Abstract
BackgroundThe present study aims to identify the association between psychosocial working conditions, global stress perception, and needle-stick injury among Chinese healthcare workers. It also endeavors to detect the mediating effects of global stress perception.MethodsA total of 1956 valid samples were collected from eight teaching hospitals in Shanghai, China. A self-reported questionnaire was administered to participants after obtaining their written consent. Structural equation model was used to analyze the relationship between study variables.ResultsMost of the correlation coefficients between psychosocial conditions at work, stress perception, and needle-stick injury are of statistical significance ranging from 0.004 to 0.869. Results of the internal consistency test shows that Cronbach’s α is between 0.770 and 0.925. All three models for effect analysis demonstrated satisfactory global goodness and acceptable path loadings. Psychosocial working conditions and stress perception were directly associated with events of needle-stick injury, as 0.39 (95%CI: 0.32 to 0.48) and 0.32 (95%CI: 0.22 to 0.39), respectively. Furthermore, stress perception had been proved to have a mediating effect (0.25, 95%CI: 0.19 to 0.31) between psychosocial working condition and needle-stick injury, which occupied over one-third of the total effect.ConclusionsBoth stressful psychosocial working conditions and negative stress perception could increase the risk of needle-stick injury that occurs among healthcare workers. Management of stress perception could reduce health risk brought by stressful psychosocial working conditions.
Highlights
The present study aims to identify the association between psychosocial working conditions, global stress perception, and needle-stick injury among Chinese healthcare workers
Previous studies have shown that, out of every six needle-sticks, one person is infected with Hepatitis B., out of every 10 injuries, one person is infected with Hepatitis C Virus, and out of 300 injuries, one person is infected with Human Immunodeficiency Virus (HIV) [11]
Characteristics of study participants A total of 2200 questionnaires were issued in the survey, and 1956 (88.91%) valid samples were eligible for the analysis
Summary
The present study aims to identify the association between psychosocial working conditions, global stress perception, and needle-stick injury among Chinese healthcare workers. Neither the magnitude of the risk of needlestick injury nor the practices (such as medical operation with nonretracting finger-stick lancets and glass capillary tubes) associated with it have been well understood by healthcare workers [8]. As a matter of fact, exposure to blood and other body fluids via contaminated needlesticks and sharp devices is a significant occupational hazard, potentially leading to infection with blood-borne pathogens among healthcare workers [9]. More than three million healthcare workers are exposed to Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and Human Immunodeficiency Virus (HIV) due to sharp injuries [10]. Previous studies have shown that, out of every six needle-sticks, one person is infected with Hepatitis B., out of every 10 injuries, one person is infected with Hepatitis C Virus, and out of 300 injuries, one person is infected with HIV [11]
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