Conference Paper
“Prevalence of SI and NSI among Nurses in Northern West Bank Hospitals/ Palestine”
  • May 2014
  • Conference: IMET2000-Pal 6th Annual conference -Infection Prevention and Control Conference in Palestine: “The Way Forward”
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Conference Paper
“Prevalence of SI and NSI among Nurses in Northern West Bank Hospitals/ Palestine”
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Figure 1: Distribution of participants according to exposure to NSI in the past 12 months
Figure 2: Distribution of injured participants by needles according to their knowledge of whether the needle was previously used on patients or not Figure (2) shows the knowledge of participants about whether needle was used previously on patients before injuries had occurred. More than (87%) of injured participants by needle reported that the needle was previously used on patients while only (3.9%) of injured participants by needle reported that the needle was not previously used on patients. In contrast, (8.8%) of injured participants by needle reported that they didn't know if needle was previously used or not on patients.
Distribution of participants according to number of injuries during 12 th months before conducting the study
Comparison of prevalence of NSI between developed and developing countries:
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International Journal of Science and Research (IJSR) ISSN (Online): 2319-7064 Index Copernicus Value (2013): 6.14 | Impact Factor (2014): 5.611 Volume 5 Issue 3, March 2016 www.ijsr.netLicensed Under Creative Commons Attribution CC BYPrevalence of SIand NSI among Nurses inNorthern West Bank Hospitals / Palestine Mariam Amer Al-Tell1, Bushra Jamal Almurr21Ph.D Community Health, Assistant Professor An-Najah National University 2Public Health Student Abstract:Introduction: Standard precautions defined as“a group of infection prevention practices that apply to all patients, regardless of suspected or confirmed diagnosis or presumed infection status”. The aim of these precautions is prevention and or reduction oftransmission of HAI, and in the same time, protection of Nurses from sharp injuries. Main objective: the main objective is to assessPrevalence ofSI and NSI and related causes among Nurses in Northern West Bank Hospitals /Palestine.Method: a systemic random sample of(249) nurses was selected from Rafedia hospital, Alwatani hospital, Thabet Thabet hospital, Khalil Suleiman hospital and Darwish Nazzal hospital. Self administrated questionnaire was filled byparticipants, and data was analysis by using SPSS version 17. Results: the result showed that the prevalence of sharp injuries and needle stick injuries in previous 12 month were (66.8%) and (46.4%) respectively. Conclusion and Recommendations: standard precaution is basic level of infection control precaution . However , the vast majority of participants in this study didn’t always follow it.So more training program on infection control and more concentration onstandard precaution by educational program and regular lectures must be given to nurses in order to improve their knowledge and practice ofSP measures. Keywords:StickInjury, NeedleStickInjury,Prevalence,Nurses1. Introduction Health-care associated infection (HAI) referred toasnosocomial infection and hospital acquired infection, isdefined by Center of Disease Control and Prevention (CDC) asan“infection caused by a wide variety of common and unusual bacteria, fungi, and viruses during the course ofreceiving medical care"¹ .It either occurs while patients receive care or may develop after discharge. It also involves occupation infection among staff. HAI can also be defined as an“infection occurring in patients during the process ofcare in a hospital or health care facility which was not present or incubating at the time of admission. This includes infection acquired in the hospital, but appearing after discharge and also occupational infections among staff orfacility”². HAI is considered an important public health problem². Globally, hundreds of millions of patients are infected byHAI every year in both developed and developing countries. According to WHO, its prevalence in developed countries varied between 3.5% and 12%, while in developing countries it varied between 5.7% and 19.1%³.The highest occurrence of HAI were in acute surgical, orthopedic wards and Intensive Care Unit². The prevalence rate of ICU-acquired infection in high-income countries was 30%, while in middle and low- income countries, it was atleast 2-3 times higher than that in high -income countries3, 4The consequences ofHAI atpatients’ level imply more suffering, more complications, more treatments, and increase in hospitalization periods. 1.1 Health-associated infectionsamonghealth careworkers /nursesHAI can affect both patients and health-care workers. Itinvolves occupational infections among nurses. Due to the nature of their occupations, the major occupational hazard isthe transmission of blood-borne disease such as hepatitis B and AIDS by being exposed to injuries caused bycontaminated sharp objects such as scalpels and broken glass and needle stick1. Nurses can be infected by HAIs while dealing with patients or providing them with health treatment. They can play a role in the widespread ofinfections. The mode of transmission depends on many factors such as immunity of HCW and amount of blood transferred during injuries1. According to WHO, nearly three million HCW are exposed to percutaneous blood borne pathogens each year worldwide; 2 million of those were exposed to HBV ,0.9 million to HCV and 170, 000 toHIV. These sharp injuries resulted in 15,000 HCV, 70,000 HBV and 500 HIV infections. About 90%of these events happened in the developing countries2. The infectious agent is transmitted to nurses mainly via droplet: direct contact orcontact with inanimate contaminated objects by infectious material. The risk of transmission of infectious agents would increase if infection control practice and standard precautions were not applied5As per 3. TheSolutions of this problem include the following:Encouragement of the reporting and surveillance system. Improvement of education and training of nurses inapplying safety precaution. Implementation and application of standard precaution measures. 1.2 Sharp Injuries (SI) SI are defined as“anexposuretoeventoccurringwhenanysharppenetratestheskin"3. These include needles,scalpels,brokenglass,andothersharps.Thistermis interchangeablewithpercutaneousinjury.It is considered a serious hazardinhospitals becauseit mayallowthecontaminatedbloodthatPaper ID: NOV161294445
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Background Nurses and patients are often exposed to various types of infections during their clinical practice. Knowledge and compliance with standard precautions are essential to prevent hospitals associated infections and protect patients as well as medical workers from exposure to infectious agents. Aims This study aimed to assess the level of knowledge, level of compliance, and associated factors toward compliance with standard precautions among registered nurses in the North of Jordan. Methods A cross-sectional study was conducted at three hospitals in the North of Jordan. Two were public hospitals and one was a university-affiliated hospital. A questionnaire concerning the knowledge and compliance with the standard precaution guidelines was distributed among 300 registered nurses of whom 266 completed the questionnaire (response rate 88.7%). Results 53% of the participants were from governmental hospitals and 57.1% were females. The age median of them was 30 years (IQR = 28–32). The majority of the participants were medical/surgical RNs (33.1%) while only 8.3% of them were from the pediatric/gynecology departments. The overall knowledge score was 16.27 (SD = 3.15), and the total compliance score was 49.15 (SD = 12.36). Besides, the study showed a moderate positive correlation between the level of knowledge, experience in years, and the standard precautions compliance (r = 0.387, p = 0.01), (r = 0.341, p = 0.01), respectively. Conclusions standard precautions are the basic level of the infection control process. The participants may possess satisfactory knowledge and compliance levels. However, more training programs and more focusing on the standard precautions by educational institutes are needed for nurses to improve their knowledge and compliance with infection-control standard precautions.
Background: The students, especially studying at health school students, due to their inadequacy in clinical experience and technical knowledge are at high risk of exposing themselves to blood-borne pathogens via needlestick and sharp injury. Aim: The aim of the study was to investigate the frequency of needlestick and sharp injuries among nursing and midwifery students, the affecting factors and the practices related to the subject. Methodology: This study was descriptively and retrospectively performed using a questionnaire. It consisted of 18 questions that were composed of the questions concerning demographic features of the students and related to needlestick and sharp injuries. The study was performed in 434 students from the Health School of Selçuk University and accepting to participate in the study. Results: Descriptive statistics and chi-square were used for data analysis. It was determined that among the students, 83.9% were exposed to needlestick and sharp, 66.2% did not wear gloves while performing the practices, 77.9% were vaccinated against hepatitis B, and 91.7% were injured while breaking ampoules. Conclusions: As a consequence of the study, the rate of the use of protective methods was detected to be decreased although the rate of needlestick and sharp was high among health school students.