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Are Needlestick and Sharp Injuries Associated with Shift Work and Sleep Problems in Nurses? A Systematic Review.

Laura Fernández-Puerta1,2, Germán Prados3,4, Ángela Mendoza-Vinces5

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Shift work and poor sleep quality increase nurses' risk of needlestick and sharp injuries (NSIs). Reducing workload and improving shift systems are crucial for worker safety.

Keywords:
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Area of Science:

  • Occupational Health
  • Nursing Safety
  • Sleep Medicine

Background:

  • Needlestick and sharp injuries (NSIs) are a significant occupational hazard for nurses.
  • Existing research suggests a link between sleep-related factors, like shift work, and occupational accidents, but a comprehensive synthesis is lacking.

Purpose of the Study:

  • To systematically review and synthesize the current knowledge on the association between shift work, sleep quality, and NSIs in nurses.
  • To explore the relationship between various sleep-related factors and NSIs.

Main Methods:

  • A systematic literature review was performed using major databases (PubMed, Embase, Scopus, CINAHL, PsycINFO).
  • Studies examining the association between NSIs and sleep problems were included.
  • Sleep factors were categorized into shift work, sleepiness, sleep quality, hypnotic use, and other personal/work-related factors.

Main Results:

  • Twenty-four articles were included in the review.
  • Shift work and poor sleep quality were consistently linked to a higher risk of NSIs.
  • Evidence on sleepiness and hypnotic use was inconclusive; however, increased workload and unsafe practices like needle recapping were also identified as contributors.

Conclusions:

  • Sleep-related variables, including shift work and sleep quality, are significantly associated with NSIs in nurses.
  • Institutions should prioritize optimizing shift schedules and reducing nurse workload to enhance worker safety.
  • Developing targeted safety education and protocols is essential to reduce the incidence of NSIs.