Shiraz E-Medical Journal

Published by: Kowsar

The Association Between Workload and Needlestick Injuries Among the Nurses in the Hospitals Affiliated with Ahvaz University of Medical Sciences

Naser Hoboubi 1 , Nasrin Asadi 2 , * , Fatemeh Kamari Ghanavati 2 and Omid Jabery 1
Authors Information
1 Department of Occupational Health Engineering, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Occupational Health Engineering, Behbahan Faculty of Medical Sciences, Behbahan, Iran
Article information
  • Shiraz E-Medical Journal: 20 (3); e81460
  • Published Online: February 20, 2019
  • Article Type: Research Article
  • Received: June 29, 2018
  • Revised: September 29, 2018
  • Accepted: October 2, 2018
  • DOI: 10.5812/semj.81460

To Cite: Hoboubi N, Asadi N, Kamari Ghanavati F, Jabery O. The Association Between Workload and Needlestick Injuries Among the Nurses in the Hospitals Affiliated with Ahvaz University of Medical Sciences, Shiraz E-Med J. Online ahead of Print ; 20(3):e81460. doi: 10.5812/semj.81460.

Copyright © 2019, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Wicker S, Jung J, Allwinn R, Gottschalk R, Rabenau HF. Prevalence and prevention of needlestick injuries among health care workers in a German university hospital. Int Arch Occup Environ Health. 2008;81(3):347-54. doi: 10.1007/s00420-007-0219-7. [PubMed: 17619897].
  • 2. Pruss-Ustun A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med. 2005;48(6):482-90. doi: 10.1002/ajim.20230. [PubMed: 16299710].
  • 3. Yonezawa Y, Yahara K, Miura M, Hieda F, Yamakawa R, Masunaga K, et al. Risk factors for and circumstances of needlestick and sharps injuries of doctors in operating rooms: A study focusing on surgeries using general anesthesia at Kurume University Hospital, Japan. J Infect Chemother. 2015;21(12):837-41. doi: 10.1016/j.jiac.2015.08.012. [PubMed: 26462957].
  • 4. Rais N, Jamil HM. Prevalence of needle stick injuries among health care providers. Int J Endorsing Health Sci Res. 2013;1:73-9.
  • 5. Brown SW, Boltz MG. Attentional processes in time perception: Effects of mental workload and event structure. J Exp Psychol Hum Percept Perform. 2002;28(3):600-15. [PubMed: 12075891].
  • 6. Hopkin VD. Human factors in air traffic control. Taylor & Francis; 1995.
  • 7. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987-93. [PubMed: 12387650].
  • 8. Ilhan MN, Durukan E, Aras E, Turkcuoglu S, Aygun R. Long working hours increase the risk of sharp and needlestick injury in nurses: The need for new policy implication. J Adv Nurs. 2006;56(5):563-8. doi: 10.1111/j.1365-2648.2006.04041.x. [PubMed: 17078831].
  • 9. Honda M, Chompikul J, Rattanapan C, Wood G, Klungboonkrong S. Sharps injuries among nurses in a Thai regional hospital: Prevalence and risk factors. Int J Occup Environ Med. 2011;2(4):215-23. [PubMed: 23022840].
  • 10. Desmond PA, Hoyes TW. Workload variation, intrinsic risk and utility in a simulated air traffic control task: Evidence for compensatory effects. Saf Sci. 1996;22(1-3):87-101. doi: 10.1016/0925-7535(96)00008-2.
  • 11. American Nurses Association. Study of nurses’ views on workplace safety and needlestick injuries. 2010.
  • 12. Quan M, Wang X, Wu H, Yuan X, Lei D, Jiang Z, et al. Influencing factors on use of standard precautions against occupational exposures to blood and body fluids among nurses in China. Int J Clin Exp Med. 2015;8(12):22450-9. [PubMed: 26885227]. [PubMed Central: PMC4730013].
  • 13. Vaughn TE, McCoy KD, Beekmann SE, Woolson RE, Torner JC, Doebbeling BN. Factors promoting consistent adherence to safe needle precautions among hospital workers. Infect Control Hosp Epidemiol. 2004;25(7):548-55. doi: 10.1086/502438. [PubMed: 15301026].
  • 14. Van Bogaert P, Clarke S, Willems R, Mondelaers M. Nurse practice environment, workload, burnout, job outcomes, and quality of care in psychiatric hospitals: A structural equation model approach. J Adv Nurs. 2013;69(7):1515-24. doi: 10.1111/jan.12010. [PubMed: 22989323].
  • 15. Clarke SP, Rockett JL, Sloane DM, Aiken LH. Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. Am J Infect Control. 2002;30(4):207-16. [PubMed: 12032495].
  • 16. Fallahi M, Motamedzade M, Heidarimoghadam R, Soltanian AR, Farhadian M, Miyake S. Analysis of the mental workload of city traffic control operators while monitoring traffic density: A field study. Int J Ind Ergonom. 2016;54:170-7. doi: 10.1016/j.ergon.2016.06.005.
  • 17. Rizzo L, Dondio P, Delany SJ, Longo L. Modeling mental workload via rule-based expert system: A comparison with NASA-TLX and workload profile. IFIP International Conference on Artificial Intelligence Applications and Innovations. Springer; 2016. p. 215-29.
  • 18. Hoonakker P, Carayon P, Gurses A, Brown R, McGuire K, Khunlertkit A, et al. Measuring workload of icu nurses with a questionnaire survey: The nasa task load index (Tlx). IIE Trans Healthc Syst Eng. 2011;1(2):131-43. doi: 10.1080/19488300.2011.609524. [PubMed: 22773941]. [PubMed Central: PMC3388621].
  • 19. Vahedi MS, Ahsan B, Ardalan M, Shahsavari S. [Prevalence and causes of needle stick injuries, in medical personnels of Kurdistan University's hospitals and dealing with such injuries due to contaminated sharp tools in 2006]. J Kurdistan Univ Med Sci. 2006;11(2):43-50. Persian.
  • 20. Rubio S, Diaz E, Martin J, Puente JM. Evaluation of subjective mental workload: A comparison of SWAT, NASA-TLX, and workload profile methods. Appl Psychol. 2004;53(1):61-86. doi: 10.1111/j.1464-0597.2004.00161.x.
  • 21. Mohammadi M, Mazloumi A, Zeraati H. [Designing questionnaire of assessing mental workload and determine its validity and reliability among ICUs nurses in one of the TUMS's hospitals]. J Sch Public Health Institute Public Health Res. 2013;11(2):87-96. Persian.
  • 22. Kleinbaum DG, Kupper LL, Morgenstern HX. Epidemiologic research: Principles and quantitative methods. John Wiley & Sons; 1982.
  • 23. Ebrahimi H, Khosravi A. Needlestick injuries among nurses. J Res Health Sci. 2007;7(2):56-62. [PubMed: 23343925].
  • 24. Hanafi MI, Mohamed AM, Kassem MS, Shawki M. Needlestick injuries among health care workers of University of Alexandria Hospitals. East Mediterr Health J. 2011;17(1):26-35. [PubMed: 21735798].
  • 25. Nsubuga FM, Jaakkola MS. Needle stick injuries among nurses in sub-Saharan Africa. Trop Med Int Health. 2005;10(8):773-81. doi: 10.1111/j.1365-3156.2005.01453.x. [PubMed: 16045464].
  • 26. Bilski B. Needlestick injuries in nurses--the Poznan study. Int J Occup Med Environ Health. 2005;18(3):251-4. [PubMed: 16411563].
  • 27. Kebede G, Molla M, Sharma HR. Needle stick and sharps injuries among health care workers in Gondar city, Ethiopia. Saf Sci. 2012;50(4):1093-7. doi: 10.1016/j.ssci.2011.11.017.
  • 28. Adib-Hajbaghery M, Lotfi MS. Behavior of healthcare workers after injuries from sharp instruments. Trauma Mon. 2013;18(2):75-80. doi: 10.5812/traumamon.12779. [PubMed: 24350157]. [PubMed Central: PMC3860676].
  • 29. Lin X, Qing-yan W, Hong K, Si-yuan T. The epidemiology of needle stick and sharp injuries in central sterile supply department of hospitals in hunan province, China. Int J Infect Control. 2014;10(1). doi: 10.3396/IJIC.v10i1.004.14.
  • 30. Geravandi S, Moogahi S, Kayedi N, Yari AR, Hedayat M, Shohre S, et al. Investigation of sharp injuries in an educational hospital, Ahvaz, Iran. Arch Hyg Sci. 2017;6(1):10-6. doi: 10.29252/ArchHygSci.6.1.10.
  • 31. Lin PH, Tsai YA, Chen WC, Huang SF. Prevalence, characteristics, and work-related risk factors of low back pain among hospital nurses in Taiwan: A cross-sectional survey. Int J Occup Med Environ Health. 2012;25(1):41-50. doi: 10.2478/s13382-012-0008-8. [PubMed: 22219056].
  • 32. Becirovic S, Pranjic N, Sarajlic-Spahic S, Ahmetagic S, Huseinagic S. Assessment of reporting, attitudes and knowledge about the stab incidents and professional risk of viral infection among health care professionals in primary health care. Mater Sociomed. 2013;25(2):113-7. doi: 10.5455/msm.2013.25.113-117. [PubMed: 24082835]. [PubMed Central: PMC3769157].
  • 33. Lertbunnaphong T. The incidence of needlestick injuries during perineorrhaphy and attitudes toward occurrence reports among medical students. Siriraj Med J. 2016;68(4):209-17.
  • 34. Wicker S, Stirn AV, Rabenau HF, von Gierke L, Wutzler S, Stephan C. Needlestick injuries: Causes, preventability and psychological impact. Infection. 2014;42(3):549-52. doi: 10.1007/s15010-014-0598-0. [PubMed: 24526576].
  • 35. Coeugnet S, Forrierre J, Naveteur J, Dubreucq C, Anceaux F. Time pressure and regulations on hospital-in-the-home (HITH) nurses: An on-the-road study. Appl Ergon. 2016;54:110-9. doi: 10.1016/j.apergo.2015.11.018. [PubMed: 26851470].
  • 36. Galy E, Cariou M, Melan C. What is the relationship between mental workload factors and cognitive load types? Int J Psychophysiol. 2012;83(3):269-75. doi: 10.1016/j.ijpsycho.2011.09.023. [PubMed: 22008523].
  • 37. Modi HN, Singh H, Orihuela-Espina F, Athanasiou T, Fiorentino F, Yang GZ, et al. Temporal stress in the operating room: brain engagement promotes "coping" and disengagement prompts "choking". Ann Surg. 2018;267(4):683-91. doi: 10.1097/SLA.0000000000002289. [PubMed: 28489681].
  • 38. Wada K, Sakata Y, Fujino Y, Yoshikawa T, Tanaka K, Miyajima E, et al. The association of needlestick injury with depressive symptoms among first-year medical residents in Japan. Ind Health. 2007;45(6):750-5. [PubMed: 18212469].
  • 39. Wilburn SQ, Eijkemans G. Preventing needlestick injuries among healthcare workers: A WHO-ICN collaboration. Int J Occup Environ Health. 2004;10(4):451-6. doi: 10.1179/oeh.2004.10.4.451. [PubMed: 15702761].
  • 40. Lauer AC, Reddemann A, Meier-Wronski CP, Bias H, Godecke K, Arendt M, et al. Needlestick and sharps injuries among medical undergraduate students. Am J Infect Control. 2014;42(3):235-9. doi: 10.1016/j.ajic.2013.08.013. [PubMed: 24387948].
  • 41. Zafar A, Aslam N, Nasir N, Meraj R, Mehraj V. Knowledge, attitudes and practices of health care workers regarding needle stick injuries at a tertiary care hospital in Pakistan. J Pak Med Assoc. 2008;58(2):57-60. [PubMed: 18333520].
  • 42. Wicker S, Ludwig AM, Gottschalk R, Rabenau HF. Needlestick injuries among health care workers: Occupational hazard or avoidable hazard? Wien Klin Wochenschr. 2008;120(15-16):486-92. doi: 10.1007/s00508-008-1011-8. [PubMed: 18820853].
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