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NTTU-NCKH-04 BỘ GIÁO DỤC VÀ ĐÀO TẠO TRƯỜNG ĐẠI HỌC NGUYỄN TẤT THÀNH BÁO CÁO TỔNG KẾT ĐỀ TÀI KHOA HỌC VÀ CÔNG NGHỆ CẤP CƠ SỞ NĂM 2021 - 2022 Tên đề tài: Factors affecting injection safety of Vietnamese nursing students Số hợp đồng: 2021.01.192/HĐ-KHCN Chủ nhiệm đề tài: Lê Thị Quế Phương Đơn vị công tác: Khoa Điều Dưỡng Thời gian thực hiện: 09 tháng TP Hồ Chí Minh, ngày 25 tháng 05 năm 2022 BỘ GIÁO DỤC VÀ ĐÀO TẠO TRƯỜNG ĐẠI HỌC NGUYỄN TẤT THÀNH BÁO CÁO TỔNG KẾT ĐỀ TÀI KHOA HỌC VÀ CÔNG NGHỆ CẤP CƠ SỞ NĂM 2021 - 2022 Tên đề tài: Factors affecting injection safety of Vietnamese nursing students Số hợp đồng: 2021.01.192 HĐ-KHCN Chủ nhiệm đề tài: Lê Thị Quế Phương Đơn vị công tác: Khoa Điều Dưỡng Thời gian thực hiện: 09 tháng Các thành viên phối hợp cộng tác: STT Họ tên Chuyên ngành Lê Thị Quế Phương Điều Dưỡng Cơ quan công tác ĐH NTT Nguyễn Trường Thanh Hải Thống kê SH ĐH NTT Vũ Thị Xim Điều Dưỡng ĐH NTT Phạm Minh Khang Vật lý ĐH Y Dược Lý Anh Tú Kỹ thuật y sinh ĐH Bách Khoa Ký tên MỤC LỤC MỞ ĐẦU CHƯƠNG TỔNG QUAN TÀI LIỆU CHƯƠNG NỘI DUNG VÀ PHƯƠNG PHÁP NGHIÊN CỨU 10 CHƯƠNG KẾT QUẢ VÀ THẢO LUẬN 14 CHƯƠNG KẾT LUẬN VÀ KIẾN NGHỊ 21 TÀI LIỆU THAM KHẢO 27 DANH MỤC CÁC KÝ HIỆU, CÁC CHỮ VIẾT TẮT CDC Centers for Disease Control and Prevention HCMC Ho Chi Minh City HBV Hepatitis B virus HCV Hepatitis C virus HIV Human immunodeficiency virus infection NTTU Nguyen Tat Thanh University SPSS Statistical of Package of Social Science VNA Vietnam nursing association VMOH Vietnamese Ministry of Health WHO World Health Organization SIGN Safe Injection Global Network IM Intramuscular IV Intravenous HAI hospital-acquired infections DANH MỤC CÁC BẢNG BIỂU, SƠ ĐỒ, HÌNH ẢNH Table The demographic of nursing students (N=264) Table Proper practice of safe injection Table Table of correlation between general characteristics of the subjects and correct knowledge of safe injection Table Table of correlations between the general characteristics of the study subjects and the correct practice of safe injection Table The correlation between correct knowledge and proper practice of safe injection Figure Practice of safe injection TÓM TẮT KẾT QUẢ NGHIÊN CỨU STT Công việc thực Kết đạt Thu thập liệu 780 sinh viên Hoàn thành Lựa chọn tầm 264 sinh viên để nghiên Hồn thành cứu Phân tích liệu 264 sinh viên Hoàn thành Viết báo khoa học Hồn thành Đăng tạp chí khoa học trường Hoàn thành STT Sản phẩm đăng ký Bài báo khoa học Sản phẩm đạt Tạp chí khoa học Southeast Asian Journal of Sciences chấp nhận đăng Thời gian thực hiện: 09 tháng Thời gian nộp báo cáo: 05 tháng MỞ ĐẦU Unsafe injection practices are widespread in developing countries, harming the patients and inviting risk to the health care worker Therefore, the investigation about practice of safe injection, as well as factors influencing safe injection among nursing students who are in undergraduate degree is essential in the context of Vietnam The goals of this study were to describe factors relates to safe injection practice among nursing students A cross-sectional survey was carried out from 1st February 2019 to 15th March 2019 with the participants being 264 nursing students In survey used questionnaires to collected the characteristics and assess knowledge about a safe injection of nursing students In this study, majority 84.5% was female, 68.9% of nursing students have academic levels were good, the subjects participating in the study performed an average of 7.20 injections a day (SD=2.463) Most of the injections observed from the participants were taken in the morning with 98 injections with 37.1% The type of injection that most subjects performed was intravenous with 87.5% The percentage of nursing students who have knowledge of safe injection was found to be 54.2 % The proportion of practical injections that met the 23 standards of injection safety amounted to 33% Most nursing students have good knowledge, but many nursing students have poor practice safe injection; the ratio to comply with the practice safe injection process was low Need to be active, proactive, improve knowledge, and practice safe injection, especially learning, remembering, and practicing the right actions when injecting CHƯƠNG TỔNG QUAN TÀI LIỆU WHO has defined safe injection as injection that does not cause any harm to the injector, does not expose the injector to any risk, and in particular does not generate hazardous waste Currently, safe injection is one of the most concerned in many countries because unsafe injection can become a burden on health system [1] To illustrate, unsafe injections become a worldwide burden of disease, for example, in 2015, the WHO estimated that 257 million persons (3.5% of the global population) were living with chronic HBV infection [2]; and 260.000 HIV infections which are 5% of new HIV infections [3] According to the WHO (2010), unsafe injections can bring transmission from an extensive variety of pathogens such as viruses, bacteria, fungi, and parasites along with non-infectious adverse events like abscesses [4] Patient care is not easy because patients can develop infections in treatment facilities Therefore, healthcare workers need to adhere to infection control standards and guidelines A reliable source of water, hand sanitizer for waste disposal, disinfectant solution, gloves are also items that are considered paramount and essential 1.1 Statement of the Problem In Vietnam, the consequences of unsafe injections at health facilities have resulted not only in the death of patients but also in affecting healthcare providers It has an extreme impact on the quality of health services and the reputation of the health sector According to a study by Tuong in 2017, the purpose was to identify the risk caused by the unsafe injection, there were 776 injections observed by using a checklist The results found that patients received an average of 2.2 injections per day including intramuscular (43.1%), intravenous injections (43.5%), the most injection was delta muscular injections (26.7%) In addition, 100% of injection used a sterile syringe, 99.2% of injections was placed incorrect position However, the problems were also identified such as not washing hands before injection (55.8%), not sterilizing medication vials (70.7%), incorrect sterilization of the infected skin (27.5%) The nurses in the survey reported that they were at risk of sharp objects in the past eight months (37.8%) In addition, many studies have shown that the knowledge and practice of injections in nursing in hospitals are limited [5] 1.2 Objectives of the Study 1.2.1 General Objective To evaluate the injection safety of nursing students at Nguyen Tat Thanh university 1.2.2 Specific Objectives Determine the rate of safe injection practice among nursing students; Identify the rate of knowledge about safe injection among nursing students; Describe factors relates to safe injection practice among nursing students 1.3 Research Questions What is the rate of practice on safe injection among nursing students? What is the rate of knowledge about safe injection among nursing students? What are the factors related to safe injection practices among nursing student? 1.4 Significance of the Study In order to implement the safe injection guideline in the curriculum, Nguyen Tat Thanh University has been developing the program on safe injection since the year of 2009 to increase the knowledge and practice of the students about safe injection Therefore, the investigation about the practice of safe injection, as well as factors influencing safe injection among nursing students who are in undergraduate degree is essential in the context of Vietnam CHƯƠNG NỘI DUNG VÀ PHƯƠNG PHÁP NGHIÊN CỨU This study adopted a cross-sectional mixed-method (quantitative and qualitative) study design The study was carried out in the Faculty of Nursing at Nguyen Tat Thanh university 2.1 Study Population The study population will be the nursing students who have completed three subjects including fundamentals nursing 1.2, infection control, and safe injection at NTTU 2.2 Sample Size Determination The determination of sample size will be calculated by using the Cochran’s formula (Cochran, 1977) following [6]: n: estimated sample size Z = was the standard normal value corresponding to the desired level of confidence A confidence interval of 95% was assumed (Zα/2 = 1.96) p = 0.22 2.3 Sampling technique Totally, there are 780 nursing students who currently complete three subjects at NTTU In order to get the 264 nursing students for this study, the researchers use system random sampling method with the following steps: Step 1: A list of the names of all nursing students who have completed three subjects numbered from 0001 to 0780 will be prepared Choosing 264 students out of 780 nursing students have completed three subjects by simple random sampling The distance k will be because 780/264 = 3, so the researcher decides to choose one student for the distance of three students in the list ... công tác: Khoa Điều Dưỡng Thời gian thực hiện: 09 tháng Các thành viên phối hợp cộng tác: STT Họ tên Chuyên ngành Lê Thị Quế Phương Điều Dưỡng Cơ quan công tác ĐH NTT Nguyễn Trường Thanh Hải Thống... kê SH ĐH NTT Vũ Thị Xim Điều Dưỡng ĐH NTT Phạm Minh Khang Vật lý ĐH Y Dược Lý Anh Tú Kỹ thuật y sinh ĐH Bách Khoa Ký tên MỤC LỤC MỞ ĐẦU CHƯƠNG TỔNG QUAN TÀI LIỆU CHƯƠNG... infection control standards and guidelines A reliable source of water, hand sanitizer for waste disposal, disinfectant solution, gloves are also items that are considered paramount and essential 1.1
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