Assessing the Risks that Interns Meet in the Working Environment

Year 2018, , 65 - 71, 04.02.2018

Özlem Terzi , Yıldız Pekşen

https://doi.org/10.17681/hsp.338994

Abstract

Objective: The working environments of health
professionals are one of the risky areas for employees' health. Medical faculty students especially intens,
are exposed to these risks during their training and clinical practices in
hospitals. In this study,
it was aimed to determine some occupational risks and work-related complaints
encountered by the interns who were educated at a Faculty of Medicine.  Materials
and Methods: All the interns trained at the Faculty of Medicine Hospital in
2016 were included in the descriptive study.The data were collected by the questionnaire
developed by the researcher and analyzed in
the SPSS 22.0 package program. The data were evaluatedin terms of number,
percentile, mean and median. Results:
The study period of 87% of interns exceeds 45 hours per week. Regarding with
the working environment and conditions; There were complaints such as insomnia
(84.3%), fatigue (79.1%), adequate and balanced nutrition (76.9%), social limitation
(75.4%) and neck and back pain (57.5%).Interns said that they could most
frequently encountered with biological agents (92.5%). The prevalence of
interns injuries with penetrating-cutting instruments was 73.9%, and 86% of the
injuries stated that they used gloves during the injury. It has been determined
that the frequency of being exposed to violance by patients and/or relatives is
61.9%. Conclusion: The most common
risk factors that threaten their health have been identified as overtime and
needlestick and sharps injuries. In addition, the height of the violence rate
is also remarkable. It is suggested that managers of medical faculties and
training hospitals should make regulations to reduce risk factors.  It is also proposed to increase awareness in
terms of occupational risk factors in the interns.

Keywords

Intern, medical student, occupational exposure

İntörnlerin Çalışma Ortamında Karşılaştıkları Risklerin Değerlendirilmesi / Assessing the Risks that Interns Meet in the Working Environment

Abstract

Amaç: Sağlık
profesyonellerinin
çalışma ortamları, çalışanların sağlığı için riskli alanlardan biridir. Tıp
fakültesi öğrencileri, özellikle de intörnler, eğitimleri ve hastanelerdeki
klinik uygulamaları sırasında bu risklere maruz kalmaktadırlar. Bu çalışmada, Tıp Fakültesi’nde öğrenim gören intörnlerin karşılaştıkları bazı
mesleki risklerin ve işle ilgili şikayetlerinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı tipteki çalışmaya 2016 yılında bir Tıp
Fakültesi Hastanesinde öğrenim gören tüm intörnler
dahil edilmiştir. Veriler araştırmacı tarafından geliştirilen anket formu ile
toplanmış ve SPSS 22.0 paket programında analiz edilmiştir. Veriler sayı,
yüzdelik, ortalama ve ortanca ile ifade edilmiştir. Bulgular: İntörnlerin %87'sinin çalışma süresi haftalık 45 saati
aşmaktadır. Çalışma ortamı ve koşullarıyla ilişkili olarak uykusuzluk
(%84,3), yorgunluk (%79,1), yeterli ve dengeli beslenememe(%76,9), sosyal
kısıtlılık (%75,4), boyun ve sırt ağrısı (%57,5) gibi şikayetlerinin olduğu
belirlenmiştir.  İntörnler en sık biyolojik etkenler (%92,5’i)
ile karşılaşabileceklerini ifade etmişlerdir. İntörnlerin delici-kesici aletle
yaralanması sıklığı %73,9 olup, yaralananların %86’sı yaralanma sırasında
eldiven kullandıklarını belirtmişlerdir. Son bir yılda hasta ve/veya hasta
yakınları tarafından şiddete uğrama sıklığının %61,9 olduğu tespit edilmiştir. Sonuç: Sağlıklarını tehdit eden ve en
sık karşılaşılan risk faktörleri fazla çalışma süresi ve delici-kesici alet
yaralanması olarak belirlenmiştir. Ayrıca şiddet oranındaki yükseklik de dikkat
çekici bulunmuştur. Tıp fakültesi ve eğitim veren hastanelerin
yöneticilerinin, risk faktörlerini azaltılmaya yönelik düzenlemeler yapması ve
intörnlerde de mesleki risk faktörleri açısından farkındalığın arttırılması
önerilmektedir

Keywords

İntörn, tıp öğrencisi, mesleki maruziyet

References

• 1. Erdal R. Hekimin sağlığı. In: İliçin G, Biberoğlu K, Süleymanlar G, Ünal S, Ed. İç hastalıkları. 3rd ed. Ankara: Güneş Kitabevi, 2012;80-83.
• 2. Centers for Disease Control and Prevention. Exposure to stress:occupational hazards in hospital. DHHS (NIOSH) Publication No.2008-136.
• 3. Chauvin A, Hutin A, Leredu T, Plaisance P, Pateron D, Yordanov Y. Accidental blood exposures among emergency medicine residents and young physicians in France: a national survey. Internal and Emergency Medicine 2017;12:221-227
• 4. Ruitenburg MM, Frings-Dresen MH, Sluiter JK. How to define the content of a job-specific worker's health surveillance for hospital physicians? Safety And Health At Work 2016;7:18-31
• 5. Memon AG, Naeem Z, Zaman A, Zahid F. Occupational health related concerns among surgeons. Int J Of Health Sciences 2016;10:279-291
• 6. Saygun, M. Sağlık Çalışanlarında İş Sağlığı Ve Güvenliği Sorunları [Occupational health and safety problems in health workers]. TAF Koruyucu Hekimlik Bülteni [TAF Preventive Medicine Bulletin] 2012;11:373-382
• 7. Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews 2015;4: CD002892
• 8. Emiroğlu C. Sağlık Sektöründe Mesleki Riskler Ve Hukuksal Düzenlemeler [Occupational risks and legal regulations ın health sector]. Mesleki Sağlık ve Güvenlik Dergisi (MSG) 2012;1:16-25
• 9. Kumaş H, Beyaztaş FY. The Evaluation of the working conditions of physicians in Turkey. Cumhuriyet Medical Journal 2007;29:123-127.
• 10. Sharma GK, Gilson MM, Nathan H, Makary MA. Needlestick injuries among medical students: incidence and implications. Acad Med 2009;84:1815-1821
• 11. Lauer AC, Reddemann A, Meier-Wronski CP, Bias H, Gödecke K, Arendt M, et al. Needlestick and sharps injuries among medical undergraduate students. American Journal Of İnfection Control 2014;42:235-239
• 12. Varsou O, Lemon JS, Dick FD. Sharps injuries among medical students. Occup Med (Oxford) 2009;59:509-511
• 13. Moon CS, Hwang JH, Lee CS, Park KH, Kim ES. Exposure to blood and body fluid among medical students in Korea. Am J Infect Control 2010;38:582-583
• 14. Merlin JS, Morrison G, Gluckman S, Lipschik G, Linkin DR, Lyon S. et al. Blood and body fluid exposures among US medical students in Botswana. J Gen Intern Med 2011;26:561-564
• 15. Kaya M, Genç M, Kaya B, Pehlivan E. Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students. Turk Psikiyatri Derg 2007;18:137-146
• 16. Alvi T, Assad F, Ramzan M, Khan FA. Depression, anxiety and their associated factors among medical students. J Coll Physicians Surg Pak 2010;20:122-126
• 17. Costa EFO, Santos SA, Santos ATRA, Melo EV, Andrade TM. Burnout syndrome and associated factors among medical students: a cross-sectional study. Clinics 2012;67:573-580
• 18. İlhan M N, Özkan S, Kurtcebe ZÖ, Aksakal FN. Gazi Üniversitesi Tıp Fakültesi Hastanesinde çalışan araştırma görevlileri ve intörn doktorlarda şiddete maruziyet ve şiddetle İlişkili etmenler. [Exposure to violence and related factors among research asistans and ıntern doctors in Gazi University Hospital]. Toplum Hekimliği Bülteni 2009;28:15-23
• 19. Özcan NK, Bilgin H. Violence towards healthcare workers in Turkey: a systematic review. Turkiye Klinikleri J Med Sci 2011;31:1442-1456
• 20. Acik Y, Deveci SE, Gunes G, Gulbayrak C, Dabak S, Saka G, et al. Experience of workplace violence during medical speciality training in Turkey. Occupational Medicine 2008;58:361-366
• 21. Sağlık Personelinin Tazminat ve Çalışma Esaslarına Dair Kanun Sayısı:2368 R.G. Tarihi:31.12.1980 R.G. Sayısı:17207
• 22. Önsüz F, Hıdıroğlu S, Gürbüz Y, Topuzoğlu A, Karavuş M. Determining organizational stress level of resident physicians in an university hospital. New Symposium Journal 2008;46:23-34
• 23. Yavaşcaoğlu B, Aydın B, Karataş EG, Kaya FN, Özcan B, Kırlı S. Cognitive functions of nausea in anesthesia assistants and its effect on mental status. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2007;33:75-79
• 24. Gocgeldi E, Istanbulluoglu H, Turker T, Gulec M, Ceylan S, Kocak N. Investigation of the knowledge level of medical students about health risks originating from occupational exposure. Gulhane Medical Journal 2001;53:195-204
• 25. Norsayani MY, Noor HI. Study on incidence of needle stick injury and factors associated with this problem among medical students. Journal of Occupational Health 2003;45:172-178.
• 26. Azap A, Ergönül Ö, Memikoğlu KO, Yeşilkaya A, Altunsoy A, Bozkurt GY, et al. Occupational exposure to blood and body fluids among health care workers in Ankara, Turkey. American Journal Of İnfection Control 2005;33:48-52
• 27. Bozkurt S, Kökoğlu ÖF, Yanıt F, Kocahasanoğlu U, Okumuş M, Sucaklı MH. ve ark. Sağlık çalışanlarında iğne batması ve cerrahi aletlerle olan yaralanmalar [Needle sticks and injuries due to surgical instruments in health care providers]. Dicle Tıp Dergisi [Dicle Medical Journal] 2013;40:449-452
• 28. Pakize A. Kesici-Delici Alet Yaralanmaları ve Korunma Önlemleri [Cutting tool injuries and protection measures]. 5. Ulusal Sterilizasyon Dezenfeksiyon Kongre Kitabı [National Sterilization Disinfection Congress Book] Antalya: Bilimsel Tıp Yayınevi, 2007:385-391
• 29. Thomas WJ, Murray JR. The incidence and reporting rates of needle-stick injury amongst UK surgeons. Ann R Coll Surg Engl 2009;91:12-17
• 30. Uçak A, Kiper S, Karabekir H.S. Occupational accidents faced by health workers and the effect of training on reducing occupational accidents. Bozok Tıp Dergisi 2011;1:7-15
• 31. Dıraçoğlu D. Musculoskeletal paın among medıcal staff. Journal of Medical Sciences 2006;26:132-139
• 32. Waters T, Collins J, Galinsky T, Caruso C. NIOSH research efforts to prevent musculoskeletal disorders in the healthcare industry. Orthop Nurs 2006;25:380-389
• 33. Tot Ş, Bal N. Psychiatric problems in medical doctors. New Symposium Journal 2003;41:143-150
• 34. Çevik A, Holliman JC, Yanturalı S. Emergency physicians and "burn out" syndrome. Turkish Journal of Tauma&Emergency Surgery 2003;9:85-89
• 35. Gomaa AE, Tapp LC, Luckhaupt SE, Vanoli K, Sarmiento RF, Raudabaugh WM, et al. Occupational traumatic injuries among workers in health care facilities—United States, 2012–2014. MMWR 2015;64:405-410
• 36. Canbaz S, Dündar C, Dabak Ş, Sünter AT, PekşenY, Çetinoğlu EÇ. Violence towards workers in hospital emergency services and in emergency medical care units in Samsun: an epidemiological study. Turkish Journal of Trauma & Emergency Surgery 2008;14:239-244
• 37. Gökçe T, Dündar C. The frequency of exposing to violence and ıts effects on state and trait anxiety levels among the doctors and nurses working ın Samsun Psychiatry Hospital. Journal of Turgut Ozal Medical Center 2008;15:25-28