Use this URL to cite or link to this record in EThOS: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.752214
Title: Factors influencing sustaining and reporting inoculation injuries in healthcare professionals undertaking exposure prone procedures
Author: Cutter, Jayne
Awarding Body: Swansea University
Current Institution: Swansea University
Date of Award: 2009
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Abstract:
Background: Occupational acquisition of bloodbome infections has been reported following exposure to blood or body fluids. Consistent adherence to standard/universal precautions will reduce the risk of infection. However, compliance with these precautions is variable. Aims: • To identify factors associated with adverse exposure to blood and body fluids among those performing exposure prone procedures in the operating theatre. • To determine factors influencing reporting of such exposures. Study design: A mixed methods study incorporating an exploratory, cross-sectional survey and a series of qualitative interviews. Setting: Six NHS trusts across Wales. Participants: The senior Infection Control Nurse, surgeons and scrub nurses in participating trusts. Methods: A postal questionnaire survey of all surgeons and scrub nurses was undertaken, response rate 51.47% (n=315). A purposive sample of 16 respondents participated in a series of semi-structured interviews. The senior Infection Control Nurse of each trust was interviewed by telephone (n=6). Bivariate analysis was employed to explore the relationships between key variables. Logistic regression modelling was used to predict the likelihood of sharps injuries. Findings: The influence of profession dominated the findings in relation to each variable considered. Bivariate analysis demonstrated that surgeons sustain more inoculation injuries, are less likely to adopt appropriate precautions and report fewer injuries than scrub nurses. Surgeons and nurses viewed the risks associated with their roles differently. Logistic regression models indicated that profession and the belief that injuries are an occupational hazard are significant predictors in relation to sustaining sharps injuries. Conclusion/implications: The influence of profession on sustaining and reporting exposures to blood and body fluids must be addressed to improve safety and reduce the risk of infection. This change requires altering surgeons' perception of risk to encourage compliance with available policies and procedures.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.752214  DOI: Not available
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