Safety climate dimensions associated with occupational exposure to blood-borne pathogens in nurses.
Grosch JW; Gershon RRM; Murphy LR; DeJoy DM
Am J Ind Med 1999 Sep; 36(S1):122-124
These findings are consistent with those from previous research (DeJoy et al., 1995; Gershos et al.,; Murphy et al., 1996) and additionally suggest that safety climate plays a larger role in a nurse's compliance with universal precautions (UP) than it does in accidents/injuries. This may be partly due to the relatively low base rate associated with accidents/injuries. Approximately 27% of respondents reported some type of exposure in the past six months. Another factor may be that compliance with UP involves behaviors that are under the control of the worker, whereas accidents/injuries can occur regardless of a worker's actions or compliance with UP. Finally, the occurrence of an accident/injury may also result in heightened concern over safe work behavior and organizational factors, thus raising scores on some dimensions. The safety climate dimension of job hindrances appears to be especially critical since it was the only safety climate dimension associated with both high compliance with UP and the absence of accidents/injuries. The finding that the safety climate dimensions associated with UP compliance and accidents/injuries, while overlapping, were not identical, suggests that different intervention strategies for nurses may be appropriate, depending on whether the focus is on promoting greater compliance with UP or reducing accidents/injuries.
Work-environment; Bloodborne-pathogens; Health-care-personnel; Health-care-facilities; Nurses; Occupational-exposure;
Author Keywords: universal precautions; health care workers; nurses; blood-borne pathogens; safety climate; occupational health and safety; work environment
NIOSH, 4676 Columbia Parkway, C-24, Cincinnati, OH 45226
American Journal of Industrial Medicine
Johns Hopkins University, Baltimore, Maryland