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    Wyświetlanie 1-5 z 5
    Tytuł:
    „Rodzina – Zdrowie – Choroba”. Sprawozdanie z międzynarodowej konferencji naukowej
    Autorzy:
    Grzywacz-Kisielewska, Agata
    Szczypta, Anna
    Powiązania:
    https://bibliotekanauki.pl/articles/527458.pdf
    Data publikacji:
    2019
    Wydawca:
    Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
    Źródło:
    Państwo i Społeczeństwo; 2019, 4; 153-158
    1643-8299
    2451-0858
    Pojawia się w:
    Państwo i Społeczeństwo
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Analiza ekspozycji zawodowej pracowników medycznych w latach 1998–2013 na patogeny przenoszone drogą krwi na przykładzie szpitala o profilu zabiegowym
    Analysis of occupational exposure of healthcare workers in the years 1998–2013 for bloodborne pathogens on the example of the hospital of the surgical profile
    Autorzy:
    Szczypta, Anna
    Różańska, Anna
    Bulanda, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/2166197.pdf
    Data publikacji:
    2015-02-25
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    ekspozycja zawodowa
    patogeny przenoszone drogą krwi
    bezpieczeństwo pracowników
    postępowanie poekspozycyjne
    HBV
    HCV
    occupational exposure
    bloodborne pathogens
    workers’ safety
    post-exposure procedure
    Opis:
    Wstęp: Celem niniejszej pracy była analiza danych o ekspozycjach zawodowych na patogeny przenoszone drogą krwi wśród pracowników 130-łóżkowego szpitala o profilu zabiegowym w województwie małopolskim. Materiał i metody: W analizie uwzględniono współczynniki ekspozycji (liczba zdarzeń / liczba narażonych ×100%) oraz odsetek ekspozycji uwzględniający okoliczności, grupy zawodowe pracowników szpitala, miejsca świadczenia usług oraz ich rodzaj w latach 1998–2013. Wyniki: Współczynniki ekspozycji ogółem dla wszystkich pracowników szpitala, niezależnie od zatrudniającej ich jednostki organizacyjnej (oddziału), wahały się w poszczególnych latach od 4,3% (rok 2006) do 12,6% (rok 2013), a średnia wartość współczynnika ekspozycji w całym analizowanym okresie wyniosła 7,3% (±2,39). Najwięcej przypadków ekspozycji odnotowano wśród pielęgniarek – średni odsetek zdarzeń w analizowanym okresie dla tej grupy zawodowej wyniósł 67,8%. Wśród lekarzy wynosił on 29,7%, a najmniejszy był wśród pozostałych pracowników – 1,5%. Odsetek ekspozycji w badanym okresie wykazywał trend spadkowy w przypadku pielęgniarek (p = 0,001) i wzrostowy w przypadku lekarzy (p < 0,001). Współczynnik ekspozycji ogółem w latach 1998–2013 nie prezentował istotnego trendu spadkowego (p = 0,356). W grupie lekarzy w analizowanym okresie odnotowano istotny trend wzrostowy o charakterze wykładniczym (p = 0,002). Wśród innych pracowników nie obserwowano istotnych zmian w badanym okresie. Zaobserwowano istotny malejący trend udziału ekspozycji w postaci zakłuć igłami, natomiast trend rosnący dotyczył ekspozycji w trakcie zabiegu operacyjnego. Wnioski: Odnotowane trendy zgłaszanych ekspozycji w analizowanym okresie miały związek z wprowadzaniem w ciągu ostatnich kilku lata sprzętu z mechanizmem zabezpieczającym przed zranieniem oraz ze wzrostem liczby raportowanych przypadków ekspozycji przez lekarzy. Ze względu na zróżnicowaną specyfikę jednostek ochrony zdrowia niezbędne jest rzetelne prowadzenie indywidualnych rejestrów ekspozycji. Med. Pr. Med. Pr. 2014;65(6):723–732
    Background: To analyze occupational exposures to blood-borne pathogens among workers of a 130-bed hospital of surgical profile in the Małopolska province. Material and Methods: All cases of occupational exposure recorded in the hospital in the years 1998–2013 were analyzed, taking into account exposure rates (no. of incidents / no. of exposed workers ×100%) and the frequency, circumstances, professional groups, hospital staff, the place of rendered services and type of exposure. Results: Average rates of exposure for all workers, regardless of the wards, ranged in different years from 4.3% (2006) to 12.6% (2013), and the average value in the whole period was 7.3% (±2.39). The majority of exposure cases were reported among nurses – 67.8%, followed by physicians – 29.7%, the lowest number of cases was found among other employees – 1.5%. The proportion of injuries in the years 1998–2013 did not show a significant decreasing trend (p = 0.356). Among physicians there was a significant trend of an exponential character (p = 0.002). Among other workers no significant change was observed in the period under consideration. Over the analyzed period the distribution of exposure showed a downward trend for nurses (p = 0.001) and upward trend for physicians (p < 0.001). There was a significant downward trend in the percentage of needle-sticks, and an upward trend in exposures during surgery. Conclusions: The reported trends were linked with the recent introduction of safe equipment and the increased number of surgeons’ reports on exposure incidents. Due to differences between health care units there is a necessity to keep reliable records of exposure by individual units. Med Pr 2014;65(6):723–732
    Źródło:
    Medycyna Pracy; 2014, 65, 6; 723-732
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Polish infection control nurses – Self-assessment of their duties and professional autonomy in different types of hospitals
    Autorzy:
    Wałaszek, Marta
    Różańska, Anna
    Szczypta, Anna
    Bulanda, Małgorzata
    Wójkowska-Mach, Jadwiga
    Powiązania:
    https://bibliotekanauki.pl/articles/2162576.pdf
    Data publikacji:
    2018-12-18
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    workplace
    healthcare-associated infections
    work organization
    work load
    infection prevention and control nurse
    decision autonomy
    Opis:
    Background The objective of the study is self-assessment of Polish infection control nurses (ICNs) in terms of the structure of professional tasks and autonomy of decision-making. Material and Methods A questionnaire survey was filled out by 208 ICNs (around 21% of all Polish ICNs) in 15 provinces located in Poland. The research encompassed ICNs surveillance healthcare-associated infections (HAIs) in 2014. Results The work time that ICNs devote to professional tasks and decision autonomy on the scale of 1–100% was as follows: 34% (67% of decision autonomy) was dedicated to detecting and registering HAIs, 12% (71%) – internal control, 10% (58%) – devising and implementing infection prevention practices, 10% (68%) – staff trainings, 8% (65%) – identification and study of outbreaks, 7% (58%) – promoting hand hygiene, 6% (51%) – consults with infected patients, 4% (57%) – consults on decontamination, 4% (54%) – consults on maintaining cleanliness, 3% (51%) – isolation and application of personal protective measures, 2% – other tasks. Infection prevention and control nurses estimated, on average, that their autonomy of decisions concerning the professional tasks performed amounted to 60%. Conclusions Infection control nurses in Poland have difficulty in achieving balance between tasks they perform and the authority they exercise. The ICN professional task structure is dominated by duties associated with monitoring hospital infections, however, the greatest decision autonomy is visible regarding internal control. Decision-making concentrated on internal control may hinder building a positive image of an ICN. We should strive to firmly establish professional tasks and rights of ICNs in legislation concerning performing the duties of a nurse and midwife. Med Pr 2018;69(6):605–612
    Wstęp The objective of the study is self-assessment of Polish infection control nurses (ICNs) in terms of the structure of professional tasks and autonomy of decision-making. Materiał i metody A questionnaire survey was filled out by 208 ICNs (around 21% of all Polish ICNs) in 15 provinces located in Poland. The research encompassed ICNs surveillance healthcare-associated infections (HAIs) in 2014. Wyniki The work time that ICNs devote to professional tasks and decision autonomy on the scale of 1–100% was as follows: 34% (67% of decision autonomy) was dedicated to detecting and registering HAIs, 12% (71%) – internal control, 10% (58%) – devising and implementing infection prevention practices, 10% (68%) – staff trainings, 8% (65%) – identification and study of outbreaks, 7% (58%) – promoting hand hygiene, 6% (51%) – consults with infected patients, 4% (57%) – consults on decontamination, 4% (54%) – consults on maintaining cleanliness, 3% (51%) – isolation and application of personal protective measures, 2% – other tasks. Infection prevention and control nurses estimated, on average, that their autonomy of decisions concerning the professional tasks performed amounted to 60%. Wnioski Infection control nurses in Poland have difficulty in achieving balance between tasks they perform and the authority they exercise. The ICN professional task structure is dominated by duties associated with monitoring hospital infections, however, the greatest decision autonomy is visible regarding internal control. Decision-making concentrated on internal control may hinder building a positive image of an ICN. We should strive to firmly establish professional tasks and rights of ICNs in legislation concerning performing the duties of a nurse and midwife. Med Pr 2018;69(6):605–612
    Źródło:
    Medycyna Pracy; 2018, 69, 6; 605-612
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Healthcare workers’ occupational exposure to bloodborne pathogens: A 5-year observation in selected hospitals of the Małopolska province
    Autorzy:
    Różańska, Anna
    Szczypta, Anna
    Baran, Magda
    Synowiec, Edyta
    Bulanda, Małgorzata
    Wałaszek, Marta
    Powiązania:
    https://bibliotekanauki.pl/articles/2178886.pdf
    Data publikacji:
    2014-10-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    Health care workers
    occupational exposure
    bloodborne pathogens
    Opis:
    Objectives: The study presents data concerning occupational exposures among the staff of 5 hospitals in the Małopolska province in 2008–2012, taking into account the frequency and circumstances of exposure formation, occupational groups of hospital workers, as well as diversification of the reported rates in subsequent years between the hospitals and in each of them. An additional objective of the analysis was to assess the practical usefulness of the reported data for planning and evaluation of the effectiveness of procedures serving to minimize the risk of healthcare workers’ exposure to pathogens transmitted through blood. Material and Methods: Data were derived from occupational exposure registries kept by 5 hospitals of varying sizes and operational profiles from the Małopolska province from the years 2008–2012. Results: Seven hundred and seventy-five cases of exposure were found in a group of 3165 potentially exposed workers in the analyzed period. Most cases were observed in nurses (68%) and these were mainly various types of needlestick injuries (78%). Exposure rates with respect to all workers ranged from 2.6% to 8.3% in individual hospitals, but the differences in their values registered in the hospitals in subsequent years did not bear any statistical significance, in a way similar to the rates calculated separately for each occupational group. Conclusions: There was no upward or downward trend in the number of reported cases of exposure to bloodborne pathogens in the studied period in any of the hospitals. Statistically significant differences in the percentages of exposures were reported between individual hospitals in some years of the analyzed period, which confirms the need for registries in individual units in order to plan and evaluate the effectiveness of preventative measures.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 5; 747-756
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    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
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