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Knowledge, attitudes and behaviour towards needlestick injuries among junior doctors.

M W Ong1, J Hwang1, S M Lim2

  • 1Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.

Occupational Medicine (Oxford, England)
|June 28, 2019
PubMed
Summary

Many healthcare workers do not report needlestick injuries (NSIs), increasing risks for patients and staff. Improving knowledge and addressing barriers are key to increasing NSI reporting rates.

Keywords:
Junior doctorsneedlestick injuryoccupational healthunder-reporting

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Area of Science:

  • Healthcare epidemiology
  • Occupational health and safety
  • Infectious disease transmission

Background:

  • Needlestick injuries (NSIs) are frequent among healthcare workers, posing risks of blood-borne infections.
  • A significant number of NSIs go unreported, hindering effective prevention and management strategies.

Purpose of the Study:

  • To determine the prevalence of under-reporting of NSIs in a Singaporean tertiary hospital.
  • To assess junior doctors' knowledge, attitudes, and behaviors regarding NSIs.

Main Methods:

  • An explanatory sequential mixed-methods design was used, combining quantitative questionnaires (n=99) and qualitative in-depth interviews (n=12).
  • Statistical analyses included descriptive and bivariate methods for quantitative data, and thematic analysis for qualitative data.

Main Results:

  • 31% of junior doctors with NSI history did not report the injury.
  • Reporting was associated with greater awareness of reporting procedures and perceived health benefits.
  • Key reasons for non-reporting included perceived low transmission risk and time constraints.

Conclusions:

  • Under-reporting of NSIs has serious implications for both healthcare workers and patients.
  • Targeted interventions addressing identified barriers and improving organizational culture are crucial to enhance NSI reporting rates.