nursing research on recapping of needles
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Group 5 Go Beyond !
“Recapping of Needles: The Davao Doctors College BSN 4 Student
Nurses Experiences “
Group 5-13B
Chapter 1Introduction
Recapping of needles has turned out to be hazardous over these years. Some studies in the global setting support the fact that it leads to accidental injuries to any healthcare nurse. These needle stick injuries(NSIs) result into infection, thus putting anyone life at risk(Blackwell,et al,2007)
Considering these facts, we researchers therefore attempt to explore further the experiences of teh student nurses of Davao Doctors College on recapping the needles and propose intervention scheme to address or alleviate this concern.
Theoretical framework Variables
Neuman system model -physiologic
Flexible Line of Defense(FLD) -psychologic
Normal Line of Defense(NLD) -developmental
Line of Resistance (LOR) -sociocultural
-Spiritual
Conceptual framework Input Output
Experiences of DDC BSN 4 students on recapping of needles
Purpose of the study:
The purpose of the study is to describe how varied the experiences are of the BSN 4 students in recapping of needles. Also the study envisions to discover the extent of the knowledge, attitude and practice of these participants in recapping of needles. The following research questions guide the study:
How do the participants describe their experiences in recapping of needles
What do they know about the risk which they can acquire from their needle stick injuries?
What actions do they propose to address their concerns on the risk?
Significance of the study:
College of nursing Administration:sound basis for policy formulation
Clinical instructors :provide our clinical instructor baseline information to develop instructions
Student nurses:provide our fellow student nurses relevant data
Future researcher :provide future researcher some baseline date which they could use for support
Limitation of the study:
Focus: describing the experiences of our student participants on recapping of needles
Participants : BSN 4 students enrolled in RLE 2nd semester S.Y. 2009-2010
Chapter 2Methodolgy
Design : Qualitative Method Phenomenology
Sampling: Purposive sampling-BSN 4 RLE students in S. Y 2009-2010 ( atleast 10)
Measures: Materials Interview guide with open ended question FGD(atleast 10) KII ( atleast 10) Treatment: Conformability
Chapter 3Results and discussion
Description of experiences in recapping of needles:
InputFGD(focus group discussion)nervousness (factor CI’s presence)Shakiness of handsPainful ( got pricked)natural and confident in perform
KII (key-informant-interview)naturalnervous and fear (factor CI’s presence )threw the syringe with out recappingShakiness in performingForgetfulness to fishhook
Feelings during the time of recapping:
FGD(focus group discussion)
Nervousness because of cis presencePainfull(got prickedConfident Confused Easy
KII (key-informant-interview)
Feel panic Fearful and stressful during rdShivering during rdFear of pain and infectionEasy
Knowledge of the BSN 4 participants on the risk they may possibly exposed in recapping of needles:
FGD(focus group discussion)
All 16 participants are aware about the risk they can acquire ,however pt 16 emphasizes the pain of the needle prick injury than the disease acquired
KII (key-informant-interview)
All 17 participants are aware of the risk that they may acquire(eg HIV, hepa B and C;aids)
Knowledge of BSN 4 participants on what to do after getting pricked:
FGD(focus group discussion)
Wash wound and soap and waterReport to CIFailed to perform proper recapping procedure
KII (key-informant-interview)
Wash hands in running water soap and apply alcohol afterwardsReport the incident to CI
Suggestion of bsn 4 particpants on recapping of needles:
FGD(focus group discussion)
Follow the guide lines on what to do when accidentally injuredAvoid washing hands after procedure to prevent muscle spasmListen to ci during rdPractice recapping several timesFocus and presence of mind..
KII (key-informant-interview)
Proper procedure must observedBe careful when performingreport to CI any healthcare team when injured
Chapter 4Summary
Purpose:
described how varied the experiences were BSN 4 students in recapping of needles
envisioned to discover the extent of the knowledge attitude and practices of these participants in the recapping of needles
Research question:
How do the participants describe their experiences in recapping of needles?
What do they know about the risk which they can acquire from their needle stick injuries?
what actions do they propose to address their concerns on the risk?
Method –Qualitative Research-Phenomenology
FGD(focus group discussion)
KII (key-informant-interview)
Participants purposively selected:
BSN 4 students in RLE 2nd sem. S. Y 2009-2010 at DDC Finding of the study
Findings of the study:
experiences varied because of the pressure which most of them across under a circumstances
different in attitude towards recapping of needles
Knowledge about possible disease or blood borne pathogens that they may acquire.
knowledge about the measures or steps on what to do when injured by a needle during recapping from reading the guidelines posted in the hospital
Conclusion:We concluded that the difference of our participants in
experiences which were indicated in their knowledge , attitudes and practices during and after recapping procedure was ascribed to the kind of training which their clinical instructor provided foe them in rd. However most of them confessed that their CIs had not taught them of the proper steps or action to do when an incident of needles injury occurred .Some would not like to report about the injury
Both from the KII and FGD had some ideas on how to address the problem incurred from recapping procedure
Recommendation:
To college of nursing administration:sound basis for policy formulation
To clinical instructor :
Provide students with adequate knowledge of the prevalence of risk to caution them to perform recapping of needlesMust educate in mind of the students the urgency of reporting the injury when injured To student nurses: must seek assistance from CI’s whenever they are doubtful in performing recapping
Proposed Intervention Scheme:
Our findings had shown that Return Demonstration greatly influences the BSN-4 experiences' in recapping of needles. Most of them failed to do the standard procedure due to some circumstances, factors, and moreover because of lack of emphasis during lecture and return demonstration.
Thus, researchers proposed the following interventions to increase awareness, skills and compliance to prevent needle stick injury to nursing students of Davao Doctors College.
In lecture and return demonstration, we would like to add emphasis on the proper procedure on recapping of needles under the concept on administration of therapeutic agents (e.g. Intramuscular (IM) injection, Intradermal (ID) injection, and Subcutaneous (SC) injection). The following techniques are proposed to be included and focused during Lecture Demonstration in injection (IM, ID and SC) and Related Learning Experience NCM 101:
One-hand Recapping (“Scoop”) Technique
Many accidental needlesticks occur when staff recap needles. Recapping is a dangerous practice: If at all possible, dispose of needles immediately without recapping them. If it is necessary to recap a needle (for example, to avoid carrying an unprotected sharp when immediate disposal is not possible), do not bend or break the needle or remove the needle from the syringe by hand. To safely recap needles use “the one-hand” technique:
Step 1: Place the cap on a flat surface, then remove your hand from the cap.
Step 2: With one hand, hold the syringe and use the needle to “scoop up” the cap.
Step 3: When the cap covers the needle completely, use the other hand to secure the cap on the needle hub. Be careful to
handle the cap at the bottom only (near the hub).
Hands-free Technique for Passing Sharps
Health care personnel can accidentally stick each other when passing sharps during a procedure particularly in
Operating Theater.
Always pass sharps in such a way that the surgeon and assistant are never touching the item at the same time. This is known as the “hands-free” technique.
To use the hands-free technique: The assistant puts the sharp in a sterile kidney basin or other “safe zone” in the sterile field. The assistant tells the service provider that the sharp is in the safe zone.The provider picks up the sharp item, uses it, and
returns it to the safe zone.
Group 5 God bless ..