doi:10.3761/j.issn.0254-1769.2020.06.028

Abstract

Key words: Needlestick Injuries, Risk Management, Protective Behavior, Nursing Theory, Nursing Administration Research, Review

摘要：

该文通过介绍不同的风险管理和防护行为理论以及其在针刺伤方面的应用,更加深入地分析和解释针刺伤发生的症结,以期建立科学有效的针刺伤风险管理及防护机制,保障医护人员的职业安全和健康。

关键词: 针刺伤, 风险管理, 防护, 护理理论, 护理管理研究, 综述

高慧敏, 田凌云, 粟亚男, 曾佳琪, 王丽倩, 李映兰. 针刺伤相关风险管理及防护理论的应用进展[J]. 中华护理杂志, 2020, 55(6): 937-941.

References 49

[1]	Beynon A. A quality improvement initiative to reduce needlestick injuries[J]. Nurs Stand, 2015,29(22):37-42.
[2]	孙立庚, 叶研, 胡丽, 等. 医护人员针刺伤发生与防护机制现状[J]. 职业与健康, 2018,34(13):1870-1872.
[3]	Lo WY, Chiou, Huang N, et al. Long work hours and chronic insomnia are associated with needlestick and sharps injuries among hospital nurses in Taiwan:A national survey[J]. Int J Nurs Stud, 2016,64:130-136. DOI URL
[4]	Elseviers MM, Arias-Guillén M, Gorke A, et al. Sharps injuries amongst healthcare workers:review of incidence,transmissions and costs[J]. J Ren Care, 2014,40(3):150-156. DOI URL
[5]	Xiong XJ, Li M, Jiang YL, et al. Study of blood exposure-related mental health illness among clinical nurses[J]. Front Med, 2017,11(1):147-151. DOI URL
[6]	Wicker S, Stirn AV, Rabenau HF, et al. Needlestick injuries:causes,preventability and psychological impact[J]. Infection, 2014,42(3):549-552. DOI URL
[7]	Cooke CE, Stephens JM. Clinical,economic,and humanistic burden of needlestick injuries in healthcare workers[J]. Med Devices(Auckl), 2017,10:225-235.
[8]	Hsieh M, Chiang PY, Wang EMY, et al. The investigation of human error analysis in adverse drug events in Taiwan-From the perspective of causality assessment[J]. Hum Factors Man, 2019,29(4):340-349. DOI URL
[9]	Harris D, Li WC. Using neural networks to predict HFACS unsafe acts from the pre-conditions of unsafe acts[J]. Ergonomics, 2019,62(2):181-191. DOI URL
[10]	Hsieh M, Wang EMY, Lee W, et al. Application of HFACS,fuzzy TOPSIS,and AHP for identifying important human error factors in emergency departments in Taiwan[J]. Int J Ind Ergon, 2018,67:171-179. DOI URL
[11]	Neuhaus C, Huck M, Hofmann G, et al. Applying the human factors analysis and classification system to critical incident reports in anaesthesiology[J]. Acta Anaesthesiol Scand, 2018,62(10):1403-1411.
[12]	Akbari H, Ghasemi F, Akbari H, et al. Predicting needlestick and sharps injuries and determining preventive strategies using a Bayesian network approach in Tehran,Iran[J]. Epidemiol Health, 2018,40:e2018042. DOI URL
[13]	Rich S. Sharps injuries are a significant occupational health risk[J]. Nurs N Z, 2012,18(10):26-28.
[14]	Hutley D. Look sharp!Managing the risk of injuries from medical instruments[J]. Nurs Resid Care, 2014,16(1):36-38.
[15]	Rohde KA, Dupler AE, Postma J, et al. Minimizing nurses’ risks for needlestick injuries in the hospital setting[J]. Workplace Health Saf, 2013,61(5):197-202.
[16]	朱晓武, 闫妍. 动态匹配:结构权变理论的多案例研究[J]. 管理案例研究与评论, 2010,3(1):34-47.
[17]	Hollenbeck JR, Moon H, Ellis AP, et al. Structural contingency theory and individual differences:examination of external and internal person-team fit[J]. J Appl Psychol, 2002,87(3):599-606. DOI URL
[18]	Mark BA, Hughes LC, Belyea M, et al. Does safety climate moderate the influence of staffing adequacy and work conditions on nurse injuries?[J]. J Safety Res, 2007,38(4):431-446. DOI URL
[19]	Kim H, Kriebel D, Quinn MM, et al. The snowman:a model of injuries and near-misses for the prevention of sharps injuries[J]. Am J Ind Med, 2010,53(11):1119-1127. DOI URL
[20]	Kessels-Habraken M, van der Schaaf T, De Jonge J, et al. Defining near misses:towards a sharpened definition based on empirical data about error handling processes[J]. Soc Sci Med, 2010,70(9):1301-1308. DOI URL
[21]	van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety:adapting strategies of high reliability organizations to healthcare[J]. Curr Opin Otolaryngol Head Neck Surg, 2015,23(4):292-296. DOI URL
[22]	李敏, 崔焱, 孙新, 等. 根本原因分析法在护理未遂事件管理中的应用[J]. 齐鲁护理杂志, 2016(19):98-99.
[23]	Jeihooni AK, Kashfi SH, Bahmandost M, et al. Promoting preventive behaviors of nosocomial infections in nurses:the effect of an educational program based on health belief model[J]. Invest Educ Enferm, 2018,36(1):e09.
[24]	Groenewold G, de Bruijn B, Bilsborrow R. Psychosocial factors of migration:adaptation and application of the health belief model[J]. Int Migr, 2012,50(6):211-231. DOI URL
[25]	Sharafkhani N, Khorsandi M, Shamsi M, et al. The effect of an educational intervention program on the adoption of low back pain preventive behaviors in nurses:an application of the health belief model[J]. Global Spine J, 2016,6(1):29-34. DOI URL
[26]	Torbaghan AE, Farmanfarma KK, Moghaddam AA, et al. Improving breast cancer preventive behavior among female medical staff:the use of educational intervention based on health belief model[J]. Malays J Med Sci, 2014,21(5):44-50.
[27]	Fathi Y, Barati M, Zandiyeh M, et al. Prediction of preventive behaviors of the needlestick injuries during surgery among operating room personnel:application of the health belief model[J]. Int J Occup Environ Med, 2017,8(4):232-240. DOI URL
[28]	周建伟, 罗阳. 护士标准预防行为依从性及其影响因素分析[J]. 中华护理杂志, 2009,44(1):7-10.
[29]	陈娇娇, 马红梅, 贾玉玲, 等. 信息-动机-行为技巧模型在国内外的应用现状[J]. 职业与健康, 2019,35(1):138-140,144.
[30]	Chang SJ, Choi S, Kim S, et al. Intervention strategies based on information-motivation-behavioral skills model for health behavior change:A systematic review[J]. Asian Nurs Res, 2014,8(3):172-181. DOI URL
[31]	梁培荣. 运用信息-动机-行为技巧模式探讨临床护士针刺伤预防的影响因素[D]. 苏州:苏州大学, 2013.
[32]	DeJoy DM. Theoretical models of health behavior and workplace self-protective behavior[J]. J Saf Res, 1996,27(2):61-72. DOI URL
[33]	Kim SA, Oh HS, Suh YO, et al. An integrative model of workplace self-protective behavior for Korean nurses[J]. Asian Nurs Res(Korean Soc Nurs Sci), 2014,8(2):91-98.
[34]	刘诗勤, 任晓晓, 周挺, 等. 医务人员相关锐器伤及血源性暴露防护法律法规的国际经验总结[J]. 中华医院感染学杂志, 2018,28(14):2228-2233.
[35]	孙晓玲, 苏涛, 李奇峰, 等. 医务人员锐器伤相关因素调查与防护对策[J]. 中华医院感染学杂志, 2016,26(20):4752-4754.
[36]	常艳琴, 徐蓓, 王志红, 等. 低年资护士发生针刺伤的原因及心理体验[J]. 解放军护理杂志, 2016,33(11):7-10.
[37]	Bagheri Hosseinabadi M, Khanjani N, Etemadinezhad S, et al. The associations of workload,individual and organisational factors on nurses’ occupational injuries[J]. J Clin Nurs, 2019,28(5/6):902-911. DOI URL
[38]	聂圣肖, 冷婧, 王慧, 等. 北京市三级综合医院护士对血源性职业暴露相关的医院安全氛围的感知[J]. 护理管理杂志, 2016,16(2):128-131.
[39]	郑一宁, 李映兰, 吴欣娟. 针刺伤防护的护理专家共识[J]. 中华护理杂志, 2018,53(12):1434-1438.
[40]	Balouchi A, Shahdadi H, Ahmadidarrehsima S, et al. The frequency,causes and prevention of needlestick injuries in nurses of Kerman：a cross-sectional study[J]. J Clin Diagn Res, 2015,9(12):DC13-DC15.
[41]	Quan MT, Wang XY, Wu HL, et al. Influencing factors on use of standard precautions against occupational exposures to blood and body fluids among nurses in China[J]. Int J Clin Exp Med, 2015,8(12):22450-22459.
[42]	何敏静, 周立平, 蔡文智, 等. 组织环境管理对护理人员皮肤黏膜暴露和锐器伤的影响[J]. 中华护理杂志, 2011,46(7):697-700.
[43]	Ghasemi F, Mohammadfam I, Soltanian AR, et al. Surprising incentive:an instrument for promoting safety performance of construction employees[J]. Saf Health Work, 2015,6(3):227-232. DOI URL
[44]	李雪华, 卢天舒. 建设良性护理安全文化面临的问题与对策[J]. 护理管理杂志, 2016,16(12):905-907.
[45]	Amponsah-Tawaih K, Adu MA. Work pressure and safety behaviors among health workers in Ghana:the moderating role of management commitment to safety[J]. Saf Health Work, 2016,7(4):340-346. DOI URL
[46]	d’Ettorre G. Needlestick and sharp injuries among registered nurses:a case-control study[J]. Ann Work Expo Health, 2017,61(5):596-599.
[47]	杨冰, 张敏, 李文捷, 等. 2000-2016年护士锐器伤发生率及防控措施落实情况汇总分析[J]. 中国护理管理, 2018,18(4):476-482.
[48]	邸红军, 施月仙, 臧红新, 等. 医务人员针刺伤预防策略的最佳证据总结[J]. 中华护理杂志, 2017,52(1):93-98.
[49]	Tarigan LH, Cifuentes M, Quinn M, et al. Prevention of needle-stick injuries in healthcare facilities:a meta-analysis[J]. Infect Control Hosp Epidemiol, 2015,36(7):823-829. DOI URL

针刺伤相关风险管理及防护理论的应用进展

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