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Updated: May 25, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Needlestick injuries in European nurses in diabetes.

V Costigliola¹, A Frid, C Letondeur

¹European Medical Association, Brussels, Belgium.

Diabetes & Metabolism

|February 7, 2012

Summary

Needlestick injuries (NSI) are frequent among European nurses administering diabetic injections. Implementing safety-engineered devices and adhering to new EU directives is crucial for preventing these sharps injuries.

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Last Updated: May 25, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

Occupational Health
Infectious Disease Prevention
Nursing Practice

Background:

EU Council Directive 2010/32/EU highlights the need for enhanced safety measures for healthcare workers, particularly diabetes nurses.
Needlestick injuries (NSI) pose a significant risk in healthcare settings, especially during patient self-injection management.

Purpose of the Study:

To investigate the frequency and risks of Needlestick Injuries (NSI) among nurses providing diabetic injections in European hospitals.
To assess awareness and adherence to NSI prevention policies and training among diabetes nurses.

Main Methods:

A questionnaire-based study involving 634 nurses from 13 European countries and Russia.
Data collection focused on injection administration practices, NSI prevention policies, training, and reported NSI incidents.

Main Results:

32% of nurses reported experiencing NSI while administering diabetic injections.
Lack of familiarity with NSI prevention policies (only 56%) and inadequate training (67% not attended) were prevalent.
Unsafe practices like recapping needles (7.1%) and unscrewing pen needles with fingers (57%) contributed to NSI, with 29.5% occurring during recapping.

Conclusions:

Frequent NSI occur in European nurses managing diabetes patients in hospitals, posing infection risks.
Adherence to safety protocols and comprehensive training are essential for reducing NSI.
The implementation of safety-engineered medical devices, as mandated by EU directives, is critical for protecting healthcare workers from sharps injuries.