Identifying individual and organizational predictors of accidental exposure to blood (AEB) among hospital healthcare workers: A longitudinal study
In: ISSN: 0899-823X, 2023
Online
academicJournal
Zugriff:
International audience ; Background: Accidental exposure to blood (AEB) poses a risk of bloodborne infections for healthcare workers (HCWs) during hospital activities. In this study, we identified individual behavioral and organizational predictors of AEB among HCWs. Methods: The study was a prospective, 1-year follow-up cohort study conducted in university hospitals in Paris, France. Data were collected from the Stress at Work and Infectious Risk in Patients and Caregivers (STRIPPS) study. Eligible participants included nurses, nursing assistants, midwives, and physicians from 32 randomly selected wards in 4 hospitals. AEB occurrences were reported at baseline, 4 months, 8 months, and 12 months, and descriptive statistical and multilevel risk-factor analyses were performed. Results: The study included 730 HCWs from 32 wards, predominantly nurses (52.6%), nursing assistants (41.1%), physicians (4.8%), and midwives (1.5%). The incidence rate of AEB remained stable across the 4 visits. The multilevel longitudinal analysis identified several significant predictors of AEB occurrence. Individual-level predictors included younger age, occupation as nurses or midwives, irregular work schedule, rotating shifts, and lack of support from supervisors. The use of external nurses was the most significant ward-level predictor associated with AEB occurrence. Conclusions: AEBs among HCWs are strongly associated with organizational predictors, highlighting the importance of complementing infection control policies with improved staff management and targeted training. This approach can help reduce AEB occurrences and enhance workplace safety for HCWs.
Titel: |
Identifying individual and organizational predictors of accidental exposure to blood (AEB) among hospital healthcare workers: A longitudinal study
|
---|---|
Autor/in / Beteiligte Person: | Bun, René Sosata ; Aït Bouziad, Karim ; Daouda, Oumou Salama ; Miliani, Katiuska ; Eworo, Anastasia ; Espinasse, Florence ; Seytre, Delphine ; Casetta, Anne ; Nérome, Simone ; Temime, Laura ; Hocine, Mounia ; Astagneau, Pascal ; Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU) ; Centre d'Investigation Clinique de La Réunion - INSERM (CIC 1410) ; Université de La Réunion (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Universitaire de La Réunion (CHU La Réunion) ; Laboratoire Modélisation, épidémiologie et surveillance des risques sanitaires (MESuRS) ; Conservatoire National des Arts et Métiers CNAM (CNAM) ; HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM) ; Centre d'appui pour la prévention des infections associées aux soins Île-de-France (Cpias Île-de-France) ; Hôpital Ambroise Paré AP-HP ; Hôpital Avicenne AP-HP ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) ; Hôpital Cochin AP-HP ; Hôpital Beaujon AP-HP ; Pasteur-Cnam Risques infectieux et émergents (PACRI) ; Institut Pasteur Paris (IP)-Conservatoire National des Arts et Métiers CNAM (CNAM) ; HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Université Paris Cité (UPCité) ; This study was funded by a grant from Programme de Recherche sur la Performance du Système de Soins - PREPS 2016 (Ministère de la Santé). |
Link: | |
Zeitschrift: | ISSN: 0899-823X, 2023 |
Veröffentlichung: | HAL CCSD ; University of Chicago Press, 2023 |
Medientyp: | academicJournal |
DOI: | 10.1017/ice.2023.248 |
Schlagwort: |
|
Sonstiges: |
|