• Journal of Korean society of Dental Hygiene
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• v.15 no.5
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• pp.751-757
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• 2015

Objectives: The purpose of the study is to investigate the needlestick injuries in the dental hygienists. Methods: A self-reported questionnaire was completed by 253 dental hygienists by convenience sampling from December 1, 2014 to March 20, 2015. The questionnaire consisted of 11 questions of sociodemographic characteristics, 5 questions of needlestick injuries experience, 3 questions of needlestick injuries during treatment and 2 questions of needlestick handling method. Data were analyzed by chi-square test, t-test and one way ANOVA analysis using SPSS 18.0 statistical program. Results: Those who had needlestick injuries within a year were 150 persons (59.3%) and the mean was 1.28 times per year. The needlestick injuries were frequent in the local anesthetic injection to gum. The completion and removal of the needle injection by hand accidently stung the digits and hand (p<0.01). Conclusions: Needlestick injuries can happen at any time to the dental hygienists in the dental clinics, so it is necessary to handle the needlestick carefully in case of anesthetic injection.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.24 no.3
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• pp.275-283
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• 2017

Purpose: This study was conducted to examine the characteristics and knowledge of needlestick injuries, and compliance with standard precautions, in healthcare workers. Method: The participants were 185 healthcare workers working at university hospitals. Data were collected in May 2016 and analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients using SPSS 18.0 program. Results: It was found that 45.4% of the subjects had experienced needlestick injuries. The most common rate of getting injured was 1 or 2 times, and the most common reason for the occurrence of needlestick injuires was carelessness(66.6%). The mean scores for knowledge of needlestick injuries and compliance with standard precautions were above average. Significant correlations were found between knowledge of needlestick injuries and compliance with standard precautions in health workers, and Characteristics were related to the significant differences seen in both. Conclusion: These findings indicate that standard precautions and guidelines for the use of sharp instruments should be emphasized in order to prevent needlestick injuries in healthcare workers.

• Journal of Korean Biological Nursing Science
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• v.13 no.2
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• pp.174-178
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• 2011

Purpose: The purpose of this study was to find factors influencing needlestick and sharp injuries (NSI). Methods: This study was a descriptive research for current situation of NSI, recognition and implementation for standard precaution, and factors influencing NSI exposures. The subjects were 450 nursing students of 2 universities in Seoul and Kyunggi-do. The data were collected from June to November, 2008. The gathered data were analyzed by descriptive statistics and regression analysis. Results: The 33.8% of 450 nursing students experienced NSI during 2 weeks clinical training. NSI events were more common among third-year students than second-year students. The most common causative device causing needlestick injuries was blood glucose lancet as 12.4%. Frequencies influencing NSI were students' year and experience of needlestick injuries. Conclusion: The results suggest development of education guidelines for nursing students and implementation of continual systematic education and training in clinic to control blood-borne infections efficiently.

• Journal of dental hygiene science
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• v.15 no.3
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• pp.247-253
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• 2015

The purpose of this study is to investigate guidelines and safety and precautionary devices for prevention of needlestick injuries in dental offices. This study conducted comparative analysis on the domestic and overseas guidelines for infection control and surveyed safety and precautionary devices for prevention of needlestick injuries. Based on the result of analysis and survey, this study suggests safety and precautionary guidelines to prevent needlestick injuries. To prevent needlestick injuries, staff in dental offices should be well aware of the guidelines for infection control and how to use safety and precautionary devices.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.12 no.3
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• pp.337-346
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• 2005

Purpose: The purpose of this study was to investigate the levels in student nurse of knowledge, compliance and risk factor recognition for needlestick injuries. Method: Nine hundred and thirty eight(938) student nurse from 3 universities and 3 junior colleges participated in this study. Completed questionnaires were collected between October and November 2004. They were analyzed by using the descriptive statistics and $x^2$-test, t-test with the SAS program, Results: There were no significant differences in the general characteristics of participants between the two groups-Needlestick Injury(NSI) group and non-Needle stick Injury(non-NSI) group. The scores for knowledge levels of treatment after needle stick injuries and the risk factor recognition level were significantly higher in the NSI group. The scores for performance level as to handling and using needles after needlestick injuries were significantly higher in the non-NSI group. Conclusion: It is necessary to develop a preventive program to decrease the needlestick injury rate among student nurse.

• The Journal of the Korea Contents Association
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• v.17 no.12
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• pp.215-225
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• 2017

The purpose of this research was to develop a new instrument for nurses' risk behavior related to needlestick injuries and to establish initial evidence of reliability and validity. Twenty five items of the Needlestick Injuries Risk Behavior (NIRB) scale was developed on the basis of the unsafe act theory(Reason, 1990). Such six dimensions as risk behavior on needle recapping, risk behavior using needle on transferring blood sample, risk behavior on separation of needle from syringe, risk behavior on the use of needle, risk behavior when needle is discarded, and risk behavior before the use of needle were described, based on the factor analysis. The study findings initially supported the NIRB's reliability, and construct and criterion validity.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.24 no.1
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• pp.84-94
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• 2017

Purpose: The purpose of this study was to identify prevalence and risk factors of needlestick injuries (NSI) among nursing students. Methods: Data were collected using self-administered questionnaires which included general and practical characteristics, safe environment risk factors, knowledge, attitude, and preventive behavior associated with NSI. Data were conducted from December 14-20, 2014 and analyzed using $x^2$ test and multiple logistic regression. Results: The incidence rate of NSI was 20.2%. Multiple logistic regression analysis identified four predictors for NSI which were statistically significan; carelessness (OR=1.49, 95% CI=1.04~2.11), status of hospital, university affiliated (OR=1.93, 95% CI=1.35~2.75), knowledge about handing the needle after NSI (OR=1.42, 95% CI=1.00~2.03), and barriers to NSI preventive behavior (OR=1.48, 95% CI=1.04~2.12). Conclusion: Management of carelessness and barriers to NSI preventive behavior are essential elements for reducing the risk of NSI in nursing students. It is necessary to develop a specific NSI precaution program for nursing students.

• Journal of Korean Biological Nursing Science
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• v.16 no.1
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• pp.26-32
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• 2014

Purpose: Needlestick injuries (NSI) is the most frequent occupational hazard for healthcare personnel (HCP), and immediate report and adequate post-exposure prophylaxis (PEP) is essential in preventing occupational transmission of blood-borne pathogens. Methods: From June 2010 to October 2010, 544 NSI were reported through websites from 21 general hospitals in Korea. Among those, 499 cases of NSI were analyzed to identify the rate of follow-up treatment completion and for seroconversion. Results: 88.2% of the cases were completed with follow-up treatment, 8.8% of the NSI were not completed with follow-up treatment, and 5 cases were unavailable to trace. 4.2% cases of NSI required a hepatitis B vaccination concurrent with hepatitis B immunoglobulin. 41.1% of the cases and 31.1% of the cases needed to be tested for anti HCV and anti HIV, respectively. Prophylaxis medication for HIV was prescribed in 3 cases, and all cases completed required 1 month of medication. There was 1 case (0.2%) of seroconversion to HCV. Conclusion: The PEP completion rate was not satisfactory, and the importance of completion of PEP treatment should be emphasized through education and counseling. Also, a careful risk assessment is needed for HCP who are exposed to HCV or HIV.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.25 no.4
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• pp.231-239
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• 2018

Purpose: This study was done to understand nursing students' exposure of needlestick and sharp injuries (NSSI), level of anxiety as well as experience of practicing injection with human beings during Fundamentals of Nursing (FN) practice. Methods: Data consisted of self-report questionnaires completed by 571 nursing students who had completed an injection practice in FN. The questionnaire included questions on general characteristics, exposure to NSSI, experience of practicing injections with human beings, level of anxiety and other experiences. Data were analyzed using descriptive statistics and content analysis. Results: Of the students, 17.5% experienced NSSI and 83.2% performed invasive injection procedures in the FN practice. The level of anxiety was 4.62-6.46/10 points when injecting a classmate and 1.27-1.93/10 points when using manikins. The feeling most often reported was worried about making a mistake that could hurt my classmate (57.2%). Conclusion: Nursing students are exposed to NSSI and experience a high degree of anxiety in invasive injection practice. These results indicate that it is necessary to develop and implement standardized NSSI prevention and anxiety reduction programs in FN.

• Infection and chemotherapy
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• v.50 no.4
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• pp.319-327
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• 2018

Background: Lancet-related needlestick injuries (NSIs) occur steadily in clinical practices. Safety-engineered devices (SEDs) can systematically reduce NSIs. However, the use of SEDs is not active and no study to guide the implementation of SEDs was known in South Korea. The lancet-related NSIs may be eliminated to zero incidence using a SED lancet with effective sharp injury protection and reuse prevention features. Materials and Methods: We implemented a SED lancet by replacing a conventional prick lancet in a tertiary hospital in a sequential approach. A spot test of the new SED was conducted for 1 month to check the acceptability in practice and a questionnaire survey was obtained from the healthcare workers (HCWs). A pilot implementation of the SED lancet in 2 wards was made for 1 year. Based on these preliminary interventions, a hospital-wide full implementation of the SED lancet was launched. The incidence of NSIs and cost expenditure before and after the intervention were compared. Results: There were 29 cases of conventional prick lancet-related NSIs for 3 years before the full implementation of SED lancet. The proportion of prick lancet-related NSIs among yearly all kinds of NSIs during two years before the pilot study was average 11.7% (22/188). Pre-interventional baseline incidence of all kinds of NSIs was 7.01 per 100 HCW-years. After the full implementation of SED lancet, the lancet-related NSIs became zero in the 2nd year (P = 0.001). The average direct cost of 18,393 US dollars (USD) per year from device and post-exposure medical care before the intervention rose to 20,701 USD in the 2nd year of the intervention. The incremental cost-effectiveness ratio was 210 USD per injury avoided. Conclusion: The implementation of a SED lancet could eliminate the lancet-related NSIs to zero incidence. The cost increase incurred by the use of SED lancet was tolerable.