American Journal of Nursing Science

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Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China

Received: 26 December 2020    Accepted: 06 January 2021    Published: 12 January 2021
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Abstract

Needle-stick injuries (NSIs) are the main type of occupational injury experienced by health-care workers worldwide. They are widely reported in the literatures, but there have been few studies of insulin-injection-related NSIs. This study aimed to determine the prevalence of and risk factors for insulin-injection-related NSIs among clinical nurses working at a Chinese tertiary-care hospital. Methods: We used a questionnaire to investigate the incidence of and risk factors for insulin injection-related NSIs in a tertiary-care hospital in Guangzhou, China. The study involved 576 nurses from various departments, including endocrinology, internal medicine other than endocrinology, surgery, and obstetrics and gynecology. Results: Approximately half (54%) of the participants reported having >5-years of experience in clinical nursing, and 66.3% reported that they had received training on injection safety at work. While 16.0% of the nurses had experienced an insulin-injection-related NSI before, 58.7% of them did not report it to the relevant hospital department. When NSIs occurred, 69.6% of nurses were not wearing gloves, and 75% of the needles had been contaminated by patients. The largest proportion (34.8%) of the NSIs occurred when the needle cap was being re-attached after an injection. Multivariate logistic analysis showed that participation in training (odds ratio [OR]=0.605) and being a diabetes specialist nurse (OR=1.814) were independent factors related to the incidence of insulin-injection-related NSI. Conclusion: Insulin-injection-related NSIs are common among clinical nurses. Hospital management departments need to improve their training of nurses in preventing and handling NSIs, provide appropriate safety equipment, and implement simpler procedures for reporting NSIs.

DOI 10.11648/j.ajns.20211001.14
Published in American Journal of Nursing Science (Volume 10, Issue 1, February 2021)
Page(s) 17-23
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Clinical Nurse, Insulin-injection-related Needle Stick Injuries, Risk Factors, China

References
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Author Information
  • School of Nursing, Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

  • Department of Nursing, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Nursing, The First Affiliated Hospital of Jinan University, Guangzhou, China

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  • APA Style

    Zhiqi Luo, Na Li, Jiewei Huang, Xueyan Liu, Peiru Zhou. (2021). Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China. American Journal of Nursing Science, 10(1), 17-23. https://doi.org/10.11648/j.ajns.20211001.14

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    ACS Style

    Zhiqi Luo; Na Li; Jiewei Huang; Xueyan Liu; Peiru Zhou. Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China. Am. J. Nurs. Sci. 2021, 10(1), 17-23. doi: 10.11648/j.ajns.20211001.14

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    AMA Style

    Zhiqi Luo, Na Li, Jiewei Huang, Xueyan Liu, Peiru Zhou. Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China. Am J Nurs Sci. 2021;10(1):17-23. doi: 10.11648/j.ajns.20211001.14

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  • @article{10.11648/j.ajns.20211001.14,
      author = {Zhiqi Luo and Na Li and Jiewei Huang and Xueyan Liu and Peiru Zhou},
      title = {Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China},
      journal = {American Journal of Nursing Science},
      volume = {10},
      number = {1},
      pages = {17-23},
      doi = {10.11648/j.ajns.20211001.14},
      url = {https://doi.org/10.11648/j.ajns.20211001.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20211001.14},
      abstract = {Needle-stick injuries (NSIs) are the main type of occupational injury experienced by health-care workers worldwide. They are widely reported in the literatures, but there have been few studies of insulin-injection-related NSIs. This study aimed to determine the prevalence of and risk factors for insulin-injection-related NSIs among clinical nurses working at a Chinese tertiary-care hospital. Methods: We used a questionnaire to investigate the incidence of and risk factors for insulin injection-related NSIs in a tertiary-care hospital in Guangzhou, China. The study involved 576 nurses from various departments, including endocrinology, internal medicine other than endocrinology, surgery, and obstetrics and gynecology. Results: Approximately half (54%) of the participants reported having >5-years of experience in clinical nursing, and 66.3% reported that they had received training on injection safety at work. While 16.0% of the nurses had experienced an insulin-injection-related NSI before, 58.7% of them did not report it to the relevant hospital department. When NSIs occurred, 69.6% of nurses were not wearing gloves, and 75% of the needles had been contaminated by patients. The largest proportion (34.8%) of the NSIs occurred when the needle cap was being re-attached after an injection. Multivariate logistic analysis showed that participation in training (odds ratio [OR]=0.605) and being a diabetes specialist nurse (OR=1.814) were independent factors related to the incidence of insulin-injection-related NSI. Conclusion: Insulin-injection-related NSIs are common among clinical nurses. Hospital management departments need to improve their training of nurses in preventing and handling NSIs, provide appropriate safety equipment, and implement simpler procedures for reporting NSIs.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China
    AU  - Zhiqi Luo
    AU  - Na Li
    AU  - Jiewei Huang
    AU  - Xueyan Liu
    AU  - Peiru Zhou
    Y1  - 2021/01/12
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajns.20211001.14
    DO  - 10.11648/j.ajns.20211001.14
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
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    EP  - 23
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20211001.14
    AB  - Needle-stick injuries (NSIs) are the main type of occupational injury experienced by health-care workers worldwide. They are widely reported in the literatures, but there have been few studies of insulin-injection-related NSIs. This study aimed to determine the prevalence of and risk factors for insulin-injection-related NSIs among clinical nurses working at a Chinese tertiary-care hospital. Methods: We used a questionnaire to investigate the incidence of and risk factors for insulin injection-related NSIs in a tertiary-care hospital in Guangzhou, China. The study involved 576 nurses from various departments, including endocrinology, internal medicine other than endocrinology, surgery, and obstetrics and gynecology. Results: Approximately half (54%) of the participants reported having >5-years of experience in clinical nursing, and 66.3% reported that they had received training on injection safety at work. While 16.0% of the nurses had experienced an insulin-injection-related NSI before, 58.7% of them did not report it to the relevant hospital department. When NSIs occurred, 69.6% of nurses were not wearing gloves, and 75% of the needles had been contaminated by patients. The largest proportion (34.8%) of the NSIs occurred when the needle cap was being re-attached after an injection. Multivariate logistic analysis showed that participation in training (odds ratio [OR]=0.605) and being a diabetes specialist nurse (OR=1.814) were independent factors related to the incidence of insulin-injection-related NSI. Conclusion: Insulin-injection-related NSIs are common among clinical nurses. Hospital management departments need to improve their training of nurses in preventing and handling NSIs, provide appropriate safety equipment, and implement simpler procedures for reporting NSIs.
    VL  - 10
    IS  - 1
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