A Cross Sectional Study to Evaluate Needle Stick and Sharp Injuries and Their Related Safety Measures Among Health Care Workers in Sheri- Kashmir Institute of Medical Sciences, Soura Srinagar J &K, India (original) (raw)
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Majallah-i taḥqīqāt-i ̒ulūm-i pizishkī-i Zāhidān, 2023
Background: Nurses are exposed to blood-borne infections such as hepatitis B (HB), hepatitis C (HC), and human immunodeficiency virus (HIV) through needle-stick injuries (NSIs). Objectives: This study aimed to determine the prevalence of needle sticks and their related factors among nurses in the hospitals of Sirjan. Methods: In this cross-sectional study, 312 nurses were enrolled by census. Data were collected using demographic characteristics and a needle-stick information questionnaire. Descriptive and analytical tests (chi-square or Fisher's exact test and logistic regression model) were used to analyze data. Results: Out of 312 nurses participating in the study, 189 (60.6%) had experienced NSIs during the last year. The most common objects for NSIs were syringes and needles (35.4%), and the most common cause of NSIs was recapping (45.4%). In this study, 82% of needle-stick nurses were forced to work overtime. Ages of 20 -29 years (odds ratio (OR) = 3.94, 95%CI: 1.12 -13.84; P = 0.032), work experience between 5 -10 years (OR = 2.50, CI: 1.12 -5.57; P = 0.02), HB vaccination (OR = 0.26, CI: 0.07 -0.98; P = 0.04) were significantly associated with rates of needle-sticks. Conclusions: Due to the high frequency of NSIs among the nursing staff and to reduce these injuries, using safety devices, especially in the emergency ward, providing a calm and stress-free environment for staff, reducing the number of night shifts and workload, teaching safety principles and standards to young nurses and supporting nurses who experience NSIs were advised.
Introduction: Needle stick injuries (NSIs) are wounds caused by needles in health care setup that accidentally puncture the skin and may result in exposure to blood or other body fluids. NSI is a major occupational health and safety issue faced by health care professionals globally. Needle prick injuries (NPI) are the commonest route by which blood-borne pathogens such as HIV and hepatitis B and C are transmitted from patients to healthcare workers. Such infections serve as high occupational risks and threats to healthcare workers, especially where basic rules of occupational safety and health are not implemented. Nurses have the highest rate of needle stick injury among all the health care workers.Objectives:a) To assess the knowledge of Needle stick injuries (NSI) among nurses in RIMS, Imphal b) To determine the practices of Needle stick injuries (NSI) among nurses in RIMS, ImphalMaterials and Methods:A cross sectional study was conducted in a tertiary care hospital in Imphal among nurses from December 2016 to Jan 2017. Self-administered questionnaire was used for data collection. Descriptive statistics like mean, standard deviation were used. Chi square test and Fishers exact test was used to see the association and a P-value of <0.05 was taken as significant. Results:25.4% of the nurses had adequate knowledge. The nurses who experienced needle stick injuries in the past one year were 67.3%. By giving i.v injections(42.2%) was the frequent mode of NSI acquired among the nurses. Disposable syringe needle (64.1%) was the most common device involved in the injuries. The frequent cause of NSI was due to rush (47.3%). Majority (64.1%) washed the NSI injured site with water and soap soon after the injury. 65% of the participants performed blood test after injury. The nurses who received post exposure after NSI injury were only 27.5%. Most of them (57.8%) reported the NSI to their higher officials. Conclusion:Needle stick injury is a serious occupational health problem among the nurses. Workshop on needle stick injuries and safe injection practices should be conducted at regular time intervals to increase their knowledge. Proper screening after NSI and importance of post-exposure prophylaxis should be greatly motivated among the nurses.
Indian Journal of Community Medicine, 2010
Background: Because of the environment in which they work, many health care workers are at an increased risk of accidental needle stick injuries (NSI). Objective: To study prevalence and response to needle stick injuries among health care workers. Materials and Methods: Study Design: Cross-sectional study. Setting: A tertiary care hospital in Delhi. Participants: 322 resident doctors, interns, nursing staff, nursing students, and technicians. Statistical Analysis: Proportions and Chi-square test. Results: A large percentage (79.5%) of HCWs reported having had one or more NSIs in their career. The average number of NSIs ever was found to be 3.85 per HCW (range 0-20). 72 (22.4%) reported having received a NSI within the last month. More than half (50.4%) ascribed fatigue as a cause in their injury. Most of the injuries (34.0%) occurred during recapping. In response to their most recent NSI, 60.9% washed the site of injury with water and soap while 38 (14.8%) did nothing. Only 20 (7.8%) of the HCWs took post-exposure prophylaxis (PEP) against HIV/AIDS after their injury. Conclusions: The occurrence of NSI was found to be quite common. Avoidable practices like recapping of needles were contributing to the injuries. Prevention of NSI is an integral part of prevention programs in the work place, and training of HCWs regarding safety practices indispensably needs to be an ongoing activity at a hospital.
Needle stick injuries in a tertiary care hospital Jayanth S T
2009
Background: Needle stick injuries (NSI) is notably one of the most common and preventable occupational hazard amongst healthcare workers (HCW). This article reports the findings of a clinical audit for needle stick injuries (NSI) conducted at a tertiary care hospital, Pune, Maharashtra, India. Methods: Clinical audit was conducted at the 123 bed ISO 9002 certified and NABH accredited tertiary care hospital having safety protocols and incident reporting mechanisms in place. Data included all reported and unreported events of NSI. Information about the unreported events was collected through personal interview of all HCWs (99 men and 180 women) and employed doctors (23 men and 09 women). The nature of events and situations when NSI occurred were described. This being a only exploratory analysis is done. Results: With a total of 36,376 patients treated in the hospital during 2015, a total of 2,16,336 injections were given. Only 11 NSI events were documented during the year and all were reported voluntarily by the HCWs after the incident occurred. All events occurred in the HCWs and no doctors were involved in any of the NSI events. The number of NSI events per 1000 patients treated (IPD and OPD) was 0.302, i.e. 0.03%, and the annual incidence was 8.94% for the hospital beds. Female HCW's (63.6%) were involved more in NSI than males (36.4%). Conclusions: Continuous education of all categories of HCWs plays a crucial role in capturing NSI. Staff should be encouraged to self-report without any delay and should treat each NSI as an emergency.
IP innovative publication pvt. ltd, 2019
Introduction: A cross-sectional study was conducted among health care workers (Nurses) at a tertiary care hospital in Trivandrum, Kerala to study the proportion of needle stick injury and associated factors. A semi structured questionnaire was used to collect data from the study participants at their work place. Participants were asked to recall needle stick injuries (NSIs) in the preceding 6 months and definition of needle stick injury was formulated. Factors such as work experience, type of procedure, action taken following injury etc were also studied. Results: The prevalence of NSIs was 94(47%). Mean age of 200 participants was 32.8 years (+ 6.8), all were female. Emergency department accounted for highest (62.8%) of NSIs. & it was maximum (42.6%) during injection procedure. Heavy work load (37.2%) followed by inattention (32%) were prime causes. Following injury 34% of nurses washed injury site with soap & water and applied antiseptics as well. usage of personal protective equipment(PPE) was 84%. Prime causes for not using PPEs were lack of supply and inappropriate size of gloves respectively. Usage of PPEs were found to be significant in preventing NSIs. Conclusion: Prevalence of NSI is high and measure for safety concern. There is urgent need of close monitoring and implementation of uniform NSIs programme like safe practices, safe disposal of sharps, mandatory reporting of needle stick injury at work station. Provision of post exposure prophylaxis following NSIs. Limitation: Small sample size, purposive-sampling and impact of information broacher regarding NSIs could not be accessed.
Needle Stick Injuries Among Health Care Workers In a Tertiary Care Hospital of India
Indian J Med Res, 2010
Percutaneous injuries, caused by needle sticks and other sharps, are a serious concern for all health care workers (HCWs) and pose a significant risk of occupational transmission of blood borne pathogens. Needle stick injuries (NSI) are wounds caused by sharps such as hypodermic needles, blood collection needles, iv cannulas or needles used to connect parts of iv delivery systems. The causes include various factors Needle stick injuries among health care workers in a tertiary care hospital of India Background & objectives: Percutaneous injuries caused by needlesticks, pose a significant risk of occupational transmission of bloodborne pathogens. Their incidence is considerably higher than current estimates, and hence a low injury rate should not be interpreted as a non existent problem. The present study was carried out to determine the occurrence of NSI among various categories of health care workers (HCWs), and the causal factors, the circumstances under which these occur and to, explore the possibilities of measures to prevent these through improvements in knowledge, attitude and practice.
JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES, 2020
Background: NSI which is known as Needle Stick Injuries can cause accidental exposure to serious blood borne diseases. It is very common in HCWs (Healthcare Workers). The nurses who have temporary disability are more able to get needle stick incidents and occupational accidents. But these injuries and NSI can cause this temporary disability turn into permanent disability because of the transmission of diseases like AIDS and serum hepatitis. Nurses are the important part of any hospital and they play an important role in preventing and managing NSI. Aim: The aim of this study and research is to judge the knowledge and skilled practices of the nursing staff about NSI (Needle Stick Injuries). Methods: The sample comprised of total 150 nurses including both females and males collected from Emergency Room, Hemodialysis Unit, ICU (Intensive Care Unit), Surgical and Medical Wards of Al-Lieth General Hospital. Results: Our study exposed that the age of the 52.7% nurses were 25 to 30 years and the age of the 2% of the nurses were <20 years. There was a difference between total score of nurse's knowledges and their practices about NSI. 88% of the nurses had knowledge and skilled practices while rest of the nurses had no knowledge and no skilled practices about NSI preventions and management. Conclusion: The NSI between nurses and the practices of recapping needles increases the probability of NSI. The nurses had knowledge and skilled practices while only some of the nurses had incompetent practices about NSI preventions and management.
International Journal Of Community Medicine And Public Health
Background: Health care workers are at risk of acquiring life threatening blood borne infections through needle stick and sharp injuries (NSSI) in their work place. This study was planned to highlight some important factors responsible for NSSI and possible measures to reduce it. The objective of the study was to assess the factors associated with NSSI and reasons for under-reporting. Methods: A cross sectional study was done during November 2014 to April 2015 in two tertiary health care institutions. All health care providers (Doctors, nurses and lab technicians) who had more than one year experience and gave informed consent were included. Data collected by pretested structured questionnaire. Data analysis was done using SPSS 20v and summarized by descriptive statistics. Proportion and Chi-square was calculated at 5% α. Results: Among 950 health care providers (HCPS), 649 (68.3%) had NSSI during their carrier, 335 (35.3%) in last one year. Females 225 (67.2%) experienced more NSSI...
2019
Introduction: Needle stick injuries (NSIs) is the most frequently occurring accidental injuries in the health care settings resulting from the penetration of contaminated syringes or sharps that may expose health care workers (HCWs) to serious life threatening illnesses. NSIs are amongst the most common occupational hazards and potential source of transmission of to more than 20 fatal blood borne infections including Hepatitis B&C and HIV etc. Objectives: To ascertain the awareness of HCWs regarding needle stick injuries in public and private sector hospitals as well as to compare this awareness in both public and private sector healthcare facilities. Material and Methods: The study was a cross sectional survey conducted in public and private sector hospitals in Hyderabad, Pakistan from October 2018 to March 2019. HCWs include; nursing staff, midwives, Operation Theater and Intensive care unit technicians were invited. Data was collected using written questionnaire designed specifically for this study. Questions related to the participant's knowledge of NSIs and its precautionary measures as well as their routine practices during their routine duties were included. Results: Two hundred HCWs participated in this study. Most (53%) of them were from private sector hospital while majority (36%) of them belongs to age group 28 to 37 years. Half of them (53%) were aware of NSIs while almost two third of them knew about the diseases spread by NSIs. Moreover, 53% of them were aware of the precautionary measures of NSIs. Majority (27%) of HCWs from public hospitals believe that during medication, most of NSIs occur in comparison with private hospital participants where majority (23%) thinks that breaking and discarding needles with bare hands most frequently cause NSIs. Majority (53%) of them not use tray to keep syringes while majority (58%) do not use needle cutter for disposing used needles. There was a statistically significant difference p value < 0.05 in awareness level of HCWs in public and private sector hospitals. Conclusion: Prevalence of NSI was high among the nursing staff in both health sectors. Low awareness level was demonstrated among the HCWs of public sector hospital. There was a significant difference in awareness related to knowledge and precautionary measures of NSIs between public and private sector hospitals.