RESUMO
Despite measures being instituted to prevent agricultural workplace accidents, fatalities still occur. Also research studies evaluating and analyzing work processes involving agricultural machinery are rare. The objectives of this study were, on a trial basis, to generate and examine the usefulness of a work process sheet based on failure mode and effect analysis (FMEA) for prevention of accidents. FMEA is used in medical and other fields. Subjects were 18 of 38 farmers who were interviewed using the work process sheet generated, were assumed to be using agricultural machinery, were located in Prefecture B (a rural area), and had agreed to participate in the survey. The results show that the ratio of accidents to incidents was 1:8. Also, based on the work process sheet for prevention of agricultural workplace accidents, users of agricultural machinery did not pay attention to 10 of the 28 requisite steps. In particular, “I wear a seat belt” and “I regularly use the two-poster safety frame (folding type)”, were commonly not adhered to. Based on the work environment and occupational background, the development of a simpler and more useful working process sheet from an analysis of objective data is warranted.
RESUMO
This study sought to investigate the association between preliminary advance care and decision making, and care planning and participation in community activities, among the rural and advanced aged community in Japan in efforts to enhance advance care planning when it is direly needed. Subjects were 920 people aged 40-74 years in rural areas identified by cluster sampling and who had consented to participate in the survey. The 15 survey items included sex, age, experiences of care for the elderly, degree of health anxiety, degree of participation in community activities, and self-measurement of home blood pressure. Univariate analysis and binary logistic regression analysis using a step-wise principle were used throughout the survey. Of the 920 participants, 23.8% and 25.0% had previously made decisions on care planning and advance care planning, respectively, which were mutually associated, although decision making on care planning did not necessarily presuppose advance care planning. Odds ratios were high for decision making on care planning, awareness of care planning, advance care planning, and conversations about medical checkups. Also, odds ratios were high for advance care planning on awareness of care planning, decision making on care planning, and high participation in community activities. The results suggest that to help participants “make a decision” or undertake “advance care planning”, it is important to have opportunities to participate in community activities and/or converse with another resident about medical checkups.