Sharp injuries among health care workers in Xuzhou / 中国感染控制杂志

Objective To investigate the occurrence and reporting of sharp injuries among health care workers (HCWs)at all levels of hospitals in Xuzhou City,provide evidences for formulating protective measures against sharp injuries and improving the reporting system.Methods From July to August 2016,13 hospitals in Xuzhou City were randomly selected by multi-stage stratified random sampling method,the general information,occurrence of sharp injuries,and reporting situation was performed questionnaire survey.Results A total of 2 694 valid question-naires were collected,incidence,case incidence,and reporting rate of sharp injuries were 10.32%,12.84%,and 30.64% respectively.Case incidence of sharp injuries among HCWs in primary,secondary,and tertiary hospitals were 44.83%,11.53%,and 12.52% respectively,case incidences of sharp injuries in different levels of hospitals were significantly different (χ2＝55.148,P＜0.001).The main opportunity for sharp injuries was when HCWs re-turned needle cap (79 cases,22.83%),the main device involving sharp injuries was hollow-bore needle (297 cases, 85.84%).Incidences of sharp injuries among HCWs receiving different training were significantly different (χ2＝66.760,P＜0.001).Conclusion Current situation of sharp injuries among HCWs in this region is not optimistic, there are some problems such as poor training efficacy,low reporting rate and low use rate of safety devices,effec-tive measures should be taken to establish an effective monitoring and tracking system for sharp injuries,so as to re-duce the occurrence of sharp injuries.

Os vínculos subjetivos com o trabalho em um hospital público no Estado de Sergipe: desafios para os processos e dispositivos de gestão / The links with the subjective work in a public hospital in the State of Sergipe: challenges for management processes and devices

O presente trabalho teve por objetivo examinar os vínculos simbólicos e imaginários que os trabalhadores do maior hospital geral do Estado mantêm com a organização e com seu trabalho, discutindo, a partir desse conhecimento, possíveis dispositivos para o cotidiano da gestão que favoreçam a criatividade e a responsabilização desses trabalhadores para com seu trabalho e com a instituição. Ao apreender o imaginário organizacional e as representações psíquicas dos trabalhadores acerca da organização, tenta-se contribuir para a explicitação dos fatores que condicionam o estabelecimento dos vínculos à organização, interessando-nos mais especificamente a adesão, e identificar quais desafios os vínculos e o imaginário organizacional observado impõem para os processos e dispositivos de gestão. Elegeu-se como estudo de caso o setor de pediatria do hospital, tomando-se como referenciais teóricos para tal estudo a abordagem da Psicossociologia francesa sobre as organizações, e a Psicodinâmica do Trabalho. Na apresentação dos resultados desta investigação, discutem-se os sentidos do trabalho, a partir de uma aproximação do imaginário organizacional, das representações dos trabalhadores sobre o seu trabalho, da sua visão sobre a gestão, e a dinâmica prazer versus sofrimento no trabalho. Na análise dos vínculos que os trabalhadores estabelecem com o trabalho e com a instituição, emergem os desafios para o cotidiano de gestão do hospital. A tão esperada mudança nos nossos serviços de saúde parece não poder prescindir de uma reflexão crítica sobre o que temos hoje, e do reconhecimento quanto à importância da dimensão subjetiva, e intersubjetiva, como determinante dos modos de ser e de agir dos trabalhadores.

This study intends to analyze the imaginary and symbolic links that the workers from the largest hospital in the state remain with the organization and their work, based on this knowledge, a discussion will be made about the possible devices for the daily management to encourage creativity and the responsibility of these workers with their work and with the institution. From the worker’s organizational idea and the psychological representations of workers about the organization, a study about the factors that influence the establishment of links to the organization will be made, focused on the membership, and to identify the challenges that the organizational idea and the links observed are require to the processes and management arrangements. Was selected as a case study the pediatric section of the hospital, using as theoretical reference for this study the approach of the French Psychosociology on organizations, and the psychodynamics of work. In the results of this investigation, is discussed the meaning of the work, from an organizational approach, representation of the workers on their work, their vision on the management, and dynamic pleasure versus pain at work. In the analysis of the links that workers provide with work and with the institution, can be found challenges for the hospital daily management. The long-awaited change in our health services cannot be done without a critical reflection on what we have today, and the importance of the subjective and intersubjective, as a determinant of the ways that the employees are and behave.