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    Wyświetlanie 1-7 z 7
    Tytuł:
    Did safety-engineered device implementation contribute to reducing the risk of needlestick and sharps injuries? Retrospective investigation of 20 years of observation in a specialist tertiary referral hospital
    Autorzy:
    Szczypta, Anna
    Różańska, Anna
    Siewierska, Małgorzata
    Drożdż, Kamil
    Szura, Mirosław
    Talaga-Ćwiertnia, Katarzyna
    Powiązania:
    https://bibliotekanauki.pl/articles/31341055.pdf
    Data publikacji:
    2024-05-20
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational exposure
    needlestick and sharps injuries
    safety-engineered device
    healthcare workers
    implementation of European Union Council Directive
    2010/32/EU
    Opis:
    Objectives In Poland, there are numerous cases of injuries caused by sharp instruments annually, still significantly more than in other European Union countries. The aim of this study was to analyze work-related injuries among healthcare workers in a selected hospital before and after the implementation of safety-engineered devices (SED). Material and Methods Retrospective analysis of medical documentation regarding occupational needlestick and sharps injuries (NSSI) in a tertiary referral surgical hospital in 1998–2018. The study group consisted of nurses and doctors who had been injured and reported the incident. The frequency of injury reports, injury rate, and characterization of circumstances surrounding NSSI are presented. Results Over the period of 20 years, a total of 257 NSSI incidents were reported. The average injury rate was statistically significant for nurses (p = 0.004) and was higher before the introduction of SED. Moreover, the number of injuries among nurses showed a downward trend during the study period. However, for doctors, there was no statistically significant difference in the median puncture rate (p = 0.099), and the number of injuries showed an increasing trend. Conclusions In this study, the authors’ have demonstrated not only the occurrence of injuries and punctures in the daily work of medical personnel but also the potential for their reduction through the use of safety equipment at every workstation where healthcare services are provided using sharp medical instruments.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2024, 37, 2; 234-243
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Giving Moral Competence High Priority in Medical Education. New MCT-based Research Findings from the Polish Context
    Autorzy:
    Nowak, Ewa
    Barciszewska, Anna-Maria
    Lind, Georg
    Hemmerling, Kay
    Taradi, Sunčana Kukolja
    Powiązania:
    https://bibliotekanauki.pl/articles/1373819.pdf
    Data publikacji:
    2021-06-30
    Wydawca:
    Uniwersytet im. Adama Mickiewicza w Poznaniu
    Tematy:
    moral competence in healthcare professions
    clinical decision-making
    gender bias and moral competence
    segmentation effect
    pronunciation effect
    Moral Competence Test
    Polish medical education
    competitive tertiary education
    Opis:
    Nowadays, healthcare and medical education is qualified by test scores and competitiveness. This article considers its quality in terms of improving the moral competence of future healthcare providers. Objectives. Examining the relevance of moral competence in medico-clinical decision-making despite the paradigm shift and discussing the up-to-date findings on healthcare students (Polish sample). Design and method. N=115 participants were surveyed with a standard Moral Competence Test to examine how their moral competence development was affected by the learning environment and further important factors. Results. The sample allowed the identification of a regress in moral competence during students’ pre-clinical curriculum, and progress during their clinical curriculum. A gender-related bias, a segmentation effect, and a pronunciation effect were noticed. Explanations. Scholarly literature usually reports a linear decrease of medical students’ C-scores resulting from, e.g., competitive trends in education. We identified such trends in terms of gender-specific competitive tactics. Religious and ethical affiliations were discussed to explain the unexpected gender bias and the related segmentation and pronunciation effects. The findings can be regarded as predictive for similar developments in educational institutions regardless of cultural contexts as the sample examined in this article represents medical education in a country facing a transition from a non-competitive to competitive tertiary education model, and between presecular and monocultural to secular and pluralist social ethics.
    Źródło:
    Ethics in Progress; 2021, 12, 1; 104-133
    2084-9257
    Pojawia się w:
    Ethics in Progress
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Sero-Prevalence and Associated Risk Factors of Blood-Borne Viral Infection Among Healthcare Workers of a Tertiary Referral Hospital: a Single-Center Experience
    Seroprewalencja i powiązane czynniki ryzyka zakażeń wirusowych przenoszonych przez krew wśród pracowników opieki zdrowotnej w szpitalu specjalistycznym: doświadczenie jednego ośrodka
    Autorzy:
    Merza, Muayad Aghali
    Mohammed, Sabah Ahmed
    Qasim, Ayid Murad
    Abdulah, Deldar Morad
    Powiązania:
    https://bibliotekanauki.pl/articles/24987737.pdf
    Data publikacji:
    2023-12-19
    Wydawca:
    Akademia Bialska im. Jana Pawła II
    Tematy:
    tertiary healthcare
    blood-borne infections
    tertiary hospital
    viral diseases
    healthcare workers
    specjalistyczna opieka zdrowotna
    zakażenia krwiopochodne
    szpital specjalistyczny
    pracownicy służby zdrowia
    choroby wirusowe
    Opis:
    Background. Healthcare workers (HCWs) are often exposed to contaminated blood and body fluids from infected patients. There is no research on blood-borne infection in Iraqi Kurdistan; therefore, this study aimed to determine the prevalence of blood-borne infections of hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) and their associated risk factors among HCWs in the hospital. Material and methods. This cross-sectional study included 800 HCWs from a major tertiary teaching hospital, who were selected using a non-random technique. Results. The mean age of the HCWs was 35.15 years (range: 18-70 years), consisting of males (56.0%) and females (44.0%) from various specialties and different departments. The seroprevalence of HBV was 0.75% (n=6) among HCWs. However, the seroprevalence of HBV was not significantly different among HCWs with different characteristics. Only one HCW had a positive result for HCV (0.13%), while no HCWs were found to have HIV. The study showed that 34.63% had experienced needlestick injuries, and 64.88% had received the HBV vaccination. Additionally, 27.20% were smokers, and 1.42% were alcohol consumers. Other characteristics included previous hospitalization (17.28%), a history of blood transfusion (6.23%), a history of surgical operations (27.48%), and a history of dental interventions (86.69%). Conclusions. The study revealed a low seroprevalence of HBV and HCV among HCWs. No active HIV infection and almost none of them had contact with HCV.
    Wprowadzenie. Pracownicy opieki zdrowotnej są często narażeni na kontakt z zakażoną krwią i płynami ustrojowymi pochodzącymi od zakażonych pacjentów. Nie ma badań dotyczących zakażeń krwiopochodnych w irackim Kurdystanie; dlatego też celem niniejszej pracy było określenie częstości występowania zakażeń krwiopochodnych wirusem zapalenia wątroby typu B (HBV), wirusem zapalenia wątroby typu C (HCV) i ludzkim wirusem niedoboru odporności (HIV) oraz związanych z nimi czynników ryzyka wśród pracowników opieki zdrowotnej w szpitalu. Materiał i metody. W badaniach przekrojowych wzięło udział 800 pracowników opieki zdrowotnej z głównego specjalistycznego szpitala klinicznego, którzy zostali wybrani techniką nielosową. Wyniki. Średni wiek pracowników opieki zdrowotnej wynosił 35,15 lat (zakres: 18-70 lat), na personel składali się mężczyźni (56,0%) i kobiety (44,0%) o różnych specjalizacjach i z różnych oddziałów. Seroprewalencja HBV wśród pracowników opieki zdrowotnej wynosiła 0,75% (n=6). Nie różniła się ona jednak istotnie wśród pracowników o różnych charakterystykach. Tylko jeden pracownik miał pozytywny wynik na obecność wirusa HCV (0,13%), podczas gdy u żadnego z nich nie wykryto wirusa HIV. Badanie wykazało, że 34,63% pracowników doświadczyło zranienia igłą, a 64,88% otrzymało szczepionkę przeciwko HBV. Dodatkowo, 27,20% było palaczami, a 1,42% spożywało alkohol. Inne cechy obejmowały wcześniejszą hospitalizację (17,28%), transfuzję krwi (6,23%), operacje chirurgiczne (27,48%) i interwencje stomatologiczne (86.69%). Wnioski. Badanie wykazało niską seroprewalencję HBV i HCV wśród pracowników opieki zdrowotnej. Nie stwierdzono aktywnego zakażenia HIV i prawie żaden z pracowników nie miał kontaktu z HCV.
    Źródło:
    Health Problems of Civilization; 2023, 17, 4; 328-338
    2353-6942
    2354-0265
    Pojawia się w:
    Health Problems of Civilization
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Recommendations for an improved referral system for specialized glaucoma clinics in Poland
    Autorzy:
    Choręziak, Aneta
    Brązert, Agata
    Borys, Aleksandra
    Gotz-Więckowska, Anna
    Powiązania:
    https://bibliotekanauki.pl/articles/2046695.pdf
    Data publikacji:
    2022-03-31
    Wydawca:
    Medical Education
    Tematy:
    glaucoma
    resources
    referral assessment
    tertiary center
    healthcare
    Opis:
    This study assessed the quality of referral letters to the Glaucoma Outpatient Clinic and patients’ first consultation results. A retrospective study included 196 patients newly referred to the clinic. Referrals were mainly issued by ophthalmologists (156; 79.6%). Regarding their urgency level, the planned referrals (184; 93.9%) were dominant. The majority of referral diagnoses (147; 75%) were confirmed as glaucoma in the clinic, whereas 17 (8.2%) glaucoma diagnoses were rejected. 64 (32.7%) patients did not require further ophthalmological review. The assessment of the quality of referral letters revealed that important clinical data was missing. There is a need to improve the referral system to specialist glaucoma clinics in Poland.
    Źródło:
    OphthaTherapy; 2022, 9, 1; 55-60
    2353-7175
    2543-9987
    Pojawia się w:
    OphthaTherapy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The level of knowledge of, attitude toward and emphasis given to HBV and HCV infections among healthcare professionals: Data from a tertiary hospital in Turkey
    Autorzy:
    Cekin, Ayhan H.
    Cekin, Yesim
    Ozdemir, Aygul
    Powiązania:
    https://bibliotekanauki.pl/articles/2179797.pdf
    Data publikacji:
    2013-03-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    knowledge
    attitude
    HBV infection
    HCV infection
    healthcare workers
    Opis:
    Objectives: To evaluate the level of knowledge of, to investigate the attitudes toward, and to determine the emphasis given to the national prevalence of HBV/HCV infections among healthcare professionals. Materials and Methods: A total of 206 healthcare professionals (mean (SD) age: 37.0 (6.3) years; 86.9% – females) including medical laboratory technicians (N = 54) and nurses (N = 152) employed in the Antalya Training and Research Hospital, Antalya, Turkey. Laboratory (N = 53), operating room (N = 41) and in-patient clinic (N = 112) staff were included in this descriptive study. A 33-questionnaire composed of questions related to their level of knowledge and attitudes toward HBV/HCV infections, the sources of their knowledge of HBV/HCV infections and the emphasis given to the national and global importance of the diseases was administered via a face–to-face interview method with each subject; participation was volunteer based. Results: The participants working in the in-patient clinic (18.0 (3.2)) had the highest mean (SD) knowledge level compared to the laboratory (16.4 (3.1), p < 0.05) and operating room (17.0 (2.8), p < 0.05) staff. The participants from the in-patient clinic (44.6%) had a more advanced level of knowledge compared to the participants working in the laboratory (27.8%, p < 0.05) and the operating room (30.0%, p < 0.05). Most of the subjects (60.7%) had education concerning HBV/HCV infections in the past. There was no signifi cant difference between the hospital units in terms of the attitudes of healthcare workers (HCWs) toward HBV/HCV infections and the level of education concerning them. Conclusions: Our fi ndings revealed a moderate level of knowledge in most HCWs, regardless of their exposure to risk. While the highest knowledge scores and vaccination rates were noted among the in-patient clinic staff, there was no signifi cant difference between the hospital units in terms of the attitudes of HCWs towards a patient or a colleague with an HBV/HCV infection.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2013, 26, 1; 122-131
    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/2188906.pdf
    Data publikacji:
    2023
    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. Our 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.
    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
    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
      Wyświetlanie 1-7 z 7

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