Needlestick and sharps injuries among nurses at Atatürk university research hospital and their practices after injury
Methods: All 562 nurses working at Atatürk University Research Hospital during September-November 2016 were invited to fill a questionnaire with 27 items. Questions were asked about the sociodemographic characteristics,having experienced NSI, usage of protective equipment, and hepatitis B vaccination status. A total of 555 (98.7%) nurses volunteered to participate. Verbal consent was taken from the participants.
Results: Of the participants, 425 (76.6%) were females, and 130 (23.4%) were males. Their mean age was 27.5 ± 7.4 years. 52.6% (n = 293) of the participants were in the surgical clinics while 47.4% (n = 262) were in the medical clinics. Of the participants, 21.6% (n = 120) stated that they experienced a needlestick or sharps injury within the last one year. Of those injuries, 16.7% (n = 20) happened while removing the needle tip from the syringe, 29.2% (n = 35) while trying to reattach the needle cap, 16.7% (n = 20) while filling the syringe, and 12.5% (n = 15) while drawing blood from the patient.
Conclusion: Health workers should be trained on injuries and all other occupational risks with cutting and puncturing tools, and they should be instructed on the use of protective equipment.
[1] Centers for Disease Control and Prevention. Workbook for designing, implementing, and evaluating a sharps injury prevention program 2008. Available from: https://www.cdc.gov/sharpssafety/pdf/sharpsworkbook_2008.pdf.
[2] Omaç M, Eğri M, Karaoğlu L. [Evaluation of occupational needlestick-sharp injuries and status of hepatitis B immunization on nurses working at Malatya province hospitals]. İnönü Üniversitesi Tıp Fakültesi Dergisi 2010;17:19-25. [Article in Turkish]
[3] Korkmaz M. [Needlestick and sharp injurıes in health workers] Fırat Sağlık Hizmetleri Dergisi 2008;3:17-37. [Article in Turkish]
[4] Elmiyeh B, Whitaker I, James M, Chahal C, Galea A, Alshafi K. Needle-stick injuries in the National Health Service: a culture of silence. J R Soc Med 2004;97:326-7.
[5] Yıldırım A, Özpulat F. [The knowledge and awareness levels on professional risks of nursing students in a medical vocational high school in Turkey]. Sürekli Tıp Eğitimi Dergisi 2015;24:18-29. [Article in Turkish]
[6] Ilhan MN, Durukan E, Aras E, Türkçüoğlu S, Aygün R. Long working hours increase the risk of sharp and needlestick injury in nurses: the need for new policy implication. J Adv Nurs 2006;56:563-8.
[7] Hatzakis A, Wait S, Bruix J, Buti M, Carballo M, Cavaleri M, et al. The state of hepatitis B and C in Europe: report from the hepatitis B and C summit conference. J Viral Hepat 2011;18 Suppl 1:1-16.
[8] Cardo DM, Bell DM. Bloodborne pathogen transmission in health care workers. Risks and prevention strategies. Infect Dis Clin North Am 1997;11:331-46.
[9] Özvarış ŞB. [Protecting health workers from infections]. Sürekli Tıp Eğitimi Dergisi 1999;9:12. [Article in Turkish].
[10] TC. Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite ve Akreditasyon Daire Başkanlığı.
[11] Ayranci U, Kosgeroglu N. Needlestick and sharps injuries among nurses in the healthcare sector in a city of western Turkey. J Hosp Infect 2004;58:216-23.
[12] Eğri M, Perlivan E. [Epidemiology of needlestick and sharps injuries in health care workers at Turgut Özal Medical Center]. Sağlık ve Toplum 2000;10:35-9. [Article in Turkish]
[13] Samancıoğlu S, Ünlü D, Durmaz Akyol A. [The evaluation of needlestick and sharp injuries among intensive care nurses]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2013;16:43-9. [Article in Turkish]
[14] Kişioğlu AN, Öztürk M, Uskun E, Kırbıyık S. [In a medical hospital's health workers incisive and perforating injury epidemiologies and prevention behaviours and attitudes]. Turkiye Klinikleri J Med Sci 2002;22:390-6. [Article in Turkish]
[15] Cheng F, Ford W, Cheng S, Weber M, Kerndt P. Occupational risk of acquiring HIV infection through needlestick injuries. Clin Perform Qual Health Care 1995;3:147-50.
[16] Rakickene J, Barkowska T, Caplinskas S. [Occupational HIV infection. Medical workers and HIV prevention]. Zh Mikrobiol, Epidemiol, Immunobiol 2000;4:73-4. [Article in Russian]
[17] CDC. Sharp injuryprevention program workbook 2008, 2008. Available from: http://www.cdc.gov/Sharpssafety/pdf/sharpsworkbook
[18] Salehi AS, Garner P. Occupational injury history and universal precautions awareness: a survey in Kabul hospital staff. BMC Infect Dis 2010;10:19.
[19] Nsubuga FM, Jaakkola MS. Needle stick injuries among nurses in sub‐Saharan Africa. Trop Med Int Health 2005;10:773-81.
[20] Shiao J, Guo L, McLaws ML. Estimation of the risk of bloodborne pathogens to health care workers after a needlestick injury in Taiwan. Am J Infect Control 2002;30:15-20.
[21] Altıok M, Kuyurtar F, Karaçorlu S, Ersöz G, Erdoğan S. [Healthcare workers experiences with sharps and needlestick injuries and precautions they took when injuring]. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 2009;2:70-9.
[22] Türkistanlı E, Şenuzun FE, Karaca BS, San AT, Aydemir G. [The state of the immunization of the health workers who have working in Ege university research hospital]. Ege Tıp Dergisi 2000;39:29-32. [Article in Turkish]
[23] Souza-Borges FR, Ribeiro LA, Oliveira LC. Occupational exposures to body fluids and behaviors regarding their prevention and post-exposure among medical and nursing students at a Brazilian public university. Rev Inst Med Trop São Paulo 2014;56:157-63.
[24] Prasuna J, Sharma R, Bhatt A, Arazoo A, Painuly D, Butola H, et al. Occurrence and knowledge about needle stick injury in nursing students. J Ayub Med Coll Abbottabad 2015;27:430-3.
[25] Yang YH, Liou SH, Chen CJ, Yang CY, Wang CL, Chen CY, et al. The effectiveness of a training program on reducing needlestick injuries/sharp object injuries among soon graduate vocational nursing school students in southern Taiwan. J Occup Health 2007;49:424-9.
[26] Merih YD, Kocabey MY, Çırpı F, Bolca Z, Celayir AC. [Epidemiology and preventive measurementsof sharps injuries in a state hospital during the last three years]. Zeynep Kamil Tıp Bülteni 2009;40:11-5. [Article in Turkish]
[27] Ede G, Kaptan D. Injury experiences and precautions taken by nurses working in pediatric wards towards penetrative/incisive tools. Int J Caring Sci 2016;9:569-78.
[28] Cooke CE, Stephens JM. Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers. Med Devices (Auckl) 2017;10:225-35.
[29] World Health Organization. WHO guideline on the use of safety-engineered syringes for intramuscular, intradermal and subcutaneous injections in health-care settings. Geneva, Switzerland. 2015.

Copyright (c) 2019 The European Research Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Downloads
Article Information
- Article Type Research Article
- Submitted February 21, 2026
- Published January 3, 2019
- Issue Vol. 5 No. 1 (2019)
- Section Research Article