Técnicos de enfermagem: condições laborais e acidentes em hospital escola

Objetivo: analisar as condições de trabalho percebidas por técnicos de Enfermagem e sua relação com acidentes envolvendo material biológico. Método: trata-se de um estudo misto, descritivo, transversal, realizado em um hospital público. Elencaram-se 275 profissionais que responderam a um questionário com perguntas relacionadas ao número de acidentes, percepção das condições de trabalho e sugestões para minimizá-los. Detalha-se que a pesquisa foi do tipo probabilística aleatória simples, com distribuição proporcional nas unidades e turnos de trabalho e os resultados apresentados a partir de relatos e tabelas. Resultados: declarou-se, por 210 técnicos, ter sofrido acidente de trabalho. Revela-se que as variáveis ritmo de trabalho estressante, monotonia e influência do trabalho na saúde tiveram significância estatística, e o uso de equipamentos de proteção individual e diminuição da sobrecarga foram as medidas mais indicadas pelos respondentes. Conclusão: indicou-se, pela análise, relação positiva entre sobrecarga de trabalho e acidentes com material biológico. Percebe-se que, apesar de a instituição disponibilizar equipamentos de proteção individual aos trabalhadores, há forte indício do não uso ou uso parcial. Podem-se subsidiar, pelo instrumento utilizado nesta pesquisa, ações gerenciais para readequações dos processos de trabalho. Descritores: Riscos Ocupacionais; Acidentes de Trabalho; Hospitais Públicos; Ambiente de Trabalho; Condições de Trabalho; Enfermagem. ABSTRACTObjective: to analyze the working conditions perceived by nursing technicians and their relationship with accidents involving biological material. Method: this is a mixed, descriptive, cross-sectional study conducted in a public hospital. 275 professionals answered a questionnaire with questions related to the number of accidents, perception of working conditions and suggestions to minimize them. It is noted that the research was of simple random probability type, with proportional distribution in units and work shifts and the results presented from reports and tables. Results: 210 technicians claimed to have suffered an accident at work. It is revealed that the variables stressful work rhythm, monotony and influence of work on health were statistically significant, and the use of personal protective equipment and decreased overload were the measures most indicated by respondents. Conclusion: the analysis indicated a positive relationship between work overload and accidents with biological material. Although the institution makes personal protective equipment available to workers, there is strong evidence of non-use or partial use. It can be subsidized, by the instrument used in this research, managerial actions to readjust the work processes. Descriptors: Occupational Risks; Occupational Acidentes; Public Hospitals; Workplace; Working Environment; Nursing. RESUMENObjetivo: analizar las condiciones de trabajo percibidas por los técnicos de Enfermería y su relación con los accidentes que involucran material biológico. Método: este es un estudio mixto, descriptivo, transversal realizado en un hospital público. Fueron listados 275 profesionales respondieron un cuestionario con preguntas relacionadas con el número de accidentes, la percepción de las condiciones de trabajo y sugerencias para minimizarlos. Se observa que la investigación fue de tipo de probabilidad aleatoria simple, con distribución proporcional en unidades y turnos de trabajo y los resultados presentados a partir de relatos y tablas. Resultados: 210 técnicos afirmaron haber sufrido un accidente en el trabajo. Se revela que las variables ritmo de trabajo estresante, monotonía e influencia del trabajo en la salud fueron estadísticamente significativas, y el uso de equipo de protección personal y la disminución de la sobrecarga fueron las medidas más indicadas por los encuestados. Conclusión: el análisis indicó una relación positiva entre sobrecarga de trabajo y accidentes con material biológico. Si bien la institución pone a disposición de los trabajadores equipos de protección personal, existe una fuerte evidencia de falta de uso o uso parcial. Puede ser subsidiado, por el instrumento utilizado en esta investigación, acciones de gestión para reajustes de los procesos de trabajo. Descriptores: Riesgos Laborales; Accidentes de Trabajo; Hospitales Públicos; Ambiente de Trabajo; Condiciones de Trabajo; Enfermería.

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Availability and use of personal protective equipment and satisfaction of healthcare professionals during COVID-19 pandemic in Addis Ababa, Ethiopia

Archives of Public Health ◽

10.1186/s13690-021-00668-3 ◽

2021 ◽

Vol 79 (1) ◽

Author(s):

Wakgari Deressa ◽

Alemayehu Worku ◽

Workeabeba Abebe ◽

Muluken Gizaw ◽

Wondwossen Amogne

Keyword(s):

Personal Protective Equipment ◽

Healthcare Workers ◽

Healthcare Professionals ◽

Addis Ababa ◽

Cross Sectional Study ◽

Public Hospitals ◽

Protective Equipment ◽

Cross Sectional ◽

Healthcare Facilities ◽

Increased Risk

Abstract Background Healthcare professionals (HCPs) are at the frontline in the fight against COVID-19 and are at an increased risk of becoming infected with coronavirus. Risk of infection can be minimized by use of proper personal protective equipment (PPE). The aim of this study was to assess the availability and use of PPE, and satisfaction of HCPs with PPE in six public hospitals in Addis Ababa, Ethiopia. Methods A cross-sectional study was conducted among 1134 HCPs in June 2020. A systematic random sampling and consecutive sampling techniques were used to select the study participants. Data were collected using a self-administered questionnaire. Descriptive statistics were used to describe the data and Chi-square test was used to assess the association between the groups. Bivariate and multivariable logistic regression models were used to assess factors associated with satisfaction of healthcare workers. Results The mean (±SD) age of the participants was 30.26 ± 6.43 year and 52.6% were females. Nurses constituted about 40% of the overall sample, followed by physicians (22.2%), interns (10.8%), midwives (10.3%) and others (16.7%). The majority (77%) of the HCPs reported that their hospital did not have adequate PPE. A critical shortage of N95 respirators was particularly reported, it only increased from 13 to 24% before and during COVID-19, respectively. The use of N95 increased from 9 to 21% before and during COVID-19, respectively. Almost 72% of the respondents were dissatisfied with the availability and use of PPE in their hospital. The independent predictors of the respondents’ satisfaction level about PPE were healthcare workers who reported that PPE was adequately available in the hospital (adjusted OR = 7.65, 95% CI:5.09–11.51), and preparedness to provide care to COVID-19 cases (adjusted OR = 2.07, 95% CI:1.42–3.03). Conclusions A critical shortage of appropriate PPE and high level of dissatisfaction with the availability and use of PPE were identified. Therefore, urgent efforts are needed to adequately supply the healthcare facilities with appropriate PPE to alleviate the challenges.

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Personal protective equipment compliance among laundry workers in secondary and tertiary health facilities in Nigeria

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190575 ◽

2019 ◽

Vol 6 (3) ◽

pp. 936

Author(s):

Emmanuel N. Omoijiade ◽

Lucky Evbuomwan

Keyword(s):

Personal Protective Equipment ◽

Healthcare Facility ◽

Cross Sectional Study ◽

Protective Equipment ◽

Cross Sectional ◽

Healthcare Facilities ◽

Benin City ◽

Occupational Risks ◽

Tertiary Healthcare ◽

Recommended Level

Background: Generally, personal protective equipment (PPE) should be used by healthcare workers, as they provide a physical barrier between hazards and the wearer. Exposure to occupational hazards in the laundry can be limited by the use of PPE such as barrier gowns, gloves, eyewear, foot coverings and face masks. This study provides information on the PPE compliance of the workers at the laundry, as this would prove useful in order to establish appropriate interventions to minimize occupational risks of workers in the healthcare laundries.Methods: This study was a comparative cross-sectional study. It was conducted in six hospitals with a laundry department in Benin-city, composed of one available tertiary healthcare facility and five secondary healthcare facilities. Questionnaire was administered to the workers concerning the availability and use of PPE.Results: The common PPE used were nose masks (7.9%), hand gloves (39.5%), safety boots (3.6%) and coveralls (84.5%). Respondents revealed that eye goggles or face shields and ear plugs or muffs were never provided for them.Conclusions: Compliance of respondents to PPE was not at an optimally recommended level. It is recommended that efforts be made to ensure that workers comply with PPE use, while providing all necessary protective equipment, which should first be assessed before selection and use.

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Infection control practices and challenges in Pakistan during the COVID-19 pandemic: a multicentre cross-sectional study

Journal of Infection Prevention ◽

10.1177/17571774211012761 ◽

2021 ◽

pp. 175717742110127

Author(s):

Salma Abbas ◽

Faisal Sultan

Keyword(s):

Personal Protective Equipment ◽

Prevention And Control ◽

Infection Prevention ◽

Hospital Staff ◽

Cross Sectional Study ◽

Infection Prevention And Control ◽

Protective Equipment ◽

Cross Sectional ◽

Healthcare Facilities ◽

And Control

Background: Patient and staff safety at healthcare facilities during outbreaks hinges on a prompt infection prevention and control response. Physicians leading these programmes have encountered numerous obstacles during the pandemic. Aim/objective: The aim of this study was to evaluate infection prevention and control practices and explore the challenges in Pakistan during the coronavirus disease 2019 pandemic. Methods: We conducted a cross-sectional study and administered a survey to physicians leading infection prevention and control programmes at 18 hospitals in Pakistan. Results: All participants implemented universal masking, limited the intake of patients and designated separate triage areas, wards and intensive care units for coronavirus disease 2019 patients at their hospitals. Eleven (61%) physicians reported personal protective equipment shortages. Staff at three (17%) hospitals worked without the appropriate personal protective equipment due to limited supplies. All participants felt overworked and 17 (94%) reported stress. Physicians identified the lack of negative pressure rooms, fear and anxiety among hospital staff, rapidly evolving guidelines, personal protective equipment shortages and opposition from hospital staff regarding the choice of recommended personal protective equipment as major challenges during the pandemic. Discussion: The results of this study highlight the challenges faced by physicians leading infection prevention and control programmes in Pakistan. It is essential to support infection prevention and control personnel and bridge the identified gaps to ensure patient and staff safety at healthcare facilities.

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Work-related Injury among Welders Working in Metal Workshops of Dharan Municipality, Nepal

Journal of Nepal Health Research Council ◽

10.3126/jnhrc.v16i2.20302 ◽

2018 ◽

Vol 16 (2) ◽

pp. 156-159

Author(s):

Anup Ghimire ◽

Shyam Sundar Budhathoki ◽

Surya Raj Niraula ◽

Abha Shrestha ◽

Paras K Pokharel

Keyword(s):

Personal Protective Equipment ◽

Cross Sectional Study ◽

Protective Equipment ◽

Cross Sectional ◽

Work Related ◽

The Past ◽

Occupational Characteristics ◽

Recorded Data ◽

The Relationship ◽

Structured Questionnaire

Background: Injuries are a problem worldwide in all occupations. Welders are exposed to many hazards at work resulting in a variety of health problems including injuries at work. This study was conducted to find out the prevalence and factors associated with injuries among welders in Dharan city of eastern Nepal.Methods: A cross sectional study was conducted among 86 welders in Dharan city. Occurrence of injury in past 2 weeks and past 12 months were recorded. Data regarding sociodemographic along with occupational characteristics was collected using semi structured questionnaire. Data analysis was done using SPSS version 17.Results: All the welders in this study were male with almost half of the welders under the age of 25 years and about a fifth (21.1%) of the welders having received some form of welding training. In the past 12 months, 21.1% of the welders suffered from work related injuries. More than 95% welders used at least one personal protective equipment in this study. More injuries were seen among welders with age ≥35 years, working experience ≥ 5 years, not received training and not using of PPE at work. However, these factors were not found to be statistically significant.Conclusions: Work related injuries are high among welders of Dharan. Further research is required to explore the relationship between age, literacy, training and use of personal protective equipment with the occurrence of injuries among the welders.

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COVID-19 infections among Healthcare Workers and Transmission within Households

10.1101/2020.06.12.20129619 ◽

2020 ◽

Cited By ~ 3

Author(s):

Kevin L. Schwartz ◽

Camille Achonu ◽

Sarah A. Buchan ◽

Kevin A. Brown ◽

Brenda Lee ◽

...

Keyword(s):

General Population ◽

Personal Protective Equipment ◽

Healthcare Workers ◽

Population Based ◽

Cross Sectional Study ◽

Nosocomial Transmission ◽

Protective Equipment ◽

Sectional Study ◽

Cross Sectional ◽

Testing Bias

AbstractImportanceProtecting healthcare workers (HCWs) from COVID-19 is a priority to maintain a safe and functioning healthcare system. The risk of transmitting COVID-19 to family members is a source of stress for many.ObjectiveTo describe and compare HCW and non-HCW COVID-19 cases in Ontario, Canada, as well as the frequency of COVID-19 among HCWs’ household members.Design, Setting, and ParticipantsUsing reportable disease data at Public Health Ontario which captures all COVID-19 cases in Ontario, Canada, we conducted a population-based cross-sectional study comparing demographic, exposure, and clinical variables between HCWs and non-HCWs with COVID-19 as of 14 May 2020. We calculated rates of infections over time and determined the frequency of within household transmissions using natural language processing based on residential address.Exposures and OutcomesWe contrasted age, gender, comorbidities, clinical presentation (including asymptomatic and presymptomatic), exposure histories including nosocomial transmission, and clinical outcomes between HCWs and non-HCWs with confirmed COVID-19.ResultsThere were 4,230 (17.5%) HCW COVID-19 cases in Ontario, of whom 20.2% were nurses, 2.3% were physicians, and the remaining 77.4% other specialties. HCWs were more likely to be between 30-60 years of age and female. HCWs were more likely to present asymptomatically (8.1% versus 7.0%, p=0.010) or with atypical symptoms (17.8% versus 10.5%, p<0.001). The mortality among HCWs was 0.2% compared to 10.5% of non-HCWs. HCWs commonly had exposures to a confirmed case or outbreak (74.1%), however only 3.1% were confirmed to be nosocomial. The rate of new infections was 5.5 times higher in HCWs than non-HCWs, but mirrored the epidemic curve. We identified 391 (9.8%) probable secondary household transmissions and 143 (3.6%) acquisitions. Children < 19 years comprised 14.6% of secondary cases compared to only 4.2% of the primary cases.Conclusions and RelevanceHCWs represent a disproportionate number of COVID-19 cases in Ontario but with low confirmed numbers of nosocomial transmission. The data support substantial testing bias and under-ascertainment of general population cases. Protecting HCWs through appropriate personal protective equipment and physical distancing from colleagues is paramount.Key PointsQuestionWhat are the differences between healthcare workers and non-healthcare workers with COVID-19?FindingsIn this population-based cross-sectional study there were 4,230 healthcare workers comprising 17.5% of COVID-19 cases. Healthcare workers were diagnosed with COVID-19 at a rate 5.5 times higher than the general population with 0.8% of all healthcare workers, compared to 0.1% of non-healthcare workers.MeaningHigh healthcare worker COVID-19 burden highlights the importance of physical distancing from colleagues, appropriate personal protective equipment, as well as likely substantial testing bias and under-ascertainment of COVID-19 in the general population.

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Mask and Personal Protective Equipment (PPE) Associated Headache: A Cross-Sectional Study among the COVID-Time Physicians in Bangladesh

Headache Medicine Connections ◽

10.52828/hmc.v1i2.8 ◽

2021 ◽

Vol 1 (2) ◽

pp. 12-22

Author(s):

K M Nazmul Islam Joy ◽

Reaz Mahmud ◽

Md Golam Rabbani ◽

Md Khairul Islam ◽

Rajesh Saha ◽

...

Keyword(s):

Personal Protective Equipment ◽

Cross Sectional Study ◽

Protective Equipment ◽

Sectional Study ◽

Cross Sectional

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FACTORS AFFECTING NURSE ANXIETY IN ROLE AS A CAREGIVER DURING THE COVID-19 PANDEMIC

Nurse and Health: Jurnal Keperawatan ◽

10.36720/nhjk.v10i1.233 ◽

2021 ◽

Vol 10 (1) ◽

pp. 108-115

Author(s):

Yurike Septianingrum ◽

Andikawati Fitriasari ◽

Erika Martining Wardani

Keyword(s):

Logistic Regression ◽

Personal Protective Equipment ◽

Health Workers ◽

Psychological Symptoms ◽

Cross Sectional Study ◽

Protective Equipment ◽

Multivariate Logistic Regression ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

Background: During the Covid-19 outbreak, health workers, especially nurses, are vulnerable to potential psychological symptoms such as anxiety, which can prevent nurses from carrying out their role as caregivers in health services (Lai et al., 2020; Shanafelt et al., 2020). Objectives: The purpose of this study is to analyze the factors that can influence the anxiety of nurses in playing the role of caregiver during the Covid-19 pandemic. Methods: This is a cross-sectional study with a population of all nurses who met the inclusion criteria as much as 105 nurses. The research sample was selected through stratified random sampling and obtained 84 nurses. This research was conducted at RSI Jemursari Surabaya from June until September 2020. The research instruments used in this study were the demographic observation sheet, knowledge questionnaire, and the Hamilton Anxiety Rank Scale (HARS). Data analysis used Pearson chi-square test and multivariate logistic regression. Results: The results of the Pearson Chi-square test showed that of all the factors studied, only age (p = 0.004), availability of personal protective equipment (p = 0.002), and knowledge (p = 0.017) influenced nurses' anxiety. The results of the analysis using multivariate logistic regression test showed that the factor that most influenced nurses' anxiety was the availability of personal protective equipment (p = 0.001; OR = -3.062). Conclusion: Younger nurses, inadequate personal protective equipment, and less knowledgeable nurses were at high risk for more severe anxiety. Regular observation of the psychological condition of nurses and the fulfillment of the need for personal protective equipment is needed to prevent increased anxiety in nurses. Keywords: Nurse, anxiety, Covid-19, caregiver.

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Impact of enhanced personal protective equipment on the physical and mental well-being of healthcare workers during COVID-19

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2020-139150 ◽

2020 ◽

pp. postgradmedj-2020-139150 ◽

Cited By ~ 1

Author(s):

Ramanathan Swaminathan ◽

Bimantha Perera Mukundadura ◽

Shashi Prasad

Keyword(s):

Personal Protective Equipment ◽

Healthcare Workers ◽

Healthcare Professionals ◽

Negative Impact ◽

Well Being ◽

Cross Sectional Study ◽

Protective Equipment ◽

Cross Sectional ◽

The Impact ◽

Mental Well Being

BackgroundThe COVID-19 pandemic has necessitated the use of enhanced personal protective equipment (PPE) in healthcare workers in patient-facing roles. We describe the impact on the physical and mental well-being of healthcare professionals who use enhanced PPE consistently.MethodsWe conducted a single-centre, cross-sectional study among healthcare professionals who use enhanced PPE. A web-based questionnaire was disseminated to evaluate the effects on individuals’ physical and mental well-being. Physical and mental impact was assessed through a visual analogue scale.ResultsProspective analysis of the views of 72 respondents is reported. 63.9% were women and 36.1% were men. Physical impact included exhaustion, headache, skin changes, breathlessness and a negative impact on vision. Communication difficulties, somnolence, negative impact on overall performance and difficulties in using surgical instrumentation were reported.ConclusionOur study demonstrates the undeniable negative impact on the front-line healthcare workers using enhanced PPE and lays the ground for larger multicentric assessments given for it to potentially be the norm for the foreseeable future.

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Prevalence and Factors Influencing Eye Injuries among Welders in Accra, Ghana

Advances in Preventive Medicine ◽

10.1155/2020/2170247 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Karl Kafui Kwaku Tetteh ◽

Richard Owusu ◽

Wisdom Kudzo Axame

Keyword(s):

Personal Protective Equipment ◽

Cross Sectional Study ◽

Electric Arc ◽

Systematic Sampling ◽

Protective Equipment ◽

Monthly Income ◽

Eye Injuries ◽

Cross Sectional ◽

Work Related ◽

Factors Influencing

Background. Eye injuries are one of the most common work-related injuries among certain occupations, including welders. The aim of this study was to determine the prevalence and factors influencing eye injuries among welders in Accra, Ghana. Methods. In a cross-sectional study, we recruited 382 welders in Accra from two welding sites. Systematic sampling was used to select participants. A pretested semistructured questionnaire was used to collect demographic information, history of eye injuries, ownership, and use of eye protective equipment and workplace characteristics. Bivariate and multivariate logistic regressions at 5% level of significance were used to determine factors influencing eye injuries. Data were entered into Microsoft excel and exported to Stata 16/MP for analysis. Results. We found 59.7% of welders engaged in electric/arc welding and 40.3% in gas welding. Overall prevalence of eye injuries was 47.9%, higher among electric/arc welders (73.7%) compared to gas welders (9.7%). Factors associated with eye injuries were engaging in gas welding [AOR: 0.08, 95% CI: 0.04–0.16], higher monthly income [AOR = 5.26; 95% CI: 1.72–16.09], nonuse of eye PPE while working [AOR = 1.86; 95% CI: 1.02–3.43], and no training on the use of eye personal protective equipment [AOR = 2.17; 95% CI: 1.07–4.38]. Conclusion. There is high prevalence of welding-related eye injuries among electric welders. Gas welding, high monthly income, nonuse of eye protective equipment, and inadequate training on the use of eye protective equipment were significantly associated with eye injuries. Health policies should be implemented to ensure all welders use eye personal protective equipment.

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An Investigation on the Harmful Biological Factors of Workplace among Administrative Workers of Power Plant in South of Iran

Occupational Hygiene and Health Promotion ◽

10.18502/ohhp.v2i3.150 ◽

2018 ◽

Author(s):

Behnoush JAFARI ◽

Bahram KOUHNAVARD ◽

Mohammadreza NAJIMI ◽

Fereshteh JAHANI ◽

Zeinab MOSAVIAN ASL

Keyword(s):

Power Plant ◽

Personal Protective Equipment ◽

Positive Culture ◽

Pathogenic Fungi ◽

Cross Sectional Study ◽

Personal Hygiene ◽

Protective Equipment ◽

Biological Factors ◽

Cross Sectional ◽

Opportunistic Pathogenic

Introduction: The working conditions, type of activity, and production or consumption of different materials expose the employees to harmful biological factors, which leads to infectious diseases. The purpose of this study was to investigate the harmful biological agents of the work environment among administrative personnel of a power plant in south of Iran. Methods: This descriptive and cross-sectional study was conducted among 200 administrative workers of different sections of power plant in 2016. The participants used personal protective equipment and samples were collected from five parts of the participants' body including auricle, inside the ear, the area between the toes, palm of foot, toe nails. Finally, 1000 samples were collected. Results: The mean age of the workers was years and all participants were male. Of the 1000 samples cultivated in the laboratory, 192 (96%) people had negative and 8 (4%) had positive culture results. The results showed that auricle had the highest rate of opportunistic pathogenic fungi (87.5%). The most positive cases of opportunistic pathogens were associated with workshops, warehouses, and operational buildings. Conclusion: Regarding the results of the study, we need to implement more health care in the mentioned places, observe personal hygiene in keeping the feet dry, not using protective handsets (air plug and earmuff) of other people, disinfecting the personal protective equipment, and daily washing to prevent the spread of the disease to other people.

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