Analysis of risk factors for sharp instrument injury in emergency department nurses and protection suggestions

ObjectiveTo analyze the risk factors of sharp instrument injury in emergency department nurses, and to provide protection suggestions.

MethodsRetrospective survey was conducted on the sharp instrument injury of 166 emergency department nurses for the near one month by questionnaire.According to whether sharp instrument injury occurred, the subjects were divided into occurrence group and non-occurrence group.Factors affecting sharp instrument injury in emergency department nurses were determined by univariate and multivariate logistic regression analysis.

ResultsThe rate of sharp instrument injury was 16.86% in 166 emergency department nurses for the near one month.There were no statistically significant differences between the two groups in the composition ratio of gender, age, marital status, education, professional title, sharp instrument operation with gloves, and returning the syringe cap after use(P>0.05).The composition ratio of nurses with working experience in emergency room less than 5 years, informal nurses, often performing invasive operation for uncooperative patients, breaking ampoule with no gauze, insufficient light in the working environment, noisy working environment, no reporting system for sharp instrument injury, and thinking sharp instrument injury inevitable in occurrence group was higher than that in non-occurrence group(P < 0.05).Logistic regression analysis showed that working experience in emergency room less than 5 years, informal nurses, often performing invasive operation for uncooperative patients, breaking ampoule with no gauze, insufficient light in the working environment, and noisy working environment were the risk factors of sharp instrument injury for emergency department nurses(OR=3.955, 6.481, 7.478, 2.906, 2.627, 2.321, P < 0.05 to P < 0.01), while reporting system for sharp instrument injury, thinking sharp instrument injury evitable were the protective factors of sharp instrument injury for emergency department nurses(OR=0.557, 0.652, P < 0.05).

ConclusionsThe incidence of sharp instrument injury is high in emergency department nurses, and there are many risk factors affecting sharp instrument injury, so more attention should be paid to it.It is important to improve working environment, strengthen protection knowledge and awareness, to avoid sharp instrument injury as far as possible.