Practice of Nurses Regarding Prevention from Needle Stick Injuries in Tertiary Care Hospital Lahore Pakistan

2021 ◽  
Vol 15 (5) ◽  
pp. 1389-1391
Author(s):  
Zarnigar . ◽  
R. Elahi ◽  
T. Zia ◽  
T. Sagir ◽  
W. Latif ◽  
...  

Needle sticks injury considerably affects nurse’s wellbeing while performing routine patient’s care. Thus, nurses are at risk of exposure to various kinds of infectious diseases. Objectives: To analyze the practice of nurses regarding prevention from needle stick injury in Tertiary Care Hospitals of Lahore. Study Design: Cross-sectional study. Methodology: Study setting was tertiary care hospitals of Lahore, Pakistan after ethical review committee’s (ERC) approval. Data was collected from nurses by using tool used in this study was check list for observation of Nurses practice related to sharps and needles. This check list contains fourteen criteria for observation of Nurses’ practice. Whether they were doing; yes or no. sel. convenient sampling technique was used, and sample size was 93. Statistical analysis: SPSS 21 was utilized for the data analysis. Results: It was observed that 03(3%) Nurses were performing Safe Needle Handling Technique in procedure room while 90(97%) Nurses were not performing it. It was observed that 91(98%) Staff Nurses wash hands before and after use of syringes while only 02(2%) Nurses were not performing it. Conclusion: We concluded that nurses have ignorance of the protocols become the reason of such incidents even now. It is the need of time to implement appropriate strategies for precaution and intervention through hospital administration to avoid the needle stick injuries. Key Words: Needle Stick Injury, Re-capping of needles and Knowledge.

2021 ◽  
Vol 15 (5) ◽  
pp. 1479-1481
Author(s):  
Zarnigar . ◽  
R. Elahi ◽  
T. Sagir ◽  
T. Zia ◽  
W. Latif ◽  
...  

Nurses got exposed to various blood borne infections due to injury from different types of sharp instruments like needles, lancets, scissors etc. Such injuries ultimately became the reasons of blood borne diseases. Objectives: To analyze the knowledge and attitude of nurses about prevention from needle stick injury and the magnitude of such incidents in Tertiary Care Hospitals of Lahore. Study Design: Cross-sectional study. Methodology: Study setting was tertiary care hospitals of Lahore-Pakistan after ethical review committee’s (ERC) approval. Data was collected from nurses by using self-administered questionnaire from different department of tertiary care hospitals, Lahore. Convenient sampling technique was used, and sample size was 93. Statistical analysis: SPSS 21 was utilized for the data analysis. The tests of frequencies, percentages and graphs were applied. Results: Needle stick injuries association was measured with working experience among nurses. There was statistically significant difference found between the NSIs among (59%) nurses, who were having more working experience (22-24) about handling of needle during any procedure as compared to the nurses who lack in experience. The study results showed that majority of nurses have enough knowledge concerning to NSIs. Conclusion: We concluded that nurses have knowledge regarding the needle stick injury due to the training classes, however, ignorance of the protocols becomes the reason of such incidents even now. It is the need of time to implement appropriate strategies for precaution and intervention through hospital administration to avoid the needle stick injuries. Key Words: Needle Stick Injury, Re-capping of needles, Attitude and Knowledge.


2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Muhammad Umar Younis ◽  
Syed Faraz-ul- Hassan Shah ◽  
Aliya Muzafar ◽  
Muhammad Zeeshan Sarwar ◽  
Fakeha Rehman ◽  
...  

Background: Needle stick injuries have a fairly common incidence in surgical practice exposing surgeons to an array of transmissible diseases. The aim of the study was to assess the prevalence of needle stick injury, and their reporting among surgeons in tertiary hospital setting. Study Design: Cross-sectional study. Setting: Various tertiary care hospital of Lahore. Period: January 2016 through April, 2016. Methods: Our sample size was 935 Surgeons. We determined the prevalence of needle stick injuries, reporting of NSI, the reasons for not reporting and the reasons for acquired injuries. Results: Needle stick injury was reported by only 85 (9.1%) participants. The reasons for not reporting varied; 363 (38.8%) did not report due to unawareness of the existence of a relevant system, 250 (26.7%) did not know whom to report, 86 (9.2%) were not able to spare time to report, 81 (8.7%) were afraid of results, 48 (5.1%) thought that patient was low risk and 107 (11.4%) did not bother. Conclusion: There was a lack of hospital policy to cater to the reporting of injuries sustained during surgical practice. A dire need for a system was observed to educate the healthcare workers and provide a medium to assist the process of reporting.


Author(s):  
Dharmendra Gupta ◽  
Shashi Saxena ◽  
Vijender Kumar Agrawal ◽  
Meenakshi Singh ◽  
Saurabh Mishra

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.


Author(s):  
Humaira Bashir ◽  
Syed Shuja Qadri

Background: Needle stick injury among health workers is regarded as an occupational hazard. Health care workers are at risk of having blood-borne diseases in case they are exposed to blood and other biological samples of the patients. Moreover, staff including doctors working in tertiary care hospitals has high work load which results in increased chances of getting these injuries. The aim and objectives of this study were to find out the prevalence of needle stick injury among different categories of health care workers. Authors also aimed to assess the knowledge, attitude and practices associated with it.Methods: A hospital based cross sectional study design to know the prevalence of needle stick injury among various health care workers of Karpagam Faculty of Medical Sciences and Research, a tertiary level care hospital in Coimbatore, Tamilnadu, India. A total of 250 health care workers were selected for the study purpose. A self-designed, semi-structured, pre-tested questionnaire was used to assess the prevalence of needle stick injuries and the factors associated with it.Results: A majority of health care workers (94%) knew about needle stick injury and 92% were aware that HIV can be transmitted through needle stick injury, 78.4% and 69.65% were aware of Hepatitis-B and Hepatitis-C transmission respectively. About 28.4% of subjects had encountered needle stick injury in their past. Furthermore, it was found that type of exposure and place of exposure was significantly associated with different categories of health care workers (p <0.001).Conclusions: Prevention of health workers against needle stick injury is the best possible way to prevent several bloods borne diseases. There should be a prevention programme which special focus on training of health care workers. Further strategies aiming at preventive measures and reporting of the Needle stick injuries accidents should be made compulsory among health care workers.


Author(s):  
Jurimoni Gogoi ◽  
Sultana Jesmin Ahmed ◽  
Hiranya Saikia ◽  
Ratna Sarma

Background: The objective of study was to determine prevalence of needle stick injuries among health care workers in a tertiary care hospital of Assam and to assess the knowledge, attitude and practices on needle stick injuries among them.Methods: It was a cross-sectional study conducted from June 2016 to August 2016 amongst health care workers of a tertiary care centre of Assam. Sample size was calculated to be 90. A total of 10 departments were selected purposively based on their magnitude of risk exposure and the required sample size was allocated proportionally among these 10 departments. The required numbers of health workers from each of the ten departments were selected by using simple random sampling. A predesigned and pretested proforma was used to collect the data. Data were presented in terms of percentages and significance was tested using chi-square and Fisher’s exact test.Results: Prevalence of needle stick injury among the health workers was found to be 21.1%. Regarding spread of diseases after an accidental needle stick injury, 100% were aware of HIV, 98.9% were aware of Hepatitis B and 67.8% were aware of Hepatitis C. Regarding their attitude to report to in-charge medical officer, only 21.1% had reported about their injury. Around 58.9% of health care workers used gloves regularly for prevention of such injuries. Practice of recapping among the health care workers was 66.7% and out of total needle stick injuries, recapping contributed to 26.3%. While considering sharp waste disposal, 37.8% health care workers did not follow proper waste disposal guidelines. Only 26.3% of health care workers had done screening for HIV/AIDS and Hepatitis B after their injury.Conclusions: There is a need to have a pre-employment training to improve the knowledge, attitude and practice regarding accidental needle stick injuries among the health care workers. 


Author(s):  
Ashish A. Wadekar ◽  
Vijaykumar S. Singh ◽  
Soujannya K. Chowdhury ◽  
Maheshchandra M. Chape

Background: Universal safety precautions also known as standard precautions are a set of evidence based clinical work practices published by Centers for Disease Control and Prevention (CDC) in 1996 and updated in 2007; the extension of blood and body-fluid precautions to all patients is referred to as universal precautions. Despite detail guidelines, the knowledge and understanding of universal safety precautions among health-care workers is found inadequate.Methods: This was a cross-sectional study carried out among interns and first year resident doctors in medical college attached to a tertiary care hospital. Around 200 doctors are enrolled in this study.Results: In our study, correct knowledge about hand hygiene found in interns was 84.1% and clinical residents 93.3% and this knowledge was practiced by 83.6%% interns and 84.1% clinical resident. The knowledge about the importance of wearing the gloves was 95.5% among interns and 95.4% among residents and facemask, eye wear was 78.5% among interns and 92% among residents, but in practice 78.5% interns and 71.5% residents were seen to use gloves and apron. Knowledge about needle stick injury was 95.5% among interns and 97.1% among resident doctors. The knowledge of interns was 81.25% for disposal of gloves and 70.5% for disposal of sharps whereas among resident doctors, it was 72.7% for gloves and 70.4% for sharps.Conclusions: In this study, we observed that overall knowledge regarding importance of hand washing, wearing gloves, risk of needle stick injury, disposal of biomedical waste were satisfactory. There was poor response regarding the steps of hand washing and recapping of needles.


Healthline ◽  
2021 ◽  
Vol 12 (3) ◽  
pp. 60-67
Author(s):  
Ramya M R ◽  
Geetha M ◽  
Jawahar S S

Introduction: Needle stick injuries (NSIs) are the most potential occupational hazards among nursing personnel with possible transmission of blood borne pathogens. As nursing students are in the learning stage, they might be at higher risk of acquiring the injuries.Objectives: Todetermine the prevalence of needle stick injuries and to assess the awareness, attitude and practices followed with regard to NSIs.Methodology: An online cross-sectional study was conducted from October to December 2020 among 175 students in a nursing college in Chengalpattu district Tamil Nadu, using a pretested semi- structured questionnaire, adopting universal sampling technique. Data was analyzed using SPSS version 23. Categorical variables were summarized as Percentages and chi square test was used for statistical analysis. Results: The overall prevalence of needle stick injury among nursing college students was 16%.Final year studentsweremore exposed to the injuries(35.7%). Majority (96.57%) of the students were aware about universal precaution guidelines, 57% of students were aware about the diseases transmitted by NSI, 97.71% were aware about safety devices and 67.43% of students were aware about the post-exposure prophylaxis in management of NSIs.Among the students, 71.43% had used gloves regularly, 72% were immunized against Hepatitis B, only 25.71% of students attended Integrated Counselling Testing Centre(ICTC) and more than half of the students always practiced recapping needle after giving injections. Conclusion: Majority of the students in this study were aware about NSIs, their attitude towards NSIs was agreeable. The practices reported though assessed through online survey was found to be deficient.Periodic education and training need to be done to avoid injuries in future.


2017 ◽  
Vol 24 (11) ◽  
pp. 1685-1690
Author(s):  
Muhammad Luqman Farrukh Nagi ◽  
Syed Tehseen Haider Kazmi ◽  
Aziz Anwar Saleem ◽  
Dawar Khan ◽  
Hafiz Haseeb Afsar ◽  
...  

Background: This study, therefore aims to assess the frequency and the factorscontributing to the needle stick injuries among health care workers of a tertiary care privatehospital of Lahore. Setting: Shalamar Hospital Lahore, Pakistan a tertiary care private institution.Period: July and August 2015. Study Design: Cross-sectional study. Methods: A modifiedstructured pre-tested questionnaire containing both open and close-ended questions wasadministered to 160 study participants. The selected candidates were thoroughly briefed aboutthe study and informed consent was obtained. Confidentiality and anonymity of the participantswas maintained. Data entry was done on SPSS version 20 for Microsoft Windows. Results: Theresponse rate was 97%. Among all respondents (n=122), almost 41% (n= 63) were medicaldoctors and 34% (n= 53) were nursing staff. A small proportion of 4% (n= 6) belonged to thedental surgical background as well. Of all the surveyed participants, 45% (n=69) had eversuffered from needle stick/ sharps injury during their medical job and career, whereas, 34%(n=53) had suffered from a needle stick injury during the last year. Nearly 63% (n=47) reportedthat the cause of injury was accidental, 16% (n=25) acknowledged lack of awareness, 7%(n=10) acknowledged improper equipment and 4% (n=6) accused lack of training as the majorcause of needle stick injuries. A hefty 34% (n=53) believed that there existed no protocols in theinstitution regarding needle stick injuries, while another 50% (n=78) stated that they were notaware of the hospital protocols regarding needle stick injuries if there existed any. A disturbing34% (n=53) assume that they should recap the needles after using them. There was a strongstatistical association p<.001 between establishment of hospital protocols regarding needlestick or sharps injury and an event of needle stick injury suffered by the health care workersduring last year. Conclusion: The needle stick injuries can be prevented by the eradication ofhazard causing equipment’s, prevention through engineering measures, administrative controlsand last but not the least personal protective measures.


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