Needle Stick Injuries among Nurses in China: Meta-analysis
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Published:
Dec 31, 2019
Keywords:
Needlestick injuries China Nurse Occupational exposure
Main Article Content
Abstract
Background: Needle stick injury is a common occupational injury in all clinician who are working in health care setting. It leads to increase the risk of getting blood-borne diseases infections. Nurses are the main victims of needle stick injuries among health workers, and needle stick injuries expose higher risks among them in developing countries, especially in populous countries such as China. More than half of Chinese nurses face the risk of needle stick injuries in their busy nursing work.
Objective: This study aims to assess the prevalence of needle stick injuries among nurses in China in the past decade by meta-analysis.
Methods：We reviewed all relevant literatures in the PubMed, Science Direct, PMC and CNKI databases and conduct meta-analysis to find the associated factors for needle injuries among the nurses. By removing duplicate articles, filtering articles by title and abstract, and filtering the article based on inclusion criteria, the number of articles that were eventually included in the study was 16 articles.
Results: The results showed that the prevalence of needle stick injuries among nurses in China was 57.3% (95%CI= 0.46-0.69). The prevalence of needle stick injuries among nurses in China had declined in the past decade.
Conclusion: Needle stick injuries in China could be reduced the risk by improving for the nurses particularly strengthening occupational safety training for nurses, increasing protective equipment for needle stick injuries, and optimizing the working environment of hospitals.
Article Details
How to Cite
Wang, D., Yang, R., & Ma, H. (2019). Needle Stick Injuries among Nurses in China: Meta-analysis. Journal of Health Science and Alternative Medicine, 1(3), 24–29. Retrieved from https://he01.tci-thaijo.org/index.php/jhealthscialternmed/article/view/221182
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Review Article
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References
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[26] Veronesi L, Giudice LD, Agodi A., et al. A multicentre study on epidemiology and prevention of needle stick injuries among students of nursing schools. Annali di igiene : medicina preventiva e di comunita, 2018; 30(5): 99-110.
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[28] Chen H. Current status of needle stick injuries in nurses of grass-root hospital and countermeasures. Chinese J Nosocomiology. 2012; 22(9): 1841-3.
[29] Gao X, Hu B, Suo Y, et al. A large-scale survey on sharp injuries among hospital-based healthcare workers in China. Sci Rep. 2017; 7(42620): 1-7.
[30] Gu Y, Chen C, Cheng K, et al. Analysis of needlestick and sharps injuries among medical staff in upper first-class hospital. Chinese J Ind Hyg Occup Dis. 2013; 31(1): 41-4.
[31] Jin F, Wang G. Investigation on occupational exposure status of nursing staff. Chinese J Disinfect. 2012; 29(11): 1040-1.
[32] Jing W, Chen X, Xu M, et al. Investigation on the “ Four High” injury of acute instrument in clinical nurses and protective measures. Int J Nurs. 2019; 38(13): 1950-3.
[33] Loerbroks A, Shang L, Angerer P, et al. Psychosocial work characteristics and needle stick and sharps injuries among nurses in China: a prospective study. Int Arch Occup Environ Health. 2015; 88(7): 925-32.
[34] Ma J, Hou Q, Liang X. Causes of needle stick injuries among nurses and intervention measures. Chinese J Nosocomiology. 2013; 23(23): 5776-7.
[35] Song P, Zhou J, Wang Y. Monitoring and analysis of needle stick injuries events in clinical nurses. Chinese J Nosocomiology. 2011; 21(14): 3005-7.
[36] Xu Y, Wu Y, Zhang Y, et al. Investigation of nursing work status in Chinese hospitals. Chinese J Nurs. 2016; 51(8): 947-50.
[37] Ye H, Fan H. Investigation on medical personnel’s occupational exposure to blood-borne pathogens. Chinese J Disinfect. 2014; 31(5): 488-9.
[38] Yuan W, Sun L, Wang Z. Analysis of needlestick injuries and depression among the female medical staff in a city district in 2018. Chinese J Ind Hyg Occup Dis. 2019; 37(6): 443-5.
[39] Zhang X, Gu Y, Cui M, et al. Needlestick and sharps injuries among nurses at a teaching hospital in China. Work Heal Saf. 2015; 63(5): 217-9.
[40] Zhao F, Zhang M, Xuan J, et al. A Large-Scale Cross-Sectional Survey on Needle-Stick Injuries Related to Injections of Antidiabetics in China: Incidence and Infection Rates. Value Heal. 2018;21(1): S72.
[41] Zhao F, Zhang M, Xuan J, et al. Burden of insulin injection-related needlestick injuries in mainland China–prevalence, incidence, and healthcare costs. Int J Nurs Stud. 2019; 97: 78-83.
[42] Zhong W, Cai S, Zhong H. Investigation and analysis of psychological state after needle stick injury among nurses. Chinese J Pract Nurs. 2010; 26(24): 79-80.
[43] Zou Z, Yang Y, Wang Y, et al. Needle-stick injuries among health care workers and protective strategies in a hospital. Chinese J Infect Control. 2017; 16(6): 548-50.
[44] Jeong IS, Jeong JS, Sohn JS, et al. Prospective and Retrospective Incidence and Post-exposure Reporting of Needlestick Injuries. Korean J Nosocomial Infect Control. 2015; 20(1): 29-36.
[45] Yoshikawa T, Wada K, Lee JJ, et al. Incidence Rate of Needlestick and Sharps Injuries in 67 Japanese Hospitals: A National Surveillance Study. PLOS ONE. 2013;8(10): e77524.
[46] Setthamas M, Sawaengdee K, Theerawit T, et al. Incidence and risk factors of needle stick and sharp injuries among registered nurses in Thailand. J Public Heal Dev. 2018; 16(1): 17-28.
[47] Bhaskaran Unnikrishnan RH. Occupational Exposure to Needle Stick Injuries among Health Care Personnel in a Tertiary Care Hospital: A Cross Sectional Study. J Community Med Health Educ. 2014;s2(01):004.
[48] Ghanei Gheshlagh R, Aslani M, Shabani F, et al. Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals: an updated meta-analysis. Environ Health Prev Med. 2018;23(1):44.
[49] Zhang Y, Wang L. Protection Education towards Needle Stick Injuries among Nursing Students in China:A Meta-Analysis. Chinese J Evidence-Based Med. 2013; 13(6): 754-9.
[50] Ma D, Zhou X, Wang F. Analysis of the low reporting ratio in the investigation of the occupation exposure in nurse midwives. Chinese J Nurs. 2006; 41(4): 328-9.
[51] Cao S, Zhao Q, Zhang G. Survey on the occupational blood exposure among nursing staff in Chongqing. Mod Prev Med. 2009; 36(16): 3017-9.
[2] Blumenthal D, Hsiao W. Lessons from the East--China’s rapidly evolving health care system. N Engl J Med. 2015; 372: 1281-5.
[3] Blumenthal D, Hsiao W. Privatization and Its Discontents — The Evolving Chinese Health Care System. N Engl J Med. 2005; 353: 1165-70.
[4] Dong H, Duan S, Bogg L, et al. The impact of expanded health system reform on governmental contributions and individual copayments in the new Chinese rural cooperative medical system. Heal Plan Manag. 2016; 31(1): 36-48.
[5] Zhou Z, Zhu L, Zhou Z, et al. The effects of China’s urban basic medical insurance schemes on the equity of health service utilisation: Evidence from Shaanxi Province. Int J Equity Health. 2014; 13(1): 1-11.
[6] Li L, Fu H. China’s health care system reform: Progress and prospects. Heal Plan Manag. 2017; 32(3): 240-53.
[7] Xu J, Yang Y. Traditional Chinese medicine in the Chinese health care system. Health Policy (New York). 2009; 90(2–3): 133-9.
[8] Jin L. From mainstream to marginal? Trends in the use of Chinese medicine in China from 1991 to 2004. Soc Sci Med. 2010; 71(6): 1063-7.
[9] Xu Y, Wu Y, Zhang Y, et al. Investigation of nursing human resources in Chinese hospitals. Chinese J Nurs. 2016; 51(7): 819-22.
[10] Sun X, Xiang W, Ye Z. An attempt to diversify the role of nurses. Chinese J Hosp Adm. 2003; 19(9): 573-5.
[11] Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the I of M. The Future of Nursing: Leading Change, Advancing Health. 1st ed. Shalala DE, editor. Washington DC: National Academies Press (US); 2011; 21-47
[12] Lan M, Meng Y, Wang S, et al. The patients’ expectations on nurses’ professional competence. Chinese J Nurs. 2014; 49(7): 878-80.
[13] China Social Welfare Foundation. White Paper on the Survey of the Status of Chinese Nurses [Internet]. Xinhuanet. 2017 [cited 2019 Oct 14]. p. 1–2. Available from: https://www.xinhuanet.com//gongyi/2017-05/11/c_129601688.htm
[14] Matsumoto H, Sunakawa M, Suda H, et al. Analysis of factors related to needle-stick and sharps injuries at a dental specialty university hospital and possible prevention methods. J Oral Sci. 2019; 61(1):164-70.
[15] Senthil A, Anandh B, Jayachandran P, et al. Perception and prevalence of work-related health hazards among health care workers in public health facilities in Southern India. Int J Occup Environ Health. 2015; 21(1): 74-81.
[16] Muralidhar S, Singh PK, Jain RK, et al. Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res. 2010;March (131): 405-10.
[17] Leong X, Yee F, Leong Y, et al. Incidence and analysis of sharps injuries and splash exposures in a tertiary hospital in Southeast Asia: a ten-year review. Singapore Med J. 2019:1-16.
[18] Jończyk A, Szczypta A, Talaga-Ćwiertnia K. Injures as exposure events in providing medical services by nursing staff. Przegl Epidemiol. 2018; 72(3): 371-81.
[19] Ishimaru T, Wada K, Huong HTX, et al. Nurses’ attitudes towards co-workers infected with HIV or hepatitis B or C in Vietnam. Southeast Asian J Trop Med Public Health. 2017; 48(2): 376-85.
[20] Wang C, Huang L, Li J, et al. Relationship between psychosocial working conditions, stress perception, and needle-stick injury among healthcare workers in Shanghai. BMC Public Health. 2019; 19(1): 1-11.
[21] Cooke CE, Stephens JM. Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers. Med Devices. 2017; 1(10): 225-35.
[22] Bagdey P, Humne A, Wankhede S, et al. Needle Stick Injuries Among Staff Nurses in a Tertiary Care Hospital of Central India. Asian Pacific J Heal Sci. 2014; 1(3): 149-54.
[23] Hassnain S, Hassan Z, Amjad S, et al. Needle stick injuries among nurses of two tertiary care hospitals of Lahore: A KAP study. J Pak Med Assoc. 2017; 67(12): 1874-8.
[24] Ghasemi M, Khabazkhoob M, Hashemi H, et al. The incidence of needle stick and sharp injuries and their associations with visual function among hospital nurses. J Curr Ophthalmol. 2017; 29(3): 214-20.
[25] Saia M, Hofmann F, Sharman J, et al. Needlestick Injuries: Incidence and Cost in the United States, United Kingdom, Germany, France, Italy, and Spain. Biomed Int. 2010; 1(2): 41-49.
[26] Veronesi L, Giudice LD, Agodi A., et al. A multicentre study on epidemiology and prevention of needle stick injuries among students of nursing schools. Annali di igiene : medicina preventiva e di comunita, 2018; 30(5): 99-110.
[27] Xujun Z, Yue G, Mengjing C, et al. Needlestick and sharps injuries among nurses at a teaching hospital in China. Work Heal Saf. 2015; 63(5): 219-25.
[28] Chen H. Current status of needle stick injuries in nurses of grass-root hospital and countermeasures. Chinese J Nosocomiology. 2012; 22(9): 1841-3.
[29] Gao X, Hu B, Suo Y, et al. A large-scale survey on sharp injuries among hospital-based healthcare workers in China. Sci Rep. 2017; 7(42620): 1-7.
[30] Gu Y, Chen C, Cheng K, et al. Analysis of needlestick and sharps injuries among medical staff in upper first-class hospital. Chinese J Ind Hyg Occup Dis. 2013; 31(1): 41-4.
[31] Jin F, Wang G. Investigation on occupational exposure status of nursing staff. Chinese J Disinfect. 2012; 29(11): 1040-1.
[32] Jing W, Chen X, Xu M, et al. Investigation on the “ Four High” injury of acute instrument in clinical nurses and protective measures. Int J Nurs. 2019; 38(13): 1950-3.
[33] Loerbroks A, Shang L, Angerer P, et al. Psychosocial work characteristics and needle stick and sharps injuries among nurses in China: a prospective study. Int Arch Occup Environ Health. 2015; 88(7): 925-32.
[34] Ma J, Hou Q, Liang X. Causes of needle stick injuries among nurses and intervention measures. Chinese J Nosocomiology. 2013; 23(23): 5776-7.
[35] Song P, Zhou J, Wang Y. Monitoring and analysis of needle stick injuries events in clinical nurses. Chinese J Nosocomiology. 2011; 21(14): 3005-7.
[36] Xu Y, Wu Y, Zhang Y, et al. Investigation of nursing work status in Chinese hospitals. Chinese J Nurs. 2016; 51(8): 947-50.
[37] Ye H, Fan H. Investigation on medical personnel’s occupational exposure to blood-borne pathogens. Chinese J Disinfect. 2014; 31(5): 488-9.
[38] Yuan W, Sun L, Wang Z. Analysis of needlestick injuries and depression among the female medical staff in a city district in 2018. Chinese J Ind Hyg Occup Dis. 2019; 37(6): 443-5.
[39] Zhang X, Gu Y, Cui M, et al. Needlestick and sharps injuries among nurses at a teaching hospital in China. Work Heal Saf. 2015; 63(5): 217-9.
[40] Zhao F, Zhang M, Xuan J, et al. A Large-Scale Cross-Sectional Survey on Needle-Stick Injuries Related to Injections of Antidiabetics in China: Incidence and Infection Rates. Value Heal. 2018;21(1): S72.
[41] Zhao F, Zhang M, Xuan J, et al. Burden of insulin injection-related needlestick injuries in mainland China–prevalence, incidence, and healthcare costs. Int J Nurs Stud. 2019; 97: 78-83.
[42] Zhong W, Cai S, Zhong H. Investigation and analysis of psychological state after needle stick injury among nurses. Chinese J Pract Nurs. 2010; 26(24): 79-80.
[43] Zou Z, Yang Y, Wang Y, et al. Needle-stick injuries among health care workers and protective strategies in a hospital. Chinese J Infect Control. 2017; 16(6): 548-50.
[44] Jeong IS, Jeong JS, Sohn JS, et al. Prospective and Retrospective Incidence and Post-exposure Reporting of Needlestick Injuries. Korean J Nosocomial Infect Control. 2015; 20(1): 29-36.
[45] Yoshikawa T, Wada K, Lee JJ, et al. Incidence Rate of Needlestick and Sharps Injuries in 67 Japanese Hospitals: A National Surveillance Study. PLOS ONE. 2013;8(10): e77524.
[46] Setthamas M, Sawaengdee K, Theerawit T, et al. Incidence and risk factors of needle stick and sharp injuries among registered nurses in Thailand. J Public Heal Dev. 2018; 16(1): 17-28.
[47] Bhaskaran Unnikrishnan RH. Occupational Exposure to Needle Stick Injuries among Health Care Personnel in a Tertiary Care Hospital: A Cross Sectional Study. J Community Med Health Educ. 2014;s2(01):004.
[48] Ghanei Gheshlagh R, Aslani M, Shabani F, et al. Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals: an updated meta-analysis. Environ Health Prev Med. 2018;23(1):44.
[49] Zhang Y, Wang L. Protection Education towards Needle Stick Injuries among Nursing Students in China:A Meta-Analysis. Chinese J Evidence-Based Med. 2013; 13(6): 754-9.
[50] Ma D, Zhou X, Wang F. Analysis of the low reporting ratio in the investigation of the occupation exposure in nurse midwives. Chinese J Nurs. 2006; 41(4): 328-9.
[51] Cao S, Zhao Q, Zhang G. Survey on the occupational blood exposure among nursing staff in Chongqing. Mod Prev Med. 2009; 36(16): 3017-9.