Barriers and facilitators to nurses' acceptance of and implications for injury rates of an IV catheter safety device

This study has the purpose of determining the barriers and facilitators to nurses' acceptance of the Johnson and Johnson Protectiv®* Plus IV catheter safety needle device and implications for needlestick injuries at St. Luke's Episcopal Hospital, Houston, Texas. A one-time cross-sectional survey of 620 responding nurses was conducted by this researcher during December, 2000. The study objectives were to: (1) describe the perceived (a) organizational and individual barriers and facilitators and (b) acceptance of implementation of the IV catheter device; (2) examine the relative importance of these predictors; (3) describe (a) perceived changes in needlestick injuries after implementation of the device; (b) the reported incidence of injuries; and (c) the extent of underreporting by nurses; and (4) examine the relative importance of (a) the preceding predictors and (b) acceptance of the device in predicting perceived changes in needlestick injuries. Safety climate and training were evaluated as organizational factors. Individual factors evaluated were experience with the device, including time using it and frequency of use, and background information, including nursing unit, and length of time as a nurse in this hospital and in total nursing career. The conceptual framework was based upon the safety climate model. Descriptive statistics and multiple and logistic regression were utilized to address the study objectives. ^ The findings showed widespread acceptance of the device and a strong perception that it reduced the number of needlesticks. Acceptance was notably predicted by adequate training, appropriate time between training and device use, solid safety climate, and short length of service, in that order. A barrier to acceptance was nurses' longtime of use of previous needle technologies. Over four-fifths of nurses were compliant in always using the device. Compliance had two facilitators: length of time using device and, to a lesser extent, safety climate. Rates of compliance tended to be lower among nurses in units in which the device was frequently used. ^ High quality training and an atmosphere of caring about nurse safety stand out as primary facilitators that other institutions would need to adopt in order to achieve maximum success in implementing safety programs involving utilization of new safety devices. ^

Motor vehicle occupant safety survey. Final report.

National Highway Traffic Safety Administration, Office of Program Development and Evaluation, Washington, D.C.

Evaluation plan for Federal Motor Vehicle Safety Standard 208 occupant crash protection.

Mode of access: Internet.

Wisconsin Alcohol Safety Action Project final report. Volume I - project description and evaluation. Part 1 - executive summary.

National Highway Traffic Safety Administration, Office of Alcohol Countermeasures, Washington, D.C.

Consumer acceptance of RSV features - volume II: comprehensive report on 23 focus groups to investigate consumer acceptance of Research Safety Vehicle features. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

A Cauchy Integral Related to a Robot-safety Device System

We introduce a robot-safety device system attended by two different repairmen. The twin system is characterized by the natural feature of cold standby and by an admissible “risky” state. In order to analyse the random behaviour of the entire system (robot, safety device, repair facility) we employ a stochastic process endowed with probability measures satisfying general Hokstad-type differential equations. The solution procedure is based on the theory of sectionally holomorphic functions, characterized by a Cauchy-type integral defined as a Cauchy principal value in double sense. An application of the Sokhotski-Plemelj formulae determines the long-run availability of the robot-safety device. Finally, we consider the particular but important case of deterministic repair.

Consumer acceptance of RSV features - volume I: executive summary. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Automatic safety belt systems owner usage and attitudes in GM Chevettes and VW Rabbits (1980 models). Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington, D.C.

Maritime safety in the Gulf of Finland. Evaluation of the regulatory system

Growing traffic is believed to increase the risk of an accident in the Gulf of Finland. As the consequences of a large oil accident would be devastating in the vulnerable sea area, accident prevention is performed at the international, regional and national levels. Activities of shipping companies are governed with maritime safety policy instruments, which can be categorised into regulatory, economic and information instruments. The maritime regulatory system has been criticised for being inefficient because it has not been able to eliminate the violations that enable accidents. This report aims to discover how maritime governance systems or maritime safety policy instruments could be made more efficient in the future, in order to improve the maritime safety level. The results of the research are based on a literature review and nine expert interviews, with participants from shipping companies, interest groups and authorities. Based on the literature and the interviews, a suggestion can be made that in the future, instead of implementing new policy instruments, maritime safety risks should be eliminated by making the existing system more efficient and by influencing shipping companies’ safety culture and seafarers’ safety related attitudes. Based on this research, it can be stated that the development of maritime safety policy instruments should concentrate on harmonisation, automation and increasing national and cross-border cooperation. These three tasks could be primarily accomplished by developing the existing technology. Human error plays a role in a significant number of maritime accidents. Because of this, improving companies’ safety culture and voluntary activities that go beyond laws are acknowledged as potential ways of improving maritime safety. In the future, maritime regulatory system should be developed into a direction where the private sector has better possibilities to take part in decision-making.

Characteristics and conditions of teenage safety belt use.

Transportation Department, Washington, D.C.

Automatic safety belt usage in 1981 Toyotas. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Automatic safety belt systems: changes in owner usage over time in GM Chevettes and VW Rabbits. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Study of methods for increasing safety belt use; prepared by the Transportation Research Board, National Academy of Sciences. Comments on the study by the U.S. Department of Transportation National Highway Traffic Safety Administration.

Mode of access: Internet.

Task force report on mandatory safety belt usage laws.

Mode of access: Internet.

Effectiveness of safety belt warning and interlock systems. Final report.

National Highway Traffic Safety Administration, Washington, D.C.