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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:
Migration and Elderly Care Work in Italy: Three Stories of Romanian and Moldovan Care Workers
Autorzy:
Toc, Sebastian
Guțu, Dinu
Powiązania:
https://bibliotekanauki.pl/articles/2049898.pdf
Data publikacji:
2021
Wydawca:
Polska Akademia Nauk. Czytelnia Czasopism PAN
Tematy:
migration
migrant care workers
elderly care work
Mediterranean welfare state
Italy
Romania
Opis:
Italy is one of the most important destination countries for Romanians. At the same time, the Italian care sector relies mainly on migrant labour, most of whom are Romanian women. Historically, Italy is considered one of the landmark countries for the southern or Mediterranean welfare state, characterised by its fragmented labour market, underdeveloped social protection system, informal economy and unpaid care work, usually done by the women in the family. Italy has one of the highest rates in Europe of both the elderly population and life expectancy at birth. In the last 20 years, the care work was gradually redistributed to migrant care workers, most of them women from former socialist countries, who often live in the household where they work. Migration from Eastern Europe, particularly Romania, has been facilitated, on the one hand, by rising unemployment and low-paid job opportunities in migrants’ countries of origin in the context of the deindustrialisation of state industry and, on the other, by the Italian elderly public-support system which is based on cash benefits granted to the family which can be redistributed to employ migrant care workers. In this paper we analyse three specific types of care work migration from Romania to Italy and the main challenges which they face, taking into account the specifics of the work and the type of migration chosen. The methodology is qualitative, based on 20 semi-structured online interviews with Romanian care workers and two interviews with stakeholders.
Źródło:
Central and Eastern European Migration Review; 2021, 10, 2; 71-90
2300-1682
Pojawia się w:
Central and Eastern European Migration Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Szczepienia przeciwko grypie u personelu medycznego
Influenza vaccinations of health care personnel
Autorzy:
Nitsch-Osuch, Aneta
Brydak, Lidia B.
Powiązania:
https://bibliotekanauki.pl/articles/2168412.pdf
Data publikacji:
2014-10-29
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
grypa
szczepienia ochronne
personel medyczny
influenza
vaccination
Health care workers
Opis:
Grypa jest jedną z częstszych infekcji dróg oddechowych, zachorowania na nią występują we wszystkich grupach wiekowych pacjentów na całym świecie. Liczba zachorowań na grypę sezonową i zgonów z powodu jej powikłań jest znaczna w skali globalnej. Szczepienia, również przeciwko grypie, są istotnym osiągnięciem medycyny ostatniego stulecia, jednak problemem pozostaje zwalczanie grypy za pomocą szczepień ochronnych wśród personelu medycznego. Szczepienie personelu medycznego jest procedurą o udowodnionym bezpieczeństwie i skuteczności, zapewnia zapobieganie zachorowaniom wśród pacjentów. Mimo licznych rekomendacji eksperckich stan zaszczepienia pracowników medycznych pozostaje niski. W celu zwiększenia liczby zaszczepionych pracowników medycznych konieczne jest prowadzenie kampanii edukacyjnych, które mają na celu polepszenie stanu wiedzy personelu na temat grypy, jej powikłań, szczepień przeciwko grypie, ze szczególnym uwzględnieniem ich bezpieczeństwa i skuteczności. Szczepieni pracownicy najczęściej decyzję o wykonaniu szczepienia motywują chęcią ochrony siebie oraz chęcią ochrony przed zakażeniem swoich pacjentów i ich rodzin. Z kolei wśród przyczyn nieszczepienia wymieniane są: brak czasu, błędne przekonania o nieskuteczności szczepienia, brak potrzeby szczepienia z powodu bagatelizowania choroby i jej powikłań, obawa przez niepożądanymi odczynami poszczepiennymi. Konieczne jest wdrożenie strategii mających na celu edukację personelu medycznego w zakresie stosowania szczepień przeciwko grypie w celu zwiększenia wyszczepialności przeciwko grypie w populacji pracowników medycznych. Med. Pr. 2013;64(1):119–129
Influenza is one of the most common respiratory diseases affecting people of all age groups all over the world. Seasonal influenza leads to substantial morbidity and mortality on a global scale. Vaccines are undeniably one of the most important health advances of the past century, however, managing influenza in working populations remains a difficult issue. Vaccination of health care workers (HCW) is an efficient way to reduce the risk of occupational infection and to prevent nosocomial transmission to vulnerable patients. Despite this, achieving high immunization rates among those professionals is a challenge. Knowledge and attitudes of healthcare providers have significant impact on the frequency with which vaccines are offered and accepted, but many HCWs are poorly equipped to make informed recommendations about vaccine merits and risks. Principal reasons for vaccination are the willing not to be infected and avoiding transmission to patients and the family. The main reasons for refusing is lack of time, a feeling of invulnerability to vaccination, conviction of not being at risk, of being too young or in good health. Misconceptions about influenza vaccine efficacy, like adverse effects, and fear of contracting illness from the vaccine are significantly associated with noncompliance with vaccination. Therefore, strategies to increase awareness of the importance of recommending influenza immunization among health professionals are required. Med Pr 2013;64(1):119–129
Źródło:
Medycyna Pracy; 2013, 64, 1; 119-129
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Public and private health care services in the opinion of physicians in Poland
Autorzy:
Zgliczyński, Wojciech S.
Jankowski, Mateusz
Rostkowska, Olga
Sytnik-Czetwertyński, Janusz
Śliż, Daniel
Karczemna, Aleksandra
Pinkas, Jarosław
Powiązania:
https://bibliotekanauki.pl/articles/2116655.pdf
Data publikacji:
2020-03-13
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
physicians
health care
health care facilities
Health care workers
health system organization
private and public
Opis:
ObjectivesHealth care services in Poland are delivered by public and private providers. The aims of this study were to assess the attitudes towards private and public health care services in Poland and to identify differences between them, in the opinion of physicians.Material and MethodsA questionnaire-based survey was carried out among physicians attending mandatory courses delivered at the School of Public Health, the Centre of Postgraduate Medical Education in Warsaw, Poland. The questionnaire included 29 questions concerning private and public health care services.ResultsCompleted questionnaires were obtained from 502 physicians (67.7% females), aged 42.1±10.8 years, with a response rate of 77.2%. In the opinion of the surveyed doctors, the major advantages of private health care units, in comparison with public ones, are short waiting times for an appointment (88.2%), an efficient on-site service (78.6%) and convenient appointment times (75.7%). The respondents gave high scores to items such as relations with patients (p < 0.001), superiors (p < 0.001) and colleagues (p = 0.03) when working in private, rather than public, institutions. In the opinion of physicians, public health care institutions guarantee better employment conditions (44.4% vs. 13%; p < 0.001) and security (29.1% vs. 11.1%; p < 0.001) than private ones. The respondents did not observe any differences (p > 0.05) between public and private facilities in terms of the involvement of medical staff and infrastructure. There were significant differences (p < 0.001) in the perception of working conditions in public and private health care institutions depending on the medical education level and the place of primary employment. Conclusions: Among physicians in Poland, private medical institutions are perceived as better organized and granting faster as well as more comprehensive access to health care services when compared to public ones. Closing the gaps between working conditions in public and private units could encourage physicians to practice in the public health care sector.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2020, 33, 2; 195-214
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparing the performance of QuantiFERON-TB Gold and Mantoux test in detecting latent tuberculosis infection among Iranian health care workers
Autorzy:
Talebi-Taher, Mahshid
Javad-Moosavi, Seied-Ali
Entezari, Amir-Hossein
Shekarabi, Mehdi
Parhizkar, Baran
Powiązania:
https://bibliotekanauki.pl/articles/2185374.pdf
Data publikacji:
2011-12-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
QuantiFERON-TB Gold
mantoux test
latent tuberculosis infection
Health care workers
Opis:
Objectives: The risk of transmission of Mycobacterium tuberculosis from patients with tuberculosis to health care workers (HCWs) has been well documented but little is known about the prevalence of latent tuberculosis infection (LTBI) in Iranian HCWs. The aim of this study was to determine the prevalence of LTBI among HCWs by using IFNgamma-release assay and compare the results with those of tuberculin skin test (TST). Methods: Two hundred HCWs were evaluated with both TST and QuantiFERON-TB Gold In Tube test (QFT-GIT). The obtained data were analyzed by SPSS v.16 Software. Results: The participants were 73 males and 127 females with the mean age of 34.36±8.26 years. TST was positive in 105 cases (52.5%) and the QFT results were positive in 17 cases (8.5%). There was poor agreement between the two tests (53%, к = 0.115). Induration diameter of TST ≥ 10 mm and working duration ≥ 10 years were independent predictors for positive QFT (p = 0.004). Conclusions: Due to the fact that BCG vaccination has been administered routinely to all HCWs in Iran, specifi c tests should be introduced for high risk groups. QFT thus seems to be more effective for LTBI diagnosis than TST among HCWs with BCG immunization history.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2011, 24, 4; 359-366
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Perceived indoor air quality, air-related symptoms and ventilation in Finnish hospitals
Autorzy:
Hellgren, Ulla-Maija
Hyvärinen, Markku
Holopainen, Rauno
Reijula, Kari
Powiązania:
https://bibliotekanauki.pl/articles/2185474.pdf
Data publikacji:
2011-03-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
evaluation of ventilation
Indoor Air Questionnaire
perceived indoor air quality
Health care workers
Opis:
Objectives: Good ventilation is more important in hospitals than in many other buildings. The objective of this study was to evaluate the effect of the condition, performance and modernity of ventilation systems on the perceived indoor air quality (IAQ) and the indoor air-related symptoms of hospital personnel. Materials and Methods: An inspection and evaluation graded on a 1 to 3 scale of the condition, performance, and modernity of the ventilation systems was carried out in ten central hospitals in Finland. The perceived IAQ and the related symptoms were collected by means of an indoor air questionnaire survey among the workers in these hospitals. Results: The condition, performance and modernity of the ventilation systems were good in 40% of the hospitals included in the research and poor in another 40% of them. In hospitals where the majority of the ventilation systems were assessed to be good, the prevalence of the indoor air-related complaints and symptoms was lower than in hospitals where the majority of the ventilation systems were assessed as needing extensive repairs. Conclusions: The condition and performance of the ventilation systems in hospitals had a significant impact on the perceived IAQ and the symptoms observed among the employees in Finnish hospitals. Therefore, it is important that hospital ventilation systems are maintained properly and regularly. Furthermore, they should be renovated, at the latest when their technical lifespan expires.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2011, 24, 1; 48-56
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Psychosocial and organizational work environment of nurse managers and self-reported depressive symptoms: Cross-sectional analysis from a cohort of nurse managers
Autorzy:
Nourry, Nathalie
Luc, Amandine
Lefebvre, François
Sultan-Taïeb, Hélène
Béjean, Sophie
Powiązania:
https://bibliotekanauki.pl/articles/2178835.pdf
Data publikacji:
2014-05-17
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
depression
Mental Health
psychosocial constraints
effort-reward imbalance
nurse managers
Health care workers
Opis:
Objectives: The association between depressive symptoms and psycho‑organisational work environment has been established in the literature. Some studies have evaluated depressive symptoms in healthcare workers, but little research has been carried out among nurse managers. The aim of the study is to evaluate the depressive symptoms prevalence among nurse managers' population and work environment factors. Material and Methods: A descriptive correlational research design was used. Data were collected from 296 nurse managers in five hospitals in the eastern area of France between 2007 and 2008. Health outcomes were evaluated by measuring depressive symptoms (CES-D scale), the exposure data by assessing psycho‑organisational work environment with effort-reward imbalance-model of Siegrist. Multiple logistic regressions were used to describe the strength of the association between depressive symptoms and effort-reward imbalance adjusted for personal and occupational characteristics of the nurse managers. Results: Among the nurse managers, a third had depressive symptoms, and 18% presented an effort-reward imbalance (ratio: ≥ 1). A significant association was found between depressive symptoms and effort-reward imbalance (OR = 10.81, 95% CI: 5.1-23, p < $10^{-3}$), and with esteem as a reward (OR = 3.21, 95% CI: 1.6-6.3, p < $10^{-2}$). Conclusion: In view of the hierarchical situation of nurse managers and their primary roles in hospitals, it is necessaryto take prevention measures to improve their work environment and health.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2014, 27, 2; 252-269
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Pre-Employment Screening Among Health Care Workers - Ethical Issues
Autorzy:
Estryn-Behar, M.
Powiązania:
https://bibliotekanauki.pl/articles/90954.pdf
Data publikacji:
2001
Wydawca:
Centralny Instytut Ochrony Pracy
Tematy:
health care workers
occupational health
prevention
screening
ethics
pracownicy służby zdrowia
higiena pracy
etyka
Opis:
Occupational health practitioners deal with the questions of confidentiality, relation between the right to work and the right to health, between individual freedom and the risks other can run. An audit of pre-employment health assessment of health care workers, in the United Kingdom and in France, discussed the efficiency of pre-employment screening. Screening tests and medical examinations should not be used as a pretext to avoid implementing effective preventive measures. The pre-employment examination has mostly to be used for education of the future employees and for collection of baseline data. Appropriate procedures such as developing preventive policies, health promotion, and control of hazards in the work environment are efficient for the promotion of equal employment rights for women, older workers, or people with disabilities.
Źródło:
International Journal of Occupational Safety and Ergonomics; 2001, 7, 3; 351-361
1080-3548
Pojawia się w:
International Journal of Occupational Safety and Ergonomics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Chemical risk assessment in hospital settings: A comparison of workers perceptions, expert opinions, and occupational hygiene measurements
Autorzy:
Coşkun Beyan, Ayşe
Tuna, Gamze
Emerce, Esra
İşlekel, Gül
Powiązania:
https://bibliotekanauki.pl/articles/22391038.pdf
Data publikacji:
2023-11-14
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposure
risk perception
chemical risk
quantitative assessment
health care workers
occupational hygiene measurement
Opis:
Background Harmful chemicals are used in various forms from different sources in hospital settings. The standard gold method in risk control studies still determines exposure by personal or ambient measurements. In the absence of trained personnel, resources, or sufficient time, qualitative methods should be used to assess exposure. This study aims to compare quantitative and qualitative results of chemical risk exposure. Material and Methods Both qualitative (perceptions without monitoring data of the workers and experts) and quantitative perceptions (perceptions with monitoring data) were recorded. Two experts were asked to evaluate exposure intensity in pathology department workers, secretary workers, and cleaning workers. Occupational hygiene measurements were taken based on the occupational health and safety department risk assessment results, expert job analysis, and pilot study measurements. Results While most workers reported feeling highly exposed to chemical risks, the majority of experts reported medium-risk exposures and high-risk exposures. Three occupational hygiene measurements (3/45: 6.6%) exceeded the permissible time-weighted average, and the other results were within the acceptable range. Conclusions There was a significant difference between the estimated exposure and the measured exposure in hospital settings. A correlation was not found between workers’ perceptions of chemical risk exposure and the chemical risk levels measured in this study.
Źródło:
Medycyna Pracy. Workers’ Health and Safety; 2023, 74, 4; 241-250
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy. Workers’ Health and Safety
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Needlestick and sharps injuries at a German university hospital: epidemiology, causes and preventive potential – a descriptive analysis
Autorzy:
Kaur, Manmeet
Mohr, Sonja
Andersen, Gabriele
Kuhnigk, Olaf
Powiązania:
https://bibliotekanauki.pl/articles/2085760.pdf
Data publikacji:
2022-08-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational safety
sharps injuries
care workers
needlestick injuries
exposures to body fluids
safety-engineered device
Opis:
Objectives To analyze the number, epidemiology and circumstances of needlestick and sharps injuries (NSSI) and exposures to body fluids and to identify further preventive measures to improve the occupational safety of health care workers (HCW). Material and Methods Setting: German university tertiary-care referral center. Retrospective study based on injury documentation sheets of the hospital’s staff and faculty health service and, if given, on reports by continuity doctors and by the accident and emergency department in January 2014–June 2016. Results Altogether, 567 injuries were registered with a significant decrease of cases over the study period. The majority of accidents occurred in the operating theater (35%). Stress, time pressure, overstrain, carelessness and distraction were found to be the main reasons for injuries. At least 30% of the cases were preventable, mainly by wearing personal protective equipment (PPE), by proper disposal of an item and by early replacement of overfilled sharps containers (SC). In 20% of the cases involving an item, the injury was caused by a safety-engineered device (SED). Almost one-third of these injuries were attributable to an improper use of the SED. Conclusions Despite many efforts made to reduce their number, NSSI still occur. Health care workers and students should be offered regular trainings to be sensitized to this topic and to learn the appropriate use of SED. Moreover, organizational measures must be taken, such as the provision of suitable PPE and safe SC. Strategies need to be established to improve the working conditions and reduce the stress level of HCW.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 4; 497-507
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-10 z 35

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