PDF(Pubmed)
Abstract：
BACKGROUND: Needle-stick injuries (NSIs) pose a safety risk for healthcare workers with great potential for serious infections. The aim was to determine numbers and causes of NSIs as well as the frequency with which medical students report NSIs in the final stages of study.
METHODS: An online questionnaire was developed and made available in January and February 2023 to all undergraduate medical students (n = 423) in the last 1.5 years of their degree course at Würzburg University, Germany.
RESULTS: The response rate was 19.6% (n = 84). Among respondents, 27.4% (n = 23) reported at least one NSI. Occurrence was particularly frequent in surgery, obstetrics and gynaecology, and internal medicine. Assisting with procedures, suturing, and blood sampling were considered high-risk activities. Lack of concentration, distraction, and time pressure played a role in incidents. Respondents did not report 18.8% of NSIs with the main reasons being fear of the consequences, self-assessment of the injury as minor, or the opinion of supervisors that reporting was unnecessary. Students with previous practice on simulators or patients were significantly more likely to suffer NSIs. Instructions from occupational health specialists beforehand correlated with fewer NSIs.
CONCLUSIONS: We assume that trained students are more experienced in handling invasive procedures, leading to a greater adoption of corresponding activities and thus an increased risk of injuries in absolute numbers. This does not counter the need for didactic interventions prior to workplace-based training to raise awareness of NSI risks. Simultaneously, concepts must be developed and implemented to support reporting and alleviate fears regarding consequences.
METHODS: An online questionnaire was developed and made available in January and February 2023 to all undergraduate medical students (n = 423) in the last 1.5 years of their degree course at Würzburg University, Germany.
RESULTS: The response rate was 19.6% (n = 84). Among respondents, 27.4% (n = 23) reported at least one NSI. Occurrence was particularly frequent in surgery, obstetrics and gynaecology, and internal medicine. Assisting with procedures, suturing, and blood sampling were considered high-risk activities. Lack of concentration, distraction, and time pressure played a role in incidents. Respondents did not report 18.8% of NSIs with the main reasons being fear of the consequences, self-assessment of the injury as minor, or the opinion of supervisors that reporting was unnecessary. Students with previous practice on simulators or patients were significantly more likely to suffer NSIs. Instructions from occupational health specialists beforehand correlated with fewer NSIs.
CONCLUSIONS: We assume that trained students are more experienced in handling invasive procedures, leading to a greater adoption of corresponding activities and thus an increased risk of injuries in absolute numbers. This does not counter the need for didactic interventions prior to workplace-based training to raise awareness of NSI risks. Simultaneously, concepts must be developed and implemented to support reporting and alleviate fears regarding consequences.
摘要：
背景：针刺伤（NSI）对具有严重感染潜力的医护人员构成安全风险。目的是确定NSI的数量和原因以及医学生在研究的最后阶段报告NSI的频率。
方法：制定了在线问卷，并于2023年1月和2月向维尔茨堡大学学位课程最后1.5年的所有本科医学生（n=423）提供。德国。
结果：有效率为19.6%（n=84）。在受访者中，27.4%(n=23)报告至少一个NSI。手术中的发生尤其频繁，妇产科,和内科。协助程序，缝合,采血被认为是高风险活动。注意力不集中,分心,时间压力在事件中发挥了作用。受访者没有报告18.8%的NSI，主要原因是担心后果，对轻微伤害的自我评估，或监事认为报告是不必要的。以前在模拟器或患者上练习的学生更有可能遭受NSI。事先来自职业健康专家的指示与较少的NSI相关。
结论：我们假设受过训练的学生在处理侵入性程序方面更有经验，导致更多地采用相应的活动，从而增加了绝对数量的受伤风险。这并不能抵消在基于工作场所的培训之前进行教学干预以提高对NSI风险的认识的必要性。同时,必须制定和实施概念，以支持报告并减轻对后果的担忧。
方法：制定了在线问卷，并于2023年1月和2月向维尔茨堡大学学位课程最后1.5年的所有本科医学生（n=423）提供。德国。
结果：有效率为19.6%（n=84）。在受访者中，27.4%(n=23)报告至少一个NSI。手术中的发生尤其频繁，妇产科,和内科。协助程序，缝合,采血被认为是高风险活动。注意力不集中,分心,时间压力在事件中发挥了作用。受访者没有报告18.8%的NSI，主要原因是担心后果，对轻微伤害的自我评估，或监事认为报告是不必要的。以前在模拟器或患者上练习的学生更有可能遭受NSI。事先来自职业健康专家的指示与较少的NSI相关。
结论：我们假设受过训练的学生在处理侵入性程序方面更有经验，导致更多地采用相应的活动，从而增加了绝对数量的受伤风险。这并不能抵消在基于工作场所的培训之前进行教学干预以提高对NSI风险的认识的必要性。同时,必须制定和实施概念，以支持报告并减轻对后果的担忧。
