การรายงานอุบัติการณ์เข็มทิ่มตำ การบาดเจ็บจากของมีคมและสัมผัสสารคัดหลั่ง ของนักศึกษาพยาบาล วิทยาลัยพยาบาลบรมราชชนนี ราชบุรี

Abstract

       The purposes of this mixed method study were to examine the incidences of needle stick, sharp injuries and secretion contact and identify the reasons of reporting and no reporting of the incidences happened. The mixed method research was conducted through two phases. Firstly, the quantitative study was conducted. The samples were 222 nursing students year 3 and 4 in academic year 2019. The data were collected by using the questionnaire of incidences of needle stick, sharp injuries and secretion contact and practicing after the incidences of needle stick, sharp injuries and secretion contact. The questionnaire was tested for validity which the IOC was between 0.66-1.00. The reliability tested by using KR-20 was .72. The data were analyzed by using descriptive statistics. Secondly, the qualitative study which 30 nursing students year 3 and 4 having experiences of needle stick, sharp injuries and secretion contact. The researchers collected the data using the semi-structured interview guide; its validity was approved by three experts.

       The quantitative data analysis shows that the percentage of incidences of needle stick, sharp injuries and secretion contact is 39.64. Most incidences (90.91%) were being cut by glass/ampules. Those incidences occurred as doing material preparation (78.41). All evidences happened with the fingers. About 69.32 percent of those students did not wear any protective device. After contacting, most samples (92.05%) reacted by washing the body organs with water immediately. 43.18 percent of the sample was cared by checking blood. The qualitative data analysis shows that the reason why the students reported after the incidences was aware of effects on health of themselves and patients. While, the reasons why they did not report were fear of being blamed by their teachers and preceptors and worrying about reporting procedure. Therefore, nursing education institutes should promote safety of students as working and encourage awareness, including good attitudes in reporting the incidences. This is for monitoring impacts of the issues.