Predictive Factors for Viral B and C Infection in Health Workers in a University Hospital in Ivory Cost

ObjectiveTo describe unmet needs and values in stroke rehabilitation using the Health Value Framework and the associated coassessment tool Health Value Spider, a framework designed to identify and prioritise unmet needs based on health technology assessment (HTA).SettingThe study took place at Oslo University Hospital, Norway, from February to April 2019. Participants in three consecutive workshops were recruited from Sunnaas Rehabilitation Hospital, Oslo Municipality, Hospital Procurement Trust and Oslo University Hospital. Twenty-four hospital workers (medical and allied health staff and administrative staff) participated in workshop 1 and 29 patients, user representatives and hospital workers in workshop 2. Twenty-one patients and hospital workers participated in workshop 3.InterventionsStakeholder analysis and scenario building was performed in a coassessment setting where unmet needs were identified applying the Health Value Framework. Two of the authors are also the developers of the Health Value Framework (KJK and LNS).ResultsIn the two first workshops where health workers, patients and next of kin perspectives were elicited, three needs were identified: patient insecurity in patient journey transitions, lack of stroke rehabilitation expertise in primary care and invisible patient problems, such as fatigue and cognitive impairment. In workshop 3, 12 opportunity areas were identified. Four opportunity areas were selected by the stakeholders based on a prioritisation process: early discovery of cognitive impairment, rehabilitation continuity, empowered patients and next of kin and remote monitoring and digital touchpoints.ConclusionHealth Value Spider successfully identified and prioritised unmet needs and described associated values.

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Prevalence and factors associated with minor psychiatric disorders in hospital housekeeping workers*

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2016026303239 ◽

2017 ◽

Vol 51 (0) ◽

Cited By ~ 1

Author(s):

Cintia da Silva Marconato ◽

Ana Carolina de Souza Magnago ◽

Tânia Solange Bosi de Souza Magnago ◽

Graziele de Lima Dalmolin ◽

Rafaela Andolhe ◽

...

Keyword(s):

Psychiatric Disorders ◽

Health Workers ◽

Leisure Activities ◽

Cross Sectional Study ◽

University Hospital ◽

Cross Sectional ◽

Factors Associated ◽

Study Population ◽

Self Reporting Questionnaire ◽

Minor Psychiatric Disorders

Abstract OBJECTIVE Investigating the prevalence and factors associated with minor psychiatric disorders (MPDs) in Hospital housekeeping workers. METHOD A cross-sectional study carried out in 2013 with workers from the cleaning service of a public university hospital in Rio Grande do Sul, Brazil. Data were collected through a form containing sociodemographic, occupational, habits and health variables. The Self-Reporting Questionnaire-20 was used in order to evaluate MPDs. RESULTS The study population consisted of 161 workers. The overall prevalence of suspected MPD was 29.3%. The chances of suspected MPDs were higher in workers with Effort-Reward Imbalance, those who did not have time or who occasionally had time for leisure activities, and those taking medications. CONCLUSION The prevalence of MPDs was similar to that found in the literature for health workers. Therefore, we consider it important to include these workers in institutional programs for continuing health education.

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Humanization and Macroergonomics: An Analysis in the Billing Sector of a University Hospital in Paraná

Advances in Transdisciplinary Engineering - Transdisciplinary Engineering for Complex Socio-technical Systems – Real-life Applications ◽

10.3233/atde200078 ◽

2020 ◽

Author(s):

Larissa de Oliveira Matia Leite ◽

Alexandre Minoru Sasaki ◽

Rosimeire Sedrez Bitencourt ◽

Maria Lucia Miyake Okumura ◽

Osiris Canciglieri Junior

Keyword(s):

Health Workers ◽

Work Organization ◽

University Hospital ◽

Participatory Ergonomics ◽

Sociotechnical System ◽

Work System ◽

Organizational Constructs ◽

Sociotechnical Analysis ◽

Machine Systems ◽

One Year

The humanization of organizations is a trend in companies that have a vision of the future aligned with the needs of the market. In the health area, this humanization should not be limited to its users, but include the employees involved in the work system. The human aspect and its relations with the work system is a focus of studying ergonomics, which in its macroergomic approach aims at integrating organization-man-machine systems into a sociotechnical and participatory context. This study aims to apply the macroergonomic approach with health workers in order to propose and implement improvements; evidencing the importance of their involvement in better acceptance of the proposed improvements generating greater satisfaction. To this end, a study was conducted in the Billing sector of a Brazilian Hospital. Ergonomic demands were identified in a participatory way through the Macroergonomic Analysis of Work (MAW) method, proposed in [1]. The results were tabulated and divided into constructs: Environment, Biomechanical, Cognitive, Work Organization, Risk, Company and Discomfort/Pain. After one year, a new macroergonomic evaluation was carried out and the improvements implemented included the concept of the sociotechnical system, which were: i) acquisition of new computers; ii) implementation of a new computational system and; iii) implementation of changes in the form of sector management. The results showed an increase of up to 40% in satisfaction with the improvements implemented in the Biomechanical and Organizational constructs, indicating that the application of participatory ergonomics and macroergonomics was fundamental for the changes made to increase satisfaction in aspects of the work performed by them. Finally, this research highlights the importance of employee involvement in sociotechnical analysis for the humanization of organizations and it is suggested for future studies the proposition of improvements related to the Environment and Cognitive constructs and pain/discomforts.

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Predictors of Developing Hepatocellular Carcinoma in Treated HCV-Carriers in Morocco according to University Hospital Experience

ISRN Hepatology ◽

10.1155/2013/438306 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Younès Cherradi ◽

Rajaa Afifi ◽

Hanaa Benbrahim ◽

Wafaa Essamri ◽

Imane Benelbarhdadi ◽

...

Keyword(s):

Risk Factors ◽

Hepatocellular Carcinoma ◽

Predictive Factors ◽

Antiviral Treatment ◽

Significant Risk ◽

University Hospital ◽

Advanced Age ◽

Previously Treated Patients ◽

Previously Treated ◽

Severe Fibrosis

Introduction. Hepatitis C is the first major cause for HCC in Morocco. Antiviral treatment reduces the risk of developing HCC but few cases of HCC in HCV-treated patients were reported. We aimed to define this population’s features and to identify predictive factors of developing HCC. Patients and Methods. We included all HCV carriers who developed HCC after antiviral treatment from January 2002 to April 2010. We compare HCV-treated patients with no developed HCC to HCC population using khi-2 and Fisher Exact analysis. Results. 369 HVC-treated patients were considered, and 20 HCC were reported. The risk of HCC was not significant according to gender and genotypes (resp., P=0.63 and P=0.87). Advanced age and severe fibrosis were significant risk factors (resp., P=0.003 and P=0.0001). HCC was reported in 2.6% of sustained virological responders versus 12.5% of nonresponders (P=0.004). Conclusion. In our series, 5% of previously treated patients developed an HCC. Advanced age and severe fibrosis at HCV diagnosis are predictive factors of HCC occurrence. Sustained virological response reduces considerably the risk of HCC occurrence but screening is indicated even after SVR.

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Impact of a Comprehensive Anti-Smoking Program at a Regional University Hospital and Predictive Variables of Being a Smoker among Hospital Workers

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17228432 ◽

2020 ◽

Vol 17 (22) ◽

pp. 8432

Author(s):

Antonio Ranchal-Sánchez ◽

Esperanza Romero-Rodríguez ◽

Jose Manuel Jurado-Castro ◽

África Ruiz-Gandara ◽

Manuel Vaquero-Abellán

Keyword(s):

Health Program ◽

Health Workers ◽

Hospital Staff ◽

Tobacco Consumption ◽

University Hospital ◽

Predictive Variables ◽

Regional University ◽

Hospital Building ◽

Using Data ◽

The Impact

The objective of this study was to evaluate the impact of a comprehensive anti-smoking health program conducted over twelve years at a regional university hospital in southern Spain. Prevalence of tobacco was compared retrospectively using data collected during occupational health assessments (n = 4291). Bivariate and logistic regression analyses were carried out to evaluate tobacco consumption differences according to age, sex, professional category, and workplace building. The results show a reduction in the active smoking rate among hospital staff evaluated (from 22.8% to 19.8%) with significant differences between non-health and health workers. Accumulated smoking consumption fell to 13.45 ± 14.60 packs/year with men presenting a higher consumption (p < 0.001). The predictive variables of tobacco use were sex (greater consumption among men, p = 0.021), number of cigarettes (greater consumption among professionals who smoked less than 1 pack/day, p < 0.001), and time smoking (greater use among professionals with more than 10 years smoking, p < 0.001). There was a higher rate of staff smokers at the hospital building with a majority of mental health inpatients. This study provides a practical example of making the optimum use of digital medical records in the evaluation of a comprehensive anti-smoking health program.

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Bacteraemia predictive factors among general medical inpatients: a retrospective cross-sectional survey in a Japanese university hospital

BMJ Open ◽

10.1136/bmjopen-2015-010527 ◽

2016 ◽

Vol 6 (7) ◽

pp. e010527 ◽

Cited By ~ 1

Author(s):

Sayato Fukui ◽

Yuki Uehara ◽

Kazutoshi Fujibayashi ◽

Osamu Takahashi ◽

Teruhiko Hisaoka ◽

...

Keyword(s):

Predictive Factors ◽

University Hospital ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Japanese University ◽

Medical Inpatients

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An intervention of physical activity promotion in an university hospital. A prospective cohort study

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.373 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

J Ladner ◽

S D Mihailescu ◽

D Cerasuolo

Keyword(s):

Physical Activity ◽

Health Workers ◽

Public Health Intervention ◽

Physical Activity Promotion ◽

University Hospital ◽

Activity Promotion ◽

The Mean ◽

High Level ◽

The Impact

Abstract Background Rouen University Hospital implements a policy of health promotion hospital since 2016. The objective of this study was to evaluate prospectively the impact of physical activity promotion in hospital health workers (HW), using pedometers over a period of six months. Methods Physical activity was measured by electronic pedometers distributed to HW, with the aim to improve their physical activity and to measure it during six months. Online questionnaires collected at different points of follow-up, from inclusion to sixth month (a total of seven points of follow-up). Socio-demographic and characteristics on type of health work were collected as well as the number of steps and the behavior regarding their routine physical activity. Results A total of 680 HW were included in the cohort. The sex ratio M:W was 0.16. The mean age was 41.6 years (SD = 10.7). 44.0% were non-medical caregivers, 32.1% were in administrative section, 14.3% were technical workers and 9.7% were physicians or pharmacists; 53.7% of HW reported doing sport regularly. At inclusion the mean number of daily steps was 8662. The mean progression for all professional profiles between first week and sixth month was of 1082 steps daily, with difference according to position: 1319 in physicians, 1234 in non-medical caregivers, 1106 in administrative workers and 314 in technical workers. In linear regression model, the mean number of progression of daily steps was 964 in physicians, 752 in non-medical caregivers. Conclusions The study shows a significant increase in the number of daily steps measured objectively using an incentive tool, as pedometer during six months of intervention. Further researches are needed to determine if these changes are sustainable over a long period of time Key messages Despite high level of daily steps at baseline, the longitudinal study shows an increase of daily steps over a 6-month period. Such public health intervention is a relevant method to engage people in self-monitoring their physical activity.

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Evaluation of the Quality of Medico-technical Equipment Sterilization in National University Hospital of Cotonou in Benin in 2013

The Open Public Health Journal ◽

10.2174/1874944501609010053 ◽

2016 ◽

Vol 9 (1) ◽

pp. 53-64 ◽

Cited By ~ 1

Author(s):

Edgard-Marius D. Ouendo ◽

Cyriaque Dégbey ◽

Sossa J. Charles ◽

Judith Sègnon ◽

Jacques Saizonou ◽

...

Keyword(s):

Nosocomial Infections ◽

Medical Equipment ◽

Health Workers ◽

University Hospital ◽

National Committee ◽

Technical Equipment ◽

Hospital Acquired Infections ◽

National University ◽

Hospital Acquired

Backgrounds: In low income countries, hospital-acquired infections continue to develop in hospitalized patients, and may also affect medical staff. Medico-technical equipment sterilization is critical for prevention and safety care of nosocomial infections. Objective: To assess the quality of medico-technical equipment sterilization at the National University Hospital of Cotonou in 2013. Method: This cross-sectional and evaluative study was conducted at the National University Hospital of Cotonou from 10th June to 04th July 2013. A sample of 51 health workers involved in the of medico-technical equipment sterilization system, two (02) administrative authorities, the responsible of National Committee for the Fight against nosocomial infections in the hospital, 41 sterilized instruments and compresses were assessed in the study. Health workers were observed in their work environment before undergoing an individual interview as well as the administrative authorities and the Responsible of the National Committee for the Fight against nosocomial infections. Sterilized instruments are analyzed in microbiology laboratory. Results: More than half of the participants were male (52.9%). The average age of respondents was 41 ± 7.5 years. The sterilization unit of the hospital was managed by common surgical department of the hospital and its mission was to provide sterile medico-technical equipment. The sterilization unit did not meet the standard architecture of sterilization environment. Equipment sterilization procedure did not meet standards of quality assurance. There was no preventive maintenance procedure for autoclave and poupinel that were used for sterilization of instruments. No indoor cleaning and air sterilization of the service of sterilization were planned. However, equipment sterilization supplies were available, and 13.72% of workers surveyed were well-skilled. Microbiological tests showed that 48.8% of sterilized medical equipment was contaminated by Staphylococcus aureus, Pseudomonas aeruginosa and Enterobacter cloacae. Conclusion: The quality of instrument sterilization system in the HKM National University hospital of Cotonou was poor. Sterilized equipment was contaminated by pathogens. Medical equipment sterilization process needs improvement to prevent hospital-acquired infections.

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[Availability and use of emergency services in Tunisia:main results of a comprihensive national survey]

Eastern Mediterranean Health Journal ◽

10.26719/2001.7.4-5.805 ◽

2001 ◽

Vol 7 (4-5) ◽

pp. 805-811

Author(s):

M. K. Chahed ◽

N. Somrani ◽

H. Achour

Keyword(s):

Emergency Service ◽

Emergency Services ◽

Health Workers ◽

University Hospital ◽

Emergency Rooms ◽

Hospital Emergency ◽

Public Emergency ◽

Use Of Emergency Services ◽

The University

In order to assess hospital emergency rooms, a comprehensive national epidemiological investigation was conducted in all 155 public emergency structures in Tunisia. Here we present the main results of the levels of availability and use of emergency services. Coverage of the population by services is adequate [one emergency service per 60, 000 people]. Emergency wards admit about 2, 500, 000 patients every year [a quarter of the population of the country]. The university hospital emergency services are the most heavily used [150 patients per day on average]. Emergency services are sought for medical [60%], surgical [18%], paediatric [14%] and gynaecological reasons [5%]. It would be useful to assess the quality of care delivered and the satisfaction of citizens and health workers.

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Impact of Metabolic-Syndrome Risk Factors on the Absenteeism of Health Workers from a Brazilian University Hospital

Health ◽

10.4236/health.2018.106064 ◽

2018 ◽

Vol 10 (06) ◽

pp. 853-877 ◽

Cited By ~ 1

Author(s):

Almerinda Luedy ◽

Danile Leal Barreto ◽

Hugo Costa-Ribeiro Júnior

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Health Workers ◽

University Hospital

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