Abstract
Background
Health care personnel working in public health facilities comprise a major part of the health care workforce in India and are exposed to a variety of workplace hazards.
Aim
To assess the occupational health hazards and associated risk factors among health care personnel working in public health facilities in Bhubaneswar.
Subject and methods
A cross-sectional study was conducted involving 172 health care personnel working in 22 urban primary health centers and four community health centers in the Bhubaneswar Block of the Khordha district in the state of Odisha, during the period from January to December 2017. Relevant data were collected using a semi-structured interview schedule.
Results
Overall, 143 (83.1%) of the participants reported experiencing occupational health hazards, with 89 (51.7%) encountering biological hazards and 130 (75.6%) experiencing non-biological hazards. Stress (38.9%), assault (38.4%), needlestick injury (34.3%), and direct contact with contaminated specimens/body fluids (32.6%) were the most frequently experienced occupational hazards. Multivariate regression analysis revealed that female gender, health care personnel other than doctors, working overtime, dissatisfaction with workplace atmosphere, and not using the necessary personal protective equipment (PPE) were independent predictors for experiencing a biological hazard. Similarly, female gender, presence of family conflict, and not using the required PPE were found to be independent predictors for experiencing non-biological hazards.
Conclusion
Health care personnel in public health facilities experience multiple hazards in their workplaces. Results indicate the need for designing and implementing strategies to promote the occupational health of this important section of society.
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References
Andersen LL, Clausen T, Mortensen OS et al (2012) A prospective cohort study on musculoskeletal risk factors for long-term sickness absence among healthcare workers in eldercare. Int Arch Occup Environ Health 85:615–622. https://doi.org/10.1007/s00420-011-0709-5
Caruso CC, Bushnell T, Eggerth D et al (2006) Long working hours, safety, and health: toward a national research agenda. Am J Ind Med 49:930–942. https://doi.org/10.1002/ajim.20373
Chhabra SA (2016) Health hazards among health care personnel. J Mahatma Gandhi Inst Med Sci 21:19–24. https://doi.org/10.4103/0971-9903.178074
Da Silva Borges FN, Fischer FM (2003) Twelve-hour night shifts of healthcare workers: a risk to the patients? Chronobiol Int 20:351–360. https://doi.org/10.1081/CBI-120019341
de Castro AB, Cabrera SL, Gee GC et al (2009) Occupational health and safety issues among nurses in the Philippines. AAOHN J 57:149–157. https://doi.org/10.3928/08910162-20090401-04
Dembe AE, Erickson JB, Delbos RG, Banks SM (2005) The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States. Occup Environ Med 62:588–597. https://doi.org/10.1136/oem.2004.016667
Felknor SA, Aday LA, Burau KD et al (2000) Safety climate and its association with injuries and safety practices in public hospitals in Costa Rica. Int J Occup Environ Health 6:18–25. https://doi.org/10.1179/oeh.2000.6.1.18
Franz S, Zeh A, Schablon A et al (2010) Aggression and violence against health care workers in Germany - a cross sectional retrospective survey. BMC Health Serv Res 10. https://doi.org/10.1186/1472-6963-10-51
Gershon RRM, Karkashian CD, Grosch JW et al (2000) Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. Am J Infect Control 28:211–221. https://doi.org/10.1067/mic.2000.105288
Gershon RRM, Pearson JM, Sherman MF et al (2009) The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector. Am J Infect Control 37:525–533. https://doi.org/10.1016/j.ajic.2008.10.022
Gimeno D, Felknor S, Burau KD, Delclos GL (2005) Organisational and occupational risk factors associated with work related injuries among public hospital employees in Costa Rica. Occup Environ Med 62:337–343. https://doi.org/10.1136/oem.2004.014936
Goniewicz M, Wloszczak-Szubzda A, Niemcewicz M et al (2012) Injuries caused by sharp instruments among healthcare workers — international and Polish perspectives. Ann Agric Environ Med 19:523–527
Hayden MK, Blom DW, Lyle EA et al (2008) Risk of hand or glove contamination after contact with patients colonized with vancomycin-resistant enterococcus or the colonized patients’ environment. Infect Control Hosp Epidemiol 29:149–154. https://doi.org/10.1086/524331
Hills DJ, Joyce CM, Humphreys JS (2012) A national study of workplace aggression in Australian clinical medical practice. Med J Aust 197:336–340. https://doi.org/10.5694/mja12.10444
Ilhan MN, Durukan E, Aras E et al (2006) Long working hours increase the risk of sharp and needlestick injury in nurses: the need for new policy implication. J Adv Nurs 56:563–568. https://doi.org/10.1111/j.1365-2648.2006.04041.x
Lockley SW, Barger LK, Ayas NT et al (2007) Effects of health care provider work hours and sleep deprivation on safety and performance. Jt Comm J Qual Patient Saf 33:7–18. https://doi.org/10.1016/S1553-7250(07)33109-7
Magnavita N, Heponiemi T (2012) Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study. BMC Health Serv Res 12:108
Motkuri V, Mishra US (2018) Human resources in healthcare and health outcomes in India. https://doi.org/10.13140/RG.2.2.23594.93128
Ndejjo R, Musinguzi G, Yu X et al (2015) Occupational health hazards among healthcare workers in Kampala, Uganda. J Environ Public Health 2015:913741. https://doi.org/10.1155/2015/913741
Orji EO, Fasubaa OB, Onwudiegwu U et al (2002) Occupational health hazards among health care workers in an obstetrics and gynaecology unit of a Nigerian teaching hospital. J Obstet Gynaecol (Lahore) 22:75–78. https://doi.org/10.1080/01443610120101781
Rantanen J (2007) Basic occupational health services, 3rd edn. Finnish Institute of Occupational Health, Helsinki
Senthil A, Anandh B, Jayachandran P et al (2015) Perception and prevalence of work-related health hazards among health care workers in public health facilities in southern India. Int J Occup Environ Health 21:74–81. https://doi.org/10.1179/2049396714Y.0000000096
Siegel JD, Rhinehart E, Jackson M, Chiarello L, Healthcare Infection Control Practices AdvisoryCommittee (2007) 2007 guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Centers for Disease Control and Prevention, Atlanta GA
Trinkoff A, Geiger-Brown J, Brady B et al (2006) How long and how much are nurses now working? Am J Nurs 106:60–71. https://doi.org/10.1097/00000446-200604000-00030
Wathen CN, MacGregor JCD, MacQuarrie BJ, CLC (2014) Can work be safe, when home isn’t? Initial findings of a pan-Canadian survey on domestic violence and the workplace. Centre for Research & Education on Violence Against Women and Children, London ON, Canada
World Health Organization (WHO) (2007) Workers’ health: global plan of action 2008–2017. WHO, Geneva
Zohar D (2003) Safety climate: conceptual and measurement issues. https://doi.org/10.1037/10474-006
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All procedures performed in the study were in accordance with the ethical standards of the Institutional Ethics Committee of Kalinga Institute of Medical Sciences, reference number: KIMS/KIIT/IEC/65/2016 and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Kumar, A., Panigrahi, A. Occupational health hazards among health care personnel working in public health facilities in Bhubaneswar, India. J Public Health (Berl.) 29, 633–639 (2021). https://doi.org/10.1007/s10389-019-01167-0
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DOI: https://doi.org/10.1007/s10389-019-01167-0