scholarly journals 1505 Occupational accidents: the reality of nursing workers a brazilian university hospital

Author(s):  
Mirian Cristina dos Santos Almeida ◽  
Cristiane Helena Gallasch ◽  
Kátia Pontes Remijo ◽  
Carolina Luiza Bernardes ◽  
Vinicius Gomes Barros ◽  
...  
2019 ◽  
Vol 28 ◽  
Author(s):  
Luise Brunelli Gonçalves de Faria ◽  
Carla Targino Bruno dos Santos ◽  
Andréa Mathes Faustino ◽  
Lizete Malagoni de Almeida Cavalcante Oliveira ◽  
Keila Cristianne Trindade da Cruz

ABSTRACT Objective: to identify the knowledge and adherence of nurses to the standard precautions in critical care units. Method: descriptive and cross-sectional study, with a quantitative approach, with the population of nurses from a university hospital in the Distrito Federal, Brazil. For data collection, three instruments were used. A semi-structured questionnaire with identification and occupational data of nurses, the questionnaire to evaluate knowledge to standard precautions and the Questionnaire of adherence to standard precautions. Descriptive analysis was used with absolute and relative frequency values. Results: the population was composed of 40 participating nurses, 75% were female, with an average age of 32.5 years, ranging from 24 to 50 years. Professionals with five or more years of training (67.5%) predominated, 25 (62.5%) had only one job and had experience in the area of critical patient care for more than three years. Although with a high percentage of accuracy, with regard to the moments that required hand hygiene, this frequency was 97.5%. Gloves are always used for intramuscular or subcutaneous injection by 67.5% of professionals, but 17.5% still consider it unnecessary to wear disposable caps and surgical shoe covers. The use of sharps, handling and reporting of occupational accidents were not performed as expected. Conclusion: gaps were identified in relation to the knowledge and adherence of nurses in units that provide care to critical patients of a university hospital with regard to standard precautions.


2021 ◽  
Vol 17 (6) ◽  
pp. 520-529
Author(s):  
Pelin Uymaz ◽  
Sinem Ozpınar

Background. Health institutions are considered occupational areas with high risk due to the need for human resources, including numerous specialists with distinct characteristics, use of intensive technology, and complex occupational processes. The importance of occupational health and safety, which aims to eliminate or minimize all these negativities, is increasing rapidly. The purpose of this study is to examine the frequency of exposure to occupational accidents and near-miss events of the nurses and physicians working in the internal ­medicine units of a university hospital, and their reporting status and factors affecting these characteristics. Materials and methods. This research is a descriptive study, and the data of the recent year have been evaluated. The research was carried out in internal medicine units of a university hospital in Istanbul. The data in this study were collected by using the “Evaluation Form for Occupational Accidents and Near-Miss Events” which was created by the researchers. Results. A total of 117 individuals, 83 women (70.94 %), and 34 men (29.06 %) participated in this study. Of the participants, 59 were nurses (50.43 %), and 58 were physicians (49.57 %). There was a significant moderate positive correlation (r = 0.305) between age and the number of occupational accidents (p = 0.039). The average number of occupational accidents experienced by nurses (1.31 ± 0.74) was found to be lower than physicians (2.80 ± 2.53) (p = 0.006). The number of near-miss incidents experienced by physicians (2.79 ± 4.30) was higher than the nurses (1.29 ± 83.00) (p = 0.032). Conclusions. Every workplace accident or near-miss event experienced by healthcare professionals should be reported and analyzed carefully to prevent future workplace accidents. Training of health professionals on health risks they may encounter and protective measures against occupational accidents have vital importance.


2019 ◽  
Vol 13 (2) ◽  
pp. 511
Author(s):  
Márcia Astrês Fernandes ◽  
Keyla Maria Pereira de Sousa ◽  
Iara Jéssica Barreto Silva ◽  
Narlene Fontenelle Basílio da Silva ◽  
Ana Virginia Uchoa Prado Paz ◽  
...  

RESUMOObjetivo: discorrer sobre a implantação e implementação de um protocolo para atendimento pós-acidente de trabalho com material biológico por perfurocortante. Método: trata-se de estudo qualitativo, descritivo, do tipo relato de experiência. Resultados: iniciou-se em 2013, a implantação do protocolo para atendimento pós-acidente de trabalho com material biológico, a partir do qual passou por várias etapas de implementação. Informa-se que, o fluxograma versa sobre as orientações quanto aos cuidados locais, imediatamente após o acidente, atendimento médico para avaliação da lesão e da exposição, recomendações profiláticas em tempo hábil após exposição, solicitação de sorologias do acidentado e paciente-fonte, quando possível acompanhamento sorológico do acidentado após exposição e emissão da Comunicação de Acidente de Traballho. Conclusão: mostraram-se que, apesar das dificuldades para implementação do protocolo, a experiência foi exitosa e o fluxo de atendimento pós-acidente com material biológico desfruta de diversos avanços importantes para a saúde e segurança dos trabalhadores do hospital universitário em questão. Descritores: Saúde do Trabalhador; Enfermagem; Acidentes de Trabalho; Exposição a Agentes Biológicos; Prevenção de Acidentes; Notificação de Acidente de Trabalho.ABSTRACT Objective: to discuss the deployment and implementation of a protocol for care after occupational accident with biological material from needle-sharp instruments. Method: this is a qualitative, descriptive study, of the experience-report type. Results: in 2013, the deployment of the protocol for care after occupational accident with biological material, from which it passed through various implementation stages. The flowchart describes the guidelines regarding local care, immediately after the accident, medical care to evaluate the lesion and the exposure, prophylactic recommendations in a timely manner after exposure, request for serology of the casualty and patient-source, when possible, serological follow-up of the casualty after exposure and issuance of the Occupational Accident Communication. Conclusion: despite the difficulties for implementing the Protocol, the experience was successful and the flow of the care after accident with biological material includes several important advances for workers’ health and safety at the university hospital in question. Descriptors: Occupational Health; Nursing; Occupational Accidents; Exposure to Biological Agents; Accident Prevention; Occupational Accidents Notification.RESUMEN Objetivo: analizar la implantación y aplicación de un protocolo para el cuidado post-accidente laboral con material biológico por perforantes/cortantes. Método: este es un estudio cualitativo, descriptivo del tipo relato de experiencia. Resultados: se inició en 2013, la implementación del protocolo para el cuidado post-accidentes laborales con material biológico, pasando por distintas fases de ejecución. El diagrama de flujo versa sobre las directrices relativas a los cuidados, inmediatamente después del accidente, la asistencia médica para la evaluación de la lesión y de la exposición, la profilaxis con recomendaciones en forma oportuna después de la exposición, la solicitud de serología del accidentado y el paciente-fuente, cuando posible, el seguimiento serológico del accidentado después de la exposición y la emisión de la Comunicación de Accidente Laboral. Conclusión: a pesar de las dificultades para la aplicación del Protocolo, la experiencia fue exitosa y el flujo de atención post-accidente con material biológico incluye varios avances importantes para la seguridad y salud de los trabajadores en el hospital de la universidad en cuestión. Descriptores: Salud Laboral; Enfermería; Accidentes Laborales; Exposición a Agentes Biológicos; Prevención de Accidentes; Notificación de Accidentes Laborales.


2017 ◽  
Vol 5 (2) ◽  
pp. 282-292
Author(s):  
Yunus TAŞ ◽  
Ali Talip AKPINAR ◽  
Ihsan YİĞİT

This study investigates the relationship between workplace safety perceptions and patient safety perceptions of hospital staff . Along with job safety decrease, occupational accidents, occupational diseases increase and this may lead to detrimental consequences. Besides, Patient safety is one of the most important factors affecting the quality of health care provided in hospitals. In this study, a survey study containing Hayes’ workplace safety scale and generally consisting of statements that measure the perception of patient safety was conducted to the employees of Research and Application Hospital of Kocaeli University. it is found out that there are statistically significant relationship between patient safety the workplace job safety dimensions. It is also revealed that Patient Safety has statistically significant positive relationship among Supervisor Safety (0,250), job Safety (0,216), job Safety Policies (0,283), Safe Work Environment (0,299) and Improving Job Safety (0,313), respectively. In other words, as the supervisor safety, job safety, job safety policies, safe work environment and improving job safety increase perceptions of patient safety in hospitals increase as well.


2011 ◽  
Vol 5 (3) ◽  
pp. 670
Author(s):  
Illyane Alencar Carvalho ◽  
Letícia Moura Mulatinho ◽  
Juliana Alencar Carvalho ◽  
Cinthia Maciel de Campos Rocha ◽  
Djane Da Silva Teixeira

ABSTRACTObjective: to characterize the occupational accidents in the practice of nursing in the Intensive Care Unit (ICU) of a university hospital. Method: this is about a descriptive study from quantitative approach. For data collection was used to form structured sample of 180 nursing staff who signed the terms of consent and notification forms to query the Department of Engineering and Safety of hospital in 2006. Data were stored and analyzed statistically by the software Microsoft Excel 2003, after approval by the ethics committee in search of the Oswaldo Cruz Hospital, with protocol 141/2006. Results: accidents predominated in technical nursing, females, aged 31 to 40 years. The highest accident was by cutting and piercing. Among the occupational risks have become apparent order and poor cleaning, handling chemicals and cutting / piercing, manual lifting and carrying weight and inadequate physical arrangement. There were no reports of ICU in the hospital. Conclusion: changes are needed in the workplace, and prevention programs targeting of measures for reporting in order to minimize the occurrence of accidents with the nursing staff. Descriptors: workplace accidents; nursing; intensive care units.RESUMOObjetivo: caracterizar os acidentes de trabalho no âmbito da prática de enfermagem nas Unidades de Terapia Intensiva (UTI) de um Hospital Universitário. Método: estudo descritivo, de abordagem quantitativa. Para coleta de dados foi empregado formulário estruturado à amostra de 180 trabalhadores de enfermagem que assinaram os termos de consentimentos livre e esclarecido e consulta às fichas de notificação do Setor de Engenharia e Segurança do Trabalho do hospital do ano de 2006. Os dados foram armazenados e analisados estatisticamente através do software Microsoft Excel 2003, após aprovação do comitê de ética em pesquisa do Hospital Universitário Oswaldo Cruz, com o protocolo 141/2006. Resultados: os acidentes predominaram, nos técnicos de enfermagem; sexo feminino; faixa etária 31 a 40 anos. O maior índice de acidente foi por pérfuro-cortante. Dentre os riscos ocupacionais, evidenciaram-se ordem e limpeza deficiente, manipulação de produtos químicos e de pérfuro-cortantes, levantamento e transporte manual de peso e arranjo físico inadequado. Não foram encontradas notificações das UTI no hospital. Conclusão: são necessárias mudanças no ambiente de trabalho, programas de prevenção e direcionamento de medidas para a notificação, a fim de minimizar a ocorrência dos acidentes com a equipe de enfermagem. Descritores: acidentes de trabalho; enfermagem; unidades de terapia intensiva.RESUMENObjetivo: caracterizar los accidentes de trabajo en la práctica de enfermería en las Unidad de Terapia Intensiva (UTI) de un hospital universitario. Método: estudio descriptivo de enfoque cuantitativo. Para la recolección de datos se utiliza para formar la muestra estructurada de personal de enfermería 180 que firmaron los términos de los formularios de consentimiento y notificación a la consulta del Departamento de Ingeniería y de seguridad del hospital en 2006. Los datos fueron almacenados y analizados estadísticamente por el software de Microsoft Excel 2003, después de la aprobación por el comité de ética en la búsqueda del Hospital Oswaldo Cruz, con el protocolo 141/2006. Resultados: los accidentes en las mujeres que participan técnicos de enfermería, las edades de 31 a 40 años. El mayor accidente fue por el corte y perforación. Entre los riesgos laborales se han convertido en orden aparente y la limpieza de los pobres, manipulación de productos químicos y de corte / perforación, manual de levantar y cargar el peso y la disposición física inadecuada. No hubo informes de la UCI en el hospital. Conclusión: los cambios son necesarios en el lugar de trabajo y programas de prevención y orientación de las medidas para la presentació de informes con el fin de minimizar la ocurrencia de accidentes com el personal de enfermaria. Descriptores: accidentes de trabajo; enfermería; unidades de terapia intensiva.


2021 ◽  
pp. 1-7
Author(s):  
Norbert Fraeyman ◽  
Dirk de Bacquer ◽  
Els Clays ◽  
Tom Fiers ◽  
Lode Godderis ◽  
...  

Author(s):  
Helone Eloísa Frazão Guimarães Faray ◽  
Everton Ferreira Lemos ◽  
Rosemary Matias ◽  
Arlindo Faray Vieira ◽  
Eduardo de Castro Ferreira

As atividades de trabalho dos profissionais de enfermagem estão sujeitas a riscos e situações geradoras de desgaste do profissional, contribuindo para ocorrência de doenças e contaminação do ambiente. Objetivou-se analisar os riscos ocupacionais relacionados aos resíduos biológicos hospitalares presentes no cotidiano das equipes de enfermagem dos diferentes setores hospitalares do cuidado à criança, associado ao tempo de serviço. Trata-se de uma pesquisa de natureza aplicada com abordagem quantitativa de caráter descritivo exploratório, transversal, realizada no Hospital Universitário em São Luís do Maranhão, onde a equipe de enfermagem é composta por enfermeiros, técnicos e auxiliares de enfermagem. Foi aplicado questionários a 98 profissionais de enfermagem que compõem a unidade de saúde da criança do hospital universitário em São Luís do Maranhão, no ano de 2018. Em relação aos acidentes de trabalho sofridos pelos profissionais que possuem menos de cinco anos de serviço, a categoria enfermeiro apresentou maior percentual (31,6%), seguido pelo técnico de enfermagem (21,6%). A maioria dos trabalhadores (75,6%) que relataram ter recebido treinamento em serviço não se acidentaram. Medidas preventivas e estratégias de educação em saúde devem ser assimiladas entre profissionais de enfermagem, sobre o manejo adequado de resíduos e incentivar a implementação de precauções para minimizar a ocorrência de agravos que comprometem a saúde e atividades laborais desenvolvidas no seu ambiente, bem como orientações sobre as consequências dos acidentes de trabalho.   Palavras-chave: Acidentes de Trabalho. Enfermagem. Ambiente Hospitalar.  Abstract The work activities of nursing professionals are subject to risks and situations that generate professional wear, contributing to the occurrence of diseases and the environment contamination. The objective was to analyze the occupational risks related to hospital biological waste present in the daily lives of nursing teams from different childcare sectors hospital. It is a research of an applied nature with a quantitative approach of an exploratory, cross-sectional descriptive character, carried out at the University Hospital in São Luís do Maranhão, where the nursing team is composed of nurses, technicians and nursing assistants. Questionnaires were applied to 98 nursing professionals who made up the child health unit of the university hospital in São Luís do Maranhão, in the year 2018. Regarding occupational accidents suffered by professionals who have less than five years of service, the category of nurse presented a higher percentage (31.6%) followed by a nursing technician (21.6%). Most workers (75.6%) who reported having received on-the-job training did not have an accident. Preventive measures and health education strategies must be assimilated among nursing professionals, regarding the adequate waste management and encourage the  precautions implementation to minimize the occurrence of injuries that compromise health and work activities carried out in their environment, as well as guidance on the consequences of accidents at work.   Keywords: Accidents at Work. Nursing. Hospital Environment.


2018 ◽  
Vol 26 (6) ◽  
pp. 370-373 ◽  
Author(s):  
Samuel Ribak ◽  
Elton João Nunes de Oliveira ◽  
Gustavo Pupo Rosolino ◽  
Pedro Orru Neto ◽  
Alexandre Tietzmann

ABSTRACT Objective: To evaluate the epidemiology of traumatic injuries of the upper limbs treated at a university hospital and identify the causes, types of injuries, and risk factors. Methods: A prospective study was performed with accidents resulting in trauma categorized into three groups: domestic, occupational, or transportation-related. A questionnaire containing information about the patient and the accident was administered. Lesion characteristics were evaluated according to the injured area, the type of injury, and the management strategy adopted for each case. Results: A total of 613 patients were evaluated. The most frequent accidents were domestic (66.6%), predominantly involving men (67.9%) with a mean age of 31 years. Wrist lesions prevailed in transportation-related (31.1%) and domestic (29.6%) accidents, and in accidents involving fingers at work (54.2%). Closed fractures were more frequent and conservative treatment was indicated most often. Serious injuries were associated with finger accidents (39.4%). There was a correlation between the level of education and the type of accident. Conclusion: Traumatic injuries of the upper limbs were more frequent in domestic accidents and in male patients. Closed fractures were the most common type of fracture and were usually treated conservatively. Serious injuries were more often related to finger trauma. Education level influenced domestic, transportation-related, and occupational accidents. Level of Evidence IV, Case Series.


2008 ◽  
Vol 16 (5) ◽  
pp. 824-831 ◽  
Author(s):  
Iara Aparecida de Oliveira Sêcco ◽  
Maria Lúcia do Carmo Cruz Robazzi ◽  
Denise Sayuri Shimizu ◽  
Márcia Maria da Silva Rúbio

Descriptive epidemiologic study that aimed to analyze the typical occupational accidents notified by employees of a university hospital in the South of Brazil from 1997 to 2002, and to estimate their risk indicators. A total of 717 accidents were registered; 86% of them (616) were typical and presented an annual average risk coefficient of 6.0 per 100 employees. The groups that presented more risks for accidents were cooks, woodworkers and nursing auxiliaries, while hands were the most affected area. Regarding the accidents nature, the greatest risks involved biological material. Hence, it is necessary to orient personnel about the legal aspects of occupational accidents and review work processes, especially those related to employees who perform activities at greater risk of transmissible diseases like AIDS and hepatitis B and C.


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