scholarly journals Assessment of noise pollution in operating theatre

2018 ◽  
Vol 4 (3) ◽  
pp. 139
Author(s):  
Paraskevi Svardagalou ◽  
Antonia Kalogianni ◽  
Dimitris Papageorgiou

Introduction: Noise is considered as a common and widespread problem in the working environment. There is a matter of noise pollution in operating theatres, which has side effects on health and working efficiency of the personnel.Aim: The assessment of the level of noise in the operating room and the analysis of the burnout and health effects of the healthcare staff working in a tertiary hospital.Material and Methods: Measurements were performed with sound meters in all three operating theatre zones during all three shifts. At the same time, the effect of noise on workers was investigated through self-completion of questionnaires during their work.Results: The results of the medical staff have shown that the workplace is noisy (59.2%) and 53.4% stated that the noise is disturbing. The majority of physicians (70%), in terms of their health effects due to noise, said they were not significantly affected, with the exception of anxiety and discomfort (40%). Relatively high professional burnout has proven in medical staff (75,7% high depersonalization and 48,6% emotional exhaustion) . As far as the responses of the nursing staff are concerned, 63% said that the workplace was noisy and 53.7% replied that the noise was disturbing. The nursing staff also stated that they are irritable (37,1%) and they feel stress(48,2%) and fatigue(72,2%). The professional burnout of nurses was also high (59,3% high depersonalization and 61,1% emotional exhaustion) . Statistically significant differences were found between medical and nursing staff in assessing exposure to noise and the symptoms caused by it, with nursing staff being more influenced by operating room noise (p≤0.05). Differences were also found among workers in different operational zones and specialties (p≤0.05).Conclusions: The results suggest the presence of noise pollution with impact on working performance. Noise effected  health staff  in a negative way due to specialty, different operational zone and burn out levels.

Author(s):  
Suresh Lukose ◽  
Abdul Azeez E.P.

Nurses are identified as one of the professional groups with high level of job related stress and related issues. The magnitude of the problem this segment faces is very intensive as a large number of them are women. They are victimized for multiple roles in the home and hospital. Stressors for nurses are always been identified with workload, dual role and pressures which are associated with demands of the existing working environment. The nature of illness/diseases a nurse dealing with has significant effects on the stress and mental health level. Healthcare professionals dealing with psychiatric illness and other chronic/traumatic conditions faces more stress while comparing to the other domains of healthcare. The present study is a cross sectional hospital based study carried out at four centres and 100 samples were collected by judgmental sampling method which consisted of 50 female nursing staff from general hospital and same number from psychiatric hospitals. A socio-demographic data sheet along with General Health Questionnaire was administered and those who have satisfactory health have been considered as further samples. Mental health, stress level, and attitude towards mental illness were analyzed. The results shows that psychiatric nursing staff scored higher in overall occupational stress index and in the subs-domains of role overload, role ambiguity, role conflict, role unreasonable group and political pressure compared to general nursing staff. Also the mental health inventory total score is negatively correlated with role overload sub-domain of occupational stress index scale. Present study implicates the need of comprehensive psycho-social management plans for the professionals working in psychiatric hospitals.


2021 ◽  
pp. 54-61
Author(s):  
Tatyana Vladimirovna Bessonova ◽  
Svetlana Vladimirovna Kropotova

The aim of the study is to correct the motivational activities of the specialized department and the department of general practitioners of the Samara City Polyclinic No. 10. Results:.The comparison of the factors that form the attitude to work in the medical and nursing staff of the specialized department and the department of general practitioners; the zones of tension of satisfaction with work of the medical and nursing staff of the department of general practitioners were identified; the zones of tension of satisfaction with work of the medical and nursing staff of the specialized department were identified; the ranking of the zones of tension of dissatisfaction with the factors of the working environment for all groups of respondents was carried out. Conclusion. Correction of motivational measures made it possible to formulate practical recommendations to improve the efficiency of the work of medical workers.


2020 ◽  
Author(s):  
Nkiru Onyinyechukwu ◽  
Igudia Enoma Omorogieva ◽  
J.O. OKAFOR

Noise pollution or noise disturbance is the disturbing or excessive noise that may harm the activity or balance of Human or animal . The fact is that we can't see , taste or smell it may help explain why it has not received as much attention as other type of pollution. Some causes of Noise pollution include industrization, poor urban planning, social events ,transportation, construction activities and household choirs . The health effects of Noise pollution includes anxiety and stress reactions also fright, headache, irritability and nervousness. Noise pollution can be prevented .


2021 ◽  
Vol 24 ◽  
pp. 853-864
Author(s):  
Dilip Kumar

Population of rural areas face distinct health challenges due to economic conditions, cultural/behavioural factors, and health provider shortages that combine to impose striking disparities in health outcomes among them. The process of recruitment takes about four to six months for Recruitment of Medical officers and paramedics. The number of applicants is quite limited because of dearth of doctors and paramedics in the State. It was felt that the health staffs incentives will help to increase the turnover of health staffs to some extent in the rural and remote areas. Monitoring cell has been constituted at the state level. The trainings are being monitored at regular intervals of time. The motivational level of health staff at all levels seems to be low. Continuous communication and feedback by state level programme officers is needed on regular basis. Placement of the suitable trained personnel is needed at those health facilities where sufficient infrastructure is available. Since 2010-11, there has been a continuous focus on the capacity building of the existing manpower in  the  state.  Trainings  as  per  GOI  guidelines  on  Immunization,  IMNCI,  EmOC,  LSAS,  SBA  and Minilap/MVA etc. have been taken up with full strength. In addition, the State wide training on immunization for Medical Officers, IPC skills for breast feeding and basic training in neonatal resuscitation also has been taken up at various levels. More than four-fifth of the total staffs in the health facilities were agreed on all the educational interventions for retention of health staffs in rural areas. For the regulatory interventions such as enhanced scope of practice, different types of health workers; multi skilling of alternate service providers, compulsory rural service which may be mandatory for obtaining license to practice or can be a prerequisite for entry into specialization and subsidized education in return of assured services were agreed by four-fifth of the total staffs. For the interventions related to professional and personal support such as better living conditions (water, sanitation, electricity, telecommunications, schools, etc.), safe and supportive working environment, outreach activities to facilitate cooperation between health workforce from better served and underserved areas; use of tele-health, designing career development programmes linked with rural service: more senior posts in rural areas and professional networks for rural areas such as rural health professional associations, rural health journals, etc. about 88 percent of the HR categories of Staffs were agreed in the health facilities


2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Tran Thi Ly ◽  
Tran Quoc Thang ◽  
Duong Duy Luong

Background: A famous hospital manager Joe Jansante said that "It is impossible to have patient’s satisfaction without medical staff’s satisfaction", satisfaction with the work of health workers will ensure that adequate human resources are maintained and improved quality of health services at health facilities. Objective: A systematic review to review research findings on the the satisfaction level and relevant factors, analysis of strengths, weaknesses and deficiencies that need to be supplemented by further studies. Methods: Systematic review. Results: Searched and analyzed 25 national studies related to medical staff’s satisfaction. The results show that studies were carried out on many different subjects and locations with  different levels of satisfaction.Conclusion: The satisfaction level of patients is quite high (satisfaction rate is over 50%, average score is over 3.0). Factors with high satisfaction rates include: Relationship with leaders, colleagues (61,3%-88,6%); Opportunities for learning and advancement (55.56%-2.5%) and job position (81.8%-93.3%) . Factors with not high satisfaction rates include: Salary (16.7%-31.11%); Non-salary (25.1%-42.3%); Management mechanism (20.3%); Facilities (23.7% -50.4%) and records (26.8%-40%). Relevant factors: Medical staff satisfaction is not/very little related to demographic factors such as: Age, gender, region of residence. Factors related to the medical staff  satisfaction level include: social relationships and mechanisms for management and operation of the unit.


2019 ◽  
Vol 32 (06) ◽  
pp. 424-434 ◽  
Author(s):  
Andrew T. Schlussel ◽  
Justin A. Maykel

AbstractSurgeons face hazardous working conditions due to ergonomic deficiencies found throughout the operating room. More than 80% of surgeons have succumbed to a work-related injury or illness as a consequence of sustaining awkward or static positions throughout lengthy operations over a career. While the focus of the procedure is directed to the patient, there is little concurrent regard for proper posture or spinal stability. Even when symptoms of discomfort are experienced, they are often ignored. This results in decreased production and may ultimately threaten surgical careers. Surgeons are often unaware of recommendations or guidelines designed to improve their comfort while operating. Furthermore, there is a significant lack of any formal ergonomic education, especially for minimally invasive procedures. Several modifiable risk factors can be adjusted in the operating room to provide a safer working environment. In addition, strengthening, stability, and exercise programs directed by a trained therapist may be employed to improve the surgeon's musculoskeletal health.


2018 ◽  
Vol 4 (1) ◽  
pp. 243-245 ◽  
Author(s):  
Sabine Gruber ◽  
Sebastian Buhl ◽  
Clemens Bulitta

AbstractThe purpose of this work was to evaluate the decontamination potential of the Potok system both in an experimental setting in a research Operating Room (OR) with standalone Air Decontamination Units (Potok 150-M-01) and in a clinical setting in a real operating theatre in Moscow. Our experiments showed an impact of the Potok units on the bacterial contamination of the room air according to the Swedish SIS-TS 39:2015 standard. For the initial measurements in our research OR in Weiden this could be shown by a decrease of the bacterial burden at all three different measurement points (OR table, instrumentation tray, periphery). Also the subsequently done measurements in the Moscow hospital verified this decontaminating effectivity of the Potok system. In this case the initial background contamination of the operating theatre was higher than in the research OR in Germany. This bacterial burden could be effectively decreased by the use of the installed Potok based ventilation system.


2020 ◽  
Vol 105 (9) ◽  
pp. e12.2-e13
Author(s):  
Jenny Gray ◽  
Susie Gage

IntroductionIntravenous (IV) maintenance fluids are often prescribed post-surgery when enteral routes are contraindicated. Serious consequences have been documented when poor fluid management has occurred, as highlighted in the National Patient Safety Alert (NPSA) 22; reducing the risk of hyponatraemia; when administering IV fluids to children.1 In response to this, the National Institute for Health and Care Excellence (NICE) published their guidance in December 2015 regarding IV fluids in children.2 Based on NICE recommendations, a pan hospital fluid guidance was produced. Within the NICE and hospital’s own guideline it states that there should be a daily fluid management plan documented. It has been well recognised that this daily fluid management plan was not routinely been completed; hence showing non-adherence to our hospital policy and NICE recommendations.AimsPrimary aim was to improve the documentation of the daily fluid management plan; aimed at the medical staff and the secondary aim was to improve the monitoring requirements of IV fluids and documentation of these; largely aimed at the nursing staff.MethodsA simple sticker was designed and attached to continuous sheets for medical notes which had a checklist of monitoring requirements and a section for fluid balance. Additionally, 2 posters were produced; one aimed at medical staff for documenting a fluid management plan and one aimed at the nursing staff with the monitoring requirements. These posters were displayed on the paediatric surgical ward.ResultsA total of 22 patients who were prescribed IV fluids were identified for a baseline measurement, an equal number of patients were compared after the intervention. Neonates and children receiving total parenteral nutrition were excluded from the data collection. There were 41% of daily fluid management plans completed pre intervention and post intervention there were 56% completed; showing a 15% increase in completion. As regards the monitoring indications; there were increases for nursing fluid balance completed from 19% to 46%, blood glucose taken and recorded from 64% to 83% and the daily weight documented from 10% to 49%.ConclusionsThis short QI project shows that implementation of an intervention did improve outcomes across all indications investigated. The results are not as dramatic as first hoped, but this is largely due to the short time scale of 4 weeks to introduce our change and it coincided with the change-over month of junior medical staff. With further education and champions within the medical and nursing teams; further improvement is very much possible, with the main aim in reducing risk and improving patient safety.ReferencesNational Patient Safety Alert: Reducing the risk of hyponatraemia when administering intravenous infusions to neonates 2007. Available at https://www.sps.nhs.uk/articles/npsa-alert-reducing-the-risk-of-hyponatraemia-when-administering-intraveneous-infusions-to-neonates/ [Accessed 12th June 2019]NICE guidance: Intravenous fluid therapy in children and young people in hospital. Available at https://www.nice.org.uk/guidance/ng29 [Accessed 12th June 2019]


Sign in / Sign up

Export Citation Format

Share Document