A comparative study on knowledge, attitude, and practice of injection safety among nurses in two hospitals in Ibadan, Nigeria

Abstract

Convenience Sampling Technique was used for selecting study participants while data collection was done with the aid of questionnaire. Following ethical approval, a total of 295 and 105 questionnaires were administered face to face respectively in the two participating centers. However, only 385 were fit for analysis. The mean age of the respondents was 37 years and most of them (92.5%) were females. All have heard about injection safety. Their knowledge level was high, 70.4% knew that unsafe injection predisposes to blood-borne infection, 55.9% had correct information that two-handed recapping is not a safe injection practice while, 84.4% claimed that contaminated sharps predisposes the community to bio-hazards and 293 (76.1%) had correct information that used syringes and needles should be discarded in a sharp waste box. However, the high knowledge was not translated to practice. Half (50.4%) of the recently sustained injuries was through intramuscular or subcutaneous injections. Only 15.6% reported the injuries to their institution. Out of the total respondents, 62.9% knew that their hospitals have injection policies while 53.2% said that nurses are not involved of such policies. Doctors were alleged by 79.5% as the health care workers who most frequently leave sharps at the patients' bed side. Nurses, as the nerve centre of the healthcare enterprise, must be advocates of safe injection practices.

Knowledge and practice of injection safety among nurses at university of Calabar Teaching Hospital (UCTH), Calabar, Nigeria: implications for nursing education

“…Similarly, the result agrees with the findings of Adejumo and Dada (2013), whose comparative study on knowledge, attitude, and practice of injection safety among nurses revealed that 70.4% had good knowledge about safe injection practice. However, these findings are contrary to that of Omorogbe, Omuuemu and Isara (2012) on injection safety practices among nursing staff of mission hospitals in Benin City, Nigeria, which revealed that knowledge of injection safety was poor among nurses in mission hospitals in Benin City It is important to state here that Knowledge of injection safety practices among nurses can never be overemphasized because even a 1% lack of knowledge puts patients and the health community at risk.…”

“…Similarly, Adejumo and Dada (2013),conducted a comparative study on knowledge, attitude and practice of injection safety among nurses in two hospitals in Ibadan, Nigeria, using 385 nurses, findings revealed that their knowledge level was high; 100% all had heard about injection safety, 70.4% had knowledge associated to un-safe injection with blood borne infection, 55.9% had information that recapping with both hands was not a safe injection practice, 84.4% claimed that contaminated sharps predisposed the community to bio-hazards and 76.1% had information that used syringes and needles should be discarded in a sharp waste box. However, they reported that the high knowledge did not translate to practice as about half of the participants (50.4%) were seen to have sustained needle stick injury through intra-muscular and subcutaneous injections.…”

Exposure to work-related sharp injuries among nurses in Nigeria

“…There was a significant relationship between the knowledge of professional and their attitude to sharp injury prevention. Same applies to the third hypothesis on the participants' level of education and their utilization of universal precaution against work-related sharp injury prevention, lack of training about occupational prevention of blood borne pathogens may place nurses at risk in clinical practice [31] . In Nigeria, workplace conditions, such as poor lighting, lack of appropriate protective materials and out dated techniques such as needle recapping as revealed in this study increases the risk of nurses' exposure to sharp injuries [35] .…”

“…Needleless IV systems, recommended by Gershon et al [28] , Fisher [29] and Yassi et al [30] are also documented in literature. Eliminating unnecessary injections by using oral instead of injectable medication eliminates the hazard further according to Adejumo and Dada [31] . Engineering controls are the second most effective measures.…”

Correlates of Patients’ Preference for Therapeutic Injections in a Major Regional Referral Hospital in Ghana: Implications for Policy and Clinical Practice

“…Even though therapeutic injection administration is a global phenomenon, its abuse particularly in developing countries remains a challenge evident in the increasing preference for therapeutic injections over oral medication (Poulos et al, 2016). Empirical studies have showed that about 70% of therapeutic injections administered are unnecessary as oral medications could have worked in most cases (Adejumo & Dada, 2013;Fox et al, 2013;WHO, 2015aWHO, , 2015b.…”