Year 2019, Volume 5, Issue 1, Pages 128 - 133 2019-01-04

Needlestick and sharps injuries among nurses at Atatürk university research hospital and their practices after injury

Elif Okşan Çalıkoğlu [1] , Banu Bedir [2] , Hilal Betül Akçay [3] , Ali Gümüş [4]

103 276

Objectives: Exposure to needlestick and sharps injuries (NSI) is among the major occupational risks of health workers. Yearly 385,000 NSI are reported by health workers. In this study, we aimed to evaluate the frequency of NSI among nurses at Atatürk University Research Hospital together with the elaboration of the utilization of effective preventive measures used for infection control as well as the affecting factors.

Methods: All 562 nurses working at Atatürk University Research Hospital during September-November 2016 were invited to fill a questionnaire with 27 items. Questions were asked about the sociodemographic characteristics,having experienced NSI, usage of protective equipment, and hepatitis B vaccination status. A total of 555 (98.7%) nurses volunteered to participate. Verbal consent was taken from the participants.

Results: Of the participants, 425 (76.6%) were females, and 130 (23.4%) were males. Their mean age was 27.5 ± 7.4 years. 52.6% (n = 293) of the participants were in the surgical clinics while 47.4% (n = 262) were in the medical clinics. Of the participants, 21.6% (n = 120) stated that they experienced a needlestick or sharps injury within the last one year. Of those injuries, 16.7% (n = 20) happened while removing the needle tip from the syringe, 29.2% (n = 35) while trying to reattach the needle cap, 16.7% (n = 20) while filling the syringe, and 12.5% (n = 15) while drawing blood from the patient.

Conclusion: Health workers should be trained on injuries and all other occupational risks with cutting and puncturing tools, and they should be instructed on the use of protective equipment. 

needlestick injuries, sharps injuries, occupational health, nurses
  • [1] Centers for Disease Control and Prevention. Workbook for designing, implementing, and evaluating a sharps injury prevention program 2008. Available from: https://www.cdc.gov/sharpssafety/pdf/sharpsworkbook_2008.pdf.
  • [2] Omaç M, Eğri M, Karaoğlu L. [Evaluation of occupational needlestick-sharp injuries and status of hepatitis B immunization on nurses working at Malatya province hospitals]. İnönü Üniversitesi Tıp Fakültesi Dergisi 2010;17:19-25. [Article in Turkish]
  • [3] Korkmaz M. [Needlestick and sharp injurıes in health workers] Fırat Sağlık Hizmetleri Dergisi 2008;3:17-37. [Article in Turkish]
  • [4] Elmiyeh B, Whitaker I, James M, Chahal C, Galea A, Alshafi K. Needle-stick injuries in the National Health Service: a culture of silence. J R Soc Med 2004;97:326-7.
  • [5] Yıldırım A, Özpulat F. [The knowledge and awareness levels on professional risks of nursing students in a medical vocational high school in Turkey]. Sürekli Tıp Eğitimi Dergisi 2015;24:18-29. [Article in Turkish]
  • [6] Ilhan MN, Durukan E, Aras E, Türkçüoğlu S, Aygün R. Long working hours increase the risk of sharp and needlestick injury in nurses: the need for new policy implication. J Adv Nurs 2006;56:563-8.
  • [7] Hatzakis A, Wait S, Bruix J, Buti M, Carballo M, Cavaleri M, et al. The state of hepatitis B and C in Europe: report from the hepatitis B and C summit conference. J Viral Hepat 2011;18 Suppl 1:1-16.
  • [8] Cardo DM, Bell DM. Bloodborne pathogen transmission in health care workers. Risks and prevention strategies. Infect Dis Clin North Am 1997;11:331-46.
  • [9] Özvarış ŞB. [Protecting health workers from infections]. Sürekli Tıp Eğitimi Dergisi 1999;9:12. [Article in Turkish].
  • [10] TC. Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite ve Akreditasyon Daire Başkanlığı.
  • [11] Ayranci U, Kosgeroglu N. Needlestick and sharps injuries among nurses in the healthcare sector in a city of western Turkey. J Hosp Infect 2004;58:216-23.
  • [12] Eğri M, Perlivan E. [Epidemiology of needlestick and sharps injuries in health care workers at Turgut Özal Medical Center]. Sağlık ve Toplum 2000;10:35-9. [Article in Turkish]
  • [13] Samancıoğlu S, Ünlü D, Durmaz Akyol A. [The evaluation of needlestick and sharp injuries among intensive care nurses]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2013;16:43-9. [Article in Turkish]
  • [14] Kişioğlu AN, Öztürk M, Uskun E, Kırbıyık S. [In a medical hospital's health workers incisive and perforating injury epidemiologies and prevention behaviours and attitudes]. Turkiye Klinikleri J Med Sci 2002;22:390-6. [Article in Turkish]
  • [15] Cheng F, Ford W, Cheng S, Weber M, Kerndt P. Occupational risk of acquiring HIV infection through needlestick injuries. Clin Perform Qual Health Care 1995;3:147-50.
  • [16] Rakickene J, Barkowska T, Caplinskas S. [Occupational HIV infection. Medical workers and HIV prevention]. Zh Mikrobiol, Epidemiol, Immunobiol 2000;4:73-4. [Article in Russian]
  • [17] CDC. Sharp injuryprevention program workbook 2008, 2008. Available from: http://www.cdc.gov/Sharpssafety/pdf/sharpsworkbook
  • [18] Salehi AS, Garner P. Occupational injury history and universal precautions awareness: a survey in Kabul hospital staff. BMC Infect Dis 2010;10:19.
  • [19] Nsubuga FM, Jaakkola MS. Needle stick injuries among nurses in sub‐Saharan Africa. Trop Med Int Health 2005;10:773-81.
  • [20] Shiao J, Guo L, McLaws ML. Estimation of the risk of bloodborne pathogens to health care workers after a needlestick injury in Taiwan. Am J Infect Control 2002;30:15-20.
  • [21] Altıok M, Kuyurtar F, Karaçorlu S, Ersöz G, Erdoğan S. [Healthcare workers experiences with sharps and needlestick injuries and precautions they took when injuring]. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 2009;2:70-9.
  • [22] Türkistanlı E, Şenuzun FE, Karaca BS, San AT, Aydemir G. [The state of the immunization of the health workers who have working in Ege university research hospital]. Ege Tıp Dergisi 2000;39:29-32. [Article in Turkish]
  • [23] Souza-Borges FR, Ribeiro LA, Oliveira LC. Occupational exposures to body fluids and behaviors regarding their prevention and post-exposure among medical and nursing students at a Brazilian public university. Rev Inst Med Trop São Paulo 2014;56:157-63.
  • [24] Prasuna J, Sharma R, Bhatt A, Arazoo A, Painuly D, Butola H, et al. Occurrence and knowledge about needle stick injury in nursing students. J Ayub Med Coll Abbottabad 2015;27:430-3.
  • [25] Yang YH, Liou SH, Chen CJ, Yang CY, Wang CL, Chen CY, et al. The effectiveness of a training program on reducing needlestick injuries/sharp object injuries among soon graduate vocational nursing school students in southern Taiwan. J Occup Health 2007;49:424-9.
  • [26] Merih YD, Kocabey MY, Çırpı F, Bolca Z, Celayir AC. [Epidemiology and preventive measurementsof sharps injuries in a state hospital during the last three years]. Zeynep Kamil Tıp Bülteni 2009;40:11-5. [Article in Turkish]
  • [27] Ede G, Kaptan D. Injury experiences and precautions taken by nurses working in pediatric wards towards penetrative/incisive tools. Int J Caring Sci 2016;9:569-78.
  • [28] Cooke CE, Stephens JM. Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers. Med Devices (Auckl) 2017;10:225-35.
  • [29] World Health Organization. WHO guideline on the use of safety-engineered syringes for intramuscular, intradermal and subcutaneous injections in health-care settings. Geneva, Switzerland. 2015.
Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0001-8959-5001
Author: Elif Okşan Çalıkoğlu (Primary Author)
Institution: Department of Public Health, Atatürk University School of Medicine, Erzurum, Turkey
Country: Turkey


Orcid: 0000-0001-8342-5351
Author: Banu Bedir (Primary Author)
Institution: Department of Public Health, Atatürk University School of Medicine, Erzurum, Turkey
Country: Turkey


Orcid: 0000-0003-4721-7648
Author: Hilal Betül Akçay
Institution: Department of Public Health, Atatürk University School of Medicine, Erzurum, Turkey
Country: Turkey


Orcid: 0000-0001-5293-1059
Author: Ali Gümüş
Institution: Department of Public Health, Atatürk University School of Medicine, Erzurum, Turkey
Country: Turkey


EndNote %0 The European Research Journal Needlestick and sharps injuries among nurses at Atatürk university research hospital and their practices after injury %A Elif Okşan Çalıkoğlu , Banu Bedir , Hilal Betül Akçay , Ali Gümüş %T Needlestick and sharps injuries among nurses at Atatürk university research hospital and their practices after injury %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 1 %R doi: 10.18621/eurj.404827 %U 10.18621/eurj.404827