skip to main content

Factors Associated with Nursing Students’ Intention to Report Needlestick Injuries: Applying the Theory of Planned Behavior

Nelson A. Ditching  -  West Visayas State University, Philippines
Angel Grace F. Furatero  -  West Visayas State University, Philippines
Razilee Vania S. Iquiña  -  West Visayas State University, Philippines
Aira Darlyn M. Sabulao  -  West Visayas State University, Philippines
Jason M. Supremo  -  West Visayas State University, Philippines
*Ryan Michael Flores Oducado orcid scopus  -  West Visayas State University, Philippines
Open Access Copyright (c) 2020 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:

Background: Nursing students, like other healthcare workers, are prone to needlestick injuries. Over the years, studies have been conducted regarding needlestick injuries. However, its prevalence among Filipino nursing students’ is still not known. Also, nursing students’ intention to report needlestick injuries in the Philippines has not been explored.

Purpose: The purpose of this research was to determine the factors associated with the intention to report needlestick injuries among nursing students applying the Theory of Planned Behavior.

Methods: This cross-sectional study used the Needlestick Injuries Reporting Intention Scale (NIRIS) and was distributed among 233 senior nursing students in Iloilo City, Philippines. Descriptive statistics and Pearson’s correlation were utilized to analyze the data.

Results: The results of the study revealed that 15% of nursing students had experienced a needlestick injury. However, only less than half (45.71%) of those who sustained needlestick injury reported the incident. Nursing students exhibited a positive attitude (M=5.41; SD=0.63) toward reporting needlestick injuries. They perceived a high social pressure (M=4.65; SD=0.46), high behavioral control (M=4.19; SD=0.45), and high intention (M=8.99; SD=1.15) in reporting needlestick injuries. Attitude (p=0.000), subjective norm (p=0.000), and perceived behavioral control (p=0.000) were significantly correlated with the intention to report needlestick injuries.

Conclusion: This study supports the Theory of Planned Behavior in identifying factors influencing nursing students’ intention to report needlestick injuries.

Fulltext View|Download
Keywords: Needlestick injuries; nursing students; prevalence; Theory of Planned Behavior

Article Metrics:

  1. AlDakhil, L., Yenugadhati, N., Al-Seraihi, O., & Al-Zoughool, M. (2019). Prevalence and associated factors for needlestick and sharp injuries (NSIs) among dental assistants in Jeddah, Saudi Arabia. Environmental Health and Preventive Medicine, 24(1), 60. doi: 10.1186/s12199-019-0815-7
  2. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. doi: 10.1016/0749-5978(91)90020-T
  3. Atencion, B.C.S., Alingalan, A.F., Oducado, R.M.F., Cordova, J. D N., Dumaguing, M.C.M., & Suaboksan, M.T.T. (2019). Factors associated with intention to report child abuse among district hospital nurses in Iloilo, Philippines. International Journal of Caring Sciences, 12(1), 210-217
  4. Cheung, K., Ho, S.C., Ching, S.S.Y., & Chang, K.K.P. (2010). Analysis of needlestick injuries among nursing students in Hong Kong. Accident Analysis & Prevention, 42(6), 1744-1750. doi: 10.1016/j.aap.2010.04.015
  5. Cho, K.M., & Kim, E.J. (2016). Nursing students’ knowledge, attitudes, perceived behavior control and intention to report cases of child abuse. Child Health Nursing Research, 22(2), 145-152. doi: 10.4094/chnr.2016.22.2.145
  6. Ekayani, N.P., Wardhani, V., & Rachmi, A.T. (2017). Nurses’ intention and behavior in reporting adverse event: application of theory of planned behavior. Kesmas: National Public Health Journal, 11(3), 138-144. doi: 10.21109/kesmas.v11i3.1091
  7. Feng, J.Y., & Levine, M. (2005). Factors associated with nurses’ intention to report child abuse: A national survey of Taiwanese nurses. Child Abuse & Neglect, 29(7), 783-795. doi: 10.1016/j.chiabu.2004.11.006
  8. Feng, J.Y., & Wu, Y.W.B. (2005). Nurses’ intention to report child abuse in Taiwan: A test of the theory of planned behavior. Research in Nursing & Health, 28(4), 337-347. doi: 10.1002/nur.20087
  9. Gabriel, E. H., Hoch, M. C., & Cramer, R. J. (2019). The development of the theory of planned behavior and health belief model scales: Assessing behavioral determinants of exercise-related injury prevention program participation. Athletic Training and Sports Health Care, 11(3), 113-123. doi:
  10. Hada, V., Saurabh, K., Sharma, A., Nag, V.L., Gadepalli, R.S., & Maurya, A.K. (2018). Nursing students: A vulnerable healthcare worker for needlesticks injuries in teaching hospitals. Journal of Family Medicine and Primary Care, 7(4), 717–720. doi: 10.4103/jfmpc.jfmpc_265_17
  11. Hatefnia, E., Alizadeh, K., & Ghorbani, M. (2019). Applying the theory of planned behavior to determine factors associated with physical activity by women with hypertension in rural areas of Iran. Asian Biomedicine, 12(2), 83-90. doi: 10.1515/abm-2019-0005
  12. Handiyani, H., Kurniawidjaja, L.M., Irawaty, D., & Damayanti, R. (2018). The effective needle stick injury prevention strategies for nursing students in the clinical settings: A literature review. Enfermería Clínica, 28, 167-171. doi: 10.1016/S1130-8621(18)30060-3
  13. Higginson, R., & Parry, A. (2013). Needlestick injuries and safety syringes: A review of the literature. British Journal of Nursing, 22 (Sup5), S4-S12. doi: 10.12968/bjon.2013.22.Sup5.S4
  14. King, K.C., & Strony, R. (2020). Needlestick. StatPearls. Retrieved from
  15. Natan, M.B., Sharon, I., Mahajna, M., & Mahajna, S. (2017). Factors affecting nursing students' intention to report medication errors: An application of the theory of planned behavior. Nurse Education Today, 58, 38-42. doi: 10.1016/j.nedt.2017.07.017
  16. Nawafleh, H.A., Abozead, S.E., Mohamed, F.R., Ahmed, A.M., & Altaif, K.I., & Muhbes, F.J. (2019). The incidence and circumstances of needle sticks injury (NSI) among Arab nurses students: Comparative study. Health Science Journal, 13(2). doi: 1010.36648/1791-809X.1000649
  17. Oducado, R.M.F. (2019). Are nursing students’ early course and perceived performance related to their final and actual course performance?. Nurse Media Journal of Nursing, 9(2), 167-175. doi: 10.14710/nmjn.v9i2.26675
  18. Ozer, Z.C., & Bektas, H.A. (2012). Needlestick injuries during education period in nursing students in Turkey. Procedia-Social and Behavioral Sciences, 46, 3798-3801. doi: 10.1016/j.sbspro.2012.06.149
  19. Padilla, R.R., Rogado, M.I., Tagalog, E., & America, E. (2006). Needle stick injury: Philippine perspective. Philippine Journal of Nursing, 76(1), 3-6
  20. Pavithran, V.K., Murali, R., Krishna, M., Shamala, A., Yalamalli, M., & Kumar, A.V. (2015). Knowledge, attitude, and practice of needle stick and sharps injuries among dental professionals of Bangalore, India. Journal of International Society of Preventive & Community Dentistry, 5(5), 406-412. doi: 10.4103/2231-0762.165932
  21. Quynh, A.T.T., & Einhellig, K. (2017). Practices for prevention needlestick and sharps injuries among nursing students. Belitung Nursing Journal, 3(3), 183-190. doi: 10.33546/bnj.63
  22. Silowati, T., Handiyani, H., & Rachmi, S.F. (2019). Prevention behavior for NSI among nursing students and nurses in Indonesia: A comparative study. Enfermería Clínica, 29 (Suppl 2), 803-807. doi: 10.1016/j.enfcli.2019.04.120
  23. Smith, D.R., & Leggat, P.A. (2005). Needlestick and sharps injuries among nursing students. Journal of Advanced Nursing, 51(5), 449-455. doi: 10.1111/j.1365-2648.2005.03526.x
  24. Tayaben, J.L. (2015). Compliance with sharps injury prevention guideline among nurses in tertiary care hospitals in the Philippines. International Journal of Infection Control, 11(2), 1-8. doi: 10.3396/ijic.v11i2.13172
  25. Thomas, L.M.B. (2020). Underreporting of blood-borne pathogen exposures in nursing students. Nurse Educator, 45(2), 78-82. doi: 10.1097/NNE.0000000000000696
  26. Zhang, X., Chen, Y., Li, Y., Hu, J., Zhang, C., Li, Z., Stallones, L., & Xiang, H. (2018). Needlestick and sharps injuries among nursing students in Nanjing, China. Workplace Health & Safety, 66(6), 276-284. doi: 10.1177/2165079917732799

Last update:

  1. Factors influencing intention to plagiarize among nursing students in the Philippines

    Mary Bless G. Debuque, John Bernard A. Dofitas, Dorothy Arlene Paz P. Espia, Trixie Camille R. Ferrariz, Francis John P. Gargarita, Ryan Michael F. Oducado. Belitung Nursing Journal, 9 (2), 2023. doi: 10.33546/bnj.2555
  2. Factors influencing intention to use videoconferencing tools in online distance education among students in Philippine maritime schools

    John Erwin P. Pedroso, Ryan Michael F. Oducado, Ace Roger S. Ocampo, Virmari S. Tan, Khen A. Tamdang. Australian Journal of Maritime & Ocean Affairs, 15 (2), 2023. doi: 10.1080/18366503.2021.2014181
  3. Intention to Utilize Mobile Game-Based Learning in Nursing Education From Teachers’ Perspective: A Theory of Planned Behavior Approach

    Manuel B. Garcia, Ryan Michael F. Oducado. 2021 1st Conference on Online Teaching for Mobile Education (OT4ME), 2021. doi: 10.1109/OT4ME53559.2021.9638909
  4. Revisiting Job Satisfaction and Intention to Stay: A Cross-sectional Study among Hospital Nurses in the Philippines

    Lester Canarejo Sapar, Ryan Michael F. Oducado. Nurse Media Journal of Nursing, 11 (2), 2021. doi: 10.14710/nmjn.v11i2.36557
  5. Prevalence of needle-stick injury among nursing students: A systematic review and meta-analysis

    Xu Xu, Yu Yin, Hao Wang, Fengxia Wang. Frontiers in Public Health, 10 , 2022. doi: 10.3389/fpubh.2022.937887
  6. Predicting nursing students' intention to attend face‐to‐face classes on school reopening: A theory of planned behavior application

    Ryan Michael F. Oducado, Jerome V. Cleofas, Gil P. Soriano. Nursing Forum, 57 (5), 2022. doi: 10.1111/nuf.12732

Last update: 2024-05-28 17:56:51

No citation recorded.