The associations of workload, individual and organisational factors on nurses' occupational injuries.


Journal

Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 27 12 2017
revised: 14 09 2018
accepted: 18 10 2018
pubmed: 26 10 2018
medline: 21 3 2019
entrez: 26 10 2018
Statut: ppublish

Résumé

To determine the prevalence and type of occupational injuries in nurses and their associations with workload, working shift, and nurses' individual and organisational factors. Nurses are vulnerable to occupational injuries due to the nature of their job. A cross-sectional correlational design (based on STROBE Statement) was conducted. This study was conducted among 616 nurses of four public hospitals located in four different provinces in Iran. Data were collected using three questionnaires including an organisational and demographic questionnaire, an occupational injuries checklist and the NASA-TLX questionnaire (about mental workload). Chi-square test, one-way ANOVA and multivariate logistic regression were used in SPSS version 23.0 for statistical analysis. Blood and body fluid exposures had the highest prevalence (47.4%) among all injuries. Needlestick injuries showed a significant relation with gender, age, number of shifts in a month and work experience. With increase in mental workload, needlestick injuries increase by 35%. Also, injuries reported by nurses working in rotating shifts were 15%-53% more than nurses working in fixed shifts. Working in rotating shifts and work overload was significantly related to all injuries. Decreasing nurses' mental workload, introducing guidelines and efficient training in shift work schedules can help decrease occupational injuries among nurses. In order to reduce occupational injuries among nurses, in addition to incorporating advanced management and technology, it is necessary to pay attention to psychosocial, individual and organisational risk factors related to occupational injuries and their frequency in nurses. Also, reducing personnel's mental and occupational pressure should be considered.

Sections du résumé

AIMS AND OBJECTIVES OBJECTIVE
To determine the prevalence and type of occupational injuries in nurses and their associations with workload, working shift, and nurses' individual and organisational factors.
BACKGROUND BACKGROUND
Nurses are vulnerable to occupational injuries due to the nature of their job.
DESIGN METHODS
A cross-sectional correlational design (based on STROBE Statement) was conducted.
METHODS METHODS
This study was conducted among 616 nurses of four public hospitals located in four different provinces in Iran. Data were collected using three questionnaires including an organisational and demographic questionnaire, an occupational injuries checklist and the NASA-TLX questionnaire (about mental workload). Chi-square test, one-way ANOVA and multivariate logistic regression were used in SPSS version 23.0 for statistical analysis.
RESULTS RESULTS
Blood and body fluid exposures had the highest prevalence (47.4%) among all injuries. Needlestick injuries showed a significant relation with gender, age, number of shifts in a month and work experience. With increase in mental workload, needlestick injuries increase by 35%. Also, injuries reported by nurses working in rotating shifts were 15%-53% more than nurses working in fixed shifts.
CONCLUSION CONCLUSIONS
Working in rotating shifts and work overload was significantly related to all injuries. Decreasing nurses' mental workload, introducing guidelines and efficient training in shift work schedules can help decrease occupational injuries among nurses.
RELEVANCE TO CLINICAL PRACTICE CONCLUSIONS
In order to reduce occupational injuries among nurses, in addition to incorporating advanced management and technology, it is necessary to pay attention to psychosocial, individual and organisational risk factors related to occupational injuries and their frequency in nurses. Also, reducing personnel's mental and occupational pressure should be considered.

Identifiants

pubmed: 30357967
doi: 10.1111/jocn.14699
doi:

Types de publication

Journal Article

Langues

eng

Pagination

902-911

Informations de copyright

© 2018 John Wiley & Sons Ltd.

Auteurs

Majid Bagheri Hosseinabadi (M)

School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.

Narges Khanjani (N)

Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Siavash Etemadinezhad (S)

Department of Occupational Health Engineering, School of Public Health, Mazandaran University of Medical Sciences, Mazandaran, Iran.

Seyed Ehsan Samaei (SE)

Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Mehdi Raadabadi (M)

Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Maryam Mostafaee (M)

Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran.

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