Sağlık Çalışanlarının Maruz Kaldığı Kimyasallar Konusundaki Bilgi Düzeyleri ve Hata Türleri Etkileri Analizi

Year 2023, , 188 - 200, 22.12.2023

Zeynep Ayla Tisinli , Şeyda Saydamlı , Itır Erkan

https://doi.org/10.58770/joinihp.1378496

Abstract

Sağlık çalışanlarının kimyasal maruziyeti birçok sağlık sorununa ve işgücü kaybına neden olması bakımından bu tür riskleri tespit etmek önemlidir. Bu araştırmanın amacı sağlık çalışanlarının kimyasal maddeler hakkındaki bilgi düzeylerini, maruz kaldıkları kimyasal maddelerini, kimyasalların neden olduğu sağlık sorunlarını belirlemek ve “Hata Türleri ve Etkileri Analizi (HTEA)” ile risk değerlendirme yapmaktır. Bu araştırmaya İstanbul’da özel bir hastanenin 263 sağlık çalışanı (hemşire, sağlık teknisyeni ve laboratuvar çalışanları) katılmıştır. Katılımcılara 17 maddelik demografik soru ve kimyasal maruziyeti konusundaki bilgi ve farkındalıklarını ölçmek amacıyla anket ve 46 maddelik ölçek uygulanmıştır. Elde edilen veriler incelendiğinde erkeklerin kimyasallardan korunma yolları puanı, kadınlara kıyasla daha yüksektir. Sigara kullanma durumunun Kimyasal Maruziyet Farkındalık Ölçeği alt boyutları olan kimyasallardan korunma yolları puanları ve toplam puanları üzerinde etkisi incelendiğinde, istatistiksel olarak anlamlı fark bulunmamıştır. Araştırmada hata türleri ve risk öncelik puanları belirlenmiştir. Tespit edilen riskler için gerçekleştirilen düzeltici uygulamalardan sonra yüksek riskli olan hataların Risk Öncelik katsayısı 1140 puandan 234 puana düşmüştür. Bu sonuca göre iyileştirici faaliyetler ile potansiyel riskin % 79,48 oranında azaltıldığı tespit edilmiştir. Sonuç olarak sağlık kurumlarında sağlık çalışanlarının tehlikeli kimyasallara maruziyetin azaltılması; etkili eğitim ve düzenli kontrollerle sağlanmalıdır.

Keywords

Kimyasal riskler, HTEA, sağlık çalışanları

Ethical Statement

Bu araştırmanın yürütülmesi için İstanbul Yeni Yüzyıl Üniversitesi Etik Kurulundan 15.05.2023 tarihinde yapılan 2023/05-1064 sayılı toplantıda onay alınmıştır.

Thanks

Araştırma katılma gönüllü olan sağlık çalışanlarına, Yeni Yüzyıl Üniversitesi Gaziosmanpaşa Hastanesi yönetimine ve İstanbul Yeni Yüzyıl Üniversitesine teşekkür ederiz.

Knowledge Levels of Healthcare Professionals on the Chemicals Exposed and Failure Modes and Effect Analysis

Abstract

Healthcare workers cause many health problems and workforce losses because of chemical exposure is important to detect such risks. This research aims to determine the knowledge level of healthcare professionals about chemicals, the chemicals they are exposed to, and the health problems caused by chemicals, and to make a risk assessment with "Failure Modes and Effect Analysis" (FMEA) analysis. 263 healthcare professionals (nurses, healthcare technicians and laboratory workers) of a private hospital in Istanbul participated in this research. A 17-item demographic question and a 46-item scale were administered to the participants to measure their knowledge and awareness about chemical exposure. When the data obtained is examined, men's scores on ways to protect themselves from chemicals are higher than those of women. When examining the effect of smoking status on the Chemical Exposure Awareness Scale sub-dimensions, ways to avoid chemicals, and total scores, no statistically significant difference was found. Failure modes and risk priority scores were determined in the research. After the corrective practices for the detected risks, the risk priority coefficient of high-risk errors decreased from 1140 points to 234 points. According to this result, it was determined that the potential risk was reduced by 79.48% with curative activities. As a result of reducing the exposure of healthcare workers to hazardous chemicals in healthcare institutions, they should be provided with effective training and regular checks.

Keywords

Chemical risks, FMEA, healthcare workers

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