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1.
Healthcare (Basel) ; 11(14)2023 Jul 18.
Article in English | MEDLINE | ID: mdl-37510499

ABSTRACT

Many healthcare professionals are unaware of the necessary skills and barriers hindering interpersonal health communication. This study aimed to evaluate the healthcare professional's perception regarding health communication training's necessity, barriers, facilitators and critical skills in health communication. Data from a cross-sectional online survey in the framework of the H-Com project were utilized. The study included 691 healthcare professionals (physicians, nurses, students and allied health professionals) from seven European countries. Only 57% of participants had participated in health communication training, while 88.1% of them indicated a willingness to be trained in health communication. Nurses were more likely (OR = 1.84; 95% CI 1.16, 2.91) to have received such training, compared to physicians. Most examined communication skills, barriers and facilitators of effective communication, and perceived outcomes of successful communication were considered crucial for most participants, although physicians overall seemed to be less concerned. Most agreed perceived outcomes were improved professional-patient relations, patient and professional satisfaction, physical and psychological health amelioration and patients' trust. Nurses evaluated the importance of these communication skills and communication barriers, facilitators and outcomes higher than physicians. Physicians may underestimate the importance of communication skills more than nurses. Health communication should become an integral part of training for all health professionals.

2.
Article in English | MEDLINE | ID: mdl-36141587

ABSTRACT

Sharp injuries are a serious issue among healthcare workers (HCWs). The aim of the study was to examine the frequency of sharps injuries among nurses (who have the most frequent contact with infectious material) when using devices with and without safety features, then to analyse the factors associated with such injuries and to compare the risk of injuries with safety engineered devices (SEDs) and non-safety engineered devices (non-SEDs). An online cross-sectional survey was completed between October 2021 and March 2022 by 280 nurses. The incidence of exposure to sharp injury during their professional life was 51.4%. The percentage of nurses experiencing a sharp injury in the year preceding the study was 29% and 9.6% for superficially and deep injury, respectively. Ampoules and conventional hollow-bore needles caused the most injuries (25.92% and 22.64% of nurses in the last year). Factors including sex (males), age and seniority (elderly), education (higher), work exhaustion and being left-handed were associated with the occurrence of conventional hollow-bore needle injuries. In the case of SEDs: age, seniority and right/left-handed were the most frequent risk factors associated with the occurrence of sharp injuries. SEDs injuries were much less frequent than non-SEDs. There was a significant difference between the risk of injuries with safety and non-safety needles, central cannulas and ampoules. Fisher's exact test (p-value = 0.000) and positive Spearman's rho statistics (0.2319, p-value = 0.0001) confirmed that in accredited hospitals, the availability of safety needles was higher. Almost half of the nurses (n = 115, 41.07%) stated that staff had little influence on the type of medical sharp instruments supplied. To reduce the risk of nurse injuries, access to medical devices with safe protection mechanisms should be ensured, the use of sharp instruments should be limited where possible, managers should consult nurses regarding the choice of safe devices, and training programs on the proper use of SEDs should be available.


Subject(s)
Needlestick Injuries , Aged , Cross-Sectional Studies , Disease Susceptibility , Health Personnel , Humans , Male , Needlestick Injuries/epidemiology , Needlestick Injuries/prevention & control , Poland/epidemiology , Protective Devices
3.
Int J Occup Med Environ Health ; 32(3): 353-361, 2019 Jun 14.
Article in English | MEDLINE | ID: mdl-30356227

ABSTRACT

OBJECTIVES: In the contemporary Western culture, working population health issues, stressed in various publications, have been perceived as a crucial part of public health. To deal with occupational health issues properly, occupational health services (OHS), aiming at the protection of the workers' health, are organized in many countries. The survey was to find the differences in occupational health systems that the European Economic Area countries use in order to execute prophylactic activities focused on diseases of affluence and how the OHS are used for health promotion actions. MATERIAL AND METHODS: The survey was conducted with the use of an on-line expert questionnaire. No deep statistical analysis was performed as for the designed aims of the study simple statistics were sufficient. RESULTS: All the reviewed countries have organized OHS. The funding mechanisms are based mainly on the financial involvement of employers. In the majority of countries, the main goal of the OHS is certification of the ability to work. Workplace surveillance aiming at the occupational risk assessment and health promotion activities that focus on work-related and/or occupational diseases are the most popular services provided within national systems. CONCLUSIONS: Occupational health professionals are well placed to perform actions directed at health promotion and prophylactics of a wide range of diseases - not only occupational/work-related, but also non-communicable, particularly life-style-related diseases of affluence. The engagement of the occupational medical services (OMS) in prevention of the non-work-related health issues would be valuable. However, it would be inevitable for employers to finance a wider range of services to a greater extent. Int J Occup Med Environ Health. 2019;32(3):353-61.


Subject(s)
Health Promotion/organization & administration , Occupational Diseases/prevention & control , Occupational Health Services/statistics & numerical data , European Union , Health Policy , Humans , Life Style , Occupational Health/statistics & numerical data , Occupational Health Services/economics , Occupational Health Services/organization & administration , Surveys and Questionnaires , Workplace
4.
Int J Occup Med Environ Health ; 31(6): 753-761, 2018 Dec 20.
Article in English | MEDLINE | ID: mdl-30156218

ABSTRACT

OBJECTIVES: The aging of the workforce is an issue that calls for concrete measures to promote the health of older workers. This study reports on the results of the European "ProHealth65+" research project interventions conducted in Poland in relation to workplace health promotion for older workers (WHPOW) and the institutions involved in these programs. MATERIAL AND METHODS: A three-stage search of peer-reviewed and grey literature on the WHPOW in Poland. RESULTS: A total of 59 WHPOW programs were retrieved in Poland in the observation period (2000-2015). Most of these aimed at improving the Qualification and Training or at the Work Climate and attitudes toward older workers. The promotion, organization, and funding of these activities were carried out mainly by supra-national and governmental bodies, enterprises and employers, and educational and trainee institutions. CONCLUSIONS: Although there is great commitment to the medical surveillance of workers on the part of the Polish occupational health service, our search detected a relatively low number of the WHPOW initiatives. Greater efforts should be made to introduce strategies for addressing aging of the workforce. Int J Occup Med Environ Health 2018;31(6):753-761.


Subject(s)
Aging , Health Promotion/organization & administration , Occupational Health Services/organization & administration , Occupational Health/education , Staff Development/methods , Staff Development/organization & administration , Adult , Aged , Female , Humans , Male , Middle Aged , Poland
5.
Med Pr ; 66(5): 625-33, 2015.
Article in English | MEDLINE | ID: mdl-26647981

ABSTRACT

BACKGROUND: The goal of the study has been to learn about physicians' and nurses' awareness of the professional activities that are being performed by their colleague in the physician-nurse team. MATERIAL AND METHODS: Postal questionnaires were sent out to occupational physicians and nurses in Poland. The analysis includes responses from 232 pairs of physician-nurse teams. RESULTS: The knowledge among occupational professionals about tasks performed by their colleagues in the physician-nurse team seems to be poor. Respondents were asked about who performs tasks from each of 21 groups mentioned in the Occupational Medicine Service Act. In the case of only 3 out of 21 groups of tasks, the rate of non-consistence in answers was lower than 30%. A specified number of professionals performed their tasks on the individual basis. Although in many cases their team colleagues knew about those activities, there was a major proportion of those who had no awareness of such actions. CONCLUSIONS: Polish occupational physicians and nurses perform a variety of tasks. Occupational nurses, besides medical role, also play important organizational roles in their units. The cooperation between the two professional groups is, however, slightly disturbed by the deficits in communication. This issue needs to be improved for the betterment of operations within the whole system.


Subject(s)
Cooperative Behavior , Nurse's Role , Nurses , Occupational Medicine/organization & administration , Patient Care Team/organization & administration , Physician's Role , Physicians , Adult , Age Factors , Attitude of Health Personnel , Communication , Female , Humans , Male , Middle Aged , Poland , Surveys and Questionnaires
6.
Med Pr ; 63(2): 251-4, 2012.
Article in Polish | MEDLINE | ID: mdl-22779331

ABSTRACT

After the European Union accession in 2004, Poland has been perceived by foreigners as an attractive destination of their migration, and also as a popular transit country for people going further to the Western Europe countries. The Nofer Institute of Occupational Medicine is involved in the implementation of the international project PROMOVAX (Promote Vaccinations among Migrant Populations in Europe). The objective of the project is to promote immunizations among migrant populations in Europe. This article presents the up-to-date legal regulations that are effective in Poland, taking into account their relevance to the issue of vaccinations in migrant population. The analysis of the Polish legislation concerning this problem shows that there are no specific regulations addressed to migrant population staying in our country. This issue seems to be popular in the European Union, where immunization of migrants is given high priority. From the point of view of health care professionals it is important to be aware of the fact that EU open borders favor the increased flow of people between countries. The scale of migration from outside the EU to its member states also contributes to the increase in potential contacts between health care workers and migrants working in Poland.


Subject(s)
Communicable Disease Control/legislation & jurisprudence , Immunization/legislation & jurisprudence , Occupational Diseases/prevention & control , Occupational Health Services/legislation & jurisprudence , Transients and Migrants/legislation & jurisprudence , Transients and Migrants/statistics & numerical data , Vaccination/legislation & jurisprudence , European Union , Humans , Immunization Schedule , Occupational Medicine/legislation & jurisprudence , Poland
7.
Med Pr ; 63(1): 85-90, 2012.
Article in Polish | MEDLINE | ID: mdl-22774466

ABSTRACT

UNLABELLED: This paper presents the results of an assessment of the Polish occupational medicine service (OMS) system made by OMS nurses. MATERIALS AND METHODS: The survey was carried out on a random group of OMS nurses. RESULTS: OMS nurses form a professional group comprised of rather experienced personnel. In the opinion of almost 70% of respondents the system guarantees good occupational heath care, whereas 20% took the opposite view. The great majority of respondents think that all employees have to undergo mandatory prophylactic examinations. The nurses have rather critical opinion about the legal regulations pertaining to occupational health care--their number and complexity, and also express negative opinion about the quality of cooperation with employers (who are contractors for OMS units). OMS nurses believe that prophylactic examinations are the strongest point of the system. They are often the only opportunity for establishing contact between an employee and a physician and learning about diseases he or she was previously unaware of. CONCLUSIONS: Although the general assessment of the OMS system is rather positive, it is not free of shortcomings. Improvements in such fields as legislation, financing of service, professional attitude towards responsibilities of the OMS staff, cooperation with employers (contractors) and primary health care units would undoubtedly result in even better assessment, and what is more important in better functioning of the Polish OMS system.


Subject(s)
Community Health Nursing/organization & administration , Health Knowledge, Attitudes, Practice , Nurse's Role , Occupational Diseases/prevention & control , Occupational Health Services/organization & administration , Occupational Medicine/organization & administration , Adult , Female , Humans , Middle Aged , Poland , Population Surveillance , Program Evaluation , Quality Assurance, Health Care , Self-Assessment , Surveys and Questionnaires , Task Performance and Analysis , Young Adult
8.
Int J Occup Med Environ Health ; 25(1): 51-8, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22219057

ABSTRACT

OBJECTIVES: The study aimed at assessment of the Polish occupational medicine service system after over ten years of functioning in the current shape, made by occupational nurses. The article focuses on the job satisfaction level among Polish occupational medicine nurses. MATERIALS AND METHODS: The survey was performed among 600 randomly selected occupational medicine nurses, registered in the regional occupational medicine centers. A questionnaire, designed by the research team, containing several questions concerning different aspects of OMS system assessment, including a part dedicated to job satisfaction assessment, was sent to the selected occupational nurses. The response rate was 33.3% (200 questionnaires). RESULTS: The survey shows a relatively high satisfaction level in case of five out of eleven investigated job aspects, and a very low satisfaction level in case of two of them ("Possibility of professional promotion", "Salary"). 26% of the OMS nurses had considered going abroad to work as a nurse in the general health care system, and 17% in the OHS system. Almost 25% of them would not choose a profession of an occupational nurse once again, including 10% who would not choose a nurse job at all. There is a statistically significant correlation between the general job satisfaction and satisfaction with other aspects of nursing work. A strong correlation was observed in case of "Scope of performed tasks" and "Cooperation with employers (clients of the occupational medicine service units)". There is a statistically significant correlation of average strength between the decision concerning choosing an occupational nurse job in case of taking a decision on professional carrier once again and "General job satisfaction". CONCLUSION: Polish occupational nurses are satisfied with their job, however only 26% are fully satisfied. In their work there is place for improvement. The areas which definitely need attention and improvement are "Possibility of professional promotion" and "Salary". Improvements in cooperation between occupational nurses and physicians can make it close to the best practice.


Subject(s)
Job Satisfaction , Nurses , Occupational Medicine , Adult , Humans , Middle Aged , Occupational Health , Poland , Surveys and Questionnaires
9.
Med Pr ; 61(5): 561-72, 2010.
Article in Polish | MEDLINE | ID: mdl-21341525

ABSTRACT

BACKGROUND: This paper presents the results of survey performed to find out how occupational medicine service (OMS) nurses assess their tasks and roles in the Polish system of workers' health protection. MATERIALS AND METHODS: The survey was carried out in a random group of 200 OMS nurses. RESULTS: The survey showed that OMS nurses form-an experienced professional group. According to self-assessment they have an opportunity to use their competence in its full scope. Almost half of respondents agreed that in Poland the skills of OMS nurses are properly used. There are two reasons why certain tasks are not performed by OMS nurses, first, certain tasks are assigned to other persons in the unit; second, employers are sometimes not interested in those tasks or find them not necessary. The majority of nurses assess their knowledge and preparation to perform tasks relatively well, however they want to broaden their knowledge and improve their skills. CONCLUSIONS: OMS nurses play an important role in the Polish system of workers' health protection. They perform many tasks, which fall within the scope of OMS activities being currently implemented. Their competences are usually properly used. There is a need to convince employers that the scope of services provided by OMS units should be extended and adequately financed. This should result in the better use of OMS nurses' competences. Nurses are well educated and skilled to perform their jobs. Nevertheless, they feel the need to broaden their knowledge. Although the programs of specialization and qualification courses are rather comprehensive, nurses declare that some areas should be enriched with additional information.


Subject(s)
Community Health Nursing/organization & administration , Health Knowledge, Attitudes, Practice , Occupational Health Services/organization & administration , Task Performance and Analysis , Attitude of Health Personnel , Female , Humans , Middle Aged , Poland , Population Surveillance , Self-Assessment , Surveys and Questionnaires
10.
Med Pr ; 55(3): 267-73, 2004.
Article in Polish | MEDLINE | ID: mdl-15493502

ABSTRACT

Contact with human blood is one of the vital issues concerning occupational exposure to biological factors. The fact that pathogens that create high health risk may be transmitted by blood must not be ignored. Considering the problem of biological exposure at workplace, HIV, HBV and HCV are recognized as the most essential viruses. Health care workers belong to the occupational group characterized by the most frequent contact with blood. Infections induced by blood borne pathogens are mostly observed among nurses, laboratory personnel and physicians. In the European Union countries, the USA and Canada, there are relevant legal regulations pertaining to the management of potentially dangerous biological materials, whereas in Poland such regulations have not as yet been developed. Poland's accession to the European Union in 2004, commits the Polish government to harmonize Polish and European Union legislation also in this regard.


Subject(s)
Blood-Borne Pathogens , Health Personnel , Occupational Exposure/legislation & jurisprudence , European Union , Health Personnel/legislation & jurisprudence , Humans , Occupational Diseases/etiology , Occupational Diseases/prevention & control , Occupational Exposure/prevention & control , Poland , Safety/legislation & jurisprudence
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