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Needlestick and sharps injuries among nursing students.
Derek R Smith1, Peter A Leggat
1Department of Hazard Assessment, National Institute of Industrial Health, Kawasaki, Japan. smith@niih.go.jp
Journal of Advanced Nursing
|August 16, 2005
Summary
Australian nursing students experience high rates of needlestick injuries, with third-year students being most at risk. Emphasizing infection control and reporting is crucial for prevention.
Area of Science:
- Nursing Education
- Occupational Health and Safety
- Infectious Disease Epidemiology
Background:
- Needlestick and sharps injuries (NSIs) are a primary route for blood-borne pathogen transmission in healthcare.
- Nurses are a high-risk group, and nursing students may face elevated risks due to limited experience.
- The epidemiology of NSIs among Australian nursing students remains under-researched.
Purpose of the Study:
- To investigate the prevalence and nature of NSIs among Australian nursing students.
- To identify risk factors associated with NSIs in this population.
- To compare injury rates with international findings.
Main Methods:
- A questionnaire-based study adapted from international research.
- Recruitment of nursing students from a large university in North Queensland, Australia.
- Analysis of NSIs as a percentage of students and cases, with logistic regression for risk factors.
Main Results:
- A response rate of 85.9% (274/319 students) was achieved.
- 13.9% of students reported an NSI in the past 12 months.
- Third-year students had a significantly higher risk (OR 14.8) of NSIs; common causes included hollow-bore needles and opening caps, often with unused items. Most injuries occurred in labs or hospitals, and nearly 40% were unreported.
Conclusions:
- Despite excellent hepatitis B vaccination coverage, infection control principles require reinforcement.
- Consistent emphasis on reporting all NSIs is vital throughout undergraduate nursing education.
- Findings indicate higher NSI rates among Australian nursing students compared to international cohorts.