Occupational Accidents in Nurses Working in a University Hospital and Related Factors

Öz

Objective: This study was conducted in a cross-sectional research to examine the incidence of occupational accidents in nurses and the affecting factors. Methods: The research population comprised of 531 nurses working in a university hospital. The sample selection was not made and all the nurses wanted to be reached, but 400 nurses formed the research sample. The participation rate of nurses in the study is 75%. As data collection tools in the research, Questionnaire Form Containing Nurses' Socio-demographic and Working Characteristics, Occupational Accidents Evaluation Questionnaire and Workload Scale were used. Statistical Product and Service Solutions 25.0 statistical package program was used in the analysis of the data. Number and percentage distributions, workload score average and multiple logistic regression analysis were used in the analyze of the data. Results: The mean age of the nurses participating in the study was 31.66±7.25. The nurses' workload scale mean score was 37±6.16. Our study determined that 58.8% of the nurses had occupational accidents in the last year, and sharps injuries were the first among the accidents. In addition, it has been determined that occupational accidents are mostly seen in intensive care units and accidents are mostly seen in daytime work. As a result of the multiple regression analysis, it was determined that the most important factors affecting the occupational accident are the unit of work, workload, monthly income status, staff status, years of work in the profession and education level. Conclusion: Our study determined that 58.8% of the nurses had occupational accidents in the last year, and sharps injuries were the first among the accidents. The unit worked and the workload are the most important factors in the formation of work accidents. For this reason, it is recommended to reduce the workload and develop strategies to improve working conditions in the prevention of occupational accidents.

Anahtar Kelimeler

• Nurse
• work accidents
• workload

Bir Üniversite Hastanesinde Çalışan Hemşirelerde İş Kazası Görülme Durumu ve İlişkili Faktörler

Öz

Amaç: Bu araştırma, hemşirelerde iş kazası görülme durumu ve etkileyen faktörleri incelemek amacıyla kesitsel nitelikte yapılmıştır. Yöntem: Araştırmanın evrenini üniversite hastanesinde çalışan 531 hemşire oluşturmuştur. Örneklem seçimine gidilmeyip hemşirelerin tümüne ulaşılmak istenmiş ancak 400 hemşire araştırmanın örneklemini oluşturmuştur. Araştırmaya hemşirelerin katılım oranı %75’tir. Araştırmada veri toplama araçları olarak, “Hemşirelerin Sosyo-demografik ve Çalışma Özelliklerini İçeren Anket Formu, İş Kazalarını Değerlendirme Anketi ve İş Yükü Ölçeği kullanılmıştır. Verilerin analizinde Statistical Product and Service Solutions 25 istatistik paket programı kullanılmıştır. Verilerin analizinde sayı ve yüzde dağılımları, iş yükü puan ortalaması ve multiple lojistik regresyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 31.66±7.25’dir. Hemşirelerin iş yükü ölçeği puan ortalaması 37±6.16’dır. Araştırmamızda hemşirelerin %58.8’inin son bir yılda iş kazası geçirdiği, geçirilen kazalarda ilk sırada kesici delici alet yaralanmaları olduğu belirlenmiştir. Ayrıca iş kazalarının en fazla yoğun bakım ünitelerinde ve kazaların daha çok gündüz mesaisinde görüldüğü belirlenmiştir. Çoklu regresyon analizi sonucunda, iş kazasını etkileyen en önemli faktörlerin, iş yükü, çalışılan birim, aylık gelir durumu, kadro durumu, meslekte çalışma yılı ve eğitim düzeyi olduğu belirlenmiştir. Sonuç: Çalışmamızda hemşirelerin %58,8'inin son bir yılda iş kazası geçirdiği, kazalar arasında kesici delici alet yaralanmalarının ilk sırada olduğu belirlendi. Çalışılan birim ve iş yükü iş kazalarının oluşumunda en önemli faktörlerdir. Bu nedenle iş kazaların önlenmesinde iş yükünün azaltılması, çalışma ortamı ve koşullarının iyileştirilmesine yönelik stratejilerin geliştirilmesi önerilmektedir.

Anahtar Kelimeler

• hemşire
• iş kazası
• iş yükü

Kaynakça

1. Altınöz, Ü., & Demir, S. (2017). Yoğun bakımda çalışan hemşirelerde çalışma ortamı algısı. Psikiyatri Hemşireliği Dergisi, 8(2), 95-10. https://doi.org/10.14744/phd.2017.03016
2. Ata Yüzügüllü, D., Aytaç, N., & Akbaba, M. (2017). Bir üniversite hastanesinin yoğun bakım ünitesi hemşirelerinde yaşam kalitesi, iş kazaları ve vardiyalı çalışmanın etkileri. Sakarya Tıp Dergisi, 8 (1), 99-107. https://doi.org/10.31832/smj.381197
3. Aycan Z., & Eskin M. (2005) Relative contributions of childcare, spousal and organizational support in predicting work-family conflict for females and males in dual-earner families with preschool children. Sex Roles, 7(53),453-471. https://doi.org/10.1007/s11199-005-7134-8.
4. Bagheri Hosseinabadi, M., Khanjani, N., Etemadinezhad, S., Samaei, S.E., Raadabadi, M., & Mostafaee, M. (2019). Theassociations of workload, individual and organisational factors on nurses’ occupationalinjuries. Journal of Clinical Nursing, 28 (5-6), 902-911. https://doi.org/10.1111/jocn.14699
5. Başoğlu Namal, T. (2016). Devlet hastanesinde çalışan hemşirelerde iş kazalarının değerlendirilmesi. [Yayınlanmamış Yüksek lisans Tezi]. Zonguldak Bülent Ecevit Üniversitesi.
6. Caruso, C.C. (2014). Negative impacts of shift work and long work hours. Rehabilitation Nursing. 39 (1), 16-25. https://doi.org/10.1002/rnj.107
7. Centers for Disease Control and Prevention. (2023, June). Workbook for designing, implementing, and evaluating a sharps injury prevention program. https://www.cdc.gov/sharpssafety/pdf/sharpsworkbook_2008.pdf
8. Çelikkalp, Ü., & Dilek, F. (2019). Factors affecting the occupational accident rates among nurses, Revista da Escola de Enfermagem da USP, 53: e03524. http://dx.doi.org/ 10.1590/s1980-220x2018049703524

9. Davas, A., Türk, M., & Yüksek, M. (2016). Çalışma koşulları ve iş kazalarındaki ilişki: Bir hastane örneği, Mesleki Sağlık ve Güvenlik Dergisi. 60 (61), 67-75.
10. da Silva Khalil, S., Khalil, O.A.K., Lopes-Júnior, L.C., Cabral, D.B., de Omena Bomfim, E., Landucci, L.F., & Santos, M.D.L.S.G. (2015). Occupational exposure to bloodborne pathogens in a specialized care service in Brazil. American Journal of Infection Control, 43 (8), 39-41. https://doi.org/10.1016/j.ajic.2015.05.030
11. de Bienassis, K., Slawomirski, L., & Klazinga, N.S. (2021). The economics of patient safety Part IV: Safety in the workplace: Occupational safety as the bedrock of resilient health systems. OECD Health Working Papers. https://doi.org/10.1787/18152015
12. Diker, H., & Barsbay, M.Ç. (2023). Hastanelerde meydana gelen iş kazalarının incelenmesi: Bir devlet hastanesi örneği. Hacettepe sağlık İdaresi Dergisi, 26(1), 99-114.
13. Dikmen, AU., Medeni, V., Uslu, İ., & Aycan, S. (2014). Assessment of work accidents in health care workers in a university hospital in Ankara. Türk Tabipler Birliği Mesleki Sağlık ve Güvenlik Dergisi, 14, 22-29. https://www.researchgate.net/publication/346573845
14. Dumas, O.,Wiley, A.S., Quinot, C., Varraso, R., Zock, J.P., Henneberger, P.K., & et al. (2017). Occupational exposure to disinfectants and asthma control in US nurses. European Respiratory Journal, 50 (4),1700237. https://doi.org/10.1183/13993003.00237-2017
15. Duxbury, L., & Higgins, C. (1994). Interference between work and family: a status report on dual-career and dual-earner mothers and fathers. Employee Assistance, 9(3),55–80. https://doi.org/10.1300/J022v09n03_05
16. Elarslan, S., Özaydın, Ö., Güdük, Ö., & Sertbaş, Y. (2022). Hastanelerde görülen iş kazalarının incelenmesi: Bir eğitim ve araştırma hastanesi örneği. Boğaziçi Tıp Dergisi, 9(3),166-172. https://doi.org/10.14744/bmj.2022.73644
17. García-Herrero, S., Mariscal, M.A., García-Rodríguez, J., & Ritzel, DO. (2012). Working conditions, psychological/physical symptoms and occupational accidents. Bayesian network models. Safety Science, 50 (9), 1760-1774. https://doi.org/10.1016/j.ssci.2012.04.005
18. Gershon, R.R., Stone, P.W., Zeltser, M., Faucett, J., MacDavitt, K., & Chou S.S. (2007). Organizational climate and nurse health outcomes in the United States: A systematic review. Industrial Health, 45 (5),622-636. https://doi.org/10.2486/indhealth.45.622
19. Lebni, J.Y., Azar, F.E., Sharma, M., Zangeneh, A., Kianipour, N., Azizi, S. A., ... & Ziapour, A. (2021). Factors affecting occupational hazards among operating room personnel at hospitals affiliated in western Iran: A cross-sectional study. Journal of Public Health, 29, 1225-1232. https://doi.org/10.1007/s10389-019-01169-y
20. Lestari, I.B., Jingga, N.A., & Wahyudiono, Y.D.A. (2023). The relationship between physical and mental workload with fatigue on nurses. The Indonesian Journal of Occupational Safety and Health, 12(1), 10-18. http://doi.org10.20473/ijosh.v12i1.2023.10-18
21. Manyisa, Z. M., & van Aswegen, E. J. (2017). Factors affecting working conditions in public hospitals: A literature review. International Journal of Africa Nursing Sciences, 6, 28-38. https://doi.org/10.1016/j.ijans.2017.02.002
22. Masoudi Alavi, N. (2014). Occupational hazards in nursing. Nursing Midwifery Studies, 3(3), e22357. https://doi.org/10.17795/nmsjournal22357
23. McCaughey, D., Kimmel, A., Savage, G., Lukas, T., Walsh, E., & Halbesleben, J. (2016). Antecedentsto workplace injury in the health care industry: A synthesis of theliterature. Health Care Management Review, 41(1),42-55. https://doi.org/10.1097/HMR.0000000000000043.
24. Mishra, R., Sharma, S.K., Gupta, P.K., Gupta, P., & Kalyani, C.V. (2021). Occupational health cognizance: Needlestick injuries among student nurses. International Journal of Africa Nursing Sciences, 15, 100370. https://doi.org/10.1016/j.ijans.2021.100370
25. Myny, D., Van Hecke, A., De Bacquer, D., Verhaeghe, S., Gobert, M., Defloor, T., & Van Goubergen, D. (2012). Determining a set of measurable and relevant factors affecting nursing workload in the acute care hospital setting: A cross-sectional study. International Journal of Nursing Studies, 49(4), 427-436. https://doi.org/10.1016/j.ijnurstu.2011.10.005
26. Nakamura, M., & Kondo, H. (2020). Human factors affecting the frequency of incidents by years of nursing experience: Analysis of acute care hospital nurses of regional cities in Japan. The Kitakanto Medical Journal, 70(4), 303-313. https://doi.org/10.2974/kmj.70.303
27. Rai, R., El-Zaemey, S., Dorji, N., Rai, B.D., Fritschi, L. (2021). Exposure to occupational hazards among health care workers in low- and middle-income countries: A scoping review. International Journal of Environmental Research and Public Health . 18(5),2603–2641.https://doi.org/10.3390/ijerph18052603
28. Rommel, A.,Varnaccia, G., Lahmann, N., Kottner, J., & Kroll, LE. (2016). Occupational injuries in Germany: Population- wide national survey data emphasize the importance of work-related factors. PloSone, 11(2), e0148798. https://doi.org/10.1371/journal.pone.0148798
29. Saadeh, R., Khairallah, K., Abozeid, H., Al Rashdan, L., Alfaqih, M., & Alkhatatbeh, O. (2020). Needle stick and sharp injuries among healthcare workers: A Retrospective six-year study. Sultan Qaboos University Medical Journal, 20(1),54-62. https://doi.org/110.18295/squmj.2020.20.01.008).
30. Samaei, S.E., Khosravı, Y., Heravızadeh, O., Ahangar, H.G., Poursharıatı, F., & Amrollahı, M. (2017). The effect of emotional intelligence and job stress on burnout: A structural equation model among hospital nurses. International Journal of Occupational Hygiene, 9(2), 52-59.
31. Sarsangi, V., Salehiniya, H., Hannani, M., Marzaleh, MA., Abadi, YS., Honarjoo, F., & Derakhshanjazari, M.M. (2017). Assessment of workload effect on nursing occupational accidents in hospitals of Kashan, Iran. Biomedical Researchand Therapy, 4(08), 1527-1540. https://doi.org/10.15419/bmrat.v4i08.226.
32. Shafeek, Z. I., Abdelrahman, S.M., Mohamed, E.A., & Ahmad, F.A. (2023). Relation between working hours and occupational health hazard among staff nurses at hospitals. Minia Scientific Nursing Journal, 14(2), 67-76. https://doi.org/10.21608/msnj.2023.220967.1071
33. Sosyal Güvenlik Kurumu. (2022). İstatistik Yıllıkları https://www.sgk.gov.tr/Istatistik/Yillik/fcd5e59b-6af9-4d90-a451-ee7500eb1cb4/
34. Sönmez, S., Ursavas, A., Uzaslan, E., Ediger, D., Karadag, M., Gozu, O., & Ege, E. (2014). Sleep disorders and occupational accident in shift work nurses. Chest, 146 (4), 947. https://doi.org/10.5152/ttd.2010.13
35. Tatlı Yöndem, M., Çakmak, AF. (2022). Doktor ve hemşirelerin iş kazası riskleri ile iş sağlığı ve güvenliği eğitimlerinin incelenmesi. Batı Karadeniz Tıp Dergisi. 6(2), 194-202. https://doi.org/10.29058/mjwbs.1021934
36. Toktaş, İ., & Çavuş, E. (2022). Causes of work accidents experienced by health care workers: a retrospective five-year study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(2), 723-729. https://doi.org/10.37989/gumussagbil.1000867
37. Quemel, G.K.C., da Cruz Paula, L.C., Peixoto, I.V.P., da Silva Peixoto, O., Araújo, J.S., Pamplona, M.C.D.C.A., ... & de Oliveira Santos, B. (2019). Factors related to occupational accidents among nursing professionals from a public hospital in northern Brazil between the years 2009 to 2016. Revista Brasileira de Medicina do Trabalho,17(4),521-529. https://doi.org/ 10.5327/Z1679443520194387.
38. Uçak A. (2009). Sağlık personelinin maruz kaldığı iş kazaları ve geri bildirimlerinin değerlendirilmesi. [Yayınlanmamış Yüksek lisans Tezi]. Afyonkarahisar Kocatepe Üniversitesi
39. Wahyuni, M.C., Rauh, A., & Purwana, R. (2022).The effect analysis of the risk factor in work accident on nurses at Dr. RM pratomo hospital Bagan Siapiapi. Jurnal Kesehatan LLDIKTI Wilayah 1 (JUKES), 2 (1) 19-26. https://doi.org/10.54076/jukes.v2i1.210
40. Wu, Y., Zheng, J., Liu, K., Baggs, J. G., Liu, J., Liu, X., & You, L. (2018). The associations of occupational hazards and injuries with work environments and overtime for nurses in China. Research in Nursing & Health, 41(4), 346-354. https://doi.org/10.1002/nur.21882
41. Zhang, X., Chen, Y., Li, Y., Hu, J., Zhang, C., Li, Z., & Xiang, H. (2018). Needlestick and sharps injuries among nursing students in Nanjing, China. Workplace Health & Safety, 66(6), 276-284. https://doi.org/10.1177/2165079917732799
42. Zia, G., & Beheshti, M. (2017). The effect of mental workload on occupational accidents among nurses in hospitals of Kerman, Iran. International Journal of Hospital Research, 6(4):1-7. https://doi.org/10.15171/ijhr.2017.xx