Occupational safety

职业安全
  • 文章类型: Journal Article
    目的:本研究评估了阿拉伯联合酋长国怀孕女性放射技师的放射安全意识水平和对防护措施的遵守情况,旨在找出差距并制定有针对性的干预措施,以加强职业安全。
    方法:采用横截面设计,这项研究使用了一份涵盖人口统计学的自行编制的问卷,调查了133名女性放射技师,意识和知识,工作场所的做法,通信,和满意度。
    结果:调查显示,放射技师的认知度很高,97%的人承认怀孕期间有辐射风险,虽然42.9%没有接受过正规培训。对长期健康影响的担忧是显著的,66.2%的参与者担心潜在的影响。尽管有这些担忧,83.5%已被告知辐射风险和防护措施,表明在许多工作场所提供活跃的信息。然而,注意到不同工作环境中信息传播的不一致。
    结论:这些发现强调了对怀孕放射技师制定标准化放射安全方案的必要性。安全培训和信息传播的可变性表明建立统一的安全实践的重要性。建议包括为怀孕的放射技师制订全面的教育和培训计划,确保就辐射安全和怀孕相关问题进行公开沟通,并为工作场所住宿执行明确的指导方针。
    OBJECTIVE: This study evaluates the level of radiation safety awareness and adherence to protective practices among pregnant female radiographers in the United Arab Emirates, aiming to identify gaps and develop targeted interventions for enhancing occupational safety.
    METHODS: Employing a cross-sectional design, the study surveyed 133 female radiographers using a self-developed questionnaire covering demographics, awareness and knowledge, workplace practices, communication, and satisfaction.
    RESULTS: The survey showed high awareness among radiographers, with 97% acknowledging radiation risks during pregnancy, although 42.9% had not received formal training. Concerns over long-term health effects were significant, with 66.2% of participants worried about potential impacts. Despite these concerns, 83.5% had been informed about radiation risks and protective measures, indicating active information provision in many workplaces. However, inconsistencies in information dissemination across different work settings were noted.
    CONCLUSIONS: The findings highlight the need for standardized radiation safety protocols for pregnant radiographers. The variability in safety training and information dissemination suggests the importance of establishing uniform safety practices. Recommendations include developing comprehensive education and training programs for pregnant radiographers, ensuring open communication for radiation safety and pregnancy-related concerns, and enforcing clear guidelines for workplace accommodations.
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  • 文章类型: Journal Article
    背景:白天困倦影响工作效率,职业安全,和公共卫生。尽管先前的研究报道了环境二氧化碳(eCO2)与白天嗜睡之间的关联,由于缺乏标准化的抽样和分析协议,得出一个确切的结论一直是具有挑战性的。
    目的:我们检查了在5,000(ppm,百万分之几)白天嗜睡。
    方法:11名健康参与者(24±3岁的男性,mean±SD)在环境控制室中在两种条件下完成了四小睡多睡眠潜伏期测试(MSLT)方案:CO2条件(4,851±229ppm)和对照条件(1,102±204ppm)。采用斯坦福嗜睡量表(SSS)问卷对患者的主观嗜睡水平和认知表现进行评价,精神运动警觉测验(PVT)每次午睡后的Stroop测试。
    结果:在CO2暴露条件下观察到睡眠潜伏期显着减少(对照与CO2=13.1±3.3minvs.9.7±3.2分钟)。CO2暴露条件下的主观嗜睡评分也明显高于对照条件(对照与CO2=2.7±0.5vs.4.7±0.8)。午睡后的认知反应在不同条件下没有显着差异。
    结论:这项研究表明,在工作场所暴露于浓度高达安全上限的环境CO2可显着缩短睡眠潜伏期,并增强MSLT午睡期间的主观嗜睡,而不影响每次暴露后的认知反应。我们的结果表明,暴露于高环境CO2会导致白天嗜睡,这可能会损害工作效率和安全性。
    BACKGROUND: Daytime sleepiness affects work efficiency, occupational safety, and public health. Although previous studies have reported an association between environmental carbon dioxide (eCO2) and daytime sleepiness, it has been challenging to draw a firm conclusion due to the lack of standardized sampling and profiling protocols.
    OBJECTIVE: We examined the effect of pure CO2 exposure at 5,000 (ppm, parts per million) on daytime sleepiness.
    METHODS: Eleven healthy participants (males of 24 ± 3 years, mean ± SD) completed a four-nap multiple sleep latency test (MSLT) protocol in the environmentally controlled chamber under two conditions: the CO2 condition (4,851 ± 229 ppm) and the Control condition (1,102 ± 204 ppm). The subjective sleepiness level and cognitive performances were also evaluated using the Stanford Sleepiness Scale (SSS) questionnaire, Psychomotor Vigilance Test (PVT), and Stroop test after each nap session.
    RESULTS: A significant reduction in sleep latency was observed in the CO2 exposure condition (Control vs. CO2 = 13.1 ± 3.3 min vs. 9.7 ± 3.2 min). The subjective sleepiness scores were also significantly higher in the CO2 exposure condition than in the Control condition (Control vs. CO2 = 2.7 ± 0.5 vs. 4.7 ± 0.8). Cognitive responses after naps showed no significant difference across conditions.
    CONCLUSIONS: This study revealed that exposure to environmental CO2 at a concentration as high as the upper safety limit at work sites significantly shortened the sleep latency and enhanced subjective sleepiness during naps in the MSLT without affecting cognitive responses after each exposure. Our results demonstrated that exposure to high environmental CO2 induces daytime sleepiness that potentially compromises work efficiency and safety.
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  • 文章类型: Journal Article
    在建筑行业,大多数安全文化研究仅限于一个国家,很少关注跨国研究。这限制了为强大的框架和可靠的安全文化规模奠定基础。这项研究通过研究10个国家的安全文化来解决这一差距,包括那些没有以前研究的人。测量仪器,由311名建筑工人完成,确定了衡量安全文化的七个关键因素,内容和结构效度,确保调查结果的信度和效度。结果表明,工作经验,受教育程度和就业状况对员工安全文化有显著影响。此外,调查了这些因素在各国之间的异同,宿命论和乐观因素以及工作压力和优先因素是建筑业安全文化弱化的最重要因素。这项研究使行业从业者能够系统地评估现场安全文化,监督实践并改进。
    In the construction industry, most safety culture studies are limited to a single country, with minimal attention to cross-country studies. This limits creating a foundation for a robust framework and reliable safety culture scale. This study addresses this gap by studying safety culture in 10 countries, including those without previous studies. The survey instrument, completed by 311 construction employees, identified seven key factors measuring safety culture, with content and construct validity ensuring the reliability and validity of survey findings. Results indicated that work experience, education level and employment status have significant impacts on employees\' safety culture. Additionally, similarities and differences in these factors across countries were investigated, and the fatalism and optimism factor and the work pressure and priority factor are the most significant contributors to the weakening of safety culture in the construction industry. This research allows industry practitioners to systematically assess on-site safety culture, oversee practices and improve.
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  • 文章类型: Journal Article
    在学术界,社会心理危险因素起着举足轻重的作用,对学者的福祉和绩效产生相当大的影响。过多的工作负载等因素,坚持不懈的业绩预期,时间限制,竞争气氛会对他们的健康和整体生活质量产生不利影响。此外,社会孤立等问题,工作与生活的不平衡,学术焦虑进一步加剧了这些挑战,阻碍学术进步和成功。
    因此,必须识别,缓解,并有效管理心理社会风险因素,以营造有利于生产力和成就的有利学术环境。
    这项研究采用了一种新颖的方法,整合专家意见,利用正弦三角毕达哥拉斯模糊数来确定重要程度,并通过DEMATEL方法对心理社会风险因素进行排名。这种方法对现有文献提出了独特的贡献,为这个关键的研究领域提供新的见解。
    对25个因素的评估揭示了职业倦怠,工作不满意,不稳定的工作条件,缺乏信任,不公平的待遇,工作不安全感,和有限的发展机会是首要问题,强调这些挑战的多面性。
    在职业领域,所有利益相关者积极参与解决心理社会风险对于有效解决问题至关重要。有关各方有责任履行职责,促进合作,改善工作条件,确保公平,并促进专业成长的途径。解决和预防的每个已确定的风险因素都可以切实减少工作场所事故和职业疾病,强调主动风险管理的实际好处。
    UNASSIGNED: In the realm of academia, psychosocial risk factors play a pivotal role, exerting considerable influence on the well-being and performance of scholars. Factors such as excessive workloads, unrelenting performance expectations, time constraints, and competitive atmospheres can detrimentally affect their health and overall quality of life. Moreover, issues like social isolation, work-life imbalance, and academic anxiety further compound these challenges, impeding academic progress and success.
    UNASSIGNED: Thus, it is imperative to identify, mitigate, and manage psychosocial risk factors effectively to foster a conducive academic environment conducive to productivity and achievement.
    UNASSIGNED: This study employs a novel approach, integrating expert opinions and utilizing sine trigonometry Pythagorean fuzzy numbers to ascertain the degrees of importance and rank psychosocial risk factors through the DEMATEL method. This methodology presents a unique contribution to existing literature, offering fresh insights into this critical area of study.
    UNASSIGNED: Evaluation of 25 factors reveals burnout, job dissatisfaction, precarious working conditions, lack of trust, unfair treatment, job insecurity, and limited developmental opportunities as primary concerns, underscoring the multifaceted nature of these challenges.
    UNASSIGNED: In the occupational sphere, active participation from all stakeholders in addressing psychosocial risks is paramount for effective problem resolution. It is incumbent upon parties involved to discharge their duties, foster collaboration, enhance working conditions, ensure equity, and facilitate avenues for professional growth. Each identified risk factor addressed and preempted translates into a tangible reduction in workplace accidents and occupational ailments, underscoring the tangible benefits of proactive risk management.
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  • 文章类型: Journal Article
    目的:本研究的目的是:(1)了解工作场所暴力(WPV)对大型多州紧急医疗服务(EMS)机构内员工的个人影响,(2)描述WPV对后续患者互动的影响,检查暴力经历如何影响EMS临床医生提供的护理质量,(3)检查WPV对院前人员感知工作场所安全的影响及其与EMS领域保留的相关性,(4)征求工作人员的建议,以便将来预防和减轻WPV。方法:我们在2023年4月5日至2023年6月20日之间,在中西部大型EMS机构中使用描述性定性设计,对22名院前人员进行了虚拟焦点小组和个人访谈。使用主题分析对数据进行了分析,以确定参与者之间和参与者之间的共同看法。结果:确定了个人影响的主要主题;对患者互动的影响;WPV对职业寿命/可持续性的影响;以及EMS文化与WPV之间的关系。总的来说,参与者都认为WPV是“工作的一部分”,而且这种辱骂是如此普遍,以至于他们以前不认为这是暴力。参与者提供了WPV的几个例子,并描述了这些经历如何影响他们个人(例如高度警惕)以及影响他们随后与患者的互动(例如更快地使用约束,失去同理心)。与会者一致认为,EMS不再受到患者或社区的重视或尊重。一些人表达了对下一代同事的担忧,几乎所有参与者都报告了对情境意识的教育和培训的必要性,降级,和自卫战术。与会者提到希望与执法部门加强协调和沟通,患者虐待文化的改变没有影响,并在暴力事件后改善机构的心理健康支持和同伴支持/指导。尽管有WPV的经验,大多数人报告计划留在EMS。结论:紧急医疗服务人员通常在工作中受到暴力的创伤,而非身体暴力则被低估。尽管它对工作人员和随后的患者互动产生了影响,大多数参与者报告计划留在EMS内。需要多方面的以系统为重点的努力,以转向和支持WPV的零容忍文化。
    UNASSIGNED: The objectives of this study were to: (1) understand the personal impact of workplace violence (WPV) on staff within a large multistate emergency medical services (EMS) agency, (2) describe the impact of WPV on subsequent patient interactions, examining how experiences of violence affect the quality of care provided by EMS clinicians, (3) examine the influence of WPV on perceived workplace safety among prehospital personnel and its correlation with retention in the EMS field, and (4) solicit recommendations from staff for the prevention and mitigation of WPV in the future.
    UNASSIGNED: We conducted virtual focus groups and individual interviews with 22 prehospital personnel using a descriptive qualitative design within a large multistate Midwest EMS agency between 4/5/2023-6/20/2023. Data were analyzed using Thematic Analysis to identify common perceptions among and across participants.
    UNASSIGNED: Major themes of personal impact; impact on patient interactions; influence of WPV on career longevity/sustainability; and relationship between EMS culture and WPV were identified. Overall, participants shared the perception that WPV is \"part of the job\", and that verbal abuse was so common that they hadn\'t previously considered it as violence. Participants provided several examples of WPV and described how these experiences impacted them personally (e.g., hypervigilance) and impacted their subsequent interaction with patients (e.g., quicker to use restraints, loss of empathy). Participants shared the perception that EMS is no longer valued or respected by patients or communities. Several voiced concerns for the next generation of colleagues and nearly all participants reported the need for education and training in situational awareness, de-escalation, and self-defense tactics. Participants referenced desire for more coordination and communication with law enforcement, change in culture of abuse from patients without repercussions, and improved agency mental health support and peer support/mentoring following a violent event. Despite experiences with WPV, the majority reported plans to remain in EMS.
    UNASSIGNED: Emergency Medical Services personnel are commonly traumatized by violence in their work and nonphysical violence is underappreciated. Despite its impact on staff and subsequent patient interactions, most participants reported plans to remain within EMS. Multi-faceted system-focused efforts are needed to shift toward and support a zero-tolerance culture for WPV.
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  • 文章类型: Journal Article
    设计,实施,和评估是职业安全与健康(OSH)干预的三个重要阶段。历史上,有一种优先执行的趋势,经常忽略详细的设计和严格的结果评估。目前,已经改变了很多,当代方法认识到这些阶段的相互依存性,认为它们是任何干预成功的组成部分。这项工作提出了实施干预措施的全面程序,不仅要通过持续监测确保短期有效性,还要确保长期可持续性。重点是在意大利引入未遂管理系统(NMS)的国家OSH项目。
    最初的会议是在项目合作伙伴之间召开的,辅以对不同利益相关者的采访,计划实施步骤并测试NMS。量身定制的问卷是为不同的利益相关者群体设计的-初始发起人,公司经理和雇主,和员工-促进有针对性的实施,并在意大利地区开始了三个案例研究,以评估结构化的实施情况,涉及干预推动者和合作公司。
    主要成果是开发实用工具,特别是三份问卷,这些被认为对建立有效的以人为本的实施战略很有价值,精心设计,以促进对流程的持续监控和持续增强用于公司内部NMS集成的仪器。
    这项工作为在意大利成功实施NMS奠定了基础,尽管概述的程序有具体目标,它还提供了宝贵的见解,适用于在不同背景下提高干预措施的有效性和可持续性。强调了全面规划的重要性,利益相关者参与,和持续评估以实现持久的OSH干预措施。
    UNASSIGNED: The design, implementation, and evaluation are three important stages of occupational safety and health (OSH) interventions. Historically, there has been a tendency to prioritize implementation, often neglecting detailed design and rigorous outcome evaluation. Currently, much has changed, and contemporary approaches recognize the interdependence of these stages, considering them integral to the success of any intervention. This work presents a comprehensive procedure for implementing interventions, not only to ensure short-term effectiveness but also their long-term sustainability through continuous monitoring. The focus is on a national OSH project introducing a near-miss management system (NMS) in Italy.
    UNASSIGNED: Initial meetings were convened among project partners, complemented by interviews with diverse stakeholders, to plan implementation steps and test the NMS. Tailored questionnaires were designed for diverse stakeholder groups - initial promoters, company managers and employers, and employees - facilitating targeted implementation, and three case studies were started in Italian regions to assess the structured implementation, involving intervention promoters and collaborating companies.
    UNASSIGNED: The primary outcome is the development of practical tools, specifically three questionnaires, which are considered valuable for establishing an effective human-centered implementation strategy, meticulously designed to facilitate ongoing monitoring of processes and continual enhancement of instruments intended for NMS integration within companies.
    UNASSIGNED: This work lays the foundation for successful NMS implementation in Italy and, although the outlined procedure had specific objectives, it also provides valuable insights applicable in enhancing the effectiveness and sustainability of interventions across diverse contexts. It underscores the importance of comprehensive planning, stakeholder engagement, and continuous evaluation in achieving lasting OSH interventions.
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  • 文章类型: English Abstract
    在现代海上航行条件下,保护船员的生命对他们的健康和生活质量起着关键作用。实践证明,船东低估了职业伤害的真实统计数据,因为国际和国家立法对其管理和调查船舶事故的程序没有足够的规定。此外,船东执行现有标准的方法也有不同程度的责任,这使得防止此类事件的措施被不合理地低估了。这种情况导致船舶上的职业伤害增加,并允许船东或保险公司避免在一个人死亡的情况下向受伤的水手或其家人支付适当的款项。确定船员死亡或受伤原因的“迟来的”医学专家的复杂性也使得很难获得对由于职业创伤导致的水手残疾或死亡的认可的积极结果。以上所有描述证明了所述研究课题的重要性和现实性。本文详细研究了规范保护水手的劳动和生命以及医疗保健的规范性法案。也被认为是原因,船舶职业创伤的因素和类型。结合海事实践,分析了事故统计和调查程序。研究了医学专业知识的问题,并确定了主要的问题。提出了解决方案的建议。
    In modern conditions of maritime navigation, protection of lives of crew members plays key role for their health and quality of life. The practice testifies that shipowners underestimate real statistics of occupational injuries, since procedure for its management and investigation of accidents on ships are not sufficiently regulated in international and national legislation. Besides, approaches of shipowners to implementation of existing standards also have different levels of responsibility that leaves measures preventing such incidents unreasonably underestimated. This situation results in increasing of occupational injuries on ships and allows shipowners or insurance companies to avoid proper payments to injured sailor or his family members in case of one\'s death. The complexity of implementation of \"belated\" medical expertise to determine cause of death or injury of crew member also makes it difficult to obtain positive result of recognition of disability or death of sailor as result of occupational traumatism. All the described above testifies importance and actuality of stated research topic. The article examines in detail normative acts regulating protection of labor and life and medical care of sailors. Also are considered causes, factors and types of occupational traumatism on ships. The accident statistics and procedure of their investigation are analyzed in relation to maritime practice. The issues of medical expertise are studied and main problematic issues are identified. The recommendations for their solution are formulated.
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  • 文章类型: Journal Article
    埃塞俄比亚是一个快速增长的经济体,城市化迅速,职业安全措施较差。跌倒损伤是常见的并且经常导致创伤性脑损伤(TBI)或脊髓损伤(SCI)。
    我们前瞻性地纳入了2017年在亚的斯亚贝巴接受神经创伤治疗或法医检查的跌倒受害者。埃塞俄比亚。我们记录了社会人口因素,秋季类型,受伤,治疗,和结果。
    我们包括117名接受治疗的患者和51名死亡患者(中位年龄27岁与40年)。大多数患者在建筑工地受伤(39.9%),只有三分之一使用防护设备。TBI(64.7%)和SCI(27.5%)是死亡患者中最常见的死亡原因,其中大部分在事故现场死亡(90.2%)。许多患者遭受显著的院前时间延迟(中位数24小时)。在接受治疗的患者中,SCI比TBI更频繁(50.4%与39.3%),10.3%的患者同时患有SCI和TBI。大多数SCI是完整的(49.3%),而大多数TBI是轻度的(55.2%)。不到一半的TBI患者和不到五分之一的SCI患者进行了手术。TBI患者的死亡人数是SCI患者的两倍。在那些活着出院的人中,中位数为33周,50%的TBI患者恢复良好,而35.5%的SCI患者完全受伤。
    建筑工地的跌倒安全措施不足是SCI和TBI导致严重残疾和死亡的常见原因。这些结果支持埃塞俄比亚预防策略和神经创伤护理的进一步发展。
    UNASSIGNED: Ethiopia is a fast-growing economy with rapid urbanization and poor occupational safety measures. Fall injuries are common and frequently result in traumatic brain injury (TBI) or spinal cord injury (SCI).
    UNASSIGNED: We prospectively included fall victims who were hospital-treated for neurotrauma or forensically examined in 2017 in Addis Ababa, Ethiopia. We registered sociodemographic factors, fall types, injuries, treatment, and outcome.
    UNASSIGNED: We included 117 treated and 51 deceased patients (median age 27 vs. 40 years). Most patients were injured at construction sites (39.9%) and only one in three used protective equipment. TBI (64.7%) and SCI (27.5%) were the most common causes of death among the deceased patients, of which most died at the accident site (90.2%). Many patients suffered significant prehospital time delays (median 24 h). Among treated patients, SCI was more frequent than TBI (50.4% vs. 39.3%), and 10.3% of the patients had both SCI and TBI. Most SCIs were complete (49.3%), whereas most TBIs were mild (55.2%). Less than half of TBI patients and less than one in five SCI patients were operated. There were twice as many deaths among TBI patients as SCI patients. Among those discharged alive, at a median of 33 weeks, 50% of TBI patients had a good recovery whereas 35.5% of SCI patients had complete injuries.
    UNASSIGNED: Falls at construction sites with inadequate safety measures were common causes of SCI and TBI resulting in severe disability and death. These results support further development of prevention strategies and neurotrauma care in Ethiopia.
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  • 文章类型: Journal Article
    本文介绍了有关组织信任对企业安全级别影响的研究的概念和结果。研究结果提供了有效和可靠的统计证据,表明员工对管理的信任是显著影响公司安全的重要因素。特别是,研究结果表明,员工对管理的信任间接影响安全结果(完全调解),由于他们参与安全公民行为(SCB)的改善;而且,更好地参与SCB应通过改善员工的健康与安全(H&S)法规合规性(部分调解)直接或间接有助于减少事故事件的发生。此外,研究结果证明,H&S中感知的管理承诺的改善将进一步加强管理信任与SCB参与之间的正相关关系(交互效应)。
    This article presents the concept and results of a study on the effects of organizational trust on the safety level in an enterprise. The research results presented provide valid and reliable statistical evidence that employees\' trust in management is an important factor that significantly affects safety in a company. In particular, the research findings prove that employees\' trust in management affects safety outcomes indirectly (full mediation), due to the improvement in their engagement in safety citizenship behaviour (SCB); but also that better engagement in SCB should directly or indirectly contribute to the reduction of accident event occurrence through improvement in employees\' health and safety (H&S) regulation compliance (partial mediation). Moreover, the research findings prove that improvement in perceived management commitment in H&S will additionally strengthen positive relationships between trust in management and SCB engagement (interaction effect).
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  • 文章类型: Journal Article
    当未登记的就业因更受监管的工作条件而减少时,职业事故预计会减少,检查,以及法律保护的机会。在研究中,对这一推定的准确性进行了检验。
    本研究旨在研究保护性法律法规如何在职业事故与非正式就业之间产生关系,例如土耳其的《职业健康与安全法》。
    在研究中,它是在定量方法的框架内构建的,使用相关性和斜率计算,在非正规就业和职业事故之间创建了各种级别的关系链。官方数据集是使用土耳其统计研究所和社会保障机构的二级数据创建的。
    已经确定,土耳其2008-2012年(立法前)未登记就业与职业事故之间的低正相关(r=0.166)在2013-2020年(立法期)变为中负方向(r=-0.602)。虽然未经登记的就业在第一阶段会减少的假设得到证实,尽管第二阶段的非正式性下降,但职业事故的增加证明了这一假设。
    这项研究是独一无二的,因为它表明,在未登记就业率很高的发展中国家,工伤事故保护条例并没有反映出短期和中期工伤事故数量的减少。
    UNASSIGNED: Occupational accidents are anticipated to decline when unregistered employment declines because of more regulated working conditions, inspections, and opportunities for legal protection. In the study, the accuracy of this presumption was examined.
    UNASSIGNED: This study aims to examine how to protective legal regulations generate a relationship between occupational accidents and informal employment such as the Occupational Health and Safety Law in Turkey.
    UNASSIGNED: In the research, which was structured within the framework of the quantitative method, various levels of relationship chains were created between informal employment and occupational accidents using correlation and slope calculations. The official data set was created using secondary data from the Turkish Statistical Institute and the Social Security Institution.
    UNASSIGNED: It has been determined that the low positive correlation (r = 0.166) between unregistered employment and occupational accidents in 2008-2012 (pre-legislation period) in Turkey changed to the medium-negative direction (r=-0.602) in 2013-2020 (legislation period). While the assumption that unregistered employment would decrease in the first period was confirmed, the hypothesis was falsified by the increase in occupational accidents despite the decrease in informality in the second period.
    UNASSIGNED: This study is unique because it shows that in a developing country where unregistered employment is high, the protective regulations for work accidents do not reflect a decrease in the number of work accidents in the short and medium term.
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