Browse > Article
http://dx.doi.org/10.7739/jkafn.2017.24.4.277

Nursing Students' Exposure to NeedleStick and Sharp Injuries, Faculty's Stress and Necessity of Informed Consent in Fundamental Nursing Practice  

Chaung, Seung-Kyo (Department of Nursing, Semyung University)
Choi, Min-Jung (Graduate School, College of Nursing, The Catholic University of Korea)
Park, Jin Hee (Department of Nursing, Woosuk Univesity)
Kim, Hyun-Ju (Department of Nursing, Catholic University of Pusan)
Song, Kyeong-Yae (College of Nursing, The Catholic University of Korea)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.24, no.4, 2017 , pp. 277-285 More about this Journal
Abstract
Purpose: The purpose of this study was to identify occurrence of needle stick and sharp injuries(NSI) among students, level of faculty stress, and necessity of informed consent when students practice injection skills in fundamentals of nursing practice (FNP). Methods: Data were collected using self-reporting questionnaires and 74 faculty members who teach FNP responded it. Questionnaires included general characteristics, experiences of NSI, stress level, and informed consent. Data were analyzed using frequency, percent and paired t-test. Results: Of 74 faculty members, 51.4% experienced NSI 3~4 times or more during their FNP classes. Major procedures causing NSI during FNP were 'breaking the neck of ampules', 'disposing of used items', and 'inserting needles'. The stress level of faculty was higher and more than doubled when training with human beings compared to manikins. Most faculties (86.5%) agreed to the necessity of informed consent so that the safety of faculty and students could be protected and to provide enough information even though only 10.8% of faculty in this study got informed consent. Conclusion: Because there is high risk in every procedure of NSI, faculty has a high level of stress during injection practice in FNS. Therefore, it is necessary to develop a standard NSI precaution program for junior nursing students and discuss informed consent.
Keywords
Needlestick injuries; Nursing students; Faculty; Stress; Informed consent;
Citations & Related Records
Times Cited By KSCI : 9  (Citation Analysis)
연도 인용수 순위
1 Kim K, Chang SO, Kang HS, Kim KS, Kim JI, Kim H, et al. Content and educational needs for fundamental nursing practice. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(4):506-519.
2 Lee JY, Park JS. Predictors associated with occurrence of needlestick injuries in clinical practicum among nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2017;24(1):84-94. https://doi.org/10.7739/jkafn.2017.24.1.84   DOI
3 Kim SS, Shin G, Kim J. Needlestick and sharps injuries of nursing students. Journal of Korean Biological Nursing Science. 2011;13(2):174-178.
4 Park JH, Chon HK, Jeong SH, Hwang JH, Lee CS, Lee HB. Nursing students' exposure to blood and body fluids in clinical practicum. Journal of East-West Nursing Research. 2010;16(1):70-75.
5 Hambridge K. Needlestick and sharps injuries in the nursing student population. Nursing Standard. 2011;25(27):38-45. https://doi.org/10.7748/ns2011.03.25.27.38.c8389   DOI
6 Cheung K, Ching SS, Chang KK, Ho SC. Prevalence of and risk factors for needlestick and sharps injuries among nursing students in Hong Kong. American Journal of Infection Control. 2012;40(10):997-1001. https://doi.org/10.1016/j.ajic.2012.01.023   DOI
7 Ozer JC, Bektas HA. Needlestick injuries during education period in nursing students in Turkey. Procedia - Social and Behavioral Sciences. 2012;46:3798-3801. https://doi.org/10.1016/j.sbspro.2012.06.149   DOI
8 Jung JS. Development and administration of needlestick injury surveillance system for healthcare personnel. Incheon: Occupational Safety and Health Research Institute; 2012. Report No.: 2012-1163.
9 McNett S. Teaching nursing psychomotor skills in a fundamentals laboratory: A literature review. Nursing Education Perspectives. 2012;33(5):328-333.   DOI
10 Choi S. Effects of injection practice education methods on anxiety in nursing students. Korean Parent Child Health Journal. 2016;19(1):17-24.
11 Chang SO, Won JS, Park JH, Lee HS, Park HS, Lim SY, et al. A preliminary study on the standardization of fundamental nursing practice education. Journal of Korean Academy of Fundamentals of Nursing. 2014:21(4):446-456. https://doi.org/10.7739/jkafn.2014.21.4.446   DOI
12 Dalla-Vorgia P, Lascaratos J, Skiadas P, Garanis-Papadatos T. Is consent in medicine a concept only of modern times? Journal of Medical Ethics. 2001;27(1):59-61. https://doi.org/10.1136/jme.27.1.59   DOI
13 Park SN, Lee EY, Kim KM, Han SJ. Knowledge, compliance and levels of risk factor recognition for needlestick injuries in student nurses. Journal of Korean Academy of Fundamentals of Nursing. 2005:12(3):337-346.
14 Abd El-Hay SA. Prevention of needle stick and sharp injuries during clinical training among undergraduate nursing students: Effect of educational program. IOSR Journal of Nursing and Health Science. 2015;4(4):19-32.
15 Hashmi A, Al Reesh SA, Indah L. Prevalence of needle-stick and sharps injuries among healthcare workers, Najran, Saudi Arabia. Epidemiology. 2012;2(2):117. https://doi.org/10.4172/2161-1165.1000117
16 Korean Society of Stress Medicine. What is stress? [Internet]. Seoul: Korean Society of Stress Medicine; 2005 [cited 2017 January 16]. Available from: http://www.stressfree.or.kr/board/download.php?code=health&comm=&num=72&file_num=3
17 Jeoung YO, Yang TK, Bak YI, Lim IS, Sim KB, et al. An ideal model of informed consent communication. Korean Journal of Medical Education. 2014;26(1):9-17. https://doi.org/10.3946/kjme.2014.26.1.9   DOI
18 Balouchi A, Shahdadi H, Ahmadidarrehsima S, Rafiemanesh H. The frequency, causes and prevention of needlestick injuries in nurses of Kerman: A cross-sectional study. Journal of Clinical and Diagnostic Research. 2015;9(12):13-15. https://doi.org/10.7860/JCDR/2015/16729.6965
19 Choi JS, Kim KS. Application and evaluation of a web-based education program on blood-borne infection control for nurses. Journal of Korean Academy of Nursing. 2009;39(2):298-309. https://doi.org/10.4040/jkan.2009.39.2.298   DOI
20 Korean Accreditation Board of Nursing Education. Accreditation assessment standards for education of Korea (the course of the nursing bachelor's degree). Seoul: Korean Accreditation Board of Nursing Education; 2014. p. 42-52.
21 Smith DR, Leggat PA. Needlestick and sharps injuries among nursing students. Journal of Advanced Nursing. 2005;51(5):449-455. https://doi.org/10.1111/j.1365-2648.2005.03526.x   DOI
22 Tarigan LH, Cifuentes M, Quinn M, Kriebel D. Prevention of needle-stick injuries in healthcare facilities: A meta-analysis. Infection Control and Hospital Epidemiology. 2015;36(7):823-829. https://doi.org//10.1017/ice.2015.50   DOI
23 Ministry of Health and Welfare; Korea Center for Disease Control and Prevention. Korea health statistics 2015: Korea national health and nutrition examination survey (KNHANES VI-3) [Internet]. Sejong: Korea Center for Disease Control and Prevention; 2016 [cited 2017 June 20]. Available from: http://kosis.kr/eng/statisticsList/statisticsList_01List.jsp?vwcd=MT_ETITLE&parentId=D#SubCont
24 Lee CS, Hwang JH, Seon SY, Jung MH, Park JH, Lee HB. Exposure to blood and body fluids for medical students during clerkship. Korean Journal of Medicine. 2008;74(5):500-505.
25 Park HS, Chaung SK, Yang YO, Yang J, Kim MS, Shin YS, et al. Recognition of accreditation for nursing education, job satisfaction and intention to change teaching area for faculty in fundamentals of nursing. Journal of Korean Academy of Fundamentals of Nursing. 2017;24(2):157-166. https://doi.org/10.7739/jkafn.2017.24.2.157   DOI
26 Park JH, Shon JA. Seroprevalence of anti-hepatitis B virus, antihepatitis A virus, and anti-varicella zoster virus antibodies in nursing students from 2009 to 2013. Korean Journal of Nosocomial Infection Control. 2016;21(1):31-36. https://doi.org/10.14192/kjnic.2016.21.1.31   DOI
27 Chunharas A, Hetrakul P, Boonyobol R, Udomkitti T, Tassanapitikul T, Wattanasirichaigoon D. Medical students themselves as surrogate patients increased satisfaction, confidence, and performance in practicing injection skill. Medical Teacher. 2013;35(4):308-313. https://doi.org/10.3109/0142159X.2012.746453   DOI
28 Demiray A, Kececi A, Cetinkaya, MY. Students' perceptions of psychomotor skills training: A qualitative study. International Archives of Nursing and Health Care. 2016;2(1):032. https://doi.org/10.23937/2469-5823/1510032
29 Aldridge MD. Nursing students' perceptions of learning psychomotor skills: A literature review. Teaching and Learning in Nursing. 2017;12(1):21-27. https://doi.org/10.1016/j.teln.2016.09.002   DOI
30 An MS, Min HS. Comparison of perception and experience of informed consent among physicians, nurses and patients. Journal of Korean Clinical Nursing Research. 2008;14(2):59-70.