The Association between Rotating Shift Work andPercutaneous Injuries in Nurses

• Main Authors: Woan-Tyng Jiang, 江婉婷
• Other Authors: 蕭淑銖
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/26641128564669694595

碩士 === 國立臺灣大學 === 護理學研究所 === 100 === Objective: To understand the association between rotating shifts, work hours and percutaneous injuries in nurses. Method: The study population was nurses who had ever sustained percutaneous injuries in Chinese version EPINet (Exposure Prevention Information Network;EPINet) in 2011. We obtained the percutaneous injury reports of 2011 from EPINet and contacted with 121 hospitals to collect work schedules which were before and after 60 days of the injury day. We used case-crossover study design and SAS9.2 statistics sofeware to analysis the data. Rusult: A total of 318 work schedules was provided from 57 hospitals (499 percutaneous injury nurse-times) after contacting with 121 hospitals (1,432 percutaneous injury nurse-times). Excluding the data of nurses who had fixed day shift (n=34), had currently working years that were within 6 months (n=63), were on leave for 1 month or over within the preceding 2 months of the injury day (n=7), left the job within 28 days after the injure day (n=13), had job exchange of the work unit in the preceding 2 months of the injury day (n=5), and had the occupational titles that did not correspond to this study’s definition of nurse (student nurses, nurse practitioners, n=12),184 work schedules were eligible for final analyses (response rate 36.9%). The majority of work experiences in current hospitals was less than 5 years(63.59%). Wards were the most common place occurring percutaneous injuries (58.15%). 56.52% percutaneous injury was happened in day shift. Averagely, nurses sustained percutaneous injuries after cumulated 4.36 work hours in injury day. 56% injury was happened within 2 successive work day. Frequency of backward rotation (direction of rotation:night shift→evening shift→day shift→night shift),day shift and more off days would statisticly siginificantly increase the risk of percutaneous injuries, especially in intensive care units and local hospitals. Conclusion: According to the results, frequency of backward rotation, day shift and more off days would increase the risk of percutaneous injuries;therefore, we suggested that: (1) avoid backward rotation；(2) further investigation to understand factors of day shift, more off days, intensive care units and local hospitals which showed higher risk of percutaneous injuries. Moreover, it is imperative to follow 56 provision of Medical Care Act, replace safety devices by degrees each year, and utilize safety devices entirely within 5 years, with the aim to decrease the risk of percutaneous injuries.