bluuebunny/crossref_metadata_2025 huggingface dataset:
O-121 NONVERBAL COMMUNICATION IN THE NEW FORMS OF EMPLOYMENT
Authors: Titopoulou Maria , Vaneva Nadezhda
Published: July 2024

Introduction and methods

New forms of employment are the general term for more diversified employment forms that have emerged or gained importance since around 2000. Characterized by changing working patterns of communication, contractual relations, locations, duration and work schedule, increased use of information and communication technologies (ICT) or a combination thereof, these are most often casual work, collaborative employment, crowd employment, interim management, employee sharing, ICT-based mobile work, job sharing, work in platform, precarious work, voucher-based and portfolio work. Our main research purpose is to analyze non-verbal communication’s impact on the increasingly diverse and flexible employment forms, the results of which will focus on planning and implementation of measures, guaranteeing workers’ protection and employment status.

Results and discussion

Socio-economic and technological recent changes have led to scale and scope’s increase of new employment forms, upgrading traditional employer-employee relationships to non-traditional work patterns and workplaces. Increasingly interactive connectivity of all elements of verbal and non-verbal communication in a common flow of messages increases the effect of experience in communication. In the context of the digitalization of communication, the study of the interrelationship of the elements of non-verbal communication in effective communication is essential. Modern communication techniques via kinesics, proxemics and vocalization can turn everyday communication into a highly emotional experience and be a tool for group persuasion and manipulation. They play a serious socio-psychological role in spreading information, building communities and reinforcing attitudes.

Conclusion

Non-verbal communication patterns in new employment relationships help building more sustainable and inclusive labor market, avoiding situations where new employment forms are less favorable than more established types of employment.
O-122 COVID-19 CONTACT TRACING IN THE WORKPLACE: REVIEW OF A MOROCCAN EXPERIENCE AND LESSONS LEARNED
Authors: Abadane Zakia , Mustapha Amirich
Published: July 2024

Introduction

Since the first case was reported in Morocco, the Ministry of Health in coordination with the Business Intelligence Committee has put in place early measures to contain the spread of COVID-19 in the workplace to ensure the continuity of activities. Containing the spread of COVID-19 through contact tracing has revealed itself early as an essential tool to ensure the safety of employees and worksites.

Methods

We describe case investigation and contact tracing implementation in the workplace since Morocco reported its first industrial cluster on March 28th, 2020, to the lifting of restrictions on June 24th, 2020. We analyzed collected COVID-19 data by Public Health Department in Casa Settat Region.

Results

A total of 3223 cases among general population were confirmed by PCR. In industrial sites, a total of 8902 employees were tested, of which 953 (11.2%) were positive. Fatality rate was 1,9%. A mean of 3.3 contacts per case were monitored by local Health Units. The application Wiqaytna launched on May 11, 2020, as an optional tool has helped to widen contact identification circle and improve timely case management.

Discussion

Wide variations in key case investigation and contact tracing data were observed across the industrial sites. Sites with higher number of cases were factories with larger populations. Local Surveillance Units with higher case counts conducted proportionally fewer case interviews than local cells with lower case counts.

Conclusion

Contact tracing has a great impact in reducing the transmission of COVID-19. Additional research would be highly recommended to assess digital Covid-19 contact adapted to the workplace.
P-210 LONG-TERM COVID DETECTION AND CASE MANAGEMENT PROGRAM IN “HIGH-RISK COVID” OIL INDUSTRY WORKERS
Authors: Rolandi Florencia , Zarate Pablo , Ruiz Pablo , Azcarate Juan Martin , Vattimo Andrea , Segovia Evelyn , Cuevas Andrea , Cuellar Diego , Velazquez Luis , Caceres Pablo , Garcia Alejadro , Cura Leila
Published: July 2024

Introduction

We run a program for workers in the oil industry with “high risk COVID-19” aimed to identify the presence of long-COVID and its impact on QOL and to follow up cases requiring additional diagnostic studies and referral to specialists. We defined “High risk COVID-19” if workers had baseline risk factors (diabetes, overweight, respiratory, or cardiovascular diseases) or complicated infections (pneumonia, oxygen requirement or hospitalization).

Methods

We identified throughout the country workers with “high risk COVID-19”. A special team of doctors and nurses, previously trained ad hoc, contacted then by telephone or video call using a semi-structured survey, between 4 and 6 weeks after diagnosis. Between October and June 2022, 891 workers were included, and 2174 interviews were conducted in the follow-up.

Results

The majority were men (69%), aged 40.1 ± 8.7 years, 11% obesity, 2.1% diabetes, 2.8% asthma and 7.5% with hypertension. The occurrence of pneumonia and need for hospitalization was 18.2% and 10.1% until January 2021 when vaccination began and 8.1% and 4.5% later. We identify 377 patients (42.3%) with long-COVID: fatigue or tiredness (29.8%), dyspnea (14.4%), cough (16.3%), smell and taste disorders (16.8%), headache (5.9%), mental confusion (3.3%), muscle pain (4.1%). 23.9% had limitations in daily life.

Discussion

At follow-up, patients resolved their symptoms, and some were referred to pneumonologists, kinesiologists, psychologists, and cardiologists.

Conclusion

A follow-up program for COVID + workers with risk factors and/or complicated infections identified more than 40% of long-term COVID occurrence and almost one in four with impairment in QOL. Follow-up confirmed symptomatic improvement or determined referral for further diagnosis and treatment.
O-130 DETECTING NEW HEALTH RISKS: SENTINEL CASES OF WORK-RELATED SKIN DISEASE FROM THE PERSPECTIVE OF THE UK REPORTING SCHEME
Authors: Zelic Loren , Pereira Rheanna , Byrne Laura , Iheozor-ejiofor Zipporah , Carder Melanie , Van Tongeren Martie
Published: July 2024

Introduction

With the COVID-19 pandemic came the increased use of personal protective equipment (PPE), sterilising and disinfecting agents, which resulted in a rise in dermatologic challenges.

Methods

The Health and Occupation Research (THOR) network collects new cases of work-related ill-health (WRIH) reported by a range of physicians. Each quarter, case reports are screened for potential new combinations through the following process: identification of case reports that might represent a sentinel alert; clarification from reporters; research into evidence of existing similar reports; and the dissemination of confirmed emerging risks to relevant bodies.

Results

15 sentinel cases of work-related skin disease (WRSD) were identified from 112 cases reported to THOR between October 2021 and March 2023 (13% of all cases). Most sentinel cases (80%) resulted from a known diagnosis attributed to a known causative agent occurring in a new industry or occupation, followed by a known diagnosis attributed to a rare or previously unreported causative agent (13%).

Discussion

WRSD is common in industries such as healthcare, hair/beauty, and hospitality due to the routine use of PPE and hazardous agents. Since COVID-19, contact urticaria and perioral dermatitis have appeared for the first time in the industries of dentistry and education, pointing to enhanced risk reduction procedures, such as surface cleaning and facemasks.

Conclusion

The emerging cases of WRSD in previously unreported sectors paints the picture of changes in work processes throughout the pandemic. Early detection of WRIH allows for rapid dissemination to regulators such as the Health and Safety Executive, and has potential implications on policy making.
P-214 PREVALENCE OF ACTIVE SENSITIZATION: ABOUT 565 PATIENTS TESTED FROM 2002 TO 2023
Authors: Henchi Mohamed Adnene , Hayouni Mohamed Marouen , Grissa Ons , Afia Latifa Ben , Amri Charfeddine , Merchaoui Irtyah , Rassas Ines , Chaari Neila
Published: July 2024

Introduction

Active sensitization is an extremely rare but dreaded complication of patch testing. It is an iatrogenic sensitization reaction to an allergen induced by the application of a patch test. The aim of this study was to assess the prevalence of active sensitization to patch tests over a twenty-two-year period.

Methods

This is a retrospective study of patients who underwent patch testing at the Dermato-allergology unit of the Occupational Medicine Department of the Fattouma Bourguiba Monastir University Hospital from 2002 to 2023. These patients were referred to the department on suspicion of allergic contact dermatitis.

Results

A total of 565 patients underwent patch testing. At least one allergen was found to be positive in 343 patients (60.7% of cases). Active sensitization was noted in six patients (a prevalence of 1.06%). The allergens involved were Thiuram Mix (2 cases), P-Phenylene Diamine (2 cases), Disperse Bleu 3 (2 cases) and Disperse Orange 3 (2 cases).

Discussion

Active sensitization is frequently caused by a single allergen and results in a positive result at the site tested after 10 to 21 days. Repetition of the test is the only valid argument for suggesting it, which becomes positive within 1 to 4 days. Active sensitization can only be avoided by referring to the right concentrations and the right test vehicles.

Conclusion

Active sensitization poses an ethical problem. It is therefore necessary to inform patients of the risks involved in this test and to obtain their written consent.
P-215 ROLE OF EXPOSURE TO ENVIRONMENTAL AND OCCUPATIONAL FACTORS IN THE OCCURRENCE OF PEMPHIGUS: A CASE-CONTROL STUDY IN TUNISIA
Authors: Kotti Nada , Abbes Anwar , Bahloul Emna , Rmadi Nehla , Daoud Hanen , Sellami Khadija , Hammami Kaouthar Jmal , Masmoudi Mohamed Larbi , Turki Hamida , Hajjaji Mounira
Published: July 2024

Introduction

The pemphigus is a multifactorial dermatosis. While many etiological hypotheses have been suggested for its occurrence, the exact etiology remains to be determined.Our study aimed to identify the role of environmental and occupational exposure in the induction of pemphigus.

Methods

We carried out a case-control study on patients with pemphigus. The entire study period lasted six months. Controls were recruited from the general population. The matching of cases and controls was carried out according to gender, age, and professional status. Data collection was based on a pre-established questionnaire.

Results

A total of 44 cases and 88 controls were collected. Pemphigus erythematosus was the most common (47.7%) followed by pemphigus vulgaris (36.4%). In the binary logistic regression model, smoking, traditional cosmetics, high consumption of spices, pesticide exposure and rural origin were significantly associated with pemphigus.

Discussion

The pathophysiology of pemphigus is controversial and complex. To explain the dysregulation of the immune system in this pathology, the association of autoimmune, environmental, occupational and genetic factors was retained. Rural origin was incriminated as a risk factor and could be explained by the significant association between rural living conditions, agriculture as the main occupation, and the presence of pathogenic anti-desmoglein 1 autoantibody in rural people, considered as serological abnormalities that may precede the onset of pemphigus.

Conclusion

Our findings implied that environmental and occupational factors play a key role in the occurrence of pemphigus. Thus, identifying and limiting exposure to these factors is necessary for the prevention of this dermatosis
P-216 ALLERGIC CONTACT DERMATITIS TO ACRYLATES REVEALS A RISKY OCCUPATIONAL GESTURE
Authors: Henchi Adnene , Amri Charfeddine , Grissa Ons , Hayouni Marouen , Machghoul Samia , Merchaoui Irtyah , Akrout Mohamed , Rassas Ines , Chaari Neila
Published: July 2024

Introduction

Acrylates are widely used in various sectors, including dentistry. Some high-risk professional practices can lead to allergic contact dermatitis.

Methods and Results

A second-year dentistry intern, aged 28, with no history of atopy, consulted the Occupational Medicine Department of Monastir’s University Hospital with an itching erythemato-vesicular skin plate, poorly limited, on the back of the left hand’s the first commissure, which has been evolving for a month. The professional investigation revealed that the patient uses acrylate-based composite resins and wears latex gloves. During dental treatment, he removes the excess resin used with a probe, which he then wipes onto the glove on the first commissure of his left hand. Patch tests using the European Standard Battery and the Dental Products Battery revealed a positive two-cross reaction to 2-Hydroxyethyl methacrylate and Ethyleneglycol dimethacrylate.

Discussion

Latex or vinyl gloves are rapidly permeated by acrylates. double gloving could be used if the activity does not exceed 15 minutes. For a task lasting more than 15 minutes, nitrile gloves, as a double layer with other gloves, are a compromise between efficiency and professional practice.

Conclusion

As latex gloves are permeable to acrylates, double nitrile gloves should be worn, especially for prolonged skin contact. The patient and his co-workers were advised to avoid this high-risk professional gesture.
O-138 IN-HOME WORK ENVIRONMENT FOR HOME CARE WORKERS BEFORE AND DURING THE COVID-19 PANDEMIC
Authors: Norström Fredrik , Bölenius Karin , Zingmark Magnus , Sahlén Klas-Göran , Pettersson-Strömbäck Anita
Published: July 2024

Introduction

Challenges due to high workload have been reported for home care workers. However, the personnel’s working environment is little studied. The aim of our study is to investigate the in-home work environment challenges for home care workers.

Methods

Two cross-sectional studies were conducted in 2017 and 2021 (before and during the Covid-19 pandemic) in three Swedish regions. Thirty municipalities were invited to the study, 16 municipalities participated in the first study and 22 municipalities in the latter. Home care workers in municipalities answered a questionnaire including 10 work environment-related problems at the home care recipients’ home (five-point scale from “Several times per day” to “Rarely/Never”). We compared problems between surveys using Student’s t-test.

Results

In both surveys, approximately 2,000 persons were invited, 1,154 (56%) responded in 2017 and 630 (31%) responded in 2021. There was a statistically significant increase in the proportion of staff reporting daily problems with a poor bed (29% vs. 37%), small toilet (40% vs. 50%), smoking (24% vs. 30%), pets (19% vs. 25%), poor cleaning equipment (8% versus 12%), relatives/friends (4% versus 7%), hot/cold house (20% versus 70%), intoxicated user (3% versus 6%) and verbal abuse (2% against 5%) during the pandemic. The trends differed between regions.

Discussion

Work environment problems were common for home care workers in the recipients’ houses, and they were further exacerbated during the pandemic. Interestingly, the challenges increased the most in the region with lowest mortality during the pandemic.

Conclusion

Efforts are needed to strengthen the personnel’s working environment.
O-142 LIGHT ON THE NIGHT: ASSESSING THE IMPACT OF NIGHT WORK ON HEALTHCARE PROFESSIONALS’ HEALTH AND QUALITY OF CARE
Authors: Soussou Imad
Published: July 2024

Introduction

Nightime work, essential for continuity of care, disrupts the circadian rhythms of healthcare professionals, impacting their well-being and the quality of their services.Materials and

Methods

This quantitative descriptive study targeted 74 practitioners at Errazi Hospital in Marrakech. Used a 60-item questionnaire to assess the impact of care quality and staff health.

Results

The study reveals a predominance of sleep disorders (59.5%), followed by irritability and stress (56.8%) and psychological exhaustion (55.6%). Digestive (48.6%), metabolic (40.5%), musculoskeletal (37.8%) and addictive (13.5%) ailments were also identified. 84% find it difficult to reconcile night work and family commitments. In addition, 67% lack time for patients. Hypovigilance in care (87%), lack of continuous training (91%) and absence of hierarchical support (79%) were also noted. As a result, 84% are considering a change of position, and 92% do not recommend night work.

Discussion

These results corroborate previous studies, highlighting high rates of sleep disorders, stress and burnout. Metabolic, musculoskeletal and family issues, accentuated by resource and time constraints, mirror pre-existing trends. The impact on alertness, lack of training, limited hierarchical support and reluctance to work night shifts is confirmed.

Conclusions

Reinforce current knowledge, underlining the imperative of an organizational and multidisciplinary approach to tackling these challenges.
O-144 NEW SAFETY SYSTEMS IN FRONTLINE HEALTHCARE: AN APP FOR PSYCHOSOCIAL SAFETY CLIMATE REAL-TIME MONITORING (PSC-RTM)
Authors: McLinton Sarven , Dollard Maureen , Loh May Young , Afsharian Ali , Hayati Ashkan , Zadow Amy , Tuckey Michelle
Published: July 2024

Background

Frontline nurses and management see safety differently, but risks arise when there is a disconnect between perceptions of Psychosocial Safety Climate. PSC is the leading indicator of systemic issues in job design, support, and subsequent adverse psychological health, engagement and productivity outcomes. We aimed to provide teams with trending information via a dashboard, the PSC Real-Time Monitoring (PSC-RTM) system, to help realign manager and frontline perceptions.

Methods

The new proprietary PSC-RTM was piloted for 10 weeks and available 24/7 on an app kiosk in N=3 frontline healthcare teams in Adelaide, Australia. Participating teams engaged in pre-intervention training sessions (n=90 staff members) as well as post-intervention focus groups (total n=32 staff between 6 sessions) and interviews with managers (n=3).

Results and discussion

Trend analysis and single-case autoregressive continuous time modelling demonstrated that PSC is dynamic over the course of a day or month, but an autoregressive diffusion model showed that PSC changes in response to unrecorded safety incidents (and can overall improve or deteriorate in the long term). Consensus emergence modelling allowed us to further understand PSC emergence and convergence processes.

Conclusion

The PSC-RTM addresses the issue in existing research (and hospital ‘culture surveys’) of time delays between when PSC is measured and the subsequent identification and development of relevant supports. Our innovation in PSC measurement and tracking poses a cost-effective system for signalling the potential for psychosocial risk before it occurs. The continuous feedback loop between the team and their manager offers a way to respond more immediately to the ever-evolving safety climate within their team.
O-145 RISK OF SICKNESS ABSENCE AMONG FEMALE HEALTH WORKERS – A TOTAL POPULATION STUDY IN SWEDEN
Authors: Nyman Carin , Friberg Emilie
Published: July 2024

Introduction

The healthcare sector in many countries, including Sweden, is highly gender segregated with more female than male employees. During the last decades, reports on exacerbating job demands and sickness absence have increased.

Methods

Register data on sickness absence, comprising all female employees in the healthcare sector in Sweden in 2014 (N=210,909) and in 2018 (N=223,715), were analyzed. Logistic regressions yielding odds ratios (OR) with 95% confidence intervals (CI) of new SA (in SA spells >14 days) and of long-term SA (>90 days) due to all cause diagnoses and mental diagnoses respectively, in 2018 compared to 2014, were estimated, adjusting for age, educational level and country of birth.

Results

The risk of new SA and long-term SA due to a mental diagnosis were somewhat higher in 2018, OR 1.14, CI; 1.11 - 1.17 and OR 1.13, CI; 1.08 - 1.18, while no significant associations could be established in relation to SA due to all-cause diagnoses. After adjustments, the results did not change and remained significant.

Discussion

The somewhat higher risk of SA in mental diagnoses over time was not significantly affected by sociodemographic and socioeconomic factors previously shown to influence SA. Psychosocial and emotional work demands together with reports on threats and violence may increase job strain in health workers and influence the risk of SA due to mental diagnoses.

Conclusion

In preventing SA due to mental diagnoses among health workers an effective measure may be to closely monitor various dimensions of work demands.
O-147 HEALTH, SLEEPING AND DYSSOMNIA OF HEALTH CARE WORKERS
Authors: Kherrat Souad El , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib
Published: July 2024

Objective

The aim of this survey was to assess the health status, sleep habits and dyssomnia of healthcare workers.

Method

This cross-sectional epidemiological study took place in the hospitals of Fez and Essaouira and involved 2012 healthcare professionals (75.1% nurses and 24.9% physicians). 53.8% had atypical work schedule (AWS) and 46.2% typical work schedule (TWS).

Results and Discussion

56.4% were women. The average age was 45 ± 9.1 years and the average length of service was 15.2 ± 5.9 years. Medical pole accounted for 62.1%. 8.3% had a complementary activity in the private sector. 21.4% had a regular sporting or leisure activity, 14% were smokers, 50.7% had a high BMI and 24.6% had declared a chronic illness. Smoking and obesity were more common in the AWS group. Average daily sleep time was 7.1 ± 1.1 hours (7.2 ± 1.2 in the TWS group and 6.3 ± 0.9 in the AWS group). On awakening, 57.8% were tired and sleepy (50.9% in the TWS group versus 63.7% in the AWS group), and 41.5% reported chronic insomnia (38.8% of TWS compared with 43.8% of AWS). The insomnia severity index was moderate to severe in 26.2% (20.1% in TWS versus 31.4% in AWS). The prevalence of excessive daytime sleepiness was 23.1% (18.6% in TWS versus 27% in AWS). Fatigue, isostrain concerns were associated with a higher risk of chronic insomnia.

Conclusions

healthcare workers are at high risk of chronic dyssomnia and vigilance disorders. Educational initiatives should be undertaken to raise awareness of the health and safety consequences of these psychosocial risks.
P-223 PROMIND - PROMOTING MENTAL HEALTH AT WORK FOR HEALTHCARE PROFESSIONALS: PARTICIPATORY DEVELOPMENT OF A MINDFULNESS MEDITATION PROGRAM ADAPTED TO THE FRENCH HOSPITAL WORKPLACE
Authors: Nohales Ludivine , Touzet Sandrine , Termoz Anne , Chaussarot Pauline , Marchal Mathilde , Streichenberger Nathalie , Delamillieure Pascal , Lutz Antoine , Maucort-Boulch Delphine , Fassier Jean-Baptiste
Published: July 2024

Introduction

Mental health in the workplace is a public health issue. Participatory development in health program planning is recommendend to develop complex interventions. The aim was to develop a workplace-based Mindfulness Meditation program (MMP) adapted to a university hospital in France.

Methods

Following the Intervention Mapping protocol, a taskforce gathering 24 hospital professionals (doctors, paramedics, supervisors, administrative staff) and 10 scientists (researchers and meditation experts) was set up in May 2022 at Lyon University hospital. The needs assessment involved a literature review and 12 individual interviews with hospital professionals. The program’s logic model was developed during 4 participative workshops (with an initiation to meditation practice) with stakeholders. A qualitative content analysis was carried out with MAXQDA.

Results

The qualitative analysis highlighted important dimensions, such as lack of time, psychosocial hazards, leadership, teamwork, and representations of meditation. A MMP was developed to fit the hospital context. A meditation group of 15 professionals per department (all job categories, including management) will attend 10 collective practice sessions (1h) over 3 months. sessions are considered as working hours although positioned outside the department’s operating schedule (continuity of care). A stepwise recruitment will proceed through information and experience of meditation prior to enrollement on a voluntary basis.

Discussion

The participatory process revealed several barriers and facilitators enabling to develop a program adapted to the context, increasing its relevance and acceptability.

Conclusion

The program’s evaluation will proceed with a cluster randomized trials (8 departments) combined with a realist evaluation of the effects produced by the mechanisms activated according to the context.
P-227 PREVALENCE AND IMPACT OF MUSCULOSKELETAL PAIN AMONG SURGEONS AFTER THE COVID-19 PANDEMIC
Authors: Ntani Georgia , D’Angelo Stefani , Walker-Bone Karen
Published: July 2024

Introduction

COVID-19 severely disrupted healthcare systems. Surgeons are dealing with prolonged waiting-lists, leading them to work longer hours under high stress. We aimed to describe the physical and psychosocial demands on surgeons in the UK, their experience of musculoskeletal pain and their impacts in the post-Covid era.

Methods

UK surgeons were surveyed about body pain and work-related factors. Specifically, they answered questions about weekly occupational activities, job dissatisfaction, work-life balance, access to favourable working conditions, provision for physical comfort at work, and their mental wellbeing. Musculoskeletal pain was assessed across eight bodily sites. Poisson regression modelling with robust confidence intervals was used to explore relationships between work-related factors and musculoskeletal pain.

Results

Surgeons (N=242) reported high engagement with strenuous occupational activities and an imbalance between work and their private life, while 1 in 6 reported being dissatisfied with their job. The one-month prevalence of musculoskeletal pain ranged from 46% at the lower back, to 12% at the ankle, while only 17% reported no pain. Better work-life balance had a protective effect against pain (PRR=0.92, 95% CI=0.85-0.99), while risk of pain increased with number of physically demanding activities at work (PRR=1.04, 95% CI=1.01-1.07) in the age- and sex-adjusted models.

Discussion

This study demonstrated high physical and mental demands in surgeons in the post-Covid era. Pain prevalence rates exceeded those seen in other occupations, and related physical and emotional links were identified.

Conclusion

Fit surgeons ensure optimal patient care. Our findings suggest that they face health issues and work-life conflict, potentially limiting their longevity and career span.
P-231 NEAR-COMMUTING CRASHES AND ITS INDIRECT RELATIONSHIP WITH WORK-HOME DEMANDS VIA SERIAL MEDIATORS AMONG HOSPITAL NURSES: A PLS-SEM APPROACH
Authors: Ismail Khairil Idham , Yusoff Hanizah Mohd , Ismail Rosnah , Khamis Nor Kamaliana
Published: July 2024

Introduction

Near-commuting crashes among nurses were often underreported. Conversely, commuting crashes involving nurses are becoming more common worldwide. Nurses endure demanding experiences at work and at home. This demand can spill over into other areas of their lives, causing them to become overwhelmed and exhausted. The same phenomenon can occur during commuting, resulting in near-commute crashes or crashes themselves. However, evidence of the complex interplay between work-home demands and near-commuting crashes via serial mediation is limited and confined as a single mediator. This study aims to determine work fatigue (acute and persistent) and unsafe driving behaviours as serial mediators in the relationship between demands (work and home) and near-commuting crashes among hospital nurses.

Methods

The study employed stratified proportionate random sampling of hospital nurses from 8 tertiary hospitals. The structural equation modelling technique was used to analyse the data, which comprised 436 nurses. Both acute and persistent work fatigue were controlled for age, gender and number of children. Unsafe driving behaviours were controlled for driving skills and commuting impedance. A bias-corrected bootstrap confidence interval was used to determine indirect effects.

Results

The confidence interval for the indirect effects of work-home demands and near-commuting crashes did not straddle zero indicating a mediating role for work fatigue (acute and persistent) and unsafe driving behaviours.

Discussion and conclusion

The relationship between work-home demands and commuting crashes via work fatigue and unsafe driving is established. Having an understanding of this mechanism can help stakeholders implement fatigue mitigation interventions at work and modify their driving behaviour to prevent commuting crashes.
P-242 A NATIONAL PROGRAM ON OCCUPATIONAL HEALTH PROTECTION FOR HEALTH WORKERS IN CHINA:ANALYSIS ON TWENTY-YEAR PROGRESS FROM TIMELINE PERSPECTIVE
Authors: Zhang Min , Liu Tuo , Chen Liang , Shi Chunlan , Chen Na
Published: July 2024

Introduction

Healthcare settings have been recognized worldwide as being the complex environment with multiple occupational hazards toward health workers (HW). A national program on occupational health for HWs was initiated in China in 2003, with close collaboration of WHO/ILO. The analysis focuses on the program progress based on the 20-year timeline.

Methods

We summarized milestone activities, reviewed evidence from studies, and used an interpretive approach to share policy advocacy and outcomes.

Results

(1)Activities: Leading the drafting of national standard on occupational bloodborne pathogens exposure (OBPE) among HWs (2003). implementing the national OBPE guidelines (2010). ILO/WHO HealthWISE has been applied since 2016, followed by ten HealthWISE Training-for-Trainer workshops covering 260+ hospitals across China (2015-2022). Two national professional networks were developed in NGOs (2017-2019). (2)Studies: Over ten qualitative and quantitative studies resulted in 44 articles and 5 books (2003-2023), shaping the Model of Hospital Initiative on Systematic Occupational Health (2016). (3)Policies: The program influenced policies, including the Guideline for Prevention and Control of OBPE (2009) and participation in national legislation on workplace violence, occupational health, and women’s rights (2019-2022).

Discussion

The national program demonstrated sustainable implementation. With over 11 million HWs in China safeguarding the population’s well-being and health system resilience, post-COVID-19, robust occupational health measures are vital in China and globally.

Conclusion

In the post-COVID-19 era, prioritizing robust occupational health measures for HWs is paramount in China and the world. The program’s efforts underscore the importance of protecting HWs who contribute tirelessly to society’s welfare and healthcare system function.
P-243 OCCUPATIONAL EXPOSURE AND IMPACT OF MUSCULOSKELETAL DISORDERS ON OPERATING ROOM INSTRUMENTALISTS
Authors: Khouja Nihel , Bechrifa Emna , Ismail Saloua , Baraketi Emna , Fatma Naourez Ben , Belkahla Amira , Guitouni Yosra , Hsinet Jihen , Benzarti Aida
Published: July 2024

Introduction

Operating rooms (ORs) Instrumentalists are confronted with biomechanical and psycho-organizational constraints at work, exposing them to a high risk of musculoskeletal disorders (MSDs). Aims: To describe the specific occupational exposure of ORs instrumentalists to MSDs risk factors, and assess their impact on the health of these workers.

Methods

Descriptive cross-sectional study examined instrumentalists in various ORs using a pre-established self administered questionnaire, in February 2023.

Results

One hundred and ninety instrumentalists, predominantly female (sex ratio=0.28), with an average age of 32.25±8.51years and professional seniority of 7.91years, completed the questionnaire. They commonly performed repetitive (48.4%), gestures at a fast pace (73.7%), requiring high precision (92.1%) and great attention (95.3%). The work tasks were described as complex (79%), demanding high muscle strength (72.7%), and prolonged standing (62.6%). Additionally, they reported their work as stressful(67.3%), monotonous(35%), and unmotivating(31%), with a lack of autonomy(78%) and remuneration(81%). Physical constraints in the workplace were reported as cold(82.1%), insufficient lighting(25%) and vibrations(13%). In the last year, they experienced pain in various body areas: lower back (62.1%), shoulders (53.2%), neck (50%), wrists (17.9%), elbows (13.2%), and fingers (8.9%). The pain was attributed to work (76.8%), leading to medical treatment (38.4%) and sick leave (28.4%), impacting professional activity for 13.7% of employees and 28.4% of employees taking temporary leave.

Discussion

Instrumentalists are confronted to face gestural and postural constraints that can cause work-related musculoskeletal disorders (MSDs), affecting their health and work-fitness.

Conclusion

The findings underscore the necessity of implementing proactive measures to safeguard the well-being and productivity of the ORs staff.
P-244 WORKPLACE VIOLENCE DURING THE PANDEMIC: A SURVEY AMONG PHYSICIANS AND DENTISTS IN THE ITALIAN REGION MOST AFFECTED BY THE PANDEMIC
Authors: Belingheri Michael , Paladino Maria Emilia , D’Orso Marco Italo , Teruzzi Carlo Maria , Riva Michele Augusto
Published: July 2024

Introduction

Violence against healthcare workers (HCWs) is an increasingly frequent phenomenon, especially during the recent pandemic. The aim was to investigate workplace violence against physicians and dentists during the pandemic.

Material and Methods

Data were collected through an anonymous online questionnaire addressed to physicians and dentists enrolled at various Boards in Lombardy, the Italian region most affected by the pandemic. The questionnaire was based on the “Workplace Violence In The Health Sector” questionnaire, developed by the WHO.

Results, discussion and conclusion

There were 1290 participants, including 367 (28.4%) hospital doctors, 245 (19.0%) freelance doctors, 240 (18.6%) general practitioners, and 226 (17.5%) dentists. Most participants were female (52.0%) and aged 55 years or older (51.0%). 493 (38.2%) HCWs reported one or more acts of violence during the practice of their medical profession in the previous two years. The most frequent acts of violence were harassment/insults (64.5%), threats (59.6%), and bullying/mobbing (14.4%). The aggressor was most frequently a patient (57.0%) or a relative (33.5%), male (71.2%). After the violence, 40.6% and 30.0% respectively discussed it with a colleague or a family member/friend, 26.6% reported the incident to their supervisor, and 24.5% did not report the event. According to the respondents’ opinions, episodes of violence increased during the pandemic (71.6%). Nearly half of the participants (47.7%) believed that the violence was related to factors linked to the pandemic. Furthermore, 69.9% of participants noted a deterioration in doctor-patient communication during the pandemic. The data collected can provide useful information for the prevention and management of workplace violence against HCWs.
P-245 MENTAL HEALTH OF TUNISIAN HEALTHCARE WORKERS DURING COVID-19 PANDEMIC: A COMPARATIVE OBSERVATIONAL STUDY
Authors: Machghoul Samia , Merchaoui Irtyah , Hayouni Marouen , Chaari Neila , Charfeddine Amri , Akrout Moahamed , Henchi Adnene , Rassas Ines
Published: July 2024

Introduction

Patients with COVID-19 could present adverse psychological outcomes. Health care workers (HCW) are at high risk of contracting COVID-19 and therefore prone to such outcomes. The aim of this study was to assess the prevalence and determinants of negative mental outcomes of COVID-19 in HCW.

Methods

A comparative cross-sectional study in a tertiary hospital in Tunisia among cases of COVID-19 diagnosed in HCW between January 15 and February 15 2021 and a control group. We adopted the professional quality of life, the Hospital Anxiety and Depression scale and the post-traumatic stress disorder checklist.

Results

A total of 226 HCW were included. High rates of burnout (80.71%) and STS (62.38%) were noted among the participants. The COVID-19 group showed lower rates of anxiety (44.25% vs 55.76%; p=0.008), depression (30.07% vs 43.34%; p=0.11) and PTSD (13.27% vs 27.43%; p = 0.006). Rates of anxiety were determined by STS. The risk of depression was higher in those with PTSD. The risk of PTSD was determined by depression, anxiety and fear of contaminating ones’ family.

Discussion

The higher risk of negative mental health outcome in the control group in our study could be explained by the ‘worst anticipated event’ theory. In fact, anticipated rather than experienced events associated with the pandemic, particularly the fear of becoming sick, multiplied the risk of psychological distress three times.

Conclusion

This study indicates that COVID-19 pandemic, rather than the virus itself, has caused heavy psychological impact among HCW. Specific strategies to prevent such outcomes in case of future health crisis are needed.
P-247 KNOWLEDGE ATTITUDES AND PRACTICES REGARDING INFECTIOUS RISKS IN LABORATORIES IN A HOSPITAL IN TUNIS
Authors: Barakati Emna , Belkahla Amira , Khouja Nihel , Ismail Saloua , Hammasi Chourouk , Bechrifa Emna , Hsinet Jihene , Benzarti Aida
Published: July 2024

Introduction

Given the diversity and seriousness of infectious risks (IR) in hospital laboratories, we undertook this study to assess knowledge, attitudes and practices of laboratory staff regarding IR.

Methods

Descriptive cross-sectional study conducted among the staff of all the laboratories at La Rabta Hospital over a two-month period in 2023.

Results

We included 63 participants, 48% of whom were laboratory technicians. Participants reported that the most frequent route of exposure to infectious agents was the mucocutaneous route (71%). In the event blood exposure accident, participants gave correct answers in the event of eye splash in 40% and percutaneous accidents in 37% of cases. Recapping needles with both hands was reported by 52% of participants. They reported not knowing circumstances leading to aerosol formation in 10% of cases and that the respiratory mask adequate for those circumstances was the FFP2 mask in 75%. Participants reported that access to technical rooms was restricted to only authorized workers in 67% and that there was a separation between clean and exposed areas in 35%. They reported that biohazardous waste containers were available at each workstation in 73% of cases and that handwashing stations were well-equipped in 41% of cases. Since their hiring, participants reported that they underwent occupational health check-ups in 48% of cases and that they received training regarding IR in 39% of cases.

Discussion

We highlighted significant knowledge gaps and poor practices related to IR among hospital laboratories staff.

Conclusion

Our results undermine the need to strengthen knowledge and reinforce prevention related to IR in hospital laboratories.
P-249 WHAT IS THE PREVALENCE OF HUMAN T-CELL LYMPHOTROPIC VIRUS-1 (HTLV-1) IN HEALTHCARE WORKERS (HCWS) WORLDWIDE? A REVIEW OF THE LITERATURE
Authors: Georgia Koopmans Imogen Emily , Chuah Chee Kuan
Published: July 2024

Introduction

HTLV-1 is a retrovirus with long latency that can cause severe disease, transmitted through breastfeeding, blood or sexual contact. It is estimated to affect 5 to 10 million people worldwide which is of growing concern, with higher prevalence in parts of Africa, the Caribbean, South America and Southern Japan. Prevalence of HTLV-1 among HCWs is important in the context of exposure prone procedures and the possible onward transmission risk to patients, as well as understanding the risk of occupational-acquired infection through body fluid exposures.

Methods

A literature search across EMBASE, MEDLINE and a hand search resulted in 23 relevant HTLV-1 prevalence abstracts. 7 abstracts were excluded due to duplication or irrelevance.

Results

Data on HTLV-1 prevalence is limited generally, but especially in HCWs. A systematic review by Stufano et al. found a 14.3% HTLV-1/2 rate among HCWs in a small investigative group in the Congo Democratic Republic. They also highlighted a US survey indicating an HTLV-1/2 rate of 0.94 per 100,000 person-years among military HCWs. Finally, Olaleye et al. found HTLV-1/2 seroprevalence rates of 3.3% amongst Nigerian HCWs.

Discussion

The scarcity of epidemiological data in some regions may underestimate worldwide HTLV-1 prevalence. Where prevalence data is available, challenges arise in extrapolating it to HCWs due to demographic differences and migration from endemic areas. The reviewed literature also demonstrates considerable variability in data sources.

Conclusion

Overall, understanding HTLV-1 prevalence among HCWs worldwide is crucial for ensuring occupational safety, preventing inadvertent transmission, and informing evidence-based infection control measures and policies.
P-253 AN IN-DEPTH EVALUATION OF THE EFFECTIVENESS OF MEDICAL FACE MASKS WORN BY HEALTHCARE WORKERS IN IRAN DURING THE COVID-19 PANDEMIC
Authors: Jahangiri Mehdi , Gharibi Vahid , Berizi Enayat , Cousins Rosanna , Tessarolo Francesco , Sheykhshoaei Morteza , Jafari Saeed , Rismanchian Masoud
Published: July 2024

Introduction

The COVID-19 pandemic has led to an increase in the production of medical face masks (MFM) as an affordable solution for personal protection against the highly contagious respiratory coronavirus. However, many domestically produced masks were introduced into workplaces without going through quality control processes. The effectiveness of a large number of MFM produced in Iran was untested, so the study aimed to evaluate the performance of MFM produced in Iran that are used by healthcare workers.

Methods

The study used two laboratory setups to evaluate bacterial filtration efficiency and differential pressure according to Standard EN14683:2019, and to assess features of the melt-blown layer using scanning electron microscope images. Samples were taken from ten uncertified brands of MFM commonly used by healthcare workers and five certified brands of MFM.

Results

The quality factor of the Reference Sample was nearly twice as high as that of the Test Sample. There was a positive correlation between bacterial filtration efficiency and quality factor and melt-blown layer grammage, and a negative correlation between fiber diameter and porosity.

Discussion

There was a high positive correlation between layer grammage and quality factor.

Conclusion

The uncertified MFM provides insufficient protection for healthcare workers, as they typically do not meet the recognized Standard for use as personal protective equipment.
P-260 SICKNESS ABSENTEEISM OF HEALTHCARE WORKERS IN A TEACHING HOSPITAL IN CENTRAL TUNISIA
Authors: Omrane Amira , Rjeb Jihen , Zaoueli Sihem
Published: July 2024

Introduction: Objective

To analyze the causes and occupational risk factors of sickness absenteeism in a teaching hospital in Tunisia.

Methods

This cross-sectional study reviewed data on the sickness absenteeism of healthcare workers (HCW) in a teaching hospitals of central region of Tunisia (Mahdia) during 2022. The study included exhaustively all hospital workers. Data on socio-professionnel (Age, sexe) and occupational factors (job type, ward) and nature of sickness absenteeism were collected. Sickness absence rate (SAR) and absence frequency rate (AFR) in the study period were calculated. Data was gathered from the computerized records of humain ressources.

Results

During 2022, 775 HCW were on sick leave (64%). During the study period, 2298 sick leave were treated giving a SAR and AFR were 9.12% and 1.08%, respectively. This study included predominantly women (79.29%) aged more than 35 years (79.9%). Nurses accounted for 42.44% of hospital staff. Ordinary sick leaves accounted for 89.7%. HCW worked predominately in Medical departmentsin 21.94%. The multivariate analysis revealed that only the nature of sick leave and Specialty of the prescribing physician were found to be higher risk factors of sick leave duration with an odd ratio respectively of 1.13 and 13.83 (CI= [0.138-2.127], p<0.026) and CI= [13.086-14.575], p<0.000).

Discussion and conclusion

This study provides valuable insights into the patterns of sickness absence among HCW in Tunisia, shedding light on an important issue within the healthcare sector. The findings underscore the significant prevalence of sickness absenteeism, particularly among nurses. Further research is needed to delve deeper into the determinants and consequences of sickness absence among HCW.
P-261 CARING FOR THE CARER - HEALTH CARE WORKERS EXPOSURE TO PSYCHOSOCIAL HAZARDS IN THE WORKPLACE - A SCOPING REVIEW
Authors: Bester Michelle
Published: July 2024

Introduction

Exposure to psychosocial hazards in the workplace is linked to work related health complaints, loss of productivity, and loss of performance. The World Health Organization and the European Agency for Health and Safety at Work reported that psychosocial hazards affects workers to occupational hazards that put them at risk of chronic fatigue; physical and psychological violence and harassment at work. Psychosocial hazards has have negative effects on the mental and physical well-being of health practitioners. The objective of the review is to determine what psychosocial hazards health care workers are exposed to in their daily work and how it affects their physical and mental wellbeing within and outside the workplace.

Methods

The search for relevant studies included databases such as CINAHL, Medline, and Ebscohost from 2017 to 2022. The review process was be guided by a predefined protocol. Articles were screened for eligibility as recommended by the Joanna Briggs institute for scoping reviews. Full review and English studies were included.

Results and discussion

Insufficient occupational health and safety measures can result in high rates of absenteeism, reduced productivity and diminished quality of care. Mental health issues can contribute to reduced performance, and increased possibility of human error, which may pose a threat to both health workers and patient safety.

Conclusion

Identification and management of psychosocial hazards in the workplace, will protect the health, safety and well-being of health workers.