PSYCHOSOCIAL FACTORS AS DETERMINANTS OF BIOLOGICAL ACCIDENTS IN HEALTHCARE WORKERS.
Keywords:
Occupational risk factors; biological risk; occupational accident; health workers; needlesticks; occupational health.
Abstract
Objective: To determine the influence of psychosocial factors on the prevalence of accidental biological exposures (ABE) in healthcare workers.
Methods: Observational, retrospective, cross-sectional, descriptive, retrospective study of 475 healthcare workers at the Clínico-Malvarrosa Health Department (Valencia) during 2022. Sociodemographic and occupational characteristics, sleep quality with the Pisttsburg Questionnaire (PSQI), anxiety with the Generalized Anxiety Scale (GAD-7), stress with the Perceived Stress Scale (PSS-10), burnout with the Maslach Burnout Inventory (MBI) and physical activity with the International Physical Activity Questionnaire (IPAQ) were analysed. At the same time, we asked whether they had suffered from work-related ABE in the last year. Significant differences were sought by correlating ABE with psychosocial disturbances.
Results: Mean age was 38.40 years with a mean working time of 11.65 years. Forty-three per cent were nurses and 87% worked in hospitals and 13% in primary care. 26% suffered ABE in the past year. Most of them had poor sleep quality and anxiety. The mean score on PSS-10 was 12.60, (considerable stress). The burnout subscale of the MBI showed a mean score of 17, depersonalisation 6.12 and personal fulfilment 40.22. Forty-three per cent did not meet physical activity recommendations.
Predictor variables of ABE from multivariate analysis: age, sleep quality, anxiety, stress, depersonalisation, low personal accomplishment and hours sitting per day.
Conclusions: The health workers who suffered ABE, slept worse, had greater anxiety, stress and a tendency to burnout syndrome in terms of depersonalisation and professional burnout and sedentary lifestyle.
References
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2. Jahic R, Piljic D, Porobic-Jahic H, Custović A, Petrovic J, Piljic D. Epidemiological Characteristics of the Accidental Exposures to Blood-Borne Pathogens Among Workers in the Hospital. Med Arch (Sarajevo, Bosnia Herzegovina). 2018;72(3):187–91. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6021162/
3. Dilie A, Amare D, Gualu T. Occupational Exposure to Needle Stick and Sharp Injuries and Associated Factors among Health Care Workers in Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016. J Environ Public Health. 2017;2017. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5569625/
4. Garus-Pakowska, A.;Górajski, M.; Sakowski, P. Non-Safety and Safety Device SharpInjuries—Risk of Incidents, SEDsAvailability, Attitudes andPerceptions of Nurses According toCross-Sectional Survey in Poland. Int.J. Environ. Res. Public Health 2022, 19,11315. Disponible en: https://doi.org/10.3390/ijerph191811315
5. Cho E., Lee H. CM et al. Factors associated with needlestick and sharp injuries amonghospital nurses. Int J Nurs stud R.korea. 2014;50(8):1025–32. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0020748912002489?via%3Dihu b
6. Soares LG ramazi., Sarquis LM ari. M, Kirchhof AL úci. C, Felli VE lis. A. Multicausalidade nos acidentes de trabalho da Enfermagem com material biológico. Rev Bras Enferm. 2013;66(6):854–9. Disponible en: https://www.scielo.br/j/reben/a/S5fR3XW4nGQsXKxKjDjXvDM/?lang=pt
7. Thomas CM, Bantz DL, McIntosh CE. Nurse Faculty Burnout and Strategies to Avoid it. Teach Mehrdad R, Atkins EH, Sharifian SA, Pouryaghoub G. Psychosocial factors at work and blood-borne exposure among nurses. Int J Occup Environ Med 2014;4:32-39. Disponible en:
https://www.sciencedirect.com/science/article/abs/pii/S1557308718302245
8. Ross A, Bevans M, Brooks AT, Gibbons S, Wallen GR. Nurses and Health-Promoting Behaviors: Knowledge May Not Translate Into Self-Care. Physiology & behavior [revista en Internet] 2016; 176(1): 100-106. 2018;105(3):267–75. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536335/pdf/nihms848120.pdf
9. Panczyk, M., Woynarowska-Sołdan, M., Żmuda-Trzebiatowska, H., & Gotlib, J. (2018). Health-enhancing behaviours of nurses in Poland and their association with shift work and age. Collegian,25(3), 255-261. Disponible en: https://doi.org/10.1016/j.colegn.2017.07.001
10. Banco de Instrumentos y metodologías en Salud Mental [Internet]. CIBERSAM. 2015 Disponible en: https://bi.cibersam.es/busqueda-de-instrumentos/ficha?Id=254
11. Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine, 166(10), 1092–1097. Disponible en: https://doi.org/10.1001/archinte.166.10.1092
12. Campo-Arias A, Oviedo HC, Herazo E. The psychometric performance of the perceived stress scale-10 on medical students from bucaramanga, Colombia. Rev Fac Med. 2014;62(3):407–13. Disponible en: https://revistas.unal.edu.co/index.php/revfacmed/article/view/43735
13. Maslach C, Jackson S. Validación cuestionario Burnout. MBI. 1981;0–1. Disponible en:https://www.ecestaticos.com/file/035b15f97effea4c69fd6519e8114bcf/1515665476- cuestionario_burnout.pdf
14. Rodríguez-Muñoz, S.; Corella, C.; Abarca-Sos, A.; Zaragoza, J. Validation of three short physical activity questionnaires with accelerometers among university students in Spain. J. Sports Med. Phys. Fit. 2017, 57, 1660–1668. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28249383/
15. Swets, J.A. Measuring the accuracy of diagnostic systems. Science 1988, 240, 1285– 1293. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3287615/
16. Soares RZ, Schoen AS, Da Rocha Gomes Benelli K, Araújo MS, Neves M. Analysis of reported work accidents involving healthcare workers and exposure to biological materials. Rev Bras Med do Trab. 2019;17(2):201–8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32270122/
17. Rohde KA, Dupler AE, Postma J, Sanders A. Minimizing Nurses’ Risks for Needlestick Injuries in the Hospital Setting. Workplace Health Saf. 2013;61(5):197–202. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23650894/
18. Valent F, Di Bartolomeo S, Marchetti R, Sbrojavacca R, Barbone F. A case-crossover study of sleep and work hours and the risk of road traffic accidents. Sleep. 2010;33(3):349–54. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831429/
19. Chatterjee K, Ambekar P. Study of insomnia in rotating shift-workers. Ind Psychiatry J. 2017;26(1):82. Disponible en: https://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2017;volume=26;issue=1;spage=82;epage=85;aulast=Chatterjee
20. Bazazan A, Dianat I, Mombeini Z, Aynehchi A, Asghari Jafarabadi M. Fatigue as a mediator of the relationship between quality of life and mental health problems in hospital nurses. Accid Anal Prev. 2019 May; 126:31-36. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29454465/
21. Valent F, Mariuz M, Liva G, Bellomo F, De Corti D, Degan S, et al. A case-crossover study of sleep, fatigue, and other transient exposures at workplace and the risk of non- fatal occupational injuries among the employees of an Italian academic hospital. Int J Occup Med Environ Health. 2016;29(6):1001–9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27869249/
22. da Silva K, Cattani AN, Hirt MC, Peserico A, da Silva RM, Beck CLC. Excessive daytime sleepiness and the effects of work on the health of nursing workers TT - Soñolencia diurna excessiva e os efeitos do trabalho na saúde de trabalhadores de enfermagem Somnolencia diurna excesiva y los efectos del trabajo en la salud de t. Enfermería Glob [Internet]. 2020;19(1):289–301. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27869249/
23. Uehli K, Mehta AJ, Miedinger D, Hug K, Schindler C, Holsboer-Trachsler E, et al. Sleep problems and work injuries: A systematic review and meta-analysis. Sleep Med Rev. 2014;18(1):61–73. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23702220/
24. García-Batista ZE, Guerra-Peña K, Kandany VN, Marte MI, Garrido LE, Cantisano- Guzmán LM, et al. COVID-19 pandemic and health worker stress: The mediating effect of emotional regulation. PLoS One. 2021;16(11):1–13. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0259013
25. Masoumi M, Shokraee K, Mohammadi S, Moradi S, Bagherzade M, Balasi J, et al. Sleep duration as the main indicator of self-rated wellness and health among healthcare workers involved in the covid-19 pandemic. Int J Environ Res Public Health. 2022;19(1):1–10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750615/
26. Bardhan R, Heaton K, Davis M, Chen P, Dickinson DA, Lungu CT. A cross sectional study evaluating psychosocial job stress and health risk in emergency department nurses. Int J Environ Res Public Health. 2019;16(18). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765813/
27. D’ettorre G, Pellicani V, Greco M. Job stress and needlestick injuries in nurses: A retrospective observational study. Acta Biomed. 2020; 91:45–9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32168312/
28. Zhang XJ, Song Y, Jiang T, Ding N, Shi TY. Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses. Medicine (Baltimore). 2020 Jun 26;99(26): e20992. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32590814/.
29. Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO.
30. Panczyk, M., Woynarowska-Sołdan, M., Żmuda-Trzebiatowska, H., & Gotlib, J. (2018). Health-enhancing behaviours of nurses in Poland and their association with shift work and age. Collegian,25(3), 255-261. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32772471/
31. Sooriyaarachchi P, Pavey T, King NA. Shift work and the risk for metabolic syndrome among healthcare workers : A systematic review and meta-analysis. 2022;(March):1–10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35734805/
32. Quezada AD, Macías-waldman N, Salmerón J, Swigart T, Gallegos-carrillo K. Physical activity and calorie intake mediate the relationship from depression to body fat mass among female Mexican health workers. 2017;1–13. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693575/
33. Seaton CL, Bottorff JL, Jones-bricker M, Lamont S. The Role of Positive Emotion and Ego-Resilience in Determining Men’ s Physical Activity Following a Workplace Health Intervention. 2018. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30334492/
Published
2024-09-23
Section
Original Articles
