scholarly journals Comparing Awareness about Occupational Exposure Management among Nursing, Midwifery, and Surgical Technology Students

Author(s):  
Nasim NIKBAKHTAN ◽  
Zahra BAGHERSAD ◽  
Saeid SADEGHI DORCHEH ABEDI ◽  
Maryam SHIRAZI ◽  
Jamshid MOHAMMADI CHAMNARI

Introduction: Occupational exposure with polluted sharp equipment usually occurs during procedures such as transfusion of blood and blood products, blood sampling, disposal of needles, and collection of polluted sharp materials. Considering the fact that students have less work experience and lower practical skills, they are more vulnerable to work-related infections. The present study was conducted to determine and compare the awareness of nursing, midwifery, and surgical technology students about occupational exposure management.Methods: This descriptive-analytical cross-sectional study was conducted on 221 students of nursing, midwifery, and surgical technology selected using the stratified random sampling in 2016. Data gathering tool was a researcher-made questionnaire including the students' demographic characteristics and awareness about occupational exposure management. Data were analyzed by SPSS18 using descriptive and analytical statistical tests.Results: Our findings showed that the mean scores of awareness about occupational exposure management were not significantly different among the nursing, midwifery, and surgical technology students (p value = 0.435). We observed that the students' age and educational level were significantly correlated with their scores of awareness about occupational exposure management (p value < 0.001).Conclusions: Results of the present study indicated poor awareness of the students about in-time management of occupational exposure. Measures such as educational workshops on preventive aspects in occupational exposure, observance of safety principles and comprehensive standards for accurate measurement of viral markers should be taken. Individual health profiles should be designed for each student to improve the occupational exposure management. 

2021 ◽  
Vol 38 (ICON-2022) ◽  
Author(s):  
Faiza Ahmed ◽  
Lubna Abbasi ◽  
Fivzia Herekar ◽  
Ahsun Jiwani ◽  
Muhammad Junaid Patel

Objectives: To assess knowledge and perception among Pakistani physicians towards sepsis. Methods: This cross-sectional study was conducted in Indus Hospital and Health Networks from September 2020 to March 2021. The International Sepsis Survey questionnaire was adapted, and its link was sent to trainee physicians as well as specialists, and consultants practicing in various hospitals via social media. Knowledge and perception were scored and 50% was considered the cut-off score for adequacy. Data was analyzed using SPSS version 26. Results: Analysis was done on 222 respondents who completed the survey. 37.9% of the participants had adequate knowledge. Knowledge regarding sepsis was significantly associated with specialty, ICU/CCU/HDU, and work experience (P-value <0.0001). More recent trainee physicians and those with more experience in critical care areas demonstrated better knowledge. Over 2/3rd of the respondents strongly agreed that sepsis remains one of the unmet needs in critical care today. Conclusion: A common belief exists that sepsis remains a challenge to treat among doctors. Moreover, there is consensus that it is the most frequently miss diagnosed condition in critical care and a dire need exists for its early diagnosis. Additionally, prompt management of presumed sepsis is imperative to improve outcomes. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5775 How to cite this:Ahmed F, Abbasi L, Herekar F, Jiwani A, Patel MJ. Knowledge and perception of Sepsis among Doctors in Karachi Pakistan. Pak J Med Sci. 2022;38(2):380-386. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5775 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
Vol 10 (1) ◽  
pp. 18-27
Author(s):  
Dave Roli ◽  
Irani Ali ◽  
Vikram Neekhra

Background: Modern defence system has a significant role of electrical, electronic and instrument technicians in armed forces. Despite their intensive role, little is known about work-related musculoskeletal disorder in these technicians. Objective: To investigate the prevalence of the work-related musculoskeletal disorder in defence personnel involved in electrical and electronic maintenance and repairs. Methods: A cross-sectional study was carried out for 3 years, in Electrical, telecom and instrument defence technicians (N = 164). Prevalence of work-related musculoskeletal disorder was assessed using the Nordic Musculoskeletal Questionnaire. Effect of age, working hours, work experience, Basal metabolic index and type of job on the prevalence of work-related musculoskeletal disorder was investigated using logistic regression analysis. Results: A total of 119 (72.56%) respondents reported work-related musculoskeletal disorder with 53.04% multiples & 19.51% single work-related musculoskeletal disorder. Simultaneous presence of neck, shoulder and upper back work-related musculoskeletal disorder were observed. Highest rate of work-related musculoskeletal disorder was in neck (44.44%), followed by shoulder (27.16%), ankle/ foot (14.81%), elbow/ forearm (12.96%), low back (11.72%) and wrist/ finger (9.87%). Neck (44%) related work-related musculoskeletal disorder were highest across all job crafts. Work experience (p = 0.012; OR = 0.87; 95% CI – 0.78- 0.97), working hours (p  = 0.031; OR= 1.73, 95% CI – 0.58-5.12) smoking (p = 0.00 ; OR = 5.3,  95 % CI = 4.3 – 8.48) and job crafts like electrician (p = 0.434; OR = 1.89, 95% CI = 1.08-3.31) and telecom mechanics (p = 0.026; OR = 1.26, 95% CI  =0.74 – 2.15) were significantly associated as risk factors of work-related musculoskeletal disorder. Conclusion: High prevalence of work-related musculoskeletal disorder was observed in electrical, telecommunication & instrument mechanics, with higher multiple work-related musculoskeletal disorder. Working hours, work experience, job craft and smoking were highly associated with a work-related musculoskeletal disorder. We suggest suitable ergonomic intervention and awareness program along with smoking control drive to reduce the risk of work-related musculoskeletal disorder.


2019 ◽  
Vol 5 (4) ◽  
pp. 199-208
Author(s):  
Seyyedeh Haniyeh Mousavibaghi ◽  
◽  
Kamran Ezzati ◽  
Mahmood Abedinzade ◽  
Sadegh MoshtaghiKoojel ◽  
...  

Background: Musculoskeletal disorders are among the prevalent occupational injuries and disabilities in developing countries. Objectives: The current study was conducted to determine the prevalence and risk factors of musculoskeletal disorders among surgery technicians. Materials & Methods: samples (n=179) of this analytical and cross-sectional study were selected using a census method among the surgical technicians who had at least one year of work experience. The disorders of different parts of their bodies were evaluated by Nordic questionnaire, and the risk of catching the musculoskeletal disorders was assessed using quick exposure check method. Statistical analyses were done in SPSS V. 16. Results: According to the Nordic questionnaire, the most prevalent work-related disorders in the past year were found in the back (71.5%), neck (57%), wrist (50.8%), and shoulder (49.7%) of the study subjects. The quick exposure check results showed that the level of exposure to musculoskeletal risks was in action level one for 32.4% of the surgery technicians, and action level three for 33% of them. This study showed associations between the prevalence of work-related symptoms in different body regions and some individual and occupational characteristics (P<0.05). Conclusion: The prevalence of Musculoskeletal Disorders (MSDs) is high among surgical technicians and lumbar disorders are the most common types. Risk factors for MSDs include undesirable physical posture, weight, time spent for shifting loads, excessive force applied by one or both hands at work, working speed, and staff stress levels. among near half of the studied surgical technicians, there were high and very high risks for injury, indicating the vulnerable condition and environment of this job.


Author(s):  
Gurmeet Kaur ◽  
Priya Arora ◽  
Jyotismita Pathak ◽  
Tanu Anand ◽  
Rajesh Vaidya ◽  
...  

Introduction: Among the list of stressful professions all over the world, Nursing Profession tops the list. In most tertiary care hospitals, nurses are the ones who are most stressed out due to conflict at the workplace though working at the bottom of the hierarchy. There is a lack of data on stress among nurses due to conflicts at work and other work-related issues, which led to this study. Method: A hospital-based cross-sectional study was carried out on 102 randomly selected staff nurses working in a tertiary care teaching hospital of Delhi. Data were collected using a pre-tested and self-administered questionnaire. Socio-demographic profile, general job information, conflict at work, and work hazards were assessed. The data was fed and analyzed using SPSS 16 software. Results: Out of the total 102 nurses,80% of nurses were females, and 98% were married. The mean age of the study group was 38.52(7.107). Mean work experience in this profession was 16.40(5.880) years, and with the present employer is 4.57(1.680) years. Mean work duration per week is 49.90(7.976) hours. Out of the total nurses, 45.1% agreed that there were clashes between subgroups within their group.


2021 ◽  
Vol 71 (1) ◽  
pp. 249-54
Author(s):  
Rehana Feroze ◽  
Muhammad Tariq ◽  
Abdul Wasay Toor

Objective: To determine physician’s compliance to surviving sepsis campaign updated Hour-one bundle incritically ill patients in Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital Lahore MedicalCollege, from Jun to Aug 2019. Methodology: This study was carried out among physicians managing critical patients in intensive care units.Participants were asked to fill out a 16-questions survey (work experience, qualification and individual components of surviving sepsis campaign hour-1 bundle. Data was collected using online access to survey and by sending hard copies. Results: Questionnaire was sent to 230 physicians while only 63 responses were received (response rate 27%).Only 45 (71%) respondents were aware of the updated Hour-1 bundle. There was no institutional protocolfor compliance to sepsis bundles in thirty three (55%) responses. 52% respondents used Systemic inflammatoryresponse syndrome (SIRS) criteria to diagnose sepsis while quick Sequential Organ Failure Assessment (qSOFA)was used by 36% respondents. Overall compliance to hour-1 bundle components was only 60%. Lactate levelswas not measured by 35 (55%) respondents while 24 (38%) did not obtain blood cultures before administeringantibiotics. Crystalloid and nor epinephrine was used by all respondents. Overall compliance with all the components of sepsis bundle had strong correlation with post-graduate qualification (p-value 0.001-0.049). Conclusion: Poor compliance to updated sepsis guidelines was one of the major reasons of high sepsis relatedmortality in Pakistan.


Author(s):  
Niloofar Halvani ◽  
Zahra Bahrololoomi ◽  
Ali Sarchami ◽  
Fatemeh Zarebidoki

Introduction: Fissure sealant is one of the most important and effective preventing techniques. Having proper information and guidelines is the most important factors for the success of treatment. Therefore, in this study, the knowledge, attitude and practice of general dentists about fissure sealant in Yazd in 2017 were evaluated. Methods: A descriptive cross-sectional study was conducted by a questionnaire in which 140 general dentists were investigated in Yazd. The questionnaire consisted of demographic information, 9 questions about awareness of the issue of Fissure sealant, 4 questions about people's attitude and 7 questions about their practice. After gathering the data, they were analyzed by SPSS 20 version 18 software and ANOVA test. Results: The results of the study showed that the majority of General dentists had a good knowledge (85.72%), their attitude level (77.14%) and performance (85%) were moderate. There was a significant difference in knowledge (P-value = 0.004) and practice (P-value = 0.000) levels in age group and work experience, but there was no significant difference in attitude level (P-value = 0.980). Conclusion: According to the results, the knowledge of dentists in Yazd seems to be good in most cases, but their attitudes and practice are moderate and in some cases poor, despite having good knowledge, the results indicate that they are not up to date with new information and resources. This indicates the need to train new resources in retraining courses with emphasis on functional weaknesses and dentists' awareness.


Author(s):  
Richa Nepal ◽  
Kalyan Sapkota ◽  
Kalidas Adhikari ◽  
Pramod Paudel ◽  
Bhojraj Adhikari ◽  
...  

Abstract Background COVID-19 is a viral respiratory disease that was recently recognized in humans. The number of COVID-19 cases has been gradually increasing in Nepal. The objective of this study was to evaluate knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, one of the districts located in central Nepal. Methods It was a cross-sectional study conducted among healthcare workers from various health institutions located in Chitwan district of Nepal. A self-reported questionnaire was circulated online. Bivariate analyses were done using Spearman’s correlation coefficient, Pearson’s chi square test, and student’s t test as appropriate, whereas multivariate analyses were done using linear regression models. Results A total of 353 responses were analyzed, out of which 47% were nurses, 28.9% were doctors, 11.6% were health assistants, 2% were certified medical assistants, and the remaining 10.5% were categorized as others. The majorities were females (58.9%), were in the age group of 16–29 years (67.1%) and had work experience of less than 5 years (62%). The majority of healthcare workers obtained good to moderate knowledge and practice scores (n = 82.15%, 83.57%, respectively) and had positive attitude scores (n = 90.93%). Mean score values were 21.65 ± 4.71 out of 33 in knowledge section, 8.07 ± 1.49 out of 13 in attitude section and 13.89 ± 5.33 out of 20 in practice section. Mean knowledge and practice scores were significantly associated with job descriptions of healthcare workers (p value – 0.000, 0.007, respectively) with highest mean knowledge scores among doctors (23.70 ± 4.48) and highest mean practice scores among health assistants (15.10 ± 3.61). Higher practice scores (ß = 0.626) and infection prevention training (ß = 1.467) were significantly associated with higher knowledge scores; higher knowledge (ß = 1.366) and higher practice scores (ß = 0.110) were significantly associated with higher attitude scores; and higher knowledge scores (ß = 0.308) and higher attitude scores (ß = 0.265) were significantly associated with higher practice scores. Conclusion The majority of healthcare workers from Chitwan, Nepal, had good to moderate knowledge and practice scores and had a positive attitude toward COVID-19. There was a significant association between knowledge, attitude and practice scores regarding COVID-19 among healthcare workers.


Author(s):  
Nur Ulfah ◽  
Siti Harwanti ◽  
Panuwun Joko Nurcahyo

Kelainan otot rangka merupakan gangguan fungsi otot, tendon, saraf, pembuluh darah, tulang dan ligamen yang biasa diderita oleh pekerja dengan aktivitas kerja menggunakan kekuatan otot, seperti pekerja laundry. Penelitian ini bertujuan mengetahui sikap kerja pekerja laundry dan hubungan dengan risiko musculoskeletal disorders di Kecamatan Purwokerto Utara. Penelitian ini menggunakan desain studi potong lintang dengan teknik pengambilan sampel menggunakan quota sampling dengan kriteria inklusi responden bekerja hanya pada satu bagian kerja tertentu dari laundry, tidak memiliki keterbatasan komunikasi dan kriteria eksklusi responden keluar dari pekerjaan dan tidak bersedia dijadikan responden. Sampel sebanyak 150 orang dengan kuota masing-masing bagian diambil sebagai sampel sebanyak 30 orang, meliputi bagian penimbangan, pencucian, pengeringan, penyetrikaan dan pengemasan. Penelitian menemukan sikap kerja yang berhubungan dengan risiko kelainan otot rangka adalah pada bagian pencucian (nilai p = 0,014, nilai p < 0,05). Sedangkan sikap kerja bagian penimbangan (nilai p = 0,77), pengeringan (nilai p = 0,257), penyetrikaan (nilai p = 0,109) dan pengemasan (nilai p =0,370) tidak berhubungan dengan risiko MSDs (nilai p > 0,05). Hanya sikap kerja pada bagian pencucian yang berisiko menimbulkan MSDs, sehingga perlu dilakukan intervensi berupa pelatihan sikap kerja mencuci yang benar.Musculoskeletal disorders (MSDs) are disorders of muscle function, tendons, nerves, blood vessels, bones and ligaments that usually occur in workers with work activities using muscle power, such as laundry workers. The study aimed to determine the attitude of the working relationship with the risk of MSDs in the Nothren Purwokerto district. Type cross-sectional study with a quantitative approach. The sampling technique using quota sampling with inclusion criteria of the respondents worked only on one particular part of the laundry work, they do not have any communication limilimitations and exclusion criteria respondents out of work and not willing to be the respondent. Based on these criteria obtained a sample of 150 people with a quota of each section is taken as a sample of 30 people, which is part of the weighing, washing, drying, ironing and packing. The results showed that the attitude of work-related MSDs are at the risk of leaching (p value= 0.014, p< 0.05). While the attitude of the weighing part employment (p= 0.77), drying (p= 0.257), ironing (p= 0.109), and packaging (p= 0.370) was not associated with risk of MSDs, because the value of p> 0.05. So it is concluded that only work attitude on the part pose a risk of MSDs washing. Therefore, it is necessary to intervene in the form of job training wash right attitude.


2020 ◽  
Vol 7 (1) ◽  
pp. 1-3
Author(s):  
Freshteh Osmani ◽  
◽  
Roghaye Farhadi Hassankiadeh

Background: Upper limb musculoskeletal disorders are a health problem among in dental jobs. The aim of the study was to investigate of upper limb musculoskeletal disorders among dental jobs. Methods: A cross-sectional study was carried out among 190 in dental jobs of in Tehran cities of Iran in 2016. A modified Nordic questionnaire with interview was used to collect data on individual characteristics and musculoskeletal disorders, Univariate analyses and multiple logistic regression analysis were then performed. Results: In this study dental jobs were participated with age (mean ±SD) 33.56±9.33 yrs., duration of employment 10.19 ±8.85. Prevalence rate of reported upper limb musculoskeletal disorders in each body site was 72.4% in previous 12-month. The most prevalent musculoskeletal complaints was neck pain (33.3%). Significant relations were found between occurrence of upper limb musculoskeletal disorders and age, gender, heavy work (P-value<0.05). Conclusion: For important action in reduce Upper limb musculoskeletal disorders, design station works by ergonomics of standards and exercise often work are suggested. Keywords: Limb Musculoskeletal Disorders, Dental Jobs


2020 ◽  
Vol 6 (3) ◽  
pp. 530-535
Author(s):  
Mst Jannat Ara Ahmed ◽  
ANM Shamsul Islam ◽  
Aseesh Kumar Saha ◽  
China Rani Mittra ◽  
Sheuly Begum

Shifting responsibilities of patient care from one nurse to another is an integral part of nursing practice. There is abundant evidence that inaccurate information in hospital is the primary cause of adverse events and gaps in patient care. A cross-sectional study was conducted in 250 Bedded General Hospital, Jashore from 1st January to 31st December 2017 with the aim to assess the state of nurses shifting duty management. Total 114 nurses were selected conveniently from this hospital and interviewed with a pre-tested semi-structured questionnaire and an observational checklist was used to observe the actual scenario. Data were analyzed by using Statistical Package for Social Science version (SPSS) 24.P-value less than 0.05 were set as statistically significant. Overall shifting duty management of the hospital were categorized into good, average and poor. Among the Nurses overall shifting duty management of the hospital were found as 48.2% (55) average, 34.3% (39) poor and 17.5% (20) good. There was a significant relationship between occurrence of interruption and duration of shifting duty (p < 0.05). Proper staffing and dedicated time management for critical patient‟s information sharing is needed to reduce gaps in patient care and enhance patient safety thereby. Thus it is essential to establish a standard protocol to ensure proper management of shifting duties of nurses and every hospital should follow this. Asian J. Med. Biol. Res. September 2020, 6(3): 530-535


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