Gestione e Prevenzione delle ferite da taglio e da punta in studenti di area sanitaria della Scuola di Scienze Mediche e Farmaceutiche dell\u2019Universit\ue0 degli Studi di Genova

Management and prevention of sharps and needlestick injuries in nursing students. Aim:Investigate the knowledge, the personal perception of risk and describe the epidemiology of sharps and needlestick injuries in nursing students during clinical placements developing a validated questionnaire. Design: a cross-sectional observational study. Methods: a self-administered questionnaire consisting of three sections (demographic data; injury epidemiology; and predictive factors of sharps and needlestick injuries) was developed. Data were collected between July 2018 - January 2019 from nursing students during their clinical placements. Content validity was assessed by a panel of experts, who scored each item on a 4-point Likert scale. This study followed the STROBE guidelines. Results: Of the 238 participants, 39% had been injured at least once with a sharp or a needle, of which 67.3% in the second year. A higher perception of \u2018Personal exposure\u2019 (4.06, SD 3.78) was reported by third-year students, whereas higher scores for \u2018Perceived benefits\u2019 of implementing preventive behaviours (13.63, SD 1.46) were reported by second-year students. Conclusion Our findings on the prevalence of sharps and needlestick injuries were in line with the literature. The questionnaire effectively investigated the epidemiology of occupational needlestick and sharps injuries, and knowledge and risk perception in nursing students

Predicting needlestick and sharps injuries in nursing students: Development of the SNNIP scale

© 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd. Aim: To develop an instrument to investigate knowledge and predictive factors of needlestick and sharps injuries (NSIs) in nursing students during clinical placements. Design: Instrument development and cross-sectional study for psychometric testing. Methods: A self-administered instrument including demographic data, injury epidemiology and predictive factors of NSIs was developed between October 2018–January 2019. Content validity was assessed by a panel of experts. The instrument's factor structure and discriminant validity were explored using principal components analysis. The STROBE guidelines were followed. Results: Evidence of content validity was found (S-CVI 0.75; I-CVI 0.50–1.00). A three-factor structure was shown by exploratory factor analysis. Of the 238 participants, 39% had been injured at least once, of which 67.3% in the second year. Higher perceptions of “personal exposure” (4.06, SD 3.78) were reported by third-year students. Higher scores for “perceived benefits” of preventive behaviours (13.6, SD 1.46) were reported by second-year students

Insomnia is associated with road accidents. Further evidence from a study on truck drivers.

Sleep-related problems are known risk factors for road accidents. However, very few studies have investigated the role played by insomnia and its components, and no data are available for a population of occupational drivers at risk, such as the truck driver category.To measure the prevalence and impact of insomnia on motor vehicle accidents (MVAs) and near-miss accidents (NMAs) in 949 truck drivers.Cross-sectional survey.Insomnia affected 27.5% of the sample. Compared to other drivers, in the 3 years prior to the study, truck drivers with insomnia had reported a significantly higher number of MVAs; they had also reported a greater number of NMAs in the previous 6 months. After correction for the presence of obstructive sleep apnea, excessive daytime sleepiness, short sleep duration, and other concurrent diseases, insomniac truck drivers had an almost two-fold risk of driving accidents (OR: 1.82, CI 95%:1.33-2.49) and a more than three-fold increased risk of near-miss accidents (OR: 3.35, CI95%:2.06-5.45) compared to non-insomniac drivers.Insomnia emerged as an independent risk factor for MVAs and NMAs. We strongly advise screening commercial drivers for signs and symptoms of insomnia in order to improve health and safety on the road

Demographic characteristics, sleep habits, and symptoms of insomnia.

<p>Demographic characteristics, sleep habits, and symptoms of insomnia.</p

Multivariate association between sleep variables, MVAs and NMAs.

<p>Multivariate association between sleep variables, MVAs and NMAs.</p

Vaccinazione antinfluenzale degli operatori sanitari presso l\u2019IRCCS AOU San Martino-IST di Genova: progetto-pilota di counselling e offerta attiva direttamente presso reparti a elevato rischio

Introduzione: La vaccinazione antinfluenzale \ue8 uno strumentofondamentale per la prevenzione dell\u2019influenza in ambito sa-nitario e la sua somministrazione agli Operatori Sanitari (OS)\ue8 raccomandata in oltre 40 Paesi, inclusi gli Stati Uniti d\u2019Ame-rica e molti Paesi dell\u2019Unione Europea. Nonostante questeraccomandazioni, in Italia la compliance degli OS alla vacci-nazione antinfluenzale \ue8 ampiamente inadeguata. Metodi.Apartire dalla stagione 2005/06, \ue8 stato effettuato un progettorivolto all\u2019incremento dei tassi di copertura della vaccinazioneantinfluenzale stagionale tra gli OS che lavorano pressol\u2019IRCCS AOU San Martino-IST di Genova, Italia, ospedale ter-ziario universitario, centro di riferimento regionale per acuticon 1300 posti letto. Risultati.Il tasso medio di copertura vac-cinale registrato nel periodo 2006-2013 \ue8 risultato pari al21,6%, con variazioni comprese tra l\u201911% e il 34%. Durantel\u2019ultima stagione influenzale (2013/14), i tassi di copertura vac-cinale per tipo di occupazione sono risultati pari al 30% tra imedici, 11% tra gli infermieri e 9% nelle restanti categorie diOS. Discussione.Nonostante quasi un decennio di interventi,i tassi di copertura vaccinale registrati nel nostro ospedale ri-mangono costantemente insoddisfacenti e molto distanti dal-l\u2019obiettivo minimo del 75% definito dal Ministero della Salute.Ulteriori interventi sono necessari per prevenire il rischio infettivo legato all\u2019influenza per gli OS e per i pazienti e risultafondamentale identificare e implementare nuove strategievolte all\u2019aumento della compliance degli OS, particolarmentedegli infermieri, alla vaccinazione antinfluenzale.Background.Influenza vaccination is a fundamental tool forthe prevention of influenza in healthcare settings and its ad-ministration to healthcare workers (HCWs) is recommendedin more than 40 countries including United States of Americaand many countries of the European Union. Despite these rec-ommendations, in Italy the compliance of HCWs to influenzavaccination is largely inadequate. Methods.Since the 2005/06season, a comprehensive multifaceted intervention projectaimed at increasing the seasonal influenza vaccination cover-age rates among HCWs was performed at the IRCCS AOU SanMartino IST teaching hospital in Genoa, Italy, the regional ter-tiary adult acute-care reference center with a 1300 bed capac-ity. Results.The average influenza vaccination coverage rateduring the period 2006-2013 was 21,6%, ranging between 11%and 34%. During the last influenza season (2013/14), vaccina-tion coverage rates by occupation type resulted 30% amongphysicians, 11% among nurses and 9% among other clinicalpersonnel. Discussion.Despite almost a decade of efforts, thevaccination coverage rates registered at our hospital steadilyremain unsatisfactory and very distant by the minimum ob-jective of 75% defined by the Italian Ministry of Health. Fur-ther efforts are necessary to prevent the risk of influenzaamong HCWs and patients and novel strategies need to beidentified and implemented in order to increase the compli-ance of HCWs, particularly nurses, with the seasonal influenzavaccinatio