Hospital Nurses’ Risk of Injury: A Mixed Methods Study in Indonesia

Authors

  • Sri Yulia Faculty of Nursing, Universitas Indonesia, Depok, and Institut Ilmu Kesehatan dan Teknologi Muhammadiyah Palembang, Indonesia.
  • Achir Yani S.Hamid Department of Mental Health – Psychiatric Nursing, Faculty of Nursing, Universitas Indonesia.
  • Hanny Handiyani Department of Basic Science and Fundamentals of Nursing, Faculty of Nursing, Universitas Indonesia.
  • Ede Surya Darmawan Faculty of Public Health, Universitas Indonesia.

DOI:

https://doi.org/10.60099/prijnr.2023.262043

Keywords:

Hospital, Injury prevention, Mixed methods, Nurses, Resilience, Risk of injury, Safety risks, Screening, Surveillance, Workload

Abstract

Various risks of injury become the background of incidents and health and safety problems for nurses globally, impacting a nurse’s right to a safe work environment. No studies have examined the relationship between individual conditions and various aspects of the nurse’s risk of injury. This study explored nurses’ risk of injury in hospitals and the relationship between the individual characteristics of nurses with the surveillance, screening and injury prevention activities undertaken in hospitals.
This mixed methods study using an exploratory sequential design was conducted in Indonesia involving 176 registered nurses from 17 urban hospitals for the quantitative phase and 21 registered nurses from five hospitals for the qualitative phase. The quantitative data shows that more than half stated they were not good at occupational health and safety surveillance or screening or efforts to reduce occupational health and safety risks. The surveillance, screening, and injury prevention activities of the nurses in the hospitals were not found to be influenced by their age, working experience, marital status, gender, education level, and employment status. The qualitative data analysis revealed four main themes: (1) Causes of the nurses’ risk of injury, (2) Preventing injuries, (3) Resilience, and (4) Acting to prevent risk of injury. The effective methods to prevent the risk of injury included optimizing nurses’ roles, improving the work environment, and making organizational programs on health and safety. Nurses are exposed to multiple risks of injury, and their monitoring, screening, and injury prevention activities are influenced by factors other than the individual.

References

The International Council of Nurses. ICN Position Statement: occupational health and safety for nurses. 2017; Available from:https://www.icn.ch/sites/default/files/inline-files/ PS_C_Occupational_health_safety_0.pdf

Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6): 592–8. doi: 10.1016/j.ajic.2020.03.018.

World Health Organization. Getting your workplace ready for COVID-19. WHO [Internet]. 2020 Mar 19;1-8. Available from: www.WHO.int%0Awww.WHO.int

Tweedy JT. Healthcare safety for nursing personnel an organizational guide to achieving results. Taylor & Francis. Boca Raton. 2015.

Wei H, Sewell KA, Woody G, Rose MA. The state of the science of nurse work environments in the United States: a systematic review. Int J Nurs Sci [Internet]. 2018;5(3): 287–300. Available from: http://www.elsevier.com/ journals/international-journal-of-nursing-sciences/ 2352-0132

Caldwell CL. Safety culture and high-risk environments a leadership perspective. USA: Taylor & Francis Group; 2018.

American Nurses Association. Executive summary: American Nurses Association Health Risk Appraisal [Internet]. 2017:1–8. Available from: http://www.nursingworld. org/HRA-Executive-Summary

World Health Organization. Global strategy on human resources for health: workforce 2030 [Internet]. 2016: 1-64. Available from: https://www.who.int/hrh/ resources/global_strategy_workforce2030_14_print. pdf?ua=1

Canadian Centre of Occupational Health and Safety. OSH answers fact Sheets [Internet]. 2019. Available from: https://www.ccohs.ca/oshanswers/hsprograms/hazard_ risk.html

World Health Organization. Occupational safety and health in public health emergencies [Internet]. 2018. Available from: https://apps.who.int/iris/bitstream/handle/ 10665/ 275385/9789241514347-eng.pdf?ua=1&ua=1

Gustafsson K, Marklund S, Aronsson G, Leineweber C. Interaction effects of physical and psychosocial working conditions on the risk of disability pension among nursing professionals and care assistants in Sweden: a prospective study. Int J Nurs Stud [Internet]. 2020;102:103484. Available from: https://doi.org/10.1016/j.ijnurstu.2019. 103484

Nayak S, Mayya S, Chakravarthy K, Andrews T, Goel K, Pundir P. Work-related injuries and stress level in the nursing professional. Int J Med Sci Public Heal. 2016;5(8):1693. doi: 10.5455/ijmsph.2016.03122015288.

Turchi V. et al. Night work and quality of life. A study on the health of nurses. Ann Ist Super Sanita. 2019;55(2): 161–9. doi: 10.4415/ANN_19_02_08.

The Australia-Indonesia Centre. Occupational health and safety (OHS): protecting the Indonesian healthcare workforce during the COVID-19. pandemic [Internet]. 2021 Jun 16. Available from: https://pair.australiaindonesia centre.org/wp-content/uploads/ 2021/ 12/Occupational- Health-and-Safety-in-Healthcare-During-COVID-19_ English.pdf

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): 1–6. http://dx.doi.org/10.1136/bmjopen-2020-041 494

The Occupational Safety and Health Act (OSHA). Caring for our caregivers: facts about hospital worker safety. 2013 Sept. Available from: http://www.mtpinnacle.com/pdfs/ OSHA-1.2_Factbook_508.pdf

Yesni M, Rahmadhani DY. The relationship between stigma and anxiety among nurses during COVID-19 pandemic. J Palembang Nurs Stud. 2022;1(3):69–73. http://dx.doi.org/10.55048/jpns.v1i3.12

Choi DS, Kim SH. Factors affecting occupational health of shift nurses: focusing on job stress, health promotion behavior, resilience, and sleep disturbance. Saf Health Work [Internet]. 2022;13(1):3–8. Available from: https://doi.org/10.1016/j.shaw.2021.09.001

Zarrini KA, Sanagoo A, Jouybari L, Vakili MA, Kavosi A. Evaluation of occupational hazards for nurses in intensive care. J Nurs Midwifery Sci. 2019;5(4):153–8. doi: 10. 4103/JNMS.JNMS_52_18.

Martinelli K. A guide to the most common workplace hazards. High Speed Training [Internet]. 2019; Available from: https://www.highspeedtraining.co.uk/hub/ hazards-in-the-workplace/

Stanulewicz N, Knox E, Narayanasamy M, Shivji N, Khunti K, Blake H. Effectiveness of lifestyle health promotion interventions for nurses: a systematic review. Int J Environ Res Public Health. 2019;17(1):17. doi: 10.3390/ijerph17010017.

Ross A, Yang L, Wehrlen L, Perez A, Farmer N, Bevans M. Nurses and health-promoting self-care: do we practice what we preach? J Nurs Manag [Internet]. 2019;27(3): 599–608. doi:10.1111/jonm.12718.

Gould L, Carpenter H, Farmer DR, Holland D, Dawson JM. Healthy Nurse, Healthy NationTM (HNHN): background and first year results. Appl Nurs Res [Internet]. 2019;49: 64–9. Available from: https://doi.org/10.1016/j.apnr. 2019.04.001

Ghadyani L, Tavafian SS, Kazemnejad A, Wagner J. Development and psychometric evaluation of nursing low back pain predictor questionnaire focusing on nurses suffering from chronic low back pain in Iran. Asian Spine J. 2016;10(4):697–704. doi: 10.4184/asj.2016.10.4.697.

Creswell JW. Qualitative, quantitative, and mixed methods approaches. 5th ed. Sage; 2018.

Kajamaa A, Mattick K, Croix ADL. How to...do mixed‐methods research. Clin Teach [Internet]. 2020;17(3): 267–71. Available from: https://doi.org/ 10. 1111/ tct.13145

Pollit DF, Beck CT. Essentials of nursing research : appraising evidence for nursing practice. 9th ed. Wolters Kluwer; 2018.

Wang X, Ji X. Sample size estimation in clinical research: from randomized controlled trials to observational studies. Chest [Internet]. 2020;158(1):S12–20. Available from: http://dx.doi.org/10.1016/j.chest.2020.03.010

Chiannilkulchai N, Kejkornkaew S. A comparative study of ampoule breaking and resultant injury among registered nurses. Pacific Rim Int J Nurs Res. 2020;24(1):89–101.

Nowrouzi-Kia B, Isidro R, Chai E, Usuba K, Chen A. Antecedent factors in different types of workplace violence against nurses: a systematic review. Aggress Violent Behav [Internet]. 2019;44:1–7. Available from: https://doi. org/10.1016/j.avb.2018.11.002

Chaiwuth S, Chanprasit C, Kaewthummanukul T, Chareosanti J, Srisuphan W, Stone TE. Prevalence and risk factors of workplace violence among registered nurses in tertiary hospitals. Pacific Rim Int J Nurs Res [Internet]. 2020 Sept 16 [cited 2022 Nov 18];24(4):538–52. Available from: https:// he02.tci-thaijo.org/index.php/PRIJNR/article/view/227889

Wang T, Voss J, Dolansky M. Promote radiation safety for nurses: a policy perspective. J Radiol Nurs. 2021;40(2): 179-82. https://doi.org/10.1016/j.jradnu.2020.12.003

Vendittelli D, Penprase B, Pittiglio L. Musculoskeletal injury prevention for new nurses. Workplace Health Saf. 2016;64(12):573–85. doi: 10.1177/216507991665 4928.

Richardson A, McNoe B, Derrett S, Harcombe H. Interventions to prevent and reduce the impact of musculoskeletal injuries among nurses: a systematic review. Int J Nurs Stud [Internet]. 2018;82:58-67. Available from: https://doi.org/10.1016/ j.ijnurstu.2018.03.018

Handiyani H, Kurniawidjaja LM, Irawaty D, Damayanti R. The effective needle stick injury prevention strategies for nursing students in the clinical settings: a literature review Enferm Clin. 2018;28(Suppl 1 Part A):167-71. Available from: https://www.researchgate.net/publication/324366175_The_effective_needle_stick_injury_prevention_strategies_for_nursing_students_in_the_clinical_settings_a_literature_review

Ismara KI, Husodo A, Prabandari YS, Hariyono W. Relationship model for occupational safety and health climate to prevent needlestick injuries for nurses. Kesmas. 2019;13(3):144–9. http://dx.doi.org/10.21109/ kesmas.v13i3.1989

Wilding BC, Curtis K, Welker-Hood K. Hazardous chemicals in health care: a snapshot of chemicals in doctors and nurses. 2018. Available from: https://psr.org/wp-content/ uploads/2018/05/hazardous-chemicals-in-health-care.pdf

Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T. et al. ( 2017) . The Republic of Indonesia health system review. Health Systems in Transition, 7 ( 1) , WHO Regional Office for South-East Asia. https:// apps.who.int/iris/handle/10665/254716Journal

Cheetham S, Ngo HTT, Liira J, Liira H. Education and training for preventing sharps injuries and splash exposures in healthcare workers. Cochrane Database Syst Rev. 2021;4(4): CD012060. doi: 10.1002/14651858.CD012060.pub2.

Carrico BRM, Garrett H, Balcom D, Glowicz JB. Infection prevention and control core practices: a roadmap for nursing practice. Nurse Pract. 2019;44(3):50–5. doi: 10.1097/ 01.NPR.0000553403.73600.20.

Schulte PA, Delclos GL, Felknor SA, Streit JMK, McDaniel M, Chosewood LC, et al. Expanding the focus of occupational safety and health: lessons from a series of linked scientific meetings. Int J Environ Res Public Health. 2022;19(22): 15381. doi: 10.3390/ijerph192215381.

Odes R, Chapman S, Ackerman S, Harrison R, Hong OS. Differences in hospitals’ workplace violence incident reporting practices: a mixed methods study. Policy Polit Nurs Pract. 2022;23(2):98–108. doi: 10.1177/152715442210 88248.

Soleman SR, Nugroho T. Risk factors sharp injury among healthcare workers in Sleman State hospital Yogyakarta Province Indonesia. J Kedokt dan Kesehat Indones. 2017;8(1):58–67. https://doi.org/10.20885/JKKI.Vol8.Iss1.art8

Yosep I, Mediani HS, Lindayani L. Mental health nurses in Indonesia: a cross-sectional survey of workplace violence and its associated factors. Pacific Rim Int J Nurs Res [Internet]. 2021 Sept 3 [cited 2022 July 7];25(4):614–25. Available from: https://he02.tci-thaijo.org/index.php/ PRIJNR/article/view/248805

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Published

2023-03-27

How to Cite

1.
Sri Yulia, Achir Yani S.Hamid, Hanny Handiyani, Ede Surya Darmawan. Hospital Nurses’ Risk of Injury: A Mixed Methods Study in Indonesia. PRIJNR [Internet]. 2023 Mar. 27 [cited 2024 Dec. 23];27(2):334-50. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/262043

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