Abstract
Objectives: The purpose of this study is to determine nursing students’ exposure to injuries with needlestick and sharp instruments during clinical applications and the precautions taken in these situations.Methods: This cross-sectional and descriptive type of study was composed of nursing students N=589 , who studied at universities and 339 students who accepted participation in the research and who had no missing data in their forms. Data were collected by the study using the individual identification form and a questionnaire containing features related to injuries with needlestick and sharp instruments. In the evaluation of the data, mean, standard deviation, percent and chi-square tests were employed.Results: The average age of the students who participated in the study was 22.51±1.56. It was determined that 31% of the students who were injured with needlestick and/or sharp instruments mostly occurred in internal medicine clinics 38.8% and injector needles 72.1% . During the injury, 29.3% of the students did not use protective measures, 68.6% did not report injury, 86.4% had had hepatitis B vaccine, of those vaccinated, 44% n=60 of them did not have post-accident analysis.Conclusion: Student nurses, during clinical practice, are at risk from injury by needlesticks or sharp instruments due to the frequency of usage, it is proposed to increase the skills and competencies for implementation
References
- CDC. Workbook for Designing, Implementing and Evaluating a Sharps Injury Prevention Program. https://www.cdc.gov/sharpssafety/pdf/ sharpsworkbook_2008.pdf (Erişim tarihi: 03.01.2016).
- Kuyurtar F, Altıok M. Tıp ve Hemşire Öğrencilerinin Delici/Kesici Aletlerle Yaralanma Deneyimleri Ve Aldıkları Önlemler. Fırat Sağlık Hizmetleri Dergisi 2009;4:67–84.
- Yang YH, Wu MT, Ho CK, Chuang HY, Chen L, Yang CY, et al. Needlestick/sharps injuries among vocational school nursing students in southern Taiwan, Am J Infect Control 2004;32:431–5. https://doi.org/10.1016/S0196655304004523 org/10.1111/j.1365-2648.2005.03526.x
- Cheung C, Ching SS, Chang KK, Ho SC. Prevalence of and risk factors for needlestick and sharps injuries among nursing students in Hong Kong. Am J Infect Control 2012;40:997–1001. https://doi. org/10.1016/j.ajic.2012.01.023
- Cheung K, Ho SC, Ching SS, Chang KK. Analysis of needlestick injuries among nursing students in Hong Kong. Accid Anal Prev 2010;42;1744–50. https://doi.org/10.1016/j.aap.2010.04.015
- 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.
- Liu C, Liu X, Zhu Y, Liu Y. Influencing Factors for needlestick injuries in student nurses. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2015;33:528–31.
- Karataş B, Çelik SS, Koç A. Hemşirelik öğrencilerinin kesici-delici aletlerle yaralanmaya ilişkin bilgi düzeylerinin ve tutumlarının incelenmesi. Bozok Tıp Derg 2016;6:21–9.
- Beşer A. Sağlık Çalışanlarının Sağlık Riskleri ve Yönetimi, Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi 2012;5;39–44.
- Ayranci U, Kosgeroglu N. Needlestick and sharps injuries among nurses in the health care sector in a city of western Turkey. J Hosp Infect 2004;58:216–23. https://doi.org/10.1016/j.jhin.2004.06.029
- Kılıçaslan A, Yıldız AN, Bilir N. Hacettepe Üniversitesi Hastanelerinde Çalışan Araştırma Görevlilerinin Mesleksel Riskleri. Hacettepe Tıp Dergisi 2006;37:179–85.
- Yang YH, Liou SH, Chen CJ, Yang CY, Wang CL, Chen CY, Wu TN. The effectiveness of a training program on reducing needlestick/sharps injuries among son graduate vocational nursing school students in southern Taiwan. J Occup Health 2007;49:424–9.
- Blackwell L, Bolding J, Cheely E, Coyle E, McLester J, McNeely E, et al. Nursing Students’ Experiences with Needlestick Injuries. Annals of Epidemiology 2007;12:197–201.
- Petrucci C, Alvaro R, Cicolini G, Cerone MP, Lancia L. Percutaneous and mucocutaneous exposures in nursing students: an Italian observational study. J Nurs Scholarsh 2009;41:337–43. https://doi. org/10.1111/j.1547-5069.2009.01301.x
- Ghasemzadeh I, Kazerooni M, Davoodian P, Hamedi Y, Sadeghi P. Sharp Injuries Among Medical Students. Glob J Health Sci 2015;7:320–5. https://doi.org/10.5539/gjhs.v7n5p320
- Büyük ET, Rizalar S, Yüksel P, Yüksel VT. Öğrencilerin Delici Kesici Aletlerle Yaralanma Deneyimleri ve Bu Konuda Uygulama Alanında Yapılan Eğitimin Bilgi Düzeylerine Etkisi. Samsun Sağlık Bilimleri Dergisi 2016;1:1–11.
- 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
- Talas MS. Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training: frequency of needlestick/sharp injuries and hepatitis B immunisation. J Clin Nurs 2009;18:1394–403. https://doi. org/10.1111/j.1365-2702.2008.02523.x
- Wang HH, Fennie K, He G, Burgess J, Williams AB. A Training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behavior and incidence of needle stick injuries among student nurses in Changsha, People’s Republic of China. J Adv Nurs 2003;41:187–94.
- Bhattarai S, Smriti KC, Pradhan PMS, Lama S, Rijal S. Hepatitis B vaccination status and needle-stick and Sharps-related injuries among medical school students in Nepal: a cross-sectional study. BMC Research Notes 2014;7:774.
Abstract
Amaç: Hemşirelik öğrencilerinin klinik uygulamaları süresince kesici ve delici aletlerle yaralanmaya maruz kalma durumları ve bu durumlarda aldıkları önlemlerin belirlenmesi amaçlanmıştır.Gereç ve yöntem: Kesitsel ve tanımlayıcı tipteki çalışmanın evrenini bir üniversitede eğitim gören hemşirelik öğrencileri N=589 , örneklemini ise araştırmaya katılmayı kabul eden ve formlarında eksik veri olmayan 339 öğrenci oluşturmuştur. Araştırmada veri toplama aracı olarak; Birey Tanıtım Formu ve Kesici-Delici Aletlerle Yaralanma ile İlgili Özellikleri içeren soru formu kullanılmıştır. Verilerin değerlendirilmesinde sayı, ortalama, standart sapma, yüzde ve ki-kare testi kullanılmıştır.Bulgular: Araştırmaya katılan öğrencilerin yaş ortalaması 22,51±1,56’dir. Öğrencilerin %31’inin kesici ve delici alet ile yaralandığı, yaralanmaların çoğunlukla dahiliye kliniklerinde yaşandığı %38,8 ve enjektör iğnesi %72,1 ile gerçekleştiği belirlenmiştir. Yaralanma sırasında öğrencilerin %29,3’ünün koruyucu önlem kullanmadığı, %68,6’sının yaralanmayı rapor etmediği, %86,4’ünün hepatit B aşısı yaptırdığı, aşı yaptıranların %44’ünün n=60 ise aşı sonrası tahlil yaptırmadıkları bulunmuştur.Sonuç: Öğrenci hemşireler klinik uygulama süresince kesici ve delici alet yaralanması açısından risk altında olup koruyucu önlemlere yönelik bilgilerini belirli aralıklarla tekrar edilmesi, uygulamaya yönelik becerilerinin ve yeterliliklerinin arttırılması önerilmektedir
References
- CDC. Workbook for Designing, Implementing and Evaluating a Sharps Injury Prevention Program. https://www.cdc.gov/sharpssafety/pdf/ sharpsworkbook_2008.pdf (Erişim tarihi: 03.01.2016).
- Kuyurtar F, Altıok M. Tıp ve Hemşire Öğrencilerinin Delici/Kesici Aletlerle Yaralanma Deneyimleri Ve Aldıkları Önlemler. Fırat Sağlık Hizmetleri Dergisi 2009;4:67–84.
- Yang YH, Wu MT, Ho CK, Chuang HY, Chen L, Yang CY, et al. Needlestick/sharps injuries among vocational school nursing students in southern Taiwan, Am J Infect Control 2004;32:431–5. https://doi.org/10.1016/S0196655304004523 org/10.1111/j.1365-2648.2005.03526.x
- Cheung C, Ching SS, Chang KK, Ho SC. Prevalence of and risk factors for needlestick and sharps injuries among nursing students in Hong Kong. Am J Infect Control 2012;40:997–1001. https://doi. org/10.1016/j.ajic.2012.01.023
- Cheung K, Ho SC, Ching SS, Chang KK. Analysis of needlestick injuries among nursing students in Hong Kong. Accid Anal Prev 2010;42;1744–50. https://doi.org/10.1016/j.aap.2010.04.015
- 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.
- Liu C, Liu X, Zhu Y, Liu Y. Influencing Factors for needlestick injuries in student nurses. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2015;33:528–31.
- Karataş B, Çelik SS, Koç A. Hemşirelik öğrencilerinin kesici-delici aletlerle yaralanmaya ilişkin bilgi düzeylerinin ve tutumlarının incelenmesi. Bozok Tıp Derg 2016;6:21–9.
- Beşer A. Sağlık Çalışanlarının Sağlık Riskleri ve Yönetimi, Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi 2012;5;39–44.
- Ayranci U, Kosgeroglu N. Needlestick and sharps injuries among nurses in the health care sector in a city of western Turkey. J Hosp Infect 2004;58:216–23. https://doi.org/10.1016/j.jhin.2004.06.029
- Kılıçaslan A, Yıldız AN, Bilir N. Hacettepe Üniversitesi Hastanelerinde Çalışan Araştırma Görevlilerinin Mesleksel Riskleri. Hacettepe Tıp Dergisi 2006;37:179–85.
- Yang YH, Liou SH, Chen CJ, Yang CY, Wang CL, Chen CY, Wu TN. The effectiveness of a training program on reducing needlestick/sharps injuries among son graduate vocational nursing school students in southern Taiwan. J Occup Health 2007;49:424–9.
- Blackwell L, Bolding J, Cheely E, Coyle E, McLester J, McNeely E, et al. Nursing Students’ Experiences with Needlestick Injuries. Annals of Epidemiology 2007;12:197–201.
- Petrucci C, Alvaro R, Cicolini G, Cerone MP, Lancia L. Percutaneous and mucocutaneous exposures in nursing students: an Italian observational study. J Nurs Scholarsh 2009;41:337–43. https://doi. org/10.1111/j.1547-5069.2009.01301.x
- Ghasemzadeh I, Kazerooni M, Davoodian P, Hamedi Y, Sadeghi P. Sharp Injuries Among Medical Students. Glob J Health Sci 2015;7:320–5. https://doi.org/10.5539/gjhs.v7n5p320
- Büyük ET, Rizalar S, Yüksel P, Yüksel VT. Öğrencilerin Delici Kesici Aletlerle Yaralanma Deneyimleri ve Bu Konuda Uygulama Alanında Yapılan Eğitimin Bilgi Düzeylerine Etkisi. Samsun Sağlık Bilimleri Dergisi 2016;1:1–11.
- 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
- Talas MS. Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training: frequency of needlestick/sharp injuries and hepatitis B immunisation. J Clin Nurs 2009;18:1394–403. https://doi. org/10.1111/j.1365-2702.2008.02523.x
- Wang HH, Fennie K, He G, Burgess J, Williams AB. A Training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behavior and incidence of needle stick injuries among student nurses in Changsha, People’s Republic of China. J Adv Nurs 2003;41:187–94.
- Bhattarai S, Smriti KC, Pradhan PMS, Lama S, Rijal S. Hepatitis B vaccination status and needle-stick and Sharps-related injuries among medical school students in Nepal: a cross-sectional study. BMC Research Notes 2014;7:774.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | March 1, 2018 |
| Published in Issue | Year 2018Issue: 1 |