The Study on the Effect of Decreasing the Needlestick Injury by the Creativity of Nursing Staff

Wednesday, 1 August 2012

Lo-Hua Wu, BS1
Huan-Fang Lee, RN2
Pi-Hwa Sheng, BS1
(1)Nursing, Chi Mei Medical Center, Tainan, Taiwan
(2)Institute of Allied Health Sciences/ Department of Nursing, National Cheng Kung University/Chi Mei Medical Center, Yung Kung, Taiwan

Learning Objective 1: The learner will be able to understand what kind of creativity and team cooperation were used to dreased needlestick injury

Learning Objective 2: The learner will be able to know the rate of needlestick injury in taiwan


     The most common occupational injury to clinical nurses was the needlestick. Needlestick injury would cause a tremendous threatto the safety and health of nursing staff. The purpose of this project was to explore the effect of decreasing the needlestick injury by the creativity of nursing staff in a medical center of southern Taiwan.


     Nursing administration monthly collected the incident numbers and analyzed the causes to needlestick injury of nurses. The cause with high frequency would be improved with top priority. The safety appliances for the protection of needlestick injury were provided to nurses in phase 1. The creativity of nursing staff was also encouraged to invent more feasible safety appliances for clinical application. In phase 2, the appropriate usage rules of needles was introduced and to nurses by on-job training programs. In phase 3, the competition to campaign for the slogans of anti-needlestick was held in the nursing staff to remind them about the obedience to safety rules in their daily work. The trend curve was used to evaluate the effectiveness.


    The top 4 causes of the needlestick injury to nurses were analyzed in sequence to be the disposal of used needles, the withdrawal of needles in the surgical operation, the process to recap needles, and the dysphoria of patients. There were 110 incidents of needlestick injury happened in 2006. After the interventions involved, the average were 64 incidents in 2007 to 2008, and decreased to 41 incidents in 2009 to 2010. The rate of improvement from 2006 to 2010 was 62.7%.


     The feasible safety appliances for the protection of needlestick injury to nurses were made by the creativity and team cooperation of nursing staff. With the aid of on-job training and the communication by slogans, the rate of needlestick injury could be decreased effectively.