Prevalence of needle-stick injury among nursing students: A systematic review and meta-analysis

Xu, Xu; Yin, Yilong; Wang, Hao; Wang, Fengxia

doi:10.3389/fpubh.2022.937887

Cited by 15 publications

(12 citation statements)

References 46 publications

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“…These percentages are lower than different studies, such as Germany (21.4%) ( 36 ) and Taiwan (18.2%) ( 37 ). A recent systematic review and meta-analysis showed that the prevalence of NSI among nursing students in Asia countries was higher than in Europe (39.7%) ( 38 ). Failure to recap the needles was reported as a common cause of NSIs, similar to several studies ( 6 , 8 ).…”

Section: Discussionmentioning

confidence: 99%

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Incidence, knowledge, attitude and practice toward needle stick injury among nursing students in Saudi Arabia

Al-Mugheed

Abdelaliem

Baghdadi

et al. 2023

Front. Public Health

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BackgroundNeedle stick injuries constitute the greatest threat to nursing students during clinical practice because of accidental exposure to body fluids and infected blood. The purpose of this study was to (1) determine the prevalence of needle stick injuries and (2) measure the level of knowledge, attitude and practice among nursing students about needle stick injuries.MethodsThree hundred participants undergraduate nursing students at a private college in Saudi Arabia were included, of whom 281 participated, for an effective response rate of 82%.ResultsThe participants showed good knowledge scores with a mean score of 6.4 (SD = 1.4), and results showed that students had positive attitudes (Mean = 27.1, SD = 4.12). Students reported a low level of needle stick practice (Mean = 14.1, SD = 2.0). The total prevalence of needle stick injuries in the sample was 14.1%. The majority, 65.1%, reported one incidence in the last year, while (24.4%) 15 students reported two incident of needle stick injuries. Recapping was the most prevalent (74.1%), followed by during injection (22.3%). Most students did not write a report (77.4%), and being worried and afraid were the main reasons for non-reports (91.2%). The results showed that female students and seniors scored higher level in all needle stick injuries domains (knowledge, attitude and practice) than male students and juniors. Students who had needle stick injuries more than three times last year reported a lower level of all needle stick injury domains than other groups (Mean = 1.5, SD =1.1; Mean = 19.5, SD =1.1; Mean = 9.5, SD =1.1, respectively).ConclusionAlthough the student’s showed good knowledge and positive attitudes in NSI, the students reported a low level of needle stick practice. Raising awareness among nursing students and conducting continuing education related to sharp devices and safety and how to write an incident reporting is highly recommended.

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Section: Discussionmentioning

confidence: 99%

“…Finally, many students did not fill out an incident report because they were worried and feared being blamed. Under-reporting NSI is a major clinical challenge that may have undermined the validity of existing data regarding this issue ( 38 , 39 ).…”

Section: Discussionmentioning

confidence: 99%

Incidence, knowledge, attitude and practice toward needle stick injury among nursing students in Saudi Arabia

Al-Mugheed

Abdelaliem

Baghdadi

et al. 2023

Front. Public Health

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“…The total score for the AHRQ ranges from 8 to 11 points for high quality, 4 to 7 points for medium quality, and 0 to 3 points for low quality. The Newcastle‐Ottawa Scale (NOS) was employed to appraise the methodological quality of the included cohort studies (Xu et al., 2022). According to the scoring criteria of this table, the overall rating is based on the cut‐off values of 1–3, 4–6, and 7–9, representing high, moderate, and low risk of bias, respectively.…”

Section: Methodsmentioning

confidence: 99%

“…The total score for the AHRQ ranges from 8 to 11 points for high quality, 4 to 7 points for medium quality, and 0 to 3 points for low quality. The Newcastle-Ottawa Scale (NOS) was employed to appraise the methodological quality of the included cohort studies (Xu et al, 2022).…”

Section: Quality Assessmentmentioning

confidence: 99%

Global prevalence of restless legs syndrome among hemodialysis patients: A systematic review and meta‐analysis

Zhou,

Liu,

Zhang

et al. 2024

Brain and Behavior

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Objectives: Restless legs syndrome (RLS) is a common complaint in patients undergoing hemodialysis (HD). Despite the fact that the estimated prevalence of RLS among HD patients is widely reported, these results varied significantly in the relevant literature. Due to this limitation, the aim of this study was to determine the global prevalence of RLS among HD patients.Methods: This systematic review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐analyses 2020 statement. We searched the electronic databases: Cochrane Library, PubMed, Embase, Web of Science, Scopus, Cumulative Index to Nursing and Allied Health Literature, China Knowledge Resource Integrated Database, Wanfang Database, Chinese Biomedical Database, and Weipu Database. A random effects model was employed to calculate pooled prevalence rates.Results: The global pooled prevalence of RLS in HD patients was 27.2% (95% CI: 24.8–29.7). Stratified analyses demonstrated that included studies with sample size <100 had the highest pooled prevalence of RLS. The prevalence of RLS using clinical interviews and questionnaires was 28.7% (95% CI: 25.2–32.2) and 25.9% (95% CI: 22.8–29.1), respectively. RLS prevalence is higher in females (29.7%, 95% CI: 26.2–33.2) HD patients than in males (23.5%, 95% CI: 20.9–26.0), and the African region has the highest prevalence in the world when the diagnostic criteria were restricted to the 2003 version of International RLS Study Group criteria, the prevalence of RLS was highest (28.9%, 95% CI: 25.9–31.9).Conclusion: Our results revealed a high RLS prevalence in HD patients worldwide. However, the prevalence of RLS among HD patients varied significantly based on sample size, data collection method, gender, diagnostic criteria, and geographical region.

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“…Highest NSI prevalence in nursing staff has also been reflected in other studies ( 7 , 8 ). Nursing students have been found to experience NSI with one meta-analysis revealing an incidence of 35% among nursing students across 32 studies ( 9 ).…”

Section: Dangers Of Needlestick Injuriesmentioning

confidence: 99%

The need for sharps boxes to be offered in the hospital setting for people who use substances: Removing sharps boxes puts all of us at risk

Forchuk

Silverman

Rudnick

et al. 2023

Front. Health Serv.

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IntroductionSubstance use can occur in the hospital setting among people with substance use disorder, including intravenous use. However, the provision of sharps boxes is not typically offered in Canadian hospitals. This study set out to explore the current issues due to the lack of harm reduction in the hospital setting.MethodThirty-one health care professionals participated in virtual one-to-one interviews and focus groups regarding harm reduction in hospital. The issue of sharps box removal was highlighted as a concern. A secondary ethnographic thematic analysis explored this theme in more detail. A scoping review of the literature observed additional considerations.FindingsSharps box removal was commonplace for people who were known to be, or suspected of, using substances. Sharps boxes only to be used for medical purposes and fears of box tampering were cited as reasons for removal. Health care professionals noted that patients would have to use sharps boxes situated elsewhere. The scoping review revealed that needlestick injuries for hospital staff decreased with greater access to sharps boxes in hospital. Injuries can be addressed through safer disposal practices. Modern designs of sharps boxes and educational initiatives have been found to be successful in sharps disposal compliance and reductions in related injuries.DiscussionEnsuring equitable access to sharps boxes would help to reduce unsafe needle discarding which can lead to needlestick injuries for hospital staff and potentially other patients. Education would be a key step in furthering understandings of the importance of sharps boxes and harm reduction as a whole.

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Prevalence of needle-stick injury among nursing students: A systematic review and meta-analysis

Cited by 15 publications

References 46 publications

Incidence, knowledge, attitude and practice toward needle stick injury among nursing students in Saudi Arabia

Incidence, knowledge, attitude and practice toward needle stick injury among nursing students in Saudi Arabia

Global prevalence of restless legs syndrome among hemodialysis patients: A systematic review and meta‐analysis

The need for sharps boxes to be offered in the hospital setting for people who use substances: Removing sharps boxes puts all of us at risk

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