Publication: Acil servis hemşirelerin iş güvenliği mesleki riskleri ve bildirim durumları
Abstract
ACİL SERVİS HEMŞİRELERİN İŞ GÜVENLİĞİ MESLEKİ RİSKLERİ VE BİLDİRİM DURUMLARIÖğrenci: Yasemin ÖZASLANDanışman: Doç. Dr. Kamer GÜRAnabilim Dalı: Halk Sağlığı Anabilim DalıÖZETAmaç: Sağlık hizmetleri sunumunda acil servis hemşirelerinin iş güvenliği açısından mesleki risklerinin değerlendirilmesi, yaşadıkları iş kazası ve olası problemlerde bildirim durumlarını incelemektir.Gereç ve Yöntem: Araştırma 01.09.2020-31.12.2020 tarihleri arasında İstanbul Anadolu Yakasından bulunan eğitim araştırma, devlet ve özel hastanelerin acil hemşireleri ile yürütüldü. N=(1565). Tabakalı örneklem yöntemi ile seçilen 150 hemşireye ulaşıldı. Çalışmada anket formu ve ‘’Hastanede Çalışan Sağlık Personeli İçin İş Güvenliği Ölçeği’’ kullanıldı.Bulgular: Çalışmaya katılan hemşirelerin yaş ortalaması 31,76±7,62, ortalama uyku süresi 6,10±1,21 saat, ortalama çalışma süresi 9,81±7,55 yıl, son iş yerinde ortalama çalışma süresi 5,13±4,06 yıl, acil serviste ortalama çalışma süresi 4,85±3,15 yıl olarak bulundu. Acil serviste çalışan hemşirelerin hastanede iş güvenliğinin sağlanmasına yönelik durumunu ölçen ‘’Hastanede Çalışan Sağlık Personeli İçin İş Güvenliği Ölçeği’’ 6 puan üzerinden değerlendirilmiş olup, 2,31±0,66 olarak bulundu. Alt boyutları incelendiğinde Mesleki Hastalıklar ve Şikayetler alt boyut puan ortalaması 2,94±1,04, Sağlık Taraması ve Kayıt Sistemleri alt boyut puan ortalaması 2,04±0,91, Kazalar ve Zehirlenmeler alt boyut puan ortalaması 2,07±0,88, Yönetsel Destek ve Yaklaşımlar alt boyut puan ortalaması 2,07±0,88, Malzeme Araç ve Gereç Denetimi alt boyut puan ortalaması 2,72±1,14, Koruyucu Önlemler alt boyut puan ortalaması 2,99±1,14 ve Fiziksel Ortam Uygunluğu alt boyut puan ortalaması 2,32±0,66 olarak bulundu.Sonuç: Acil serviste çalışan hemşirelerin hastanede iş güvenliğine yönelik puan ortalaması hem totalde hem tüm alt boyutlarda ortalama puanın altındaydı. Çalışan güvenliğini etkileyen faktörler incelendiğinde; fizik ortam, hastane yemeklerinin yetersizliği, 24 saat nöbet tutmak, iş yeri sağlık taraması yapılmaması, afiş ve broşür yetersizliği, risk veya kazayla karşılaşıldığında ne yapacağını bilmeme, yetersiz hemşire ve ekipman çalışan güvenliğini etkileyen faktörler olarak tespit edildi. Katılımcıların yarasına yakınının iş kazası geçirdiği tespit edildi. Hemşirelerin iş kazasını bildirme durumları ise yetersizdi.alışan güvenliği, acil hemşireleri, mesleki riskler, iş güvenliği
THE NOTIFICATION OF OCCUPATIONAL SAFETY AND HAZARDS OF EMERGENCY SERVICE NURSESStudent: Yasemin ÖZASLANAdvisor: Doç. Dr. Kamer GÜRDepartment: Public SafetySUMMARYPurpose: The aim of the study is to evaluate the occupational hazards of emergency service nurses in terms of occupational safety, to examine the status of notification in the workplace accident and possible problems in the provision of health services.Materials and Methods: The research was conducted between 01.09.2020-31.12.2020 with the emergency nurses of the state and private hospitals, which are located in the Anatolian Side of Istanbul. N=(1565). Reached 150 nurses selected by the stratified sampling method. Questionnaire form and ’Hastanede Çalışan Sağlık Personeli İçin İş Güvenliği Ölçeği’’ (Occupational Safety Scale for Healthcare Professional Working in Hospital) were used in the study.Findings: The average age of the nurses participating in the study is 31.76 ± 7.62, the average sleep time is 6.10 ± 1.21 hours, the average working time is 9.81 ± 7.55 years, the average working time in the last workplace is 5.13 ± 4.06 years, the average working time in the emergency department was found to be 4.85 ± 3.15 years. (Occupational Safety Scale for Hospital Healthcare Personnel) which measures the status of nurses working in the emergency department to ensure occupational safety in the hospital, was evaluated on a basis of 6 points, and the participants were found to be 2.31 ± 0.66. When the sub-dimensions are examined, the mean score of the Occupational Diseases and Complaints sub-dimension is 2.94 ± 1.04, the Health Screening and Registration Systems sub-dimension average score is 2.04 ± 0.91, the Accidents and Poisoning sub-dimension average score is 2.07 ± 0.88, Administrative Support and Approaches sub-dimension mean score 2.07 ± 0.88, Tools and Equipment Inspection sub-dimension mean score 2.72 ± 1.14, Protective Measures sub-dimension mean score 2.99 ± 1.14 and Physical Environment Convenience sub-dimension mean score was found to be 2.32 ± 0.66.Result: The average score of the nurses working in the emergency services was below the average score in both total and all sub-dimensions for occupational safety in the hospital settings. When the factors affecting employee safety are examined; Physical environment, the inadequacy of hospital meals, being on duty for 24 hours, lack of workplace health screening, insufficiency of informative posters and brochures, lack of knowledge when encountering a risk or accident, insufficient number of nurses and equipment were determined as factors affecting employee safety. It was determined that almost half of the participants had a work accident. The nurses' reporting of occupational accidents was insufficient.Employee safety, emergency nurses, occupational hazards, occupational safety
THE NOTIFICATION OF OCCUPATIONAL SAFETY AND HAZARDS OF EMERGENCY SERVICE NURSESStudent: Yasemin ÖZASLANAdvisor: Doç. Dr. Kamer GÜRDepartment: Public SafetySUMMARYPurpose: The aim of the study is to evaluate the occupational hazards of emergency service nurses in terms of occupational safety, to examine the status of notification in the workplace accident and possible problems in the provision of health services.Materials and Methods: The research was conducted between 01.09.2020-31.12.2020 with the emergency nurses of the state and private hospitals, which are located in the Anatolian Side of Istanbul. N=(1565). Reached 150 nurses selected by the stratified sampling method. Questionnaire form and ’Hastanede Çalışan Sağlık Personeli İçin İş Güvenliği Ölçeği’’ (Occupational Safety Scale for Healthcare Professional Working in Hospital) were used in the study.Findings: The average age of the nurses participating in the study is 31.76 ± 7.62, the average sleep time is 6.10 ± 1.21 hours, the average working time is 9.81 ± 7.55 years, the average working time in the last workplace is 5.13 ± 4.06 years, the average working time in the emergency department was found to be 4.85 ± 3.15 years. (Occupational Safety Scale for Hospital Healthcare Personnel) which measures the status of nurses working in the emergency department to ensure occupational safety in the hospital, was evaluated on a basis of 6 points, and the participants were found to be 2.31 ± 0.66. When the sub-dimensions are examined, the mean score of the Occupational Diseases and Complaints sub-dimension is 2.94 ± 1.04, the Health Screening and Registration Systems sub-dimension average score is 2.04 ± 0.91, the Accidents and Poisoning sub-dimension average score is 2.07 ± 0.88, Administrative Support and Approaches sub-dimension mean score 2.07 ± 0.88, Tools and Equipment Inspection sub-dimension mean score 2.72 ± 1.14, Protective Measures sub-dimension mean score 2.99 ± 1.14 and Physical Environment Convenience sub-dimension mean score was found to be 2.32 ± 0.66.Result: The average score of the nurses working in the emergency services was below the average score in both total and all sub-dimensions for occupational safety in the hospital settings. When the factors affecting employee safety are examined; Physical environment, the inadequacy of hospital meals, being on duty for 24 hours, lack of workplace health screening, insufficiency of informative posters and brochures, lack of knowledge when encountering a risk or accident, insufficient number of nurses and equipment were determined as factors affecting employee safety. It was determined that almost half of the participants had a work accident. The nurses' reporting of occupational accidents was insufficient.Employee safety, emergency nurses, occupational hazards, occupational safety