Factors Affecting Safety Behavior in Nursing Practice among Nursing Students in The Eastern Region
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Abstract
Background: Nursing students are a high risk group for infection from bloodborne pathogens due to needlestick injuries (NSIs) and blood as well as exposure to other potentially infectious materials (OPIM). However, not all NSIs and OPIM exposures are reported, leading to an underestimation of the actual prevalence.
Objectives: The objective of this predictive correlational research was to examine the factors that predict safety behaviors in nursing practice as well as the personal factors, perceptions, and safety climate.
Materials and methods: The sample consisted of 181 undergraduate nursing students in the 3rd and 4th year in the eastern region, who were selected using cluster random sampling. Structured questionnaires were used for the data collection during September to October 2018. The questionnaires included personal data, the experiences of NSIs and OPIM exposures, places and nursing activities where NSIs and OPIM exposures occur, as well as the safety behavior in nursing practice, perceived susceptibility to NSIs and OPIM exposures, perceived severity, and the perceived benefits and the perceived barriers to safety behaviors in nursing practice. The data were analyzed using descriptive statistics and multiple regression.
Results: The results revealed that the incidence of NSIs and OPIM exposures were 22.1 and 8.3 per 100 persons, respectively. The overall mean of safety behaviors in nursing practice was at a rather high level (M = 3.61, SD = 0.23). The perceived benefits of safety behaviors in nursing practice, the safety climate, and the experiences of NSIs and OPIM exposures could jointly explain the 14.3% variance in safety behaviors in nursing practice.
Conclusion: . Therefore, safety behaviors in nursing practice among nursing students should be promoted by strengthening their self-awareness regarding the benefits of practicing safety behaviors, promoting a safety climate, and the setting up of NSI and OPIM exposure surveillance.
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References
Jonah EY, Bewerang MK, Emmanuel A. Knowledge and practice of universal precautions among student nurses in school of nursing, Jos Nigeria. International Journal of Public Health Research 2014;2(5): 59-63.
Muralidhar S, Singh P, Jain R, Malhotra M, Bala M. Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res 2010;131:405-10.
Cheung K, Ching SS, Chang KK, Ho SC. Prevalence of and risk factors for needlestick and sharps injuries among nursing students in Hong Kong. Am J Infect Control 2012;40:997-1001.
Yeshitila M, Mengistie B, Demessie A, Godana W, et al. Prevalence and associated factors of needle stick injury among nursing and midwifery students an Haramaya and Jigjiga University, Eastern Ethiopia. Primary Health Care [Internet]. 2015[cited 2018 Feb 6];5(1):1-6. Available form: https://www.omicsonline.org/open-access/prevalence-and-associated-factors-of-needle-stick-injury-among-nursing-andmidwifery-students-an-haramaya-and-jigjiga-university-eastern-ethiopia-2167-1079-1000186.pdf
El-Houfey AA, Sharkawey SA, Hassan AK. Occupational exposure to blood and body fluids among nursing and dental students at internship year in Assiut city. Journal of American Science 2013;9: 466-75.
Boonmee P, Fukfon K, Prompoa P. Incidence needlestick and sharps injuries and blood and body fluid exposures in nursing students of Boromarajonani college of nursing, Payao. Journal of Nursing and Education. 2013;6(2):124-36.
Kessler CS, McGuinn M, Spec A, Christensen J, Baragi R, Hershow RC. Underreporting of blood and body fluid exposures among health care students and trainees in the acute care setting: a 2007 survey. Am J Infect Control 2011;39:129-34.
Stretcher V, Rosenstock IM. The health belief model. In : Glanz K, Lewis FM, Rimer BK, editors. Health behavior and health education: theory, research and practice. 2nd ed. San Francisco: Jossey Bass; 1997. p110-23.
Griffin MA, Neal A. Perception of safety at work: a framework for linking safety climate to safety performance, knowledge, and motivation. J Occup Health Psycholo 2000;5:347- 58.
Unahalekhaka A, Lueang-a-papong S. Prevention of needlestick and sharp injuries among hospitals in Thailand. Nursing Journal 2013;40 (suppl):130-42.
Tabachnick BG, Fidell LS. Using Multivariate Statistics. 5th ed. New York: Allyn and Bacon; 2007.
Pawong T, Boonsawasdgulchai P. A comparison of patient safety culture as perceived by nurses at each competency level at Srinagarind Hospital. Journal of Nursing and Health Care 2018; 36(4): 110-19.
Luo Y, He G-P, Zhou J-W, Luo Y. Factors impacting compliance with standard precautions in nursing, China. Int J Infect Dis [Internet] 2010 [cited 2018 Feb 6];14(12):e1106-e14. Available from: https://www.ijidonline.com/article/S1201-9712(10)02501-4/pdf