occupational health and safety

职业健康与安全
  • 文章类型: Journal Article
    性工作的刑事定罪与暴力风险增加和缺乏对性工作者的工作场所保护有关。全球大多数司法管辖区禁止性工作的某些或所有方面,新西兰是一个明显的例外,性工作已通过OHS指南合法化和监管。我们使用《新西兰性行业职业健康与安全指南》(NZ指南)作为分析框架,以检查在最终需求定罪下,大温哥华地区室内性工作者的心理社会OHS状况的生活经验。我们进行了47次半结构化采访,用英语进行,普通话,和2017-2018年粤语,室内性工作者和第三方为其提供服务。参与者的叙述使用基于新西兰指南的社会心理因素部分的编码框架进行分析,包括暴力和投诉过程中的安全和保障,其中强调了室内性工作环境中最终需求性工作立法的具体OHS缺陷。参与者发现严重缺乏OHS支持,包括缺乏安全培训,拒绝服务的权利,以及在侵犯劳工权利或欺诈的情况下诉诸司法,抢劫或暴力。我们的发现强调了通过制定和实施由室内色情行业设计和为室内色情行业设计的OHS指南,使性工作完全合法化以促进性工作者获得OHS的好处。OHS指南应侧重于劳工权利和保护,包括发展性工作者拒绝服务和诉诸司法的权利。
    Criminalization of sex work is linked to increased risk of violence and lack of workplace protections for sex workers. Most jurisdictions globally prohibit some or all aspects of sex work with New Zealand constituting a notable exception, where sex work has been decriminalized and regulated via OHS guidelines. We used the Guide to Occupational Health and Safety in the New Zealand Sex Industry (NZ Guide) as an analytical framework to examine the lived-experiences of psychosocial OHS conditions of indoor sex workers in Metro Vancouver under end-demand criminalization. We drew on 47 semi-structured interviews, conducted in English, Mandarin, and Cantonese in 2017-2018, with indoor sex workers and third parties providing services for them. Participants\' narratives were analyzed using a coding framework based on the NZ Guide\'s psychosocial factors section, including safety and security from violence and complaints processes, which highlighted specific OHS shortcomings in the context of end-demand sex work legislation in indoor sex work environments. Participants identified a significant lack of OHS support, including a lack of safety training, right to refuse services, and access to justice in the context of labour rights violations or fraud, robbery or violence. Our findings emphasize the benefits of full decriminalization of sex work to facilitate sex workers\' access to OHS through development and implementation of OHS guidelines designed by and for the indoor sex industry. OHS guidelines should focus on labour rights and protections, including development of sex workers\' right to refuse services and access to justice.
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  • 文章类型: Journal Article
    背景:发电厂与许多职业健康和安全风险因素有关,心理社会风险尤其显著。这项研究调查了发电厂员工的工作生活冲突和倦怠,并讨论了与这些问题相关的因素。
    方法:这项横断面研究的重点是土耳其三个水力发电厂的员工。纳入标准包括任期至少一年的员工。使用整群抽样,在阿达纳选择了三种植物,安卡拉,还有Samsun.确定样本量为262,201名员工参与,产生76.7%的应答率。数据是通过使用结构化问卷的面对面访谈收集的,包含有效和可靠量表的子维度:哥本哈根社会心理问卷III(COPSOQ-III)的工作-生活冲突和倦怠子维度用于测量因变量。独立变量包括年龄,教育水平,总工作时间和每周工作时间,感知的健康状况,和部门。因变量为工作-生活冲突和倦怠。伦理批准是从加济大学伦理委员会获得的。统计学分析比较皮尔逊卡方检验,费希尔的精确检验,和Yates校正,显著性阈值为p<0.05。
    结果:平均年龄为40.83岁,平均任期为11.54年,每周工作时间为43.51小时。大多数参与者(94.5%)是男性;技术单位工人占71.6%。健康问题包括吸烟(39.8%)和慢性病(19.9%)。对工作环境的担忧包括对安全的知识不足(25.4%)和对风险评估的知识不足(32.3%)。许多工人报告缺乏个人防护设备(11.4%)和休息区(15.4%)。31.8%的人注意到工作对健康的负面影响。此外,51.2%的人认为噪声水平超出了可接受的范围。三分之二的员工报告说,针对工作场所身体风险的措施不足。许多参与者经历了工作与生活冲突(13.9%)和倦怠(14.5%)。高工作生活冲突与年轻年龄组显著相关,更少的任期,和消极的感知健康状况。职业倦怠与就业持续时间显著相关,每周工作时间,和感知的健康状况。
    结论:该研究强调了水力发电厂工人职业倦怠和工作与生活冲突的严重性,强调需要采取行政和组织干预措施来缓解这些问题。定期进行职业健康安全培训,参与风险评估,公平的工作量分配,支持性的工作环境,建议提供咨询服务以减少职业倦怠并改善工作与生活的平衡。
    BACKGROUND: Power plants are associated with numerous occupational health and safety risk factors, with psychosocial risks being particularly significant. This study examines work-life conflict and burnout among power plant employees and discusses the factors associated with these issues.
    METHODS: This cross-sectional study focused on employees at three hydroelectric power plants in Turkey. The inclusion criteria included employees with at least one year of tenure. Using cluster sampling, three plants were selected in Adana, Ankara, and Samsun. The sample size was determined to be 262, and 201 employees participated, yielding a 76.7% response rate. Data were collected via face-to-face interviews using a structured questionnaire, which encompasses the sub-dimensions of a valid and reliable scale: The Work-Life Conflict and Burnout sub-dimensions of the Copenhagen Psychosocial Questionnaire-III (COPSOQ-III) were used to measure the dependent variables. The independent variables included age, education level, total and weekly working hours, perceived health status, and department. The dependent variables were work-life conflict and burnout. Ethical approval was obtained from the Gazi University Ethics Committee. Statistical analysis compared the Pearson chi-square test, Fisher\'s exact test, and Yates correction with a significance threshold of p < 0.05.
    RESULTS: The mean age was 40.83 years, with an average tenure of 11.54 years and a weekly work time of 43.51 hours. Most participants (94.5%) were male; technical unit workers comprised 71.6%. Health issues included smoking (39.8%) and chronic diseases (19.9%). Concerns about the working environment include insufficient knowledge about safety (25.4%) and lack of knowledge about risk assessments (32.3%). Many workers reported lacking personal protective equipment (11.4%) and rest areas (15.4%). Negative health impacts from work were noted by 31.8%. In addition, 51.2% believed that noise levels were outside the acceptable range. Two-thirds of employees reported inadequate measures against physical risks in the workplace. Many participants experienced work-life conflict (13.9%) and burnout (14.5%). High work-life conflict was significantly associated with younger age groups, less tenure, and negative perceived health status. Burnout was significantly related to the duration of employment, weekly working hours, and perceived health status.
    CONCLUSIONS: The study highlights the seriousness of burnout and work-life conflict among hydropower plant workers, emphasizing the need for administrative and organizational interventions to alleviate these issues. Regular occupational health and safety training, involvement in risk assessments, fair workload distribution, supportive work environments, and counseling services are recommended to reduce burnout and improve work-life balance.
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  • 文章类型: Journal Article
    这项关于睡眠障碍的研究出现在COVID-19大流行期间。我们的研究调查了远程工作者自我报告的睡眠障碍与雇主为改善其工作环境而采取的预防措施之间的关系。分析了通过网络调查从1086个远程工作者(2021年春季为517个,2022年春季为569个)获得的答案。在报告缺乏特定措施的受访者组中,所有预防措施的自我报告睡眠障碍的几率均显着较高。“我的雇主确定了我远程工作的条件”(调整后的OR=2.98,95%CI2.10-4.23)和“组织了在线团队建设活动”(调整后的OR=2.85,95%CI1.88-4.35)。我们的研究结果表明,作为睡眠障碍的中介的工作场所干预措施,即使他们不是直接针对控制睡眠障碍或压力,可以减少远程工作者报告睡眠障碍的数量。据我们所知,这是第一项报告雇主干预措施的有效性的研究,帮助远程工作者管理他们的睡眠障碍。
    This research on sleep disturbances emerged during the COVID-19 pandemic. Our study investigated the association between self-reported sleep disturbances among teleworkers and the preventive measures employers took to improve their working environment. Answers obtained via a web survey gathered from 1086 teleworkers (517 in the spring of 2021 and 569 in the spring of 2022) were analysed. The odds of self-reported sleep disturbances were significantly higher for all preventive measures in the group of respondents reporting a lack of a particular measure. The highest odds ratios were observed for the statement \"My employer identified conditions where I am teleworking\" (adjusted OR = 2.98, 95% CI 2.10-4.23) and \"Online team-building events were organised\" (adjusted OR = 2.85, 95% CI 1.88-4.35). The results of our study have revealed that workplace interventions that serve as a mediator for sleep disorders, even if they are not directly targeted at managing sleep disturbances or stress, can reduce the number of teleworkers reporting sleep disturbances. According to our knowledge, this is the first study reporting the effectiveness of employer interventions that help teleworkers manage their sleep disturbances.
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  • 文章类型: Journal Article
    新泽西州(NJ)安全学校计划(NJSS)为NJ教师提供代码要求的培训,以监督学生以工作为基础的学习(WBL)经验。在COVID-19大流行期间,增加化学清洗的使用,消毒,和消毒剂产品(CSDP)导致通风和其他健康问题。NJSS在2021年10月至2023年6月之间对新的NJWBL教师进行了两次调查,并在2022年秋季对那些在2022年夏季之前完成初步调查的人进行了跟进。这项研究的重点是有关工作场所通风的问题;呼吸器和CSDP培训;政府对安全和健康(S&H)资源的认识;和人口统计。超过65%的参与者教室有可操作的窗户或通风系统,而13%的学校沙龙有吊扇。一半的参与者没有接受处理CSDP的培训,尽管90%的人知道政府的S&H资源。数据表明,教师拥有通风良好的工作空间,并意识到可用的不同资源,这对继续发布COVID-19很重要。
    New Jersey (NJ) Safe Schools Program (NJSS) provides code-required trainings for NJ teachers supervising students in work-based learning (WBL) experiences. During the COVID-19 pandemic, increased use of chemical cleaning, sanitization, and disinfectant products (CSDPs) led to ventilation and other health concerns. NJSS conducted two surveys of newer NJ WBL teachers between October 2021 and June 2023, with a follow-up in fall 2022 for those who completed initial surveys before summer 2022. This study focused on questions regarding workspace ventilation; respirator and CSDPs trainings; awareness of government resources for safety and health (S&H); and demographics. Over 65% of participant classrooms have operable windows or ventilation systems, while 13% of school salons have ceiling fans. Half of participants didn\'t receive training on handling CSDPs, although 90% were aware of government S&H resources. Data suggested teachers have well-ventilated workspaces and are aware of different resources available, which is important to continue post COVID-19.
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  • 文章类型: Journal Article
    由于微型汽化装置的可用性,儿科重症监护病房(PICU)中挥发性麻醉剂的使用引起了越来越多的兴趣。然而,在呼吸机回路中存在加湿器的情况下,清除系统的有效性尚不清楚。
    我们进行了一项台式研究,以通过模拟婴儿和儿童呼吸机测试设置来评估Deltasorb®清除系统在异氟烷和主动湿度存在下的有效性。总共设置了四个呼吸机对测试肺进行通气,所有这些都带有主动湿度和收集呼出的通风气体的Deltasorb清除罐。两台呼吸机也使用小型麻醉保存装置(ACD®-S)在吸气肢体上输送异氟烷(也称为替代呼吸机配置)。我们对异氟烷进行了瞬时测量,并使用被动徽章进行了连续采样,以测量6.5小时测试期间的平均环境暴露。清除罐被送回公司,其中解吸分析显示每个罐中捕获的水和异氟烷的体积。
    瞬时点采样和扩散采样结果均低于职业接触限值,证实安全性。罐收集了异氟烷和一部分输送的水蒸气;婴儿中收集的捕获水和异氟烷的百分比高于儿童呼吸机测试设置。
    经过测试的清除配置可有效地保持微型汽化装置的主动湿度和吸气分支(替代)呼吸机配置的安全工作环境。
    UNASSIGNED: The use of volatile anesthetic agents in the paediatric intensive care unit (PICU) is experiencing increased interest since the availability of the miniature vapourizing device. However, the effectiveness of scavenging systems in the presence of humidifiers in the ventilator circuit is unknown.
    UNASSIGNED: We performed a bench study to evaluate the effectiveness of the Deltasorb® scavenging system in the presence of isoflurane and active humidity by simulating both infant and child ventilator test settings. A total of four ventilators were set to ventilate test lungs, all with active humidity and a Deltasorb scavenging canister collecting exhaled ventilation gas. Two ventilators also had isoflurane delivered using the Anesthesia Conserving Device- small (ACD®-S) on the inspiratory limb (also called alternative ventilator configuration). We performed instantaneous measurements of isoflurane and continuous sampling with passive badges to measure average environmental exposure over a test period of 6.5 hours. Scavenging canisters were returned to the company, where desorption analysis showed the volume of water and isoflurane captured in each canister.
    UNASSIGNED: Both instantaneous point sampling and diffusive sampling results were below the occupational exposure limit confirming safety. The canisters collected both isoflurane and a portion of the water vapour delivered; the percentage of captured water and isoflurane collected in infants was higher than the child ventilator test settings.
    UNASSIGNED: The tested scavenging configuration was effective in maintaining a safe working environment with active humidity and inspiratory limb (alternative) ventilator configuration of the the miniature vapourizing device.
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  • 文章类型: Journal Article
    在护理行业工作是危险的,护士报告健康状况不佳。已记录了与不良健康结果相关的风险因素。然而,关于美国护士健康状况的患病率可能归因于其工作的文献尚未得到研究。
    根据JoannaBriggsInstitute的建议,对同行评审的定量研究进行了范围审查,以回答以下问题:美国护士的健康状况可能归因于他们作为护士的工作?
    30篇文章符合纳入标准。由于许多文章中使用的方法,缺乏护理人群健康状况患病率的研究。所研究的健康状况分为六类:(a)与工作有关的伤害和危险;(b)不健康的生活方式;(c)精神健康状况;(d)倦怠;(e)疲劳,睡眠,(f)生殖健康。工作在所研究的健康状况中的作用与对健康的直接影响不同(例如,针刺或伤害)对累积影响(例如,日程安排或工作场所需求)。在工作要求中,物理环境;物理,情感,和工作的认知需求;和轮班工作都经常被认为是可以进一步探索和解决以改善护士健康的先决条件。
    医疗保健系统应设法解决可能与护理人员健康状况有关的危害和暴露。了解和减轻大流行和护理工作对劳动力健康的影响对于劳动力的偿付能力至关重要。职业卫生从业人员应评估工作场所的危害和暴露情况。
    UNASSIGNED: Working in the nursing profession is hazardous, and nurses report poor health. Risk factors associated with poor health outcomes have been documented. However, the extent of literature exploring the prevalence of health conditions among American nurses that may be attributable to their work has not been examined.
    UNASSIGNED: A scoping review following the Joanna Briggs Institute recommendations was conducted of peer-reviewed quantitative studies to answer the question: What are health conditions experienced by American nurses that may be attributable to their work as nurses?
    UNASSIGNED: Thirty articles met the inclusion criteria. Due to the methods used in many articles, studies of the prevalence of health conditions among the nursing population were lacking. Health conditions studied broke into six categories: (a) work-related injuries and hazards; (b) unhealthy lifestyles; (c) mental health conditions; (d) burnout; (e) fatigue, sleep, and migraines; and (f) reproductive health. The role of work in the health conditions studied varied from an immediate impact on health (e.g., a needlestick or injury) to a cumulative impact (e.g., scheduling or workplace demands). Within the work demands, the physical environment; physical, emotional, and cognitive demands of work; and shiftwork were all frequently identified as antecedents that could be further explored and addressed to improve nurse health.
    UNASSIGNED: Healthcare systems should seek to address the hazards and exposures that may be linked to health conditions in the nursing workforce. Understanding and mitigating the impact of the pandemic and nursing work on the workforce\'s health is crucial to the solvency of the workforce. Occupational health practitioners should assess for workplace hazards and exposures.
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  • 文章类型: Journal Article
    目的:本研究旨在调查和探索职业健康与安全(OHS)管理,办公室人体工程学,和肌肉骨骼症状的一组办公室工作人员从细胞办公室搬迁到基于活动的柔性办公室(AFO)。
    方法:分析基于77名员工的定性访谈数据和152名员工的纵向问卷调查数据。
    结果:结果表明,有必要澄清与OHS管理相关的角色和过程。自测坐姿舒适,工作姿势,搬迁后,日光的可用性下降,颈部和肩部的症状增加,似乎受到许多因素的影响,例如调整工作站的困难,是否有合适的工作场所,和年龄,性别,和个人需求。
    结论:在实施基于活动的弹性办公室后,关于物理工作环境和管理(OHS)问题的长期影响的研究很少。这项研究证明了在实施AFO时计划和组织OHS问题管理的重要性,并在办公室工作人员中认真执行办公室人体工程学。
    OBJECTIVE: This study aimed to investigate and explore Occupational Health and Safety (OHS) management, office ergonomics, and musculoskeletal symptoms in a group of office workers relocating from cell offices to activity-based flex offices (AFOs).
    METHODS: The analysis was based on qualitative interview data with 77 employees and longitudinal questionnaire data from 152 employees.
    RESULTS: Results indicate that there was a need to clarify roles and processes related to the management of OHS. Self-rated sit comfort, working posture, and availability of daylight deteriorated and symptoms in neck and shoulders increased after the relocation and seemed to be influenced by many factors, such as difficulties adjusting the workstations, the availability of suitable workplaces, and age, sex, and individual needs.
    CONCLUSIONS: Research on the long-term effects of physical work environments and management of (OHS) issues after implementing activity-based flex offices is sparse. This study demonstrates the importance of planning and organising OHS issue management when implementing an AFO, and to carefully implement office ergonomics among office workers.
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  • 文章类型: Journal Article
    医护人员越来越多地遭受暴力,创造潜在的重大身体和心理伤害。如果病人有暴力行为史,危险标志-应用于个人,他们的住址,或电话号码-可以提醒护理人员暴力的可能性,降低受伤风险。利用嵌入在电子患者护理记录中的新颖暴力报告流程,我们审查了自2021年2月启动以来的13个月内提交的暴力报告,以评估危险标记作为潜在风险缓解策略的有效性.在审查报告时,如果预期患者会发生反复的暴力行为,则护理人员监督人员可以生成危险标志。总之,提交了502份暴力报告,在20%的病例(n=99)中,护理人员主管生成了危险标志。总的来说,案件没有被标记,要么是因为事件发生在不适合标记的位置,要么是因为主管认为根据报告中的细节不需要危险标志。危险标记与随后护理人员就诊期间暴力风险增加相关(赔率[OR]6.21,p<0.001)。然而,该过程似乎可以可靠地识别可能对护理人员暴力的人。
    Paramedics are increasingly being subjected to violence, creating the potential for significant physical and psychological harm. Where a patient has a history of violent behavior, hazard flags-applied either to the individual, their residential address, or phone number-can alert paramedics to the possibility of violence, potentially reducing the risk of injury. Leveraging a novel violence reporting process embedded in the electronic patient care record, we reviewed violence reports filed over a thirteen-month period since its inception in February 2021 to assess the effectiveness of hazard flagging as a potential risk mitigation strategy. Upon reviewing a report, paramedic supervisors can generate a hazard flag if recurrent violent behavior from the patient is anticipated. In all, 502 violence reports were filed, for which paramedic supervisors generated hazard flags in 20% of cases (n = 99). In general, cases were not flagged either because the incident occurred at a location not amenable to flagging or because the supervisors felt that a hazard flag was not warranted based on the details in the report. Hazard flagging was associated with an increased risk of violence during subsequent paramedic attendance (Odds Ratio [OR] 6.21, p < 0.001). Nevertheless, the process appears to reliably identify persons who may be violent towards paramedics.
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  • 文章类型: Journal Article
    随着气候变化加剧了炎热天气的频繁和激烈时期,热应力管理计划对于保护加拿大采矿业工人的健康和安全变得越来越重要。虽然包括缓解热量的措施,例如由美国政府工业卫生学会(ACGIH)阈值极限值(TLV)提供的措施通常被工业采用,有必要制定更全面的行业具体措施来预防和管理热应力。为了更好地了解当前的热管理实践并确定改进的机会,对51名负责地下采矿健康和安全的员工进行的探索性调查(n=35),和表面操作(n=16)(例如,露天开采,铣削,冶炼,和勘探现场)在加拿大进行。受访者回答了50个与工作场所热应激管理有关的问题,包括工作环境的描述,感知到的热应激危害,管理热应激管理程序,热应力应急程序,环境监测策略,以及与热应力相关的采矿特定法规的知识。24名经理(47%)报告说,与热有关的疾病导致他们在现场的职责限制或时间损失要求,中位数为5[IQR:2-10,最大:30]每个站点每年发生的可报告的与热有关的疾病。许多人还认为,他们的劳动力对与热有关的疾病的报道不足(n=36,71%)。大多数网站报告建立了预防热病的热应激管理计划(n=43,84%),通常基于TLV(n=38,75%)。尽管一些组织确实对热应激进行了任务前评估(n=30,59%),超过一半的人不进行工作后评估(n=28,55%)或就业前筛查热应激脆弱性(n=3,6%)。虽然我们的研究结果表明,健康和安全管理人员认识到热所带来的危害,并提出了帮助解决危害的做法,我们还观察到样本中的热应激管理编程不一致.开发和采用标准的热应力管理和报告系统将是保护工人免受极端高温和气候变化的现有和新兴威胁的重要一步。
    With climate change fueling more frequent and intense periods of hot weather, heat stress management programs are becoming increasingly important for protecting the health and safety of workers in the Canadian mining industry. While the inclusion of heat-mitigation measures such as those provided by the American College of Governmental Industrial Hygienists (ACGIH) Threshold Limit Values (TLVs) are commonly employed by industry, there is a need to develop more comprehensive industry-specific measures for heat stress prevention and management. To better understand current heat management practices and identify opportunities for improvement, an exploratory survey of 51 employees responsible for health and safety at underground mining (n = 35), and surface operations (n = 16) (e.g., open-pit mining, milling, smelting, and exploration site) was conducted in Canada. The respondents answered 50 questions related to workplace heat stress management, including descriptors of the workplace environment, perceived heat stress hazard, administration of heat stress management programming, heat stress emergency procedures, environmental monitoring strategies, and knowledge of mining-specific regulations related to heat stress. Twenty-four managers (47%) reported that heat-related illnesses led to restricted duty or lost time claims at their site, with a median of 5 [IQR: 2-10, max: 30] reportable heat-related illnesses occurring per site annually. Many also felt that heat-related illnesses are under-reported by their workforce (n = 36, 71%). Most sites reported established heat stress management programs to prevent heat illness (n = 43, 84%), typically based on the TLVs (n = 38, 75%). Although some organizations do conduct pre-task evaluations for heat stress (n = 30, 59%), more than half do not conduct post-job evaluations (n = 28, 55%) or pre-employment screening for heat stress vulnerability (n = 3, 6%). While our findings indicate that the health and safety managers recognize the hazard posed by heat and have stated practices to help address the hazard, we also observed inconsistencies in heat stress management programming across the sample. Developing and adopting a standard heat stress management and reporting system would be an important step toward protecting workers from existing and emerging threats from extreme heat and climate change.
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  • 文章类型: Journal Article
    背景:实施适当的轮班工作时间表可以帮助减轻睡眠障碍的风险并减少医护人员的疲劳,降低职业健康安全风险。在澳大利亚,该组织有责任确保采取一切合理措施来减轻员工的疲劳。因此,重要的是要评估负责创建护士名册的员工的当前名册流程。
    目的:该项目的目的是了解(1)谁创建了名册以及流程是什么,(2)这些员工在制定优化员工睡眠和健康的名册时间表方面有哪些培训和知识,以及(3)当前名册做法的好处和局限性是什么。
    方法:研究结果是通过半结构化访谈产生的,使用集群编码来形成类别。来自维多利亚州三个不同地点(一家大都市医院和两家地区/农村医院)的24名负责名册工作人员的护士接受了采访。使用选定的扎根理论方法和专题分析对数据进行分析。
    结果:从采访中得出的共同主题是名册工作人员准备不足,不了解理事机构的疲劳和安全准则和政策,并且在担任该角色之前没有接受过任何教育或培训。最常见的排班方式是自我排班,工作人员可以提交偏好。然而,有人担心工作人员疲劳,但在谁应该负责方面存在分歧,许多人说,这取决于员工对他们可以应付的班次的偏好。最后的主题是改变的文化障碍。
    结论:虽然自我排行使员工拥有更多的自由和灵活性,转变偏好可能更多地受到适应生活方式的影响,而不是减少疲劳和增加工作场所的安全。需要更多地考虑轮班工作时间表对疲劳的影响,以确保医疗机构的临床治理层最大程度地减少为员工提供直接患者护理的职业健康和安全问题的风险。
    BACKGROUND: Implementing appropriate shift work schedules can help mitigate the risk of sleep impairment and reduce fatigue of healthcare workers, reducing occupational health and safety risks. In Australia, the organisation has a responsibility to make sure all reasonable measures are taken to reduce fatigue of staff. Therefore, it is important to assess what the current rostering processes is for staff responsible for creating the rosters for nurses.
    OBJECTIVE: The aims of the project were to understand (1) who creates the rosters and what the process is, (2) what training and knowledge these staff have in establishing rostering schedules that optimise the sleep and wellbeing of staff, and (3) what the benefits and limitations are of current rostering practices.
    METHODS: Findings were generated through semi-structured interviews, using cluster coding to form categories. Twenty four nurses responsible for rostering staff were interviewed from three different sites in Victoria (one metropolitan and two regional/rural hospitals). Data was analysed using selected grounded theory methods with thematic analysis.
    RESULTS: The common themes that came out of the interviews were that rostering staff were under prepared, unaware of fatigue and safety guidelines and polices from governing bodies and had not received any education or training before taking on the role. The most common rostering style was self-rostering, where staff could submit preferences. However, there were concerns about staff fatigue but were divided as to who should be responsible, with many saying it was up to staff to preference shifts that they could cope with. The final theme was cultural barriers to change.
    CONCLUSIONS: While self-rostering resulted in staff having more freedom and flexibility,  shift preferences may be influenced more so by a need to fit with lifestyle rather than to minimise fatigue and increase safety in the workplace. Greater consideration of the impact of shift work schedules on fatigue is required to ensure that the layers of clinical governance in health care organisations minimise the risk of occupation health and safety issues for employees delivering direct patient care.
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