1. AT THE PRACTICE LOCATIONS IN 2015
THE SITUATION OF AWARENESS, ATTITUDES OF NURSING STUDENTS OF HAI PHONG MEDICAL COLLEGE ON BLOOD AND LIQUID EXPOSURE PREVENTION
AT THE PRACTICE LOCATIONS IN 2015
Vu Thi Thanh Hoa & Partners

2. INTRODUCTION
Blood and liquid exposure in hospital is one of the factors that affects the health of medical staffs.
WHO (2000): medical staffs infected with hepatitis B, people infected with hepatitis C, people with HIV infected
The research of Subramadi (2008) in India, the rate of sharp injuries: Nurses 39,63%, training students 37,34%, technicians 26,92%, doctors 21,01% correspondingly.
The data reported by the Department of Preventive Medicine and AIDS (2002): 186 medical staffs infected with HIV exposure (Doctor: 102 people, Nurse: 84 people).

3. INTRODUCTION
A problem which is related to the health of medical staffs and nursing students is that they are infected with blood and liquid exposure when caring patients.
A reason why the students are easy to be exposed is that they have not well - awared of exposure prevention.
To assess the situation of awareness and attitudes of Haiphong Medical College students and propose solutions to minimize exposure rate for students. It is the reason why we research this subject.

4. OBJECTIVES
Survey the situation of awareness, attitudes of nursing students of Hai Phong Medical College on blood and liquid exposure prevention at the practice locations in 2015. 1
Research some of factors affecting the awareness, attitudes of nursing students of Hai Phong Medical College on prevention of blood and liquid exposure of patients at the practice locations 2
We have two OBJECTIVES for the study

5. RESEARCH SUBJECTS AND METHODS
1. RESEARCH SUBJECTS: 200 nursing students who are learning full- time at the college.
* Selecting standard: nursing students in the 2nd, 3rd year who are practicing in hospital.
* Exclusive criteria:
+ Students who are refused to participate in interviewing or
filling in the form.
2. RESEARCH TIME AND LOCATION :
2.1. Time: 11/ /2015
2.2. Location: Hai Phong Medical College

6. RESEARCH SUBJECTS AND METHODS
3. RESEARCH METHODS
3.1. Research design: cross - description
3.2. Data collection: Filled questionnaire
3.3. Data process: SPSS 19.0 software
3.4. Error control techniques
3.5. Ensuring moral in research +

7. RESEARCH SUBJECTS AND METHODS
The research consists of 4 parts:
Part I. General features
Part II. The research on awareness of students based on the theory, documents on training and Infection control - Clinical Management Bureau, Ministry of health (2012)
Part III. The attitude of the students on blood and liquid exposure prevention.
Part IV. Influental factors .

8. Part II: Questionnaire on awareness of students
No.
Methods for prevention of blood and liquid exposure
Right
Wrong 1
Wash hands before and after contacting with each patient. 2
Do not wash the hands after removing gloves 3
 Wearing gloves when having risks of exposure 4
Using the means of personal protection 5
Perform a preliminary sterilizing for instruments after treatment 6
Do not let the sharp objects to linen. Dirty linen should be collected and shipped in a separate bag
These are some questionnaires on awareness of students, including…

9. Part II: Questionnaire on awareness of students
No.
Main causes of blood and liquid exposure
Right
Wrong 1
Sharp objects into the skin. 2
Blood and liquid from patient exposing the mucosa of eyes, nose and mouth when carrying out procedures 3
The damaged, chapped, abraded skin exposed with blood, liquid of patient.

10. Part II: Questionnaire on awareness of students
No.
Treatment of exposure with damaged skin
Right
Wrong 1
Immediately washing the infected skin with soap and water. 2
Let the blood in the wound flow, for a moment 3
Squeez blood in the wound. 4
Wash the wound with soap and water 5
Use antiseptic solution to cleanes and dress the wound.

11. Part II: Questionnaire on awareness of students
No.
Treatment processes after blood, liquid expose to eyes
Right
Wrong 1
Wash lightly but carefully under running water or sterile saline 0.9% for at least 2 minutes while opening the eyes, slightly upside down the eyelids. 2
Do not rub the eyes

12. Diagram 1. Research objects according to gender
RESULT AND DISCUSS
1. GENERAL CHARACTERISTICS
Diagram 1. Research objects according to gender
The result show that: 89% for female and 11% for male.
This result is different from the one in HP Medical University

13. RESULT AND DISCUSS 2. AWARENESS OF STUDENTS ON BLOOD, LIQUID EXPOSURE
Diagram 2. Awareness of students on the concept of blood and liquid exposure of patient
20% student have true awareness
80% student have false awareness

14. RESULT AND DISCUSS
Diagram 3. Awareness of students on the causes of blood and liquid exposure

15. RESULT AND DISCUSS Diagram 4. Awareness of students on the prevention
of blood and liquid exposure of patients

16. RESULT AND DISCUSS
Diagram 5. Awareness of students on the treatment process of blood, liquid due to the needles or sharp objects
The research of Ha Noi Nursing Association (2011): Medical staffs exposed 54.6%
The research of Subramadi (2008) in India: Students exposed 37.34%

17. RESULT AND DISCUSS Table 1
RESULT AND DISCUSS Table 1. Awareness of nursing students on the treatment process after the blood, liquid exposure to the damaged skin
STT
Research result
Research content
Right
Wrong n % 1
Immediately wash the affected skin with soap and water, running water
200
100 2
Tape the wound 72 36
128 64 3
Do not use skin disinfectant 76 25
124 75 4
Do not brush or scrap the damaged skin
157
78.5 43
21.5
64% student have false awareness for the wound
75% student have false awareness for using skin disinfectant.

18. RESULT AND DISCUSS
Diagram 6: Awareness of students on treatment processes after blood and liquid exposure on the skin.
Research of Nguyen Khac Hai (2006): Medical staffs exposed 12.6% f

19. RESULT AND DISCUSS Table 2
RESULT AND DISCUSS Table 2. Awareness of nursing students on the treatment process after blood, liquid exposure to eyes
Index
Research result
Research content
Right
Wrong n % 1
Wash lightly but carefully under running water or sterile saline 0.9% for at least 2 minutes while opening the eyes, slightly upside down the eyelids.
194 97 6 3 2
Do not rub the eyes
200
100

20. RESULT AND DISCUSS
Diagram 7. Awareness of students on treatment process of exposure when mouth, nose contact with blood, liquid of patients
Research of Duong Khanh Van (2005): Medical staffs exposed 35.1%

21. RESULT AND DISCUSS
3. The attitude of the students about the prevention of exposure
Diagram 8. Positive levels of students
when studying the subject: Infectious control

22. RESULT AND DISCUSS
Diagram 9. Assessment of the labor protection using levels of students when implementing the task with exposure risk

23. RESULT AND DISCUSS
4. Several factors affecting the awareness of students
Table 3. Several affecting factors
Research result
Research content
Good influence
Not good influence
No influence n %
Learning motivation
179
89.5 5
2.5 16 8
Teaching method
191
95.5 4 2
Facilities, equipment, tools for learning
174 87 10
Practice environment at hospital
161
80.5 33
16.5 6 3
Other factors
101
50.5 24 12 75
37.5

24. CONCLUSION
1. The situation of awareness, attitudes of nursing students of Hai Phong Medical College on blood and liquid exposure of patients
Students with right awareness: Concept 80%, causes 64%, method to prevent exposure 96%.
Students with wrong awareness on the treatment process: exposure to needles or sharp objects : 36%; blood, liquid exposure to damaged skin: 40%; to the undamaged skin : 24%; to the mouth, nose: 34%.
29% students do not use labor protection regularly and 4% students do not use it.

25. CONCLUSION
2. Several factors influent to the awareness and attitudes of nursing students
80,6% nursing students reply that the objective factors such as: Learning motivation, teaching methods, facilities, equipment, tools for learning and practice environment at hospital… have good effectiveness to students’ awareness and attitudes.

26. RECOMMENDATION
Student
Increase the awareness, change the learning method: positive, active
The strict attitude with labor protection to reduce and avoid the exposure risk
Lecturer
Cooperate well between lecturers in the hospital and lecturers at the college.

27. Thank you for your attention!