Browse > Article
http://dx.doi.org/10.14370/jewnr.2010.16.1.070

Nursing Students' Exposure to Blood and Body Fluids in Clinical Practicum  

Park, Jin-Hee (Department of Infection Control, Chonbuk National University Hospital)
Chon, Hyung-Ku (Department of Internal Medicine, Chonbuk National University Medical School)
Jeong, Seung-Hee (College of Nursing, Chonbuk National University)
Hwang, Jeong-Hwan (Department of Internal Medicine, Chonbuk National University Medical School)
Lee, Chang-Seop (Research Institute of Clinical Medicine, Chonbuk National University)
Lee, Heung-Bum (Research Institute of Clinical Medicine, Chonbuk National University)
Publication Information
Journal of East-West Nursing Research / v.16, no.1, 2010 , pp. 70-75 More about this Journal
Abstract
Purpose: Nursing students face constant threats of blood-borne infections such as HIV, Hepatitis B, and Hepatitis C during their clinical rotation period. This study was done to determine the frequency and risk of the exposure to blood and body fluids. Methods: The data was collected using a questionnaire. Ninety eight junior & senior nursing students were participated in this study. Results: 75.6% of the participants reported more than once during practicum. The exposure occurred most frequently while checking the blood glucose (65.3%). The general ward (45.3%) was the most frequent site for the occurrence of the exposure. However, only eight cases (10.7%) were reported to the medical or nursing personnel in charge. Conclusions: This study shows nursing students are in a great risk of the exposure to blood & body fluid. The risk is highest in the general ward during checking the blood glucose. Thorough education on preventive measures, should be provided to nursing students prior to clinical practium.
Keywords
Students; Nursing; Needlestick injuries; Blood;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Talas, M. S. (2009). Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training: Frequency of needlestick/sharp injuries and hepatitis B immunization. Journal of Clinical Nursing, 18, 1394-1403.   DOI   ScienceOn
2 Talaat, M., Kandeel, A., El-Shoubary, W., Bodenschatz, C., Khairy, I., Oun, S., et al. (2003). Occupational exposure to needlestick injuries and hepatitis B vaccination coverage among health care workers in Egypt. American Journal of Infection Control, 31, 469-474.   DOI   ScienceOn
3 Tarantola, A., Golliot, F., Astagneau, P., Fleury, L., Bru_cker, G., & Bouvet, E. (2003). Occupational blood and body fluids exposures in health care workers: Four-year surveillance from the Northern France network. American Journal of Infection Control, 31, 357-363.   DOI   ScienceOn
4 Wang, H., Fennie, K., He, G., Burgess, J., & Williams, A. B. (2003). A training programme for prevention of occupational exposure to bloodborne pathogens: Impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People's Republic of China. Journal of Advanced Nursing, 41, 187-194.   DOI   ScienceOn
5 Waterman, J., Jankowski, R., & Madan, I. (1994). Under-reporting of needlestick injuries by medical students. Journal of Hospital Infection, 26, 149-150.   DOI   ScienceOn
6 Yang, Y. H., Liou, S. H., Chen, C. J., Yang, C. Y., Wang, C. L., Chen, C. Y., et al. (2007). The effectiveness of a training program on reducing neddlestick injuries/sharp object injuries among soon graduate vocational nursing school in southern Taiwan. Journal of Occupational Health, 49, 424-429.   DOI   ScienceOn
7 Yassi, A., & McGill, M. (1991). Determinants of blood and body fluid exposure in a large teaching hospital: Hazards of the intermittent intravenous procedure. American Journal of Infection Control, 19, 129-135.   DOI   ScienceOn
8 Monahan, R. S. (1991). Potential outcome of clinical experience. Journal of Nursing Education, 30, 176-181.
9 Park, M. R., Kim, J. E., Park, E. S., Choi, J. S., Jung, S. Y., Song, Y. G., et al. (2003). A multicenter descriptive study of bloodborne exposures among health care workers in Seoul and Gyeonggi- Do. Korean Journal of Nosocomial Infection Control, 8, 35-45.
10 Oh, H. S., & Choe, K. W. (2002). Descriptive study of reported bloodborne exposures in health care workers in a university hospital. Korean Journal of Nosocomial Infection Control, 7, 51-64.
11 Park, W. S., No, Y. K., Lee, J. Y., & Kim, D. H. (1994). Incidence of the neddle-stick injuries in medical students among clinical training. Korean Journal of Medicine, 27, 403-409.
12 Petrucci, C., Alvaro, R., Cicolini, G., Cerone, M. P., & Lancia, L. (2009). Percutaneous and mucocutaneous exposures in nursing students: An Italian observational study. Journal of Nursing Scholarship, 41, 337-343.   DOI   ScienceOn
13 Schaffer, S. (1997). Preventing nursing student exposure incidents: The role of personal protective equipment and safety engineered devices. Journal of Nursing Education, 36, 416-420.
14 Shiao, J. S. C., Mclaws, M. L., Huang, K. Y., & Guo, Y. L. (2002). Student nurses in Taiwan at high risk for needlestick injuries. Annals of Epidemiology, 12, 197-201.   DOI   ScienceOn
15 Smith, D. R., & Leggat, P. A. (2005). Needlestick and sharps injuries among nursing students. Journal of Advanced Nursing, 51, 449- 455.   DOI   ScienceOn
16 Choi, J. S. (1998). A Study on KAP of medical personnel against exposure to the patient's bloods and fluids in special departments of a general hospital: Focused on intensive care unit, emergency unit, haemodialysis unit, operating unit, & microbiological laboratory. Seoul: Seoul National University.
17 Hanrahan, A., & Reutter, L. (1997). A critical review of the literature on sharps injuries: Epidemiology, management of exposures and prevention. Journal of Advanced Nursing, 25, 144- 154.   DOI   ScienceOn
18 Choi, J. S., & Kim, K. S. (2009). Application and evaluation of a web-based education program on blood-borne infection control for nurses. Journal of Korean Academy of Nursing, 39, 298-309.   과학기술학회마을   DOI   ScienceOn
19 Doig, C. (2000). Education of medical students and house staff to prevent hazardous occupational exposure. Canadian Medical Association Journal, 162, 344-345.
20 Gerberding, J . L. (1995). Management of occupational exposures to blood-borne viruses. New England Journal of Medicine, 332, 444-451.   DOI   ScienceOn
21 Lee, C. S., Hwang, J. H., Seon, S. Y., Jung, M. H., Park, J. H., & Lee, H. B. (2008). Exposure to blood and body fluids for medical students during clerkship. Korean Journal of Internal Medicine, 74, 500-505.
22 Center for Disease Control & Prevention. (2001). Updated U.S. public health service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. Morbidity and Mortality Weekely Report, 29, 1-42.