Work incidents with biological material in the nursing team of a hospital in Mid-Western Brazil

Carvalho, Dayra Cabral de; Rocha, Jessica Cavalcante da; Gimenes, Mariane Carli de Almeida; Santos, Ediálida Costa; Valim, Marília Duarte

doi:10.1590/2177-9465-EAN-2017-0140

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RESEARCH • Esc. Anna Nery 22 (1) • 2018 • https://doi.org/10.1590/2177-9465-EAN-2017-0140 copy

Work incidents with biological material in the nursing team of a hospital in Mid-Western Brazil

Trabajar accidentes con material biológico en el personal de enfermería en un hospital de la región central de Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives:

To investigate and describe the occurrence and characteristics of Work Incidents (WI) with Potentially Contaminated Biological Material (PCBM), the frequency and variables related to this occurrence among nursing categories.

Methods:

A descriptive and cross-sectional study with a quantitative approach was performed at a referral hospital in the State of Mato Grosso, Mid-Western Brazil.

Results:

Women represented 90.5% of all participants and the mean age was 42.59 years. A total of 46.6% of professionals reported having undergone exposure to PCBM, 60.9% stated not having made a report, and 42.6% reported having participated in training courses on this subject. Comparing the occurrence of WI between nursing assistants and nurses, nursing assistants were more affected (p = 0.022).

Conclusions:

Among nursing professionals, the number of WI is high, recurrent and underreported. Continuing education on this theme is required to ensure the quality of care and promote workers' health.

Keywords:
Work incident; Worker's health; Nursing team

Variable	N	%
Sex
Male	14	9.5
Female	134	90.5
Age group (years)
26-30	15	10.4
31-40	52	36.1
41-50	52	36.1
≥ 51	25	17.4
Level of education
Primary education	4	2.7
Secondary education	43	29.1
Incomplete higher education	31	20.9
Higher education	35	23.6
Incomplete specialization	5	3.4
Specialization	28	18.9
Master’s degree	2	1.4
Professional category
Nurse	44	29.7
Nursing technician	97	65.6
Nursing assistant	7	4.7
Type of work at the institution
Nurse	32	21.6
Nursing technician	101	68.2
Nursing assistant	15	10.1
Work sector
Blood bank	2	1.4
Surgical clinic	9	6.2
Infectious disease clinic	2	1.4
Medical clinic	36	24.7
Orthopedic clinic	5	3.4
Pediatric clinic	19	13.0
Burn Treatment Center	6	4.1
Isolation ward	2	1.4
Children's Yellow Room	6	4.1
Suture Room	2	1.4
Red Room	11	7.5
Suture	1	0.7
Adult ICU	37	25.3
Pediatric ICU	8	5.5

Variable	N	%
Work incident with exposure to biological material
No	79	53.4
Yes	69	46.6
Incidents with piercing-cutting objects
No	96	64.9
Yes	52	35.1
If so, how many times
1 time	17	32.7
2-3 times	24	46.2
4-5 times	5	9.6
≥ 6 times	4	7.7
Did not respond	2	3.8
Incidents with exposure to the mucosa and non-intact skin
No	103	69.6
Yes	45	30.4
If yes, how many times
1 time	15	33.3
2-3 times	20	44.4
4-5 times	5	11.1
≥ 6 times	1	2.2
Did not respond	4	8.9
Report of the last incident
Did not respond	02	2.9
Yes	42	60.9
No	25	36.2
Reason for not reporting
Report was not necessary	7	28.0
There are no reporting services	3	12.0
Did not realize the incident at the time	9	36.0
Other reasons	4	16.0
Did not respond	2	8.0
Frequency of reporting
Always	32	46.4
Frequently	11	15.9
Sometimes	6	8.7
Rarely	5	7.2
Never	8	11.6
Did not respond	7	10.7

Variable	N	%
Participation in training courses
No	78	52.7
Yes	63	42.6
Did not respond	7	4.7
Willingness to participate in training courses
No	12	8.1
Yes	136	91.9
Replacement of container of disposables
No	52	35.1
Yes	96	64.9
Use of specific shoes
No	53	35.8
Yes	95	64.2
Vaccination scheme
No	10	6.8
Yes	138	93.2
Knowledge about vaccination status
No	19	12.8
Yes	129	87.2
Test result
Positive	26	20.2
Negative	92	71.3
Does not know	11	8.5

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
E-mail: annaneryrevista@gmail.com

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[1] Corresponding author: Mariane Carli de Almeida Gimenes. E-mail: marianecarli@msn.com

	Work incident				p value
	No		Yes
	N	%	N	%
Nurse	22	68.8	10	68.8	0.0867^* * Application of Pearson’s chi-square test;
Nursing technician	52	51.5	49	48.5
Nurse	22	68.8	10	68.8	0.0221^* * Application of Pearson’s chi-square test;
Nursing assistant	5	33.3	10	66.7
Nursing technician	52	51.5	49	48.5	0.1895^* * Application of Pearson’s chi-square test;
Nursing assistant	5	33.3	10	66.7
	Reporting of the last incident				p value
	No		Yes
	N	%	N	%
Nurse	2	20.0	8	80.0	0.2763^ Application of Fisher’s exact test.
Nursing technician	17	34.7	30	61.2
Nurse	2	20.0	8	80.0	0.0849^ Application of Fisher’s exact test.
Nursing assistant	6	60.0	4	40.0
Nursing technician	17	34.7	30	61.2	0.1494^ Application of Fisher’s exact test.
Nursing assistant	6	60.0	4	40.0