The psychological impact of sharps injuries sustained by medical students.

Much is known and reported about sharps injuries among healthcare workers, but there has been a lack of published evidence regarding the psychological impact of sharps injuries among medical students. The purpose of this narrative review was to discover the psychological impact of sharps injuries within the medical student population. Medical, health and psychology databases were searched for studies written in the English language and published between 1980 and 2021. The review identified six studies conducted in six countries which described the psychological impacts of sharps injuries among medical students as being fear, anxiety, depression and post-traumatic stress disorder. The findings highlight the potential psychological issues created by sharps injuries, and highlights that further research is needed into this topic to aid the education and prevention of this harmful problem

An exploration of sharps injuries within healthcare students at a UK university

Background: There is evidence available worldwide that nursing, medical and dental students sustain sharps injuries during their programmes of study. However, there is lack of evidence and research relating to the many students of other healthcare professions who may encounter sharps instruments. Aim/objective: The aim of the study was to identify the extent, type and impact of sharps injuries sustained by pre-registration healthcare students. Methods: An online survey was administered to 3372 healthcare students at a University in the United Kingdom. Findings/results: Some healthcare students other than nursing, medical and dentistry had sustained a sharps injury. The most common device involved were glass ampoules. The common causes were equipment and carelessness. Some healthcare students sustained psychological impacts following the sharps injury. Discussion: Sharps injuries are common amongst some healthcare students and there is scope for more education for these groups of students relating to the risks, safe handling, reporting and prevention of sharps injuries

The financial cost of sharps injuries

Research into sharps injuries has focused on the volume of incidents and, to a smaller degree, the psychological impact of those incidents. This narrative literature review instead explored the financial cost of sharps injuries as reported by both UK and international studies. This involved a search of 13 electronic databases and grey literature, with no set date limits, in June 2019. Both direct and indirect costs of sharps injuries were identified, indicating the high financial costs of such incidents to healthcare systems across many different countries each year. Further research is urgently needed to address the continued prevalence of sharps injuries and to reduce the associated costs. </jats:p

Origins, characteristics and destination of nursing students in South West England

Abstract Background Worldwide there are concerns about the supply of nurses into health systems. Understanding and balancing the supply of and demand for healthcare professionals is crucial to efficient healthcare delivery, yet there is relatively little research that examines in detail where nursing students come from and where they go after qualification. Objectives To investigate the demographic characteristics of applicants to nursing and midwifery programmes in England, those that are enrolled, attrition during study, and their career intentions on graduation. Methods A descriptive case study was conducted in south west England drawing on a complementary set of analyses of routinely collected application and enrolment data from 2017–2020. These were augmented by derivation of student deprivation indices and a follow-up study of nursing and midwifery students qualifying between May 2020 and April 2021. Results The percentage of males applying for nursing doubled and the mean age of all enrolled students (except midwifery) increased during the study period. The mean level of deprivation of applicants increased from the 51st to the 55th centile indicating widening of participation. Most applying and enrolled students originated from the same region as the nursing school and remained working there on qualification. Successively more males than females were lost from the system at each stage from application to qualification. Qualifying students most common job choice was within acute Trusts, with Medical, District nursing and surgical being the most common choices. The most important factors regarding job choice were location, the characteristics of the Trust, having been there as a student, and family considerations. Conclusions The data provide useful information on the nursing educational pipeline. The data discussed here raise questions that would benefit from further regional and national empirical research. </jats:sec

Evaluation of Hierarchical, Multi-Agent, Community-Based, Local Energy Markets Based on Key Performance Indicators

In recent years, local energy markets (LEMs) have been introduced to empower end-customers within energy communities at the distribution level of the power system, in order to be able to trade their energy locally in a competitive and fair environment. However, there is still some challenge with regard to the most efficient approach in organising the LEMs for the electricity exchange between consumers and prosumers while ensuring that they are responsible for their electricity-related choices, and concerning which LEM model is suitable for which prosumer or consumer type. This paper presents a hierarchical model for the organisation of agent-based local energy markets. According to the proposed model, prosumers and consumers are enabled to transact electricity within the local energy community and with the grid in a coordinated manner to ensure technical and economic benefits for the LEM’s agents. The model is implemented in a software tool called Grid Singularity Exchange (GSyE), and it is verified in a real German energy community case study. The simulation results demonstrate that trading electricity within the LEM offers economic and technical benefits compared to transacting with the up-stream grid. This can further lead to the decarbonization of the power system sector. Furthermore, we propose two models for LEMs consisting of multi-layer and single-layer hierarchical agent-based structures. According to our study, the multi-layer hierarchical model is more profitable for household prosumers as compared to trading within the single-layer hierarchical LEM. However, the single-layer LEM is more be beneficial for industrial prosumers.© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).fi=vertaisarvioitu|en=peerReviewed