Evaluation of Needlestick and Sharp Injuries, Contributing Factors, and Preventive Measures Among Nursing Students

Year 2024, Issue: 6, 21 - 29, 13.11.2024

Aylin Palloş , Kevser Demirca , Sinem Özkan

https://doi.org/10.26650/CURARE.2024.1570121

Abstract

Objective: This study evaluates the frequency of needlestick and sharp injuries (NSI), the contributing factors, and the preventive measures among nursing students.

Material and Methods: This descriptive study's population consisted of all second, third, and fourth-year students enrolled in the nursing department of a health sciences faculty during the 2018-2019 academic year (N=577), while the sample consisted of 280 students who volunteered to participate. The ethics committee and institutional approvals were obtained. Data were collected using the “Student Information Form' and analysed with the SPSS 29.0 programme.

Results: It was found that 95.4% of the students who participated in the study received education related to NSI, mostly from school orientation programmes (88.2%) and various courses given at school (43.6%). It was determined that 16.8% (n=47) of the students were exposed to NSI during their undergraduate education, and injuries mainly occurred during clinical practise (95.7%) and in internal medicine clinics (57.4%). It was found that 48.9% of the students were injured in their first year, and 63.8% had been exposed to needlestick and sharps injuries at least once. The most common device causing injury was a syringe needle (63.8%), and 68.1% had taken protective measures before the injury, with the most common precaution being gloves (59.6%). Injuries frequently occurred while breaking the ampoules (55.3%) and when trying to remove the needle cap (34.0%). The most common response after injury was washing the area with soap/water or disinfectant, and students often reported the injury to a friend or nurse. The leading causes of the injuries were carelessness (51.1%) and rushing (27.7%).

Conclusion: This study highlights that needlestick and sharps injuries among nursing student injuries, which require attention. Based on these results, it is recommended that education on the importance and prevention of needlestick and sharps injuries be emphasised.

Keywords

Needlestick and sharp injuries, nursing students, nursing training

References

• 1. Yurdakoş K. Adaptation of the Student Nurse Needlestick Injury Prediction Scale into Turkish: A Validity and Reliability Study. Ordu University Journal of Nursing Studies 2023; 6(1):145-155. https://doi.org/10.38108/ouhcd.1111540 google scholar
• 2. Bagnasco A, Zanini M, Catania G, Watson R, Hayter M, Dasso N et al. (2020). Predicting needlestick and sharps injuries in nursing students: Development of the SNNIP scale. Nursing Open 2020; 7:1578-1587. https://doi.org/10.1002/nop2.540 google scholar
• 3. Doğru B, Akyol A. Evaluation of needlestick and sharp instrument injuries in nursing students. Acıbadem University Health Sciences Journal 2018; 9(1):59-66. google scholar
• 4. Cheung K, Ho SC, Ching SS, Chang KK. Analysis of needlestick injuries among nursing students in Hong Kong. Accident Analysis Prevention 2010; 42:1744-1750. doi:10.1016/j.aap.2010.04.015 google scholar
• 5. Soylu D, Soylu A, Tanrıverdi Ö, Tanrıverdi S, Aksu E. Determination of the attitudes of student nurses for safe use of cutting and drilling medical appliances. Acıbadem University Health Sciences Journal 2021; 12(2): 370-375. doi:10.31067/ acusaglik.847345 google scholar
• 6. Cooke CE, Stephens JM. Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers. Medical Devices 2017;10:225-235. https://doi.org/10.2147/MDER.S140846 google scholar
• 7. Angrup A, Kamlesh T, Chand J, Anuradha S, Lata C. Needlestick injuries among nurses in a tertiary care hospital: A work hazard or lack of awareness? Asian Journal of Medical Sciences 2013; 5(1):58-62. https://doi.org/10.3126/ajms.v5i1.4971 google scholar
• 8. WHO (2012). Reducing Risks, Promoting Healthy Life. The world health report 2002. Geneva: World Health Organisation. https:// www.who.int/occupational_health/topics/needinjuries/en/ google scholar
• 9. Ozer ZC, Bektas HA. Needlestick injuries during the education period in nursing students in Turkey. Procedia-Social and Behavioural Sciences 2012; 46: 3798-3801. https://doi. org/10.1016/j.sbspro.2012.06.149 google scholar
• 10. Zhang X, Chen Y, Li Y, Li Y, Hu J, Zhang C, Li Z, Stallones L, Xiang H. Needlestick and sharps injuries among nursing students in Nanjing, China. Workplace Health & Safety 2018; 66:276-84. doi: 10.1177/2165079917732799 google scholar
• 11. Cheung K, Ching S S, Chang KK, Ho SC. Prevalence of and risk factors for needlestick and sharps injuries among nursing students in Hong Kong. American Journal of Infection Control 2012; 40:997-1001. doi:10.1016/j.ajic.2012.01.023 google scholar
• 12. Karabela ŞN, Durdu Y, Şimşekoğlu N, Baydili KN. The evaluation of students’ attitudes towards the safe use of medical sharp objects associated with occupational accidents: an example of a vocational school. University of Health Sciences Journal of Nursing 2020; 2(3):151-158. https://doi.org/10.48071/sbuhemsirelik.799346 google scholar
• 13. Büyük E T, Rızalar S, Yüksel P, Tetik Yüksel V. Students’ experience of needlestick and sharps injuries and the impact of the training in the field of application on this subject. Journal of Samsun Health Sciences 2016; 1(1):167-178. google scholar
• 14. Yeshitila M, Mengistie B, Demessie A, Godana W. Prevalence and associated factors of needle stick injury among nursing and midwifery students at Haramaya and Jigjiga University, Eastern Ethiopia. Primary Health Care 2015; 5: 186. doi:10.4172/2167-1079.1000186 google scholar
• 15. Kurşun Ş, Arslan S. Needlestick and sharp injuries among nursing and midwifery students. International Journal of Caring Sciences 2014; 7(2): 661-669. google scholar
• 16. El Bouazzi O, Toujami Z, Raoui S M, Benammi D, Merabti A, Didouh M, El Ouali Lalami A (2023). Occupational exposure to blood and body fluids among nursing students in clinical internship. Journal of Public Health in Africa 2023; 14(6):2336. https://doi.org/10.4081/jphia.2023.2336 google scholar
• 17. Elisa N, Ssenyonga L, Iramiot JS, Nuwasiima D, Nekaka R. Sharp/needlestick injuries among clinical students at a tertiary hospital in Eastern Uganda. medRxiv : the preprint server for health sciences, 2023.02.01.23285330. https://doi. org/10.1101/2023.02.01.23285330 google scholar
• 18. Mc Carthy GM, Britton JE. Survey of final-year dental, medical and nursing students: occupational injuries and infection control. J Can Dent Assoc 2000; 66:561-5. google scholar
• 19. Vaquero-Alvarez E, Cubero-Atienza A, Martmez-Jimenez MP, Vaquero-Abellan M, Redel-Madas MD, Aparicio-Martınez P. Occupational Safety and Health Training for Undergraduate Nursing Students: A Spanish Pilot. Int J Environ Res Public Health 2020; 17:8381. doi: 10.3390/ijerph17228381 google scholar
• 20. El- Houfey AA, Sharkawey SA, Hassan AK. Occupational exposure to blood and body fluids among nursing and dental students during the internship year in Assiut City. J Ame Sci 2013; 9:499-75. google scholar
• 21. Karataş B, Çelik SS, Koç A. Investigation of nursing students’ knowledge levels and attitudes about needlesticks and sharps injuries. Bozok Medical Journal 2016; 6(4): 21-9. google scholar
• 22. Talas MS, Kocaöz S. Occupational needlestick-sharp injuries during clinical practise training and status of Hepatitis B Immunisation in nursing and midwifery students. Journal of Research and Development in Nursing 2015;17(2-3): 49-63. google scholar
• 23. Öztürk-Menteşe H, Karaca A. Knowledge levels of nursing and midwifery students on needlestick and sharps injuries. Klimik Journal 2021; 34(3):156-63. https://doi.org/10.36519/kd.2021.3574 google scholar
• 24. Çakar M, Yıldırım Şişman N, Oruç D. Health risks in nursing students’ clinical applications. E-Journal of Dokuz Eylul University Nursing Faculty 2019; 12(2):116-125. google scholar
• 25. Garcia VH, Radon K. Preventive training among medical interns in Mexico City and its association with needlestick and sharp injuries: a cross-sectional study. J Clin Diagnostic Res 2017;11(3):10-2. https://doi.org/10.7860/JCDR/2017/24606.9594 google scholar
• 26. Talas MS. Occupational exposure to blood and body fluid in Turkish nursing students during clinical practise training: frequency of needlestick/sharp injuries and hepatitis B immunisation. Journal of Clinical Nursing 2009; 8:1-9. doi: 10.1111/j.1365-2702.2008.02523.x. google scholar
• 27. Xu X, Yin Y, Wang H and Wang F. Prevalence of needle-stick injury among nursing students: A systematic review and meta-analysis. Front. Public Health 2022; 10:937887. doi: 10.3389/ fpubh.2022.937887 google scholar
• 28. Bouya S, Balouchi A, Rafiemanesh H, Amirshahi M, Dastres M, Moghadam MP, et al. Global prevalence and device-related causes of needle stick injuries among health care workers: a systematic review and meta-analysis. Ann Global Health 2020; 86:2698. doi: 10.5334/aogh.2698 google scholar
• 29. Chen M, Zhang L. Prevalence of needlestick injuries among nursing interns: a systematic review and meta-analysis. Ann Palliat Med 2021; 10:7525-33. doi: 10.21037/apm-21-703 google scholar
• 30. Prasuna J, Sharma R, Bhatt A, Arazoo, Painuly D, Butola H, Yadav A. Occurrence and knowledge about needle stick injury in nursing students. J Ayub Med Coll Abbottabad 2015; 27:430-3. google scholar
• 31. Unver V, Tastan S, Coskun H. The frequency and causes of occupational injuries among nursing students in Turkey. Arch Environ Occup Health 2012; 67:72-7. https://doi. org/10.1080/19338 244.2011.573024 google scholar
• 32. Lukianskyte R, Gataeva J, Radziunaite L. Needle sticks and sharps injuries experienced by staff nurses and nursing students and their prevention. International Journal of Infection Control 2012; 8:3-9. doi: 10.3396/ijic.v8i1.002.12 google scholar
• 33. Yang YH, Wu MT, Ho CK, Chuang HY, Chen LM, Yang CY, et al. Needlestick/sharps injuries among vocational school nursing students in southern Taiwan. Am J Infect Control 2004; 32:431-5. doi: 10.1016/j.ajic.2004.02.007 google scholar
• 34. Hambridge K, Nichols A, Endacott R. The impact of sharps injuries on student nurses: A systematic review. British Journal of Nursing 2016; 25(19): 1064-1071. https://doi.org/10.12968 / bjon.2016.25.19.1064 google scholar