Workplace Injuries among Acute Care Nurses: Implications for the Healthcare System

项目摘要 护士工伤事故占职业安全事故的三分之一以上 和健康管理局（OSHA）-报告的伤害，发生率几乎是报告的五倍， 医生、牙医和住院医生。此外，护士的工伤可能导致 生产力，这可能会影响护理质量和患者结局。护士受伤也是一个 医疗保健组织的巨大财政负担，因为他们努力填补护士职位空缺， 因此，我们必须确保有足够数量的护士，以满足医疗服务团队的需求。然而，很少 了解导致护士工伤的潜在因素以及与工伤有关的 成本医院面临着独特的挑战，使工人面临受伤的风险;这些挑战在 其他工作场所设置。因此，本研究的具体目的是：1）确定 医院急症护理护士职业伤害，2）估计 医院执业环境和护士工伤方面，以及3）估计 医院急诊护理职业伤害导致的相关设施成本 护士来自多个来源的数据将被合并，以解决研究的目的，包括伤害数据， 在亚特兰大埃默里大学医疗保健中心的六个大型学术医疗中心工作的护士， 佐治亚州OSHA可报告的感兴趣的损伤包括暴露于血液或体液、扭伤、拉伤、挫伤， 撕裂伤、异物、皮炎和炎症。这些伤害的最常见来源包括 锐器，病人处理，身体运动，另一个人，体液，和攻击。单位一级的月度数据 这些护士受伤将与医院单位的特点，如单位类型， 护士的教育程度，护士实践环境的各个方面，护士人员配置指标，工作 工作时间和营业额，以确定可能与工作场所相关的单位层面因素 护士受伤。将拟合一系列单变量和多变量回归模型，以确定 与这些护士工伤相关的具体因素。此外， 工伤将估计使用护理工资数据和计算下不同的假设 场景这项研究将填补知识空白，提高我们对工伤的认识， 医院急诊护理护士这项研究的结果将是至关重要的医院管理人员和 财务管理人员努力提供一个实践环境，护士可以提供病人护理 工作场所受伤的风险很小或没有。这个跨学科的团队包括以下领域的专家： 成果研究、医疗保健组织、劳动力和分析，并拥有长期的协作记录 研究和传播活动。作为一个团队，我们有能力成功地进行研究， 急性护理护士的工伤事故。

PROJECT SUMMARY Workplace injuries incurred by nurses’ accounts for more than one third of the identified Occupational Safety and Health Administration (OSHA)-reportable injuries, an incidence that is almost five times that reported for physicians, dentists, and residents. Furthermore, workplace injuries among nurses can result in the loss of productivity, which potentially affects the quality of care and patient outcomes. Injuries to nurses are also a sizable financial burden for health care organizations as they struggle to fill nurse vacancies secondary to injury and maintain an adequate number of nurses to meet the needs of the healthcare delivery team. Yet, little is known about the underlying factors that contribute to workplace injuries among nurses and the injury-related costs. Hospitals have unique challenges that place workers at risk for injury; challenges that are uncommon in other workplace settings. Therefore, the specific aims of the study are 1) to determine the incidence of occupational injuries among hospital-based acute care nurses, 2) to estimate the association between aspects of the hospital practice environment and workplace injuries among nurses, and 3) to estimate the associated facility costs that result from occupational injuries incurred by hospital-based acute care nurses. Data from multiple sources will be merged to address the aims of the study including injury data on nurses working in six large academic medical centers that are part of Emory University Healthcare in Atlanta, GA. The OSHA-reportable injuries of interest include exposure to blood or body fluids, sprain, strain, contusion, laceration, foreign body, dermatitis, and inflammation. The most common sources of these injuries include sharps, patient handling, bodily motion, another human, body fluids, and assault. Unit-level monthly data on these nurse injuries will be linked with data on the characteristics of hospital units such as unit type, the educational attainment of nurses, aspects of the nurse practice environment, nurse staffing metrics, working hours, and turnover, in an effort to identify the unit-level factors that might be associated with workplace injuries among nurses. A series of univariate and multivariate regression models will be fit to identify the specific factors associated with workplace injuries among these nurses. In addition, the associated costs of workplace injuries will be estimated using nursing salary data and computed under different hypothetical scenarios. This study will fill the knowledge gap and improve our understanding of workplace injuries among hospital-based acute care nurses. The results of this study will be vitally important to hospital managers and financial administrators in their efforts to provide a practice environment where nurses can deliver patient care with minimal or no risk of workplace injury. This interdisciplinary team includes experts in the areas of outcomes research, healthcare organization, workforce, and analytics and has a long record of collaborative research and dissemination activities. As a team, we are well positioned to execute a successful study on workplace injuries among acute care nurses.