Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia.
Faculty of Nursing, University of El Imam El Mahdi Faculty of Medicine and Health Sciences, Nursing, Kosti, Sudan.
J Clin Nurs. 2023 Sep;32(17-18):5619-5631. doi: 10.1111/jocn.16661. Epub 2023 Feb 26.
Nurses usually provide direct patient care. However, they account for the majority of healthcare workers (HCWs) injured by needles or other sharp objects.
To assess the prevalence of needle stick injuries (NSI) among nurses worldwide; according to WHO regions, the socioeconomic development index (SDI) of countries, and the developmental status of individual countries, and in the Middle East.
Systematic review and meta-analysis.
We searched PubMed, Scopus, and Web of Science databases. We calculated the pooled NSI prevalence estimates using a random-effect meta-analysis with the Comprehensive Meta-Analysis software. The report of the study was in accordance with the PRISMA 2020 statement.
The overall worldwide NSI prevalence pooled from our analysis was 40.97% (95% confidence interval [CI]: 31.29-50.63%, p = .00001). A subgroup analysis of NSI prevalence according to WHO regions revealed the highest prevalence in Southeast Asia (49.9%, 95% CI: [23.4-76.3%]) and the lowest in the United States of America (25.1%, 95% CI: [18.1-32.1%]), respectively. The pooled prevalence in developed and developing countries was 30.5% (95% CI: 27.3-33.8%) and 46.6% (95% CI: 33.7-59.5%), respectively. According to the SDI, NSI prevalence was highest in low-middle SDI countries (48.9% [95% CI: 30.7-67.2%]).
Our results showed a high NSI prevalence among nurses worldwide. Developing countries had a significantly higher NSI prevalence than developed countries, especially low-middle SDI countries.
This study highlighted the prevalence of NSI risk among nurses practising in clinical settings worldwide. The study findings suggest that continuous training programs should be implemented for nurses to enhance their knowledge, performance and attitude toward NSI prevention in clinical settings.
Contributions from patients or the public are irrelevant because the purpose of this study was to examine the global prevalence of NSIs in nurses.
护士通常直接为患者提供护理。然而，他们也是医护工作者（HCWs）中因针具或其他锐器受伤的主要人群。
评估全球范围内护士的针刺伤（NSI）发生率；根据世卫组织区域、国家的社会经济发展指数（SDI）以及各国的发展状况，对中东地区进行评估。
系统综述和荟萃分析。
我们检索了 PubMed、Scopus 和 Web of Science 数据库。我们使用 Comprehensive Meta-Analysis 软件进行随机效应荟萃分析，计算了汇总的 NSI 发生率估计值。本研究报告符合 PRISMA 2020 声明。
我们的分析得出的全球范围内 NSI 总体发生率为 40.97%（95%置信区间[CI]：31.29-50.63%，p=0.00001）。根据世卫组织区域对 NSI 发生率进行的亚组分析显示，东南亚的发生率最高（49.9%，95%CI：[23.4-76.3%]），而美利坚合众国的发生率最低（25.1%，95%CI：[18.1-32.1%]）。发达国家和发展中国家的汇总发生率分别为 30.5%（95%CI：27.3-33.8%）和 46.6%（95%CI：33.7-59.5%）。根据 SDI，中低等 SDI 国家的 NSI 发生率最高（48.9% [95% CI：30.7-67.2%]）。
我们的研究结果显示，全球范围内护士的 NSI 发生率较高。发展中国家的 NSI 发生率明显高于发达国家，尤其是中低等 SDI 国家。
本研究强调了全球范围内在临床环境中从事护理工作的护士的 NSI 风险发生率。研究结果表明，应针对护士实施持续的培训计划，以增强他们在临床环境中预防 NSI 的知识、表现和态度。
本研究的目的是检查全球范围内护士的 NSI 发生率，因此患者或公众的贡献不相关。
