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Increasing sharp safety device use in healthcare: a semi-structured interview study.

Bernadette Stringer¹, George Astrakianakis, Ted Haines

¹Simon Fraser University, Blusson Hall, Burnaby, BC, Canada.

Contemporary Nurse

|July 23, 2013

Summary

Healthcare providers

Area of Science:

Occupational Health
Healthcare Safety
Medical Devices

Background:

Occupational percutaneous injuries are a significant risk in healthcare settings.
Sharp safety devices are mandated in many industrialized countries to prevent these injuries.
Understanding healthcare personnel's perceptions is crucial for improving compliance with safety device use.

Purpose of the Study:

To identify healthcare provider perspectives on sharp safety device use.
To explore factors influencing the increased use of these safety devices.

Main Methods:

Semi-structured interviews were conducted with 39 direct patient care providers (nurses, physicians, phlebotomists).
Interviews also included six nurses interfacing between clinical staff and purchasing departments.

Related Experiment Videos

Data analysis employed a constant comparison approach across participants from three British Columbia health authorities.

Main Results:

Key themes emerged regarding selection processes, identification and replacement of devices, training, and barriers/facilitators.
Inclusion of end-users in the selection process, including for replacement devices, is vital.
Appropriate initial and refresher training, along with supportive hospital, ward, and individual practices, are essential facilitators.

Conclusions:

Healthcare provider input is critical throughout the lifecycle of sharp safety devices, from selection to replacement.
Effective training programs and supportive environmental factors significantly enhance the use of safety devices.
Addressing multi-level barriers and leveraging facilitators can improve compliance and reduce occupational injuries.