International Journal of Scientific & Technology Research

IJSTR@Facebook IJSTR@Twitter IJSTR@Linkedin
Home About Us Scope Editorial Board Blog/Latest News Contact Us

IJSTR >> Volume 2- Issue 9, September 2013 Edition

International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616

Incidence Of Needle Stick Injury Among Proficiency Certificate Level Nursing Students In Kathmandu, Nepal

[Full Text]



Binita Kumari Paudel, Kanchan Karki, Leena Dangol, Arjun Mani Guragain



Key words: Incidence, Needle Stick Injury, Nepal, Nursing Students



Abstract: An academic institution based cross- sectional survey was done to identify the incidence density of needle stick injury among PCL level nursing students. Multi stage sampling method was used to select 407 samples from nursing students studying inside Kathmandu valley. Self administered questionnaire and review the records guideline were used as research tool. Incidence density was calculated by using R software. Out of total participated students, 46.9 % had have needle stick injuries in the past and 44.7% experienced it more than one time. The overall incidence density was found 5.82/person 1000 days exposure. The incidence density in night shift (6.86) and in second year practicum period (6.91) was found higher than day shift (5.41) and first year (4.21) respectively. Out of total 298 injuries, 67.8 % were happened during medication, 41% while drawing medicine, 20% while recapping the needle and 45.1 % at medical ward. Only 46.6% injuries were reported and prophylaxis was used only in five injuries. However, almost all the students (98.3%) stated that they follow universal precaution but only 28% practicing no-recapping. Although the curriculum focuses on no recapping, there is a common practice of reusing syringes for the same patient in Nepal. Therefore, students must have to recap the needle. So, it is recommended that content in the curriculum and universal precaution training should be revised in the context of Nepal. Thirty one percent students also stated that needle should recap properly by using one hand technique for the prevention of needle stick injury. It is also recommended to develop standard operating procedure for proper post exposure management of needle stick injury.



[1]. M. Saia, F. Hofmann and et al. “Needlestick Injuries: Incidence and Cost in the United States, United Kingdom, Germany, France, Italy, and Spain” Biomedicine International. 1: 41-49, 2010

[2]. A Prüss-Üstün, E Rapiti, Y Hutin. “Sharps injuries: Global burden of disease from sharps injuries to health-care workers” Environmental burden of disease series No. 3. World Health Organization 2003.

[3]. T.C. Goob, S.M. Yamada, R.E. Newman, T.M. Cashman. “ Bloodborne exposures at a United States Army Medical Center”. Appl Occup Environ Hyg. 14(1):20-5, Jan 1999

[4]. D.L., Gurubacharya , K. C. Mathura, D. B. Karki “Knowledge, attitude and practices among health care workers on needle-stick injuries”. kathmandu medical college Journal , 91-94 2003.

[5]. L. Blackwell, J. Bolding, E. Cheely, E. Coyle, J. McLester and et al. “Nursing Students' Experiences with Needlestick Injuries”. Lander University, Greenwood, SC .2007. Retrieved on 12 5, 2011, from

[6]. M. Y Narsayani & Hassim, I. N. “Study on Incidence of needle stick injury and factor associated with this problem among medical students”. Journal of occupational health. 172-178; 2003.

[7]. P. Hulme. Letter to Editors: Incidence of needlestick injuries among Ugandan student nurses in a rural hospital. Rural and Remote Health 9:1185; 2009.

[8]. H. Habib, K.E. Ahmed, A. Aziz. “Prevalence and Factors Associated with Needle Stick Injuries among Registered Nurses in Public Sector Tertiary Care Hospitals of Pakistan.” International Journal of Collaborative Research on Internal Medicine & Public Health. 3 (2):124-130. 2011 Retrieved on 15, 05 2012 from URL: http://iomcworld.com/ijcrimph/ijcrimph-v03-n02-01.htm

[9]. R. Sharma, S.K. Rasinia, A. Verma and S. Singh. “ Study of Prevalence and Response to Needle Stick Injuries among Health Care Workers in a Tertiary Care Hospital in Delhi, India”. Indian J Community Med.; 35(1): 74–77. 2010 doi: 10.4103/0970-0218.62565

[10]. E. M. Mbaisi, Z. Ng’ang’a, P Wanzala and J. Omolo. “Prevalence and factors associated with percutaneous injuries and splash exposures among health-care workers in a provincial hospital, Kenya”. Pan African Medical Journal. 14:10. 2013. doi:10.11604/pamj.2013.14.10.1373

[11]. Health Research Methodology: a guide for Training in Research Methods. Manila: World Health Organization. 2001

[12]. Polit, D. F. & Hungler, B. P. “Nursing Research: Principles and Methods”. J.B. Lippincott Company 1995.