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Tytuł:
Assessment of quality of life, job insecurity and work ability among nurses, working either under temporary or permanent terms
Autorzy:
Katsaouni, Maria
Tripsianis, Gregory
Constantinidis, Theodoros
Vadikolias, Konstantinos
Kontogiorgis, Christos
Serdari, Aspasia
Arvaniti, Aikaterini
Theodorou, Evangelos
Nena, Evangelia
Powiązania:
https://bibliotekanauki.pl/articles/28761994.pdf
Data publikacji:
2024-03-05
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
quality of life
nurses
health personnel
work satisfaction
work performance
hospital personnel
Opis:
Objectives Aim of this study was to assess and compare health, quality of life, well-being, job satisfaction and job insecurity between nurses, in a tertiary hospital in Greece, working either under permanent or temporary contract. Material and Methods In this cross-sectional study, consecutively recruited nurses answered a structured questionnaire, the WHO-5 Well-being Index (WHO-5), the Job Insecurity Index (JII), the Work Ability Index (WAI), and the Well-Being at Work Scale (WBWS). Results Included were 323 nurses (87.6% women, age M±SD 43.68±8.10 years). Temporary contract employees had worse quality of life (p = 0.009) and higher job insecurity: both in cognitive dimension (p = 0.013) and emotional dimension (p < 0.001). They also scored worse in the positive affect (p < 0.001), negative affect (p = 0.002) and fulfillment of expectations in work environment (p < 0.001) domains of the WBWS. Additionally, they reported less frequently occupational accidents and injuries (p = 0.001), musculoskeletal disorders of the spine or neck (p = 0.007), cardiovascular (p = 0.017), and gastrointestinal (p = 0.010) disorders, while they reported more frequently mental disorders (p < 0.001). Multivariate linear regression analysis showed that temporary work predicted high cognitive (p = 0.010) and emotional (p < 0.001) insecurity, low positive emotions and mood index (p = 0.007), low achievement-fulfillment index (p = 0.047) and high index of negative emotions (p = 0.006), regardless of gender and age. Conclusions Temporary employment among nurses is associated with a lower sense of job security and well-being, and a higher prevalence of mental disorders, independently of age or gender without a significantly negative effect on their ability to work. Managers, as well as occupational physicians, should recognize the extent of nurses’ job insecurity and assess their ability to work, to provide them with the necessary support and to stimulate the sense of occupational security and work capacity, so that they can thrive in their workplace and therefore be more productive and provide high quality healthcare.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2024, 37, 1; 98-109
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Observance of hand washing procedures performed by the medical personnel before patient contact. Part I
Autorzy:
Garus-Pakowska, Anna
Sobala, Wojciech
Szatko, Franciszek
Powiązania:
https://bibliotekanauki.pl/articles/2179796.pdf
Data publikacji:
2013-03-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
hygiene
compliance with procedures
hand washing
medical personnel
Opis:
Introduction: According to the Centers for Disease Control and Prevention (CDC) as well as the World Health Organization (WHO) recommendations, medical staff are obliged to decontaminate the skin of the hands before every single patient contact. Materials and Methods: The study was performed by quasi-observation among the group of 188 medical staff (nurses and physicians) working in three selected hospitals of the Łódź province. The procedure of hand washing and disinfection performed directly before the patient contact according to the CDC and WHO recommendations were observed. The results was subject to statistical analysis (p < 0.05). Results: During 1544 hours of observation 4101 activities requiring hand washing were recorded. The medical staff obeyed the hand washing procedure before the patient contact only in 5.2% of the situations. There was no activity observed before which hand hygiene was maintained in 100% of cases. Observance of hand hygiene depended signifi cantly on the type of the performed activity, the professional group, and the workload index. A decrease in percentage observance of hand hygiene according to the time of the day was found to be of statistical signifi cance. The mean time of hand washing was 8.5 s for physicians and 6.6 s for nurses. Conclusion: The level of observance of hand washing procedures among the medical staff prior to the patient contact appears to be alarmingly below the expectations.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 1; 113-121
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Observance of hand washing procedures performed by the medical personnel after the patient contact. Part II
Autorzy:
Garus-Pakowska, Anna
Sobala, Wojciech
Szatko, Franciszek
Powiązania:
https://bibliotekanauki.pl/articles/2179779.pdf
Data publikacji:
2013-04-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
hygiene
compliance with procedures
hand washing
medical personnel
Opis:
Objectives: The Centers for Disease Control and Prevention (CDC) as well as the World Health Organization (WHO) state that adequate hand hygiene maintained by medical personnel is an indispensable prerequisite for controlling nosocomial infections. The recommendations of CDC and WHO emphasize the obligation to wash hands after each contact with a patient, after the exposure to a potentially infectious material or upon the contact with objects surrounding the patient. Materials and Methods: The study was performed by quasi-observation among the group of 188 medical staff members (nurses and physicians) working in three selected hospitals of the Łódź Province. The procedure of hand washing/disinfection performed directly after the patient contact according to the recommendations of CDC and WHO was observed. The results were subject to statistical analysis (p < 0.05). Results: During 1544 h of observations, 4101 activities requiring hand washing were recorded. The medical personnel followed the hand hygiene procedures after the patient contact in 26.4% of the situations that require hygiene according to the guidelines. The level of observance of the hand washing procedures depended significantly on the type of performed activity, profession, degree of workload, index of activity, and time of duty hours. The mean time of hand washing after patient contact was 9.2 s for physicians and 6.7 s for nurses. Conclusion: Both the level of observance of hygienic procedures after the contact with patients as well as the time of hand washing are insufficient. There is an urgent need to work out educational programs on maintaining proper hand hygiene for medical personnel.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 2; 257-264
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The use of protective gloves by medical personnel
Autorzy:
Garus-Pakowska, Anna
Sobala, Wojciech
Szatko, Franciszek
Powiązania:
https://bibliotekanauki.pl/articles/2179150.pdf
Data publikacji:
2013-06-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
compliance with procedures
protective gloves
hygiene
medical personnel
Opis:
Introduction: To minimize the risk of cross-infection between the patient and the medical staff, it is necessary to use individual protective measures such as gloves. According to the recommendations of the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO), protective gloves should always be used upon contact with blood, mucosa, injured skin or other potentially infectious material. Materials and Methods: The aim of the study was to evaluate, through quasi-observation, the use of protective gloves by medical staff according to the guidelines issued by the CDC and WHO. The results were subject to statistical analysis (p < 0.05). Results: During 1544 hours of observations, 3498 situations were recorded in which wearing protective gloves is demanded from the medical staff. The overall percentage of the observance of using gloves was 50%. The use of gloves depended significantly on the type of ward, profession, performed activity, number of situations that require wearing gloves during the observation unit and the real workload. During the entire study, as many as 718 contacts with patients were observed in which the same gloves were used several times. Conclusion: Wearing disposable protective gloves by the medical staff is insufficient.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 3; 423-429
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effect of regular physical activity on non-lipid (novel) cardiovascular risk factors
Autorzy:
Naghii, Mohammad R.
Aref, Mraryam A.
Almadadi, Mehdi
Hedayati, Mehdi
Powiązania:
https://bibliotekanauki.pl/articles/2185376.pdf
Data publikacji:
2011-12-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
physical activity
non-lipid cardiovascular risk factors
cytokines
military personnel
Opis:
Objectives: Cardiovascular — coronary heart disease, causing heart attack and heart failure is a leading cause of disability and death worldwide. The most important risk factors for CVD are well-established and physical activity has long been considered the cornerstone of interventions and has shown extremely important in reducing the burden of this disease. The aim of this study was to examine the association between activity and inactivity and non-lipid CVD risk factors in healthy military recruits. Materials and Methods: Selected hormones and variables such as testosterone, free testosterone, Vitamin D, homocysteine, folic acid, with the inflammatory cytokines such as hsCRP, TNF-α and IL-6 were assessed in two groups (active = 50, inactive = 50), randomly matched by a questionnaire. Relationships between some measured variables and CVD risk factors were determined using simple correlation procedures. Results: Physically active subjects had signifi cantly lower results of homocysteine (14.3±1.9 vs. 16.5±3.7, p < 0.000) and interleukin-6 (2.9.±5.3 vs. 6±8.2, p < 0.025) and tended to have a nearly signifi cantly higher free testosterone level (13.1±7.1 vs. 11±5.3, p = 0.08). Signifi cant correlations were found between BMI, WC, tHcy, and the corresponding risk factors; and also between hsCRP and IL-6, as well as TT and FT. Conclusions: Reducing the risk factors of developing CVD events such as homocysteine and interleukin-6, together with increasing free testosterone and signifi cantly preventing its progression, clearly serve to underscore the benefi cial properties of physical activity and to promote its effectiveness as a support means for healthier lifestyles in the community and, particularly, among military personnel.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2011, 24, 4; 380-390
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of occupational physical load during 6-month international crisis management operation
Autorzy:
Pihlainen, Kai
Santtila, Matti
Vasankari, Tommi
Häkkinen, Keijo
Kyröläinen, Heikki
Powiązania:
https://bibliotekanauki.pl/articles/2161784.pdf
Data publikacji:
2017-11-03
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
workload
military personnel
physical exertion
occupational health
military medicine
accelerometry
Opis:
Objectives Generally, operational military duties are associated with a variety of stressors, such as prolonged physical activity (PA). However, limited information is available on the occupational workload or changes in PA during international military operations. Thus, the aim of the study was to investigate the changes in body composition, stress biomarkers, PA, and heart rate (HR) responses of 79 male soldiers during a 6-month international crisis management operation. Material and Methods Measurements were conducted 3 times in South-Lebanon during the operation. Body composition was assessed by the bioelectrical impedance method. Blood samples were analyzed for serum testosterone, sex-hormone binding globulin (SHBG), cortisol and insulin-like growth factor. Saliva sampling was used for analyzing stress biomarkers, cortisol and α-amylase. Heart rate and physical activity were monitored by a recordable belt and tri-axial accelerometer, respectively. Results Increases in muscle mass (39.2±4.1 vs. 39.5±4.2 kg, p < 0.05) and testosterone (15.9±4.6 vs. 17.2±4 nmol/l, p < 0.01), and reductions in PA variables (e.g., daily step count 9472±2547 vs. 8321±2720, p < 0.05) were observed during the first half (i.e., PRE-MID) of the study. The increase in muscle mass remained significant during the latter half (PRE-POST, 39.2±4.1 vs. 39.6±4.4 kg, p < 0.05), but also fat mass increased (MID-POST, 10.6±4.6 vs. 11.0±4.7 kg, p < 0.05) while SHBG (MID-POST, 31.8±12.1 vs. 26.6±13.2 nmol/l, p < 0.01) and cortisol (MID-POST, 445±116 vs. 400±123 nmol/l, p < 0.05) decreased. With the exception of increased concentration of salivary α-amylase (PRE-POST, 36.5±33.7 vs. 55.1±39.7 U/ml), the acute stress biomarkers and HR responses remained unchanged. Furthermore, the low quantity of PA, low HR values and subjective ratings of exertion refer to rather light physical workload. Conclusions Due to the operatively calm nature of the working environment, the present soldiers did not express any significant signs of physical overload during the study period. Int J Occup Med Environ Health 2018;31(2):185–197
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 2; 185-197
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Did legal regulations change the reporting frequency of sharp injuries of medical personnel? Study from 36 hospitals in Łódź Province, Poland
Autorzy:
Garus-Pakowska, Anna
Górajski, Mariusz
Szatko, Franciszek
Powiązania:
https://bibliotekanauki.pl/articles/2161796.pdf
Data publikacji:
2017-10-18
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
blood
occupational exposure
infectious diseases
medical personnel
registration
potentially infectious material
Opis:
Objectives: The aim of the study has been to analyze the epidemiological data on sharp injuries among health care workers before and after the implementation of regulations related to the conduct of the register of sharp injuries. Material and Methods: We hypothesized that the introduction of legislation would change the existing low reportability of sharp injuries and reporting incidents would increase. In Poland the binding regulations, dating back to 2013, require the employer to keep a record of sharp injuries. Therefore, we compared the data from before and after the entry regulations. Data was collected from the records of occupational exposure/accidents at work in hospitals in the Łódź Province during 2010–2014. The feedback came from 36 hospitals (return index = 51.5%), representing a total annual average of 13 211 medical workers. Results: The incidence of injuries did not change significantly over the period 2010–2014, and the number of reported injuries in 2014 (the year when the Regulation had already been effective) was even lower than in the previous years. The average annual injury index was 12.31 injuries per 1000 employees (95% confidence interval: 11.48–13.16/1000). The incidence of injuries among nurses was significantly higher than in other groups of medical professionals (p < 0.05). These injuries most often occur while using needles (p < 0.05). Conclusions: The obligation to record occupational exposures set forth in current regulations is not likely to improve the reliability of reporting the incidents actually taking place. Further research should focus on identifying barriers to reporting cases of exposure to potentially infectious material. Action should be taken to raise awareness of medical personnel about the possible effects of exposure to infectious material, in particular, the benefits of the implementation of early post-exposure procedures. Perhaps it will increase the reporting frequency of sharp injuries of medical personnel. Int J Occup Med Environ Health 2018;31(1):37–46
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 1; 37-46
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Seasonal influenza vaccination of healthcare workers: a narrative review
Autorzy:
Jędrzejek, Michał J.
Mastalerz-Migas, Agnieszka
Powiązania:
https://bibliotekanauki.pl/articles/2084883.pdf
Data publikacji:
2022-04-11
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
infection control
influenza
healthcare facilities
healthcare workers
healthcare personnel
influenza vaccination
Opis:
Influenza is an acute respiratory disease caused by the influenza virus which often occurs in outbreaks and epidemics worldwide. The World Health Organization recommends annual vaccination of healthcare workers (HCWs) against influenza, because most of them are involved in the direct care of patients with a high risk of influenza-related complications. Given the significance of the disease burden, a targeted literature review was conducted to assess issues related to influenza vaccination among HCWs. The primary aim of this review was to assess the incidence of influenza among medical personnel and healthcare-associated influenza, and to outline the benefits of influenza vaccination for patients and HCWs themselves. Vaccination of HCWs seems to be an important strategy for reducing the transmission of influenza from healthcare personnel to their patients and, therefore, for reducing patient morbidity and mortality, increasing patient safety, and reducing work absenteeism among HCWs. The benefits of influenza vaccination for their patients and for HCWs themselves are addressed in literature, but the evidence is mixed and often of low-quality.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 2; 127-139
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Stosowanie środków ochrony indywidualnej w warunkach zawodowego narażenia na cytostatyki
Use of personal protective equipment under occupational exposure to cytostatics
Autorzy:
Krzemińska, Sylwia
Pośniak, Małgorzata
Szewczyńska, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/2164308.pdf
Data publikacji:
2016-08-18
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
narażenie zawodowe
personel medyczny
rękawice ochronne
odzież ochronna
leki cytostatyczne
pomocniczy personel medyczny
occupational exposure
medical personnel
protective gloves
protective clothing
cytostatic agents
auxiliary health personnel
Opis:
Wstęp Ze względu na zwiększającą się liczbę zachorowań na choroby nowotworowe coraz powszechniej stosowane są leki cytostatyczne, w czego wyniku coraz więcej pracowników ochrony zdrowia jest narażonych na cytostatyki podczas wykonywania czynności zawodowych. Materiał i metody W artykule przedstawiono wyniki badań ankietowych, których celem było uzyskanie danych dotyczących sposobów zmniejszania za pomocą środków ochrony indywidualnej narażenia zawodowego na cytostatyki personelu medycznego i farmaceutycznego. Ankiety rozesłano pocztą lub drogą elektroniczną do oddziałów onkologicznych i aptek przygotowujących leki cytostatyczne. Odpowiedzi otrzymano od 94 osób zatrudnionych w tych miejscach pracy. Pytania dotyczyły m.in. postaci leków cytostatycznych, wykonywanych czynności, rodzajów używanych środków ochrony indywidualnej i czasu pracy w warunkach narażenia na cytostatyki. Wyniki Pracownicy ochrony zdrowia w zdecydowanej większości (ponad 90%) deklarowali, że stosują środki ochrony indywidualnej podczas prac w warunkach narażenia na cytostatyki. Czas jednorazowego stosowania fartucha, kombinezonu, rękawic, czepka, okularów lub półmaski wynosił najczęściej kilka minut. Stwierdziło tak, w zależności od rodzaju ochrony, 15–35% osób. Najczęściej zmieniano rękawice. Połowa odpowiedzi wskazywała, że ankietowani zdejmowali środki ochrony po bardzo różnym czasie. Wnioski Prawie wszystkie badane osoby stosowały środki ochrony indywidualnej podczas pracy w warunkach narażenia na kontakt z cytostatykami. Środki ochrony indywidualnej nie były jednak stosowane za każdym razem. Personel medyczny i farmaceutyczny pracował w warunkach narażenia na cytostatyki przez kilka lub nawet kilkanaście godzin w ciągu dnia pracy. Med. Pr. 2016;67(4):499–508
Background A growing number of cancer cases enhances the usage of cytostatic agents and thereby contributes to the increase in the number of health care workers occupationally exposed to cytostatics. Material and Methods This article presents the results of the survey aimed at obtaining data on the reduction of occupational exposure through using personal protective equipment by the medical and pharmaceutical personnel involved in handling cytostatics. The questionnaires were sent by mail or e-mail to oncology hospitals and pharmacies preparing cytostatic drugs. Responses were received from 94 people employed in these workplaces. The main questions concerned the forms of cytostatics; job activities; types of personal protective equipment used and working time under exposure to cytotoxic drugs. Results The majority (over 90%) of the healthcare personnel declared the use of personal protective equipment when working under conditions of exposure to cytostatic drugs. Depending on the type of protection, 15–35% of people reported that the most frequent time of their single use of the apron, the overalls, the gloves, the cap, the goggles or the respirators did not exceed few minutes. Gloves were changed most frequently. However, half of the responses indicated that the time after which the respondents removed protection equipment greatly differed. Conclusions Almost the whole group of respondents applied personal protective equipment when working under exposure to cytostatics. However, personal protective equipment was not used every time in case of exposure. The medical and pharmaceutical staff worked under exposure to cytostatics for a few or even dozen hours during the working day. Med Pr 2016;67(4):499–508
Źródło:
Medycyna Pracy; 2016, 67, 4; 499-508
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The effect of wearing an FFP3 mask (3M$\text()^{TM}$ Aura$\text()^{TM}$) with an exhalation valve on gas exchange in medical staff
Autorzy:
Fantin, Raffaella
Powiązania:
https://bibliotekanauki.pl/articles/2093861.pdf
Data publikacji:
2021-12-13
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
personal protective equipment
health personnel
gas exchange
respiratory protective devices
COVID-19
masks
Opis:
ObjectivesThe physiological impact of wearing personal protective equipment (PPE), in particular filtering-face-piece 3 (FFP3) masks, has increasingly been gaining importance since the outbreak of coronavirus disease 2019 (COVID-19). So far, gas exchange has been examined using transcutaneously measured partial pressure of carbon dioxide (PaCO2), ergo-spirometry and impedance cardiography.Material and MethodsIn this structured investigation, arterial blood gas analysis in a 30-year-old female resident was carried out during a 13-hour day shift on the COVID-19 Intensive Care Unit of the University Hospital of Innsbruck, Austria. An FFP3 mask (3MTM AuraTM) with an exhalation valve was continuously worn, except for 1 break of 20 min. Arterial blood samples were obtained before putting on the PPE, and after 5 h, 9 h and 13 h of working in the contaminated area.ResultsDuring the multi-hour wearing time, an increase in PaCO2 (the baseline value: 29.3 mm Hg, the max. value: 38.9 mm Hg) and a continuous decrease in partial pressure of oxygen (PaO2, the baseline value: 102 mm Hg, the min. value: 80.8 mm Hg) was detectable.ConclusionsAll measured values were within the normal range, but a trend towards an insufficient gas exchange could be suspected.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2021, 34, 6; 817-819
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The prevalence and determinants of SARS-CoV-2 infections among healthcare workers, results of a cross-sectional study in the Silesian Voivodeship
Autorzy:
Wojczyk, Marek
Kowalska, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/2203014.pdf
Data publikacji:
2023-05-23
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
COVID-19
SARS-CoV-2
pandemics
infection control
health personnel
personal protective equipment
Opis:
Objectives A significant proportion of healthcare workers (HCWs) had been infected with SARS-CoV-2, which complicated the organization of patient care during the COVID-19 pandemic. However, the exact scale of infection prevalence among the group of HCWs is not known, therefore this study aimed to assess the prevalence of SARS-CoV-2 infection among HCWs in the Silesian voivodeship, Poland, and to define its determinants. Material and Methods The cross-sectional study was conducted in 2 multidisciplinary hospitals in the Silesian voivodeship during the period October 2021–February 2022. The standardized WHO questionnaire Surveillance protocol for SARS-CoV-2 infection among health workers was completed by 242 HCWs. To assess the prevalence of SARS-CoV-2 infection and its determinants, such as personal, occupational, and work environment-related conditions and preventive behaviors, the collected data were subjected to statistical analysis. For this purpose, descriptive and analytical statistics (significance of differences in χ² test) were used. Results Almost half (42.6%) of subjects were infected with coronavirus, most frequently care assistants (57.1%) and paramedics (50%). People suffering from chronic diseases were infected significantly more often (p < 0.001). The majority of the infected HCWs declared previous contact with COVID-19 patients (56.3%). Unfortunately, 10.3% of respondents refused to be vaccinated against COVID-19, most often care assistants (38.1%) and nurses (10.6%). The determinants such as sex, age, occupation, place of work (ward), participation in occupational safety and health training, use of personal protective equipment (PPE), or preventive behaviors did not significantly affect the risk of infection (p > 0.05). Conclusions Even though the PPE was used and the percentage of fully vaccinated HCWs against COVID-19 was high (89.7%), the frequency of SARS-CoV-2 infected HCWs remains high at 42.6% (95% CI: 40.7–44.5%). The main determinants of SARS-CoV-2 infection risk among HCWs were previous contact with infected individuals and the presence of chronic disease.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2023, 36, 2; 201-213
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sources of healthcare workers’ COVID‑19 infections and related safety guidelines
Autorzy:
Oksanen, Lotta-Maria A.
Sanmark, Enni
Oksanen, Sampo A.
Anttila, Veli-Jukka
Paterno, Jussi J.
Lappalainen, Maija
Lehtonen, Lasse
Geneid, Ahmed
Powiązania:
https://bibliotekanauki.pl/articles/2086080.pdf
Data publikacji:
2021-05-27
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposure
health personnel
COVID‑19
masks
N95 respirators
infectious disease transmission
Opis:
ObjectivesTo evaluate the effectiveness of safety guidelines in the workplace, the authors analyzed the work-related exposure to SARS-CoV-2 and the source of COVID‑19 infections among healthcare workers (HCWs), together with the use of personal protective equipment (PPE).Material and MethodsA cross-sectional prospective study was conducted in tertiary hospitals in the Uusimaa region, Finland, with 1072 volunteers being enrolled in the study from among the HCWs at the Helsinki University Hospital. Overall, 866 (80.8%) HCWs (including 588 nurses, 170 doctors, and 108 laboratory and medical imaging nurses) completed the questionnaire by July 15, 2020, with 52% of the participants taking care of COVID‑19 patients. The participants answered a structured questionnaire regarding their use of PPE, the ability to follow safety guidelines, exposure to COVID‑19, and the source of potential COVID‑19 infections. The participants with COVID‑19 symptoms were tested with the SARS-CoV-2 realtime polymerase chain reaction method. All infected participants were contacted, and their answers were confirmed regarding COVID‑19 exposure.ResultsIn total, 41 (4.7%) participants tested positive for SARS-CoV-2, with 22 (53.6%) of infections being confirmed or likely occupational, and 12 (29.3%) originating from colleagues. In 14 cases (63.6%), occupational infections occurred while using a surgical mask, and all infections originating from patients occurred while using a surgical mask or no mask at all. No occupational infections were found while using an FFP2/3 respirator and following aerosol precautions. The combined odds ratio for working at an intensive care unit, an emergency department, or a ward was 3.4 (95% CI: 1.2–9.2, p = 0.016).ConclusionsA high infection rate was found among HCWs despite safety guidelines. Based on these findings, the authors recommend the use of FFP2/3 respirators in all patient contacts with confirmed or suspected COVID‑19, along with the use of universal masking, also in personnel rooms.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2021, 34, 2; 239-249
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Work patterns and a tendency among Polish nurses to leave their job
Autorzy:
Kilańska, Dorota
Gaworska-Krzemińska, Aleksandra
Karolczak, Agnieszka
Szynkiewicz, Piotr
Greber, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/2162671.pdf
Data publikacji:
2019-04-19
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
employment
personnel turnover
staffing and scheduling
rotating shift work
nurses
intention to leave
Opis:
Background Work patterns are important factors in employees’ decisions to change their job or leave their profession. The majority of nurses in Poland are women who play other social roles besides work. For this reason, satisfaction with their work patterns including input into work schedules, has a particularly significant impact on considering the idea of quitting their job. Material and Methods The study was conducted in 2008–2011 in 8 out of 10 higher education institutions which train nurses. Data obtained from 1045 questionnaires collected from a total of 1049 respondents from 3 randomly selected higher education institutions was used in this research paper. The relationship between the qualitative features and dichotomus quality features under examination was assessed using univariate and multivariate logistic regression models. Results The results of the univariate logistic regression indicate that the risk of quitting increases to the highest extent with a mixed work pattern; it is lower for 12/24 h, and slightly lower for 2 day/night shifts. Conclusions A pattern with a single day shift was adopted as the reference level to reduce the risk of Polish nurses’ quitting their job. Med Pr. 2018;70(2):145–53
Źródło:
Medycyna Pracy; 2019, 70, 2; 145-153
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Mental well-being of healthcare workers in 2 hospital districts during the first wave of the COVID-19 pandemic in Finland: a cross-sectional study
Autorzy:
Rantanen, Noora
Lieslehto, Johannes
Oksanen, Lotta-Maria A.
Oksanen, Sampo A.
Anttila, Veli-Jukka
Lehtonen, Lasse
Geneid, Ahmed
Sanmark, Enni
Powiązania:
https://bibliotekanauki.pl/articles/2152977.pdf
Data publikacji:
2022
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
major depressive disorder
workload
post-traumatic stress disorder
COVID-19
mental health
health personnel
Opis:
Objectives The COVID-19 pandemic has caused unseen pressure on healthcare systems in many countries, jeopardizing the mental well-being of healthcare workers. The authors aimed to assess the mental well-being of Finnish healthcare workers from 2 hospital districts (Helsinki University Hospital [HUS] and Social and Health Services in Kymenlaakso [Kymsote]) with differing COVID-19 incidence rates during the first wave of the COVID-19 pandemic in spring 2020. Material and Methods A total number of 996 healthcare workers (HUS N = 862, Kymsote N = 134) participated in this prospectively conducted survey study during summer 2020. Symptom criteria of self-reported mental health symptoms followed ICD-10 classification, excluding duration criteria. Participants were divided into symptom categories “often/sometimes”, and “rarely/never”. These groups were compared to sociodemographic factors and factors related to work, workload, and well-being. Results The degree of mental health symptoms did not differ between the 2 healthcare districts despite differing COVID-19 incidences (p = 1). The authors observed a significant relationship between self-reported diagnostic mental health symptoms and experiences of insufficient instructions for protection against COVID-19 (in HUS cohort p < 0.001), insufficient recovery from work (p < 0.001), and subjective increased workload (p < 0.001). Conclusions The authors’ results show the importance of well-planned and sufficient instructions for protection from SARS-CoV-2 for healthcare workers, indicating their need to feel safe and protected at work. The workload of healthcare workers should be carefully monitored to keep it moderate and ensure sufficient recovery. Sufficient control of the epidemic to keep the burden of the healthcare system low is vital for healthcare workers’ well-being.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 6; 707-718
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Working conditions during the COVID-19 pandemic in primary and tertiary healthcare: a comparative cross-sectional study
Autorzy:
Aulanko, Ida
Sanmark, Enni
Oksanen, Lotta
Oksanen, Sampo
Lahdentausta, Laura
Kivimäki, Anne
Paju, Susanna
Pietiäinen, Milla
Pussinen, Pirkko
Geneid, Ahmed
Powiązania:
https://bibliotekanauki.pl/articles/2203020.pdf
Data publikacji:
2023-03-02
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
COVID-19
SARS-CoV-2
pandemics
health personnel
surveys and questionnaires
cross-sectional studies
Opis:
Objectives The COVID-19 pandemic has globally affected healthcare workers’ (HCWs) health and wellbeing. Most studies on COVID-19 have focused on tertiary healthcare. The aim of this study was to increase the knowledge on the effects of the pandemic on working conditions in tertiary and primary healthcare. Material and Methods The comparative cross-sectional study consisted of an online questionnaire sent to HCWs of the City of Helsinki (primary healthcare) and Helsinki University Hospital (tertiary healthcare). Altogether 1580 HCWs with direct patient contact participated in the study: 895 from tertiary and 685 from primary healthcare. Statistical analysis used SPSS 25 from IBM. The tests used were the χ² test, Fisher’s exact test, and binary logistic regression analysis. Results Primary HCWs were less likely to treat COVID-19 patients (OR = 0.45, 95% CI: 0.37–0.56). However, both groups reported a similar number of COVID-19 infections, primary HCWs 4.9% and tertiary HCWs 5.0%, and workrelated quarantine was significantly more prevalent (OR = 1.96, 95% CI: 1.38–2.79) among primary HCWs. In addition, work-related wellbeing was poorer among primary HCWs than tertiary HCWs in terms of feeling more stressed at work (OR = 3.20, 95% CI: 2.55–4.02), not recovering from work (OR = 0.49, 95% CI: 0.39–0.62), reported mental wellbeing below normal levels (OR: 1.59, 95% CI: 1.26–2.00), and increased working hours (OR = 1.63, 95% CI: 1.25–2.12). Conclusions The study demonstrates how the pandemic has affected the wellbeing and working conditions of not only tertiary but also less studied primary HCWs. The authors’ findings suggest that the challenges identified during the COVID-19 pandemic in the health and wellbeing of healthcare workers are even greater in primary care than in tertiary care. Int J Occup Med Environ Health. 2023;36(1):139–50
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2023, 36, 1; 139-150
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
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