Knowledge, Attitude, and Practice of Health Care Workers Regarding Needle Sticks and Sharp Injuries in Ranya Health Care Facilities

Authors

DOI:

https://doi.org/10.15218/ejnm.2025.16

Keywords:

KAP study, Needlestick, Sharp Injuries, Infection prevention and control, Health Care Facilities

Abstract

Background and objective: Needlestick and sharps injuries are a common occupational hazard for healthcare workers, posing a significant risk of bloodborne pathogen transmission. Inadequate training and awareness exacerbate this risk. This study aimed to assess healthcare workers' knowledge, attitudes, and practices (KAP) regarding Needlestick and sharps injuries and to find out the relationship between KAP and demographic/work characteristics.

Method: A cross-sectional study was conducted in five healthcare facilities in Ranya Local Administration, Sulaimani Provenance, Iraq. 215 healthcare workers were selected by a non-probability convenience sampling method. The data were collected by a questionnaire form. The data were analysed using SPSS version 20, and the chi-square test was used to determine significant differences between categorical variables.

Result: Out of 215 respondents، 32.1% had a high level of knowledge, 60.9% had average knowledge, and 7% showed poor knowledge. Almost one-third of participants (37.2%) were found to have a good attitude, followed by a poor attitude (36.3%), and 26.5% had an average attitude. While 45.6% had good safe needle stick and sharp injury practices, poor practices were shown among 44.7%. Significant statistical associations were found between demographic factors—including age, academic qualification, years of experience, and hospital type and at least one domain of knowledge, attitude, or practice (P < 0.05).

Conclusions: The study concludes that most healthcare workers have moderate knowledge, acceptable attitudes, and average practices. The findings highlight the need for targeted training and stricter safety protocols to enhance knowledge, attitudes, and practices regarding needlestick and sharp injuries.

Metrics

Metrics Loading ...

References

BIBI S, KHAN F, SAJJAD S. Knowledge, Atti-tude, And Practice of Healthcare Profes-sionals Regarding Infection Prevention at The Tertiary Care Hospital of Peshawar KPK. Biological and Clinical Sciences Research Journal2 2024;5(1):943. DOI: 10.54112/bcsrj.v2024i1.943

Mohamed DD, Abdelmoneim EM, Mahil A, Ahmed H, Najla M, Mehera M, et al. Knowledge, attitude and practice towards needle stick injury among health care workers in a tertiary Sudanese hospital. Texila International Journal. 2016;3(1):88–96. DOI: 10.21522/TIJCR.2014.03.01.Art010

Magill SS, O’Leary E, Janelle SJ, Thompson DL, Dumyati G, Nadle J, et al. Changes in Prevalence of Health Care-Associated In-fections in U.S. Hospitals. The New England Journal of Medicine2 2018 Nov;379(18):1732–44. doi:10.1056/NEJMoa1801550.

Suetens C, Latour K, Kärki T, Ricchizzi E, Kinross P, Moro ML, et al. Prevalence of healthcare-associated infections, estimat-ed incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Eurosurveillance. 2018 Nov;23(46). DOI: 10.2807/1560-7917.ES.2018.23.46.1800516

WHO. Report on the Burden of Endemic Health Care-Associated Infection World-wide Clean Care is Safer Care2 World Heal Organ Geneva, Switz. 2011;3:1–34. Availa-ble from: https://www.who.int/publications/i/item/report-on-the-burden-of-endemic-health-care-associated-infection-worldwide

Al-Khalidi GZS, Nasir NA. Knowledge, Atti-tude, and Practice Regarding Needle Stick Injuries Among Health Care Workers in Baghdad Teaching Hospital and Ghazy Al-Hariri Hospital for Surgical Specialties in 2020. Open Access Macedonian Journal of Medical Sciences.022;10(E):1–7. https://doi.org/10.3889/oamjms.2022.9963

Siddique K, Mirza S, Tauqir SF, Anwar I, Ma-lik AZ. Knowledge attitude and practices regarding needle stick injuries amongst healthcare providers. Journal of Surgery Pakistan22008;(578):243–8.Availableon: https:www.researchgate.netpultion/228493349_Knowledge_Attitude_and_Praties_Regarding_Needle_Stick_Injuries_Amongst_Healthcare_Providers#full-text

Alshathri N. Knowledge, Attitude and Prac-tice Regarding Infection Control Measures Among Healthcare Workers at King Khaled Eye Specialist Hospital (KKESH) in Riyadh, KSA. Science Journal of Public Health2 2021;9(6):180. Doi: 10.11648/j.sjph.20210906.11

Rashid AA, Othman SM. Assessment of Knowledge, Attitude and Practice of Health Staff Toward Infection Control in Teaching Hospitals in Erbil City in Iraq. Bahrain Medi-cal Bulletin. 2023 Mar 1;45(1). 1300–12. Available on: https://www.bahrainmedicalbulletin.com/March2023/BMB-22-328.pdf

Mohammed AH, Radhi TA, Shamkh SS, Oglah AG. Occurrence, and preventive measures of injuries by needles and sharp objects in governmental hospitals, (Al- ama-ra city, iraq). Indian Journal of Public Health Research & Development2 2018;9(12):1136–40. Available on: https://www.researchgate.net/profile/Mais Ah-med/publication/331088726_Mais_Ahmed/links/5c652c53a6fdccb608c12a36/Mais-Ahmed.pdf#page=48

] Al Qadire M, Ballad CAC, Al Omari O, Aldia-bat KM, Shindi YA, Khalaf A. Prevalence, student nurses' knowledge and practices of needle stick injuries during clinical training: a cross-sectional survey. BMC Nursing. 2021 Oct 4;20(1):187. doi: 10.1186/s12912-021-00711-2. PMID: 34607585; PMCID: PMC8491365.

] Al-Hammar L, SABNANA S, HADSAHAAS H. Knowledge of Standard Precautions among Healthcare Professionals in Saudi Arabia: Need for filling the gaps. International Journal of Scientific Research. 2017;(4):6–9. Fond on: https://www.researchgate.net/pultion/315892333_Knowledge_of_Standard_Precautions_among_Healthcare_Professionals_in_Saudi_Arabia_Need_for_filling_the_gaps

Mandona E, Obi Daniel E, Olaiya Abiodun P, Olukayode Popoola I, Victor Ojo O, Omolola Adams C, et al. Assessment of Knowledge, Attitude and Practice of Infection Prevention Among Health Care Providers in Chibombo District Zambia. World Journal of Public Health2 2019;4(4):87. Doi: 10.11648/j.wjph.20190404.13

Sarani H, Balouchi A, Masinaeinezhad N, Ebrahimitabas E. Knowledge, Attitude and Practice of Nurses about Standard Precautions for Hospital-Acquired Infection in Teaching Hospitals Affiliated to Zabol University of Medical Sciences (2014). Global Journal of Health Science2 2015 Jul;8(3):193–8. DOI: 10.5539/gjhs.v8n3p193

Darawad MW, Al-Hussami M. Jordanian nursing students' knowledge of, attitudes towards, and compliance with infection con-trol precautions. Nurse Education Today. 2013 Jun;33(6):580-3. doi: 10.1016/j.nedt.2012.06.009.

Abalkhail A, Hassan M, Imam A, Elmosaad YM, Jaber MF, Hosis K Al, et al. Knowledge, Attitude and Practice of Standard Infection Control Precautions among Health-Care Workers in a University Hospital in Qassim, Saudi Arabia: A Cross-Sectional Survey. International Journal of Environmental Research and Public Health2 2021;18(22):1–13. DOI: 10.3390/ijerph182211831

Kaushal G, Doke P, Shah A, Verma V. An Analysis of Knowledge, Attitude and Practices regarding Standard Precautions of Infection Control and Impact of Knowledge and Attitude of ICU Nurses on Self-reported Practices of Infection Control. International Journal of Research Foundation of Hospital and Healthcare Administration2 2015;3(2):79–85.

Nasirudeen AMA, Koh JWN, Lau ALC, Li W, Lim LS, Ow CYX. Hand hygiene knowledge and practices of nursing students in Singa-pore. American Journal of Infection Control. 2012 Oct;40(8):e241-3. DOI: 10.1016/j.ajic.2012.02.026

Asmr Y, Beza L, Engida H, Bekelcho T, Tsegaye N, Aschale Y. Assessment of Knowledge and Practices of Standard Precaution against Blood Borne Pathogens among Doctors and Nurses at Adult Emergency Room in Addis Ababa, Ethiopia. Emergency Medicine International. DOI: 10.1155/2019/2926415.

Abuduxike G, Acar Vaizoglu S, Asut O, Cali S. An Assessment of the Knowledge, Attitude, and Practice Toward Standard Precautions Among Health Workers From a Hospital in Northern Cyprus. safety and health at work journal2 2021 Mar;12(1):66–73. DOI: 10.1016/j.shaw.2020.09.003

Anh Thu T. Knowledge, Attitude and Practic-es regarding Standard and Isolation Precau-tions among Vietnamese Health Care Work-ers: a Multicenter Cross-Sectional Sur-vey. Internal Medicine Journal2 2012;02(04):2–6. DOI: 10.4172/2165-8048.1000115

] Al-Ahmari AM, AlKhaldi YM, Al-Asmari BA. Knowledge, attitude and practice about infection control among primary care professionals in Abha City, Kingdom of Saudi Arabia. Journal of Family Medicine and Pri-mary Care2 2021 Feb;10(2):662–8. DOI: 10.4103/jfmpc.jfmpc_1278_20

] Oh E, Choi JS. Factors influencing the adher-ence of nurses to standard precautions in South Korea hospital settings2 American Journal of Infection Control2 2019 Nov;47(11):1346–51. DOI: 10.1016/j.ajic.2019.05.015.

Downloads

Published

2025-11-30

How to Cite

1.
Ameen BB, Haji RM, Babakr SH. Knowledge, Attitude, and Practice of Health Care Workers Regarding Needle Sticks and Sharp Injuries in Ranya Health Care Facilities. Erbil j. nurs. midwifery [Internet]. 2025 Nov. 30 [cited 2026 Jan. 24];8(2):152-64. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/327

Issue

Section

Original Articles