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

项目总结 护士工伤占已确定职业安全的三分之一以上 和卫生管理局(OSHA)-可报告的伤害，发病率几乎是报告的五倍 医生、牙医和住院医生。此外，护士的工作场所伤害可能会导致 生产力，这可能会影响护理质量和患者结局。护士受伤也是一种 卫生保健组织面临巨大的财政负担，因为他们正在努力填补次于 并保持足够数量的护士，以满足医疗保健提供团队的需求。然而，几乎没有 了解导致护士工伤的潜在因素以及与工伤相关的 成本。医院有独特的挑战，将工人置于受伤的风险中；挑战在 其他工作场所设置。因此，这项研究的具体目的是1)确定 以医院为基础的急诊护理护士的职业伤害，2)评估两者之间的关系 医院执业环境和护士工作伤害的方面，以及3)评估 因基于医院的急诊护理而导致的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，以满足研究的目标，包括 在亚特兰大埃默里大学医疗保健的六个大型学术医疗中心工作的护士， 佐治亚州OSHA报告的感兴趣的伤害包括接触血液或体液、扭伤、扭伤、挫伤、 割伤、异物、皮炎和炎症。这些伤害的最常见来源包括 尖锐，病人处理，身体运动，另一个人，体液，和攻击。单位级月度数据 这些护士伤害将与医院单位的特征数据联系起来，如单位类型、 护士的学历、护士执业环境的各方面、护士人员配置指标、工作 工作时间和人员流动率，以确定可能与工作场所相关的单位层面的因素 护士受伤事件。一系列单变量和多变量回归模型将适合于识别 这些护士中与工作伤害相关的特定因素。此外，相关成本还包括 工伤将使用护理工资数据进行估计，并根据不同的假设进行计算 场景。这项研究将填补这一知识空白，并提高我们对 以医院为基础的急诊护理护士。这项研究的结果将对医院管理者和 财务管理员努力提供护士可以提供病人护理的执业环境 工作场所受伤的风险很小或没有。这个跨学科团队包括以下领域的专家 成果研究、医疗保健组织、员工队伍和分析，并拥有长期的协作记录 研究和传播活动。作为一个团队，我们处于有利地位，可以成功地对 急诊护理护士的工作场所伤害调查。

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.