Title Ubodni incident u bolničkim uvjetima: kvantitativno-kvalitativno istraživanje iskustava i stavova medicinskih sestara / tehničara
Title (english) Needle stick injury in hospitals: a quantitative-qualitative study of experiences and attitudes of nursing personnel
Author Matea Križan
Mentor Tomislav Meštrović (mentor)
Committee member Rosana Ribić (predsjednik povjerenstva)
Committee member Tomislav Meštrović (član povjerenstva)
Committee member Marijana Neuberg (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2020-10-12, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Infectology
Abstract Ubodni incident je svaka ozljeda nastala ubodom oštrog predmeta koja sama po sebi,
ukoliko nije došlo do teže povrede, ne zahtjeva posebno zbrinjavanja, ali nažalost, može doći do
prijenosa infekcije sa oštrog predmeta na osobu kojoj se ozljeda dogodila. Profesionalno su
izloženi liječnici, medicinske sestre, spremačice te ostalo pomoćno osoblje koje dolazi u susret s
medicinskim otpadom i kontaminiranim rubljem. Prilikom ubodnog incidenta može doći do
prijenosa više od 20 različitih vrsta patogena koje se prenose krvlju od kojih su najopasniji
virusni hepatitis B, virusni hepatitis C i virus humane imunodeficijencije. Najviše ubodnih
incidenata se događa u tijeku rada sa pacijentom, nakon rada i prije odlaganja oštrih predmeta u
za to predviđene spremnike. Procjenjuje se da se u Hrvatskoj ne prijavljuje oko 32 000 ubodnih
incidenata godišnje. Ubodni incidenti najviše se ne prijavljuju zbog nepoznavanja procedure,
kako i kome prijaviti. Prevencija se sastoji u samom smanjenju broja incidenata tehničkim
mjerama, edukaciji medicinskih sestara, te dosljednom nošenju osobnih zaštitnih sredstava.
U svrhu istraživanja stavova medicinskih sestara / tehničara u bolničkim uvjetima o ubodnom
incidentu, konstruiran je polustrukturirani intervju. Naglasak je bio na iznošenje osobnih
stavova, ali i iskazivanje stavova nakon što se ubodni incident dogodio. U istraživanju je
sudjelovalo šesnaest medicinskih sestara / tehničara. Intervju se sastojao od tri skupine pitanja.
Rezultati provedenog istraživanja ukazuju da između broja ubodnih incidenata i radnog staža
na odjelu postoji statistički značajna povezanost, između broja ubodnih incidenata i dobi
ispitanika postoji statistički značajna povezanost i između broja ubodnih incidenata i stručne
spreme ispitanika (SSS, VŠS) ne postoji statistički značajna povezanost.
Stavovi ispitanika temeljeni su pretežito na problemima s kojima se susreću prilikom
ubodnog incidenta, ističu dobru upućenost na prijavljivanje ubodnog incidenta i poznavanje
protokola prijave ozljede oštrim predmetom i izloženosti krvi te postekspozicijske profilakse.
Kao najveći problem ispitanici ističu nedovoljnu edukaciju. Shodno tome je potrebno pokrenuti
određene edukacije, predavanja ili dijeljenje letaka, koje bi uključile medicinske sestre /
tehničare te na taj način pridonijeli stvaranju ukupno pozitivnog stava određenoj tematici i
lakšem pristupu prevenciji.
Abstract (english) Sharp injuries are caused by the sting/cut of a sharp pointed object does not require special
care or hospitalization unless there is a serious injury; unfortunately, there is always the risk of
infection that can be transmitted from the aforementioned object to the injured person. Within
their professions, doctors, nurses, cleaning and other support staff that are in contact with
medical waste and contaminated laundry are more exposed to injuries. More than 20 different
types of bloodborne pathogens can be transmitted during these types of incidents, the most
dangerous of which are hepatitis B, hepatitis C and human immunodeficiency virus (HIV). A
majority of stab wounds in medical professions occur during or after patient care and before
placing sharp objects in provided containers. It is estimated that, in Croatia, approximately 32
000 needle stick injuries and incidents with sharps are not reported every year. They are mostly
not reported due to the unfamiliarity with the procedure and reporting. Hence, prevention
consists in reducing the number of incidents by technical measures, education of nurses, as well
as consistent wearing of personal protective equipment.
In order to investigate attitudes of nurses/technicians about sharp injuries in hospital
conditions, a semi-structured interview was constructed. The emphasis was on expressing
personal views, but in addition this research endeavour took into consideration expressed views
after the incident occurred. Sixteen nurses/technicians participated in the study. The interview
consisted of three groups of questions.
The results indicate that there is a statistically significant correlation between the number of
incidents and the length of service in the department as well as a statistically significant
correlation between the number of sharp injuries and the age of the respondents. However, there
was no statistical correlation between the number of sharp injuries and the education of the
respondents (secondary school, university degree).
Respondents’ attitudes were based mainly on the problems they encountered during the
incident and emphasize good knowledge on reporting and awareness of the protocol for reporting
sharp injuries and blood exposure, as well as post-exposure prophylaxis. The respondents
pointed out insufficient and inadequate education as the biggest problem. In conclusion, it is
necessary to initiate certain training programs, lectures or leaflet distribution which would
involve nurses/technicians and thus contribute to the creation of an overall positive attitude to a
particular topic and, in turn, easier access to its prevention.
Keywords
ubodni incident
medicinske sestre / tehničari
stavovi
prevencija
Keywords (english)
sharp injuries
nurses/technicians
attitudes
prevention
Language croatian
URN:NBN urn:nbn:hr:122:728187
Study programme Title: Nursing Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2021-02-10 08:13:54