Association between Needlestick and Sharps Injury with Long Working Hours among Nurses in Thailand
DOI:
https://doi.org/10.59096/osir.v16i3.264393Keywords:
needlestick and sharps injury, registered nurses, long working hours, Thai nursesAbstract
Needlestick and sharps injury (NSSI) is a significant public health problem. The objective of this study was to describe NSSI among Thai nurses from 2012–2021 and explore the association between long working hours and NSSI. We used data from the Health Data Center of the Ministry of Public Health and the 2012 Thai Nurse Cohort Study. Multiple logistic regression was used to assess the association between long working hours (more than 12 hours/day or more than 40 hours/week) and NSSI. The prevalence of NSSI among nurses increased between 2012 and 2021. Long working hours was significantly associated with NSSI (adjusted odds ratio 1.5, 95% confidence interval 1.3–1.8). Policies to regulate long working hours and excessive work shifts should be implemented.
References
Canadian Centre for Occupational Health and Safety. Hazard and Risk [Internet]. Hamilton (ON): Canadian Centre for Occupational Health and Safety; [updated 2020 Jul 10; cited 2022 Mar 1]. <https://www.ccohs.ca/oshanswers/hsprograms/hazard_risk.html>
World Health Organization. Occupational health [Internet]. Geneva: World Health Organization; [cited 2021 Oct 28]. <https://www.who.int/health-topics/occupational-health>
World Health Organization. Protecting workers’ health [Internet]. Geneva: World Health Organization; [updated 2017 Nov 30; cited 2022 Jun 16]. <https://www.who.int/en/news-room/fact-sheets/detail/protecting-workers’-health>
Occupational Safety and Health Administration. Recommended Practices for Safety and Health Programs [Internet]. Washington: U.S. Department of Labor; [cited 2021 Oct 27]. <https://www.osha.gov/safety-management/hazard-Identification#ai3>
Huei LC, Ya-Wen L, Ming YC, Chen HL, Yi WJ, Hung LM. Occupational health and safety hazards faced by healthcare professionals in Taiwan: a systematic review of risk factors and control strategies. SAGE open Med. 2020;8: 2050312120918999. doi:10.1177/2050312120918999.
Bouya S, Balouchi A, Rafiemanesh H, Amirshahi M, Dastres M, Moghadam MP, et al. Global prevalence and device related causes of needle stick injuries among health care workers: a systematic review and meta-analysis. Ann Glob Heal. 2020;86(1): 35. doi:10.5334/aogh.2698.
World Health Organization. Nursing and midwifery [Internet]. Geneva: World Health Organization; 2022 [updated 2022 Mar 18; cited 2022 Jun 17]. <https://www.who.int/news-room/fact-sheets/detail/nursing-and-midwifery>
World Health Organization. Occupational infections [Internet]. Geneva: World Health Organization; [cited 2022 Mar 2]. <https://www.who.int/tools/occupational-hazards-in-health-sector/occupational-infections>
Wang D, Yang R, Ma H. Needle stick injuries among nurses in China: meta-analysis. J Health Sci Altern Med. 2019;1(3):24–9.
Alimohamadi Y, Taghdir M, Sepandi M, Kalhor L, Abedini F. Prevalence of needlestick injuries among health-care workers in iranian hospitals: an updated systematic review and meta-analysis. Arch Trauma Res. 2020;9(2):47–55. doi:10.4103/atr.atr_91_19.
Yunihastuti E, Ratih DM, Aisyah MR, Hidayah AJ, Widhani A, Sulaiman AS, et al. Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study. BMJ Open. 2020;10(12):e041494. doi:10.1136/bmjopen-2020-041494.
Leong XYA, Yee FZY, Leong YY, Tan SG, Amin IBM, Ling ML, et al. Incidence and analysis of sharps injuries and splash exposures in a tertiary hospital in Southeast Asia: a ten-year review. Singapore Med J. 2019;60(12):631–6. doi:10.11622/smedj.2019082.
Saadeh R, Khairallah K, Abozeid H, Al Rashdan L, Alfaqih M, Alkhatatbeh O. Needle stick and sharp injuries among healthcare workers: A retrospective six-year study. Sultan Qaboos Univ Med J. 2020 Feb;20(1):e54–62. doi:10.18295/squmj.2020.20.01.008.
Westermann C, Peters C, Lisiak B, Lamberti M, Nienhaus A. The prevalence of hepatitis C among healthcare workers: a systematic review and meta-analysis. Occup Environ Med 2015; 72(12):880–8. doi:10.1136/oemed-2015-102879.
Elshamy K, El-Hadidi M, El-Roby M, Fouda M. Health hazards among oncology nurses exposed to chemotherapy drugs. Afr J Haematol Oncol [Internet]. 2010[cited 2021 Oct 28];1(3):70–8. <http://www.theafjho.com/index.php/AJOHAO/article/view/20/32>
National Institute for Occupational Safety and Health. Healthcare Workers [Internet]. Atlanta: U.S. Centers for Disease Control and Prevention; 2017 [cited 2022 Mar 2]. <https://www.cdc.gov/niosh/topics/healthcare/default.html>
Institution of Occupational Safety and Health. The effects of shift work on health [Internet]. Wigston: Institution of Occupational Safety and Health; 2015 [cited 2021 Oct 28]. <https://iosh.com/shiftworkhealth>
World Health Organization. Long working hours increasing deaths from heart disease and stroke: WHO, ILO [Internet]. Geneva: World Health Organization; 2021 May 17 [cited 2022 Mar 1]. <https://www.who.int/news/item/17-05-2021-long-working-hours-increasing-deaths-from-heart-disease-and-stroke-who-ilo>
Rogers AE, Hwang W-T, Scott LD, Aiken LH, Dinges DF. The working hours of hospital staff nurses and patient safety. Health Affairs. 2004; 23(4):202–12. doi: 10.1377/hlthaff.23.4.202.
Lo WY, Chiou ST, Huang N, Chien LY. Long work hours and chronic insomnia are associated with needlestick and sharps injuries among hospital nurses in Taiwan: A national survey. Int J Nurs Stud. 2016 Dec;64:130–6. doi:10.1016/j.ijnurstu.2016.10.007.
Auta A, Adewuyi EO, Tor-Anyiin A, Edor JP, Kureh GT, Khanal V, et al. Global prevalence of percutaneous injuries among healthcare workers: a systematic review and meta-analysis. Int J Epidemiol. 2018;47(6):1972–80. doi:10.1093/ije/dyy208.
Shah SF, Bener A, Al-Kaabi S, Al Khal AL, Samson S. The epidemiology of needle stick injuries among health care workers in a newly developed country. Safety Science. 2006;44(5):387–94. doi:10.1016/j.ssci.2005.11.002.
Setthamas M, Sawaengdee K, Theerawit T, Tangcharoensathien V, Pitaksanurat S, Thinkamrop B, et al. Incidence and risk factors of needle stick and sharp injuries among registered nurses in Thailand. J Public Hlth Dev. 2018;16(1):17–28.
Sawaengdee K, Tangcharoensathien V, Theerawit T, Thungjaroenkul P, Thinkhamrop W, Prathumkam P, et al. Thai nurse cohort study: cohort profiles and key findings. BMC Nurs. 2016;15:10. doi 10.1186/s12912-016-0131-0.
Thailand Nursing and Midwifery Council. Thailand nursing workforce policy [Internet]. Nonthaburi: Thailand Nursing and Midwifery Council; 2018 Feb 23 [cited 2021 Oct 28]. 12 p. <https://www.tnmc.or.th/images/userfiles/files/003(1).pdf>. Thai.
Wayne WD, Chad LC. Biostatistics: a foundation for analysis in the health sciences. 10th ed. Danvers: WILEY; 2013. 777 p.
Smith DR, Choe MA, Jeong JS, Jeon MY, Chae YR, An GJ. Epidemiology of needlestick and sharps injuries among professional Korean nurses. J Prof Nurs. 2006;22(6):359–66. doi:10.1016/j.profnurs.2006.10.003.
Nsubuga FM, Jaakkola MS. Needle stick injuries among nurses in sub-Saharan Africa. Trop Med Int Health. 2005;10(8):773–81. doi:10.1111/j.1365-3156.2005.01453.x.
Parsa-Pili J, Izadi N, Golbabaei F. Factors associated with needle stick and sharp injuries among health care workers. Int J Occup Hyg. 2013;5(4):191-7.
Cannaby AM, Carter V, Rolland P, Finn A, Owen J. The scope and variance of clinical nurse specialist job description. Br J Nurs. 2020;29(11):606–11. doi:10.12968/bjon.2020.29.11.606.
Alfulayw KH, Al-Otaibi ST, Alqahtani HA. Factors associated with needlestick injuries among healthcare workers: implications for prevention. BMC Health Serv Res. 2021;21(1):1074. doi:10.1186/s12913-021-07110-y.
Kasatpibal N, Whitney JD, Katechanok S, Ngamsakulrat S, Malairungsakul B, Sirikulsathean P, et al. Prevalence and risk factors of needlestick injuries, sharps injuries, and blood and body fluid exposures among operating room nurses in Thailand. Am J Infect Control. 2016;44(1):85–90. doi:10.1016/j.ajic.2015.07.028.
Wicker S, Jung J, Allwinn R, Gottschalk R, Rabenau HF. Prevalence and prevention of needlestick injuries among health care workers in a German university hospital. Int Arch Occup Environ Health. 2008;81(3):347–54. doi:10.1007/s00420-007-0219-7.
Schulte PA, Wagner GR, Ostry A, Blanciforti LA, Cutlip RG, Krajnak KM, et al. Work, obesity, and occupational safety and health. Am J Public Health. 2007;97(3):428–36. doi:10.2105/AJPH.2006.086900.
Bernstrom VH, Alves DE, Ellingsen D, Ingelsrud MH. Healthy working time arrangements for healthcare personnel and patients: a systematic literature review. BMC Health Serv Res. 2019;19(1):193. doi:10.1186/s12913-019-3993-5.
Olds DM, Clarke SP. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153–62. doi:10.1016/j.jsr.2010.02.002.
Bolster L, Rourke L. The effect of restricting residents’ duty hours on patient safety, resident well-being, and resident education: an updated systematic review. J Grad Med Educ. 2015;7(3):349–63. doi:10.4300/JGME-D-14-00612.1.
Jena AB, Farid M, Blumenthal D, Bhattacharya J. Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. BMJ. 2019;366:l4134. doi:10.1136/bmj.l4134.
de Cordova PB, Bradford MA, Stone PW. Increased errors and decreased performance at night: a systematic review of the evidence concerning shift work and quality. Work. 2016;53(4):825–34. doi:10.3233/WOR-162250.
Witthayapipopsakul W, Cetthakrikul N, Suphanchaimat R, Noree T, Sawaengdee K. Equity of health workforce distribution in Thailand: an implication of concentration index. Risk Manag Healthc Policy. 2019;12:13–22. doi:10.2147/RMHP.S181174.
Lin RT, Lin YT, Hsia YF, Kuo CC. Long working hours and burnout in health care workers: non-linear dose-response relationship and the effect mediated by sleeping hours—a cross-sectional study. J Occup Health. 2021;63(1):e12228. doi:https://doi.org/10.1002/1348-9585.12228.
McDonald F. Working to death: the regulation of working hours in health care. Law & Policy 2008 Jan;30(1):108–40. doi:10.1111/j.1467-9930.2008.00271.x.
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