DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20190221

Study of knowledge, attitude and practice of needle stick injury among nurses in a tertiary care hospital

Dharmendra Gupta, Shashi Saxena, Vijender Kumar Agrawal, Meenakshi Singh, Saurabh Mishra

Abstract


Background: Needle stick injuries (NSIs) are a hazard for people who work with hypodermic syringes and other needle equipment. These injuries can occur at any time when people use, disassemble, or dispose of needles. Needle Stick and Sharps Injuries (NSSIs) are one of the major risk factors for blood-borne infections. The aim and objectives of the study were to assess the knowledge, attitude, practice and prevalence of NSIs among nurses in a private tertiary care hospital of district Bareilly; to recommended the preventive measure to control the injuries.

Methods: A survey has been conducted in August 2013 to February 2014 among the nurses. This is a cross-sectional study. A purposive sampling was done aimed at covering at least 50 trained nurses and 50 nursing students working in a private tertiary care hospital Bareilly.

Results: The prevalence of needle stick injuries per year equals 69.0%. Self inflicted were most common among nurses working in the wards. Instruments contaminated with infectious material accounted for the injuries in the study group of nurses.

Conclusions: NSSIs are highly prevalent among nurses, and prevention is the most effective way to protect nurses from infectious diseases. The most common cause of injuries from needles was an improper handling of syringes and needles after injections.


Keywords


Prevalence, Cross sectional study, Needle stick injury, Nurses

Full Text:

PDF

References


Kelen GD, Fritz SF, Qaqish B. Unrecognized HIV infection in emergency Department patients. N Engl J Med. 1998;38:1645-50.

Clark PF, Clark DA. World Survey of Nurses Unions and Associations: preliminary report. Hershey, PA: Penn State University, 2000.

Medicalkenya. Nursing matters – WHO fact sheets. Nairobi: Medicalkenya; 2011.

Jagger J, Hunt EH, Brand-Elnaggar J, Pearson RD.Rates of needlestick injury caused by various devices in a university hospital. N Engl J Med. 1988;319:284-8.

World Health Organization: The world health report: 2002: Reducing risks, promoting healthy life. Geneva: World Health Organization; 2002.

Calver J. Occupational Health Services. Am J Infect Control. 1997;25:363-5.

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 Royal Society Med. 2004;97(7):326–27.

Shoghli A, Mousavi Nasab N, Ghorchian F, Masoumi H, Momtazi S. Study of the Needle Sticks Injury (NSI) among the Zanjan Educational Hospitals Staff. ZUMS J. 2013;21(85):131–41.

Sahasrabuddhe AG, Suryawanshi SR, Khare R. Determinants of occupational exposure to blood borne pathogens among resident doctors in a tertiary care hospital in the city of Mumbai. Int J Med Sci Public Health. 2014;3:1014–7.

Joardar GK, Chatterjee C, Sadhukhan SK, Chakraborty M, Dass P, Mandal A. Needle sticks injury among nurses involved in patient care: a study in two medical college hospitals of West Bengal. Indian J Public Health. 2008;52(3):150-2.

Muralidhar S, Singh PK, Jain RK, Malhotra M, Bala M. Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res. 2010;131:405-10.

Li Z, Sengane ML, Setswe KG. Knowledge and experiences of needle prick injuries among nursing at a university in Gauteng, South Africa. SA Fam Pract. 2008;50(5):48-50.

Jayanth ST, Kirupakaran H, Brahmadathan KN, Gnanaraj L, Kang G. Needle stick injuries in a tertiary care hospital. Indian J Med Microbiol. 2009;27(1):44-8.

Sharma R, Rasania, SK, Verma A, Singh S. Study of prevalence and response to needle stick injuries among health care workers in a tertiary care hospital in Delhi, India. Indian J Community Med. 2010;35(1):74–7.

Rogers B, Goodno L. Evaluation of interventions to prevent needle stick injuries in health care occupations. Am J Prev Med. 2000;18:90-8.

Mbaisi EM, Ng’ang’a Z, Wanzala P, Omolo J. Prevalence and factors associated with percutaneous injuries and splash exposures among health-care workers in a provincial hospital, Kenya, 2010. Pan Afr Med J. 2013;14:10.

Askarian M, Malekmakan L. The prevalence of needle stick injuries in medical, dental, nursing and midwifery students at the university teaching hospitals of Shiraz, Iran. Indian J Med Sci 2006;60:227-32.

World Health Organization. Practical Guidelines for Infection Control in Health Care Facilities. Geneva: World Health Organization; 2004.

Siddique K, Mirza S, Tauqir SF, Anwar I, Malik AZ. Knowledge, attitude and practices regarding needle stick injuries amongst healthcare providers. Pak J Surg. 2008;24:243-8.

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(2):430-3.