Self-assessment by medical workers of the degree of influence of working conditions on the development of occupational diseases

Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .

2012 ◽  
Vol 93 (2) ◽  
pp. 362-364 ◽  
Author(s):  
N V Ilyina

Prevention of nosocomial infections and occupational diseases among health care workers is an important component of the activity of the station for blood transfusion. This article outlines the directions and shows how this is prevention should be achieved.


Author(s):  
Valeriy Aleksandrovich Kaptsov

Relevance of the problem. The incidence of infectious diseases among health care workers is higher than the population. Better protection of workers from inhalation of bioaerosols will reduce the risk of their disease. The purpose of the study.The goal is to establish how and to what extent the use of personal respiratory protection equipment (PPE) worsens the gas exchange during breathing, and preventing their timely and proper use in the polluted atmosphere. Materials and methods. Available publications from NIOSH, Taylor & Francis, Oxford University Press and other sourceshave been used. Results. The respirator’s usage increases the «dead space», reducing the concentration of oxygen and increasing the concentration of carbon dioxide in the inhaled air. The concentration of CO2may exceed the Occupational Exposure Limits many times. The degree of exposure depends on the type of RPD and the tidal volume; in case of a light work the exposure increases. The requirements for certification of respirators cover only the case of heavy work. Therefore, meeting these requirements does not allow for an adequate assessment of the impact of the respirator on the employee when performing light work. Excessive exposure to carbon dioxide, combined with reduced oxygen concentration in the inhaled air, discomfort and skin irritation, prevents the use of the respirator and can lead to disability. Conclusion. The article gives recommendations on how to improve the protection of medical workers from inhalation of bioaerosols: reducing air pollution with the medical masks and ventilation; use the filtering Powered Air Purifying Respirators (PAPR); changing requirements to respiratory containment. There are recommendations to improve the protection of health workers from inhalation of bioaerosols — reduction of air pollution by masks and ventilation; use of PPE with air supply to the front part; changing requirements for certification of respirators.


2020 ◽  
Vol 70 (6) ◽  
pp. 1765-70
Author(s):  
Jamal Azfar Khan ◽  
Asif Ali ◽  
Farzana Muneer

Objective: To determine the impact of a single tutorial session on the technique of donning and doffing the personal protective equipment by health care workers. Study Design: Cross-sectional comparative study. Place and Duration of Study: CMH Landi Kotal Cantt, from 1st March 2020 to 10th June 2020. Patients and Methods: The study was conducted on 62 health workers, working in CMH Landi Kotal Cantt. They were asked to demonstrate donning and doffing surgical masks, gowns and gloves and the steps were evaluated as per a standardized checklist. Then, the participants were given a single tutorial of the donning and doffing technique of personal protective equipment. They were asked to demonstrate their technique of personal protective equipment use one week, one month and three months after the tutorial. Any improvement was recorded in the checklist used earlier. Results: The correct donning and doffing technique of personal protective equipment were demonstrated by 22 and 14 participants respectively before the tutorial. When evaluated one week after the tutorial, this number increased to 48 and 38 respectively, showing significant improvement (p<0.05). The technique of personal protective equipment use deteriorated significantly one month of the tutorial and deteriorated further after three months (p<0.05). The most common fault while donning and doffing the equipment was the incorrect donning sequence, and self-contamination while taking off the gloves, respectively. Conclusion: A single tutorial session results in significant improvement in the technique of using personal protective equipment by health care workers but the effect is lost over time.


2021 ◽  
pp. 56-61
Author(s):  
S.A. Babanov ◽  
I.I. Berezin

Preserving and strengthening the health of the working population is one of the priority tasks of health care in the Russian Federation, including in the Samara region. Up to 39.7% of the country's population works under conditions that do not meet sanitary and hygienic requirements. Unsatisfactory working conditions are the main reason for the development of occupational diseases among the working population in the Samara region. The workers of medical institutions registered 42 acute occupational diseases with permanent disability, including 13 acute occupational diseases with fatal outcomes from the biological factor "new coronavirus infection caused by the COVID-19 virus."


2018 ◽  
Vol 97 (12) ◽  
pp. 1231-1234 ◽  
Author(s):  
Nikolai N. Petrukhin ◽  
N. N. Loginova ◽  
O. N. Andreenko ◽  
S. V. Grebenkov ◽  
S. V. Voronkova

This article presents data on the leading role of the biological factor in the formation of occupational diseases among health workers for an 18-year period of the work at the North-West Scientific Center for Hygiene and Public Health. The purpose of the study is to provide an objective assessment in establishing relationships related to the effects of a biofactor on the health of health workers. A retrospective analysis was made of a sample of case histories with established occupational diseases due to the impact of a biological factor. There were observed in dynamics 67 cases including 52 women (77 %) and 15 men (23%) aged 23-67 years. All of them were examined for the establishment of the relationship between the disease and occupation during the period of 2000-2017. The infectious agent is considered to be the leading harmful production factor when analyzing working conditions. The average work experience with an infectious agent was 14 years. The class of working conditions in most cases was estimated from permissible to harmful of the 1 degree. Based on the data of sanitary and hygienic characteristics of working conditions, the excess of the maximum permissible concentrations of harmful industrial substances in the air of the working area was recorded only in 8% of cases. The detectability of occupational diseases after periodic medical examinations was 6%; by clinical examination - 8%; when contacting a local physician 20%; to the pathologist 20%; as a result of self-reversal 46%. The biological factor is the leading harmful factor in the workplace of medical workers. As the main preventive measure for occupational diseases among physicians, systematic medical examinations followed by preventive, curative and rehabilitative measures are taken. The most effective way to reduce infectious diseases is the compulsory vaccination of medical staff.


2021 ◽  
Vol 2 ◽  
Author(s):  
Helena Boene ◽  
Anifa Valá ◽  
Mai-Lei Woo Kinshella ◽  
Michelle La ◽  
Sumedha Sharma ◽  
...  

Background:mHealth is increasingly regarded as having the potential to support service delivery by health workers in low-resource settings. PIERS on the Move (POM) is a mobile health application developed to support community health workers identification and management of women at risk of adverse outcomes from pre-eclampsia. The objective of this study was to evaluate the impact of using POM in Mozambique on community health care workers' knowledge and self-efficacy related to caring for women with pre-eclampsia, and their perception of usefulness of the tool to inform implementation.Method: An evaluation was conducted for health care workers in the Mozambique Community Level Intervention for Pre-eclampsia (CLIP) cluster randomized trial from 2014 to 2016 in Maputo and Gaza provinces (NCT01911494). A structured survey was designed using themes from the Technology Acceptance Model, which describes the likelihood of adopting the technology based on perceived usefulness and perceived ease of use. Surveys were conducted in Portuguese and translated verbatim to English for analysis. Preliminary analysis of open-ended responses was conducted to develop a coding framework for full qualitative analysis, which was completed using NVivo12 (QSR International, Melbourne, Australia).Results: Overall, 118 community health workers (44 intervention; 74 control) and 55 nurses (23 intervention; 32 control) were surveyed regarding their experiences. Many community health workers found the POM app easy to use (80%; 35/44), useful in guiding their activities (68%; 30/44) and pregnant women received their counseling more seriously because of the POM app (75%; 33/44). Almost a third CHWs reported some challenges using the POM app (30%; 13/44), including battery depletion after a full day's activity. Community health workers reported increases in knowledge about pre-eclampsia and other pregnancy complications and increases in confidence, comfort and capacity to advise women on health conditions and deliver services. Nurses recognized the increased capacity of community health workers and were more confident in their clinical and technological skills to identify women at risk of obstetric complications.Conclusions: Many of the community health workers reported that POM improved knowledge, self-efficacy and strengthened relationships with the communities they serve and local nurses. This helped to strengthen the link between community and health facility. However, findings highlight the need to consider program and systematic challenges to implementation.


2021 ◽  
Vol 65 (6) ◽  
pp. 533-539
Author(s):  
Vladimir V. Shkarin ◽  
Viktoriya V. Ivasheva ◽  
Olga S. Emelyanova ◽  
Tamara S. Dyachenko

Introduction. Eliminating the personnel shortage in medical institutions that provide primary health care (PHC) to children is one of the priority tasks of the state policy in healthcare. The purpose of the work was to assess the impact of changes in the system of training medical personnel and measures to provide primary care medical personnel, implemented in the Volgograd region, on the availability of PHC for children in 2016-2018. Material and methods. According to the data of Central Research Institute of Healthcare Organization and Informatization and Volgograd Regional Medical Information and Analytical Centre analyzed the indices of provision, staffing of district paediatricians, coefficients of concurrency and the level of availability of PHC to the children’s population. Results and discussion. The number of district paediatricians in medical institutions of the Volgograd region from the period 2016-2018 increased by only 46 people with the graduation of 356 specialists from Volgograd State Medical University, which led to a slight increase in the provision of district paediatricians. At the same time, the staffing rate for pediatric sites and the average number of visits per child decreased from 7.9 to 7.6 cases. The studied indices vary significantly in urban and rural medical institutions. There is a high proportion of pre-retirement and retirement age specialists in the village. Twenty-eight district paediatricians participated in training under the “Zemsky Doctor” program, but some left for various reasons. Conclusion. The presence of pronounced differences in the indicators of provision of paediatricians by district doctors in the number of visits per 1 child between cities and municipal districts indicates significant differences in the availability of medical care. It requires organizational measures to overcome this kind of inequality. Admission to work through the primary accreditation procedure in the speciality “Pediatrics” and the implementation of the program “Zemsky Doctor” have not significantly eliminated the personnel deficit at the primary level.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 675-684
Author(s):  
Preethi Shankar ◽  
Abilasha R ◽  
Preetha S

Universal precautions are a vital standard set of rules applied to be followed by patients and doctors while carrying out any clinical procedure, but especially in patients with blood-borne diseases or infections. It is carried out to prevent the spread of infection from one person to another. Universal precautions are of great significance to medical personnel, where they expose themselves to numerous infectious diseases. The research aimed to assess and improve knowledge about universal precautions among health care personnel to reduce the rate of harmful exposure and infections among them. A questionnaire comprising 20 questions was created and circulated among 100 health care workers through the online platform &quot;Google forms&quot;. The results were collected and analysed. Statistical analysis was performed using SPSS. It was evident that many people were not aware of the seriousness of universal precautions. Fortunately, many medical personals followed and were aware of universal precaution to an extent. Universal precaution should be followed religiously and judiciously to prevent the spread of deadly diseases.


2019 ◽  
Vol 118 (7) ◽  
pp. 20-26
Author(s):  
S. JAYARAMAN ◽  
R. Sindhya ◽  
P. Vijiyalakshmi

this research aims to find out the intensity of Employee Engagement of the health care sector workers and the relationship between the Work life factors and Employee Engagement of Health care sector workers in Dindigul District. Primary data were used in this research, were collected from 298 Health care workers from Dindigul District. Questionnaire was the major tool used to gather the primary data from the selected sample respondents. For this purpose, a well structured questionnaire was constructed with the help of professionals and the practiced employees of various health care units in Dindigul District. The health care employees were chosen by simple random sampling method. The investigative measures of regression Path analysis, and simple percentage analysis were utilized to find the impact of work life related factors with the Employee Engagement. The maximum Health care workers were generally satisfied with their jobs. The analytical procedure of path analysis multiple regressions was utilized to determine the predicting strength among Work life factors and the employee engagement. This study provides an another view about the importance of Work life factors and Employee engagement for organizational effectiveness and performance .


Author(s):  
L. V. Dovgusha ◽  
N. N. Petruhin

The publication deals with cases of occupational diseases in medical workers, in which the degree of loss of professional capacity is not determined, but patients need medical rehabilitation measures.


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