key: cord-0881645-jk0ns4z5
authors: Jaladara, Vena; Hasanbasri, Mubasysyir
title: The need for strengthening occupational safety and health management approach for healthcare workers in Indonesia primary healthcare centers: Lesson from COVID-19
date: 2022-01-31
journal: Safety and Health at Work
DOI: 10.1016/j.shaw.2021.12.1437
sha: 8625ca7d56778a8759b13448c90c726817ba3b17
doc_id: 881645
cord_uid: jk0ns4z5

Introduction:The COVID-19 pandemic has an impact on all people in the world, but burdens more on health workers as frontliners who are directly involved in handling and tackling the pandemic. It is known that a total of 2032 health workers died from being infected with COVID-19 during the pandemic, both health workers who served in hospitals and primary healthcare centers in Indonesia. This calls for a need to strengthen the occupational safety and health management system for health workers in Indonesia. Materials and Methods: A qualitative study was conducted through the focus group discussion method on 18 heads of primary healthcare centers and 18 laboratory workers in Yogyakarta who were selected purposely. Results: There are two important points found in this study. First, although the need for supporting facilities and infrastructure for health workers such as personal protective equipment and personal hygiene facilities is ideally met, most health workers stated that they had experience of being infected with COVID-19 at least 2 times during the pandemic. Second, in addition to the impact on physical health, the mental health of health workers is an important issue that is expected to be paid more attention to in a pandemic situation. Conclusions: Occupational safety and health regulations for health workers at the primary healthcare centers have not been optimally enforced. Improvements in preventive management related to occupational safety and health aspects for health workers at the primary healthcare centers need to be carried out immediately.

measured the body water content, pulse, core body temperature, blood pressure, creatinine, and urinary analysis before and after the work shift. We obtained the amount of water intake, environmental and personal measurements of temperature, humidity, and heat stress index during the work shift. Physicians interviewed the study subjects to confirm their medical history. Paired sample t-tests were used to test the pre and post-measurements. Results and Conclusions: After excluding 18 subjects who did not wear PPE in the pilot study, 34 HCWs were used in the analyses (male: 11.8%; female: 88.2 %). Most of them were nurses, with a mean age of 30.53 years old (SD 6.82) . After a work shift, 14.7% of the subjects had incident AKI (1.5 times reference value or increaseS0.3 mg/dl). Core body temperature increased 0.27 degree (95% confidence interval [CI]: 0.16 to 0.38), creatinine level increased 0.161 mg/dl (95% CI: 0.11 to 0.22, p<0.001). The estimated glomerular filtration rate (eGFR) showed a significant decline in renal function p<0.001 Introduction. Occupational stress is an important factor affecting health. Difficult working conditions, unexpected situations, and emotional engagement are psychological strains of healthcare workers. Adverse event (AV) is unintended harm to the patient caused by medical management rather than by the underlying disease or condition of the patient. Resilience after AVs is one's capacity to cope with those stressors. We present a Croatia case study in this paper. Material and Methods. This study will cover the regulations and quality standards related to adverse events, register of adverse events in University Hospital Centre Zagreb (UHC Zagreb) and survey for healthcare workers. Results. In Croatia, the law on quality of healthcare requires management of adverse events. Within the documentation of the quality management system in hospital, there is a procedure on the adverse events management (AEs), which clearly defines how to report AEs. Department for quality created a register for AEs and collect the data. Commission on quality of UHC Zagreb discusses AVs and preventive measures. Every year Department for quality research stress at work in a hospital. Employees give high marks to their clear role at work. During the COVID 19 pandemic, significantly more employees stated that they needed psychological support due to emotionally demanding work. A te for psychological support starts to work for all employees at the beginning of the pandemic. At the international level, UHC Zagreb is part of the European researchers' network working on second victims (ERNST), which is important for future activities to increase employee.

A multilevel approach to individual and organizational predictors of stress and fatigue among healthcare workers of Paris university hospitals: A longitudinal analysis from the STRIPPS survey Background: Healthcare workers are at high risk of experiencing stress and fatigue due to the demands of their work within hospitals. Improving their physical and mental health, thus the quality and safety of care, requires considering factors at both individual and organizational levels. Our objective was to identify the predictors of stress and fatigue in healthcare workers in several wards from Paris university hospitals using a 1-year follow-up. Material and Methods: Multicenter prospective cohort study. Participants were drawn at random from 32 hospital wards in Paris. Perceived stress and fatigue levels were assessed with the PSS-10 and the Pichot scale respectively, every 4 months at T0, T1, T2 and T3. A 3-level longitudinal analysis was performed accounting for repeated measures (level 1) across participants (level 2) nested within wards (level 3). Results: 730 healthcare workers were included (nurses¼52.6%; auxiliary nurses¼41.1%; physicians¼4.8%; midwives¼1.5%). Across time, stress remained stable whereas fatigue showed an increasing trend (p¼ 0.02). Best individual-level predictors to explain perceived stress and fatigue were work overinvestment, presenteeism, lack of hierarchical support, low perception of safety culture, professional status and the best ward-level predictors were medical specialty and lower number of beds of the ward. Conclusions: Our results may help identify at-risk healthcare workers and wards, where interventions to reduce stress and fatigue could be focused. These interventions could include manager training to favor better staff support and overall safety culture in healthcare.

The need for strengthening occupational safety and health management approach for healthcare workers in Indonesia primary healthcare centers: Lesson from COVID-19

Vena Jaladara 1 , Mubasysyir Hasanbasri 2 1 Faculty of Medicine, Public Health and Nursing/Universitas Gadjah who are directly involved in handling and tackling the pandemic. It is known that a total of 2032 health workers died from being infected with COVID-19 during the pandemic, both health workers who served in hospitals and primary healthcare centers in Indonesia. This calls for a need to strengthen the occupational safety and health management system for health workers in Indonesia. Materials and Methods: A qualitative study was conducted through the focus group discussion method on 18 heads of primary healthcare centers and 18 laboratory workers in Yogyakarta who were selected purposely. Results: There are two important points found in this study. First, although the need for supporting facilities and infrastructure for health workers such as personal protective equipment and personal hygiene facilities is ideally met, most health workers stated that they had experience of being infected with COVID-19 at least 2 times during the pandemic. Second, in addition to the impact on physical health, the mental health of health workers is an important issue that is expected to be paid more attention to in a pandemic situation. Conclusions: Occupational safety and health regulations for health workers at the primary healthcare centers have not been optimally enforced. Improvements in preventive management related to occupational safety and health aspects for health workers at the primary healthcare centers need to be carried out immediately. Introduction: Natural rubber latex is commonly used in health care for medical gloves. The use of powder latex gloves has been banned in many countries due to the risk of developing adverse effects exposed to them. Latex gloves with powder are used on a daily basis in Croatian hospitals. Material and Methods: This study was approved by the Ethics Committee of the University of Zagreb School of Medicine. The Participants were healthcare workers who work in hospitals and use latex gloves every day. self -reported questionnaire was used for latex allergy screening and the participants could report all the skin problems related to the use of latex gloves. Data were collected in May 2018. Results: In the study participated 455 healthcare workers. Of all participants, after latex glove use, half of them had symptoms of hand dermatitis and 18 % reported urticaria. Contact dermatitis develops more significantly in the participants who wear gloves more than 5 hours a day (P¼0.001). Most of the participants who suffered from hand dermatitis related to latex didn't have any symptoms when they were on holiday or sick leave. Participants with symptoms of contact dermatitis associated with wearing gloves are more likely to develop an allergic reaction. They have urticarial when they are in contact with elastic straps (P¼0.00), blowing balloons (P¼0.03), using condoms, diaphragms, and other sexual aids (P¼0.00). Conclusion: Awareness of latex products and powdered latex gloves as an occupational hazard is important, as well as continuing education about latex and raising awareness about latex allergy in everyday life.

Effectiveness of BNT162b2 COVID-19 vaccine among healthcare workers of a large hospital, Milan, Italy

HCWs without history of SARS-CoV-2 infection before the start date and with at least a nasopharyngeal test afterwards were included. Vaccination was treated as a time-dependent variable. For selected periods after vaccination we calculated incidence rate ratios (IRR) and 95% confidence intervals (CI) of infection with a Poisson regression model adjusted for gender, age, occupation, and 30-day periods, and then VE as (1 e IRR)x100 using unvaccinated person-time as reference

We included 3,809 HCWs, 131 still unvaccinated and 3,678 vaccinated (3,576 with two doses)

After full vaccination schedule VE was 89% (CI: 82-94) for symptomatic and 77%

we found high effectiveness of BNT162b2 vaccine in reducing incidence of both symptomatic and asymptomatic infections. The follow-up is continuing to assess long-term effectiveness