bluuebunny/crossref_metadata_2025 huggingface dataset:
P-187 DEPLOYING A NEW PHYSICIAN WELL-BEING CONCEPTUAL FRAMEWORK TO IGNITE PHYSICIANS’ JOY IN MEDICINE AT A LARGE HEALTH SYSTEM
Authors: Moline Jacqueline
Published: July 2024

Introduction

Participants of this presentation will have the opportunity to learn about a 5-part engagement plan to redevelop an enterprise-wide physician well-being framework and roadmap by incorporating the organization’s culture, identity, and experience into a data-driven approach to understanding burnout indicators and their underlying key factors.

Methods

These efforts are showcased through the assembly of a brand campaign and communication plan. 1. Discovery Our physician group harnesses historical administrative data to identify and map local strategies, programs, services, and other activities to create meaningful change. 2.Benchmarks A review of literature and current practices, and knowledge exchange with subject matter experts provided us with immeasurable understanding of lessons. 3.Assessment Focus groups are conducted with key stakeholders from locations, service lines, and departments across the health system. 4.Design Our Well-Being Committee created a task force made up of key internal stakeholders, with the intention to support efforts mitigating risk factors, with the hopes to improve overall satisfaction among the workforce it serves. 5.Activation of partnerships to lead the re-designing of a new front-facing dashboard, messaging, and other material.

Results and discussion

The redevelopment plan has already begun to yield results, observing significant increase in engagement and programmatic participation among physicians. We have created a conceptual framework to align with our strategy, reflecting the physician’s needs and the organizational culture, and designed an operational framework to assign accountability and measurement.

Conclusion

Programs to improve physician’s intellectual, occupational, social, personal, physical, spiritual, and emotional well-being will continue to be evaluated, improved, and developed under our long-term strategy.
O-111 EFFECT OF EXPOSURE TO AIR POLLUTION DURING PREGNANCY ON ANTHROPOMETRIC MEASUREMENTS OF NEWBORNS IN SEME-KPODJI IN BENIN
Authors: Hinson Antoine Vikkey , Lawin Hervé , Dandji Severin , Adjobimey Menonli , Cisse Ibrahim Mama , Mikponhoue Rose
Published: July 2024

Introduction

Air pollution is a real public health problem. In Africa, few studies have been published on the effect of air pollutants on anthropometric measurements of the newborn child.

Objective

Assess the effects of exposure to carbon monoxide and particles matter during pregnancy on newborn measurements.

Methods

This, is a prospective cohort, conducted over 8-month period at SÈMÈ KPODJI. Data collection was based on two questionnaires, the measurement of carbon monoxide and fine particulate matter levels using EL-USB-CO ® individual recorders, and MICROPEMS® in 85 pregnant women, followed by the measurement of anthropometric data from their newborn babies.

Results

The majority of pregnant women used solid fuels (wood, charcoal) for cooking (94.1%) and was exposed to smoke from the combustion of mosquito waste and spirals (75.3% and 69.4%). The average concentration of particles matter in the air breathed by pregnant women was doubly high compared to the standards recommended by WHO, while that of carbon monoxide met them. A significant reduction in birth weight was associated with a unit increase in PM2.5 and carbon monoxide respectively -16.71 g[-21.23;-10.49] and -8.19g[-14.53;-3.56]. A significant reduction in chest circumference of -0.19cm [-0.37;-0.01] is associated with fine particles but not with carbon monoxide. Body size and head perimeter are not significantly associated with exposure to fine particulate matter or CO.

Discussion and conclusion

exposure to fine particles and carbon monoxide during pregnancy negatively influences the anthropometric measurements of the newborn. It seems obvious that measures must be taken to reduce pregnant women’s exposure to air pollution. Further studies are needed.
P-204 OCCUPATIONAL EXPOSURE TO RESPIRABLE CRYSTALLINE SILICA IN MUNICIPAL HOUSEHOLD WASTE COLLECTION AND ROAD CLEANING WORKERS
Authors: Kim Boowook
Published: July 2024

Introduction

Despite the increase in the number of cases among South Korean sanitation workers, lung cancer as a result of exposure to occupational carcinogen has not been sufficiently investigated. This study aimed to identify exposure levels of sanitation workers to respirable crystalline silica (RCS) for various tasks and factors that affect individual RCS exposure.

Methods

Exposure to RCS was assessed for 90 sanitation workers from seven companies. The samples were collected by the personal sampling evaluation method. After respirable dust was collected in accordance with the National Institute for Occupational Safety and Health 7500 method, the concentration of quartz was analyzed using X-ray diffraction.

Results and discussion

The obtained geometric mean value of the RCS was 2.6 µg m–3, which is a similar level to recommendations set by California’s Office of Environmental Health Hazard Assessment’s Recommended Exposure Limit. Meanwhile, coal briquette ash (CBA) collectors exhibited the highest RCS concentration (24 µg m–3), followed by road cleaning workers who used a blower, municipal household waste collectors, sweepers, and drivers (p < 0.05). Additionally, when the ANOVA was conducted, statistically significant differences were observed in RCS concentrations among various factors such as job task, season, employment type and city scale.“

Conclusion

Our study confirmed that sanitation workers who work outdoors could be exposed to RCS. Due to the possibility of exposure to high RCS concentrations, special attention should be paid to the collection of used CBA and road cleaning involving the use of a blower.
P-208 THE BASICS OF WIKIPEDIA FOR OSH HEALTH PROFESSIONALS BASED ON PRACTICE: A HANDS-ON EDITING SESSION TO EXPAND THE REACH AND IMPACT OF OUR EVIDENCED-BASED INFORMATION. (BRING YOUR LAPTOP)
Authors: Lum Max
Published: July 2024

Introduction

Wikipedia the collaboratively written, web-based encyclopedia is the dominant online global reference for patients, health providers and the public. Wikipedia ranks as the seventh most accessed internet web site with a reported 18 billion page views a month. This ICOH session is designed to provide the basics of editing and examines how Wikipedia is currently used by the National Institute for Occupational Safety and Health (NIOSH), highlighting use during the Covid-19 pandemic.

Methods

This interactive presentation is guided by the results of a continuing investigation of how traffic from Wikipedia articles correlates with traffic to the main NIOSH web site and how page view statistics compare to organic search and other web site drivers of information dissemination.

Results

Data shows that by developing and implementing a carefully crafted online editing strategy Wikipedia can become an important driver of evidenced-based information.

Discussion

Currently, after Google search Wikipedia is the number one driver of visitors to the Institute’s web site. The rank of a web sites among search engines depends on search engine algorithms and search engine optimization strategies (SEO), which aim to influence rankings. Wikipedia enhances global search algorithms.

Conclusion

Given Wikipedia’s unique global reach the possibility for international collaboration has the potential of enhancing the worldwide delivery of free, high quality, and up to date OSH prevention interventions and research. Investigators hypothesize that well received Wikipedia edits of broad public interest will spawn positive global derivative work and stimulate new page edits as well as increase access to OSH evidence-based information
O-125 THE ROLE OF STAKEHOLDERS ENGAGEMENT TO DEFINE EUROPEAN TRAINING PRACTICES ON NANOMATERIALS AND ADVANCED MATERIALS SAFETY AND HEALTH AT WORK
Authors: Boccuni Fabio , Ervik Torunn , Ferrante Riccardo , Fonseca Ana Sofia , Fransman Wouter , Iacopino Daniela , Jensen Keld Alstrup , Saavedra Ruth Jimenez , Kelly Sean , Pingue Pasqualantonio , Prodanov Dimiter , Jimenez Araceli Sanchéz , Shandilya Neeraj , Tombolini Francesca , Zienolddiny Shan , Porcari Andrea
Published: July 2024

Introduction

Training of personnel engaged in the research, production, and use of nanomaterials (NMs) and advanced materials (AdMa), as well as those responsible for risk assessment (RA), is essential to anticipate and prevent occupational safety and health (OSH) risks, and promote sustainability since the early stages of the development process.

Methods

A research project to provide guidance for training on emerging risks in production and use of NMs and AdMa (“Nano-AM OSH Training”) has been conducted among the PEROSH network. Up to 150 experts on NMs, AdMa, training and education activities, risk analysis and OSH were invited to participate in an online survey (22 questions) structured in three sections: i)needs and objectives of the training; ii)tool and practices; iii)respondent profile. The survey ran from September to November 2022 on the SurveyMonkey web platform.

Results

58 stakeholders from 16 EU Countries indicated the anticipation and prevention of risks (60%) and practicing with RA tools for NMs and AdMa (53%) as main objectives of the training. Although the training modules should be tailored to the skills and needs of the recipients, the most relevant targets are OSH professionals (93%) who make strong contribution to RA at enterprise level. Effectiveness could be ensured by including practical case studies and examples (77%) and high-skilled teachers (74%).

Discussion and Conclusions

The study provided a wide and clear picture of stakeholders’ priorities to implement training activities on NMs and AdMa for workers’ safety and health. Next challenge will be to translate these findings in harmonized training modules targeting the recipients’ needs
O-131 ENHANCING MARITIME TELEMEDICINE KNOWLEDGE, PERCEPTION, AND AVAILABILITY FOR SEAFARER SAFETY IN THE GULF OF GUINEA: A QUANTITATIVE STUDY AMONG NIGERIAN MARITIME WORKERS
Authors: Uraih Obiageli , Peters Eno , Umuna Antony , Jamoh Bashir , Ochie Victor
Published: July 2024

Background

The Gulf of Guinea, renowned for its challenging maritime conditions, underscores the critical role of telemedicine in safeguarding the welfare of seafarers. Nigeria, a prominent maritime actor, necessitates a comprehensive inquiry into seafarers’ awareness, perceptions, and access to telemedicine services as it is an emerging field and a recent telemedicine centre has been built by the Nigerian government. This research aimed to assess the knowledge and perception levels of telemedicine among Nigerian maritime workers; and secondly, to determine the availability and utilization of telemedicine services within the Gulf of Guinea’s maritime zones. Telemedicine in maritime health is guided by the policies from the International Labour Organization (ILO) and the International Maritime Organization (IMO). The ILO and IMO, through Resolution MSC.421(98), has issued guidelines for telemedicine in maritime health, advocating for its integration to address health emergencies effectively.

Methods

This is a quantitative cross-sectional design, 300 maritime workers participated evenly across Nigeria’s four maritime zones, employing systematic random sampling. Data were collected via a structured survey instrument, with descriptive statistics revealing insights into participants’ telemedicine awareness, knowledge, and perceptions.

Results

Preliminary findings showed substantial telemedicine awareness among respondents (72%), but only 45% received training, a statistically significant gap (χ² = 24.63, p < 0.001). Telemedicine availability varied across zones, with Central maritime zone at 57% and Northern maritime Zone at 29%.

Discussion and conclusion

This study findings highlights the need for targeted educational and training initiatives aimed at augmenting awareness and proficiency in telemedicine among Nigerian maritime workers. Telemedicine service disparities underscore the need for equitable access.
O-134 ADDRESSING HEALTHCARE WORKERS’ MENTAL HEALTH: A SYSTEMATIC REVIEW OF EVIDENCE-BASED INTERVENTIONS
Authors: Oregon W Kent Anger , Dimoff Jennifer , Oregon Lindsey Alley
Published: July 2024

Introduction

Mental health issues (e.g., distress, burnout) and mental illnesses (e.g., anxiety, depression) are associated with increased absenteeism and presenteeism (i.e., lost productivity or reduced performance), turnover, and increased rates of short-term and long-term disability in the workforce. Our objective is to provide a systematic review of intervention literature focused on the support and treatment of mental health within the healthcare workforce, as a guide to hospital administrators grappling with these problems.

Methods

Databases (e.g., Ovid, Medline, PsycINFO were searched using terms representing the target population (e.g., physicians, nurses, specialists), mental health outcomes (e.g., burnout, depression, anxiety), and intervention type (e.g., training program). Search was unbounded through March, 2022.

Results

Of 5,082 publications screened, 120 interventions were included. Randomized Control Trials were used by 54 studies (45%). Studies were conducted in 26 countries; most interventions were conducted in the US (45; 38%). Of the 77 interventions, 92(77%) reported significant effects and 47 (39%) reported measurable effect sizes. Twenty-nine interventions significantly reduced stress (24%), 19 reduced anxiety (16%), 15 reduced depression (13%), 16 reduced burnout (13%) and 17 reduced emotional exhaustion/compassion fatigue (14%).

Discussion

Twenty-eight of the 120 interventions produced at least one improved outcome that met the criterion for a large effect size. Most interventions focused on helping the individuals cope with or avoid mental health problems; few were focused on improving the workplace to support employee health.

Conclusion

Targeted, well-designed workplace mental health interventions can improve mental health outcomes among healthcare workers.
O-137 UNVEILING THE SILENT BATTLE: IMPACT OF LONG COVID ON HEALTHCARE WORKERS’ WORK-ROLE FUNCTIONING
Authors: Aribou Zeenathnisa , Wei Alvin Tan Kian , Lim See Ming , Lim John Wah , Gan Wee Hoe , Koh David , Ng Wee Tong
Published: July 2024

Introduction

This study assesses the prevalence of Long COVID and evaluates its impact on Healthcare Workers’ (HCW) work-role functioning in two Singapore tertiary hospitals.

Methods

A cross-sectional survey, comprising the Work Role Functioning Questionnaire version 2.0 (WRFQv2.0) and U.S Centers for Disease Control and Prevention Household Pulse Survey for Long COVID, was conducted electronically for HCWs above 21 years old, employed by either one of the hospitals, and previously diagnosed with COVID-19.

Results

A total of 573 participants were included, with a response rate of 3.6%. Prevalence of long COVID (symptoms for 4 weeks or more) was 47.5%, with significantly higher proportion of younger workers (less than 40 years old), HCWs with moderate or severe infections, and multiple infections. Compared to HCWs without Long COVID, HCWs with Long COVID had significantly lower WRFQv2.0 mean scores (85.1 vs 74.3, p<0.05). Of note, HCWs with 12 weeks or more symptoms had significantly lower WRFQv2.0 mean scores than HCW without Long COVID (85.6 vs 73.4, p<0.05).

Discussion

The study suggests that Long COVID substantially affects work functioning of HCWs, particularly in those experiencing symptoms for prolonged durations. The findings emphasize the importance of prompt identification and evaluation of HCWs with Long COVID, especially those with moderate or severe COVID-19 infection or multiple infections, to understand the potential impact on work-role functioning and recommend the necessary work adjustments required.

Conclusion

Long COVID can have an impact on HCWs’ work-role functioning, highlighting the need for further attention to facilitate affected HCWs’ successful return to work at pre-illness levels.
O-139 THE ASSOCIATION BETWEEN PRE-PANDEMIC WORK STRESSORS AND BURNOUT PROFILES AND TRANSITIONS IN NURSES DURING COVID-19: IMPLICATIONS FOR SAFEGUARDING HEALTHCARE WORKERS FROM BURNOUT DURING CRISES
Authors: Giusti Emanuele Maria , Veronesi Giovanni , D’Amato Alessia , Gianfagna Francesco , Borchini Rossana , Iacoviello Licia , Ferrario Marco Mario
Published: July 2024

Introduction

Burnout was prevalent during COVID-19 among healthcare workers, yet the impact of pre-pandemic work stressors on its development has been overlooked. This study aimed to assess the role of work stressors on burnout profiles before and during the pandemic and on the transitions between these profiles.

Methods

N=377 nurses and nurse assistants responded to a survey before COVID-19 (mid-2019) investigating work stressors (HSE Indicator Tool), work satisfaction, and burnout (Maslach Burnout Inventory). During COVID-19 (January 2021), they responded to a second survey assessing burnout. Latent Transition Analysis (LTA) was used to analyse the associations between work stressors and burnout profiles membership and transitions.

Results

Nurses were classified in the Engaged (67%), Ineffective (15%), and Burnout (18%) profiles before COVID-19, and in the Engaged (37%), Overextended (51%), and Severe burnout (12%) profiles during COVID-19. The Severe burnout profile consisted of 70% subjects previously in the Burnout profile, 25% in the Ineffective profile, and 5% in the Engaged profile. Work stressors and satisfaction were associated with both pre-pandemic and pandemic burnout profiles. Moreover, participation in the work organisation, role clarity and work satisfaction protected from transitioning from Engaged or Ineffective to Overextended or Severe burnout, whereas managers’ support, peers’ support and hostile relationships were detrimental. Demands favoured the transition to Overextended but protected against transitioning to Severe burnout.

Discussion

Burnout profiles during COVID-19 were linked to the pre-pandemic ones. Pre-existing work stressors were associated with profile membership and transitions.

Conclusion

To safeguard healthcare workers from burnout during major crises, healthcare organisations should tackle long-standing work stressors.
P-218 KNOWLEDGE ATTITUDE PRACTICE (KAP) TO HEPATITIS B VIRUS (HBV) AMONG HCWS (HCW) IN SALEM DISTRICT, TAMIL NADU, INDIA
Authors: Janardhanam Vishnumohan , V Akila , Subramanium Sakthivelraj
Published: July 2024

Introduction

India harbors over 40 million HBV carriers. HCWs are routinely exposed to HBV through patients. We studied the KAP of HCWs to HBV in Salem District, South India.

Methodology: An observatory cum comparative study was conducted in 2021-22 on 278 HCWs employed in government and private sectors in suburban and rural settings. They took a pretested KAP questionnaire (from a similar study at Lao PDR), with regional modification. Option of anonymity was offered. HCWs other than those practicing allopathic medicine and doctors were eliminated. Six sigma tools were used to validate the study.

Results

Knowledge of HBV vaccination & PEP was high among HCWs in government sector (86.3%) compared to the private sectors (54.2%). Of the 54.2% in the private sector 65.7% worked in NABH accredited hospitals. Only 48.74% of the HCWs who had knowledge of vaccination in both sectors had completed 3 doses, 15.16% were partially vaccinated. There was a very low level of PEP practice with only 3.93% of all respondents having taken PEP following needle stick injury.

Discussion

Knowledge level was unsatisfactory among the HCWs in unorganized private sector. Among those with awareness about the infection and of HBV vaccination, less than half reported full vaccination. PEP practices were minimal. Government sector HCWs completed their vaccinations due to easier access.

Conclusion

Measures need to be taken to educate the unorganized private sector. HBV vaccinations could be provided as a mandatory part of the healthcare qualification structure. This can mitigate the occupational risk of HBV among HCWs and onward transmission to patients.
P-219 HANDLING OF HAZARDOUS DRUGS IN SPANISH NURSES
Authors: Benavent M Amparo Benavent
Published: July 2024

Introduction

The handling of hazardous drugs is a specific, significant and not well known risk that affects the work of nurses.

Methods

A survey of 786 Spanish nurses investigated how often nurses handle hazardous drugs, what training and skills they have to do so, what preventive measures are taken to avoid contact and what health problems may be related to their handling.

Results

The results obtained indicate regular contact of nurses with HDs in all care areas, significant lack of training and information and preparing some HDs in wards, rather than in BSC.

Discussion

The toxic effects of many drugs have been demonstrated by numerous research studies. Regulatory provisions make it mandatory to protect health care workers. However, the results show that the nurses’ information and training on the toxicity and health risks of the drugs they are using is deficient. Almost half of the nurses had no information about the toxicity of the medicines they handled and the preventive measures they should take. Less than half of the nurses surveyed had individual safety equipment at their workplace or used protocols for the safe handling of HDs. More than half of the nurses responded that they did not receive specific health surveillance. A high number of nurses reported having experienced health problems, among which the frequency of miscarriages is striking.

Conclusion

The results therefore suggest that more research, better prevention and control measures and specific health surveillance for all nurses handling HDs are needed.
P-222 SEXUAL HARASSMENT BY PATIENTS OR CLIENTS: INVESTIGATING ITS PREVALENCE AND ASSOCIATIONS WITH IMPAIRED MENTAL-HEALTH AMONG SOCIAL AND HEALTHCARE WORKERS IN GERMANY
Authors: Vaupel Claudia , Adler Mareike , Vincent-Höper Sylvie , Gregersen Sabine , Schablon Anja , Nienhaus Albert
Published: July 2024

Introduction

Sexual harassment in the workplace is a global issue. Social and healthcare workers are at high risk of experiencing sexual harassment. The aim of the study was to investigate the prevalence rates of nonverbal, verbal and physical sexual harassment from patients and clients against healthcare workers. The links between sexual harassment and the mental health of affected employees were assessed, and data regarding knowledge of support offers within the facility was collected.

Methods

A cross-sectional survey was conducted in 61 facilities from different healthcare sectors. Data was collected using a validated questionnaire to assess various forms of sexual harassment as well as mental health impairments.

Results

A total of 929 respondents participated in the survey, of which 901 were included in the analysis (response rate 16%). Overall, 62.5% had experienced nonverbal sexual harassment, 67.1% verbal sexual harassment and 48.9% physical sexual harassment by patients or clients. All three forms of sexual harassment showed statistically significant positive correlations with impaired mental health among those affected. Over 30% of healthcare workers reported being unaware of support services at their facilities.

Discussion

The prevalence rate of sexual harassment by patients or clients toward social and healthcare workers was high and substantial associations with impaired mental health were identified. In contrast, we observed low awareness of support services for sexual harassment.

Conclusion

Dealing with sexual harassment in the workplace requires a harassment-specific approach, and more individualised workplace protection concepts are needed. Existing sexual harassment prevention and aftercare measures should be improved.
P-226 PSYCHOSOCIAL WORKING CONDITIONS AND MENTAL HEALTH AMONG MEDICAL ASSISTANTS IN GERMANY: A SCOPING REVIEW
Authors: Schmidt-Stiedenroth Kira , Mambrey Viola , Dreher Annegret , Loerbroks Adrian
Published: July 2024

Introduction

Medical assistants (MA) constitute one of the largest professional groups in outpatient health care in Germany. We aimed to review original studies to 1) shed light on the concepts and instruments used to capture the psychosocial working conditions and mental health among MA in Germany, 2) present respective findings, and 3) determine research gaps.

Methods

We systematically searched four databases for peer-reviewed articles and grey literature in English or German published between 2002 and 2022. The employed search strings relied on the PCC-framework for scoping reviews: Population (MA), Concept of interest (psychosocial working conditions and/or mental health), and Context (Germany).

Results

Nineteen quantitative, 10 qualitative, and one mixed-methods study were included after a multistage selection process. With respect to psychosocial working conditions, quantitative and mixed-methods studies overall report positively about job satisfaction, job control, demands, and rewards with the exception of income, whereas qualitative studies report negatively about job control in specific work areas, and high demands related to workload, time pressure and job intensity. Quantitative and qualitative studies reported that social interactions are important resources for MA. Eight studies (all quantitative) captured mental health among MA using established instruments, indicating normal to high prevalences of anxiety, burnout, depression, and stress among MA.

Discussion

The reviewed studies capturing psychosocial working conditions used heterogenous concepts and instruments, making comparisons difficult. Only few studies captured mental health, but used established instruments.

Conclusion

Preliminary analyses indicate mixed results regarding psychosocial working conditions and normal to poor mental health among MA.
P-228 DEVELOPMENT AND VALIDATION OF THE PRESENTEEISM CLIMATE QUESTIONNAIRE AMONG NURSES IN SELANGOR, MALAYSIA
Authors: Yusoff Hanizah Mohd , Saruan Nur Abidah Mat , Yew Sheng-Qian
Published: July 2024

Introduction

Despite the high prevalence of sickness presenteeism (SP) among nurses, there is a lack of knowledge on the determinants of SP in this population. In response, the current study aimed to develop and validate a novel questionnaire, known as the Presenteeism Climate Questionnaire (PCQ), to identify the determinants of SP among the nurses.

Methods

Nurses working in 12 public hospitals in Selangor, Malaysia were invited to attend focus group discussions (FGDs) to explore their experience on SP. Themes extracted from FGDs and from existing literature were used to generate items for the PCQ. Data from 218 participants were analysed using exploratory factor analysis (EFA) to establish the questionnaire’s factor structure. Confirmatory factor analysis (CFA) was then conducted on a separate dataset of 217 participants to confirm the factor structure.

Results

Five FGDs were conducted among 28 nurses. Six themes of SP from FGDs and three additional themes from existing literature generated 54 items for the PCQ. EFA retained 28 items across nine factors, while CFA retained 19 items across seven factors, namely the “negative perception on sick leave”, “burdening of co-workers”, “lack of shared responsibility”, “accumulation of workload”, “self-arrangement for sick leave for replacement”, “workplace norms”, and “organisational support”.

Discussion and conclusion

The PCQ is a novel and multidimensional questionnaire specifically developed to evaluate the determinants of SP among the nurses. It has the potential to be a valuable tool for assessing SP in future intervention studies.
P-235 USE OF THE NOMINAL GROUP TECHNIQUE TO SPECIFY UNSAFE DRIVING BEHAVIOUR WHILE COMMUTING AMONG HOSPITAL NURSES
Authors: Ismail Khairil Idham , Yusoff Hanizah Mohd , Ismail Rosnah , Dahlan Nofi Yuliani , Khamis Nor Kamaliana
Published: July 2024

Introduction

Commuting possesses unique characteristics in the context of the nursing profession that potentially influence driving behaviour. These characteristics include familiarity, complacency, error-proneness and mind-wandering. Yet, validated scales incorporating these characteristics are still lacking. Before a novel and culturally adapted scale could be developed, stakeholders should be consulted to specify dimensions as guided by relevant theories. This study demonstrated how stakeholders including traffic safety policymakers, practitioners, academicians and nurses were consulted to specify the dimensions.

Methods

This study employed two sessions of the Nominal Group Technique (NGT). A total of 19 mixed-group participants were involved. A four-step sequential protocol was used for collecting participants’ key ideas on how a nurse drives when experiencing poor physical or mental wellbeing while commuting to work: 1) silent idea generation, 2) round-robin collection, 3) idea clarification, and 4) ranking. Similar ideas were clustered and coded with an appropriate group theme.

Results

A total of six themes emerged based on the 107 keywords generated. The themes are as follows: (1) drowsy driving (2) violation and risky driving (3) negative emotions (4) mind-wandering (5) carelessness, and (6) non-vigilance error.

Discussion

In light of these findings, these themes can be used to develop a novel scale to assess nurses’ unsafe driving behaviours while commuting.

Conclusion

The scale can be adapted to other group of healthcare workers and different cultures. Additionally, the survey can be used to measure the effectiveness of educational interventions aimed at reducing unsafe driving behaviours. Keywords: nominal group, unsafe driving, nurses, commuting
P-256 CONTENT VALIDITY AND OMEGA RELIABILITY OF UNSAFE DRIVING BEHAVIOURS WHILE COMMUTING SCALE AMONG HOSPITAL NURSES IN MALAYSIA
Authors: Ismail Khairil Idham , Yusoff Hanizah Mohd , Ismail Rosnah , Khamis Nor Kamaliana
Published: July 2024

Introduction

Increasing numbers of road crashes involving nurses have raised concerns about unsafe driving behaviors. Thus, an initial items pool of unsafe driving behavior while commuting (UDWC) was developed to assess the prevalence of unsafe driving behavior among nurses. We aimed to create a validated and reliable instrument to help future studies profile unsafe driving behavior by examining the content validity and Omega reliability of a scale.

Methods

There were two parts to the study. A content validity test was conducted with fifteen experts (two rounds) in academia and in traffic safety practice along with a face validity test with six nurses. Overall items were harmonized prior to factor analysis and scale’s reliability which was evaluated by 135 hospital nurses.

Results

Out of 43 initial items, final expert evaluation yielded Item Content Validity Index and kappa values ranging between 0.6 to 1.0 and 0.49 to 1.0 respectively. The Item Face Validity Index was ranging from 0.5 to 1.0, with FVI-Ave of 0.84. The Scale Content Validity Index was 0.95. Final harmonization of overall items yielded 24 items. Six constructs were recovered through EFA. High levels of reliability were found for the negative emotions (Ω=0.89), traffic violations (Ω=0.93), error (Ω=0.9), carelessness (Ω=0.79), drowsy driving (Ω=0.95) and mind-wandering (Ω=0.89)

Discussion and conclusion

The content and face validity for the UDWC among nurses were determined. Despite the study’s limitations, the results of this study suggest that UDWC scale could be used in local studies investigating UDWC among nurses. Future studies could consider convergent, discriminant and predictive validity to enhance its validity.
P-262 MUSCULOSKELETAL PROBLEMS AND PERCEIVED STRESS AMONG YOUNG DOCTORS IN TUNISIA
Authors: Ghrab Mohamed Anis , Sellami Imen , Daoud Hanene , Hammami Kaouthar Jmal , Hajjaji Mounira , Masmoudi Mohamed Larbi
Published: July 2024

Introduction

Young doctors, aiming to excel in knowledge, clinical skills, and research, grapple with mounting pressures affecting their mental and physical health. This study examines the link between perceived stress and musculoskeletal problems (MSP) among them.

Methods

We conducted a cross-sectional study (January to April 2023) engaging interns and residents from Sfax. The Perceived Stress Scale-10 and Nordic questionnaire gauged perceived stress and MSP. Physical intensity and specialty satisfaction were rated on a scale of 1 to 10.

Results

Six-hundred and seventeen participants, with a sex ratio of 0.42, took part. Residents constituted 65.5%, including 18.8% surgeons. Mean age was 26.96±2.83, BMI was 23.4±3.84. Psychiatric history was reported by 5.8%. Over the past year, 31.8% experienced MSP, mainly back issues (24.1%). In the previous week, 13.4% reported MSP. Mean Perceived Stress Scale-10 (PSS-10) score was 14.94±5.01, with 65.2% having moderate to high perceived stress. PSS-10 score correlated with female sex (p=0.004), psychiatric history (p<0.001), physical intensity (p<0.001), and inversely correlated with specialty satisfaction. PSS-10 score correlated also to experiencing MSP in the last year and week (p=0.01 and p=0.02 respectively).

Discussion

The study highlights perceived stress’s substantial impact on musculoskeletal problems (MSP) among young doctors. Gender, psychiatric history, physical intensity, and specialty satisfaction influence perceived stress. The prevalence of MSP, particularly back issues, underscores the significance of addressing both physical and mental well-being in medical training.

Conclusion

Implementing support measures, stress management, and strategies to achieve work-life balance are pivotal in alleviating stress’s adverse effects on the health and performance of young doctors.
P-269 ABSTRACT EXPOSURE STUDY OF HEALTHCARE PERSONNEL TO CORONAVIRUS AT COCODY UNIVERSITY HOSPITAL FROM APRIL 2020 TO SEPTEMBER 2021
Authors: Tchicaya Aimé Francois
Published: July 2024

Introduction

Faced with the rapid spread of COVID-19, frontline healthcare professionals found themselves at high risk of infection.

Methods

To describe the risk factors for COVID-19 exposure among healthcare personnel at CHU Cocody, we conducted a cross-sectional study of their working conditions. Data were collected through a questionnaire and analyzed using SPSS 18 and Excel 16.

Results

We included 129 healthcare workers, of whom 51.9% were female, with an average age of 34.7 ± 7.9 years. Nurses and nursing aides represented 34.9% and 33.3% of healthcare workers, respectively. Service disinfection occurred weekly in 11.3% of cases. Masks were used by 46.3% of healthcare workers. During breaks or meals, 69.8% of staff did not adhere to physical distancing or mask-wearing guidelines. Surgical masks were worn for 8 hours by 30% and for more than 24 hours by 12.5% of healthcare workers. Among those performing aerosol-generating procedures, 25% used surgical masks. In 70% of cases, personal protective equipment was insufficient. Vaccination status showed that 57.5% of healthcare workers were not vaccinated.

Discussion

Healthcare workers’ working conditions were factors favoring coronavirus exposure.

Conclusion

Emphasis should be placed on strengthening protective measures by ensuring an adequate supply of personal protective equipment and raising awareness among healthcare workers.

Keywords: Covid-19, healthcare workers, hospital.
P-275 DETERMINATION AND INDEMNITY OF OCCUPATIONAL DISEASES (A STUDY ON EXPERT ASSESSMENTS AT IBN ROCHD UNIVERSITY HOSPITAL’S MEDICO-LEGAL SERVICE OVER A 10-YEAR PERIOD)
Authors: Aheri Awatif , Belamine Fatima , Daerqaoui Mohamed Amine , Ajmani Fatima , Abouzahir Hind , Belhous Ahmed , Benyaich Hicham
Published: July 2024

Introduction

Occupational diseases are defined as being caused by work, either due to the use of harmful substances or specific work-related conditions. The indemnity for these diseases requires meeting certain criteria, which involve various medico-legal assessments.

Methods

This retrospective study examined expert assessments conducted over ten years (2013-2022) at the Ibn Rochd University Hospital’s medico-legal institute in Casablanca. The assessments aimed to determine the presence or absence of occupational diseases, and to potentially specify partial permanent disability rates.

Results

Among the cases studied, 64% concluded to the presence of an occupational disease, 67% of which were attributed to chemical agents. Allergenic agents (50.74%) were the primary cause. Average exposure duration was 20.8 years (6 months to 44 years). The mean partial permanent disability rate was 26% (5%-75%). Four deaths directly linked to occupational diseases were observed. We noted a male predominance with a sex ratio of 3.48, and the average age is of 53.78 years (28-81).

Discussion

Only 64% of the cases met the criteria for occupational disease recognition and thus their eligibility for partial permanent disability determination. Understanding indemnity processes aids in supporting victims in their medico-legal journey.

Conclusion

Preventive investment is crucial, considering the impact of occupational diseases in terms of health and of socio-economic expenses

Keywords: Occupational disease _ Exposure _ PPD _ Indemnity _ Repair
P-276 TOPIC: IMPORTANCE OF OCCUPATIONAL HEALTH IN HEALTH CARE FIELD- THE MOST NEGLECTED FOR SELF BY EVALUATING DATAS OF HYPERTENSION & DM-2 IN MEDICOS
Authors: Rathod Amit
Published: July 2024

Introduction

With efficient co-management of NCDs with primary healthcare doctors and other specialists, the OHS (Occupational Health Services) can serve as a gatekeeper for NCD screening at an earlier stage. This is not just for younger persons, for example, at the pre-employment stage, but also for older employee who are not concerned about their health status unless warranted by their employers through mandatory health screenings.

Methods

For this systematic review on the NCD risk factors in doctors in India, national or state-level (subnational) surveys, which collected volunteered information on Blood Pressure, HBA1C, irrespective of the period of data collection or reporting or the sample size, were searched for and evaluated, between February to July 2022. STUDY DESIGN: Cross Sectional community-based study.

Results

The prevalence of confirmed HTN was high around 57.5% in 35 to 40 years of age group, while for DM-2 it was around 52.5 % in the same age group of population which is alarmingly high. Followed by 31 to 35 age group HTN & DM-2 was 29.26 % & 36.58 % respectively.

Discussion and conclusion

As the awareness of the hypertension status among DM-2 & hypertensive cases were good (All Medicos), by avoiding self-health ignorance to increase the awareness of DM-2 & hypertension is also the need of the hour. Interventions like weight management, increased physical activity, increased fruits and vegetables consumption, and reduction in junk food & fast foods use are required and recommended.
P-279 ADVANCED MATERIALS AND THEIR POSSIBLE USE FOR INFECTIOUS RISK MITIGATION IN HEALTHCARE SETTING
Authors: Tomao Paola , Mansi Antonella , Marcelloni Anna Maria , Chiominto Alessandra , Bertani Roberta , Zappalorto Michele
Published: July 2024

Introduction

Hospital surfaces play an important role in the transmission of pathogens responsible for healthcare-associated infections (HAIs). In addition to patients, although less frequently, doctors, nurses and other health professionals may also be affected by these infections. The aim of this study is to assess the antibacterial activity of new epoxy resin-based materials (NM1 and NM2) for their possible use as collective protection measures in healthcare settings.

Methods

To evaluate the in vitro bactericidal activity of NM1 and NM2, the tests were carried out according to ISO 22196:2011. Known concentrations of E. coli ATCC® 8739 and S. aureus ATCC® 6538P were deposited on NM samples. Bactericidal activity was evaluated by calculating the average reduction (R) of the colony forming units (CFU) per cm2 in NM samples compared to controls.

Results

The results show that the NM1 is effective (R=2.36 Log CFU/cm2) against E. coli but not against S. aureus. As for the NM2, this has bactericidal activity both against E. coli (R=6.68 Log CFU/cm2) and against S. aureus (R=3.75 Log CFU/cm2).

Discussion

Our preliminary data are extremely promising, particularly those obtained from NM2 tests. Other experimental assays are currently underway on bacteria (Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter Baumanii) responsible for nosocomial infections.

Conclusion

Several pathogens can persist on hospital surfaces for a long time causing serious infections and epidemic outbreaks. The research in the field of advanced materials could make a significant contribution to the fight against HAIs also limiting the spread of multidrug resistant bacteria.
P-281 COVID-19 VACCINATION COVERAGE BY COMPANY SIZE IN JAPAN: A COHORT STUDY
Authors: Mori Koji , Mori Takahiro , Ando Hajime , Nagata Tomohisa , Hino Ayako , Tateishi Seiichiro , Tsuji Mayumi , Muramatsu Keiji , Fujino Yoshihisa
Published: July 2024

Introduction

Various individual and contextual factors influence vaccination coverage. We investigated the relationship between company size and coverage of COVID-19 vaccination in Japan where workplace vaccination programs were implemented mainly at large companies.

Methods

We conducted an internet-based prospective cohort study from December 2020 (baseline) to December 2021. We finally analyzed the data from 15,829 participants. At baseline, the participants were asked about the size of the company they worked for, and at follow-up, they were asked about the month in which they received their second COVID-19 vaccine dose and the availability of a company-arranged vaccination opportunity.

Results

In September (midpoint) and December (final point) in 2021, the odds of receiving a second COVID-19 vaccine dose were significantly lower for small-company and self-employed workers than for large-company employees. This difference decreased after adjusting for socioeconomic factors, and it disappeared for only small-company employees when additionally adjusting for the availability of a company-arranged vaccination opportunity. The odds ratios for self-employed workers (only 1 employee) compared to large-company employees remained significant at 0.84 and 0.65 in September and December, respectively.

Discussion

Differences in COVID-19 vaccine coverage were observed depending on the size of the company. The differences can be explained by various demographic factors and workplace vaccination. However, they could not explain the vaccination coverage of self-employed workers.

Conclusion

The low vaccination rates of the self-employed may be due to the employment status itself. It will be necessary to enhance support of vaccination for this population in the event of future infectious disease outbreaks.
P-293 BEYOND FLATTENING THE CURVE OF COVID 19: CONSULTATIVE GUIDANCE FOR WORKPLACE READINESS FOR SMALL SCALE ENTERPRISE FOR SAFE RETURN POST-PHASE I LOCKDOWN RESTRICTIONS - IAOH MUMBAI INITIATIVE
Authors: Shah Divyang , Moti Suvarna , Deshpande Ajay , Mishra Ashish , Paul Bishwadeep , Lele Damodar , Chavan Nilam , Datar Santosh , Pingle Shyam
Published: July 2024

Introduction

With ever emerging new information - validated or otherwise, it was a challenge to predict and plan the opening of business after lockdowns and restrictions. Mumbai branch of Indian Association of Occupational Health (IAOH) has 300+ OH physicians. By virtue of its mandate as a thought leader in the space of Occupational Health, constituted a Task Force to work on a series of advisories guiding this process of safe return for benefit of industries of all sizes – MNC to Indian Conglomerates to MSMEs.

Methods

This consultative document with detailed guidelines was published in May 2020, at the peak of COVID19 pandemic when vaccination seemed like a distant possibility, with the specific objective of preparing the workplaces to receive the workforce and ensuring their workplace safety.

Results

The document has enumerated measures for employee protection and maintenance of hygiene at workplace at length, inclusive of, advisory for entry health assessment through self-declaration form, usability of temperature screening, disinfection and guidelines on use of PPE for diverse employee groups, indoor air quality and air conditioning, temporary isolation rooms, contact tracing, Hands only CPR process etc. focusing and emphasizing enterprises’ commitment to minimization of exposure to COVID-19 at workplace.

Discussion and conclusion

Some workplace related scenarios for employees with COVID history for decision-making regarding fitness to work have been described here.
O-162 RISK OF CANCER AMONG OFFSHORE PETROLEUM WORKERS
Authors: Undem Karina , Nordby Karl-Christian , Stenehjem Jo S , Kirkeleit Jorunn , Mehlum Ingrid S , Hasting Rachel L
Published: July 2024

Introduction

Petroleum workers offshore have a potential for exposure to known and suspected carcinogens. We aimed to assess cancer incidence in a Norwegian register-based cohort of offshore workers.

Methods

The cohort comprised 6600 men, aged 16-53, employed in offshore work in 1983, and was linked to the Cancer Registry of Norway for follow-up 1984–2020. Calendar period and age-standardised incidence ratios (SIRs) with 95% confidence intervals (CI) were estimated for all cancers combined and for 94 cancer sites using the general working population as the reference group.

Results

For all cancers combined, the study showed a SIR of 1.17 (95% CI: 1.11-1.23). Elevated risks were observed for cancer of the kidney (SIR: 1.35, 95% CI: 1.05-1.71), bladder (1.41, 1.14-1.74), larynx (1.92, 1.20-2.90), lung (1.26, 1.09-1.46), mesothelioma (1.90, 1.01-3.25) and oesophagus (all types (1.66, 1.13-2.36) and adenocarcinoma (1.80, 1.07-2.85)). However, no excess risk was observed for acute myeloid leukaemia (1.04, 0.47-1.97) or multiple myeloma (1.15, 0.78-1.63).

Discussion

Apart from the absence of excess risk of lymphohematological neoplasms and the novel finding of excess risk of kidney cancer, the findings corroborate existing research and underscore several cancer types for which offshore workers face increased risks. The available data did not allow for risk assessment of specific carcinogens or control of potential confounding factors such as lifestyle.

Conclusion

In this register-based study, offshore workers active in 1983 had increased risk of certain cancers compared to the general working population. Further investigation into length of exposure, period of exposure and job type could yield further valuable insights.