health, but these outcomes have rarely been examined concurrently.


OBJECTIVE
To examine the association of unit-level safety climate and specific nurse working conditions with injury outcomes for both nurses and patients in a single hospital.


METHODS
A cross-sectional study was conducted using nursing-unit level and individual-level data at an urban, level-one trauma centre in the USA. Multilevel logistic regressions were used to examine associations among injury outcomes, safety climate and working conditions on 29 nursing units, including a total of 723 nurses and 28 876 discharges.


METHODS
Safety climate was measured in 2004 using the Safety Attitudes Questionnaire (SAQ). Working conditions included registered nursing hours per patient day (RNHPPD) and unit turnover. Patient injuries included 290 falls, 167 pulmonary embolism/deep vein thrombosis (PE/DVT), and 105 decubitus ulcers. Nurse injury was defined as a reported needle-stick, splash, slip, trip, or fall (n=78). Working conditions and outcomes were measured in 2005.


RESULTS
The study found a negative association between two SAQ domains, Safety and Teamwork, with the odds of both decubitus ulcers and nurse injury. RNHPPD showed a negative association with patient falls and decubitus ulcers. Unit turnover was positively associated with nurse injury and PE/DVT, but negatively associated with falls and decubitus ulcers.


CONCLUSIONS
Safety climate was associated with both patient and nurse injuries, suggesting that patient and nurse safety may actually be linked outcomes. The findings also indicate that increased unit turnover should be considered a risk factor for nurse and patient injuries.
Department of Environmental and Occupational Health, Drexel University School of Public Health, Philadelphia, PA 19102, USA. jat65@drexel.edu
Jennifer A
JA
Taylor
Francesca
F
Dominici
Jacqueline
J
Agnew
Daniel
D
Gerwin
Laura
L
Morlock
Marlene R
MR
Miller
D003430:Cross-Sectional Studies; D006801:Humans; D016015:Logistic Models; D009740:Nursing Staff; D016273:Occupational Exposure / Q000009:adverse effects*; D016272:Occupational Health; D060051:Occupational Injuries / Q000209:etiology*; D015279:Organizational Culture; D017751:Safety Management; D014193:Trauma Centers; D014481:United States