Influence of multiple factors on the incidence of occupational blood and body fluid exposures in health care workers in Guizhou, China: A structural equation modeling approach

Background We investigated the influence of multiple factors on the incidence of occupational blood and body fluid exposures (BBFEs) in health care workers (HCWs) in Guizhou, China, using structural equation modeling (SEM). Methods SEM tested in general hospitals was evaluated using survey data from...

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Bibliographic Details
Published in:American journal of infection control 2015-11, Vol.43 (11), p.e73-e78
Main Authors: Quan, Mingtao, MD, Li, Lezhi, MD, Yuan, Xiaoli, MS, Jiang, Zhixia, BS, Wang, Xuyao, MS, Wu, Hualian, MS, Li, Xiaojuan, BS
Format: Article
Language:English
Subjects:
Adult
Bloodborne
Body Fluids
China
Female
Health care workers
Health Personnel
Hospitals
Human exposure
Humans
Incidence
Infection Control
Infectious Disease
Knowledge
Male
Medical personnel
Occupational Exposure
Occupational Health
Occupational safety
Risk Factors
Structural equation modeling
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Summary:Background We investigated the influence of multiple factors on the incidence of occupational blood and body fluid exposures (BBFEs) in health care workers (HCWs) in Guizhou, China, using structural equation modeling (SEM). Methods SEM tested in general hospitals was evaluated using survey data from a sample of 1,774 HCWs from 25 hospitals in Guizhou, China, between January and April 2014. Results The incidence of occupational BBFEs in HCWs was affected by HCWs' knowledge of safe work practices, HCWs' belief in their ability to use safe work practices, HCWs' use of safe work practices, the workplace safety environment, sufficiency of the controls implemented at health care facilities, and workloads. Knowledge of safe work practices had the most influence on the incidence of occupational BBFE in doctors and laboratory technicians. Ability to use safe work practices had the most influence on the incidence of occupational BBFEs in nurses. Conclusion The workplace safety environment, sufficiency of controls implemented at health care facilities, HCWs' knowledge of safe work practices, HCWs' belief in their ability to use safe work practices, HCWs' use of safe work practices, and workload influence the incidence of occupational BBFEs in HCWs.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2015.07.014