Prevalence of Percutaneous Injuries and Associated Factors Among a Sample of Midwives in Hunan Province, China

2020 ◽  
Vol 68 (9) ◽  
pp. 422-431
Author(s):  
Wenjing Cao ◽  
Nanlin Cao ◽  
Mei Gu ◽  
Pan Li ◽  
Min Li ◽  
...  
Keyword(s):  
Organizational Climate ◽  
Associated Factors ◽  
Safety Climate ◽  
Risk Mitigation ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Mitigation Strategies ◽  
Hunan Province ◽  
Cross Sectional ◽  
Hospital Size

Background: Percutaneous injuries and blood-borne-related infections pose occupational hazards to healthcare professionals. However, the prevalence and associated factors for these hazards among midwives in Hunan Province, China are poorly documented. Methods: A cross-sectional study was conducted among a sample of 1,282 eligible midwives in the cities of Yongzhou, Chenzhou, Hengyang, and Changsha in Hunan Province, China, from January 2017 to July 2017. The association of selected independent variables with percutaneous injuries was investigated using binary logistic regression. Results: 992 participants responded (77.3%), and within the previous 12 months, 15.7% experienced percutaneous injuries. In multivariate analysis, hospital size, age, length of employment as a midwife, weekly working hours, and three aspects of Hospital Safety Climate Scale were associated with percutaneous injuries. The risk of percutaneous injuries among the midwives working in hospitals with ≤399 beds was higher than that among those working in hospitals with ≥400 beds by nearly 3 times. Furthermore, the percutaneous injury prevalence of midwives decreased as age increased. Moreover, the probability of percutaneous injuries among the midwives with weekly working hours of >40 was 4.35 times higher compared with that among midwives with weekly working hours of ≤40. Conclusion/Application to practice: The prevalence of percutaneous injuries among midwives in the study hospitals was substantial. Our results further proved that risk mitigation strategies tailored to midwives are needed to reduce this risk. These strategies include ensuring a positive organizational climate, providing highly safe devices, and reducing the workload.

scholarly journals Prevalence and predictors of burnout among nurses during COVID-19: a cross-sectional study in hospitals in central Uganda

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e054284
Author(s):  
Amir Kabunga ◽  
Ponsiano Okalo
Keyword(s):  
Associated Factors ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Who Guidelines ◽  
Sectional Study ◽  
Cross Sectional ◽  
New Nurses ◽  
Low Levels ◽  
Cross Sectional Design

ObjectiveTo determine the prevalence of burnout and associated factors among nurses during COVID-19 in central Uganda.DesignA cross-sectional design.SettingNurse from one referral and four general hospitals. These were reception centres and cared for patients with COVID-19 in central Uganda.Participants395 nurses.Main outcome measuresBurnout scores.ResultsOf the total 395 participants, 65.1% (n=257) were female; 40% (n=158) had a diploma; 47.1% (n=186) were single; and 39.2% (n=155) had worked for 11–15 years. The results show that 40% (n=158), 41.77% (n=165) and 18.23% (n=77) reported high, average and low levels of burnout, respectively. The results show that the predictors of nurses’ burnout were personal protective equipment (PPE) (OR: 7.1, 95% CI 4.08 to 12.31) and increased workload (OR 4.3, 95% CI 2.43 to 7.93).ConclusionThis study of nurses working in hospitals dealing with patients with COVID-19 in central Uganda reported high rates of burnout, and it was associated with PPE and workload. Interventions like contracting new nurses to reduce workload, the WHO guidelines on PPE, adjusting working hours and ensuring hours of effective rest should be adapted.

scholarly journals Depressive Symptoms among Industrial Workers in Vietnam and Correlated Factors: A Multi-Site Survey

2019 ◽  
Vol 16 (9) ◽  
pp. 1642 ◽  
Author(s):  
Bach Xuan Tran ◽  
Giang Thu Vu ◽  
Kiet Tuan Huy Pham ◽  
Quan-Hoang Vuong ◽  
Manh-Tung Ho ◽  
...  
Keyword(s):  
Mental Health ◽  
Associated Factors ◽  
Depressive Disorders ◽  
Mental Health Problems ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Industrial Workers ◽  
Related Factors ◽  
Cross Sectional

Depressive disorders have been found to be a significant health issue among industrial workers, resulting from work-related factors and causing serious burdens for the workers as well as their employers. Literature on mental health problems of Vietnamese industrial workers has been limited, despite the rapid foreign investment-fueled industrialization process of the country. This study aimed to fill the gap in literature by examining the prevalence of depressive disorders and their potential associated factors among a cohort of Vietnamese industrial workers. A cross-sectional study was conducted in 3 industrial areas in Hanoi and Bac Ninh. A total of 289 workers agreed to participate in the study. Generalized linear mixed models were applied to identify associated factors with depression status of respondents. 38.6% of participants reported suffering depression. Factors found to be positively associated with the possibility of having depression and higher PHQ9 score were long working hours, suffering more health problems, and health hazards exposure at work. Meanwhile, being females, having more children, living with parents, engaging in smoking, and being local workers were found to correlate with lower likelihood of being depressed. The findings suggested the importance of regular health screening, work safety assurance, and social support outside of workplace on the mental health of the workers.

scholarly journals SARS-Cov-2 viral and serological screening of staff in 31 European fertility units

2020 ◽  
Author(s):  
Scott M Nelson ◽  
Susanne Ehnert ◽  
Piotr S Gromski ◽  
Tim Child ◽  
Geoffrey Trew
Keyword(s):  
Risk Mitigation ◽  
Cross Sectional Study ◽  
Mitigation Strategies ◽  
Clinical Activity ◽  
Cross Sectional ◽  
Clinic Staff ◽  
Staff Members ◽  
Fertility Clinic ◽  
Risk Mitigation Strategies ◽  
The Uk

Abstract STUDY QUESTION What is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral presence and seroconversion in staff members in European fertility units prior to recommencement of clinical activity? SUMMARY ANSWER A large proportion of fertility clinic staff remain susceptible to SARS-CoV-2 with no evidence of seroconversion, indicating that continued comprehensive risk mitigation strategies are essential. WHAT IS KNOWN ALREADY In response to the coronavirus disease 2019 (COVID-19) pandemic, caused by SARS-CoV-2, routine fertility treatment was temporarily stopped in several European countries. The SARS-CoV-2 prevalence and seroconversion in fertility clinic staff, who are at potentially lower risk than routine healthcare workers, are unknown. STUDY DESIGN, SIZE, DURATION This cross-sectional study included 554 staff in 16 European IVF clinics, 13 ultrasound clinics, one diagnostic laboratory and one head office in four European countries (Austria, Denmark, Germany and the UK) between 15 April and 30 June 2020. PARTICIPANTS/MATERIALS, SETTING, METHODS There were 554 staff members returning for resumption of clinical activity. Paired nucleic acid amplification tests of oropharyngeal swabs for SARS-CoV-2 and serological testing for SARS-CoV-2 IgG were performed. MAIN RESULTS AND THE ROLE OF CHANCE Of the 554 staff members tested, 0.19% (95% CI 0.03, 1.10%) had evidence of SARS-CoV-2 as detected by RT-PCR. In contrast, 23 staff members, i.e. 4.15% (95% CI 2.78, 6.15%), had antibodies against SARS-CoV-2, with a wide range of antibody titres. There was no evidence of differences in seroconversion between countries with estimates ranging from 2.78% (95% CI 0.77, 9.58) in Austria to 6.75% (95% CI 4.46, 10.1) for the UK. There was no strong evidence of clustering within the clinics, with 21 of the 30 facilities having no staff members affected (prevalence estimates ranging from 0% to 35%), and one clinic having seven staff members affected (35% (95% CI 18.1%, 56.7%)). The single staff member who tested positive for SARS-CoV-2 virus was in the pre-symptomatic phase and was isolated, with no contacts having evidence of infection on repeat testing. LIMITATIONS, REASONS FOR CAUTION This was a cross-sectional study prior to resumption of clinical activity, with repeat testing not undertaken. WIDER IMPLICATIONS OF THE FINDINGS The low prevalence of seroconversion of fertility clinic staff highlights the need for continued comprehensive risk mitigation strategies and engagement with national endeavours to identify and isolate new cases and their contacts as we embark on the resumption of fertility services. STUDY FUNDING/COMPETING INTEREST(S) The Fertility Partnership funded the study. S.M.N. reports personal fees from Access Fertility, personal fees from Merck, personal fees from Ferring, grants and personal fees from Roche Diagnostics, personal fees from The Fertility Partnership and personal fees from Modern Fertility, outside the submitted work. T.C. reports personal fees from Merck and personal fees from Ferring, outside the submitted work. G.T. reports personal fees from Merck, personal fees from Ferring and personal fees from Roche Diagnostics, outside the submitted work. S.E. and P.S.G. report no conflicts of interest. TRIAL REGISTRATION NUMBER N/A.

scholarly journals Knowledge and Practice of Employed Mothers towards Exclusive Breastfeeding and Its Associated Factors in Mecha District, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Amare Lisanu Mazengia ◽  
Hibru Demissie
Keyword(s):  
Exclusive Breastfeeding ◽  
Associated Factors ◽  
Maternity Leave ◽  
Sampling Technique ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Cross Sectional ◽  
Employed Mothers ◽  
Knowledge And Practice

Background. Exclusive breastfeeding is an important strategy for improving child health. However, the practice of exclusive breastfeeding among employees is very low in developing countries including Ethiopia. Objective. The objective of this study was to assess the knowledge and practice of employed mothers towards exclusive breastfeeding and its associated factors in Mecha district, Amhara Region, Northwest Ethiopia, 2019. Methods. A cross-sectional study was conducted from April 05 to June 30, 2019. A stratified random sampling technique was applied. Data were analyzed using statistical package for social sciences (SPSS) version 23 software. Multivariate logistic regression was used to determine predictors of knowledge and practice. Result. A total of 449 participants were enrolled with a response rate of 95.54%. The study revealed that 92.1% (95% CI: (89.5–94.6)) of participants had good knowledge. However, only 38.5% (95% CI: (33.8–42.9)) employed mothers breastfeed their babies exclusively. Certain predictors such as maternity leave (AOR = 0.31, 95% CI:(0.10–0.91), p value = 0.03), mothers’ level of education (AOR = 2.97, 95% CI: (1.66–5.34), p value <0.001), support from husbands(AOR = 0.26, 95% CI (0.14–0.47), p value <0.001), and actual time to return back to their work(AOR = 0.21; 95% CI: (0.08–0.51), p value = 0.01) were statistically associated with exclusive breastfeeding. Conclusions and Recommendations. The knowledge and practice of employed mothers towards exclusive breastfeeding were affected by the number of predictors. Exclusive breastfeeding practice among employed mothers was low. It is advisable to give some flexible working hours for breastfeeding mothers.

scholarly journals Appropriate Complementary Feeding Practices and Associated Factors Among Caregivers of Children Age 6-23 Months in Rural Areas of Hunan Province, China: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Minghui Liao ◽  
Qun Huang ◽  
Huixia Li ◽  
Yi Liao ◽  
Guangwen Huang
Keyword(s):  
Migrant Workers ◽  
Rural Areas ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Hunan Province ◽  
Nutrition And Health ◽  
Cross Sectional

Abstract BackgroundThis study aimed to evaluate the quality and associated factors that potentially influence complementary feeding practices among Chinese caregivers living in Hunan, a rapidly developing province in China. MethodsThree indicators( minimum dietary diversity(MDD), minimum meal frequency(MMF) and minimum acceptable diet(MAD)) were used to evaluate the rationality of complementary feeding. A multi-factor unconditional logistic regression model was employed to analyzeanalyse the relevant factors of complementary feeding. ResultsThe eligibility rates of MDD, MMF and MAD for children aged 6-23 months were 62.3%, 75.1% and 44.0%, respectively. The ineligible OR values of MDD for children aged 12-17 and 18-23 months were 0.238 and 0.103, respectively, and those of MAD were 0.425 and 0.376, respectively, compared with those for children aged 6-11 months. Compared children whose mothers moved out for work, the ineligible MMF for children whose mothers were not migrant workers was 2.069. Compared with parents who scored less than 60 in knowledge and attitude towards nutrition and health, the ineligible OR values of MDD, MMF and MAD for children whose parents obtained 60-79 were 0.653, 0.689 and 0.668, respectively, and those for children whose parents obtained 80-100 were 0.543, 0.428 and 0.496, respectively (all P values <0.05). ConclusionThe complementary feeding of children in rural areas of Hunan Province needs to be improved. Younger month-age, mothers’ not going out to work and parents’ lacking in knowledge about nutrition and health are high risk factors for poor complementary feeding.

scholarly journals Seroprevalence and Risk Factors of Crimean-Congo Hemorrhagic Fever in Cattle of Smallholder Farmers in Central Malawi

Pathogens ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1613
Author(s):  
Marvin Collen Phonera ◽  
Martin Chitolongo Simuunza ◽  
Henson Kainga ◽  
Joseph Ndebe ◽  
Mwelwa Chembensofu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Mitigation ◽  
Smallholder Farmers ◽  
Hemorrhagic Fever ◽  
Cross Sectional Study ◽  
Mitigation Strategies ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Hyalomma Truncatum ◽  
Crimean Congo Hemorrhagic Fever

Crimean-Congo hemorrhagic fever virus (CCHFV) is endemic in Africa, Asia, and Eastern Europe where it circulates among animals and ticks causing sporadic outbreaks in humans. Although CCHF is endemic in sub-Saharan Africa, epidemiological information is lacking in many countries, including Malawi. To assess the risk of CCHF in Malawi, we conducted an epidemiological study in cattle reared by smallholder livestock farmers in central Malawi. A cross-sectional study was conducted in April 2020 involving seven districts, four from Kasungu and three from Lilongwe Agriculture Development Divisions. A structured questionnaire was administered to farmers to obtain demographic, animal management, and ecological risk factors data. Sera were collected from randomly selected cattle and screened for CCHF virus (CCHFV) specific antibodies using a commercial ELISA kit. Ticks were collected from cattle and classified morphologically to species level. An overall CCHFV seropositivity rate of 46.9% (n = 416; 95% CI: 42.0–51.8%) was observed. The seropositivity was significantly associated with the age of cattle (p < 0.001), sex (p < 0.001), presence of ticks in herds (p = 0.01), district (p = 0.025), and type of grazing lands (p = 0.013). Five species of ticks were identified, including Hyalomma truncatum, a known vector of CCHFV. Ticks of the species Hyalomma truncatum were not detected in two districts with the highest seroprevalence for CCHF and vector competency must be further explored in the study area. To our knowledge, this is the first report of serologic evidence of the presence of CCHV among smallholder cattle in central Malawi. This study emphasizes the need for continued monitoring of CCHFV infection among livestock, ticks, and humans for the development of data-based risk mitigation strategies.

RISK FACTORS FOR BACK, NECK AND SHOULDER MUSCULOSKELETAL INJURIES AND CLAIMS IN AMBULANCE OFFICERS

2012 ◽  
Vol 15 (01) ◽  
pp. 1250009 ◽  
Author(s):  
Monica Broniecki ◽  
Adrian Esterman ◽  
Hugh Grantham
Keyword(s):  
Risk Factors ◽  
Perceived Risk ◽  
Injury Risk ◽  
Risk Mitigation ◽  
Cross Sectional Study ◽  
Musculoskeletal Injuries ◽  
Mitigation Strategies ◽  
Cross Sectional ◽  
Risk Mitigation Strategies ◽  
Manual Handling

Relatively little has been published on the range of risk factors contributing to musculoskeletal injuries in ambulance officers. This study aims to identify perceived risk factors for back, neck and shoulder musculoskeletal injuries and claims in relation to working conditions, and the physical and psychological demands of the job. This was a cross-sectional study using an internet-based survey in an Australian ambulance service. The survey included demographic questions and questions on psychosocial factors related to the job and the way in which work is organized, musculoskeletal injuries sustained and claims submitted in the previous 12 months; and two open ended questions on perceived risk factors for injury and injury risk mitigation strategies. Ambulance officers who felt they were able to take sufficient breaks were less likely to sustain a back, neck or shoulder musculoskeletal injury, and those who perceived their work required high levels of physical effort were more likely to submit a claim for these injuries. Two important perceived causal factors contributing to musculoskeletal injuries were the uncontrolled environment and non-adherence to manual handling techniques. However, suggested risk mitigation strategies of improving fitness and manual handling training, were not supported by the quantitative analysis.

scholarly journals Anemia prevalence, severity and associated factors among children aged 6–71 months in rural Hunan Province, China: a community-based cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Huixia Li ◽  
Juan Xiao ◽  
Minghui Liao ◽  
Guangwen Huang ◽  
Jianfei Zheng ◽  
...  
Keyword(s):  
Associated Factors ◽  
Family Income ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Hunan Province ◽  
Feeding Practice ◽  
Severe Anemia ◽  
Community Based ◽  
Cross Sectional ◽  
Increased Risk

Abstract Background In recent 10 years, with the rapid socioeconomic development and the extensive implementation of children nutrition improvement projects, the previous epidemiological data cannot reflect the actual level of anemia among children in China, especially in rural areas. Therefore, this study analyzed the prevalence, severity and associated factors of anemia among children aged 6–71 months in rural Hunan Province. Methods A community-based cross-sectional study was conducted. Through multistage stratified cluster sampling, 5229 children aged 6 to 71 months and their caregivers were randomly selected from 72 villages across 24 towns in 12 counties from rural Hunan. The demographic characteristics of children and their caregivers, feeding practice, nutritional status of children, caregivers’ anemia-related feeding knowledge, and gestational conditions of mothers were acquired by using a unified questionnaire. Peripheral blood from the left-hand middle fingertip was sampled from each child, and hemoglobin concentration was measured using a HemoCue301 portable hemoglobin analyzer (Sweden). Associated factors analyses involving overall anemia and anemia severities were conducted on multivariate logistic regression models. Results The overall anemia prevalence was 8.8%, and the prevalence of mild, moderate and severe anemia was 6.3, 2.5 and 0.1%, respectively. Children age groups of 6–11 months, 12–23 months and 36–47 months, exclusive breast-feeding within 6 months after birth, and maternal moderate/severe anemia were significantly associated with an increased risk of overall anemia in children. Children age groups of 6–11 months and 12–23 months were significantly associated with an increased risk of mild anemia in children. Children age groups of 6–11 months, 12–23 months and 36–47 months, low caregivers’ anemia-related feeding knowledge level, and maternal moderate/severe anemia were significantly associated with an increased risk of moderate/severe anemia in children. Children who underwent regular physical examination were less likely to have moderate/severe anemia. The common protective factor for overall, mild and moderate/severe anemia in children was high family income. Conclusions The anemia status of preschool children in rural Hunan Province was a mild public health problem and associated with children age group, feeding practice, regular physical examination, family income, caregivers’ anemia-related feeding knowledge level, and maternal moderate/severe anemia.

scholarly journals The Predicting Role of the Safety Climate in the Professional Behavior of Nurses: A Cross-Sectional Study

2021 ◽  
Author(s):  
Razieh Bagherzadeh ◽  
Yasmin Salemipoor ◽  
Fatemeh Hajinejad ◽  
Fatemeh Heidari ◽  
Hakimeh Vahedparast
Keyword(s):  
Nursing Education ◽  
Organizational Climate ◽  
Safety Climate ◽  
Cross Sectional Study ◽  
Professional Behavior ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Significance Level

Abstract Background: Safety climate which is a subset of organizational climate in the field of safety mirrors the attitude of people in care centers towards safety. In addition to being in connection with diverse parts of the organization’s function, safety climate can also affect the nurse’s performance. Aim: The present study aimed at determining the predicting role of the safety climate in the professional behavior of nurses working in hospitals affiliated to Bushehr University of Medical Sciences. Methods: In this cross sectional study, which is of descriptive analytical type, 595 expert nurses currently working with more than 6 months of working experience in the medical wards of hospitals affiliated to Bushehr University of Medical Sciences entered the study. Data was gathered from the viewpoint of the nurse and professional behavior through a demographic information form and two safety climate questionnaires. Then the data were analyzed by V.19 SPSS which is statistical software. The data analysis was conducted using univariate regression and multivariate linear regression at the significance level of 0.05. Results: Among the diverse domains of the safety climate, the field of nursing education (P= 0.027, ß=0.104), communicating with other nurses (P= 0.027, ß=0.101) and error reporting (P= <0.001, ß= 0.191) were the direct prediction of professional nursing behavior. Also, apart from safety climate, satisfaction of the nursing job had a direct, statistic and significant relationship with professional behavior (P= <0.001, ß= 0.142). Conclusion: Attempts to create a ward, in which the nurses receive the necessary education in an appropriate time and ameliorate their expertise, as well as a climate in which nurses have such a good relationship with their collages that they can easily talk about the possible mistakes and errors, can upgrade nurse’s professional behavior.

scholarly journals Dispensing errors in Lebanese community pharmacies: incidence, types, underlying causes, and associated factors

2021 ◽  
Vol 19 (1) ◽  
pp. 2170
Author(s):  
Lama Soubra ◽  
Samar Karout
Keyword(s):  
Associated Factors ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Community Pharmacies ◽  
Cross Sectional ◽  
Similar Drug ◽  
Causes Of Errors ◽  
Underlying Causes ◽  
Dispensing Errors

Objectives: To assess the incidence, types, the causes of as well as the factors associated with dispensing errors in community pharmacies in Lebanon. Methods: An observational cross-sectional study was conducted in 286 pharmacies located all over Lebanon. Data were collected by senior pharmacy students during their experiential learning placement. Collected data included information on the types of dispensing errors, the underlying causes of errors, handling approaches, and used strategies for dispensing error prevention. Data were analyzed using multiple logistic regression to determine factors that were associated with dispensing errors. Results: In the twelve thousand eight hundred sixty dispensed medications, there were 376 dispensing errors, yielding an error rate of 2.92%. Of these errors, 67.1% (252) corresponded to dispensing near-miss errors. The most common types of dispensing errors were giving incomplete/incorrect use instructions (40.9% (154)), followed by the omission of warning(s) (23.6% (89)). Work overloads/time pressures, illegible handwriting, distractions/interruptions, and similar drug naming/packaging were reported as the underlying causes in 55% (206), 23.13% (87), 15.15 % (57), and 7% (26) of the errors respectively. Besides, high prescription turnover volume, having one pharmacist working at a time, and extended working hours, were found to be independent factors that were significantly associated with dispensing errors occurrence (p<0.05). Conclusions: This study sheds light on the need to establish national strategies for preventing dispensing errors in community pharmacies to maintain drug therapy safety, considering identified underlying causes and associated factors.

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