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Bizuneh YB, Ferede YA, Berhe YW, Alemu WM, Zeleke TG. Assessment of knowledge, attitude, and practice regarding medical waste management among operation room personnel in a tertiary hospital. Ann Med Surg (Lond) 2024; 86:5065-5071. [PMID: 39238965 PMCID: PMC11374208 DOI: 10.1097/ms9.0000000000002212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 05/14/2024] [Indexed: 09/07/2024] Open
Abstract
Introduction Medical waste management (MWM) is of concern to the medical and surgical communities in the hospital. Adequate knowledge, attitude, and practice regarding the management of healthcare waste are important for the proper handling and disposal by physicians and healthcare workers. Objective The aim of this study was an assessment of knowledge, attitude, and practices regarding medical waste management among operation room personnel in a tertiary hospital. Methods This study was a descriptive cross-sectional survey conducted at a single-center government Comprehensive Specialized Hospital operation room from 1-30 September 2022. All specialty operation room healthcare personnel consenting to cooperate and participate were included in the study. The data were collected using a self-administered questionnaire. The collected data were analyzed using SPSS. The results were presented in texts, tables and graphs. Results From 130 operation room personnel, the results revealed that the majority of the total respondents were male (83.1%). Only 30 (23.1%) of the respondents were involved in training, whereas 100 (76.9%) of the study participants have not participated in training. It was found that 86 (66.2%) of the respondents had good knowledge, 113 (86.9%) of the respondents had a good attitude, and 27 (20.8%) of the respondents had good practice. Conclusion and recommendation The authors' study reveals that the majority of study participants have a moderate level of knowledge, a good level of attitude, and poor levels of practice, according to Bloom's cut-off point. The institution should more fully implement the training for operation room personnel to improve their level of knowledge and practice of medical waste management.
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Affiliation(s)
- Yosef Belay Bizuneh
- Department of Anaesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Yonas Admasu Ferede
- Department of Anaesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Yophtahe Woldegerima Berhe
- Department of Anaesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Wudie Mekonnen Alemu
- Department of Anaesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Tadael Gudayu Zeleke
- Department of Anaesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Mohammed Y, Tamir TT, Geberu DM, Destaw B, Kebede N. Adherence to Standard Precautions and Associated Factors Among Healthcare Workers at Public and Private Hospitals in Northeast Ethiopia. Risk Manag Healthc Policy 2024; 17:1599-1618. [PMID: 38894815 PMCID: PMC11184157 DOI: 10.2147/rmhp.s453735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Accepted: 05/13/2024] [Indexed: 06/21/2024] Open
Abstract
Introduction Standard precautions are crucial for infection control in healthcare. Studies show public hospitals' adherence, but data on private hospitals are scarce. Understanding this disparity is vital for safety, policy, and better patient outcomes. Hence, this study aimed to assess precautions and associated factors among healthcare workers at public and private hospitals in Northeast Ethiopia. Methods A comparative cross-sectional study compared healthcare institutions. A total of 470 workers participated via stratified random sampling. Data collection used a pre-tested questionnaire and observation checklist. Epi data managed entry, while STATA analyzed. Binary logistic regression determined significance (P<0.05) for variables. Results The overall adherence to standard precautions was 51.6% (95% confidence interval (CI): 46.9-56.2). At public and private hospitals, it was 52.2% (95% CI: 45.6-58.6) and 60.4% (95% CI: 53.9-66.9), respectively. In public hospitals adherence was affected by female sex [adjusted odds ratio (AOR): 2.58; 95% CI: 1.32-5.02], availability of written guidelines [AOR: 3.10; 95% CI: 1.62-5.94], having good knowledge [AOR: 2.05; 95% CI: 1.03-4.11] and favorable attitude towards standard precautions [AOR: 2.21; 95% CI: 1.14-4.27]. In private hospitals, it was affected by the availability of running tape water [AOR: 2.36; 95% CI: 1.10-5.04], personal protective equipment (AOR: 2.22; 95% CI; 1.01-4.93), color-coded dust bins [AOR: 2.33; 95% CI: 1.04-5.21], having good knowledge [AOR: 2.10; 95% CI: 1.07-4.13] and favorable attitude [AOR: 2.63; 95% CI: 1.39-4.97]. Conclusion The adherence to standard precautions was higher among private than public hospital healthcare workers in Dessie City, Ethiopia. Thus, ensuring adequate availability of personal protective equipment, safety materials, and running tap water in working rooms, particularly in public hospitals is highly recommended. The initiatives aimed at promoting adherence to standard precautions should be designed and put into action for public hospitals.
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Affiliation(s)
- Yirgalem Mohammed
- Department of Health System and Policy, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| | - Tadesse Tarik Tamir
- Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
| | - Demiss Mulatu Geberu
- Department of Health Systems and Policy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
| | - Bikes Destaw
- Department of Environmental Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
| | - Natnael Kebede
- Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
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Haile Shoddo G. Exposure, knowledge, and perceptions of hazards associated with solid waste management at the household level in jigjiga town, northeast Ethiopia. Heliyon 2024; 10:e29745. [PMID: 38694086 PMCID: PMC11061686 DOI: 10.1016/j.heliyon.2024.e29745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 03/29/2024] [Accepted: 04/15/2024] [Indexed: 05/03/2024] Open
Abstract
The goal of this study is to look into household exposure, knowledge, and perceptions of the risks connected with solid waste management in Jigjiga, Ethiopia. Jigjiga is currently grappling with overflowing landfills and limited waste collection, resulting in open dumping and serious health concerns such as disease transmission. The goal of this research is to better understand how Jigjiga residents interact with the waste management system, as well as their perceptions of the health and environmental issues that arise. The study employed a cross-sectional design using a multistage sampling technique. Two kebeles were used to select 200 families living near and far from the dumpsite. Questionnaires were utilized to collect data on demographics, exposure, knowledge, and risk perception. The analysis was carried out utilizing descriptive statistics and binary logistic regression. A survey of 357 households in Jigjiga, Ethiopia, found concerning trends in solid waste management. 78 % of the population visits the dumpsite on a weekly basis, with the majority residing within a 3-km radius. Almost half (44.5 %) reported monthly visits. Despite this, more than 90 % of locals are aware of the health dangers connected with poor waste management. 72 % of individuals believe that inadequate waste disposal causes to illness, with diarrhea being the most prevalent health concern. This study sheds light on the exposure, understanding, and perceptions of risks associated with solid waste management at the household level in Jigjiga, Ethiopia. The findings highlight the significance of improving solid waste management processes to mitigate the negative consequences on human health, the environment, and the economy.
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Affiliation(s)
- Getaneh Haile Shoddo
- Jigjiga University, Department of Geography and Environmental Studies, College of Social Science and Humanities POBOX 1020, Ethiopia
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Alsharari AS, Kerari A. Factors Influencing Occupational Health and Safety among Nursing Students in Their Clinical Placements: A Cross-Sectional Study. Healthcare (Basel) 2024; 12:884. [PMID: 38727441 PMCID: PMC11083220 DOI: 10.3390/healthcare12090884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 04/16/2024] [Accepted: 04/23/2024] [Indexed: 05/13/2024] Open
Abstract
Occupational health and safety aims to promote and maintain optimal physical, mental, and social health for workers in their occupations. Within Saudi Arabia, adequate information must be gathered to address the various factors influencing occupational health and safety among nursing students to minimize occupational health hazards and ensure a safe clinical environment. This cross-sectional study was conducted in Riyadh, Saudi Arabia, between April and September 2023, involving 150 nursing students. Data collection included questions to gather sociodemographic information, and contained an instrument assessing the participants' knowledge of occupational health and safety and evaluation of risk control in clinical environments. Blood and other bodily fluids, workplace violence, needle-stick injuries, and injuries caused by sharp instrument tools were identified as the most prevalent occupational risks among the participants. Most nursing students were aware of occupational health and safety, with a high level of compliance with occupational health and safety measures and personal protective equipment use. We also identified a statistically significant correlation between occupational health and safety knowledge and risk control evaluation among nursing students. To ensure a safe and beneficial clinical training area, student nurses must complete extensive occupational health and safety courses before moving to clinical areas to reduce potential hazards that may affect their lives.
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Affiliation(s)
| | - Ali Kerari
- Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia
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Nassirou-Sabo H, Toudou-Daouda M. Assessment of knowledge, attitudes, and practices of occupational risks and diseases among healthcare providers of the Regional Hospital Center of Dosso, Niger. SAGE Open Med 2024; 12:20503121231224549. [PMID: 38288477 PMCID: PMC10823837 DOI: 10.1177/20503121231224549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 12/14/2023] [Indexed: 02/01/2024] Open
Abstract
Background In Niger, a low-income country, occupational medicine is little known and practiced, particularly in the health sector, where healthcare workers are exposed to numerous occupational risks. This study aimed to assess knowledge, attitudes, and practices about occupational risks and diseases among healthcare providers working at the Hospital of Dosso (Niger) to determine their knowledge, attitudes, and practices level about occupational risks and diseases. Methods A descriptive and quantitative census-based study was conducted among the 105 healthcare providers practicing at the hospital of Dosso between 1 April and 31 May 2023, using a self-administered questionnaire in the French language comprising a sociodemographic part and a knowledge, attitudes, and practices part about occupational risks and diseases. Knowledge, attitudes, and practices scores were calculated and Mann-Whitney U or Kruskal-Wallis tests were used to assess their association with sociodemographic characteristics. Results In total, 83 healthcare providers agreed to participate in the study, with a participation rate of 79%. A total of 28% of participants had received training on occupational risks and diseases. The knowledge score about occupational risks and diseases showed that 55.4% of participants had a knowledge level varying from medium to high. The score of attitudes and practices showed that 68.7% of responders had an attitudes and practices level varying from medium to high about occupational risks and diseases. According to the composite score of knowledge, attitudes, and practices, 53% of participants had a knowledge, attitudes, and practices level between medium and high. A significant association was found between the composite score of knowledge, attitudes, and practices and the workstation occupied, mainly medical imaging service (p = 0.006). Conclusion The study showed that 53% of responders had an overall level of knowledge, attitudes, and practices about occupational risks and diseases between medium and high. Among their sociodemographic characteristics, only the workstation occupied (mainly medical imaging service) was statistically associated with the composite score of knowledge, attitudes, and practices. Considering these findings, the administrators of the Hospital of Dosso must recruit an occupational medicine specialist to provide information and prevention visits on occupational risks and diseases to healthcare providers working in this institution.
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Affiliation(s)
| | - Moussa Toudou-Daouda
- Department of Neurology, Amirou Boubacar Diallo National Hospital, Niamey, Niger
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Sunkwa-Mills G, Senah K, Breinholdt M, Aberese-Ako M, Tersbøl BP. A qualitative study of infection prevention and control practices in the maternal units of two Ghanaian hospitals. Antimicrob Resist Infect Control 2023; 12:125. [PMID: 37953285 PMCID: PMC10641978 DOI: 10.1186/s13756-023-01330-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Accepted: 11/03/2023] [Indexed: 11/14/2023] Open
Abstract
INTRODUCTION Healthcare-associated infections (HAIs) remain a common challenge in healthcare delivery, with a significant burden in low- and middle-income countries. Preventing HAIs has gained enormous attention from policy makers and healthcare managers and providers, especially in resource-limited settings. Despite policies to enforce infection prevention and control (IPC) measures to prevent HAIs, IPC compliance remains a challenge in hospital settings. In this study, we explore the experiences of healthcare providers and women in the post-natal phase and investigate factors influencing IPC practices in two hospitals in Ghana. METHODS The study used a qualitative approach involving semi-structured interviews, focus group discussions, and observations among healthcare providers and women in the postnatal phase in two maternity units from January 2019 to June 2019. Interviews were recorded and transcribed verbatim for thematic analysis. The data sets were uploaded into the qualitative software NVivo 12 to facilitate coding and analysis. FINDINGS Healthcare providers were driven by the responsibility to provide medical care for their patients and at the same time, protect themselves from infections. IPC facilitators include leadership commitment and support, IPC training and education. Women were informed about IPC in educational talks during antenatal care visits, and their practices were also shaped by their background and their communities. IPC barriers include the poor documentation or 'invisibility' of HAIs, low prioritization of IPC tasks, lack of clear IPC goals and resources, discretionary use of guidelines, and communication-related challenges. The findings demonstrate the need for relevant power holders to position themselves as key drivers of IPC and develop clear goals for IPC. Hospital managers need to take up the responsibility of providing the needed resources and leadership support to facilitate IPC. Patient engagement should be more strategic both within the hospital and at the community level.
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Affiliation(s)
- Gifty Sunkwa-Mills
- Ghana Health Service, Awutu Senya East Municipal, Kasoa, Central Region, Ghana.
- Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
| | - Kodjo Senah
- Department of Sociology, University of Ghana, Legon, Accra, Ghana
| | | | - Matilda Aberese-Ako
- Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana
| | - Britt Pinkowski Tersbøl
- Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
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SATTAR MOHAMEDESSAABEDAL, THAMER MAHMOODSALIM, GATEA ALIGHANIM. Health workers' adherence to occupational hazards preventive practices in Thi-Qar Governorate, Iraq. J Public Health Afr 2023; 14:2788. [PMID: 38020276 PMCID: PMC10658458 DOI: 10.4081/jphia.2023.2788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 08/31/2023] [Indexed: 12/01/2023] Open
Abstract
Workplace problems that are likely to increase the risk to our health are referred to as occupational hazards. These problems can be classified as either biological or non-biological. A wide range of these risks, including physical, chemical, and psychological ones, provide challenges for healthcare practitioners. Such risks therefore negatively affect employees, their families, friends, and the country. The purpose of the study is to assess the level of adherence to preventive practices towards occupational hazards in the hospitals of Thi-Qar Governorate and its relationship to the demographic and occupational information of the healthcare workers. A descriptive cross-sectional study was carried out in hospitals Thi-Qar Governorate, During the period from September 5th, 2022 ending on February 10th, 2023, 355 of healthcare workers individuals participated in the study, and the data was collected using self-reported questionnaires and information about practices was collected through a systematic questionnaire developed by the researcher. Regarding the preventive practice of the staff, the results observed that all responses regarding the present results reveal the highest percentage 41.7% of HCWs have a poor practices score, while the lowest percentage 20.8% of them have a moderate practices score. The mean ± SD of the overall practices score was (53.81±17.807) which rested within a moderate level (48-46 score). The results of this study indicate that there is a significant association between the overall practices score and socio-demographic variables (P-value #x003C;0.05). This explained that the participants who age ≤25 years, Education level (Ph.D.), and have no chronic diseases, had higher good practices than other categories. Also, the results of this study indicate that there is a significant association between the overall practices score and occupation characteristics (P-value #x003C;0.05), This explained that the years of work (≥15 years), and, hours of work (≤5 h), had higher good practices than other categories. Most of the employees of the hospitals selected for the sample in Thi-Qar Governorate have 'Moderate' commitments to safety measures with regard to occupational hazards in their surrounding workplaces, The study showed that years of experience, time of work and educational level have a significant impact on practices towards occupational hazards in hospitals.
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Affiliation(s)
| | - MAHMOOD SALIM THAMER
- Department of Medical Laboratory Technologies, College of Health & Medical Technology
| | - ALI GHANIM GATEA
- Anesthesia Department, Basra Technical Institute, Southern Technical University, Basrah, Iraq
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Sifanu M, Taylor TK, Kalebaila KK, Hayumbu P, Nabiwa L, Linde SJL. Knowledge, Attitude, Behavior Practices and Compliance of Workers Exposed to Respirable Dust in a Zambian Copper Mine. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6785. [PMID: 37754644 PMCID: PMC10531042 DOI: 10.3390/ijerph20186785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 08/28/2023] [Accepted: 08/29/2023] [Indexed: 09/28/2023]
Abstract
Work in the copper mining industry is often associated with exposure to respirable dust and respirable crystalline silica. This exposure has the potential to cause silicosis, an incurable occupational respiratory lung disease. This study aimed at establishing the relationship between knowledge, attitudes, work behavioral practices and compliance with safety standards and workers' exposure to respirable dust. A cross-sectional descriptive survey was conducted on 528 mine workers. The Statistical Package for Social Sciences (SPSS) was used for the descriptives. Structural equation modeling (SEM) with latent variables and partial least squares (LVPLS) analysis were employed to determine the relationship among these variables. The results indicated that of the four hypotheses, two were supported, and two were rejected, showing that there is a significant relationship between exposure to respirable dust and work behavioral practices, as well as compliance with safety standards. Knowledge and attitudes toward respirable dust exposure did not significantly influence exposure. According to the results from the survey, positive work behavioral practices as well as compliance with safety standards were significantly associated with exposure to respirable dust. It is recommended that mines should focus on the miners' work behavioral practices and compliance with safety standards.
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Affiliation(s)
- Mwaba Sifanu
- School of Mathematics and Natural Sciences, Copperbelt University, Kitwe P.O. Box 21692, Zambia; (K.K.K.); (P.H.); (L.N.)
| | - Thomas K. Taylor
- School of Built Environment, Copperbelt University, Kitwe P.O. Box 21692, Zambia;
| | - Kennedy K. Kalebaila
- School of Mathematics and Natural Sciences, Copperbelt University, Kitwe P.O. Box 21692, Zambia; (K.K.K.); (P.H.); (L.N.)
| | - Patrick Hayumbu
- School of Mathematics and Natural Sciences, Copperbelt University, Kitwe P.O. Box 21692, Zambia; (K.K.K.); (P.H.); (L.N.)
| | - Lubinda Nabiwa
- School of Mathematics and Natural Sciences, Copperbelt University, Kitwe P.O. Box 21692, Zambia; (K.K.K.); (P.H.); (L.N.)
| | - Stephanus J. L. Linde
- Occupational Hygiene and Health Research Initiative, North-West University, Potchefstroom 2520, South Africa;
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Shabani T, Jerie S. A review on the effectiveness of integrated management system in institutional solid waste management in Zimbabwe. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:100248-100264. [PMID: 37612560 DOI: 10.1007/s11356-023-29391-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 08/13/2023] [Indexed: 08/25/2023]
Abstract
Institutional solid waste management is a critical contemporary crisis in Zimbabwe due to rapid urbanisation, disease outbreaks and population growth. Traditional approach to institutional solid waste management is almost fragmented, with various departments accountable for numerous aspects of the management process. Deficiency of coordination as well as integration among responsible stakeholders and failure to include different management strategies resulted in institutional solid waste management inefficiencies. This translates to increased environmental health problems. Therefore, this review aims to assess the effectiveness of integrated management systems in institutional solid waste management in Zimbabwe. The review was compiled using already existing literature. Institutions regarded as sources of solid waste in Zimbabwe include learning and health institutions. Barracks, prisons and police camps are part of the institutions. The institutions generate hazardous, non-hazardous, biodegradable and non-biodegradable solid waste. Solid waste from institutions is indiscriminately stored, collected and disposed through landfilling, incineration, burning, open pits and on non-designated open spaces. Most of the disposal strategies are least prioritised by the waste management hierarchy, hence have potential to cause environmental health risks. Utilisation of inappropriate management strategies is exacerbated by shortage of resources, ineffective legal framework, lack of all stakeholder participation and inadequate investment in waste reduction alternatives. Integrated institutional solid waste management is effective since it enhances involvement of all responsible stakeholders and application of various waste reduction alternatives particularly those which support circular economy. Through integrated approach, quantity of institutional solid waste disposed is limited, therefore minimising environmental health risks while maximising dumpsites lifespan.
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Affiliation(s)
- Takunda Shabani
- Department of Geography, Environmental Sustainability and Resilience Building, Midlands State University, P. Bag 9055, Gweru, Zimbabwe.
| | - Steven Jerie
- Department of Geography, Environmental Sustainability and Resilience Building, Midlands State University, P. Bag 9055, Gweru, Zimbabwe.
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Zimmerman PA, Byrne JH, Gillespie BM, Macbeth D. Investigation of the selection and use of "other" personal protective equipment to prevent mucous membrane exposure in nurses: A cross-sectional study. Infect Dis Health 2023; 28:211-220. [PMID: 37068995 DOI: 10.1016/j.idh.2023.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 03/14/2023] [Accepted: 03/20/2023] [Indexed: 04/19/2023]
Abstract
BACKGROUND Selection and use of personal protective equipment (PPE) to prevent non-percutaneous body fluid exposure (NP BFE) is determined by a clinical assessment of risk. The aim of this study was to explore the selection and use of PPE, particularly masks and eye protection to prevent NP BFE, by nurses. METHODS This quantitative single-site two-phased study was guided by the Health Belief Model (HBM). Phase 1 was a retrospective electronic database audit of body fluid exposure surveillance data. Phase 2 included a cross-sectional survey. RESULTS The highest incidence of reported NP BFE to non-intact skin and mucous membranes during the study period were identified in the emergency department (ED) at 51.3% (20/39), intensive care unit (ICU) at 30.8% (12/39), operating theatre (OT) with 12.9% (5/39), and inpatient renal ward with 5.1% (2/39). Reported PPE use during NP BFE was: 0% face shields or masks, 10% gown/apron, and 15% goggles. Survey results related to Prevention of mucocutaneous exposures were similar across all high-risk units, though ED nurses reported poorer compliance with the use of PPE to prevent exposure. Risk assessment for prevention of NP BFE was reported, yet there was a lack of compliance. The ICU results indicated a positive safety culture in contrast to the ED. CONCLUSION The findings are consistent with research identifying inadequate prevention of NP BFE, although nurses are aware of the importance of risk assessment. The HBM has the potential to increase understanding of the differences in nurses' perceptions of risk in safety culture.
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Affiliation(s)
- Peta-Anne Zimmerman
- School of Nursing and Midwifery, Griffith University, Gold Coast Campus, Parklands Drive, Southport, QLD, 4215, Australia.
| | - Jacqueline H Byrne
- School of Nursing and Midwifery, Griffith University, Nathan Campus, Australia.
| | - Brigid M Gillespie
- NHMRC Wiser Wounds CRE, MHIQ, Griffith University & Gold Coast University Hospital, Gold Coast Health, Australia.
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Thomas OE, Adefolarin A, Ana G, Odaibo G. Determinants of knowledge associated with occupational hazards and perceived health problems among dye workers in Abeokuta, Nigeria. J Public Health Afr 2023; 14:1985. [PMID: 37528951 PMCID: PMC10389106 DOI: 10.4081/jphia.2023.1985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 04/25/2022] [Indexed: 08/03/2023] Open
Abstract
Background Identification of potential hazards, their adverse health effects, and predisposing factors in the workplace are critical to improving safety. The objective of the study was to assess the knowledge of occupational hazards, the prevalence of perceived health problems and their predictors among textile dye workers in Abeokuta Nigeria who work in unsupervised settings. Materials and Methods In this cross-sectional study, data were collected from 199 participants using a validated semi-structured interviewer-administered questionnaire. Multiple linear regression analysis was used to determine the predictors of knowledge while Pearson Chi-square was employed to test the association between perceived health problems, sociodemographics and work environment characteristics. Results The mean age of the respondents was 40 (SD=12) years with an average work experience of 19 years. The majority of respondents 139 (69.8%) had lower than average scores on knowledge of 25 questions on chemical hazards. There was no correlation between knowledge score and work experience (P=0.492) or age (P=0.462) but the knowledge was significantly associated with exposure score (P=0.004), gender (P=0.002) and adherence to instructions on chemicals usage (P=0.041) after adjusting for safe practice. The most frequent health problems among the dye workers were respiratory disorders (53.8%), allergies (51.8%), and skin disorders (24.1%). Airborne gaseous pollutants from the mixing of chemicals were associated with allergies (P=0.045), circulatory (P=0.02) and skin disorders (P=0.049) while air-borne textile fiber/dye particles could predict allergies (P=0.028). Conclusions Findings revealed that exposure, gender and adherence to instruction labels on dye/chemical containers could determine knowledge of chemical hazards while physical work environment characteristics could determine health problems.
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Affiliation(s)
| | | | - Godson Ana
- Department of Environmental Health Science, Faculty of Public Health
| | - Georgina Odaibo
- Department of Virology, Faculty of Basic Medical Sciences, University of Ibadan, Nigeria
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Zhao C, Yu M, Wang A, Xu X, Zheng X. Construction of an evaluation system for medical staff's occupational protection ability based on knowledge, attitude, and practice theory, and a cross-sectional survey of current conditions. BMC Nurs 2023; 22:78. [PMID: 36949466 PMCID: PMC10031986 DOI: 10.1186/s12912-023-01242-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Accepted: 03/09/2023] [Indexed: 03/24/2023] Open
Abstract
INTRODUCTION Medical personnel should be in close proximity and high frequency of contact with patients, and be exposed to physical, biological and chemical risk factors for a long time. The incidence of various occupational exposures is high. however, there is still a lack of the medical staff Occupational Protection Core Competence Evaluation Index system with high reliability and validity. AIM Based on the theory of knowledge, attitude, and practice, the evaluation system of occupational protection ability of medical personnel was established, and the current situation of occupational protection ability of medical personnel at different levels was investigated, so as to take targeted training and intervention measures to improve the occupational protection ability of medical personnel and reduce the incidence of occupational exposure. METHODS Based on the knowledge, attitude, and practice theory, the index system of occupational protection core competence of medical personnel was initially constructed by literature retrieval, expert consultation, group discussion, semi-structured interview and other qualitative and quantitative methods, and the reliability and validity of the index system was tested by Delphi expert consultation method. By convenient cluster sampling method, from March to September 2021, the current status of occupational protection core competence of medical personnel was investigated among medical staff from one Class III Grade A hospital and two medical schools in Jinan City, Shandong Province, China. RESULTS The evaluation system for medical staff's occupational protection ability included 3 first-level indexes, 11 second-level indexes, and 109 third-level indexes. A total of 684 valid questionnaires were collected from Grade III, Class A hospital medical staff and two medical school students in clinical practice in Shandong, China. Kruskal Walls test showed that there were significant differences in the overall distribution of occupational protection knowledge, attitude, and practice among registered nurses, nursing students, registered physicians, and physician students (H = 70.252, P < 0.001; H = 76.507, P < 0.001; H = 80.782, P < 0.001); there were statistical significance in the knowledge/ attitude/ practice of nursing and physician students at different levels (H = 33.733, P < 0.001; H = 29.158, P < 0.001; H = 28.740, P < 0.001). CONCLUSION The results of the evaluation system for the medical staff's occupational protection ability are reliable and can provide a reference for training the medical staff's occupational protection ability. Managers should strengthen the training of theoretical knowledge of occupational protection ability of medical staff.
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Affiliation(s)
- Cunyue Zhao
- Department of Spine Surgery, Shandong Electric Power Central Hospital, Jinan, China
| | - Mingguang Yu
- Department of Spine Surgery, Shandong Electric Power Central Hospital, Jinan, China
| | - Aijun Wang
- Department of Medical Oncology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Nursing Theory and Practice Innovation Research Center, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Xiaofen Xu
- Department of Medical Oncology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Xing Zheng
- Department of Medical Oncology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
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Knowledge, Attitude, Practice and Barriers Associated with Influenza Vaccination among Health Care Professionals Working at Tertiary Care Hospitals in Lahore, Pakistan: A Multicenter Analytical Cross-Sectional Study. Vaccines (Basel) 2023; 11:vaccines11010136. [PMID: 36679981 PMCID: PMC9861556 DOI: 10.3390/vaccines11010136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/16/2022] [Accepted: 12/26/2022] [Indexed: 01/11/2023] Open
Abstract
Health Care Professionals (HCPs), including doctors, nurses, pharmacists, and paramedics, are a high-risk group for influenza infection due to their continuous exposure to patients having a known or unknown history of influenza-like illnesses. Influenza vaccination is the most effective method of primary prevention. This study was conducted to assess knowledge, attitude, practice, and barriers associated with influenza vaccination among HCPs at tertiary care hospitals in Lahore, Pakistan. A multicenter analytical cross-sectional study was conducted among HCPs. Data were collected using a structured questionnaire. All statistical analyses were conducted in R software. A total of 400 HCPs were enrolled, and among these, 67% had a high level of knowledge and 65.5% had a positive attitude towards influenza vaccination. About 51% of HCPs adopted good practices leading to influenza vaccination. Results identified major barriers for influenza vaccinations, including unfamiliarity with vaccine availability (RII = 0.760), insufficient staff for administering the vaccine (RII = 0.649), lack of proper storage (RII = 0.625), safety concerns (RII = 0.613), and cost of vaccine (RII = 0.602). More than half of the HCPs showed a high level of knowledge, a positive attitude, and good practice against influenza vaccination. Despite the positive Knowledge, Attitude, and Practice (KAP) scores and published guidelines, a very low percentage of HCPs were vaccinated against influenza. Many hindering factors were associated with influenza vaccination.
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Smajic SC, Becarevic M, Klapic S, Seletovic F, Sahovic A. Evaluation of Work Quality Indicators in Medical Biochemical Laboratories. Mater Sociomed 2023; 35:97-100. [PMID: 37701342 PMCID: PMC10495155 DOI: 10.5455/msm.2023.35.97-100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 03/06/2023] [Indexed: 09/14/2023] Open
Abstract
Background A laboratory professional concerned with the quality of work in medical-biochemical laboratories ensures the accuracy and precision of laboratory analyses through the implementation of international and European guidelines for working with hazardous substances, through the availability and implementation of Standard Operating Procedures (SOPs). Laboratory hazards that affect the concentration and safety of workers arise from laboratory deficiencies such as: lack of preventive measures, knowledge and skills implemented through SOPs and good laboratory practice. Biophysical hazards in medical laboratories are manifested by needles and sharp objects, infectious materials, noise, vibration, radiation, poor air quality, temperature inversions. Objective Aim of the research was to raise awareness of the quality of work in medical-biochemical laboratories in order to ensure the safety of workers. Methods A cross-sectional questionnaire-based study was conducted among 100 laboratory proffesionals from Bosnia and Herzegovina and Croatia. The research was conducted over a period of three months. Results A higher percentage of exposure to infectious agents and needles and sharp objects was found among respondents from BiH compared to CRO (p=0.018 and p=0.001, respectively).We found that respondents employed in accredited laboratories are aware of exposure to hazards in a high percentage related to infectious agents, toxins (p=0.0012 and p=0.0046, respectively). A significant statistical difference was found between respondents with BiH and respondents with CRO in terms of knowledge of accreditation standards of medical-biochemical laboratories (p=0.0155). Respondents who have standard operating procedures available are aware of the hazards of infectious agents (p=0.0001), toxins (p=0.0466), needles and sharp objects (p=0.0052), noise (p=0.0030), vibration (p=0.0007) and extreme temperatures (p=0.0014). Conclusion Efficient implementation and continuous compliance with the ISO 15189:2018 standard requires constant commitment and active participation of laboratory staff. Laboratories must have standard operating procedures in place and actively monitor their use.
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Affiliation(s)
- Sabina Camdzic Smajic
- Polyclinic for Transfusion Medicine, University Clinical
Center Tuzla, Tuzla, Bosnia and Herzegovina
- Medical University Tuzla, European University Kallos
Tuzla. Tuzla, Bosnia and Herzegovina
| | - Munevera Becarevic
- Primary Care Center Banovici, Banovici, Bosnia and
Herzegovina
- Medical University Tuzla, European University Kallos
Tuzla. Tuzla, Bosnia and Herzegovina
| | - Samra Klapic
- Polyclinic for Transfusion Medicine, University Clinical
Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Fahreta Seletovic
- Polyclinic for Transfusion Medicine, University Clinical
Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Alisa Sahovic
- Polyclinic for Transfusion Medicine, University Clinical
Center Tuzla, Tuzla, Bosnia and Herzegovina
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Al-Buhairi JOA, Mohamed AAA, Ahmed WA. Health-related risks of nursing practice at paediatric hospitals, Khartoum, Sudan. Sudan J Paediatr 2023; 23:13-20. [PMID: 37663102 PMCID: PMC10468633 DOI: 10.24911/sjp.106-1647513845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 04/18/2022] [Indexed: 09/05/2023]
Abstract
In addition the nature of nurses working environment, duties and responsibilities, nurses are facing numerous health hazards while working at hospitals. This study aimed to identify the health-related risks of nursing practice at Ahmed Gasim Hospital and Gafaar Ibnauf Children's Hospital, Khartoum State, Sudan. A descriptive cross-sectional study was conducted at two governmental paediatric hospitals in Khartoum, from August to December 2017, in which 74 nurses were selected by convenience sampling to participate. The data was collected by a validated questionnaire and analysed by Statistical Package for Social Sciences, version 25. About 65% of nurses reported that they had high level of awareness of health risks they were exposed to on their job while 75.7% indicated that the major factors contributing to health risks in the hospitals were working pressure and poor working environment. Low back pain was found to be the most common health-related risks (77%) that might result from the extreme pressure at work (75.7%). Gender and years of experience had statistically significant association with health hazards among nurses (0.042 and 0.047, respectively). The study concluded that the majority of nurses have high awareness of health-related risks. The reported problems were low back pain which was found to be the most common health-related risk that might result from the extreme pressure at work.
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Affiliation(s)
| | | | - Waled Am Ahmed
- Nursing Department, Faculty of Applied Medical Sciences, Al-Baha University, Al-Baha, Saudi Arabia
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Segalo S, Pasalic A, Macak-Hadziomerovic A, Maestro D, Pecar M, Katana B. Association Between Risk Factors and Prevalence of Musculoskeletal Disorders Among Laboratory Professionals-an European Perspective. Mater Sociomed 2023; 35:107-112. [PMID: 37701348 PMCID: PMC10495161 DOI: 10.5455/msm.2023.35.107-112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 03/06/2023] [Indexed: 08/06/2024] Open
Abstract
Background Musculoskeletal disorders (MSDs) are a large group of diseases that severely affect work productivity and quality of life. Objective To examine the differences in the prevalence of MSDs among laboratory professionals (LP) and to assess their association with individual, psychosocial, and occupational risk factors. Methods In a multicenter, cross-sectional study, a questionnaire was distributed online through professional association networks. Participants were divided into two groups based on their territorial affiliation-European Union (EU) and non-EU member states. Descriptive and inferential statistics were included in the analysis, and statistical significance was set at ≤0.05. Results A total of 640 LPs from 20 European countries participated in the study, predominantly females (78.4%) with university degree (59.4%) and mean age of 41.2 ± 10.1 years. Statistically significant differences between groups were confirmed for several variables studied: neck flexion > 15o (p = 0.008), hands at chest level (p = 0.000), longer screen time, and sitting (p = 0.000). One-third of participants reported wrist (35.6%), shoulder (32.7%), and elbow (31.6%) pain, while low back pain was more common (48.9%). A statistically significant association was confirmed between the incidence of MSDs and stress at work, repetitive movements, and prolonged standing (p = 0.000). Several variables showed significant correlations with MSDs in different body parts (p <0.05). Conclusion Our results show a higher prevalence of MSDs in LPs and recommend the development of targeted prevention programs and additional measures to modify the work environment and organizational activities.
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Affiliation(s)
- Sabina Segalo
- University of Sarajevo, Faculty of Health Studies, Sarajevo, Bosnia and Herzegovina
| | - Arzija Pasalic
- University of Sarajevo, Faculty of Health Studies, Sarajevo, Bosnia and Herzegovina
| | | | - Daniel Maestro
- University of Sarajevo, Faculty of Health Studies, Sarajevo, Bosnia and Herzegovina
- Department of Environmental Health, Sarajevo, Federal Institute for Public Health, Sarajevo, Bosnia and Herzegovina
| | - Muris Pecar
- University of Sarajevo, Faculty of Health Studies, Sarajevo, Bosnia and Herzegovina
| | - Bakir Katana
- University of Sarajevo, Faculty of Health Studies, Sarajevo, Bosnia and Herzegovina
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THE EFFECT OF DEPRESSION LEVELS ON QUALITY OF LIFE OF INTENSIVE CARE STAFF DURING THE COVID-19 PROCESS. INTERNATIONAL JOURNAL OF HEALTH SERVICES RESEARCH AND POLICY 2022. [DOI: 10.33457/ijhsrp.1118873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
This study was conducted to examine the effect of depressive symptoms on quality of life of healthcare staff working in intensive care units during the COVID-19 process. This study was designed as descriptive, cross-sectional and correlational. It was carried out with the participation of 133 healthcare professionals between November and December 2020. The data were collected by face-to-face interviews with the participants in average of 10-15 minutes. Personal Information Form, Beck’s Depression Inventory (BDI), and Professional Quality of Life Scale (ProQOL R-IV) were used for data collection. Kurtosis, Skewness and Shapiro-Wilk, Student's t, ANOVA tests were used for data analysis. Pearson correlation and regression analysis were performed. Depressive symptoms and low quality of life were detected in healthcare workers working in the Covid-19 pandemic. It was seen that women's ProQOL R-IV total scores were higher than men's and BDI total score averages of associate degree health workers were significantly higher than those of health workers with undergraduate or graduate degrees. It was determined that 39.1% of the participants were considering resigning during the pandemic process. It has been determined that those who do their job reluctantly have higher BDI total scores than those who do it fondly. In addition, it was determined that those who do their job fondly have higher ProQOL R-IV total scores than those who do it reluctantly. It was observed that the total BDI scores of the participants whose family members were diagnosed with COVID-19 were higher than those who did not and those who thought about resigning during the pandemic process were higher than those who did not. As a result, it is thought that the effective and high quality of health services is directly related to the physical and mental well-being of health workers throughout the pandemic process. It is thought that it is extremely important to identify mental disorders that may occur in healthcare workers due to the difficulties brought by the pandemic process at an early stage and to stop their progression.
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Torkaman M, Momennasab M, Yektatalab S, Eslami Shahrbabaki M. Nurses' patient safety competency, a predictor for safe care in psychiatric wards? Perspect Psychiatr Care 2022; 58:2854-2861. [PMID: 35780327 DOI: 10.1111/ppc.13133] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 04/21/2021] [Accepted: 06/08/2022] [Indexed: 11/28/2022] Open
Abstract
PURPOSE This study examined the relationship between patient safety competence and safe care from the viewpoints of nurses working in psychiatry wards. DESIGN AND METHODS The present descriptive correctional study was conducted in two psychiatry hospitals in Iran in 2020. All the nurses were selected as the study participants using the census sampling method (N = 209). FINDINGS Nurses' patient safety competency was at a low level (2.54 ± 0.52), but nurses' safe care was at a moderate level (242.08 ± 61.32). A strong positive relationship was found between the patients' safety competency and nurses' safe care (p = 0.001, r = 0.84). PRACTICE IMPLICATIONS Nursing managers should support nurses by providing the required resources and operational strategies to improve their competency and safe care in providing quality care.
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Affiliation(s)
- Mahya Torkaman
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Marzieh Momennasab
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, By Namazee Hospital, Shiraz, Iran
| | - Shahrzad Yektatalab
- Department of Nursing, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahin Eslami Shahrbabaki
- Neurology Research Center, Department of Shahid Beheshti Hospital, Afzalipour Medicine School, Kerman University of Medical Sciences, Kerman, Iran
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Qaraman AFA, Elbayoumi M, Kakemam E, Albelbeisi AH. Knowledge, Attitudes, and Practice towards Occupational Health and Safety among Nursing Students in Gaza Strip, Palestine. Ethiop J Health Sci 2022; 32:1007-1018. [PMID: 36262695 PMCID: PMC9554770 DOI: 10.4314/ejhs.v32i5.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 07/13/2022] [Indexed: 11/17/2022] Open
Abstract
Background Health and safety in the workplace are critical components in healthcare institutions. Unsafe working conditions are among the causes of poor quality of care and burnout. This study aims to assess the knowledge, attitudes, and practice of occupational health and safety among nursing students at Al-Israa University. Methods In this cross-sectional study, a structured online questionnaire was distributed from March to May 2021. Of the 350 eligible students, 219 students answered the questionnaire (Response rate=62.6). Data were analyzed using the statistical software IBM-SPSS version 22. Descriptive statistic, Independentsamples T-Test, and ANOVA tests were used. Results The majority of participants were female (81.7%) and studying in a diploma program. 21% of nursing students have experienced a needle stick injury. The mean scores for knowledge, attitudes, and practice were (M±SD:78.2% ±12.9, M±SD:80.6% ±7.1, and M±SD:81.2% ±7.6) respectively. In terms of knowledge, attitudes, and practice the mean scores were statistically significant between nursing students who attended a safety precautions course and those who didn not (P-value <.05). In terms of attitudes, the mean scores were statistically significant between diploma and bachelor students (P-value =.026). In terms of practice, the means scores were statistically significant between males and females (Pvalue =.017), nursing students who had experience with needle sticks and those who didn't (P-value =.015). Conclusions The authors recommend that clinical training departments and universities continue to offer occupational health and safety courses and training for health science students. Since the training had a positive impact on the students' practices.
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Affiliation(s)
| | - Maher Elbayoumi
- Energy and Sustainable Environment Center, School of Engineering, Israa University, Gaza, Palestine
| | - Edris Kakemam
- Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Anim-Sampong S, Ashong GG, Quansah ZH, Botwe BO, Sule D, Bamfo-Quaicoe K, Oblitey JN, Antwi WK, Hewlett VK. Assessment of diagnostic radiographers' knowledge of work-related health problems and associated effects: A multicentre study in Ghana. Radiography (Lond) 2022; 28:1050-1057. [PMID: 35981491 DOI: 10.1016/j.radi.2022.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 07/18/2022] [Accepted: 07/20/2022] [Indexed: 10/31/2022]
Abstract
INTRODUCTION Work-related health problems (WRHPs) are health conditions peculiar to a group of people or occupations including radiography in a specific work setting. These WRHPs occur as a result of prevailing work conditions which predispose workers to risks of physical or psychological distress. AIM This study assessed the knowledge of WRHPs among practicing radiographers in Ghana and evaluated the sources, causes, effects and preventive measures of WRHPs. METHODS A prospective cross-sectional design incorporating a quantitative data collection approach was used. A questionnaire was used to assess the knowledge and evaluate the effects of WRHPs among two cohorts of 31 practicing radiographers at a regional hospital (RH) and a teaching hospital (TH). RESULTS An average score of 4.2 (SD = 0.4) out of 5 (84.8%) obtained on the knowledge scale indicated very good knowledge of WRHPs among the radiographers. Physical work demands, ergonomic issues, increased workload and stress levels on on-duty radiographers due to sick absence by colleagues, large numbers of daily cases, and extra work without incentives were reported as WRHPs effects mostly experienced by the radiographers. The study also showed no significant difference between gender groups (p = 0.313), years of professional practice experience level (p = 0.319), and academic qualifications (p = 0.287) on knowledge of WRHPs. CONCLUSION Radiographers working in some referral and teaching hospitals in Ghana demonstrated very good knowledge of WRHPs and identified several effects of WRHPs on professional practice. IMPLICATION FOR PRACTICE The study concludes that WRHPs predispose radiographers to adverse health conditions, and administrative protocols are required to prevent or mitigate the burden.
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Affiliation(s)
- S Anim-Sampong
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana.
| | - G G Ashong
- HCARE, School of Healthcare Sciences, Cardiff University, Wales, UK
| | - Z H Quansah
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - B O Botwe
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - D Sule
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - K Bamfo-Quaicoe
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - J N Oblitey
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - W K Antwi
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - V K Hewlett
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
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Gülen S, Baykal Ü, Göktepe N. FACTORS AFFECTING NURSES' ATTITUDES TOWARDS RISKS IN THE WORK ENVIRONMENT: A CROSS-SECTIONAL STUDY. J Nurs Manag 2022; 30:3264-3272. [PMID: 35939331 DOI: 10.1111/jonm.13759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 07/19/2022] [Accepted: 08/03/2022] [Indexed: 11/30/2022]
Abstract
AIM This study aimed to examine the factors affecting nurses' attitudes towards risks in the work environment. BACKGROUND Nurses' attitudes towards work environment-associated risks affect both risk management and employee health. METHODS This descriptive study was conducted with 338 nurses working in a public hospital, university hospital, and private hospital. Data were collected using the Personal Information Form and the Nurses' Attitudes Towards Work Environment Risks Scale. RESULTS Nurses were found to have a positive attitude towards risk in the work environment. Regression analysis showed that nurses' attitudes towards risk was affected by institution, gender, access to unit-specific risk management training, past experiences of sharp penetrating tool injuries, acceptance of risks due to the belief that risks are unavoidable, exposure to violence from colleagues, exposure to biological hazards, and neglect to take risk precautions. CONCLUSIONS This study's results show that nurses' attitudes towards risk in the work environment is affected by both individual and organizational factors. IMPLICATIONS FOR NURSING MANAGEMENT This study's results can help institutions and nurse managers understand the factors affecting nurses' attitudes towards work-related risks, thereby allowing them to determine the primary strategies that may be used to address these factors.
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Affiliation(s)
- Sibel Gülen
- Provincial Quality Coordinator, Düzce Provincial Health Directorate, Düzce, Turkey
| | - Ülkü Baykal
- Istanbul University Cerrahpasa, Florence Nightingale Faculty of Nursing, Istanbul, Turkey
| | - Nilgün Göktepe
- Ordu University Faculty of Health Sciences, Department of Nursing, Ordu, Turkey
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22
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Health outcomes following retirement: a comparative study of health and non-health pensioners in Ghana. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-021-01557-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Passos IPBD, Padoveze MC, Zem-Mascarenhas SH, Kawagoe JY, Felix AMDS, Timmons S, Figueiredo RMD. An innovative strategy for nursing training on standard and transmission-based precautions in primary health care: A randomized controlled trial. Am J Infect Control 2022; 50:657-662. [PMID: 34793890 DOI: 10.1016/j.ajic.2021.10.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 10/26/2021] [Accepted: 10/27/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND Strategies to improve adherence to standard and transmission-based precautions are essential to reduce the risk of health care-associated infections. This study aims to evaluate the effectiveness of an educational strategy on precautions among nursing staff in primary health care settings. METHODS A randomized nonblinded controlled trial was conducted with 100 nursing staff working in 28 primary health care units. Groups were allocated randomly. The intervention group received a WebQuest educational strategy: a guided, creative method designed to engage participants in developing learning tasks, organized in 5 dimensions. The control group did not receive any training. Knowledge and self-reported adherence were assessed at 3 time points in the intervention group and at 2 time points in the control group. Data analyses were performed using Pearson's chi-square or Fisher's exact for categorical data, and Mann-Whitney and Repeated Measures analysis of variance for quantitative data. RESULTS A higher level of knowledge was identified in the postintervention for the dimensions of risk assessment, hand hygiene, and mask use and cough etiquette (all P values P < .05). The self-reported adherence increased in intervention (P = .008) and control groups (P = .005). The differences decreased after 6 months. CONCLUSIONS The educational intervention increased the knowledge and self-reported adherence to standard and transmission-based precautions.
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Affiliation(s)
| | - Maria Clara Padoveze
- Escola de Enfermagem da Universidade de São Paulo, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Julia Yaeko Kawagoe
- Nursing Master Program, d Programa de Mestrado Profissional em Enfermagem, São Paulo, SP, Brazil
| | | | - Stephen Timmons
- Business School, The University of Nottingham, Nottingham, United Kingdom
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Biological Factors in the Workplace-Current Threats to Employees, the Effects of Infections, Prevention Options. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095592. [PMID: 35564987 PMCID: PMC9099500 DOI: 10.3390/ijerph19095592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 04/29/2022] [Indexed: 11/16/2022]
Abstract
Infectious diseases or communicable diseases are spread from person to person by various routs [...].
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Ahmed HK, Eisa IM, Abdallah EI, Hamouda DG, Omer AE, Eltayeb LB. Appraisal of Biosafety Measures in Governmental Medical Laboratory Personnel: Knowledge, Attitude, Practice (KAP) Study. JOURNAL OF BIOCHEMICAL TECHNOLOGY 2022. [DOI: 10.51847/eohg7ngyvx] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Oladiran A, Imediegwu K, Ezeh F, Yakubu M, Igwe O. Awareness of hazard risks and prevention among orthopaedic surgery residents in South East Nigeria. JOURNAL OF WEST AFRICAN COLLEGE OF SURGEONS 2022; 12:11-16. [PMID: 36203929 PMCID: PMC9531746 DOI: 10.4103/jwas.jwas_85_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 04/28/2022] [Indexed: 11/04/2022]
Abstract
Background: Objectives: Materials and Methods: Results: Conclusion: Recommendation:
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Mousavi-Roknabadi RS, Danaei M, Askarian M. Unhealthy Lifestyle Predisposed Shiraz Healthcare Workers to Metabolic Diseases. Int J Prev Med 2021; 12:175. [PMID: 37663402 PMCID: PMC10472076 DOI: 10.4103/ijpvm.ijpvm_519_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2020] [Accepted: 01/21/2021] [Indexed: 11/04/2022] Open
Abstract
Background Poor health condition may increase the risk of occupational problems and reduces an organization's productivity. Also, there is a direct, bilateral relationship between occupation and health. Objective To evaluate the health status of health care workers (HCWs) in the largest tertiary general and teaching hospital in southern Iran. Methods This cross-sectional study (Sep2014-Dec2016) was conducted on HCWs, who were referred to Prevention and Health Promotion Clinic of Shiraz Namazee hospital. The participants' health status was assessed and after the risk assessments and necessary physical examinations, the laboratory and para clinic tests were requested. Using descriptive and analytical tests, all data were analyzed. Results Totally, 963 HCWs were enrolled, that 64.4% were women, with mean ± SD age of 35.51 ± 8.9 years. Eighty-eight percent and 77.4% of the participants had history of ergonomic and psychological exposures. Impaired glucose tolerance and abnormal serum cholesterol were seen in 13.6% and 29.9%, respectively. Body mass index was a predictive factor for abnormal blood pressure (OR: 1.12; 95%CI: 1.02-1.22), impaired glucose tolerance (OR: 1.08; 95%CI: 1.01-1.16), and abnormal serum cholesterol (OR: 1.17; 95%CI: 1.10-1.25), respectively. Male gender (OR: 1.83; 95%CI: 1.08-3.03) was a predictive factor for abnormal serum cholesterol. Conclusions The health status of HCWs is not good enough in Iran. They did not have an appropriate lifestyle. They were exposed to different occupational hazards. The prevalence of chronic diseases was notable. Overweight, obesity, and inactivity were the most important causes of metabolic diseases.
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Affiliation(s)
| | - Mina Danaei
- Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Mehrdad Askarian
- Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, Health Behavior Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Blessing CO, Tunca EA, Talabi FO, Boluwatife AA, Oluwole AV, Gever VC. Modeling journalists' coping strategies to occupational hazards in their coverage of protests against police brutality (ENDSARS protests) in Nigeria. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:2439-2446. [PMID: 34719348 DOI: 10.1080/10803548.2021.1999651] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Although journalism practice exposes media workers to different levels of occupational hazards, research on the coping strategies is limited. This study made an effort to extend literature in this direction by providing a model that explains the coping strategies of Nigerian journalists who covered the 2020 ENDSARS protests in Nigeria. The researchers surveyed a total of 470 journalists who were sampled through a respondents-driven chain referral sampling technique. It was found that journalists who covered the protests faced occupational hazards such as physical attacks, disgrace, threats, trauma, anxiety as well as fear. The coping strategies were found to include: seeking social support, selective appearance, self-censorship as well as self-motivation. It was further found that perceived behavioural control significantly moderates the implementation of coping strategies. The researchers explored the implications of these results on theory, practice and scholarship.
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Affiliation(s)
| | - Elif Asude Tunca
- European University of Lefke, Faculty of Communication Sciences, Department of New Media and Journalism, Lefke, Northern Cyprus, TR-10 Mersin, Turkey, ,
| | | | | | - Adefemi Victor Oluwole
- Department of Linguistics and Communication Studies Osun State University, Osogbo, Osun State, Nigeria, ,
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Ahadzi DF, Afitiri AR, Ahadzi E. Organizational safety culture perceptions of healthcare workers in Ghana: A cross-sectional interview study. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2021. [DOI: 10.1016/j.ijnsa.2021.100020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Factors Affecting Occupational Hazards among Operating Room Personnel at Hospitals Affiliated in Western Iran: A Cross-Sectional Study. J Public Health (Oxf) 2021. [DOI: 10.1007/s10389-019-01169-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Rostami F, Babaei-Pouya A, Teimori-Boghsani G, Jahangirimehr A, Mehri Z, Feiz-Arefi M. Mental Workload and Job Satisfaction in Healthcare Workers: The Moderating Role of Job Control. Front Public Health 2021; 9:683388. [PMID: 34540781 PMCID: PMC8446529 DOI: 10.3389/fpubh.2021.683388] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Accepted: 07/20/2021] [Indexed: 11/26/2022] Open
Abstract
Objective: The aim of this study was to investigate the moderating role of job control in relation to mental workload and job satisfaction of healthcare workers. Methods: This cross-sectional study was carried out on 480 nurses, midwives, and administrative workers in four educational hospitals of Ardabil, Iran. Research tools were included demographic information questionnaire, NASA-TLX questionnaire, job description index (JDI) questionnaire and job control inquiry. Results: Compared with administrative workers, mental workload of nurses and midwives was significantly higher and likewise mental workload of nurses was significantly difference compared to midwives (P < 0.001). Nurses and midwives had substantially higher job satisfaction than administrative workers (P < 0.001). Also, nurses and midwives had higher job control than administrative workers (P < 0.001 and P = 0.002, respectively). Based on the designed model, the correlation between mental workload and job satisfaction was negative and significant (r = -0.22); which in the presence of job control, the relationship between the two variables of workload and job satisfaction slightly increased (r = -0.19, P < 0.001). These conditions were the same in the three job groups separately. Conclusion: Mental workload is inversely related to job satisfaction and job control. Job control plays an important role in improving working conditions in healthcare workers.
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Affiliation(s)
- Fatemeh Rostami
- School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Amin Babaei-Pouya
- Department of Occupational Health Engineering, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Gholamheidar Teimori-Boghsani
- Department of Occupational Health Engineering, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Azam Jahangirimehr
- Department of Public Health, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
| | - Zahra Mehri
- MSc of Scientometrics, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
| | - Maryam Feiz-Arefi
- Department of Occupational Health Engineering, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
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Bernardes JM, Monteiro-Pereira PE, Gómez-Salgado J, Ruiz-Frutos C, Dias A. Healthcare workers' knowledge for safe handling and moving of the patient. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:2105-2111. [PMID: 34261410 DOI: 10.1080/10803548.2021.1955484] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Objectives. Healthcare workers are at risk of injury during patient handling activities. There is a lack of research in safe patient handling. The objective of this study was to examine the knowledge level of safe patient handling among Brazilian healthcare workers and to analyze its associated factors. Methods. This cross-sectional study was performed in two hospitals and 47 outpatient facilities with 644 participants in Brazil. Healthcare workers completed a self-administered questionnaire about their working characteristics, history of lower back pain and knowledge of safe patient handling. Results. The mean score of safe patient handling knowledge was 11.89 out of 22 maximum points. More than half (59%) of the participants did not see the risk of their activity. Educational level, type of healthcare facility and outpatient clinics were associated with safe patient handling knowledge in the logistic regression model. Conclusion. There was a substantial deficit in safe patient handling knowledge. There is a need for courses and textbooks to move beyond ineffective preventive strategies and minimize the risk of manual patient handling. Healthcare workers are at risk of injury during patient handling activities. Nursing schools in developing countries must focus on researching this topic to ensure safe patient handling.
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Affiliation(s)
- João Marcos Bernardes
- Graduate Program in Collective/Public Health, Botucatu Medical School, São Paulo State University (UNESP), Brazil
| | | | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, Universidad de Huelva, Spain.,Safety and Health Postgraduate Program, Universidad Espíritu Santo, Ecuador
| | - Carlos Ruiz-Frutos
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, Universidad de Huelva, Spain.,Safety and Health Postgraduate Program, Universidad Espíritu Santo, Ecuador
| | - Adriano Dias
- Graduate Program in Collective/Public Health, Botucatu Medical School, São Paulo State University (UNESP), Brazil
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Liu H, Li J, Li H, Li H, Mao P, Yuan J. Risk Perception and Coping Behavior of Construction Workers on Occupational Health Risks-A Case Study of Nanjing, China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18137040. [PMID: 34280977 PMCID: PMC8297174 DOI: 10.3390/ijerph18137040] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 05/27/2021] [Accepted: 06/28/2021] [Indexed: 11/16/2022]
Abstract
To reduce harm caused by occupational health risks of construction workers exposed to working environments, especially those for interior decoration, it is crucial for them to actively recognize and prevent these risks. Therefore, how to improve their occupational health risks perception and regulate their coping behaviors should be of great concern. However, most prior studies target construction worker safety, and little research focuses on risk analysis from the psychological level of workers. Hence, construction workers' occupational health risk perception level and coping behavior level in Nanjing and the influencing factors were analyzed through statistical analysis with 341 valid questionnaires. Bootstrapping was applied to test the mediating effects of risk perception on the proposed factors and coping behaviors. This study revealed that construction workers have a high-level of occupational health risk perception, yet low-level coping behavior. Gender, age, education level, and unit qualification cause differences in individual risk perception level. Personal knowledge and group effects significantly affect the level of risk perception, which subsequently affect coping behavior. Education level, monthly income, and personal knowledge influence the coping behavior through risk perception. Recommendations were put forward for risk perception and coping behavior improvement from the perspectives of construction workers themselves, enterprises, and governments. This study sheds new light for research areas of occupational health and risk management and provides beneficial practice for improving construction workers' responses to occupational health risks.
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Affiliation(s)
- Hui Liu
- Department of Construction Management, College of Civil Engineering, Nanjing Forestry University, Nanjing 210037, China;
| | - Jie Li
- School of Civil and Transportation Engineering, Shenzhen University, Shenzhen 518060, China;
| | - Hongyang Li
- Business School, Hohai University, Nanjing 211100, China;
- School of Civil Engineering and Transportation, South China University of Technology, Guangzhou 510641, China
- State Key Laboratory of Subtropical Building Science, South China University of Technology, Guangzhou 510641, China
| | - He Li
- College of Civil Engineering, Hunan University, Changsha 410082, China;
| | - Peng Mao
- Department of Construction Management, College of Civil Engineering, Nanjing Forestry University, Nanjing 210037, China;
- Correspondence: ; Tel.: +86-138-0517-1820
| | - Jingfeng Yuan
- Department of Construction and Real Estate, School of Civil Engineering, Southeast University, Nanjing 210096, China;
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Naithani M, Khapre M, Kathrotia R, Gupta PK, Dhingra VK, Rao S. Evaluation of Sensitization Program on Occupational Health Hazards for Nursing and Allied Health Care Workers in a Tertiary Health Care Setting. Front Public Health 2021; 9:669179. [PMID: 34222175 PMCID: PMC8248788 DOI: 10.3389/fpubh.2021.669179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 04/08/2021] [Indexed: 01/18/2023] Open
Abstract
Background: Occupational health hazard pertaining to health care providers is one of the neglected areas that need serious attention. Any compromise in their safety would result in reduction in workforce, which may affect patient care, keeping in mind the wide gap between the required number and actual health care workers (HCWs) available in the world over. Aim: This study was undertaken to evaluate the change in knowledge through a sensitization training program on occupational health hazards and vaccination for HCWs. Materials and Methods: Participants of the study included nursing and allied HCWs of a tertiary care health institute in Uttarakhand, India. Multiple training sessions, each of around 180 min, were held periodically in small groups with 20–40 participants over 2 years. Participants were assessed with pretest and posttest questionnaires, and feedback was taken. Questionnaires comprised three categories: general safety and ergonomics, biological hazards, and chemical and radiation hazards. Data of incident reporting for needlestick injury from 2017 to 2019 were retrieved. All data were compiled in Excel sheet and analyzed. Results: A total of 352 participants were included in the study. Mean ± SD for pretest and posttest scores were 5.3 ± 2.13 and 11.22 ± 2.15, respectively. There was considerable improvement in knowledge, which was found to be statistically significant with p-value of 0.001 for all categories. Participants in their feedback suggested for inclusion of psychosocial aspect in further training programs. Conclusion: Low baseline knowledge prior to attending the course highlights a need for an intervention through such structured sensitization program to create awareness and educate HCWs on common occupational health hazards and vaccination. Statistically significant improvement in posttest knowledge highlights effectiveness of the training program. A drastic rise in incident reporting for needlestick injury reflects fairly good impact of training program. Regular and appropriate form of training can reduce injuries resulting from occupational hazards and ensure healthy workforce contributing toward a positive impact on national economy.
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Affiliation(s)
| | - Meenakshi Khapre
- Department of Community and Family Medicine, AIIMS Rishikesh, Uttarakhand, India
| | | | | | | | - Shalinee Rao
- Department of Pathology and Advanced Center of Continuous Professional Development, AIIMS Rishikesh, Uttarakhand, India
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Assessment of Workplace Safety Climate among Healthcare Workers during the COVID-19 Pandemic in Low and Middle Income Countries: A Case Study of Nigeria. Healthcare (Basel) 2021; 9:healthcare9060661. [PMID: 34206111 PMCID: PMC8228704 DOI: 10.3390/healthcare9060661] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 05/24/2021] [Accepted: 05/26/2021] [Indexed: 02/03/2023] Open
Abstract
The COVID-19 pandemic has presented several organizations with the opportunity to review their operational strategies, as well as the existing safety climate within their establishments. The healthcare sector is not an exception, especially those in Low and Middle Income Countries (LMICs), where most safety systems are not robust when compared with developed countries. The study aim is to assess the occupational safety climate among healthcare workers (HCWs) in LMICs using Nigeria as a case study. A cross-sectional study was adopted to measure safety climate perception among professionals working in healthcare establishment during the COVID-19 pandemic using a validated Nordic Safety Climate Questionnaire (NOSACQ-50). At the end of the survey period, 83% (433) of the responses were adjudged to have met the threshold criteria and were used to inform the study outcome. Worker safety commitment within the healthcare facilities (M = 3.01, SD = 0.42) was statistically significantly higher than management safety priority, commitment, and competence (M = 2.91, SD = 0.46), t(130.52), p < 0.001. A significant effect of the management role was found in regards to management safety priority, commitment, and competence (F(1, 406) = 3.99, p = 0.046, η2 = 0.010). On the contrary, the managerial position does not have a significant effect on worker safety commitment (F(1, 417) = 0.59, p = 0.440, η2 = 0.001). The outcome from the study showed that, where there is active promotion of a positive safety climate in healthcare sectors in LMICs, employees are more likely to engage in positive safety behaviour. To help address the identified gaps, there is the need for more effort to be made towards promoting an effective and positive safety climate across the establishment, including management and healthcare worker commitments.
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Kalender-Smajlović S, Dovjak M, Kukec A. Sick building syndrome among healthcare workers and healthcare associates at observed general hospital in Slovenia. Cent Eur J Public Health 2021; 29:28-37. [PMID: 33831284 DOI: 10.21101/cejph.a6108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 01/19/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The aim of this study was to assess the possible associations between self-perceived sick building syndrome (SBS) symptoms among healthcare workers and healthcare associates and self-perceived parameters of indoor work environment quality. METHODS The cross-sectional study was conducted from February to April 2019. Validated standardized evaluation tools (MM 040 NA Hospital 2007 and MM 040 NA Office 2007) were used for estimating the prevalence of SBS among observed populations. Chi-square and Mann-Whitney U tests for assessing possible associations in SBS symptoms between healthcare workers and associates were used. RESULTS The response rate was 69.8%. The results showed a lower prevalence of six or more SBS symptoms in healthcare associates (6.4%) compared to healthcare workers (12.0%). Healthcare workers perceived the most frequent risk factors for SBS to be poor air quality, an inappropriate level of relative humidity, and inappropriate room temperature, while the least frequently self-perceived risk factors were inappropriate lighting and noise levels. CONCLUSIONS This study represents a platform for further analyses - the identification of health risk factors with environmental monitoring.
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Affiliation(s)
| | - Mateja Dovjak
- Faculty of Civil and Geodetic Engineering, University of Ljubljana, Ljubljana, Slovenia
| | - Andreja Kukec
- Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Exposure to Occupational Hazards among Health Care Workers in Low- and Middle-Income Countries: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052603. [PMID: 33807727 PMCID: PMC7967386 DOI: 10.3390/ijerph18052603] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 03/02/2021] [Accepted: 03/03/2021] [Indexed: 02/03/2023]
Abstract
Health care workers are exposed to numerous workplace hazards. The implementation of safety measures in high-income countries has largely mitigated these risks. However, in many low- and middle- income countries (LMICs), resources to institute safety measures are lacking, increasing the risk of occupational exposures to these hazards. The aim of this scoping review is to map and synthesize the available research on occupational hazards among health care workers in LMICs, identify research gaps and inform policy. Searches for relevant articles were conducted in five electronic databases using a broad range of search terms. The inclusion criteria were: quantitative observational or experimental studies which examined exposure to one or more occupational hazards among health care workers in a LMCI; and the article was published in English in a peer-reviewed journal. A total of 99 studies met the inclusion criteria, and data were extracted from these studies. Large proportions of health care workers in LMICs were exposed to biological hazards (bloodborne pathogens, tuberculosis), psychosocial hazards (workplace violence, burnout, job dissatisfaction), ergonomic hazards (musculoskeletal complaints), and chemical hazards (exposure to latex and antineoplastic drugs). The implementation of risk reduction strategies was suboptimal. The majority of the literature was on biological hazards (48%), and research on other hazards was limited in comparison. Occupational safety needs to become a priority public health issue to protect health care workers in LMICs. More research is needed to understand the magnitude of the problem in these countries.
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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. Saf Health Work 2021; 12:66-73. [PMID: 33732531 PMCID: PMC7940130 DOI: 10.1016/j.shaw.2020.09.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 07/09/2020] [Accepted: 09/03/2020] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND The objective was to assess the knowledge level, attitude, and practice of health care workers towards standard precautions, and to identify the related factors. Furthermore, it was attempted to identify the proportion of having the experience of needle stick injuries (NSIs) and associated factors among participants. METHODS A cross-sectional study was conducted in a teaching hospital among 233 health workers using a self-administrated questionnaire. The questionnaire included eight knowledge items, seven practice items, and five attitude items. Based on the mean score of each category, responses were grouped into "satisfactory" and "unsatisfactory". Univariate, bivariate, and multivariable logistic regression analyses were done. RESULTS The mean age of the participants 32.95 (SD ± 9.70) and 62.2% of them were women. 57.5% of the staff had a satisfactory level of correct knowledge (>5 correct answers), 37.3% had a satisfactory positive attitude (>3 correct answers), and 30.9% had a satisfactory practice (>3 correct answers) towards standard precautions. The occupation was one of the predictors as doctors were less likely to have satisfactory knowledge and practice compared to nurses (OR = 0.269, 95% CI: 0.10-0.70 and OR = 0.248, 95% CI: 0.08-0.77, respectively). Out of 174 participants, 31.6% of them reported experiencing NSIs and support staff were 71% less likely to experience NSIs compared to nurses & paramedics. CONCLUSION The findings revealed a substandard adherence of standard precautions among participants, which highlighted the necessity of the provision of a periodic, tailored training program based on the occupation and risk exposure.
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Affiliation(s)
- Gulifeiya Abuduxike
- Department of Public Health, Faculty of Medicine, Near East University, Cyprus
| | | | - Ozen Asut
- Department of Public Health, Faculty of Medicine, Near East University, Cyprus
| | - Sanda Cali
- Department of Public Health, Faculty of Medicine, Near East University, Cyprus
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Tesfa T, Hawulte B, Tolera A, Abate D. Hepatitis B virus infection and associated risk factors among medical students in eastern Ethiopia. PLoS One 2021; 16:e0247267. [PMID: 33606777 PMCID: PMC7894878 DOI: 10.1371/journal.pone.0247267] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 02/03/2021] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Hepatitis B virus (HBV) is a highly contagious pathogen that has become a severe public health problem and a major cause of morbidity and mortality, particularly in developing countries. Medical students are at high occupational risk during their training. However, no facility-based studies were found among medical students in eastern Ethiopia. Thus, this study aimed to investigate the seroprevalence of Hepatitis B Virus and associated factors among medical students in eastern Ethiopia. METHODS A facility-based cross-sectional study was conducted among 407 randomly selected medical students from March to June 2018. A pretested and structured questionnaire was used to collect data on socio-demographic characteristics and other risk factors. A 5ml blood was collected, and the serum was analyzed for Hepatitis B surface antigen (HBsAg) using the Instant Hepatitis B surface antigen kit. Data were entered using Epidata version 3.1 and analyzed using SPSS statistical packages version 22. Outcome and explanatory variables were described using descriptive summary measures. Binary and multivariable logistic regression was conducted at 95% CI and an association at P-value < 0.05 was declared statistically significant. RESULTS The seroprevalence of hepatitis B virus surface antigen was 11.5% (95%CI = 8.6, 14.7). Poor knowledge of universal precaution guideline (AOR = 2.58; 95% CI = [1.35-4.93]), history of needle stick injury (AOR = 2.11; 95% CI = [1.07-4.18]) and never been vaccinated for HBV (AOR = 2.34; 95% CI = [1.17-4.69]) were found statistically significantly associated with HBsAg positivity after multivariate analysis. CONCLUSION Hepatitis B virus infection rate is high among health care trainees in eastern Ethiopia. Improvement at health care practice centers safety through training on universal precaution guidelines, and scaling up HBV vaccination is mandatory.
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Affiliation(s)
- Tewodros Tesfa
- Department of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
| | - Behailu Hawulte
- Public Health and Policy Unit, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
| | - Abebe Tolera
- Epidemiology and Biostatistics Unit, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
| | - Degu Abate
- Department of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
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Soheili M, Taleghani F, Jokar F, Eghbali-Babadi M, Sharifi M. Oncology Nurses' Needs Respecting Healthy Work Environment in Iran: A Descriptive Exploratory Study. Asia Pac J Oncol Nurs 2021; 8:188-196. [PMID: 33688568 PMCID: PMC7934596 DOI: 10.4103/apjon.apjon_64_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 10/26/2020] [Indexed: 11/26/2022] Open
Abstract
Objective: The work environment of oncology nurses is often unpleasant due to the complexities of cancer treatment and care. Yet, there is limited information about their perspectives on healthy work environment (HWE) and their HWE-related needs. This study aimed to explore oncology nurses' HWE-related needs. Methods: This descriptive exploratory qualitative study was conducted in 2018–2019. Participants were 52 nurses and 11 oncology specialists, nursing instructors and managers, and occupational and environmental health experts, who had the experience of promoting nurses' work conditions. They were recruited from eight teaching specialty cancer treatment centers in different cities of Iran (Tehran, Isfahan, Mashhad, Shiraz, and Babolsar). Data were collected via semi-structured interviews. Data were analyzed via conventional content analysis. Results: Oncology nurses' HWE-related needs were grouped into the four main categories of physical–structural improvement, mental health improvement in work environment, organizational improvement, and sociocultural improvement. Conclusions: A wide range of physical–structural, mental health, organizational, and sociocultural improvements should be made to oncology nurses' work environment in order to fulfill their HWE-related needs. Health-care managers can use the findings of the present study to create HWE for oncology nurses.
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Affiliation(s)
- Mozhgan Soheili
- Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Taleghani
- Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Jokar
- Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Eghbali-Babadi
- Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mehran Sharifi
- Department of Internal Medicine, School of Medicine, Cancer Prevention Research Center, Seyyed Al-Shohada Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
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Ebekozien A, Aigbavboa C, Ayo-Odifiri SO, Salim NAA. An assessment of fire safety measures in healthcare facilities in Nigeria. PROPERTY MANAGEMENT 2020. [DOI: 10.1108/pm-07-2020-0043] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe occurrence of fire accidents in hospital buildings has become a serious challenge and more serious in developing nations. The purpose of this paper intends to assess fire safety measures in Nigerian hospital facilities. The significance of this study is to ensure that the design and construction of hospital facilities enhance the safety of users and properties.Design/methodology/approachThe data were collected via a case study and questionnaire survey and administered to the facility users. The study survey is to assess the respondents' perception of fire safety measures in hospital facilities and suggest possible policy measures that will be employed to enhance safety.FindingsThis paper found that 91% of the respondents have awareness of fire safety measures in hospital facilities. Electrical faults and combustible materials were identified as the frequent causes of fire occurrences in hospital facilities. This can be averted where flammable materials and electrical appliances are correctly installed, and safety rules enforced. Findings show that safety rules are lax in public than standard private hospitals.Research limitations/implicationsThis paper is limited to fire safety measures in Nigerian healthcare facilities. Future research is needed to evaluate the level of compliance from design, construction and post-construction of precautionary fire safety measures in hospital facilities in Nigeria.Practical implicationsThis paper recommended that designers and hospital administrators should improve on fire safety measures via the development of fire safety management plan and education. Thus, enforcement of fire safety measures in hospital facilities as specified in building codes should be implemented and monitored during and after the design of the hospital buildings. Findings provide valuable lessons on how to improve the fire safety measures in healthcare facilities across the states and other developing countries with similar healthcare situations.Originality/valueThis paper demonstrates that the stakeholders, especially government agencies concern with approval and enforcement of fire safety measures in healthcare facilities need to reawaken to her responsibility because of the lax implementation across the states.
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Assessment of Knowledge, Attitude, and Practice in respect of Medical Waste Management among Healthcare Workers in Clinics. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2020; 2020:8745472. [PMID: 33061997 PMCID: PMC7539072 DOI: 10.1155/2020/8745472] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 07/31/2020] [Accepted: 09/14/2020] [Indexed: 11/17/2022]
Abstract
Medical waste represents a significant health risk and an environmental pollution concern due to its hazardous characteristics. The knowledge and practice of healthcare personnel in respect of the disposal of medical waste is essential to perform effective medical waste management. Therefore, the aim of this study was to assess the knowledge, attitudes, and practices related to medical waste management among healthcare workers in clinics (medical and dental clinics, specialized medical, laboratory clinics, polyclinics, and midwifery clinics) in Phuket, Thailand. A cross-sectional study was designed with stratified-random sampling used to select the sample of 344 respondents from 172 clinics of which data were collected using face-to-face interviews. The results showed that the majority of respondents (87.2%) were female of whom 36.9% were aged (20–29), 52.0% had more than 5 years working experience, and 51.2% had participated in at least one training course regarding medical waste management. The overall scores for knowledge, attitude, and practice were at a high level (89.5%, 91.9%, and 92.2%, respectively). Significant and positive correlations were found between knowledge and attitude (r = 0.464), knowledge and practice (r = 0.396), and practice and attitude (r = 0.519). Statistical analysis using t tests and one-way analysis of variance showed that working experience and its duration were significant factors influencing good medical waste management practice. However, local authorities should implement a well-planned collection and transfer process for medical waste in order to reduce the risk of environmental pollution and the risk of infection or injury to healthcare workers and the general public.
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Mohammadi F, Keyvanara M, Samouei R. Awareness and attitude of students and professors of medical sciences universities toward social determinants of health: Design and preliminary psychometrics of a questionnaire. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:116. [PMID: 32642472 PMCID: PMC7325785 DOI: 10.4103/jehp.jehp_776_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Accepted: 01/26/2020] [Indexed: 05/26/2023]
Abstract
BACKGROUND AND AIM Considering the important role of universities in advancing educational, social, cultural, economic, and political affairs and given the significant and effective role of social determinants of health (SDH) in personal and social life, this study aimed to design a preliminary questionnaire to assess the awareness and attitude of students and professors of relevant medical sciences departments toward the SDH. METHODS This is a descriptive survey study of the instrumentation type and is done on the students and professors of Isfahan and Kashan medical sciences universities in 2019. The content and face validity of the questionnaire were assessed. Cronbach's alpha coefficient and the correlation coefficient for each question as well as the total score of the questionnaire were reported for this attitude measurement questionnaire. The difficulty coefficient, optimum difficulty level, discrimination coefficient, and the relevant variance were calculated for every question in the awareness measurement questionnaire. RESULTS The internal consistency of the questionnaire for the awareness toward the SDH for 15 questions was 0.742. This consistency was acceptable for 18 questions in the attitude measurement questionnaire after omitting two questions with not appropriate distinguishing ability. The difficulty level of the questions was relatively high. CONCLUSION Given that no tool was observed in the search strategy to measure the SDH, therefore, the design and psychometrics of such a tool can be used to measure the awareness and attitude of the target audiences; since this tool had an acceptable validity and reliability at its initial stages, researchers are suggested to apply it for standardization in different academic societies.
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Affiliation(s)
- Farzaneh Mohammadi
- Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahmoud Keyvanara
- Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Rahele Samouei
- Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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Karki S, Niraula SR, Yadav DK, Chakravartty A, Karki S. Risk perception towards healthcare waste among community people in Kathmandu, Nepal. PLoS One 2020; 15:e0230960. [PMID: 32226032 PMCID: PMC7105151 DOI: 10.1371/journal.pone.0230960] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Accepted: 03/12/2020] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Healthcare waste management is a serious issue in context of developing countries. Better assessment of both risks and effects of exposure would permit improvements in the management of healthcare waste. However, there is not yet clear understanding of risks, and as consequences, inadequate management practices are often implemented. OBJECTIVES This study primarily aims to assess risk perception towards healthcare waste and secondly to assess knowledge, attitude and identify the factors associated with risk perception. RESULTS A cross-sectional community based study was carried out among 270 respondents selected through multistage sampling technique. Face-to-face interview was conducted using semi-structured questionnaires. Risk perception was classified as good and poor based on mean score. Bivariate and multivariate analyses were carried out to determine the associates of risk perception. More than half, 52% of the sampled population had a poor risk perception towards healthcare waste. More than a quarter 26.3% had inadequate knowledge and forty percent (40%) had a negative attitude towards health care waste management. Having knowledge (OR = 3.31; CI = 1.67-6.58) was a strong predictor of risk perception towards healthcare waste. The perception of risk towards healthcare waste among community people was poor. This highlights the need for extensive awareness programs. Promoting knowledge on healthcare waste is a way to change the perception in Nepal. Community engaged research approach is needed to address environmental health concerns among public residents.
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Affiliation(s)
- Sulata Karki
- School of Public Health and Community Medicine, B.P. Koirala Institute of
Health Sciences, Dharan, Nepal
| | - Surya Raj Niraula
- School of Public Health and Community Medicine, B.P. Koirala Institute of
Health Sciences, Dharan, Nepal
| | - Deepak Kumar Yadav
- School of Public Health and Community Medicine, B.P. Koirala Institute of
Health Sciences, Dharan, Nepal
| | - Avaniendra Chakravartty
- School of Public Health and Community Medicine, B.P. Koirala Institute of
Health Sciences, Dharan, Nepal
| | - Sabita Karki
- National Academy of Medical Science, Bir Hospital, Kathmandu,
Nepal
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Current knowledge regarding medication-related osteonecrosis of the jaw among different health professionals. Support Care Cancer 2020; 28:5397-5404. [PMID: 32144584 DOI: 10.1007/s00520-020-05374-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 02/20/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE To assess the current knowledge regarding medication-related osteonecrosis of the jaw (MRONJ); the adverse effects of anti-resorptive (AR) and anti-angiogenic (AA) drugs; strategies for MRONJ prevention and treatment; and perception of the dentist's role in assisting patients who use these drugs among physicians, dentists, and nurses. METHODS Using questionnaires, the current knowledge of MRONJ was assessed among dentists, physicians, and nurses, who were divided into group I, which included specialties that directly assist cancer patients, and group II, which included other specialties. The questionnaires assessed the characteristics of the health professionals, training time, and specialties; their knowledge of AR and AA drugs; and their knowledge of MRONJ. RESULTS A total of 1370 health professionals participated in the study, including 1032 dentists, 239 physicians, and 99 nurses. Among dentists and physicians, the training time (p = 0.036 and p < 0.001, respectively) and specialization in group I domains (p < 0.001 and p < 0.001, respectively) had a significant impact on MRONJ knowledge, while nurses showed no significant impact regardless of the training time and specialty. Less than 10% of the physicians and dentists could correlate the signs and symptoms of all stages of MRONJ. CONCLUSION The findings indicated a notable lack of knowledge regarding MRONJ among dental surgeons and physicians, and especially among nurses. More experienced professionals and specialists in the areas that assist cancer patients usually have a greater understanding of the dentist's role in MRONJ prevention, diagnosis, treatment, and patient care and will introduce or are already using AR and AA drugs.
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Setyawan FEB, Supriyanto S, Ernawaty E, Lestari R. Developing a Holistic-Comprehensive Assessment Model: Factors Contributing to Personal Protective Equipment Compliance among Indonesian Cement Workers. Indian J Occup Environ Med 2020; 24:19-24. [PMID: 32435110 PMCID: PMC7227741 DOI: 10.4103/ijoem.ijoem_115_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 10/01/2019] [Accepted: 12/20/2019] [Indexed: 11/06/2022] Open
Abstract
CONTEXT Noncompliance with personal protective equipment (PPE) in industrial workers results in increased injury or illness and is commonly reported worldwide. Numerous guidelines and management policies are employed to prevent work-related health hazards, yet industrial workers still exhibit low rates of PPE compliance, especially in outsourced workers. AIMS The aim of this study was to develop a holistic-comprehensive assessment framework model summarizing the key factors in achieving the stated goals of interventions targeting PPE compliance in Indonesian cement workers. SETTINGS AND DESIGN An analytic observational study was conducted among 183 Indonesian cement workers from a simple random sampling technique. METHODS AND MATERIAL A self-designed questionnaire was used to investigate factors influencing PPE compliance among cement workers as well as management policies in place. STATISTICAL ANALYSIS USED Statistical analysis was conducted using SPSS version 24. Results were tabulated using frequency distribution and mean with a standard deviation. The logistic regression model was developed to identify the factors that affect PPE compliance. RESULTS The highest rate of compliance was 43.7%, a still low figure. Using correlation coefficients and logistic regression, both the behavior of the workers and the existing management policies were found to be significant contributing factors (P < 0.05). Punitive management policies were also found to be a determining factor (OR 5.22; 95% CI 1.01-1.07). CONCLUSIONS Management policy, specifical punishment for noncompliance, was shown to be the strongest influence on PPE compliance in Indonesian cement workers.
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Affiliation(s)
- Febri E. B. Setyawan
- Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya, Indonesia
- Faculty of Medicine, University of Muhammadiyah Malang, Malang, Indonesia
| | - Stefanus Supriyanto
- Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya, Indonesia
| | - Ernawaty Ernawaty
- Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya, Indonesia
| | - Retno Lestari
- Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya, Indonesia
- Study Program of Nursing Science, Faculty of Medicine, University of Brawijaya, Malang, Indonesia
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Mossburg S, Agore A, Nkimbeng M, Commodore-Mensah Y. Occupational Hazards among Healthcare Workers in Africa: A Systematic Review. Ann Glob Health 2019; 85:78. [PMID: 31172728 PMCID: PMC6634430 DOI: 10.5334/aogh.2434] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND While all healthcare workers are exposed to occupational hazards, workers in sub-Saharan Africa have higher rates of occupational exposure to infectious diseases than workers in developed countries. Identifying prevalence and context of exposure to blood and bloodborne pathogens may help guide policies for prevention. OBJECTIVE This systematic review examined occupational exposure rates to blood and bloodborne pathogen among healthcare workers in sub-Saharan Africa. METHODS In November 2017, a comprehensive literature search was conducted to identify studies reporting exposure of health workers in African coutnries to blood and bodily fluids. Title, abstract and full text screening were used to narrow our search. Studies more than 10 years old, or published in non-English languages were excluded. FINDINGS Fifteen studies reported a variety of exposures. The lifetime prevalence of needlestick injury ranged from 22-95%, and one-year prevalence ranged from 39-91%. Studies included a range of descriptive statistics of knowledge, attitudes, practice and access factors related to exposures. Two studies reported 21-32% of respondents linked poor knowledge or training with prevention of needlestick injuries. Rates of recapping needles ranged from 12-57% in four studies. Attitudes were generally positive toward occupational safety procedures while access was poor. CONCLUSIONS The high burden of blood and bloodborne pathogen exposures demonstrated here indicates a high risk for contracting bloodborne illnesses. Although the data are sparse, implementation of preventative policies based on current knowledge remains critical to minimize risk and reduce exposure. There remains a pressing need for high quality data on occupational hazards to identify the burden of exposures and inform preventive policies in Sub-Saharan Africa. Additional studies are needed to determine whether differential exposures exist between professions and the associations with knowledge, attitudes, practices, and access factors to create targeted strategies to diminish occupational hazards.
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Asgedom AA, Bråtveit M, Moen BE. Knowledge, attitude and practice related to chemical hazards and personal protective equipment among particleboard workers in Ethiopia: a cross-sectional study. BMC Public Health 2019; 19:440. [PMID: 31029126 PMCID: PMC6487067 DOI: 10.1186/s12889-019-6807-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 04/12/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Work in the wood industry is often associated with exposure to wood dust and formaldehyde. The aims of this study were to describe the Knowledge, Attitude and Practice (KAP) concerning chemical health hazards among particleboard workers and to compare the KAP among temporary and permanent workers. METHODS A cross-sectional study design was used to collect data by structured questionnaires in two particleboard factories in Ethiopia. A total of 159 workers and 13 management personnel participated in this study. Both closed-ended and open-ended questions were included in the interviews. Chi-square tests, T tests and correlation analyses were used for categorical and continuous data. Total knowledge score (range 0-8) was calculated as the sum score of 8 items weighing one point each. Multiple linear regression was applied to estimate the impact of employment status on total knowledge score adjusted for level of education. Content analysis was applied to analyse collected data from open-ended questions. RESULTS The mean age of the respondents was 28 (SD = 6) years and on average they had 3.7 [3] years of service. The permanent workers were older than the temporary workers (29 vs 26 years, p = 0.001), and a considerably high fraction of the permanent workers had vocational education (90%) compared to the temporary workers (11%). Permanent workers had higher proportion of response on knowledge of 10 of 12 topics regarding chemical hazards and attitudes on 6 of 11 of these topics than temporary workers. Permanent workers had higher knowledge scores (3.7) compared to temporary workers (1.3) (p < 0.001), also after adjusting for education (p = 0.011). Permanent workers were provided with personal protective equipment (PPE) while temporary workers were not. The qualitative data helps to understand the workers and administrative personnel attitude and thinking regarding chemical hazards and PPE. CONCLUSIONS The findings revealed that permanent workers have higher proportion of positive response on knowledge and attitude towards chemical health hazards than temporary workers. However, practice in use of PPE depended on access to PPE. Few temporary workers were provided with PPE.
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Affiliation(s)
- Akeza Awealom Asgedom
- Centre for International Health, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway. .,Ethiopian Institute of Water Resources, Addis Ababa University, Addis Ababa, Ethiopia.
| | - Magne Bråtveit
- Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Bente Elisabeth Moen
- Centre for International Health, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway
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Huq KATME, Moriyama M, Harris EE, Shirin H, Rahman MM. Evaluation of Nurses' Knowledge and Attitude toward HIV-Infected Patients in Barbados. J Int Assoc Provid AIDS Care 2019; 18:2325958219880592. [PMID: 31597537 PMCID: PMC6900673 DOI: 10.1177/2325958219880592] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Revised: 08/26/2019] [Accepted: 09/13/2019] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Continued assessment of nurses' knowledge and attitude is necessary for improving their performance at workplace. We attempted to evaluate nurses' knowledge and attitude toward HIV-infected patients and their underlying factors. METHODS We conducted a descriptive, cross-sectional study participated by 218 nurses and collected relevant data. RESULTS Majority (57.3%) of the nurses had 1 to 5 years of experience in the nursing job, and 78.4% of them were involved in the provision of direct care to HIV-infected individuals for ≤5 years, and only 6.4% for ≥11 years. The overall knowledge and attitude of the participants were good (3.25/5 and 3.42/5 scores, respectively). The knowledge regarding appropriate care of HIV-infected patients was significantly better among the registered nurses compared to nursing assistants (NA) with limited years of formal education (odds ratio [OR] = 0.37; 95% confidence interval [CI] = 0.20-0.69; P <.001). In the provision of care to the HIV-infected patients, the attitude of female participants was significantly better than the males (unadjusted OR = 0.18; 95% CI = 0.05-0.60; P = .01). CONCLUSION Inclusion of relevant HIV- and AIDS-related topics in the curriculum for NAs and closely guided hands-on training of the nurses are likely to improve nurses' knowledge and attitude toward the provision of care to HIV-infected individuals.
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Affiliation(s)
| | - Michiko Moriyama
- Graduate School of Biomedical and Health Sciences, Hiroshima University,
Japan
| | | | - Habiba Shirin
- Graduate School of Biomedical and Health Sciences, Hiroshima University,
Japan
| | - Md Moshiur Rahman
- Graduate School of Biomedical and Health Sciences, Hiroshima University,
Japan
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El-Sallamy RM, Kabbash IA, El-Fatah SA, El-Feky A. Physical hazard safety awareness among healthcare workers in Tanta university hospitals, Egypt. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:30826-30838. [PMID: 28516353 DOI: 10.1007/s11356-017-9110-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2016] [Accepted: 04/26/2017] [Indexed: 06/07/2023]
Abstract
Hospital workers are exposed to many occupational hazards that may threaten their health and safety. Physical hazards encountered in hospital working environment include temperature, illumination, noise, electrical injuries, and radiation. To assess the awareness of healthcare workers (HCWs) about physical hazards in Tanta university hospitals, this cross-sectional study included 401 HCWs (physicians, nurses, technicians, and workers) from seven departments (general surgery, orthopedics, radiology, ophthalmology, kitchen, incinerator, and laundry). Data were collected through interview questionnaire to assess six types of physical hazards (noise, electric hazards, temperature, radiation, fire, and lighting,). Most of the physicians (63.7%) were aware of the level of noise. All physicians, nurses, technicians, and majority of workers reported that hearing protective devices were not available, and all HCWs reported that periodic hearing examination was not performed. Most of the nurses (75.2%) and workers (68.5%) did not attended emergency training, and more than two thirds of all HCWs were not briefed about emergency evacuation. Most HCWs were not given appropriate radiation safety training before starting work (88% of workers, 73.7% of nurses, 65.7% of physicians, and 68.3% of technicians). The majority of physicians, nurses, and technicians (70.5, 65.4, and 53.7%) denied regular environmental monitoring for radiation level inside work place. Health education programs on health and safety issues regarding physical hazards should be mandatory to all healthcare workers to improve their awareness and protect them from undue exposures they may face due to lack of adequate awareness and knowledge. There is urgent need of expanding the occupational healthcare services in Egypt to cover all the employees as indicated by the international recommendations and the Egyptian Constitution, legislation, and community necessity.
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Affiliation(s)
- Rania M El-Sallamy
- Occupational Medicine, Faculty of Medicine Tanta University, Tanta, Egypt.
| | - Ibrahim Ali Kabbash
- Public Health and Community Medicine, Faculty of Medicine Tanta University, Tanta, Egypt
| | - Sanaa Abd El-Fatah
- Public Health and Community Medicine, Faculty of Medicine Tanta University, Tanta, Egypt
| | - Asmaa El-Feky
- Occupational Medicine, Faculty of Medicine Tanta University, Tanta, Egypt
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