Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.

Sharps injuries can transmit fatal blood-borne infections to injured health care workers. These blood-borne infections have serious consequences, including long-term illness, disability and death. The operating room is a fast-paced, hazardous working environment, where personnel are constantly exposed to sharps injuries. The psychological aspects of these injuries have received little attention. The emotional impact of a sharps injury can be severe and long lasting, even when a serious infection is not transmitted. Furthermore, according to literature, the mean rates of underreporting sharps injuries vary between twenty two and seventy five percent. The research objectives of this qualitative, explorative and descriptive study were to explore and describe the experiences of operating room personnel in the southern district of the North-West province in South Africa after sharps injuries, to explore and describe the reasons why they do not always report these incidents, to explore and describe what could be done to increase reporting of sharps incidents in operating rooms by personnel and to propose guidelines to support operating room personnel after a sharps injury. In order to achieve these objectives, the researcher gathered data by conducting semi-structured interviews with operating room personnel who had experienced sharps injuries in hospitals of the southern districts of the North-West in South Africa. Ethical considerations were adhered to by the researcher. Permission to conduct research was negotiated by the researcher with management of the hospitals in the target area. Voluntary, informed consent in writing was obtained from all participants before interviews were conducted. Data saturation was reached after 17 interviews were conducted with participants. Data were analysed with the help of an experienced co-coder. The researcher and co-coder reached consensus during a meeting organised for the purpose. Then the data were related to relevant literature. Seven categories emerged from the data analysis: Mechanisms of sharps injuries in the operating room, practical measures taken after a sharps injury, reasons for not reporting all sharps injuries, emotions experienced after a sharps injury, impact of sharps injuries on relationships, the support received by participants after a sharps injury and their coping mechanisms after a sharps injury. Several conclusions were drawn by the researcher from the data. Although all hospitals in this study had a reporting system in place, operating room personnel participating in this study did not report all their sharps injuries. They received no or insufficient support from hospital management after a sharps injury. No or insufficient communication existed between hospital management and participants in this study after these incidents. From these findings the researcher proposed guidelines for support to operating room personnel after sharps injuries and to increase the reporting of these incidents. The researcher also compiled recommendations for nursing practice, nursing education and nursing research in the operating room. / Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.

Sharps injuries can transmit fatal blood-borne infections to injured health care workers. These blood-borne infections have serious consequences, including long-term illness, disability and death. The operating room is a fast-paced, hazardous working environment, where personnel are constantly exposed to sharps injuries. The psychological aspects of these injuries have received little attention. The emotional impact of a sharps injury can be severe and long lasting, even when a serious infection is not transmitted. Furthermore, according to literature, the mean rates of underreporting sharps injuries vary between twenty two and seventy five percent. The research objectives of this qualitative, explorative and descriptive study were to explore and describe the experiences of operating room personnel in the southern district of the North-West province in South Africa after sharps injuries, to explore and describe the reasons why they do not always report these incidents, to explore and describe what could be done to increase reporting of sharps incidents in operating rooms by personnel and to propose guidelines to support operating room personnel after a sharps injury. In order to achieve these objectives, the researcher gathered data by conducting semi-structured interviews with operating room personnel who had experienced sharps injuries in hospitals of the southern districts of the North-West in South Africa. Ethical considerations were adhered to by the researcher. Permission to conduct research was negotiated by the researcher with management of the hospitals in the target area. Voluntary, informed consent in writing was obtained from all participants before interviews were conducted. Data saturation was reached after 17 interviews were conducted with participants. Data were analysed with the help of an experienced co-coder. The researcher and co-coder reached consensus during a meeting organised for the purpose. Then the data were related to relevant literature. Seven categories emerged from the data analysis: Mechanisms of sharps injuries in the operating room, practical measures taken after a sharps injury, reasons for not reporting all sharps injuries, emotions experienced after a sharps injury, impact of sharps injuries on relationships, the support received by participants after a sharps injury and their coping mechanisms after a sharps injury. Several conclusions were drawn by the researcher from the data. Although all hospitals in this study had a reporting system in place, operating room personnel participating in this study did not report all their sharps injuries. They received no or insufficient support from hospital management after a sharps injury. No or insufficient communication existed between hospital management and participants in this study after these incidents. From these findings the researcher proposed guidelines for support to operating room personnel after sharps injuries and to increase the reporting of these incidents. The researcher also compiled recommendations for nursing practice, nursing education and nursing research in the operating room. / Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.

Thesis advisor: Rosanna F. DeMarco / The purpose of this study was to understand the lived experience and meanings of percutaneous injury (PI) and its aftermath among US registered nurses. An interpretive phenomenological approach was utilized to carry out the study which included nine percutaneous injury experiences. Van Manen's existential framework was used as a reflective guide. Findings from this study emerged as three essential themes which were common to all participants: being shocked: the potential of a serious or life-threatening infection; needing to know it's going to be okay; and sensing vulnerability. The first theme, <italic>being shocked</italic>, was identified as the primary mode of living with the sudden occurrence of PI. In the moment of injury, participants' language reflected shock and an immediate consciousness of the potential threat of a serious or life-threatening infection. Nurses' responses were visceral and emotional. All acted on their need to reduce foreign blood contamination and the urgency they felt for immediate care. <italic>Needing to know it's going to be okay</italic> represented the initial meaning of living in the aftermath of PI as nurses assessed their risk and sought post exposure intervention and caring responses from others. <italic>Sensing vulnerability</italic> was identified as the secondary mode of living in the aftermath of PI as participants reflected on the fragile nature of health into the future, distinguished between supportive vs. non-supportive relationships in their overall PI experience, and identified the need to be vigilant in the future with respect to their health, life and PI prevention. Together, these three essential themes and their dimensions represent the essence and meanings of percutaneous injury and its aftermath for at least one group of US registered nurses. Findings in this study support the conclusion that the lived experience of PIs and its aftermath imposed a significant psychological burden on nurses. These findings offer a better understanding of the essence and meanings of PI and its aftermath and contribute knowledge to inform nursing education, nursing practice, health policy and future research. / Thesis (PhD) — Boston College, 2010. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

Medical trainees (medical students and resident physicians) are at high risk of sharps injury (needlestick injury). High rates of sharps injury in this population and the risk incurred by exposure to bloodborne pathogens poses a threat both to medical trainees who are at risk for bloodborne pathogen exposure and to training institutions for legal and financial reasons. This study examines the prevalence of sharps injuries in medical trainees at the University of South Florida and compares that to data on sharps injuries in US medical trainees. Data from the present study was compared to previously collected USF medical trainee sharps injury data. Results from this study demonstrated that residents had higher rates of sharps injury than medical students. A prior USF study of similar data from academic years 2002-2008 had similar findings. This study demonstrated a peak in sharps injury rate in first year residents, similar to the prior USF study. Resident rates remained highest in Surgery and lowest for Psychiatry and Pediatrics. This information can be used to focus hazard analysis and risk reduction efforts at USF Health. This data can also be combined with the known efficacy of simulated training experience should encourage increased use of USF’s center for advanced medical simulation (CAMLS) to increased procedural experience in medical students and junior residents and decrease their exposure to bloodborne pathogens by increasing knowledge and procedural safety.