Behaviors to Prevent Needle Stick Injury Among Nursing Students : A Systematic Literature Review

Authors

  • Mona Saparwati Universitas Ngudi Waluyo
  • Trimawati Universitas Ngudi Waluyo
  • Achmad Syaifudin Akademi Keperawatan Primaya

DOI:

https://doi.org/10.35473/ijnr.v8i2.4582

Keywords:

Behavior, Needlestick, Injury, Nursing

Abstract

The highest incidence of accidents and safety issues among nursing students during clinical practice is needle stick injury (NSI). Various efforts have been made to develop behaviors that prevent such incidents. This study is a literature review adapted from the Arskey and O'Malley framework. The Prisma-Scr flowchart was used to display the literature search flow. Articles for this study were searched using  five search engines: PubMed, Sage, Wiley, Scopus, and ScienceDirect. The keywords used for literature search were occupational injury OR accidental AND needlestick injury AND nursing student AND program. The inclusion criteria used were publication between 2013 and 2023, articles in English, and a focus on preventing needle stick injuries among nursing students. The review results showed that there were 25 potentially relevant articles, and 10 articles met the selection criteria. The articles were from several different countries, and 10 articles that met the criteria used quantitative and qualitative designs. This review revealed three themes, namely the incidence of needle stick injuries among nursing students, nursing students' understanding of preventing NSI, and efforts to prevent NSI. NSI incidents still occur among nursing students who conduct clinical practice in hospitals. Nursing students' understanding of preventing NSI is obtained through education from academic institutions and hospitals. Efforts to improve knowledge, attitudes, and behaviors to prevent NSI are carried out through education, training, the use of safe needles, and communication.

Author Biography

Mona Saparwati, Universitas Ngudi Waluyo

Managemen Keperawatan

References

Al-Mugheed, K., Farghaly, S. M., Baghdadi, N. A., Oweidat, I., & Alzoubi, M. M. (2023). Incidence, knowledge, attitude and practice toward needle stick injury among nursing students in Saudi Arabia. Frontiers in Public Health, 11(May). https://doi.org/10.3389/fpubh.2023.1160680

Al Qadire, M., Ballad, C. A. C., Al Omari, O., Aldiabat, K. M., Shindi, Y. A., & Khalaf, A. (2021). Prevalence, student nurses’ knowledge and practices of needle stick injuries during clinical training: a cross-sectional survey. BMC Nursing, 20(1), 1–7. https://doi.org/10.1186/s12912-021-00711-2

Amirmahani, M., Hasheminejad, N., & Tahernejad, S. (2023). Biomechanical evaluation of midwifery tasks and its relationship with the prevalence of musculoskeletal disorders: Biomechanical evaluation of midwifery tasks. Heliyon, 9(9), e19442. https://doi.org/10.1016/j.heliyon.2023.e19442

Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/https://doi.org/10.1080/1364557032000119616

Chakabva, O., & Khan, R. (2023). Journal of Open Innovation : Technology , Market , and Complexity The relationship between SME owner-manager characteristics and risk management strategies. Journal of Open Innovation: Technology, Market, and Complexity, 9(3), 100112. https://doi.org/10.1016/j.joitmc.2023.100112

Clarke, K., & Leh, S. K. (2023). A Nurse Leader Directed Violence Risk Assessment on Patient-to-nurse Violence: A Quality Improvement Project. Nurse Leader, 1–6. https://doi.org/10.1016/j.mnl.2023.05.004

Gok Metin, Z., & Yildiz, A. N. (2023). Update on occupational health nursing through 21st century requirements: A three-round Delphi study. Nurse Education Today, 120(August 2022), 105657. https://doi.org/10.1016/j.nedt.2022.105657

Hanson, D. W., Finch, C. F., Allegrante, J. P., & Sleet, D. (2012). Closing the gap between injury prevention research and community safety promotion practice: Revisiting the public health model. Public Health Reports, 127(2), 147–155. https://doi.org/10.1177/003335491212700203

Jahangiri, M., Rostamabadi, A., Hoboubi, N., Tadayon, N., & Soleimani, A. (2016). Needle Stick Injuries and their Related Safety Measures among Nurses in a University Hospital, Shiraz, Iran. Safety and Health at Work, 7(1), 72–77. https://doi.org/10.1016/j.shaw.2015.07.006

Johnson, K., Swinton, P., Pavlova, A., & Cooper, K. (2023). Manual patient handling in the healthcare setting: a scoping review. Physiotherapy, 120, 60–77. https://doi.org/10.1016/j.physio.2023.06.003

Kwanzaa, C. S., Clarke, K., Ramlal, C., Singh, R., & Ocho, O. N. (2020). Factors contributing to needle stick injuries among new registered nurses at a hospital in Trinidad. Infection, Disease and Health, 25(4), 294–301. https://doi.org/10.1016/j.idh.2020.06.003

Memish, Z. A., Assiri, A. M., Eldalatony, M. M., Hathout, H. M., Alzoman, H., & Undaya, M. (2013). Risk analysis of needle stick and sharp object injuries among health care workers in a tertiary care hospital (Saudi Arabia). Journal of Epidemiology and Global Health, 3(3), 123–129. https://doi.org/10.1016/j.jegh.2013.03.004

Saleh, A. M., Ahmad, S., Shamweel, H., & Abuadas, M. H. (2023). Student nurses knowledge toward needle stick injuries in Jordan. Rawal Medical Journal, 48(1), 58–62. https://doi.org/10.5462/rmj.20221114072124

Sulfianti, Indryani, Purba, D. H., Sitorus, S., Yuliani, M., Haslan, H., Ismawati, Sari, M., Pulungan, P. W., Wahyuni, Hutabarat, J., Anggraini, D. D., Purba, A. M., & Aini, F. N. (2020). Asuhan Kebidanan pada Persalinan. Yayasan Kita Menulis.

Tuncer, G., Akyildiz, A., Surme, S., Geyiktepe-Guclu, C., Bayramlar, O. F., Al, S. U., Topal, M., & Sengoz, G. (2024). Evaluation of Sharp and Needle-stick Injuries in A Tertiary Care Hospital: A Two-year Analytical Cross-sectional Study. Haseki Tip Bulteni, 62(1), 29–34. https://doi.org/10.4274/haseki.galenos.2024.9683

WHO. (2018). Implementation of this guideline: introducing the WHO intrapartum care model.

Xu, X., Yin, Y., Wang, H., & Wang, F. (2022). Prevalence of needle-stick injury among nursing students: A systematic review and meta-analysis. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.937887

Xujun, Z., Yue, G., Mengjing, C., Lorann, S., & Huiyun, X. (2015). Needlestick and sharps injuries among nurses at a teaching hospital in China. Workplace Health and Safety, 63(5), 219–225. https://doi.org/10.1177/2165079915580035

Yao, W. X., Wu, Y. L., Yang, B., Zhang, L. Y., Yao, C., Huang, C. H., & Qian, Y. R. (2013). Occupational safety training and education for needlestick injuries among nursing students in China: Intervention study. Nurse Education Today, 33(8), 834–837. https://doi.org/10.1016/j.nedt.2012.02.004

Al-Mugheed, K., Farghaly, S. M., Baghdadi, N. A., Oweidat, I., & Alzoubi, M. M. (2023). Incidence, knowledge, attitude and practice toward needle stick injury among nursing students in Saudi Arabia. Frontiers in Public Health, 11(May). https://doi.org/10.3389/fpubh.2023.1160680

Al Qadire, M., Ballad, C. A. C., Al Omari, O., Aldiabat, K. M., Shindi, Y. A., & Khalaf, A. (2021). Prevalence, student nurses’ knowledge and practices of needle stick injuries during clinical training: a cross-sectional survey. BMC Nursing, 20(1), 1–7. https://doi.org/10.1186/s12912-021-00711-2

Amirmahani, M., Hasheminejad, N., & Tahernejad, S. (2023). Biomechanical evaluation of midwifery tasks and its relationship with the prevalence of musculoskeletal disorders: Biomechanical evaluation of midwifery tasks. Heliyon, 9(9), e19442. https://doi.org/10.1016/j.heliyon.2023.e19442

Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/https://doi.org/10.1080/1364557032000119616

Chakabva, O., & Khan, R. (2023). Journal of Open Innovation : Technology , Market , and Complexity The relationship between SME owner-manager characteristics and risk management strategies. Journal of Open Innovation: Technology, Market, and Complexity, 9(3), 100112. https://doi.org/10.1016/j.joitmc.2023.100112

Clarke, K., & Leh, S. K. (2023). A Nurse Leader Directed Violence Risk Assessment on Patient-to-nurse Violence: A Quality Improvement Project. Nurse Leader, 1–6. https://doi.org/10.1016/j.mnl.2023.05.004

Gok Metin, Z., & Yildiz, A. N. (2023). Update on occupational health nursing through 21st century requirements: A three-round Delphi study. Nurse Education Today, 120(August 2022), 105657. https://doi.org/10.1016/j.nedt.2022.105657

Hanson, D. W., Finch, C. F., Allegrante, J. P., & Sleet, D. (2012). Closing the gap between injury prevention research and community safety promotion practice: Revisiting the public health model. Public Health Reports, 127(2), 147–155. https://doi.org/10.1177/003335491212700203

Jahangiri, M., Rostamabadi, A., Hoboubi, N., Tadayon, N., & Soleimani, A. (2016). Needle Stick Injuries and their Related Safety Measures among Nurses in a University Hospital, Shiraz, Iran. Safety and Health at Work, 7(1), 72–77. https://doi.org/10.1016/j.shaw.2015.07.006

Johnson, K., Swinton, P., Pavlova, A., & Cooper, K. (2023). Manual patient handling in the healthcare setting: a scoping review. Physiotherapy, 120, 60–77. https://doi.org/10.1016/j.physio.2023.06.003

Kwanzaa, C. S., Clarke, K., Ramlal, C., Singh, R., & Ocho, O. N. (2020). Factors contributing to needle stick injuries among new registered nurses at a hospital in Trinidad. Infection, Disease and Health, 25(4), 294–301. https://doi.org/10.1016/j.idh.2020.06.003

Memish, Z. A., Assiri, A. M., Eldalatony, M. M., Hathout, H. M., Alzoman, H., & Undaya, M. (2013). Risk analysis of needle stick and sharp object injuries among health care workers in a tertiary care hospital (Saudi Arabia). Journal of Epidemiology and Global Health, 3(3), 123–129. https://doi.org/10.1016/j.jegh.2013.03.004

Saleh, A. M., Ahmad, S., Shamweel, H., & Abuadas, M. H. (2023). Student nurses knowledge toward needle stick injuries in Jordan. Rawal Medical Journal, 48(1), 58–62. https://doi.org/10.5462/rmj.20221114072124

Sulfianti, Indryani, Purba, D. H., Sitorus, S., Yuliani, M., Haslan, H., Ismawati, Sari, M., Pulungan, P. W., Wahyuni, Hutabarat, J., Anggraini, D. D., Purba, A. M., & Aini, F. N. (2020). Asuhan Kebidanan pada Persalinan. Yayasan Kita Menulis.

Tuncer, G., Akyildiz, A., Surme, S., Geyiktepe-Guclu, C., Bayramlar, O. F., Al, S. U., Topal, M., & Sengoz, G. (2024). Evaluation of Sharp and Needle-stick Injuries in A Tertiary Care Hospital: A Two-year Analytical Cross-sectional Study. Haseki Tip Bulteni, 62(1), 29–34. https://doi.org/10.4274/haseki.galenos.2024.9683

WHO. (2018). Implementation of this guideline: introducing the WHO intrapartum care model.

Xu, X., Yin, Y., Wang, H., & Wang, F. (2022). Prevalence of needle-stick injury among nursing students: A systematic review and meta-analysis. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.937887

Xujun, Z., Yue, G., Mengjing, C., Lorann, S., & Huiyun, X. (2015). Needlestick and sharps injuries among nurses at a teaching hospital in China. Workplace Health and Safety, 63(5), 219–225. https://doi.org/10.1177/2165079915580035

Yao, W. X., Wu, Y. L., Yang, B., Zhang, L. Y., Yao, C., Huang, C. H., & Qian, Y. R. (2013). Occupational safety training and education for needlestick injuries among nursing students in China: Intervention study. Nurse Education Today, 33(8), 834–837. https://doi.org/10.1016/j.nedt.2012.02.004

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Published

2025-11-29

How to Cite

Saparwati, M., Trimawati, & Achmad Syaifudin. (2025). Behaviors to Prevent Needle Stick Injury Among Nursing Students : A Systematic Literature Review. Indonesian Journal of Nursing Research (IJNR), 8(2), 95–111. https://doi.org/10.35473/ijnr.v8i2.4582

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