scholarly journals Investigation and Analysis of the Logistics Personnel’s Working Condition in the Post-COVID-19 Era — An Example of a Top Three Hospital in Shanghai

Author(s):  
Qian Mingping ◽  
Liu Rong ◽  
Hu Longjun ◽  
Gao Wenxue ◽  
Cai Guojun ◽  
...  

The aim of this work is to explore the working conditions of logistics personnel in hospital and provide a new approach for improving the service quality of them in the post-COVID-19 era. Eighty-four logistics personnel in an upper first-class hospital were included in the study, and their working conditions were investigated and analyzed via self-designed questionnaire. 73.8% of all respondents think their work is significantly important to the brand building of the hospital, and 67.9% of them think they are closely related to a harmonious doctor–patient relationship. The compliant rate is higher in security personnel when compared with other personnel and the difference was statistically significant ([Formula: see text]). 94% of the logistics personnel indicate a higher intensity in their work, 39.3% of them constantly face the working pressure and 57.1% come from the risk of infection which accounts for the largest. The largest demand comes for the protective equipment, which is from 69 workers. It would be better for us to pay attention to the hospital culture training and strengthen the sense of identity among logistics personnel of the hospital continuously. Meanwhile we need to enrich the connotation of professional style construction in hospital and promote the efficiency of logistics service. Targeted training is necessary to improve the service capabilities of the security personnel since they receive more complaints. Diversified and personalized support to the logistics personnel based on the grasp of their special demand is also important.

Author(s):  
Jinhao Huang ◽  
Chenghong Duan ◽  
Liang Wu ◽  
Xiangpeng Luo

The process, by applying an internal pressure higher than the working pressure in advance after completion of the winding to cause the liner entering the plastic stage and producing the corresponding permanent plastic deformation for the purpose of improving the carrying capacity of the vessel, is called internal pressure autofrettage. In this paper, for the high-density polyethylene liner filament winding vessels which are winded by the equivalent cooling method, the ANSYS ACP module is used to analyze the stress distribution under autofrettage condition and working condition. The influence of autofrettage pressure and cooling temperature on the stress distribution under the working conditions of the vessel is addressed. This study could provide a reference for the optimization of winding process.


2012 ◽  
Vol 3 (4) ◽  
pp. 178-181 ◽  
Author(s):  
Vanda Elisa Andres Felli

O texto tem por objetivo fazer uma análise reflexiva sobre as condições de trabalho e adoecimento dos trabalhadores de enfermagem, determinadas por jornadas superiores a 30 horas. Partindo da análise do contexto do trabalho de enfermagem, o texto analisa as condições de trabalho e as suas implicações no adoecimento dos trabalhadores. Traz como consequências a diminuição da capacidade para o trabalho, o absenteísmo, a elevação de custos dos afastamentos, o impacto sobre o perfil de morbi-mortalidade dos trabalhadores e as implicações sobre a qualidade da assistência. Conclui-se que é necessário controlar a insalubridade, a periculosidade e a penosidade desse trabalho.Descritores: Enfermagem, Saúde do Trabalhador, Condições de Trabalho, Jornada de Trabalho, Morbidade.Nursing working condition and sickness: reasons why to reduce the work journey to 30 hoursThe text aims to do a reflexive analysis about the working conditions and sickness of nursing workers, determined for journeys exceeding 30 hours. Based on the analysis of the context of nursing work, the text examines the working conditions and their implications in illness among workers. Also, the text brings as consequences the decreased capacity to work, absenteeism, higher costs of absence from work, the impact on morbidity and mortality profile of workers and the implications on the quality of care. It is concluded that it is necessary to control the insalubrity, dangerousness and painfulness of this work.Descriptors: Nursing, Occupational Health, Working Conditions, Work Hours, Morbidity.Condiciones de trabajo de enfermería y enfermedad: motivos para la reducción de jornada para trabajar 30 horasEl texto tiene como objetivo analizar reflexivamente sobre las condiciones de trabajo y enfermedades de los trabajadores de enfermería, determinado por turnos que excedan 30 horas. Con base en el análisis del contexto del trabajo de enfermería, el texto analiza las condiciones de trabajo y sus implicaciones en la enfermedad entre los trabajadores. Trae consecuencias como la disminución de la capacidad de trabajo, ausentismo, costos más altos de las ausencias, el impacto en lo perfil de morbilidad y mortalidad de los trabajadores y las implicaciones en la calidad de la atención. Se concluye que es necesario controlar la insalubridad, peligrosidad y doloroso trabajo.Descriptores: Enfermería, Salud del Trabajador, Condiciones de Trabajo, Día de Trabajo, Morbidad.


Servis plus ◽  
2016 ◽  
Vol 10 (1) ◽  
pp. 3-15
Author(s):  
Наталья Платонова ◽  
Natalya Platonova ◽  
Ольга Вапнярская ◽  
Olga Vapnyarskaya

This article continues the series of publications of authors, in which they presented a description of the conceptual basis of auditing service, its methodological foundations, recommendations for the standardization and separate objects and processes. The article presents the description of a new approach to the application of the concept and methodology service audit. Previously the audit service was viewed solely as a method of monitoring the adequacy, service quality and its conformity with the needs of the target consumer groups, designed for individual enterprises and their associations. Developing the service audit issues, the authors propose opportunities in research at the mesolevel (at the regional level). Methodology service audit was used in the project to study service within the boundaries of one of the tourist destinations in Russia. The difference is in the fact that the method of service audits, including secret shopper method, was applied to a diverse set of objects constituting the regional tourism infrastructure. This methodological tool was the same for all objects, which required a determination common to a variety of enterprises of the conditions and elements of service of tourists. This approach allowed creating a unified database of the obtained primary information, and later conducting a comparative study. The article presents some results of using the service audit methods, data and conclusions regarding the completeness and quality of the tourism service destination, obtained with its help. The results of the service audit of the regional tourism infrastructure describe the quality of service in such elements of the tourist infrastructure, as hotels and other accommodation facilities, catering facilities, objects and means of entertainment, objects of cognitive, business, medical, sports and other purposes. The authors also presented a brief description of the methodology of used approach. Experience showed that such a project has all the advantages of using the method of mystery shopping, including relatively low cost, the shortening of studies, etc. the Conclusions resulting from the project were of interest to investors and regional tourism administrations.


2021 ◽  
Vol 10 (8) ◽  
pp. 1728
Author(s):  
Simon Rauch ◽  
Michiel Jan van Veelen ◽  
Rosmarie Oberhammer ◽  
Tomas Dal Cappello ◽  
Giulia Roveri ◽  
...  

Cardiopulmonary resuscitation (CPR) is considered an aerosol-generating procedure. Consequently, COVID-19 resuscitation guidelines recommend the use of personal protective equipment (PPE) during resuscitation. In this simulation of randomised crossover trials, we investigated the influence of PPE on the quality of chest compressions (CCs). Thirty-four emergency medical service BLS-providers performed two 20 min CPR sequences (five 2 min cycles alternated by 2 min of rest) on manikins, once with and once without PPE, in a randomised order. The PPE was composed of a filtering facepiece 3 FFP3 mask, safety glasses, gloves and a long-sleeved gown. The primary outcome was defined as the difference between compression depth with and without PPE; secondary outcomes were defined as differences in CC rate, release and the number of effective CCs. The participants graded fatigue and performance, while generalised estimating equations (GEE) were used to analyse data. There was no significant difference in CC quality between sequences without and with PPE regarding depth (mean depth 54 ± 5 vs. 54 ± 6 mm respectively), rate (mean rate 119 ± 9 and 118 ± 6 compressions per minute), release (mean release 2 ± 2 vs. 2 ± 2 mm) and the number of effective CCs (43 ± 18 vs. 45 ± 17). The participants appraised higher fatigue when equipped with PPE in comparison to when equipped without PPE (p < 0.001), and lower performance was appraised when equipped with PPE in comparison to when equipped without PPE (p = 0.031). There is no negative effect of wearing PPE on the quality of CCs during CPR in comparison to not wearing PPE.


2020 ◽  
Vol 34 (06) ◽  
pp. 9900-9907 ◽  
Author(s):  
Michael Katz ◽  
Shirin Sohrabi ◽  
Octavian Udrea

The need for finding a set of plans rather than one has been motivated by a variety of planning applications. The problem is studied in the context of both diverse and top-k planning: while diverse planning focuses on the difference between pairs of plans, the focus of top-k planning is on the quality of each individual plan. Recent work in diverse planning introduced additionally restrictions on solution quality. Naturally, there are application domains where diversity plays the major role and domains where quality is the predominant feature. In both cases, however, the amount of produced plans is often an artificial constraint, and therefore the actual number has little meaning. Inspired by the recent work in diverse planning, we propose a new family of computational problems called top-quality planning, where solution validity is defined through plan quality bound rather than an arbitrary number of plans. Switching to bounding plan quality allows us to implicitly represent sets of plans. In particular, it makes it possible to represent sets of plans that correspond to valid plan reorderings with a single plan. We formally define the unordered top-quality planning computational problem and present the first planner for that problem. We empirically demonstrate the superior performance of our approach compared to a top-k planner-based baseline, ranging from 41% increase in coverage for finding all optimal plans to 69% increase in coverage for finding all plans of quality up to 120% of optimal plan cost. Finally, complementing the new approach by a complete procedure for generating all valid reorderings of a given plan, we derive a top-quality planner. We show the planner to be competitive with a top-k planner based baseline.


Author(s):  
Maria Josely De Figueiredo Gomes ◽  
Fernando Henrique da Silva ◽  
Valéria Regina Carvalho de Oliveira ◽  
Augusto André Santos de Souza ◽  
Roberta Keile Gomes de Sousa Manso

This paper is part of a larger study. It aims to analyze the concept of Quality of Life at Work(QLW) at IFRN campuses in Natal in comparison with campuses that show results with opposite tendencies, related to the most significant factors: working conditions, well-being and linkage between work and social life. This is a qualitative descriptive study and the open survey formis used as research instrument. The sample was composed of 774 participants. The working condition was the most significant factor in almost all analyzed macro-regions – with the exception of the new campuses, which had the well-being as the main factor. Regarding the working conditions factor, Natal Central Campus and Cidade Alta Campus show opposite tendencies, presenting aspects such as security and infrastructure in the first positions. In contrast to the central tendency, the well-being factor has as its main aspects the physical activity and nourishment – at EAD Campus, Zona Norte, Parnamirim and Reitoria. Concerning the linkage between work and social life, we emphasize the aspects motivation and balance between work and social life at campuses: EAD, Parnamirim, Zona Norte and Cidade Alta. In spite of the importance of a macro-diagnosis, it is crucial to analyze the data of each campus in order to guarantee the reliability of its peculiarities in the diagnostic of the concept of QLW at IFRN.


2021 ◽  
Vol 59 (3) ◽  
pp. 149-163
Author(s):  
Marek Kisilowski ◽  
Krzysztof Stypułkowski

The article aims to preliminary analyze and identify the working conditions of an operator wearing disposable personal protective equipment and features and usability of the suit. The characteristics of the thermal image for an operator wearing a personal protection suit will be used as part of the IT system for comfort assessment. The system will allow the assessment of the operator's comfort based on thermograms. It will also detect dangerous situations resulting from the operator's work in such an outfit or overalls. The hazardous conditions for operators are related to the symptoms of thermal discomfort leading to overheating the body and, consequently, fainting. These situations may cause accidents and reduce the quality of the activities performed. The current legal status was considered when referring to selected social aspects in the management and quality of work of an operator wearing a COVID-19 protective suit. References are made to documents on legislative acts in Poland and Europe to limit the risk from biological agents. This part of the article refers to a vital study by Majchrzycka and Okrasa (2019, the Central Institute for Labor Protection - National Research Institute) presenting the rules for the safe use of non-biocidal respiratory protective equipment. This included obligations of the employer. The employer is obliged to take preventive measures against exposition of employees to harmful biological agents, including airtight measures and personal protective equipment. The article emphasizes selected medical aspects of working in personal protective clothing during the COVID-19 pandemic. Referring to the study (Sobolewski, 2014), according to the authors, the presented case reflects the working conditions of an operator wearing a disposable protective suit. Microclimate parameters and changing metabolism define the hot thermal environment in the mentioned standard. The article presents the results of thermovision inspection of the operator of technical means of transport working in a suit protecting against COVID-19 infection, constituting one-off personal protection. The individual elements included in the protective set of disposable personal protection have been described. The following research stage is preparing thermograms, which show the operator in a protective case before, during, and after work. Thermograms have been classified and commented on.


2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Delmair Oliveira Magalhães Luna Filha ◽  
Beatriz De Castro Magalhães ◽  
Mauro Mccarthy de Oliveira Silva ◽  
Grayce Alencar Albuquerque

Resumo Objetivo: refletir sobre os fatores associados à vulnerabilidade do profissional de enfermagem e as repercussões na assistência durante a pandemia COVID-19. Método: ensaio teórico de cunho reflexivo, oriundo de estudos e debates referentes à vulnerabilidade dos profissionais de enfermagem, enquanto trabalhadores da saúde, e aproximação desta condição com o cenário atual de enfrentamento à pandemia da COVID-19.  Resultados: a pandemia do novo coronavírus expôs a vulnerabilidade que já assolava os profissionais de enfermagem frente à desvalorização da profissão, salários baixos, subdimensionamento da equipe de enfermagem, cargas horárias exorbitantes e condições de trabalho insatisfatória, com escassez de equipamentos de proteção individual; e que em conjunto, elevam a susceptibilidade à contaminação pelo COVID-19, adoecimento mental e redução da qualidade da assistência prestada. Considerações finais: com elevada vulnerabilidade ao adoecimento e contaminação, percebe-se a necessidade emergencial de mudanças estruturais no que concerne a valorização da enfermagem.Descritores: Equipe de Enfermagem; Pandemias; Assistência à Saúde; Saúde do trabalhador.WE CARE FOR THE OTHERS, BUT WHO CARES FOR US?VULNERABILITIES AND IMPLICATIONS OF COVID-19 IN NURSINGObjective: to reflect on the factors associated with the vulnerability of the nursing professional and the repercussions in care during the COVID-19 pandemic. Method: a theoretical essay of reflective nature, coming from studies and discussions relating to the vulnerability of nursing professionals, while health workers, and approximation of this condition with the current scenario of coping with the COVID-19 pandemic. Results: the pandemic of the new coronavirus exposed the vulnerability that has already been ravaging nursing professionals facing the devaluation of the profession, low wages, under-dimensioning of the nursing team, exorbitant hourly loads and poor working conditions, with a scarcity of personal protective equipment, which, together, increase the susceptibility to contamination by COVID-19, mental illness and reduced quality of assistance provided. Final Thoughts: with high vulnerability to illness and contamination, there is the urgent need for structural changes concerning the enhancement of nursing.Descriptors: Nursing, Team; Pandemics; Delivery of Health Care; Occupational Health.CUIDAMOS DE LOS DEMÁS, SINO ¿QUIÉN CUIDA DE NOSOTROS? VULNERABILIDADES Y CONSECUENCIAS DE LA COVID-19 EN ENFERMERÍA Objetivo: reflexionar sobre los factores asociados a la vulnerabilidad de los profesionales de enfermería y las repercusiones en la atención durante la pandemia COVID-19. Método: un ensayo teórico de naturaleza reflexiva, procedente de estudios y debates relativos a la vulnerabilidad de los profesionales de enfermería, en cuanto trabajadores de salud, y la aproximación de esta condición con el actual escenario de enfrentamiento de la pandemia del COVID-19. Resultados: la pandemia del nuevo coronavirus puso de manifiesto la vulnerabilidad que ha asolado a los profesionales de enfermería frente a la devaluación de la profesión, los bajos salarios, la falta de dimensionamiento del equipo de enfermería, exorbitantes cargas horarias y las malas condiciones de trabajo, con una escasez de equipamiento de protección individual, que, juntos, aumentan la susceptibilidad a la contaminación por COVID-19, enfermedad mental y disminución de la calidad de la asistencia prestada. Consideraciones finales: con un alto grado de vulnerabilidad a la enfermedad y a la contaminación, hay una necesidad urgente de cambios estructurales en lo que se refiere a la mejora de la enfermería.Descriptores: Grupo de Enfermería; Pandemias; Prestación de Atención de Salud; Salud Laboral.


1998 ◽  
Vol 3 (5) ◽  
pp. 8-10
Author(s):  
Robert L. Knobler ◽  
Charles N. Brooks ◽  
Leon H. Ensalada ◽  
James B. Talmage ◽  
Christopher R. Brigham

Abstract The author of the two-part article about evaluating reflex sympathetic dystrophy (RSD) responds to criticisms that a percentage impairment score may not adequately reflect the disability of an individual with RSD. The author highlights the importance of recognizing the difference between impairment and disability in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides): impairment is the loss, loss of use, or derangement of any body part, system, or function; disability is a decrease in or the loss or absence of the capacity to meet personal, social, or occupational demands or to meet statutory or regulatory requirements because of an impairment. The disparity between impairment and disability can be encountered in diverse clinical scenarios. For example, a person's ability to resume occupational activities following a major cardiac event depends on medical, social, and psychological factors, but nonmedical factors appear to present the greatest impediment and many persons do not resume work despite significant improvements in functional capacity. A key requirement according to the AMA Guides is objective documentation, and the author agrees that when physicians consider the disability evaluation of people, more issues than those relating to the percentage loss of function should be considered. More study of the relationships among impairment, disability, and quality of life in patients with RSD are required.


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