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NTIS 바로가기기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, v.25 no.4, 2018년, pp.231 - 239
최민정 (가톨릭대학교 간호대학) , 정승교 (세명대학교 간호학과) , 박진희 (우석대학교 간호학과) , 장수정 (우석대학교 간호학과) , 송경애 (가톨릭대학교 간호대학)
Purpose: This study was done to understand nursing students' exposure of needlestick and sharp injuries (NSSI), level of anxiety as well as experience of practicing injection with human beings during Fundamentals of Nursing (FN) practice. Methods: Data consisted of self-report questionnaires complet...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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찔림사고가 발생한 상황은 어떤 것들이 있는가? | 0% 이었다(Table 2). 찔림사고가 발생한 상황은 ‘투약물품 정리 시’ (52.0%), ‘바이알의 뚜껑이나 앰플 개봉 시’(34.0%), ‘주사 바늘 제거 시’(11.0%) ‘주사바늘 삽입 시’(10.0%) 순이었다. 찔림사고를 경험한 100명 중에 부작용으로 병원을 방문한 학생은 2명이었고, 치료유형은 ‘문진’, ‘문진과 약물투약’이었다. | |
외국의 침습적인 주사실습은 어떻게 이뤄진다고 보고되는가? | 반면에 인체에 침습적인 주사실습은 실제적인 감각을 익힐 수 있으나 숙련도가 낮은 간호대학생이 부작용에 노출될 위험이 있다[5]. 국외 간호대학에서는 실험실 주사실습을 모형으로 제한하거나[7], 모형 연습 후 동의서를 작성한 학생만 인체 주사실습을 수행하고 있다[8]. 그러나 우리나라에서는 임상실습 중인 간호 대학생의 침습적 주사실습에 대한 보고가 있을 뿐[9], 기본간호학 실습에서 학생들이 보고한 침습적 주사실습 현황 및 경험에 대한 연구는 부족하다. | |
기본간호학 주사실습의 어려움은 무엇인가? | 기본간호학 주사실습에서 모형 등을 활용한 비침습적 주사 실습은 안전하고 반복훈련을 할 수 있으나[6], 인체에 대한 부적응으로 임상 현장에서 문제를 야기할 수 있다[7]. 반면에 인체에 침습적인 주사실습은 실제적인 감각을 익힐 수 있으나 숙련도가 낮은 간호대학생이 부작용에 노출될 위험이 있다[5]. |
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International Safety Center. EPINet report for needlestick and sharp object injuries [Internet]. International Safety Center; 2015 [cited 2018 March 14]. Available from: https://internationalsafetycenter.org/wp-content/uploads/2017/06/Official-2015-NeedleSummary.pdf
Chaung SK, Choi MJ, Park JH, Kim HJ, Sohng KY. Nursing students' exposure to needle stick and sharp injuries, faculty's stress and necessity of informed consent in Fundamental Nursing Practice. Journal of Korean Academy of Fundamental Nursing. 2017;24(4):277-285. https://doi.org/10.7739/jkafn.2017.24.4.277
Hilton P, Barrett D. An investigation into students' performance of invasive and non-invasive procedures on each other in classroom settings. Nurse Education in Practice. 2009;9(1):45-52. https://doi.org/10.1016/j.nepr.2008.03.005
Redford DS, Klein T. Informed consent in the nursing skills laboratory: an exploratory study. Journal of Nursing Education. 2003;42(3):131-133. https://doi.org/10.3928/0148-4834-20030301-09
Choi S. Effects of injection practice education methods on anxiety in nursing students. Korean Parent-Child Health Journal. 2016;19(1):17-24.
Pruss-Ustun A, Rapiti E, Hutin Y. Sharps injuries: global burden of disease from sharps injuries to health-care workers [Internet]. Geneva: World Health Organization; 2003 [cited 2018 March 14]. Available from: http://www.who.int/quantifying_ehimpacts/publications/9241562463/en/
Spielberger CD. Anxiety: State-trait process. In: Spielberger CD, Sarason IG, editors. Stress and Anxiety. 1. New York: Wiley; 1975. p. 115-143.
Zhang X, Chen Y, Li Y, Hu J, Zhang C, Li Z, et al. Needlestick and sharps injuries among nursing students in Nanjing, China. Workplace Health & Safety. 2018;66(6):276-284. https://doi.org/10.1177/2165079917732799
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Li Y, Scott CS, Li L. Chinese nursing students' HIV/AIDS knowledge, attitudes, and practice intentions. Applied Nursing Research. 2008;21(3):147-152. https://doi.org/10.1016/j.apnr.2006.10.004
Trivedi A, Kasar PK, Tiwari R, Verma P, Sharma A. An educational intervention programme for prevention and management of needle stick injuries among nursing students at a tertiary care hospital, Jabalpur, Madhya Pradesh. National Journal of Community Medicine. 2013;4(1):132-136.
Park JH, Chon HK, Jeong SH, Hwang JH, Lee CS, Lee HB. Nursing students' exposure to blood and body fluids in clinical practicum. Journal of East-West Nursing Research. 2010;16(1):70-75.
Kim SS, Shin G, Kim J. Needlestick and sharps injuries of nursing students. Journal of Korean Biological Nursing Science. 2011;13(2):174-178.
Hambridge K, Nichols A, Endacott R. The impact of sharps injuries on student nurses: a systematic review. British Journal of Nursing. 2016;25(19):1064-1071. https://doi.org/10.12968/bjon.2016.25.19.1064.
Gillis J. Accidental needlestick injuries: a current issue for workers in the health-care industry and their employers. Leadership in Health Services. 2000;13(1):1-5. https://doi.org/10.1108/13660750010304194.
Cheung K, Ching SS, Chang KK, Ho SC. Prevalence of and risk factors for needlestick and sharps injuries among nursing students in Hong Kong. American Journal of Infection Control. 2012;40(10):997-1001. https://doi.org/10.1016/j.ajic.2012.01.023.
Zungu LI, Sengane ML, Setswe KG. Knowledge and experiences of needle prick injuries (NPI) among nursing students at a university in Gauteng, South Africa. South African Family Practice. 2008;50(5):48-48c. https://doi.org/10.1080/20786204.2008.10873762
Lukianskyte R, Gataeva J, Radziunaite L. Needle sticks and sharps injuries experienced by staff nurses and nursing students and their prevention. International Journal of Infection Control. 2012;8(1):i1. https://doi.org/10.3396/ijic.v8i1.002.12
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Karadag M. Occupational exposure to blood and body fluids among a group of Turkish nursing and midwifery students during clinical practise training: frequency of needlestick and sharps injuries. Japan Journal of Nursing Science. 2010;7(2):129-135. https://doi.org/10.1111/j.1742-7924.2010.00148.x
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Yao WX, Wu YL, Yang B, Zhang LY, Yao C, Huang CH, et al. Occupational safety training and education for needlestick injuries among nursing students in China: intervention study. Nurse Education Today. 2013;33(8):834-837. https://doi.org/10.1016/j.nedt.2012.02.004
Choi JS, Eom MR. Development and evaluation of an e-learning blood-borne infection control program for nursing students. Journal of Korean Academy of Fundamental of Nursing. 2010;17(2):249-258.
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