Looking at the intangibles of needle safety
Clarke SP, Rocket JL, Sloane DM, et al. Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. Am J Infect Control 2002; 30:207-216
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Nurse staffing and organizational climate are key determinants of needlestick risk and must be considered with the adoption of safety equipment to effectively reduce sharps injuries, the authors emphasize. Recently passed federal legislation requires institutions to adopt safety equipment to prevent needlesticks, but there is little empirical evidence of the effectiveness of specific types of safety devices or the contribution of safety devices to reducing needlesticks relative to the contributions of staffing, organizational climate, and clinicians’ experience, the authors note.
Staffing, organizational climate examined
They surveyed 2,287 medical-surgical unit nurses in 22 U.S. hospitals in regard to staffing and organizational climate in their hospitals and about patient and nurse outcomes, including needlestick injuries. Hospitals provided information about available protective devices at the time of the survey (1998). The authors looked at the relationship between nurse and hospital characteristics, protective equipment, and the likelihood of needlestick injuries and near-miss’ incidents.
"Poor organizational climate and high workloads were associated with 50% to twofold increases in the likelihood of needlestick injuries and near misses to hospital nurses," the authors concluded. "Capless-valve secondary intravenous set systems and use of any type of protective equipment for IV starts or blood draws were associated with 20% to 30% lowered risks of both event types."
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