Predicting needlestick and sharps injuries in nursing students: Development of the SNNIP scale

Annamaria Bagnasco; Milko Zanini; Gianluca Catania; Roger Watson; Mark Hayter; Nicoletta Dasso; Guglielmo Dini; Antonella Agodi; Cesira Pasquarella; Carla Maria Zotti; Paolo Durando; Loredana Sasso; Martina Barchitta; Andrea Maugeri; Giuliana Favara; Roberta Magnano San Lio; Angelo Rossini; Raffaele Squeri; Cristina Genovese; Smeralda D'Amato; Vincenza La Fauci; Stefano Tardivo; Francesca Moretti; Alberto Carli; Beatrice Casini; Angelo Baggiani; Marco Verani; Anna Rita Giuliani; Leila Fabiani; Silvia D'Eugenio; Giovanni Boccia; Emanuela Santoro; Giovanni Battista Orsi; Christian Napoli; Marzia Montesano; Stefania Berdini; Enrico Bertamino; Antonio Perre; Alessandro Zerbetto; Marcello D'Errico; Sandro Ortolani; Maurizio Mercuri; Tiziana Traini; Adoriano Santarelli; Rita Fiorentini; Tiziana Benedetti; Maria Teresa Montagna; Simona Mascipinto; Ida Torre; Francesca Pennino; Daniela Schiavone; Anna Maria Iannicelli; Edoardo Tartaglia; Licia Veronesi; Lucia Palandri; Mariana Sao Miguel Morgado; Leandra Giudice; Cristina Arrigoni; Leandro Gentile; Barbara Bascapè; Ida Mura; Giovanni Sotgiu; Ilaria Barberis; Francesca Maria Bersi; Alessia Manca; Emanuela Massa; Alfredo Montecucco; Alborz Rahmani; Sonia Zacconi; Matteo Riccò; Nicola Magnavita; Reparata Rosa Di Prinzio; Maria Valeria Torregrossa; Giuseppe Calamusa; Alberto Firenze; Annalisa Bargellini; Paola Ferri; Elena Righi; Elisabetta Carraro; Alberto Borraccino; Deborah Traversi; Maria Chiara Ottino; Tatjana Baldovin; Sara Dalla Torre; Arda Sulaj; Ada Bianco; Valeria Teti; Roberto Novati; Roberta Oriani

doi:10.1002/nop2.540

Predicting needlestick and sharps injuries in nursing students: Development of the SNNIP scale

Nurs Open. 2020 Jun 28;7(5):1578-1587. doi: 10.1002/nop2.540. eCollection 2020 Sep.

Authors

Annamaria Bagnasco¹, Milko Zanini¹, Gianluca Catania¹, Roger Watson², Mark Hayter², Nicoletta Dasso¹, Guglielmo Dini³, Antonella Agodi⁴, Cesira Pasquarella⁵, Carla Maria Zotti⁶, Paolo Durando³, Loredana Sasso¹, Martina Barchitta^{1

2

3

4

5

6}, Andrea Maugeri^{1

2

3

4

5

6}, Giuliana Favara^{1

2

3

4

5

6}, Roberta Magnano San Lio^{1

2

3

4

5

6}, Angelo Rossini^{1

2

3

4

5

6}, Raffaele Squeri^{1

2

3

4

5

6}, Cristina Genovese^{1

2

3

4

5

6}, Smeralda D'Amato^{1

2

3

4

5

6}, Vincenza La Fauci^{1

2

3

4

5

6}, Stefano Tardivo^{1

2

3

4

5

6}, Francesca Moretti^{1

2

3

4

5

6}, Alberto Carli^{1

2

3

4

5

6}, Beatrice Casini^{1

2

3

4

5

6}, Angelo Baggiani^{1

2

3

4

5

6}, Marco Verani^{1

2

3

4

5

6}, Anna Rita Giuliani^{1

2

3

4

5

6}, Leila Fabiani^{1

2

3

4

5

6}, Silvia D'Eugenio^{1

2

3

4

5

6}, Giovanni Boccia^{1

2

3

4

5

6}, Emanuela Santoro^{1

2

3

4

5

6}, Giovanni Battista Orsi^{1

2

3

4

5

6}, Christian Napoli^{1

2

3

4

5

6}, Marzia Montesano^{1

2

3

4

5

6}, Stefania Berdini^{1

2

3

4

5

6}, Enrico Bertamino^{1

2

3

4

5

6}, Antonio Perre^{1

2

3

4

5

6}, Alessandro Zerbetto^{1

2

3

4

5

6}, Marcello D'Errico^{1

2

3

4

5

6}, Sandro Ortolani^{1

2

3

4

5

6}, Maurizio Mercuri^{1

2

3

4

5

6}, Tiziana Traini^{1

2

3

4

5

6}, Adoriano Santarelli^{1

2

3

4

5

6}, Rita Fiorentini^{1

2

3

4

5

6}, Tiziana Benedetti^{1

2

3

4

5

6}, Maria Teresa Montagna^{1

2

3

4

5

6}, Simona Mascipinto^{1

2

3

4

5

6}, Ida Torre^{1

2

3

4

5

6}, Francesca Pennino^{1

2

3

4

5

6}, Daniela Schiavone^{1

2

3

4

5

6}, Anna Maria Iannicelli^{1

2

3

4

5

6}, Edoardo Tartaglia^{1

2

3

4

5

6}, Licia Veronesi^{1

2

3

4

5

6}, Lucia Palandri^{1

2

3

4

5

6}, Mariana Sao Miguel Morgado^{1

2

3

4

5

6}, Leandra Giudice^{1

2

3

4

5

6}, Cristina Arrigoni^{1

2

3

4

5

6}, Leandro Gentile^{1

2

3

4

5

6}, Barbara Bascapè^{1

2

3

4

5

6}, Ida Mura^{1

2

3

4

5

6}, Giovanni Sotgiu^{1

2

3

4

5

6}, Ilaria Barberis^{1

2

3

4

5

6}, Francesca Maria Bersi^{1

2

3

4

5

6}, Alessia Manca^{1

2

3

4

5

6}, Emanuela Massa^{1

2

3

4

5

6}, Alfredo Montecucco^{1

2

3

4

5

6}, Alborz Rahmani^{1

2

3

4

5

6}, Sonia Zacconi^{1

2

3

4

5

6}, Matteo Riccò^{1

2

3

4

5

6}, Nicola Magnavita^{1

2

3

4

5

6}, Reparata Rosa Di Prinzio^{1

2

3

4

5

6}, Maria Valeria Torregrossa^{1

2

3

4

5

6}, Giuseppe Calamusa^{1

2

3

4

5

6}, Alberto Firenze^{1

2

3

4

5

6}, Annalisa Bargellini^{1

2

3

4

5

6}, Paola Ferri^{1

2

3

4

5

6}, Elena Righi^{1

2

3

4

5

6}, Elisabetta Carraro^{1

2

3

4

5

6}, Alberto Borraccino^{1

2

3

4

5

6}, Deborah Traversi^{1

2

3

4

5

6}, Maria Chiara Ottino^{1

2

3

4

5

6}, Tatjana Baldovin^{1

2

3

4

5

6}, Sara Dalla Torre^{1

2

3

4

5

6}, Arda Sulaj^{1

2

3

4

5

6}, Ada Bianco^{1

2

3

4

5

6}, Valeria Teti^{1

2

3

4

5

6}, Roberto Novati^{1

2

3

4

5

6}, Roberta Oriani^{1

2

3

4

5

6}

Affiliations

¹ Department of Health Sciences University of Genoa Genoa Italy.
² Faculty of Health and Social Care University of Hull Hull UK.
³ Occupational Medicine Unit Department of Health Sciences Policlinico San Martino Hospital University of Genoa Genoa Italy.
⁴ Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" University of Catania Catania Italy.
⁵ Department of Medicine and Surgery University of Parma Parma Italy.
⁶ Department of Public Health and Pediatrics University of Turin Turin Italy.

Abstract

Aim: To develop an instrument to investigate knowledge and predictive factors of needlestick and sharps injuries (NSIs) in nursing students during clinical placements.

Design: Instrument development and cross-sectional study for psychometric testing.

Methods: A self-administered instrument including demographic data, injury epidemiology and predictive factors of NSIs was developed between October 2018-January 2019. Content validity was assessed by a panel of experts. The instrument's factor structure and discriminant validity were explored using principal components analysis. The STROBE guidelines were followed.

Results: Evidence of content validity was found (S-CVI 0.75; I-CVI 0.50-1.00). A three-factor structure was shown by exploratory factor analysis. Of the 238 participants, 39% had been injured at least once, of which 67.3% in the second year. Higher perceptions of "personal exposure" (4.06, SD 3.78) were reported by third-year students. Higher scores for "perceived benefits" of preventive behaviours (13.6, SD 1.46) were reported by second-year students.

Keywords: Health Belief Model; cross‐sectional; knowledge; needlestick; nursing students; prevention; questionnaire; sharps injuries; validation.

MeSH terms

Cross-Sectional Studies
Humans
Needlestick Injuries* / epidemiology
Psychometrics
Students, Nursing*
Surveys and Questionnaires