Safety Climate and Other Evidence-Based Predictors
of Successful Implementation of an Intravenous Safety Catheter Needle Program
Dianna Lipp Rivers , RN, Dr.P.H., MPH, CNAA
Assistant Professor of Nursing
Lamar University
Problem:
Needlestick injuries expose nurses to HIV, hepatitis C, and other diseases. Safety needle devices reduce injuries, but what measures lead to their becoming accepted and actually used by the nurse?
Evidence:
Previously published research, based on surveys of healthcare professionals, indicates that an employee’s positive perception of workplace safety fosters use of safe practices. This led to the primary hypothesis of this study that safety climate is the most important predictor of acceptance of a safety device.
Strategy:
To test this hypothesis, a one-time cross-sectional survey of 742 nurses (620 responding) was conducted in December, 2000, in a 900-bed hospital in Texas that had begun implementation of the device. The study utilized a self-administered 34-item questionnaire about organizational and individual predictors of device utilization and acceptance. Descriptive statistics, multiple linear, and logistic regression were computed.
Practice Change:
The adoption of the intravenous catheter safety needle device.
Evaluation:
The outcome of acceptance was measured through nurses’ satisfaction with the device, compliance with utilization policy, and nurse recommendations. The variables of acceptance and safety climate were measured through summary scales.
Recommendations:
Improvements in safety climate and training (p <.001) are the most effective measures to be stressed in safety needle implementation.
Bibliography:
Felknor S. A., Aday, L. A., Burau, K. D., Delclos, G. L., & Kapadia, A. S. (2000). Safety climate and its association
with injuries and safety practices in public hospitals in Costa Rica. Int. J. Occupational Environmental
Health, 6(1), 18-25.
Gershon, R. R., Karkashian, C. D., Vlahov, D., Kummer, L., Kasting, C., Green- McKenzie, J. et al. (1999).
Compliance with universal precautions in correctional health care facilities. Journal of Occupational and
Environmental Medicine, 41(3), 181-189.
Ihrig, M., & Cookston, T. (1997). Evaluation of the acceptability of a needleless vascular-access system by nurses.
American Journal of Infection Control, 25(5), 434-438.
Rivers, D. L., Aday, L. A., Frankowski, R. F., Felknor, S., White, D., & Nichols, B. (2003, July/August). Predictors of
nurses’ acceptance of an intravenous catheter safety device. Nursing Research, 62(4), 249-255.
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