Volume 27, Issue 89 (Aug 2014)                   IJN 2014, 27(89): 21-29 | Back to browse issues page

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Ghanei Gheshlagh R, Zahednezhad H, Shabani F, Hameh M, Ghahramani M, Farajzadeh M et al . Needle Sticks Injuries and its Related Factors among Nurses. IJN 2014; 27 (89) :21-29
URL: http://ijn.iums.ac.ir/article-1-1833-en.html
1- Master degree in Nursing, Kurdistan University of Medical Sciences, Sanandaj, Iran, and PhD student of Nursing, Nursing Dept,University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran, (٭Corresponding author). Tel: +098 914 4050284 Email: Rezaghanei30@yahoo.com
2- PhD student of Nursing, Nursing Dept., University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran
3- BS in Nursing, Bukan Shahid Gholipour Hospital, Urmia University of Medical Sciences, Urmia, Iran
4- BS in Nursing, Saqqez Imam Khomeinis Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract:   (10187 Views)


  Background & Aim: Needle stick injuries as one of the most common occupational injuries in nursing are very important because of their potential risk of transmission of blood-borne infectious disease. The aim of this study was to determine the characteristics of needle stick injuries and its related factors among nursing staff.

  Material & Methods: In this cross-sectional study, 120 nursing staff of Saqqez Imam Khomeini's Hospital was recruited by census in 2014. Data was collected by needle stick injuries questionnaire and analyzed by descriptive statistics, independent T-test, Fisher's exact test and Chi -Square using PASW ( Predictive Analytics Software).

  Results: from a total of 120 nurses, 53 (44.2%) had a history of needle stick injuries in the last year. Comparing to other nurses, those with needle sticks injury were younger (p=0.01) and had less work experience (p=0.03). A total of 111 nurses (92.5%) had been vaccinated against hepatitis B and there was a significant relationship between hepatitis B vaccination and needle stick injuries (p=0.03). Only 14 nurses (11.7%) had reported their needle stick injuries.

Conclusion: Regarding the high frequency of needle stick injuries in nursing staff, nursing managers should consider preventive approaches such as maintaining safety measures in work environment, providing complete vaccination coverage and a reliable reporting system to confront with this problem.
Keywords: Nurse, Needle sticks, Injury
Full-Text [PDF 1298 kb]   (7565 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2014/05/12 | Accepted: 2014/08/8 | Published: 2014/08/8

1. Adib-Hajbaghery M, Lotfi MS. [Behavior of healthcare workers after injuries from sharp instruments]. Trauma Monthly. 2013; 18 (2): 75-80. [DOI:10.5812/traumamon.12779] [PMID] [PMCID]
2. Nouhi E, Khoshnoud Z, Seyed Adel M. [Needle stick and sharp object injuries among nursing & midwifery students of Kerman University of Medical science, 2007]. IJNR. 2010; 5 (18):18-23.
3. Baghcheghi N, Koohestani H, rezaei K, seraji A, Abedi A. [Prevalence needlestick/sharps injuries among nursing student and related factor]. Iran Occupational Health Journal. 2011; 7 (4):32-9.
4. Bahreini M, Bijani M, Rahmati H, Shahamat Sh. [The effectiveness of a multimedia training program on incidence of occupational exposure to contaminated sharp tools among nurses]. IJN. 2011; 24 (69):69-77.
5. Bi P, Tully PJ, Pearce S, Hiller JE. Occupational blood and body fluid exposure in an Australian teaching hospital. Epidemiology and infection. 2006;134 (03):465-71. [DOI:10.1017/S0950268805005212] [PMID] [PMCID]
6. Afridi AAK, Kumar A, Sayani R. Needle stick injuries–risk and preventive factors: a study among health care workers in tertiary care hospitals in Pakistan. Glob J Health Sci. 2013;5(4):p85. [DOI:10.5539/gjhs.v5n4p85] [PMID] [PMCID]
7. Cho E, Lee H, Choi M, Park SH, Yoo IY, Aiken LH. Factors associated with needlestick and sharp injuries among hospital nurses: A cross-sectional questionnaire survey. Int J Nurs Stud. 2013;50(8):1025-32. [DOI:10.1016/j.ijnurstu.2012.07.009] [PMID] [PMCID]
8. Buraidah A-Q. Epidemiology of needlestick injuries among health care workers in a secondary care hospital in Saudi Arabia. Ann Saudi Med. 2005;25(3):233-8. [DOI:10.5144/0256-4947.2005.233]
9. Martins A, Coelho AC, Vieira M, Matos M, Pinto ML. Age and years in practice as factors associated with needlestick and sharps injuries among health care workers in a Portuguese hospital. Accid Anal Prev. 2012;47:11-5. [DOI:10.1016/j.aap.2012.01.011] [PMID]
10. Nakhle Ahmadi H, Khazaei T. [Assessing the performance and knowledge of the medical staff of Imam Reza & Vali-asr hospitals in Birjand on the injuries resulting from needle stick]. Modern Care Journal. 2007;4(1):41-6.
11. Alamgir H, Cvitkovich Y, Astrakianakis G, Yu S, Yassi A. Needlestick and other potential blood and body fluid exposures among health care workers in British Columbia, Canada. Am J Infect Control. 2008;36(1):12-21. [DOI:10.1016/j.ajic.2007.03.005] [PMID]
12. Gershon RR, Pearson JM, Sherman MF, Samar SM, Canton AN, Stone PW. The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector. Am J Infect Control. 2009;37(7):525-33. [DOI:10.1016/j.ajic.2008.10.022] [PMID]
13. Khalouei A, Iranpour A, Hamzehnezhadi S, Rahmanian Ke. [Study On Epidemiology Of Needle Stick Injury Among Nursing Personnel Of Kerman University Hospitals. Kerman, Iran In (2006-2007)]. Jahrom Medical Journal. 2010; 7 (3): 42-9.
14. Kebede G, Molla M, Sharma HR. Needle stick and sharps injuries among health care workers in Gondar city, Ethiopia. Safety Science. 2012;50(4):1093-7. [DOI:10.1016/j.ssci.2011.11.017]
15. Moro PL, Moore A, Balcacer P, Montero A, Diaz D, Gómez V, et al. Epidemiology of needlesticks and other sharps injuries and injection safety practices in the Dominican Republic. Am J Infect Control. 2007;35(8):552-9. [DOI:10.1016/j.ajic.2007.06.001] [PMID]
16. Azap A, Ergönül Ö, Memikoğlu KO, Yeşilkaya A, Altunsoy A, Bozkurt G-Y, et al. Occupational exposure to blood and body fluids among health care workers in Ankara, Turkey. Am J Infect Control. 2005;33(1):48-52. [DOI:10.1016/j.ajic.2004.08.004] [PMID]
17. Nsubuga FM, Jaakkola MS. Needle stick injuries among nurses in sub‐Saharan Africa. Trop Med Int Health. 2005;10(8):773-81. [DOI:10.1111/j.1365-3156.2005.01453.x] [PMID]
18. Rakhshani F, Heydari M, Barati S. [Prevalence of Needlestick Injuries among the Healthcare Professionals in Zahedan Medical Sciences University]. Iranian Journal Of Epidemiology. 2009; 4 (3 - 4):87-91.
19. Joneydi Jn, Shasti M, Izadi M, Ranjbar R, Ghasemi M. Paper: Evaluation Of Frequency Of Exposure To Medical Sharp Devices Among Nurses Of A University Hospital. 2008; 10 (2):119-28.
20. Anbari K, Ghanadi K, Nazer M, Dortaj F, Mahdavian A. [Study of occupational exposure to blood and body fluids of patients and related factors in health care workers employed in Khorramabad Shohada Ashayer hospital] . Yafteh. 2013; 14(5):5-11.
21. Azadi M Anoosheh M. [Needlestick injuries reporting among clinical nurses]. IJN, 2007. 20(49): 7-14.
22. Costigliola V, Frid A, Letondeur C, Strauss K. Needlestick injuries in European nurses in diabetes. Diabetes & metabolism. 2012;38:S9-S14. [DOI:10.1016/S1262-3636(12)70976-X]
23. Mill J, Nderitu E, Richter S. Post-exposure Prophylaxis Among Ugandan Nurses:"Accidents do Happen". International Journal of Africa Nursing Sciences. 2014; 1: 11-17. [DOI:10.1016/j.ijans.2014.05.003]
24. Quinn MM, Markkanen PK, Galligan CJ, Kriebel D, Chalupka SM, Kim H, et al. Sharps injuries and other blood and body fluid exposures among home health care nurses and aides. Am J Public Health. 2009;99(Suppl 3): 710-17. [DOI:10.2105/AJPH.2008.150169] [PMID] [PMCID]
25. Laishram J, Keisam A, Phesao E, Tarao M, Laloo V, Devi H. Prevalence of needle stick injuries among nurses in a tertiary care hospital and their immediate response. International Journal of Medicine and Public Health. 2013;3(4):257-60. [DOI:10.4103/2230-8598.123446]
26. Manzoor I, Daud S, Hashmi NR, Sardar H, Babar MS, Rahman A, et al. Needle stick injuries in nurses at a tertiary health care facility. J Ayub Med Coll Abbottabad. 2010;22(3):174-8. [PMID]
27. Moradi A, Mostafavi E, Moradi A. [The prevalence and causes of needle stick injuries among the primary health care workers of Bahar city, Hamadan Province]. Iran Occupational Health. 2010;7(2):39-42.
28. Smith DR, Mihashi M, Adachi Y, Nakashima Y, Ishitake T. Epidemiology of needlestick and sharps injuries among nurses in a Japanese teaching hospital. J Hosp Infect. 2006;64(1):44-9. [DOI:10.1016/j.jhin.2006.03.021] [PMID]
29. Rezaei Sh, Rabi Rad N, Tamizi Z, Fallahi Khoshkenab M, Mohamad Nejad E. [An investigation in to occupational hazarda faced by nurses in pediatrics hospitals of Tehran University of Medical Sciences, 2006-2009]. IJCBNM 2013; 1(4): 200-7.
30. Smith DR, Choe M, Jeong JS, Jeon M-Y, Chae YR, An GJ. Epidemiology of needlestick and sharps injuries among professional Korean nurses. J Prof Nurs. 2006;22(6):359-66. [DOI:10.1016/j.profnurs.2006.10.003] [PMID]
31. Lotfi R, Gashtasbi A. [Needle stick and sharps injuries and its risk factors among health center personnel (Astara; Iran, 2006)]. J B.U M S. 2008; 10 (4): 71-7.
32. Kakizaki M, Ikeda N, Ali M, Enkhtuya B, Tsolmon M, Shibuya K, et al. Needlestick and sharps injuries among health care workers at public tertiary hospitals in an urban community in Mongolia. BMC Res Notes. 2011;4(1):184-90. [DOI:10.1186/1756-0500-4-184] [PMID] [PMCID]
33. Butsashvili M, Kamkamidze G, Kajaia M, Morse D, Triner W, Dehovitz J, et al. Occupational exposure to body fluids among health care workers in Georgia. Occup Med. 2012; 62: 620-26. [DOI:10.1093/occmed/kqs121] [PMID] [PMCID]
34. Mohammadi N, Allami A, Mohamadi RM. [Percutaneous exposure incidents in nurses: Knowledge, practice and exposure to hepatitis B infection: Percutaneous exposure incidents in nurses]. Hepat Mon. 2011;11(3):186-90. [PMID] [PMCID]
35. Nejadghaderi SM, Safizadeh H, Kanjani N. [The knowledge and practice of medical staff about needle injuries in Rafsanjan's Ali-ebne-Abitaleb hospital, Iran]. Journal of Health & Development 2012; 1 (1): 1-10.
36. Tirgar A, Gholami F. [Assess the damage caused by inadvertent needle entry into the body of nurses and its related risk factors]. Journal of Health and Safety at work 2011; 2(2): 31-38. Persian.
37. 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(3):216-23. [DOI:10.1016/j.jhin.2004.06.029] [PMID]
38. Vahedi MS, Ahsan B, Ardalan M, Shahsavari S. [Prevalence and Causes of needle stick injuries, in medical personnels of Kurdistan University's hospitals and dealing with such injuries due to contaminated sharp tools in 1383]. Scientific Journal of Kurdistan University of Medical Sciences. 2006;11(2):43-50.
39. Rahnavard F, Reza Masouleh Sh, Seyed Fazelpour F, Kazemnejad Leili E. [Study Factors related to report the needle stick and sharps injuries report by‎ nursing staffs of the Educational and Therapeutic Centers of Guilan University of‎ Medical Sciences, Rasht]. Holistic Nursing And Midwifery Journal. 2011;21(1):30-7.
40. Gershon RR, Pogorzelska M, Qureshi KA, Sherman M. Home health care registered nurses and the risk of percutaneous injuries: a pilot study. Am J Infect Control. 2008;36(3):165-72. [DOI:10.1016/j.ajic.2007.04.278] [PMID]
41. Mbaisi EM, 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(1): 10-18. [DOI:10.11604/pamj.2013.14.10.1373]
42. Shoghli A, Mousavi Nasab N, Ghorchian F, Masoumi H, Momtazi S. [Study of theNeedle Sticks Injury (NSI) among the Zanjan Educational Hospitals Staff]. ZUMS Journal. 2013;21(85):131-41.

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