Prevention of needle-stick injury among nurses in an acute ward of a hospital: a best practice implementation project

Abstract

This evidence implementation project aimed to identify barriers leading to needle-stick injuries (NSIs) and to develop implementation strategies to prevent NSIs in the acute ward of a hospital in central Taiwan. Introduction:The incidence rate of NSIs was 5.6% in the acute ward of a hospital in Taiwan. NSIs commonly occur during the drawing of blood, intravenous insertion, needle recapping, or performing any procedure involving sharp medical devices. NSIs are critical occupational risks among healthcare workers, possibly leading to transmission of infectious diseases, especially blood-borne viruses, such as HIV, hepatitis B, and hepatitis C.Methods: A clinical audit was undertaken using the JBI Practical Application of Clinical Evidence System (PACES) and the Getting Research into Practice (GRiP) approach. Five audit criteria that represented best practice recommendations for prevention of NSIs were used. Baseline data were collected from 177 nurses in five acute wards, followed by the implementation of multiple strategies during a 20-week period of the project. Both baseline and postimplementation audits were undertaken to determine changes in practice.Results: According to the pre-audit concerning the use of safety-engineered injection devices and safe use and disposal of needles, there was 14-15% compliance, which indicated poor compliance with current best-practice criteria. Following the project implementation, the nursing staff were educated about the well tolerated use and disposal of sharps and the improved compliance rate ranged from 40 to 96.6%, with safety needle use increasing from 16 to 95.5%, safety needle operation procedure awareness increasing from 14 to 96%, needles not recapped after use increasing from 47 to 85%, and placing used needles in the sharps collection box increasing from 75 to 80%. Conclusion:This article suggests that standardized puncture prevention education and training enhanced nurses' awareness in the acute ward.

Nurses' knowledge on assessment and management of cancer therapy‐associated oral mucositis

“…The study also discovered that participants take a thorough history, such as when treatment was initiated and whether it is the treatment that is causing the OM, and also perform a physical assessment. This revelation supports a clinical audit among nurses in Taiwan for the prevention and treatment of oral mucositis among patients with cancer in the haematology–oncology setting, researchers Huang et al (2020) found that compliance with ongoing assessment of the oral cavity throughout cancer therapy trajectory was essential measures in identifying patients who will develop OM.…”

Needlestick and sharp injuries and its associated factors among healthcare workers in Southern Ethiopia

“… 25 Also in this study, 36.8% of healthcare professionals never recapped needles after use, which is lower than a study reported from Taiwan increasing from 47% to 85% of participants who never recapped needles after use in their working environment. 29 The reason may be a direct shuffling of the dry needlestick by needle cap and properly disposing of the safety box.…”

Incidence and Risks of HIV Infection, Medication Options, and Adverse Effects in Accidental Needle Stick Injuries: A Narrative Review

“…Further advancements have been made in safety precautions with safety-engineered syringes. These include syringes made with shields or syringes with retractable needs that retract following use [ 21 ].…”