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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (7): 53-58.doi: 10.16460/j.issn1008-9969.2023.07.053

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Best evidence summary for prevention and management of nurses' occupational exposure

CHEN Jia-yin, GUO Jun, LIU Ning   

  1. Department of Nursing, Zhuhai Campus, Zunyi Medical University, Zhuhai 519040, China
  • Received:2022-11-08 Published:2023-05-12

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Abstract: Objective To retrieve and integrate the best evidence for the prevention and management of occupational exposure of nurses at home and abroad, and provide reference for the protection and management of occupational exposure of clinical nurses. Methods The PIPOST tool was used to identify evidence-based questions, and all evidence on occupational exposure prevention and management of nurses was systematically retrieved according to the "6S" evidence model from the inception to June 15, 2022, including guidelines, expert consensus, clinical decision-making, systematic reviews, reviews and cross-sectional studies. Three investigators independently evaluated the included literature, and extracted eligible literature. Results A total of 16 articles were finally included, and 24 pieces of best evidence were generated from 6 dimensions of risk management, needle stick injury protection, respiratory tract exposure protection, antitumor drug protection, pregnancy protection, and novel coronavirus pneumonia protection. Conclusion This study summarizes the best evidence for the prevention and management of occupational exposure in nurses, aiming to strengthen the supervision and management of occupational exposure and reduce the incidence of occupational exposure in nurses.

Key words: nurse, occupational exposure, prevention, management, evidence-based nursing

CLC Number: 

  • R192.6
[1] 中华人民共和国,中华人民共和国卫生部GBZ/T 213-2008, 国家职业卫生标准血源性病原体职业接触防护导则[S]中华人民共和国卫生部GBZ/T 213-2008, 国家职业卫生标准血源性病原体职业接触防护导则[S].北京:人民卫生出版社,2009:1-22.
[2] 张婷婷,史铁英. 基于关键词共现的国内外护士职业暴露的研究热点可视化分析[J].中华现代护理杂志,2019,25(2):215-220.DOI:10.3760/cma.j.issn.1674-2907.2019.02.020.
[3] Diktas H, Oncul A, Tahtasakal CA, et al.What were the changes during the COVID-19 pandemic era concerning occupational risks among health care workers?[J].J Infect Public Health,2021, 14(10):1334-1339.DOI:10.1016/j.jiph.2021.06.006.
[4] 汪莉,甘泳江,李建民,等. 手术室孕期和哺乳期工作人员职业危害综述[J].职业卫生与应急救援,2019,37(2):142-146.DOI:10.16369/j.oher.issn.1007-1326.2019.02.010.
[5] 胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018.
[6] Dicenso A, Bayley L, Haynes RB.Accessing pre-appraised evidence: fine-tuning the 5S model into a 6S model[J]. Evid Based Nurs,2009, 12(4):99-101.DOI:10.1136/ebn.12.4.99-b.
[7] Brouwers MC, Kho ME, Browman GP, et al.AGREE II: advancing guideline development reporting, and evaluation in health care[J].Prey Med, 2010, 51(5):421-424. DOI:10.1016/j.jclinepi.2010.07.001.
[8] 王吉耀,王强,王小钦,等.中国临床实践指南评价体系的制定与初步验证[J]. 中华医学杂志,2018,98(20):1544-1548.DOI:10.3760/cma.j.issn.0376-2491.2018.20.004.
[9] The Joanna Briggs Institute. Joanna briggs institute reviewers manual:2016 edition[M]. Australia:The Joanna Briggs Institute, 2016.
[10] Shea BJ, Reeves BC, Wells G, et al.AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both[J]. BMJ,2017,358:j4008. DOI:10.1136/bmj.j4008.
[11] 卢舒颖,刘宁,魏璐华,等. 产后出血预防及管理的最佳证据总结[J]. 护理学报,2020,27(12):18-22.DOI:10.16460/j.issn1008-9969.2020.12.018.
[12] 王春青,胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002.
[13] 王亚玲,王冰寒,张艳,等. 急性缺血性脑卒中患者溶栓术后预防出血转化的最佳证据总结[J]. 护理学报,2021,28(3):46-52.DOI:10.16460/j.issn1008-9969.2021.03.046.
[14] 米元元,沈月,郝彬,等. ICU患者肠内营养支持并发腹泻的循证护理实践[J]. 中华护理杂志,2017,52(11):1291-1298.DOI:10.3761/j.issn.0254-1769.2017.11.002.
[15] Centers for Disease Control and Prevention. Interim infection prevention and control recommendations for healthcare personnel during the coronavirus disease2019 (COVID-19) pandemi[EB/OL].(2021-09-10)[2021-11-20]. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html.
[16] 国家卫生健康委办公厅.医疗机构内新型冠状病毒感染预防与控制技术指南(第二版)[EB/OL].(2020-04-06)[2021-11-20].http://www.nhc.gov.cn/xcs/zhengcwj/202001/b91fdab7c304431eb082d67847d27e14.shtm1.
[17] Hughes C, Yoong D, Giguère P, et al.Canadian guideline on HIV preexposure prophylaxis and nonoccupational postexposure prophylaxis for pharmacists[J]. Can Pharm J (Ott),2019, 152(2):81-91.DOI:10.1177/1715163519826171.
[18] 中华护理学会护理管理专业委员会. 针刺伤防护的护理专家共识[J]. 中华护理杂志,2018,53(12):1434-1438.DOI:10.3761/j.issn.0254-1769.2018.12.005.
[19] 李春辉,黄勋,蔡虻,等. 新冠肺炎疫情期间医疗机构不同区域工作岗位个人防护专家共识[J].中国感染控制杂志,2020,19(3):199-213. DOI:10.12138/i.issn.1671-9638.20206155.
[20] International Safety Center.Moving the sharps safety in healthcare agenda forward in the united states:2020 consensus statement and call to action[EB/OL]. (2020-12-10)[2021-11-20]https://internationalsafetycenter.org/wpcontent/uploads/2020/12/Moving_The_Sharps_Safety_In_Healthcare_Agenda_Forward_In_The_US.pdf, 2020.
[21] Robert H.COVID-19:occupational health issues for health care workers[EB/OL].[2021-08-24].https://www.uptodate.cn/contents/covid-19-occupational-health-issues-for-health-careworkers?search=%20Occupational%20injuries%20in%20nurses&source=search_result&selectedTitle=12~150&usage_type=default&display_rank=12.
[22] Dos Santos WM.Use of personal protective equipment reduces the risk of contamination by highly infectious diseases such as COVID-19[J]. Evid Based Nurs,2021,24(2):41.DOI:10.1136/ebnurs-2020-103304.
[23] 黄惠玲,高晓东,刘诗勤,等. 全球医护人员针刺伤的疾病经济负担文献研究[J].中国感染控制杂志, 2017,16(7):610-615.DOI:10.3969/j.issn.1671-9638.2017.07.005.
[24] Gurusamy KS, Best LM, Tanguay C, et al. Closed-system drug-transfer devices plus safe handling of hazardous drugs versus safe handling alone for reducing exposure to infusional hazardous drugs in healthcare staff[J]. Cochrane Database Syst Rev, 2018, 3(3):CD012860. DOI:10.1002/14651858.CD012860.pub2.
[25] 汪莉,甘泳江,李建民,等. 手术室孕期和哺乳期工作人员职业危害综述[J]. 职业卫生与应急救援,2019,37(2):142-146.DOI:10.16369/j.oher.issn.1007-1326.2019.02.010.
[26] 莫梦燕,詹昱新,王楚,等. 参与冠状病毒引发呼吸道传染病救治护士职业暴露体验质性研究的Meta整合[J]. 护理学报,2020,27(19):35-40.DOI:10.16460/j.issn1008-9969.2020.19.035.
[27] 张海霞,张志云,刘晨,等. 传染病医院与综合医院护理人员职业暴露及管理现况调查[J]. 护理学杂志,2021,36(4):54-58.DOI:10.3870/j.issn.1004152.2021.04.054.
[28] Kasatpibal N, Whitney JD, Katechanok S, et al.Prevalence and risk factors of needlestick injuries, sharps injuries, and blood and body fluid exposures among operating room nurses in thailand[J]. Am J Infect Control,2016,44(1):85-90.DOI:10.1016/j.ajic.2015.07.028.
[29] Ilce A, Yuzden GE, Yavuz VGM.The examination of problems experienced by nurses and doctors associated with exposure to surgical smoke and the necessary precautions[J]. J Clin Nurs,2017,26(11-12):1555-1561.DOI:10.1111/jocn.13455.
[30] 梅小红,陈昌蕊,黄超,等. 抗肿瘤药物对我国医务人员健康的影响及其防护研究进展[J].护理研究,2021,35(10):1766-1770.DOI:1012102/j.issn1009-6493202110.012.
[31] Konlan Kd,Aarah-Bapuah M,Kombat Jm EA.Topic:"the level of nurses' knowledge on occupational post exposure to hepatitis B infection in the tamale metropolis,ghana"[J]. BMC Health Ser Res,2017,17(1):254.DOI:10.1186/s12913-017-2182-7.
[32] Ji Y, Huang J, Jiang G, et al.Investigation of the occupational exposure to blood-borne pathogens of staff at a third-class specialist hospital in 2015-2018: a retrospective study[J].Sci Rep,2022,12(1):1498.DOI:10.1038/s41598-022-05436-z.
[33] 郭金玉,孙红,刘颖青,等. 北京市三级甲等医院急诊科护士职业暴露与防护行为的现状调查[J]. 中华护理杂志,2020, 55(1):107-112.DOI:10.3761/j.issn.0254-1769.2020.01.018.
[34] 黄萍,陈艳,刘翠萍,等. 护士针刺伤职业暴露危险因素分析及防护措施[J]. 解放军预防医学杂志,2018,36(3):412-413.DOI:10.13704/j.cnki.jyyx.2018.03.035.
[35] 莫红平,王鑫,周逸,等. 呼吸道传染性疾病患者机械通气治疗背景下医务人员职业暴露防护措施探讨[J]. 中国护理管理,2021, 21(9):1387-1391.DOI:10.3969/j.issn.1672-1756.2021.09.022.
[36] Kim O, Lee H, Jung H, et al.Korean nurses' adherence to safety guidelines for chemotherapy administration[J]. Eur J Oncol Nurs,2019,40:98-103.DOI:10.1016/j.ejon.2019.04.002.
[37] 刘雄涛,钞海莲,李小英,等. 手术室妊娠期护士对职业危害和防护认识的质性研究[J]. 国际护理学杂志,2016,35(3):385-387.DOI:10.3760/cma.j.issn.1673-4351.2016.03.035.
[38] Shi Y, Xue H, Ma Y, et al.Prevalence of occupational exposure and its influence on job satisfaction among chinese healthcare workers: a large-sample, cross-sectional study[J].BMJ Open, 2020, 10(4):e31953. DOI:10.1136/bmjopen-2019-031953.
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