Needlestick Injuries among Nurses in Selangor Public Hospital, Malaysia
DOI:
https://doi.org/10.31674/mjn.2023.v14i03.020Abstract
Background: Needlestick injuries (NSIs) are one of the greatest risks nurses face. NSIs are associated with an increased risk of diseases that can be transferred through skin exposure, such as Hepatitis B, Hepatitis C, and the human immunodeficiency virus. Certain factors can influence the mechanism and frequency of NSI among nurses.
Objective: To determine the factors associated with the frequency and mechanisms of NSIs among nurses at a public hospital in Selangor.
Methods: A cross-sectional study was conducted from April to September 2020. A total of 233 nurses were conveniently sampled from a public hospital in Selangor. A questionnaire was distributed to capture data on socio-demographic characteristics, frequency, and mechanisms of NSI. The inferential statistics were conducted using SPSS 22.
Results: Of the 233 respondents, the incidence rate of NSI was 23.6%. Most cases of NSI occurred during the morning shift (12.4%), and the most common mechanism of NSIs was the action of recapping needles (6.9%). Factors associated with the NSI were gender, age, ward, and working experience.
Conclusion: The prevalence of NSIs is relatively low in this study. However, nurses should still apply universal precautions to prevent NSIs. Several risk factors that influenced the NSI should be highlighted among nurses and nursing management to prevent its incidence.
Keywords:
Factor, Needlestick Injuries Mechanism, NursesDownloads
References
Akhuleh, O. Z., Nasiri, E., Heidari, M., & Bazari, Z. (2019). Frequency of sharp injuries and is related factors among high-risk wards staff. Journal of Nursing and Midwifery Sciences, 6, 204–209. https://doi.org/10.4103/JNMS.JNMS
Alfulayw, K. H., Al-Otaibi, S. T., & Alqahtani, H. A. (2021). Factors associated with needlestick injuries among healthcare workers: implications for prevention. BMC Health Services Research, 21(1), 1–8. https://doi.org/10.1186/s12913-021-07110-y
Altman, D. G. (1991). Inter-rater agreement. Practical Statistics for Medical Research, 403-409
Akyol, A., & Kargin, C. (2016). Needle stick and sharp injuries among nurses. Global Journal of Nursing & Forensic Studies, 1(109), 2.
Ali, S. H., Majeed, P. T., & Huwiezy, U. A. (2020). Prevalence of Needlestick Injuries among Healthcare Workers in Rizgary Teaching Hospital. Polytechnic Journal, 10(2), 27–31. https://doi.org/10.25156/ptj.v10n2y2020.pp27-31
Assen, S., Wubshet, M., Kifle, M., Wubayehu, T., & Aregawi, B. G. (2020). Magnitude and associated factors of needle stick and sharps injuries among health care workers in Dessie City Hospitals, north east Ethiopia. BMC Nursing, 19(1), 1–8. https://doi.org/10.1186/s12912-020-00422-0
Bazie, G. W. (2020). Factors associated with needle stick and sharp injuries among healthcare workers in north east Ethiopia. Risk Management and Healthcare Policy, 13, 2449–2456. https://doi.org/10.2147/RMHP.S284049
Berhan, Z., Malede, A., Gizeyatu, A., Sisay, T., Lingerew, M., Kloos, H., Dagne, M., Gebrehiwot, M., Ketema, G., Bogale, K., Eneyew, B., Hassen, S., Natnael, T., Yenuss, M., Berhanu, L., Abebe, M., Berihun, G., Wagaye, B., Faris, K., … Adane, M. (2021). Prevalence and associated factors of needle stick and sharps injuries among healthcare workers in northwestern Ethiopia. PLoS ONE, 16(9 September), 1–17. https://doi.org/10.1371/journal.pone.0252039
Dilie, A., Amare, D., & Gualu, T. (2017). Occupational exposure to needle stick and sharp injuries and associated factors among health care workers in Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016. Journal of Environmental and Public health, 2017. https://doi.org/10.1155/2017/2438713
D’Ettorre, G. (2017). Needlestick and sharp injuries among registered nurses: A case-control study. Annals of Work Exposures and Health, 61(5), 596–599. https://doi.org/10.1093/annweh/wxx027
Ebrahimi, H., & Khosravi, A. (2007). Needlestick injuries among nurses. Journal of Research in Health Sciences, 7(2), 56-62.
Fadhli, M. F. M., Safian, N., Robat, R. M., Adibah, M. S. N., & Hanizah, M. Y. (2018). Needlestick injury cases and adherence to the follow-up protocol among healthcare workers in Selangor. Malaysian Journal of Public Health Medicine, 18(1), 55–63.
Getie, A., Wondmieneh, A., & Tesfaw, G. (2020). The prevalence of needlesticks and sharp injuries, and the associated factors among midwives and nurses in north wollo zone public hospitals, north east Ethiopia: An institution-based cross-sectional study. Drug, Healthcare and Patient Safety, 12, 187–193. https://doi.org/10.2147/DHPS.S273669
Gita, N., & Rao, N. P. (2017). Needle stick injuries in a tertiary care hospital in India: observations from a clinical audit. International Journal of Research in Medical Sciences, 5(7), 2938-2942. http://dx.doi.org/10.18203/2320-6012.ijrms20172593
Goel, V., Kumar, D., Lingaiah, R., & Singh, S. (2017). Occurrence of needlestick and injuries among health-care workers of a tertiary care teaching hospital in North India. Journal of Laboratory Physicians, 9(01), 020-025.
Hassanipour, S., Sepandi, M., Tavakkol, R., Jabbari, M., Rabiei, H., Malakoutikhah, M., Fathalipour, M., & Pourtaghi, G. (2021). Epidemiology and risk factors of needlestick injuries among healthcare workers in Iran: a systematic reviews and meta-analysis. Environmental Health and Preventive Medicine, 26(1), 1–16. https://doi.org/10.1186/s12199-021-00965-x
Ishak, A. S., Haque, M. S., & Sadhra, S. S. (2019). Needlestick injuries among Malaysian healthcare workers. Occupational Medicine, 69(2), 99–105. https://doi.org/10.1093/occmed/kqy129
Joukar, F., Mansour-Ghanaei, F., Naghipour, M., & Asgharnezhad, M. (2018). Needlestick injuries among healthcare workers: Why they do not report their incidence? Iranian Journal of Nursing and Midwifery Research, 23(5), 382-387.https://doi.org/10.4103/ijnmr.IJNMR_74_17
Kebede, A., & Gerensea, H. (2018). Prevalence of needle stick injuries and its associated factors among nurses working in public hospitals of Dessie town, Northeast Ethiopia, 2016. BMC Research Notes, 11(1). https://doi.org/10.1186/s13104-018-3529-9
Kuppusamy, U.D, Suchi, U., & Dioso, R. (2018). Experiences and Perceptions on Needle Stick Injuries among Staff Nurses in a Private Hospital in Singapore. Sryahwa Publications. 1(1), 10-18
Nagandla, K., Kumar, K., Bhardwaj, A., Yhmin, C., Lun, L. W., Shi, W. W., & Abd Razak, N. I. B. (2015). Prevalence of needle stick injuries and their underreporting among healthcare workers in the department of obstetrics and gynaecology. International Archives of Medicine, 8. https://doi.org/10.3823/1780
Rampal, L., Zakaria, R., Sook, L. W., & Zain, A. M. (2010). Needle stick and sharps injuries and factors associated among health care workers in a Malaysian hospital. European Journal of Social Sciences, 13(3), 354-362.
Saadeh, R., Khairallah, K., Abozeid, H., Al Rashdan, L., Alfaqih, M., & Alkhatatbeh, O. (2020). Needle stick an sharp injuries among healthcare workers. Sultan Qaboos University Medical Journal, 20(1), e54-62. https://doi.org/10.18295/squmj.2020.20.01.008
Shi J, Mo X, & Sun Z. (2012) Content validity index in scale development. Zhong Na Da Xue Xue Bao Yi Xue Ban=Journal of Central South University. Medical Sciences, 37(2),152–5. https://doi.org/10.3969/j.issn.1672-7347.2012.02.007
Sriram, S. (2019). Study of needle stick injuries among healthcare providers: Evidence from a teaching hospital in India. Journal of Family Medicine and Primary Care, 8(2), 599–603. https://doi.org/10.4103/jfmpc.jfmpc_454_18
Tabatabaei, S M, Behmanesh, Pour F, Ordoni, Avval J, Osmani, S, & Mokhtari, S, (2016). Occupational Exposure to Blood and Other Body Fluids Among Healthcare Workers in Three Teaching Hospitals, Southeast Iran, International Journal of Infection 3(3). 2016. https://doi:org/10.17795/iji-32879
WHO Commission on Social Determinants of Health, & World Health Organization. (2008). Closing the gap in a generation: health equity through action on the social determinants of health: Commission on Social Determinants of Health final report. World Health Organization.
World Health Organization. (2019). Needlestick injuries. https://www.who.in /occupational_health/topics/needinjuries/en/
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
