{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T16:49:34Z","timestamp":1776876574152,"version":"3.51.2"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose\/Objective<\/jats:title>\n                    <jats:p>This study explored how the threat of needlestick\/sharps injuries affects stress and anxiety among dental, dental hygiene, and dental assisting students in accredited US programs. It also aimed to identify contributing factors and assess potential educational interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following IRB exemption, a mixed\u2010methods survey was distributed between April 17th and July 7th, 2025, via program directors nationally and administered through Qualtrics. The survey included Likert\u2010scale and open\u2010ended questions assessing students\u2019 anxiety, stress, injury history, confidence, awareness of post\u2010exposure protocols, and training adequacy. Quantitative data were analyzed using descriptive statistics and chi\u2010square analysis; qualitative responses were analyzed using Creswell and Poth Data Analysis Spiral.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 300 valid responses, 52% were dental hygiene students, 41% dental students, and 7% dental assisting students. While only 14% reported experiencing a needlestick\/sharps injury, 76% reported at least mild anxiety about the risk, and 81% expressed concern about disease transmission. Dental students reported significantly higher anxiety than dental hygiene students (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.00008). Those with prior injuries were more likely to report anxiety (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0004) and insufficient training (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.013). Despite most reporting awareness of post\u2010exposure protocols, open\u2010ended responses revealed confusion, underreporting, and concerns about institutional response and judgment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion(s)<\/jats:title>\n                    <jats:p>The threat of needlestick\/sharps injuries significantly contributes to stress and anxiety among dental healthcare students, particularly those with prior injuries. Findings suggest a need for curriculum improvements, including supportive stress management resources following injury, and enhanced faculty\/staff training on post\u2010exposure protocols. These interventions could improve both student well\u2010being and safety culture in dental education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jdd.70235","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T16:09:04Z","timestamp":1776874144000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Student Anxiety and Stress Related to Needlestick\/Sharps Injuries in Dental Clinics"],"prefix":"10.1002","author":[{"given":"Lindsey C.","family":"Billing","sequence":"first","affiliation":[{"name":"Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marisa A.","family":"Cornewell","sequence":"additional","affiliation":[{"name":"Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"\u201cStress \u201dWorld Health Organization accessed July 1 2025 https:\/\/www.who.int\/news\u2010room\/questions\u2010and\u2010answers\/item\/stress."},{"key":"e_1_2_8_3_1","unstructured":"\u201cAnxiety \u201dMerriam\u2010Webster accessed July 1 2025 https:\/\/www.merriam\u2010webster.com\/dictionary\/anxiety."},{"issue":"10","key":"e_1_2_8_4_1","first-page":"078","article-title":"Evaluation of Depression, Anxiety, and Stress Among University Healthcare Students","volume":"12","author":"Tripathi R.","year":"2022","journal-title":"Journal of Applied Pharmaceutical Science"},{"issue":"3","key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.hpe.2018.01.001","article-title":"Prevalence and Predictors of Anxiety in Healthcare Professions Students","volume":"4","author":"Macauley K.","year":"2018","journal-title":"Health Professions Education"},{"issue":"6","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"3269","DOI":"10.3390\/ijerph18063269","article-title":"Stress, Anxiety and Depression Among a Cohort of Health Sciences Undergraduate Students: The Prevalence and Risk Factors","volume":"18","author":"Fauzi M. 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