Occupational Exposure to Blood and Body Fluids Among Nurses in the Emergency Department and Intensive Care Units of Public Hospitals in Addis Ababa City: Cross-sectional Study

Aims and Objectives: This study investigated occupational exposure to blood and body fluids among nurses at the emergency department and intensive care units of public hospitals in Addis Ababa city. Methods: A cross-sectional study was conducted from June 18, 2021 to September 20, 2021. A simple ran...

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Main Authors: Ousman Adal, Asmamaw Abebe, Yohannes Feleke
Format: Article
Language:English
Published: SAGE Publishing 2023-02-01
Series:Environmental Health Insights
Online Access:https://doi.org/10.1177/11786302231157223
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author Ousman Adal
Asmamaw Abebe
Yohannes Feleke
author_facet Ousman Adal
Asmamaw Abebe
Yohannes Feleke
author_sort Ousman Adal
collection DOAJ
description Aims and Objectives: This study investigated occupational exposure to blood and body fluids among nurses at the emergency department and intensive care units of public hospitals in Addis Ababa city. Methods: A cross-sectional study was conducted from June 18, 2021 to September 20, 2021. A simple random sampling method and semi-structured, self-administered questionnaires were used to collect the data, which were analyzed using SPSS version 25. A binary logistic regression model was used to identify factors associated with exposure to blood and body fluids on the AOR with a 95% confidence interval at a P -value of <.05. Patient and Public Involvement: No patients were involved in this study. Results: Of the total study participants (260), 198 (76%) nurses had been exposed to blood and body fluids in their professional live, and 167 (64%) were exposed to blood and body fluids in the last 12 months. Being male (AOR = 2.88, 95% CI: (1.35, 6.12), lacking access to handwashing facilities (AOR = 5.02, 95% CI: (3.73, 14.51)), not consistently wearing all the required types of personal protective equipment (AOR = 6.21, 95% CI: (2.39, 9.55)), and the lack of the required personal protective equipment (AOR = 5.53, 95% CI: (1.87, 10.38)) were all significant factors that were positively associated with exposure to blood and body fluids. Conclusion: This study showed that a higher proportion of nurses in the emergency department and intensive care unit were exposed to blood and body fluids in the study setting. Most nurses do not consistently wear all the required types of personal protective equipment, putting them at a higher risk of acquiring blood-borne pathogens. The authors recommended that there is a need to implement and strengthen appropriate and consistent use of all required personal protective equipment during any procedure, and patient care to reduce exposure to blood and body fluids. Relevance to Clinical Practice: This study provides baseline information for other action-based studies to assess exposure to blood and body fluids among nurses in emergency and intensive care units. Strobe Checklist: This manuscript was prepared based on the strobe checklist guidelines. Impact Statement: The study’s findings and recommendations might be used for healthcare providers, non-governmental organizations, and policymakers for appropriate planning and interventions to minimize or safeguard nurses’ exposure to blood and body fluids.
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spelling doaj.art-e44678da7c304cbcb58683f8212fe3262023-02-15T20:33:17ZengSAGE PublishingEnvironmental Health Insights1178-63022023-02-011710.1177/11786302231157223Occupational Exposure to Blood and Body Fluids Among Nurses in the Emergency Department and Intensive Care Units of Public Hospitals in Addis Ababa City: Cross-sectional StudyOusman Adal0Asmamaw Abebe1Yohannes Feleke2Department of Emergency, Bahir Dar University College of Medicine and Health Sciences, Bahir Dar, EthiopiaDepartment of Emergency, Addis Ababa University College of Medicine and Health Sciences, Addis Ababa, EthiopiaDepartment of Emergency, Addis Ababa University College of Medicine and Health Sciences, Addis Ababa, EthiopiaAims and Objectives: This study investigated occupational exposure to blood and body fluids among nurses at the emergency department and intensive care units of public hospitals in Addis Ababa city. Methods: A cross-sectional study was conducted from June 18, 2021 to September 20, 2021. A simple random sampling method and semi-structured, self-administered questionnaires were used to collect the data, which were analyzed using SPSS version 25. A binary logistic regression model was used to identify factors associated with exposure to blood and body fluids on the AOR with a 95% confidence interval at a P -value of <.05. Patient and Public Involvement: No patients were involved in this study. Results: Of the total study participants (260), 198 (76%) nurses had been exposed to blood and body fluids in their professional live, and 167 (64%) were exposed to blood and body fluids in the last 12 months. Being male (AOR = 2.88, 95% CI: (1.35, 6.12), lacking access to handwashing facilities (AOR = 5.02, 95% CI: (3.73, 14.51)), not consistently wearing all the required types of personal protective equipment (AOR = 6.21, 95% CI: (2.39, 9.55)), and the lack of the required personal protective equipment (AOR = 5.53, 95% CI: (1.87, 10.38)) were all significant factors that were positively associated with exposure to blood and body fluids. Conclusion: This study showed that a higher proportion of nurses in the emergency department and intensive care unit were exposed to blood and body fluids in the study setting. Most nurses do not consistently wear all the required types of personal protective equipment, putting them at a higher risk of acquiring blood-borne pathogens. The authors recommended that there is a need to implement and strengthen appropriate and consistent use of all required personal protective equipment during any procedure, and patient care to reduce exposure to blood and body fluids. Relevance to Clinical Practice: This study provides baseline information for other action-based studies to assess exposure to blood and body fluids among nurses in emergency and intensive care units. Strobe Checklist: This manuscript was prepared based on the strobe checklist guidelines. Impact Statement: The study’s findings and recommendations might be used for healthcare providers, non-governmental organizations, and policymakers for appropriate planning and interventions to minimize or safeguard nurses’ exposure to blood and body fluids.https://doi.org/10.1177/11786302231157223
spellingShingle Ousman Adal
Asmamaw Abebe
Yohannes Feleke
Occupational Exposure to Blood and Body Fluids Among Nurses in the Emergency Department and Intensive Care Units of Public Hospitals in Addis Ababa City: Cross-sectional Study
Environmental Health Insights
title Occupational Exposure to Blood and Body Fluids Among Nurses in the Emergency Department and Intensive Care Units of Public Hospitals in Addis Ababa City: Cross-sectional Study
title_full Occupational Exposure to Blood and Body Fluids Among Nurses in the Emergency Department and Intensive Care Units of Public Hospitals in Addis Ababa City: Cross-sectional Study
title_fullStr Occupational Exposure to Blood and Body Fluids Among Nurses in the Emergency Department and Intensive Care Units of Public Hospitals in Addis Ababa City: Cross-sectional Study
title_full_unstemmed Occupational Exposure to Blood and Body Fluids Among Nurses in the Emergency Department and Intensive Care Units of Public Hospitals in Addis Ababa City: Cross-sectional Study
title_short Occupational Exposure to Blood and Body Fluids Among Nurses in the Emergency Department and Intensive Care Units of Public Hospitals in Addis Ababa City: Cross-sectional Study
title_sort occupational exposure to blood and body fluids among nurses in the emergency department and intensive care units of public hospitals in addis ababa city cross sectional study
url https://doi.org/10.1177/11786302231157223
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