Welcome Message
Dear Congress Participants,
The Federation of Occupational Health Nurses within the European Union (FOHNEU) and the Chamber of
Hungarian Healthcare Professionals (CHHP) are very pleased to host and welcome you to the 7th FOHNEU
International Congress in Budapest, Hungary, 24-26 April 2019. We welcome more than 140 participants from
28 countries across the globe!
In 1993 the founders of the Federation of Occupational Health Nurses within the European Union (FOHNEU)
recognized the importance of working with European colleagues to promote a safe and healthy work
environment around Europe. The 1st FOHNEU Congress was launched in 1997 in Brussels, Belgium with the
aim to highlight the work and research of Occupational Health Nurses and promote dissemination of the most
recent research results within occupational health. Over the 25 past years FOHNEU has put great effort into,
and been very successful at improving international cooperation between occupational health professionals.
The host of this Congress, the Chamber of Hungarian Healthcare Professionals (CHHP) was established in 2004
and represents 115,000 members. In 2008 CHHP became the member of FOHNEU representing the Hungarian
nurses in the field of occupational health.
Dear Congress Participants, Dear Friends,
We are delighted that you are able to participate in this Congress and hope that you find it stimulating and
informative.
The Congress includes plenary speakers, invited keynote speakers, and many oral and poster presentations.
The programme reflects the high standard of abstracts submitted and there is a truly international perspective
of approaches promoting occupational health. The wide range of topics provide an insight into the economic
value of Occupational Health Nursing, education, healthy working environment, management of dangerous
substances, preventing diseases and best practice in our field of expertise.
WORKFORCE HEALTH = NATIONAL WEALTH
Our title should be the phrase that you keep in mind throughout the Congress.
The aim of this Congress is to encourage sharing experiences and developing new networks and making new
friends. We hope that you will enjoy the relaxing atmosphere of the Margaret Island and that it will provide an
inspiring environment for discussions.
Have a good time in Budapest, Hungary!
Dr. Henriett Éva Hirdi Dr. Zoltán Balogh
President President
FOHNEU CHHP
2 7th FOHNEU International Congress
Table of Contents
WELCOME MESSAGE 1
TABLE OF CONTENTS 2
THE ORGANISERS 3
PATRONS, SCIENTIFIC & ORGANISING COMMITTEES 4
GENERAL INFORMATION 5
CONFERENCE PROGRAMME 8
WEDNESDAY, 24 APRIL 2019 – ROOM MAGNOLIA 9 FOHNEU HONORARY MEMBERS 10 THURSDAY, 25 APRIL 2019 – ROOM MAGNOLIA 11 THURSDAY, 25 APRIL 2019 – ROOM JÁZMIN 14 FRIDAY, 26 APRIL 2019 – ROOM MAGNOLIA 16
LIST OF POSTERS 17
KEYNOTE PRESENTATIONS 19
ABSTRACTS OF ORAL PRESENTATIONS 31
ABSTRACTS OF POSTER PRESENTATIONS 73
SOCIAL EVENTS 97
PRE-CONGRESS TOUR – EGIS SCIENCE AND TECHNOLOGY CENTRE 97 OPENING CEREMONY 98 HONORARY MEMBER AWARD CEREMONY 99 WELCOME RECEPTION 100 BANQUET DINNER 100 SIGHTSEEING TOUR - BUDAPEST 101
NOTES 102
Budapest, Hungary, 24-26 April 2019 3
The Organisers
The Federation of Occupational Health Nurses within the European Union
(FOHNEU) was established on 21 March 1993 in Windsor, United Kingdom. On the
initiative of the United Kingdom, the Federation was founded by seven Member
States: Belgium, Denmark, France, Germany, Greece, the Netherlands, and the
United Kingdom.
The Mission of FOHNEU is to consolidate and represent the voice of Occupational
Health Nursing within the EU in order to promote the Health, Safety and Well-Being
of the European Workforce.
FOHNEU collective membership is open to all Occupational Health Nurse (OHN) Associations or OHN Groups
within the European Union. OHN Associations or Groups in non-EU States may join with observer status. It is a
nonprofit organisation and is totally funded by the OHN Association/Group membership fees, and through
sponsorship.
The five aims of FOHNEU are:
• to contribute to the total health, safety and well-being of the European working population.
• to raise the profile of Occupational Health Nursing within the European Union.
• to promote training, education and standards of professional qualifications.
• to encourage research into areas of occupational health practice, education and management with
publication of the results.
• to maintain an open dialogue with the EU organisations responsible for health and safety, public health
and EU nursing authorities.
The Chamber of Hungarian Healthcare Professionals (CHHP) was established in
2004 following an Act of Parliament that was passed in autumn 2003. The
professional advocacy group, which represents more than 115 000 health care
professionals, was reorganised taking a bottom-up approach, resulting in 97 local,
20 regional divisions and 21 professional sections across Hungary.
The Chamber was established to provide professional and ethical support for the
health and paramedical fields as they evolve into professions that autonomously
address the issues affecting this group of professions. The Chamber was also
established to determine and represent the professional, economic and social interests of healthcare
professionals, and commensurate with its role and influence on society, contribute to the development of
health policies and improving the standards of healthcare provision to the population.
The Chamber fulfills its obligations by performing the tasks and exercising the authority invested in it by
legislation. Training courses and professional conferences are held at county, regional, national and
international level – independently or in partnership with other professional organisations. The Chamber
regularly participates, as an invited guest, in professional committees overseen directly by the Ministry of
Human Capacities, in the Committee of Parliament, and in the work of collegiate boards operating in the
various professional fields.
Exercising its right of consultation, the Chamber has drawn up detailed recommendations for draft legislation
and statutory amendments for the relevant government ministry. In addition, it participates in the work of the
Ethical Councils established at county and national level.
The establishment of the Chamber has raised the profile of issues concerning health and paramedical
professionals including nurses in Hungary. Our Chamber aims to operate effectively as a public body capable
of engaging in productive dialogue with the Department of Health, municipalities, healthcare institutions and
members of parliament. As stated the CHHP has been an active collaborator within FOHNEU since 2008.
4 7th FOHNEU International Congress
Patrons, Scientific & Organising Committees
MAIN PATRON
Prof. Dr. Ildikó Horváth
Minister of State Secretary for Health Care, Ministry of Human Capacities, Hungary
PATRONS
István Tarlós
Mayor of Budapest, Hungary
Prof. Dr. Béla Merkely
Rector of Semmelweis University, Budapest, Hungary
ORGANISING COMMITTEE
Dr. Zoltán Balogh, PhD President of Organising Committee (CHHP President)
Dr. Henriett Éva Hirdi, PhD (FOHNEU President)
Mari-Anne Anttila (FOHNEU Board Member / Finland) (FOHNEU VP)
Dr. Julie Staun OBE, PhD (FOHNEU Board Member / Denmark)
Valérie van Gulck (FOHNEU Board Member / Belgium)
Dr. Katalin Papp, PhD (CHHP Board Member / Hungary)
Lívia Szobota (CHHP Board Member / Hungary)
SCIENTIFIC COMMITTEE
Dr. Henriett Éva Hirdi, PhD President of Scientific Committee (FOHNEU President)
Dr. Zoltán Balogh, PhD (CHHP President)
Prof. Dr. Károly Cseh, DSc. (invited by CHHP / Hungary)
Dr. Alfonso Meneses Monroy, PhD (FOHNEU Board Member / Spain)
Dr. Paula Naumanen, PhD (invited by FOHNEU / Finland)
Prof. Dr. OiSaeng Hong, PhD (invited by FOHNEU / United States)
Dr. Styliani Tziaferi, PhD (FOHNEU Board Member / Greece)
The 7th FOHNEU International Congress is compliant with the MedTech Europe Code of Ethical
Business Practice.
The reference number: EMT14887
Budapest, Hungary, 24-26 April 2019 5
General Information
The Congress is held at the
Hotel Danubius Health Spa Resort
Margitsziget****Superior
between 24-26 April 2019
Address:
Margitsziget (Margaret Island),
H-1007 Budapest, Hungary
The Congress venue can be accessed by bus number 26 departing from Western (Nyugati) Railway
Station, from downtown.
TECHNICAL ORGANISER
Diamond Congress Ltd.
1255 Budapest, P.O. Box 48.
Tel: +36 1 225-0209
http://www.diamond-congress.hu/
OPENING HOURS OF THE REGISTRATION
Tuesday, 23 April 2019 - 14:30 – 17:00
Wednesday, 24 April 2019 - 08:30 – 17:00
Thursday, 25 April 2019 - 08:30 – 17:00
Friday, 26 April 2019 - 08:30 – 14:00
ONSITE CONTACT NUMBERS
Mr. Attila Varga
+36 20 936-2969
Diamond Congress Ltd.
OFFICIAL LANGUAGE
Official language of the Congress is English (no translation is available).
BADGES
All participants will receive a personal badge upon registration. Delegates are kindly requested to
wear their name badge when attending the meetings or social events.
ACCOMMODATION
Hotel rooms are booked under the name of the participants. Congress participants may occupy the
rooms from 14:00 on the day of arrival and should arrange the check out until 10:00. The hotel
ensures a luggage room. Guests are kindly requested to settle their extra room bills (such as phone
calls, drinks and minibar) prior to departure.
The room prices include buffet breakfast, VAT and city tax. In the Hotel Danubius Health Spa Resort
Margitsziget the price also contains the usage of wellness facilities (pools, jacuzzi, sauna and bath).
6 7th FOHNEU International Congress
CAR PARKING
Parking places are available in the parking lot, located in front of the hotel.
Barrier-controlled car paring in front of the hotel costs EUR 8/day.
Guarded underground car park in the hotel is available for EUR 13/day.
Please choose the HOTEL button at the entrance to the Margaret Island to be able to get the above
mentioned reduced prices.
PAYMENT, INVOICES
The price of the ordered services will be indicated on the final invoice according to the Hungarian
official financial rules. Official final invoices and receipts for fees paid by the participants will be
handed over on site at the registration desk. Please forward them to the financial department of your
institution.
LIABILITY AND INSURANCE
The organisers cannot accept liability for any personal accidents, loss of belongings or damage to
private property of participants and accompanying persons that may occur during the Congress.
PUBLIC TRANSPORT IN BUDAPEST
Public transport in Budapest is provided by Budapest Transport Ltd. (known to all Hungarians simply
as BKV). Budapest has an efficient public transport network. In general the buses, trams and
trolleybuses operate between 4:30 and 23:00. All night bus services operate on the major
thoroughfares in the city (night bus timetables are posted at stops and in most metro stations). The
three metro lines intersect at Deák Square in the centre of the town, close to the venue. Metro run
at 2-15 minutes intervals from about 4:30 to 23:15.
ADVICE FOR YOUR DEPARTURE
Airport Shuttle Service:
The company miniBUD is the official airport shuttle service provider for Budapest Airport. They
provide comfortable, fast and favorable transfer solutions for passengers wishing to travel from the
airport to the districts of Budapest, and from the city to the airport. You can buy the ticket at the
arrival hall immediately or order it online
miniBUD CONTACT INFORMATION:
E-mail: [email protected] Web: www.minibud.hu
miniBUD call centre: +36 1 550 0000
Public transport:
Bus number 200E circulates between Terminal 2 and the Kőbánya-Kispest metro terminal (metro line
M3), via the Ferihegy train station (trains to the Nyugati railway station in Budapest). From the
Kőbánya-Kispest metro terminal, passengers can take the M3 metro towards Kőbánya-Kispest to
reach the city centre. As of 6 April, a direct bus line connecting the airport with the city centre was
introduced: the front-door 100E takes passengers to Deák tér. It leaves from Deák tér every thirty
minutes from 04:00 to 23:30. A special ticket must be purchased for bus 100E for HUF 900 – other
tickets or season tickets are not valid for this service.
Phone number of a taxi company:
Főtaxi: +36 1 222-2222
Budapest, Hungary, 24-26 April 2019 7
CONFERENCE MOBILE APPLICATION
FOHNEU Congress is supported by the SmartEvents mobile application. Using the application is free
for all registered delegates and the content used therein is accessible only for FOHNEU Congress
participants. The application helps you to find all information regarding the event, manage your daily
agenda, download materials, communicate with all the other delegates on the event and more. All
changes of the programme (if any) will be tracked in the device in real time, and the whole conference
will be IN YOUR HAND all the time. For further help, please contact our colleagues at the registration
desk.
INTERNET ACCESS
As a courtesy to all delegates, free WiFi is available within the building for your own devices.
The name of the network is Danubius_free. Password: danubius40
SMOKING POLICY
Smoking is not permitted in the venue and convention facilities. Smoking areas are dedicated outside
the building.
IMPORTANT PHONE NUMBERS
English is usually spoken at the emergency numbers listed below.
In case English is not spoken, dial 112.
Ambulance: 104
Fire brigade: 105
Police: 107
Central help number: 112
General enquiries: 197
Inland enquiries: 198
International enquiries: 199
Hungarian Automobile Club help number: 188
FOHNEU and CHHP would like to thank the following sponsors and partners for their support
of the 7th FOHNEU International Congress:
City Hall of Budapest
European Agency for Safety and Health at Work
International Journal of Environmental Research and Public Health by MDPI
Foundation of Residents of Budapest for Healthcare Workers by the Budapest Regional
Division of CHHP
CONMED
Finance Guard Orchestra by National Tax and Customs Administration of Hungary (NTCA)
EGIS Science and Technology Centre
Főtaxi Ltd.
HARTMANN-RICO Hungária Ltd.
8 7th FOHNEU International Congress
Conference Programme
Tuesday,
23 April 2019
Wednesday,
24 April 2019
Thursday,
25 April 2019
Friday,
26 April 2019
Room Magnolia Room Magnolia Room Jasmine Room Magnolia
8:00
Registration,
Poster viewing &
Exhibition
Poster viewing & Exhibition 8:30
9:00 09:00 - 10:00
KEYNOTE
LECTURES III.
No parallel session
organised 09:00 - 10:30
Session 8. 9:30
09:30 -11:00
OPENING
CEREMONY
10:00
10:00 - 11:00
Parallel Session 2.
10:00 - 11:00
Parallel Session 5. 10:30
10:30 - 11: 00
Coffee break &
Exhibition
11:00 11:00 - 11:30
Coffee break, Poster viewing & Exhibition
11:00 - 12:40
Session 9. 11:30
11:30 - 12:30
KEYNOTE
LECTURES I.
11:30 - 12:30
Parallel Session 3.
11:30 - 12:30
Parallel Session 6. 12:00
12:30
12:30 - 14:00
Buffet lunch, Exhibition & Poster Session
12:40 - 13:30
Closing & Awards
Ceremony 13:00
13:30
14:00
14:00 - 15:30
KEYNOTE
LECTURES II.
14:00 - 15:00
KEYNOTE
LECTURES IV.
No parallel session
organised 14:30
Congress
Registration
14:30 -17:30
Budapest
Sightseeing Tour
15:00 15:00 - 15:30
Coffee break, Poster viewing & Exhibition
15:30
15:30-16:00
Coffee break,
Poster viewing &
Exhibition 15:30 - 17:10
Parallel Session 4.
15:30 - 17:30
Parallel Session 7. 16:00
16:00 -19:00
Pre-Congress Tour
to EGIS
Pharmaceuticals
PLC
16:00 -17:40
Session 1. 16:30
17:00
17:30 17:40 - 18:30
FOHNEU Honorary
Membership
Award Ceremony
17:30 - 19: 00
Free time and preparing
for the Congress Dinner
18:00
18:30 18:30 - 20:30
Welcome
reception
19:00
19:00 - 22:00
Banquet dinner
(Dinner cruise on boat Primus)
19:30
20:00
20:30
21:00
Budapest, Hungary, 24-26 April 2019 9
Wednesday, 24 April 2019 – Room Magnolia
08:00-09:30 Registration, Poster viewing & Exhibition
09:30-11:00 Opening Ceremony
Dr. Zoltán Balogh, President of CHHP
Dr. Henriett Éva Hirdi, President of FOHNEU
Prof. Dr. Ildikó Horváth, Minister of State Secretary for Health Care,
Ministry of Human Capacities, Hungary
Dr. Gábor Bagdy, Deputy Mayor of Budapest
11:00-11:30 Coffee break, Poster viewing & Exhibition
11:30-12:30 KEYNOTE LECTURES I.
Chair: Dr. Julie Staun OBE, PhD (Denmark)
Zero harm and vision zero – health, safety and well-being at work
Dr. Jukka Takala,
President of International Commission on Occupational Health, Italy
This lecture is sponsored by the International Journal of Environmental Research and Public
Health by MDPI.
Workforce health = national health. Building sustainable health workforces and
celebrating nursing across the WHO European region
Dr. Ledia Lazeri,
Head of World Health Organisation (WHO) Country Office, Hungary
12:30-14:00 Buffet lunch, Exhibition & Poster session
14:00-15:30 KEYNOTE LECTURES II.
Chair: Dr. Zoltán Balogh, PhD (Hungary)
The added value of occupational health
Prof. Dr. Anne Harriss,
Course Director Occupational Health Nursing and Workplace Health Management
programmes at London South Bank University, United Kingdom
Healthy workplaces manage dangerous substances EU-OSHA campaign–results
and experiences in Hungary
Katalin Balogh,
National Focal Point, European Agency for Safety and Health at Work, Hungary
Occupational medicine in Hungary
Prof. Dr. Károly Cseh, DSc.,
Institute of Public Health, Semmelweis University, Department of Public Health, Hungary
15:30-16:00 Coffee break, Poster viewing & Exhibition
10 7th FOHNEU International Congress
16:00-17:40 Session 1. - Pina van Dorpe Lecture
Chairs: Göte Mölleby (Sweden), Dr. Henriett Éva Hirdi, PhD (Hungary)
Occupational health nurses and public health nurses collaborating to improve the
health of the nation
Prof. Elizabeth Reifsnider, Gail Hock, Erlinda Singarajah, Jasmine Bhatti, Angela Chen
Demonstrating the value of Occupational Health Nursing programs
Dr. Patricia B. Strasser
Role of OHNurses in the dissemination of the European „healthy workplaces”
campaign in Micro and Small Enterprises
Valerie van Gulck, Lode Godderis, Sofie Vandenbroeck
Can we value health? Are there economic benefits from establishing a corporate
midwife service at Oslo University Hospital?
Trude Sjøholt-Hawkins
Pre-employment medical consultations by occupational health nurses of
mensura: A pilot project in the temporary work sector in Belgium
Dr. Lieve Mussen, Alicia Paluch
17:40-18:30 FOHNEU Honorary Membership Award Ceremony
18:30 Welcome reception
FOHNEU Honorary Members
Anne Boström (1995-2006)
Anne Boström joined FOHNEU in 1995 as the first national representative for Finland.
She served as FOHNEU Secretary (1998-2003), and FOHNEU Vice President (2003-2006)
and in 2005-2006 she performed the duties of FOHNEU Secretary, executing the two
Executive positions simultaneously.
Susan Pierrot (2004-2012)
Susan Pierrot joined FOHNEU in 2004 as the national representative for France. She
served as FOHNEU Secretary (2006-2012). She has continued her allegiance to FOHNEU
in a voluntary capacity as External FOHNEU Webmaster.
Gurutze Aguirre Alava (2003-2013)
Gurutze Aguirre Alava joined FOHNEU in 2003 as national representative for Spain,
initially representing Asociacion de Especialista en Enfermeria del Trabajo (AET) and
later Federación Española De Enfermería del Trabajo (FEDDET).
Panayota Sourtzi (2003-2016)
Panayota Sourtzi joined FOHNEU in 2003, as national representative for Greece. For 13
years Panayota was the coordinator of the FOHNEU Working Group on Education and
Research.
Budapest, Hungary, 24-26 April 2019 11
Thursday, 25 April 2019 – Room Magnolia
08:00-09:00 Registration, Poster viewing & Exhibition
09:00-10:00 KEYNOTE LECTURES III.
Chair: Margaret Morrissey (Ireland)
The wake up call
Prof. Dr. Vicki Culpin,
Professor of Organisational Behaviour, Ashridge Executive Education at Hult International
Business School, United Kingdom
Working conditions and workers’ health and well-being in the EU
Jorge Cabrita,
Research manager, European Foundation, Working Life Unit, Ireland
10:00-10:50 Parallel Session 2.
Chair: Mari-Anne Anttila (Finland), Lívia Szobota (Hungary)
Workplace health promotion over the years: An overview
Dr. Patricia B. Strasser
A new framework for worker well-being
Chia Chang, Ramya Chari, Steve L. Sauter, Elizabeth L. Petrun Sayers, Jennifer L. Cerully,
Paul Schulte, Anita L. Schill, Lori Uscher-Pines
A correlation study of nursing staff depression and anxiety levels between
pediatric and adults intensive care units
Alexandros Douvanas, Maria Kapritsou, Styliani Tziaferi, Vassiliki Karra,
Anastasia Papaioannou, Maria Kalafati
Participatory approaches for workplace improvements on mental health and job
performance among hospital nurses in Japan
Dr. Etsuko Yoshikawa, Toru Yoshikawa, Yuriko Takeuchi, Yumi Sano, Akiko Yuasa,
Kazutaka Kogi
Lifestyles associated with health loss in workers: A longitudinal study into the
work health promotion
Dr. Manuel Romero-Saldaña, Carlos Álvarez-Fernández, Maria Dolores Aguilera-Lopez,
Rocío Jiménez-Mérida, Rafael Molina-Luque, Álvaro Álvarez-López,
Manuel Vaquero-Abellán, Guillermo Molina-Recio, Dr. Alfonso Meneses-Monroy,
Dr. Rocío De Diego Cordero, Beatriz Herruzo-Caro
11:00-11:30 Coffee break, Poster viewing & Exhibition
12 7th FOHNEU International Congress
11:30-12:30 Parallel Session 3.
Chair: Valérie van Gulck (Belgium), Dr. Katalin Papp, PhD (Hungary)
Organisational approach to occupational health and well-being in the national
rehabilitation hospital Ireland
Rose Curtis, Jacintha More O’Ferrall
Determination attitudes and knowledge of nursing students in occupational
health and safety
Ayşe Dost, Prof. Melek Nihal Esin, Dr. Emine Aktaş, Nihal Sunal
Infection prevention and prevention at work hand in hand
Bianca Kints, Marleen Lambrechts, Katrien De Grez
Flu vaccination coverage
Elda Isabel Colino Romay, P. Lamas, M. Paolini, J. Cordoba, M.V. Fernández-Cifuentes,
Luis Mazón-Cuadrado
Health professionals’ health condition
Dr. Katalin Papp, Radó Sné, Zsuzsa Nagyné H., Erzsébet Jakabné H., Géza Nagy
Health risk awareness among healthcare professionals
Lívia Szobota, Dr. Zoltán Balogh
12:30-14:00 Buffet lunch, Exhibition & Poster session
14:00-15:00 KEYNOTE LECTURES IV.
Chair: Dr. Henriett Éva Hirdi, PhD (Hungary)
Health promotion for older workers
Prof. Dr. Panayota Sourtzi,
Professor in Occupational Health Nursing, Department of Public Health, Faculty of Nursing,
National and Kapodistrian University of Athens, Greece
Multinational education and research collaboration in occupational health
nursing
Prof. Dr. OiSaeng Hong,
Professor & Director of PhD Program, Director, Occupational and Environmental Health
Nursing graduate Program
University of California San Francisco (UCSF), School of Nursing, United States
15:00-15:30 Coffee break, Poster viewing & Exhibition
Budapest, Hungary, 24-26 April 2019 13
15:30-17:30 Parallel Session 4.
Chair: Mari-Anne Anttila (Finland), Dr. Bálint Bánfai, PhD (Hungary)
The prevalence of needlestick and sharps injuries among healthcare workers in
Turkey: A systematic review
Azize Karahan, Prof. Melek Nihal Esin
Global vision about needlestick injuries
Prof. Luis Mazón-Cuadrado, Prof. Rosa Maria Orriols, Elda Isabel Colino Romay,
J. Cordoba
The situation of needlestick accidents among health workers between 2006 and
2018
Dr. Zoltán Balogh, Tamásné Babonits, Dr. Henriett Éva Hirdi, Eszter Pitás, Erika Adamik
Lászlóné Sinka
Occupational accidents in a large tertiary hospital in Athens
Virginia Bourna, Georgios Papadakis, Venetia Notara, Evangelos Alexopoulos
Importance and challanges of first aid training at work
Dr. Bálint Bánfai, Prof. Dr. József Betlehem
Implementation of first aid in a company
Johan Decoster
17:30-19:00 Free time and preparing for the Banquet dinner
19:00-22:00 Banquet dinner (Dinner cruise on boat Primus)
The NŐVÉR, the Hungarian Scientific and Educational Journal of Nursing
Theory and Practice is a peer-reviewed scientific and educational nursing
journal that publishes original articles with the aim of advancing and
exchanging knowledge and skills, and enabling readers to be informed about
contemporary professional and research trends in the field of nursing. The
NŐVÉR was first published in 1987, and is published 6 issues per year by the
Chamber of the Hungarian Health Care Professionals. This Journal is indexed
and abstracted in EBSCO Discovery Service (EDS). The Journal publishes
papers in English.
14 7th FOHNEU International Congress
Thursday, 25 April 2019 – Room Jázmin
10:00-11:00 Parallel Session 5.
Chair: Dr. Alfonso Meneses Monroy, PhD (Spain), Geert van Gent (The Netherlands)
Health problems of hairdresser apprentices living in urban city
Dr. Emine Aktaş, Prof. Melek Nihal Esin
The prevention of psychosocial complaints in a bank–insurance company: Well-
being project
Elise Pierlet
Assessment of environmental health and knowledge of silicosis among dental
technicians
Anett Kollányi-Láng, Dr. Henriett Éva Hirdi
Working conditions in immigrant workers in Spain: A qualitative study
Dr. Rocío de Diego Cordero, Juan Vega-Escaño, Dr. Manuel Romero-Saldaña,
Dr. Alfonso Meneses-Monroy, Antonio Moreno-Pimentel, Araceli Santos-Posada
Health assessment of taxi drivers in the city of Miskolc, Hungary
Attila Gajdos, Dr. Henriett Éva Hirdi
This lecture is sponsored by Főtaxi
International Commission on Occupational Health
Araceli Santos Posada, Gema Arévalo Alonso
11:00-11:30 Coffee break, Poster viewing & Exhibition
11:30-12:30 Parallel Session 6.
Chair: Dr. Styliani Tziaferi, PhD (Greece), Pilvi Österman (Finland)
Study of management practices for the prevention of occupational diseases in
Small and Medium Enterprises (SMEs) in Quebec
Fara Randrianarivelo, Adel Badri, François Gauthier, Bryan Boudreau-Trudel
Which is the best criterion for detection of noise-induced hearing loss? New
indices for the comparison between standard threshold shift criteria
Dr. Manuel Romero-Saldaña, Carlos Álvarez-Fernández, Dr. Alfonso Meneses-Monroy,
Carlos Álvarez-López, María Dolores Aguilera-López, Beatriz Herruzo-Caro,
Javier Gracia-Rivera, Guillermo Molina-Recio, Javier González-Caballero,
María Angeles Almenara-Angulo, Dr. Rocío De Diego-Cordero
Development, implementation and evaluation of a low back pain prevention
program
Dr. Chuliporn Sopajareeya, Prof. Dr. OiSaeng Hong, Chompunut Sopajaree
Investigating the applicability of an intervention program to manage
musculoskeletal disorders at the workplace – a pilot study
Eleni Grana, Styliani Tziaferi, Emmanouel Velonakis, Prof. Panayota Sourtzi
Occupational rehabilitation through social cooperatives of limited liability. The
paradigm of the social cooperative of limited liability of Corfu
Grigorios Gkogkas, Vasilopoulou Elpida, Konstantinou Eleni, Sotirios Koupidis,
Maria Dimopoulou
Budapest, Hungary, 24-26 April 2019 15
15:30-17:10 Parallel Session 7.
This session is in Hungarian language
MESZK X. Foglalkozás-egészségügyi Továbbképző Nap
Chair: Dr. Mária Téglásyné Bácsi (Hungary), Miklós Lukács (Hungary)
Risk assessment method for biological agents in health care (Biológiai
kockázatbecslés módszertana az egészségügyben)
Dr. Mária Téglásyné Bácsi, Dr. Éva Grónai, Dr. Imre Nagy
The role of the Railway Medical Center Ltd in the Health Assessment to ensure
the health, safety and welfare of all Railway employees (A Vasútegészségügyi
Nonprofit Kiemelten Közhasznú Kft szerepe és jelentősége a munkaköri orvosi
alkalmassági vizsgálatainak elvégzésében a MÁV csoport munkavállalóinak
munkahelyi egészsége és biztonsága megteremtésében)
Dr. Ibolya Pataki, Judit Földi, Gabriella Kovács, Mrs. Pálma Nagy Béláné
Health risks, occupational diseases and prevention for employees at beauty
salons (Egészségkárosító kockázatok, megbetegedések és a prevenció lehetőségei
a szépségszalonokban dolgozók körében)
Éva Pálvölgyi, Dr. Henriett Éva Hirdi
Community nurses’ challenges and occupational health hazards associated with
home health care (Körzeti ápolók kihívásai és foglalkozás-egészségügyi
kockázatai a páciensek otthonában történő ellátások során)
Dr. Henriett Éva Hirdi, Miklós Lukács, Ildikó Tóthné Bucsek, Dr. Zoltán Balogh
Career model of occupational health nurses in Hungary (A foglalkozás-
egészségügyi ápolók életpályamodellje)
Dr. Henriett Éva Hirdi, Dr. Zoltán Balogh
17:10-19:00 Free time and preparing for the Banquet dinner
19:00-22:00 Banquet dinner (Dinner cruise on boat Primus)
16 7th FOHNEU International Congress
Friday, 26 April 2019 – Room Magnolia
09:00-10:30 Session 8.
Chair: Judith Fakkel-van den Berge (The Netherlands), Lotte Falck (Denmark)
Manual-visual inspection in a pharmaceutical company, what are the ergonomic
risks?
Hanna Vertongen, Marc Duquet
Application of hospital ergonomics in working environment of wardnurses in
health care industry of Uttarakhand, India
Prof. Promila Sharma
Workplace visits at Small and Medium-sized Enterprises by occupational health
nurses: A practical case report
Mieke Raeijmaekers, An Houbrechts, Marc Beeldens
Measuring occupational health and safety in Small and Medium-sized Enterprises (SME)
Filip Pelgrims, Hilde De Raeve, Liesbeth Reekmans, Kristien Johannik, Lode Godderis
Surgical smoke evacuation, how to accomplish a surgical smoke free work
environment
Elisabeth S. Lundholm
Evaluation methodology of medical safety device
Prof. Rosa Maria Orriols-Ramos
10:30-11:00 Coffee break & Exhibition
11:00-12:40 Session 9.
Chair: Gema Arévalo Alonso (Spain), Margaret Morrissey (Ireland)
Longest unemployed use primary healthcare services the least
Dr. Kirsi Lappalainen, Pauliina Mattila-Holappa, Kirsi Yli-Kaitala, Marja Hult,
Kimmo Räsänen
Nurses’ transition into long hours and night shifts: Assessing the fit of a total
worker health approach to risk reduction
Dr. Patricia Butterfield, Julie Postma, Lois James
The status of management and leadership of occupational health nurses in
Finland
Pilvi Österman
How to disconnect from work during your holiday?
Elke Lauwers, Marc Duquet, Sofie Vandenbroeck
Introduction of the Hungary’s comprehensive health care screening programme
2010-2020-2030
Dr. Zoltán Balogh, Gergely Dankovics, István Barna
Preliminary results and report on occupational health nursing in Europe
Dr. Henriett Éva Hirdi, Lotte Falck, Geert van Gent
12:40-13:30 Closing & Awards Ceremony
Budapest, Hungary, 24-26 April 2019 17
List of posters
P-01 Association of occupational noise exposure with cardiovascular diseases among
career firefighters in Northern California, USA
Dr. Dal Lae Chin, Prof. OiSaeng Hong
P-02 Bullying among Portuguese nurses: Comparative study between Azores Island and
continental Portugal
Prof. Elisabete Borges, Cristina Queirós, Margarida Abreu, Tércio Maio, Antónia Teixeira
P-03 Burnout among nurses in Europe: A comparative study between Portugal, Spain
and Italy
Prof. Elisabete Borges, Raffaella Ruggieri, Cristina Queirós, Maria Pilar Mosteiro,
Elena Fiabane
P-04 Comparative study of 4 different airway management devices in Manikins by
nurses
Argyro Chatzisotiriou, Maria Kapritsou, Styliani Tziaferi, Vassiliki Karra, Maria Kalafati
P-05 Cost-effectiveness analysis after implementation of fast-track protocol in patients
undergoing major abdominal surgery
Maria Kapritsou, Maria Kalafati, Margarita Giannakopoulou, Styliani Tziaferi, Evangelos A.
Konstantinou, Vassiliki Karra, Dimitrios P. Korkolis
P-06 Creating a GIS web application for efficient cost management and control of
diagnostic imaging examinations
Dimitrios Zarakovitis, Dimitrios Tsoromokos, Styliani Tziaferi, Athina Lazakidou
P-07 Descriptive study of day care anaesthesia
Maria Kapritsou, Anastasia Alvanou, Maria Kalafati, Spiridoula Mperdousi, Christina
Georgopoulou, Maria Koletsi, Anastasia Papathanasopoulou, Dimitra Vasilopoulou,
Eunomia Vrachnou-Alexopoulou
P-08 Do perceptions of locus of control influence industrial workers’ engagement in
occupational health and safety?
Dr. Julie M.C. Staun
P-09 Does working with a sit-stand desk improve musculoskeletal health?
Judith Fakkel-van den Berge
P-10 Evaluating error correlation between the use of digital pen & paper technology
and the users satisfaction degree of the DPP4ICU application
Dimitrios Tsoromokos, Dimitrios Zarakovitis, Styliani Tziaferi, Athina Lazakidou
P-11 Evaluation of occupational health nurse’ interventions in the military vehicle
maintenance repair factory
Prof. Melek Nihal Esin, Dr. Emine Aktaş, Mine Bahar
P-12 Evaluation of occupational health nurses’ interventions in a health unit of
University Campus
Prof. Melek Nihal Esin, Ayşe Dost, Dr. Emine Aktaş, Elif Üner
P-13 Geographical information systems and financial analysis of Non-Ionizing Radiation
(NIR) for diagnostic purposes
Dimitrios Tsoromokos, Dimitrios Zarakovitis, Styliani Tziaferi, Athina Lazakidou
P-14 Humanitarian workers' mental health; state of art and prevention of work
disability
Prof. Jacinthe Douesnard, Grazia Ceschi, Lindsay Ouellet
18 7th FOHNEU International Congress
P-15 Impact of an antenatal breastfeeding course in terms of breastfeeding knowledge,
attitudes, self-efficacy and perceived barriers among working, or not, pregnant
women in Greece
Maria Iliadou, Katerina Lykeridou, Panagiotis Prezerakos, Styliani G Tziaferi
P-16 Influenza vaccination of healthcare workers: Overview of systematic reviews and
meta-analysis
Panagiota Kalatzi, Maria Iliadou, Styliani Tziaferi
P-17 Investigating the users satisfaction degree of DPP4ICU application in the intensive
care units of public hospitals
Dimitrios Tsoromokos, Dimitrios Zarakovitis, Styliani Tziaferi, Athina Lazakidou
P-18 Is night shift work associated with breast cancer risk among nursing staff?
Maria Iliadou, Panagiota Kalatzi, Styliani G. Tziaferi
P-19 Living with diabetes at the workplace: Implications for nurse education
Claire Farrugia Imbroll, Maria Cassar
P-20 Migrant workers re-joined wives’ perspective on health issues and social
integration
Mirko Prosen, Sabina Ličen, Igor Karnjuš
P-21 Portuguese results of INT-SO: An international project about occupational health
of Portuguese, Brazilian and Spanish nurses
Prof. Elisabete Borges, Cristina Queirós, Maria Pilar Mosteiro, Patricia Baptista,
Vanda Felli, Margarida Abreu
P-22 Postoperative pain perception between nurses and oncological patients
undergoing hepatectomy and pancreatectomy using visual analogue scale and
observational & behavioral pain scales
Maria Kapritsou, Maria Kalafati, Margarita Giannakopoulou, Styliani Tziaferi, Dimitrios P.
Korkolis, Tasoula Siskou, Vassiliki Karra, Evangelos A. Konstantinou
P-23 Professional quality of life of nursing and its relationship with patient safety:
Analysis in Portuguese and Brazilian contexts
Edenise Maria Santos da Silva Batalha, Elisabete Maria das Neves Borges, Marta Maria
Melleiro
P-24 Teamwork in operating room and its impact on patient safety and the personnel
Petros Kolovos, Styliani Tziaferi
P-25 The phenomenon of mobbing among health professionals in a Greek public
hospital: A qualitative study
Aristotelis Koinis, Emmanouil Velonakis, Foteini Tzavella, Styliani Tziaferi
P-26 The vitality scan: Assessing workers’ health and lifestyle behavior and interests to
build sustainable health and lifestyle policies in organizations
Nancy Doyen, Erik Carlier, Dr. Mathieu Verbrugghe
P-27 Work related quality of life and turnover intention of nursing staffs: A longitudinal
study
Vasiliki Katsikavali, Dafni Kaitelidou, Chrysoula Lemonidou, Prof. Panayota Sourtzi
P-28 Industrial welfare nurse courses in Hungary between 1933 and 1945
Dr. Henriett Éva Hirdi
Budapest, Hungary, 24-26 April 2019 19
KEYNOTE
PRESENTATIONS
20 7th FOHNEU International Congress
Budapest, Hungary, 24-26 April 2019 21
Zero harm and vision zero-health, safety
and well-being at work
Jukka Takala
International Commission on Occupational Health, ICOH, Rome, Italy
Background:
In terms of Vision Zero much has been concentrated on safety issues at
work. In health issues, insufficient emphasis has been placed on
preventive action. This is not usually considered as a key area of most
health organisations, such as health centres, hospitals, and most health
professionals. There is an immediate need to emphasize elimination of
not only factors leading to fatal and other injuries at work, but all
harmful consequences caused by or aggravated by work. A paradigm
change is necessary to introduce Zero Harm at work. This means
injuries, diseases and disorders at work covering all risk factors and
consequences. All such negative outcomes are caused by humans to
other humans and they are not resulting from an unavoidable and
unplanned event, such as natural disasters.
Methods:
Studying experiences at all levels and identifying priorities in work of
today and in future. All available exposure data to risk factors have
been followed including related associations and the level, direction
and strength of association of the risk/outcome pairs were used. Local,
regional and global priorities for the elimination of exposures were
looked at.
Results:
Today ‘s data is based on the estimates of negative outcomes. Latest
data indicate – based still on restricted number of risk factors and
estimation of exposures - tell that 2.78 billion workers lose their lives
due to exposures at work globally. In the EU28 the number of fatal
cases was 203,000. Latest country and region data have been
estimated, and will be partly presented, while still incomplete.
Proposed priorities for the elimination of related exposures are
presented.
Conclusion:
Targets and objectives include mapping of exposures. CAREX cancer
exposure register itself is a model for carcinogens in the EU. Such
sources need updating and expansion to all significant risk factors
including physical and psychosocial risk factors by sector by occupation
and jobs (Job Exposure Matrices). This means comprehensive and
systematic data collection including modern methods, such as artificial
intelligence.
This lecture is sponsored by the International Journal of Environmental Research
and Public Health by MDPI.
Dr. Jukka Takala
President of ICOH,
Italy
President of ICOH 2015 –
DSc, Adj. Professor, Tampere
Universities, Finland, FFOM (Hon);
Executive Director emeritus, Senior
Consultant, WSH Institute/MOM,
Singapore from 2011-2017
40+ years of global experience in
Workplace Safety and Health (WSH),
in six countries and three continents,
in industry, and
national/international civil service,
UN, ILO, EU
Speaks six languages to varying
degree
Prior to joining WSH-Institute as the
first ED in 2011, he was the Director
of the EU-OSHA Agency, Spain from
2006-2011
Held several positions in the
International Labour Organisation
ILO in Africa, Asia, and at ILO
Headquarters as Director of the
Global SafeWork Programme in
Geneva, responsible for ILO OSH
Conventions, GHS process, ILO
Encyclopaedia, 1978-2006…
OSH-Administration, Ministry of
Social Affairs and Health, Finland
1973-78 and 1981-83
22 7th FOHNEU International Congress
Dr. Ledia Lazeri
Head of World Health
Organisation (WHO) Country
Office, Hungary
Dr. Ledia Lazeri is a Medical Doctor,
specialized in psychiatry and
psychotherapy, with experience in
clinical work and teaching
assignments in her native country
Albania and beyond. She got involved
with WHO since 2000 when she
joined a large programme of mental
health reform in Albania, later being
involved with mental health projects
in the Balkan countries as part of the
Stability Pact Initiative for the South
Eastern Europe and later on in
Turkey as the mental disability
programme coordinator. Her
portfolio with mental health
programmes included work with
mental health policy, service and
workforce development, along with
empowerment of and advocacy for
mental health service users and
carers. Among her achievements as a
WHO mental health expert, she
highlights the closure of many
psychiatric residential care units, the
establishment of many innovative
community care units for people with
mental health issues and intellectual
disabilities, the contribution to
mental health policy and plans at
both country level and at the
European level as well as a series of
communication materials that served
for training of mental health
professionals, advocacy with
policymakers, and empowerment of
service users and carers in countries
she served and beyond.
In 2014 Dr Lazeri expanded the
scope of her engagement with health
policy in serving as WHO
Representative and Head of Country
Office in Albania, Uzbekistan and
now in Hungary since 2017.
Workforce health = national health.
Building sustainable health workforces and
celebrating nursing across the WHO
European region
Ledia Lazeri
Head of World Health Organisation (WHO) Country Office
Investment in production and maintenance of HRH is key to sustainable
people-centred health systems. This should include consideration of
investment in workforce health. The obvious benefit of having a
healthy workforce is that healthier employees are absent less often.
Health workers are at risk of acquiring infectious diseases through
exposure at work. They may also suffer from psychological stress,
which affects both their work and personal lives.
Planners and policy-makers should therefore consider investment in
worker health as an important element of health systems’ capability
and capacity strategies.
WHO has produced a global plan of action which, though not specific to
the health workforce, deals with all aspects of workers’ health, including
primary prevention of occupational hazards, protection and promotion
of health at work, employment conditions, and a better response from
health systems to workers’ health. (WHA60.26 Workers’ health: global
plan of action, 23 May 2007)
The WHO Director General committed to strengthen nursing and
midwifery’s contribution to UHC and SDGs through appointing a WHO
Chief Nursing Officer, engaging in the NursingNow! Campaign,
producing the first-ever State of the World’s Nursing report and more.
This encouragement comes in the context of the:
-Triple Billion Goals and Gender Agenda and aims at maximizing the
contributions of nursing to achieve the triple billion goals and make
meaningful progress towards gender equity;
-PHC and Integrated People-Centred Care with a documented central
role of nurses highlighted with 40th anniversary of Alma Ata
-UN High Level Commission on Health Employment and Economic
Growth that demonstrated need to invest
Budapest, Hungary, 24-26 April 2019 23
The added value of occupational health
nursing
Anne Harriss
Professor in Occupational Health and Course Director
London South Bank University, London, United Kingdom
Introduction:
Across the European Union, there is a statutory requirement for
corporations and organisations to ensure the health and safety of
their workforce. Unless there is a mandatory requirement for the
provision of an occupational health (OH) facility, delivered by
specialist professionals, organisations will decide whether or not to
offer comprehensive OH services. Their decision regarding whether
or not to make such provision and if they do, its breadth content and
structure, will always be based on whether senior management
consider that it adds value to their business.
Discussion:
Organisations must remain financially viable; if they do not remain
cognisant of their “bottom line”, that is their profit, they will eventually
go out of businesses and their workforce will become redundant.
Without a perceived added value, any proposed OH provision will
merely be viewed as an unnecessary cost and will be rejected.
Businesses must remain profit driven, promoting the health of their
workforce, not just ensuring their health and safety, may not be on
their agenda.
OH nurses are well placed to demonstrate the organisational benefits
of a proactive OH service emphasising health within health and safety.
This paper will explore the leadership role of OH nurses in workplace
health management and highlights how OH interventions can add
value to the organisational “bottom line”.
Keywords: value; OH nursing
Prof. Anne Harriss, FRCN, Hon,
FFOM
Professor in Occupational
Health and Course Director
London South Bank University,
United Kingdom
Anne combines the unusual mix of being
Course Director and Professor in
Occupational Health at London South
Bank University with both the delivery of
consultancy and working with social
enterprise initiatives including two in
South Africa. She has trained a large
proportion of the occupational health
nurses of the Queen Alexandra Royal
Army Nursing Corps and as a
consequence she is a very keen supporter
of the LSBU Armed Forces Covenant.
Her consultancy interest focuses on the
development and delivery of bespoke
inhouse education and training covering a
variety of topics including health and well-
being; health and safety; and mental
health and stress awareness. She has
been awarded a number of prestigious
professional awards and Fellowships
including:
2011 Occupational Health Nurse of the
Year
2011 Innovations in Occupational Health
Award
2013 Innovations in Occupational Health
Award
2013 Senior Fellow Higher Education
Academy
2014 National Teaching Fellow of the
Higher Education Academy
2014 Board member National School of
Occupational Health
2015 Principal Fellow of the Higher
Education Academy
2016 Fellow of the Royal College of
Nursing
2017 Hon Fellow of the Faculty of
Occupational Medicine
Anne enjoys developing creative teaching
methods as she is passionate about
making learning both meaningful and
engaging
24 7th FOHNEU International Congress
Katalin Balogh
EU-OSHA National Focalpoint
Manager, Hungary
EU-OSHA Focalpoint manager 2012-
EU-OSHA Board member
Advisory Committee for Safety and
Health at Work alternate member
Head of Information Unit, National
Research Institute of OSH, Public
Foundation for Research on
Occupational Safety and Health
Hungary 1990-2007
Chemical engineer MSc, OSH expert
Healthy workplaces manage dangerous
substances EU-OSHA campaign–results and
experiences in Hungary
Katalin Balogh
EU-OSHA National Focalpoint manager, Hungary
Background:
Exposure to dangerous substances is much more common in Europe’s
workplaces than most people imagine. Dangerous substances at work
can cause a wide range of health problems and diseases, as well as
posing safety risks.
Methods:
The 2018-19 campaign aims to raise awareness of the risks posed by
dangerous substances in the workplace and to promote a culture of risk
prevention.
The campaign has the following objectives:
• to raise awareness of the importance and relevance of
managing dangerous substances in European workplaces;
• to promote risk assessment, elimination and substitution, as
well as the hierarchy of prevention measures;
• to raise awareness of the risks linked to exposure to
carcinogens at work;
• to target groups of workers with specific needs and increased
levels of risk (for example, women, migrants and young people);
• to increase awareness of policy developments and the current
legislative framework.
Results:
National Focalpoints have an important role in dissemination of EU-
OSHA messages. Across the EU 28 Member States and the 3 EEA
countries more than 220 campaign activities have organised in the first
year of the campaign (2018).
Conclusion:
The consequences of exposure to dangerous substances can have a
negative effect on quality of life or even be fatal. It is therefore crucial
to prevent such risks in all workplaces — no sector is completely free
from dangerous substances. Promoting a prevention culture in
workplaces will benefit workers, management and even the
environment.
Budapest, Hungary, 24-26 April 2019 25
Occupational medicine in Hungary
Károly Cseh
Institute of Public Health, Semmelweis University, Budapest, Hungary
The presentation summarizes the long history and the present
situation of occupational medicine in Hungary. In Hungary, all of the
Universities with medical faculties have post gradual training courses in
occupational medicine. More than 2300 occupational specialists and
2100 occupational nurses provide basic and specialized occupational
services for the 4.5 million of Hungarian workers. To obtain a bord
certification in occupational medicine requires 48 months’ of
specialized education, including 24 months of practice. Continuous
medical education is obligatory. Obtaining 250 credit points in every 5
years is required. Hungary is the member of numerous international
occupational organizations. The Hungarian list of occupational diseases
contains more than 340 items. However disorders being not on the list
may be reported, as of occupational origin. In Hungary, any physicians
may report a suspected occupational disease to the authorities.
Compensation for the employees is judged by the law court. The
number of accepted occupational diseases in Hungary was 230 in 2017.
Prof. Dr. Károly Cseh, DSc.
Institute of Public Health,
Semmelweis University,
Budapest, Hungary
Prof. Dr. Károly Cseh qualifed as a
medical doctor in 1976. He
specialized in occupational medicine,
internist and diabetology. He
received his PhD from the Hungarian
Academy of Sciences in 1986, and his
DsC. from the Hungarian Academy of
Sciences in 2001. He become
professor of medicine in
Semmelweis University in 2008. He
was Chief medical attandant in 1st
Department of Medicine of the
Károlyi Hospital in Budapest from
1997 to 2010. He was the Director of
Institute of Public Health of
Semmelweis University from 2010-
2018. Professor Cseh is President of
the College of Occupational Medicine
since 2011 and also the President of
the Hungarian Society of
Occupational Medicine since 2014.
26 7th FOHNEU International Congress
Prof. Vicki Culpin
Organisational Behaviour,
Ashridge Executive Education
at Hult International
Business School,
United Kingdom
Vicki is currently Professor of
Organisational Behaviour at Ashridge
Executive Education, part of Hult
International Business School, having
previously held positions at Dean of
Faculty and Global Director of
Research.
Vicki specialises in well-being research,
specifically related to memory and
sleep. She has spent nearly 20 years
researching memory, the impact of
poor memory, how to improve
memory and the effects of reduced
sleep with a variety of individuals
including older adults, children,
forensic populations and employees.
More recent research and teaching
interests include the relationship
between sleep, well-being and
derailment and the relationship
between sleep and resilience in
management populations.
Vicki also researches and teaches in
the field of adult pedagogy, specifically
in relation to learning transfer and
how to make learning experiences
‘sticky’.
Vicki works with a range of clients
from across the world, teaching
leadership development, along with
sharing her research findings. Her
latest book, ‘The Business of Sleep’ is
published by Bloomsbury and was
out in March 2018. Vicki studied
Psychology at Manchester University,
followed by an MPhil and PhD in
Psychology from Lancaster University
and an MSc in Applied Forensic
Psychology from Leicester University.
She is an Associate Fellow of the
British Psychological Society, a
Chartered Psychologist and a Fellow
of the Higher Education Academy.
The wake up call
Vicki Culpin
Professor of Organisational Behaviour, Ashridge Executive Education at
Hult International Business School, United Kingdom
We would never encourage health workers to drink alcohol during a
shift to Improve their performance, so why is ‘allowing’ them to get too
little sleep any different? Research has found that the outcome of sleep
deprivation can be equivalent to the effect of alcohol consumption on
attention, and vigilance.
Never before have we been in a position to use brain scanning
advances such as magnetic resonance imagery (MRI), to enable
researchers to ‘see’ how sleep affects our thought processes. Never
before have we had unprecedented access to big data that allows us to
understand the impact of poor sleep at the individual, the
organisational, national and global scales. Yet, according to recent
research, never before have significant percentages of working adults
been so sleep deprived.
In this session we will discuss the physical, social, emotional and
cognitive effects of poor sleep at the level of the individual, as well as
examining the wider consequences at organisational and national
levels. Research on the impact of poor sleep specifically on health care
professionals will also be introduced, both in terms of physical and
mental health as well as job performance – The Wake Up Call.
Budapest, Hungary, 24-26 April 2019 27
Working conditions and workers’ health
and well-being in the EU
Jorge Cabrita
European Foundation, Working Life Unit, Dublin, Ireland
The promotion of healthy working conditions has been at the core of
the European Union commitments. Ensuring the sustainability of
pension systems in the context of an ageing population has become a
priority which requires more individuals to stay in employment for
longer. At the same time, pressure on workers is rising due in part to
evermore changes in how work is organised and performed, which, in
turn, impact the type and composition of the risks associated to work.
In order to allow workers’ to remain in the labour force for longer, work
must be made sustainable by reducing health-impairing conditions and
foster health-promoting ones. To pursue such goal understanding the
relationships between working conditions and workers’ health and
well-being is as relevant as ever. Recent Eurofound research examines
the associations between working conditions and workers’ health and
well-being in the EU28, on the basis of the European Working
Conditions Survey (EWCS) data, in particular from 2015. The main
findings of this research will be shared in the 7th FOHNEU International
Congress.
Jorge Cabrita
Research Manager, Working
Life unit, European
Foundation for the
Improvement of Living and
Working Conditions, Ireland
Jorge Cabrita is a research manager
in the Working Life unit at Eurofound.
He is responsible for formulating,
coordinating and managing
European-wide studies, surveys and
publications, and promoting the
dissemination of findings through
the participation in debates,
conferences, seminars and
workshops in the thematic areas of
working conditions and industrial
relations. Research areas have
included absenteeism from work, the
working poor, work-related stress,
helping young workers during the
crisis, industrial relations and
working conditions in central public
administration, gender issues in
social partner organisations, working
time regulation, practice and
patterns, work-life balance and
fraudulent forms of contracting work.
He contributes regularly to the
analysis of the European Working
Conditions Survey data and is
currently responsible for research on
working conditions and workers’
health and gender equality at work.
He holds a BSc in Economics and an
MSc in Socio-Organisational Systems
of Economic Activity from the Lisbon
School of Economics.
28 7th FOHNEU International Congress
Prof. Panayota Sourtzi, RN,
PhD
Professor in Occupational
Health Nursing, Department
of Public Health, Faculty of
Nursing, National and
Kapodistrian University of
Athens, Greece
She earned her PhD from the
University of Birmingham UK (1995)
by working on a research, which
evaluated health promotion activities
in primary health care and
community nursing. She is professor
in Occupational Health Nursing at the
Faculty of Nursing, National and
Kapodistrian University of Athens.
She teaches, occupational health in
the undergraduate and postgraduate
programmes, health education
methodology, etc and has published
mainly in the fields of health
promotion and education and
occupational health. Her research
interests include occupational and
environmental health and nursing,
health promotion of the working
population and nursing education.
Health promotion for older workers
Panayota Sourtzi
National and Kapodistrian University of Athens, Athens, Greece
Populations are ageing mainly because of decreasing fertility rates and
extended life expectancy; these developments lead to ageing working
populations because national social security systems increase the
retirement age. Today's workers over the age of 45 are expected to stay
longer at work than it was expected when they started their careers and
this creates the need for developing appropriate and responsive to their
needs health promotion programmes not only for work related health
problems but also for lifestyle threats.
Research evidence is being accumulated showing that health promotion
interventions tailor made to the needs of older workers can succeed in
sustaining workability and reduce the consequences of work related
hazards as well as those related to lifestyle habits. These interventions
however, are not yet an everyday practice in occupational health
services, mainly because of the rapid changes incurred due to the
financial crisis that caused cutbacks even in the health and safety
measures required by law.
Occupational Health Services and more specifically Occupational Health
Nurses need to take into consideration the special health promotion
needs of older workers and use evidence based work practices and
health promotion interventions to respond to these needs in order to
succeed to sustain the workability and quality of life of older workers
both at work and outside it.
In this presentation the latest evidence on health promotion
interventions for older workers effectiveness will be presented and
proposals for implementing them in the workplace will be discussed.
Budapest, Hungary, 24-26 April 2019 29
Multinational education and research
collaboration in occupational health
nursing
OiSaeng Hong
University of California San Francisco (UCSF), School of Nursing,
San Francisco, United States
Occupational and environmental health nursing (OEHN) is the
specialty practice that focuses on preventive healthcare, health
promotion, and health restoration within the context of a safe and
healthy environment (aaohn.org). It is a well-established nursing
specialty in some western and developed nations. However, it is still
considered a young field in less industrial countries. Through global
collaborations among occupational health educators, researchers,
and practitioners from more advanced countries, nurses in less
developed countries can develop OEHN specialty. This presentation
will share approaches that have been successfully implemented by
OEHN educators in different parts of the world, specifically Brazil,
Korea, Taiwan, Thailand, and the United States (US).
In the US, the National Institute for Occupational Safety and Health
has been providing funding for OEHN graduate education and
doctoral research training through the university-based
multidisciplinary education and research centers (ERCs) since 1977.
This presentation will introduce how ERC faculty expertise and
research training capacity have been shared with nurse educators in
several countries to prepare nurse researchers and educators with
specialization in OEHN globally. Countries like Brazil and Thailand
offer their government sponsored ‘Student Training Abroad
Programs or Scientific Mobility Program (Brazil)’ to students in various
disciplines including nursing. Through this program, competitively
selected students can have a short term (a few months to a year)
research training abroad in countries like Australia, Canada, and the
US. The presenter has been serving as the US faculty coordinator and
research mentor for OEHN doctoral students from the University of
Sao Paulo in Brazil and Mahidol University in Thailand. In this
presentation, examples of research projects and symposiums
conducted in collaboration with OH partners in different countries
will be shared. This presentation will conclude by addressing lessons
learned (challenges and opportunities) from the presenter’s many
years of experience with international research and education
partnership, and by suggesting future directions for global
collaborations in the field of OEHN.
Prof. OiSaeng Hong, PhD, RN, FAAN,
FAAOHN, United States of America
Dr. Hong a Professor and the Director of PhD
Program in Nursing Science and Director of the
Occupational and Environment Health Nursing
Graduate Program at the University of
California San Francisco (UCSF). She is also an
affiliated professor at the Northern California
Center for Occupational and Environmental
Health at the University of California Berkeley
School of Public Health and the Institute for
Global Health Sciences, UCSF. Prior to her
academic career, Dr. Hong worked as a
Corporate Nurse Officer for a multinational
commercial airlines and was in charge of the
health and safety of the airline’s employees, as
well as air travellers worldwide. As a part of the
CNO role, she participated in numerous global
regulatory and scientific meetings organized by
the Aerospace Medical Association, the Federal
Aviation Administration, and the International
Civil Aviation Organization.
Dr. Hong received a PhD from the University of
Illinois at Chicago and postdoctoral research
fellowship from the University of Michigan in
Ann Arbor, Michigan. Her program of research
focuses on prevention of work-related injuries
and diseases, as well eliminating health
disparities. Dr. Hong’s specific area of research
is prevention of auditory impairments (hearing
loss and tinnitus) due to exposure to noise and
ototoxic chemicals through effective
interventions. As a seasoned educator and
researcher in the field of OEHN, Dr. Hong
provides leadership by creating and
strengthening international partnerships and
collaborations in OEHN education and
research. She has mentored numerous
students and faculty from different parts of the
world. Dr. Hong also plays professional
leadership roles in international organizations,
such as the World Academy of Nursing Science
(founding member and Board of Directors) and
the Global Korean Nursing Foundation
(President). In recognition of her contribution to
global nursing, she has received honors from
various organizations including the
International Network of Doctoral Education in
Nursing and Sigma Theta Tau International
Honor Society of Nursing.
30 7th FOHNEU International Congress
Budapest, Hungary, 24-26 April 2019 31
ABSTRACTS OF
ORAL PRESENTATIONS
32 7th FOHNEU International Congress
Budapest, Hungary, 24-26 April 2019 33
Session 1.
Occupational health nurses and public health nurses collaborating
to improve the health of the nation
Elizabeth Reifsnider1, Gail Pedersen Hock2, Erlinda Singarajah3, Jasmine Bhatti3,
Angela Chen3
1 Fulbright Scholar, Semmelweis University; Arizona State University, United States 2 Brandman University, Irvine, United States 3 Arizona State University, Arizona, United States
Introduction:
Influenza is a significant public health issue. In the U.S., annual influenza-associated deaths range from 3,000
to 49,000 according to recent estimates, and more than 200,000 people are hospitalized each year for
conditions associated with seasonal influenza infections (NVAC, 2013). Vaccination of all health-care personnel
is a particular focus to decrease the spread of influenza. Nurses who are committed to promoting patients'
welfare and the health of the public, and to safeguarding their own and their colleagues' well-being, have an
ethical responsibility to get vaccinated to prevent the spread of influenza infections in health-care settings.
Occupational Health Nurses (OHN) and Public Health Nurses (PHN) and their employers should integrate
influenza vaccination programs into existing infection prevention programs or occupational health programs.
Methods:
A scoping review was conducted with the search terms of influenza vaccination programs, cost of missed days
of work to employers from sick workers, costs of influenza vaccination programs to employers, influenza clinics,
and OHN and PHN. The resulting articles were reviewed by a panel of 3 nurses and analysis conducted to
determine employer-sponsored vaccination clinics, costs spent on clinics, cost savings, and OHN and PHN
efforts.
Results:
We are continuing our analysis, but our initial findings support H1 that public clinics cost less than vaccination
received in a provider’s office and H2 that OHN and PHN have significant impacts on the number of individuals
who are vaccinated against influenza.
Discussion:
OHNs should advocate for holding influenza vaccination clinics in their places of employment and monitor the
percentage of the employees who receive the vaccination to determine herd immunity. PHNs should hold
public influenza vaccination clinics and the public health agency should sponsor the clinics free of charge. All
nurses should be role models for family/friends/employees and receive yearly influenza vaccinations. Costs to
the nation will be lower with a healthy workforce.
Keywords: influenza vaccination, costs of influenza
34 7th FOHNEU International Congress
Demonstrating the value of Occupational Health Nursing
programs
Patricia B. Strasser
Partners in BusinessHealth Solutions, Inc.; AAOHN, Sylvania, United States
Occupational Health Nurses (OHNs) play a key role in company profitability by improving worker well-being,
managing disease, and injury/illness treatment and prevention. Occupational Health Nurses utilize best
practices to provide quality services, and it’s critical that they demonstrate and communicate the
value of the services that they provide to their clients and/or their employers. For some OHNs, it may be
important for job security, for others it demonstrates their worth as a critical component of the services they
provide to their companies.
Demonstrating value may include showing financial benefits (e.g. “ROI-Return on Investment”) as well as non-
financial worth (e.g. VOI- value of investment), such as worker satisfaction, creating a culture of trust and
caring, and/or evidence of a greater place to work. Validating ROI and VOI are equally important, and
both should be included when demonstrating the value of occupational health nursing programs.
Additionally, it is vital to document and communicate the value of your services using business and financial
terminology. Several examples will be provided during the presentation
Keywords: occupational health nursing programs, return on investment, value of investment
Role of OHNurses in the dissemination of the European “healthy
workplaces” campaign in Micro and Small Enterprises
Valerie van Gulck, Sofie Vandenbroeck, Lode Godderis
IDEWE, Lueven, Belgium
Introduction:
The European campaign on managing dangerous substances of “healthy workplaces” is supported by FOHNEU,
The Federation of Occupational Health Nurses (OHN) within the European Union. Despite, Micro and small
enterprises (MSE’s) are concerned about their employees’ health and safety, they face problems in the
prevention of exposure to hazardous substances. The role of OHN within this campaign is still undefined. The
aim of this study is to determine the effectiveness of a nurse-led intervention focusing on 1) providing
information on how to prevent exposure to dangerous substances and 2) raising the awareness regarding the
impact on health.
Methods:
A randomized controlled trial will be conducted in MSE’s from various sectors across different EU countries
affiliated to FOHNEU during the period 2018-2019. At baseline the knowledge of employers about safety and
health risks and the use of chemicals in their company will be assessed by means of an electronical survey.
Next, employers will be randomized into 3 groups. One group will receive electronic information provided by
the campaign. The second group receives the same information and will complete the EU-OSHA Dangerous
Substances E-tool, which generates company-tailored advise. The third group will receive the same intervention
of group 2 with an additional company visit from an OHN. The OHN will address the remaining questions and
focus on health risks. After the intervention, all groups will again complete the knowledge questionnaire.
Results:
The differences in knowledge about safety and health risks due to dangerous substances between and within
the intervention groups will be presented during the conference.
Budapest, Hungary, 24-26 April 2019 35
Discussion:
Till date a limited number of MSE’s perform, a risk-assessment and translate this into action-plans. The EU
campaign is an excellent stimulant but does not always reach the workplace. Therefore, to encourage MSE’s,
OHN’s can play an important role in providing information and motivate MSE’s to implement and manage
occupational safety and health.
Can we value health? Are there economic benefits from establishing
a corporate midwife service at Oslo University Hospital?
Trude Sjøholt-Hawkins
Division of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway
Introduction:
Corporate midwife services have been introduced in Norway as a method to reduce absence among pregnant
employees. Is it possible to demonstrate economic benefit from such an investment?
Methods:
HSE Economy is a triangulation in methods. The main method is a cost-benefit analysis. In order to reveal the
costs and benefits a representative group of interested parties are gathered to discuss suggested preventive
measures, in our case corporate midwife. The group will look into contexts between preventive measures and
economic effects of cost or benefit. Some effects are less quantifiable; in that case the group will estimate or
weigh factors which will be used in the analysis. Possible variations in end result is demonstrated through a
sensitivity analysis of best and worst case scenarios.
The corporate midwife service uses an approach of three-party dialogue between pregnant employee, leader
and midwife.
Results:
Given prerequisites of 612 pregnant employees each year, an anticipated reduction in sick absence of three
weeks and hiring 1.4 midwifes, Oslo university hospital had a potential of saving 10.9 million NOK (€1,2 mill)
per year by establishing a corporate midwife service.
Discussion:
The biggest challenges with the corporate midwife service are participation by leaders and employees and
hiring enough midwifes to cover the demand. Even if fewer employees utilize the service and sick absence
reduces with less time, there are significant potential cost benefits with introducing the corporate midwife
service.
Keywords: HSE economy, absence, pregnant employees
36 7th FOHNEU International Congress
Pre-employment medical consultations by occupational health
nurses of mensura: A pilot project in the temporary work sector in
Belgium
Lieve Mussen, Alicia Paluch
Mensura Occupational Health Services, Belgium
Introduction:
Belgian employers are obliged to perform a safety and health at work risk assessment. Based on this
assessment, particular groups of workers are identified and need to undergo a pre-employment medical
consultation (e.g. for safety and risk functions). For temporary workers, the temporary employment agencies
need to organize these consultations. High flexibility is often demanded (e.g. need for a quick start), which is
often difficult to organize for occupational health services (OHS) given the low number of occupational health
physicians (OHPs). Therefore, a new procedure was developed and implemented to broaden occupational
health nurses’ (OHNs’) job tasks and relieve OHPs from pre-employment medical consultations for temporary
workers.
Methods:
In 2016, a pilot project was implemented in a large national employment agency organization. To optimize
collaboration, several items were thoroughly discussed between Mensura OHS and the organization (e.g
administrative and practical requirements). OHNs were trained to execute pre-employment medical
consultations and clear guidelines were developed. The guidelines include instructions about communication,
administration, anamnesis, and what to do in case of divergent results. At the end of the consultation, workers
are asked whether they want a consultation with the OHP (by phone or face-to-face). After the registration and
administration of the consult, the OHP validates the consult.
Results:
Since the implementation, the number of workers examined by OHNs increased steadily each year: 94 (2016),
918 (2017), and 1003 (September 2018). Positive feedback of workers and temporary employment agencies
was received. Furthermore, this project leaded to an increased job satisfaction among the OHNs.
Discussion:
The implemented procedure covered the current needs (more OHPs, more efficient organization) and could be
broadened to other companies and sectors. This project also highlighted the need for a law reform allowing a
different organization of the current occupational health surveillances with a bigger role for OHNs.
Keywords: Pre-employment medical consultations, temporary work, occupational health nurses job tasks
Budapest, Hungary, 24-26 April 2019 37
Parallel session 2.
Workplace health promotion over the years: An overview
Patricia B. Strasser
Partners in BusinessHealth Solutions, Inc.; AAOHN, Sylvania, United States
“The practical value of history is to throw the film of the past through the material projector of the present on
to the screen of the future.” (B. H. Liddell Hart).
The earliest health promotion effort’s focused on identifying health risks (e.g. obesity, lack of exercise, etc.)
over the decades has evolved to a more holistic focus promoting healthy, balanced workers. This presentation
will review examples of empirical studies that reflect the shifting focus from risk identification to an
examination of quality of life/well-being indicators (e.g. purpose in life, job satisfaction) demonstrating “value
of investment” rather than “return on investment”.
Keywords: wellness programs, history, research
A new framework for worker well-being
Chia-Chia Chang1, Ramya Chari2, Steve L. Sauter1, Elizabeth L. Petrun Sayers2,
Jennifer L. Cerully2, Paul Schulte1, Anita L. Schill1, Lori Uscher-Pines2
1 National Institute for Occupational Safety and Health (NIOSH) Office for Total Worker Health®, United States 2 RAND Corporation, United States
Introduction:
There is growing interest globally in a systemic approach to worker safety and health, not only preventing
disease and injury, but also enhancing overall well-being. For example, the goal of the NIOSH Total Worker
Health® program is to “advance worker well-being.” However, there has been no consistent definition of the
concept of worker well-being. To address this gap, NIOSH and the RAND Corporation conducted research to
develop a conceptual framework and operationalize indicators for worker well-being. The results of this effort
will help occupational health nurses better understand the well-being of the workforce.
Methods:
This session presents the first phase of this research. We performed a comprehensive literature review of peer-
reviewed articles, technical and white papers, and books. Three search engines were used to cover health and
medical journals, social science and psychology journals, and the general literature, respectively. Due to the
large number of articles, we focused on the following article types: review, meta-analyses,
conceptual/theoretical, and methods-focused papers.
Results:
Based on the review, we developed a conceptual framework for worker well-being with five proposed domains:
(1) Workplace physical environment and safety climate, (2) Workplace Policies and Culture, (3) Work Evaluation
and Experience, (4) Health Status, and (5) Home, Community, and Society. Using this framework, we developed
a survey instrument with the input of an external expert panel and pilot tested the instrument.
Discussion:
The work presented here represents the first steps toward assessing worker well-being. The next steps are to
analyze the results of pilot testing, revise the instrument, and develop guidance materials to accompany the
instrument. These activities will contribute to tools for occupational health nurses interested in Total Worker
Health® and identify opportunities for interventions. Operationalization of this framework can lead to
assessment of the well-being of a workforce, and thus, a nation.
Keywords: well-being, Healthy Work Design & Environment, holistic model
38 7th FOHNEU International Congress
A correlation study of nursing staff depression and anxiety levels
between paediatric and adults intensive care units
Alexandros Douvanas1, Maria Kapritsou2, Styliani Tziaferi3, Vassiliki Karra4,
Anastasia Papaioannou5, Maria Kalafati6*
1 Athens Paediatric Hospital P&A Aglaia Kyriakou, Greece 2 Hellenic Anticancer Institute, ‘’Saint Savvas’’ Hospital, Day Care Center “N. Kourkoulos”, Athens, Greece 3 National Secretary for ICOH, Community Nursing Dep. of Nursing Laboratory of Integrated Health Care,
University of Peloponnese, Greece 4 Perioperative Services, Sismanoglio General Hospital, Athens, Greece 5 Athens Paediatric Hospital P&A Aglaia Kyriakou, Greece 6 Laboratory Teaching Staff, National and Kapodistrian University of Athens, School of Health Sciences,
Department of Nursing
Introduction:
Anxiety and depression involve a psychological risk with negative consequences for both the individuals who
suffer and the organizations they work for. The ICUs are stressing workplaces amplifying psychological
disorders for their staff. Many studies explore anxiety and depression symptoms in ICUs (Adult and Paediatric)
nursing staff (NS). The purpose of this study was to look into the probable presence of Adults ICUs and PICUs
anxiety and depression symptoms as well as their association with social-demographic and work-related
characteristics.
Methods:
The sample consisted of 394 Adults ICUs and PICUs NS. The 56.1% of the sample was working in adults ICUs.
To assess the anxiety and depression scale it has been used the Zung Self Rating Anxiety Scale (SAS) and Zung
Self Rating Depression Scale (SDS). The Cronbach's alpha for the two scales was found to be 0.72 and 0.75
respectively. The statistical analysis of data was performed using the statistical package of SPSS 22.00.
Results:
The 89.3% (n=352) of the sample were women, 81.7% (n=322) were aged >40 yrs., 47.2% (n=186) were single,
while 79.2% (n=312) were registered nurses. The levels of NS anxiety and depression were normal (mean
SAS=39.21 and mean SDS=46.15) and there were not observed any significant correlation between Adult ICU
and PICUs NS. However, there was a significant correlation between NS gender and the SAS level (p=0.001).
SDS level was significantly correlated with NS educational level (p=0.005), work position (p=0.001) as well as the
work shift (p=0.001).
Discussion:
The Adult and Paediatric ICUs NS had a normal level of anxiety and depression. The compassion variables have
also demonstrated a predictive role in the outcome of the psychological disorders.
Keywords: Zung Scale SDS; Zung Scale SAS; ICU nursing-staff; anxiety; depression
*The author thanks Special Account for Research Grants and National and Kapodistrian University of Athens for funding to attend
the meeting
Budapest, Hungary, 24-26 April 2019 39
Participatory approaches for workplace improvements on mental
health and job performance among hospital nurses in Japan
Etsuko Yoshikawa1, Toru Yoshikawa2, Yuriko Takeuchi3, Yumi Sano3, Akiko Yuas1,
Kazutaka Kogi3
1 Japanese Red Cross College of Nursing, Tokyo, Japan 2 National Institute of Occupational Safety and Health, Japan, Kawasaki, Japan 3 The Ohara Memorial Institute for Science of Labour, Tokyo, Japan
Introduction:
The purpose of this study was two-fold: (1) develop a workplace environment improvement program using a
participatory approach adjusted to health workers and (2) To explore the effect of participatory intervention
for workplace improvement on mental health and job performance.
Methods:
The subjects were 108 nurses in 4units working in a medium-sized community hospital in Tokyo, of whom, 81
permitted the use of complete data collected before and after the intervention. A participatory workplace
improvements program was provided to the intervention units for 6 months. The primary outcome was defined
as the improvement in the following measures during the intervention period: General Health Questionnaire,
the Utrecht Work Engagement Scale and Work Functioning Impairment Scale.
Results:
Two or three improvements in each units were carried out as planned based on the set-up workshop during
the intervention period. Significant intervention effect was observed mental health reaction such as anxiety
(p<0.05). However job demands increases in the intervention units. No significant intervention effect was
observed in job performance scores and work engagement. Job performance scores significantly improves in
the unit A.
Discussion:
It is suggested that 6-month participatory intervention for workplace improvements is effective mental health
reaction, but not promote work engagement.
Keywords: participatory approaches, hospital nurses, workplace environment improvements
40 7th FOHNEU International Congress
Lifestyles associated with health loss in workers: A longitudinal
study into the work health promotion
Manuel Romero-Saldaña1, Carlos Álvarez Fernández1, María Dolores Aguilera-López2,
Rocío Jiménez Mérida3, Rafael Molina Luque3, Álvaro Álvarez-López4,
Manuel Vaquero Abellán3, Guillermo Molina Recio3, Alfonso Meneses Monroy5,
Beatriz Herruzo-Caro6, Rocío De Diego Cordero7
1 Department of Safety and Occupational Health, Cordoba City Hall, Spain 2 Andalusian Health Service, Lucano Health Centre, Córdoba, Spain 3 Department of Nursing, Faculty of Medicine and Nursing. University of Cordoba, Spain 4 Extremadura Health Service. Hospital of Badajoz. Spain 5 Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid,
Spain 6 Sanitary District of Córdoba, Occupational Health Service, Spain 7 Department of Nursing. Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Spain
Introduction:
Total Worker Health (TWH) is defined as a strategy integrating occupational safety and health protection with
health promotion to prevent worker injury and illness and to improve their well-being. TWH supports the
development of programs that align workplace safety with individual behaviours that encourage healthy
lifestyles.
Objective:
To identify some lifestyles associated with the loss of health in workers.
Methods:
A longitudinal and observational study was carried out during 2015-2017. 240 workers were studied from
check-up health in Córdoba (Spain). The outcome variable was the loss of health measured through the length
(in days) of episodes of illness or occupational accident. The predictive variables were: age, gender, worksite,
tobacco and alcohol consumption, physical activity (PA) measured by IPAQ and Mediterranean diet adherence
(MDA) measured by Trichopoulou survey. An adjusted multiple linear regression was performed.
Results:
177 men (73.8%) and 63 women (26.2%) were studied. The total average age was 50.2 (SD=7.9) years. 104 men
(58.8%) and 25 women (39.7%) suffered any episode of illness or occupational accident (p<0.05). 4.6% of the
workers obtained a sedentary-low PA and 59.2% showed an adequate MDA. According to the worksite, the
average duration for the white-collar workers was 29.5 days, 74.5 for blue collar workers (BCW) and 47.8 days
for police and firefighters (p<0.05). Workers who did a high PA obtained an average of 36.3 days for 64.4 days
in workers with low-moderate. The MDA did not obtain significant association with duration of illness or
occupational accident. The adjusted linear regression showed: workplace associated to loss of health (p<0.01),
BCW (B coefficient =51.1), police/firefighters (B coefficient =24); and High PA (B coefficient = -35.4).
Discussions:
Along with the worksite, physical activity has been the lifestyle most associated to the loss of health in workers.
The AMD was not associated with this condition.
Keywords: lifestyles, total worker health, illness, occupational accident, work health promotion
Budapest, Hungary, 24-26 April 2019 41
Parallel Session 3.
Organisational approach to occupational health and well-being in
the national rehabilitation hospital Ireland
Rose Curtis1, Jacintha More O’Ferrall2
1 Occupational Health, Dublin, Ireland 2 National Rehabilitation Hospital Rochestown Avenue, Dun Laoghaire, Co Dublin, Ireland
Introduction:
Following an organisation wide psychosocial risk assessment in 2012, the National Rehabilitation Hospital
decided to create an interdisciplinary group to plan and co-ordinate a comprehensive suite of well-being
initiatives to. This group is called the Positive Working Environment Group.
Methods:
The group is headed by an external chairperson who gives objective and independent advice. Junior staff with
less than a years experience are part of the group as are our Clinical director and HR director. Every two years
a further psycho-social risk assessment is carried out which informs the direction the group needs to focus in
the following two years. The aim of the group is to have a cross representation of staff working together to
offer a co-ordinated approach to well-being in our workplace.
Results:
A broad range of health and well-being initiatives are now available to staff which ultimately offers staff the
opportunity to improved their own health and well-being. The skills and expertise among staff within the
hospital are used where possible to keep costs contained and ensure approval from senior management. This
group has greatly supported the work of the very small Occupational Health department in the hospital and
has enabled the launch of several programmes that may otherwise not have been possible. Staff absence has
decreased since the creation of the group and staff satisfaction has increased.
Discussion:
The approach taken by the hospital, engages staff from all departments and levels within departments
throughout the hospital. Initiatives are available under several dimensions of well-being. Constant innovation
is required to keep staff engaging in services available.
Keywords: well-being, staff engagement, interdisciplinary approach
Determination attitudes and knowledge of nursing students in
occupational health and safety
Melek Nihal Esin, Ayşe Dost, Emine Aktaş, Nihal Sunal
Public Health Nursing Department, Istanbul University-Cerrahpasa Florence Nightingale Faculty of Nursing, Istanbul,
Turkey
Background and objectives:
Many studies indicate that the nursing students have higher risks of suffering occupational exposures than
graduate nurses. To understand of knowledge and attitudes of nursing students, and increase their awareness
related to occupational safety and health (OSH) OHS before they start their working life is important for
planning practice. The aim of this study is to determine the attitudes of nursing students about OHS.
42 7th FOHNEU International Congress
Methods:
The sample the study consisted of 110 students (90.9% female, 9,1% of male) who studied in the nursing
department of a foundation university between September and October 2017. We used a one-page
questionnaire consisted of 23 questions that was valid and reliable tool in Turkish. This questionnaire has three
domains with 5-6 point Likert Scale that evaluate in the first domain the knowledge and perception about OHS,
second domain attitude towards OSH, and third domain about affecting factors on knowledge and attitude as
socio-demographical, educational level etc.
Results:
The mean age was 20,70 ± 1,81, more than 90.0% of the students in their second or third grade. 13,6% had
work experiences in different occupation than nursing, 90% of the students had previously been trained in
OHS, and generally received this training at their university. 60.5% of the student believe that nursing
profession could be harmful for their health status, and 80% of them perceived their as a good status. Although,
It was determined that 64.5% of the participants had “intermediate level” knowledge about OHS, 20% of the
students reported that they had experienced work accidents such as needle stick injury, sharp injuries, and
transmitting blood-borne diseases during clinical practices. 69% of them stated that occupational health nurses
are key person in preventing of diseases.
Conclusion:
OHS educational approaches should be considered to increase awareness related to workplaces risks and
reduce injuries of nursing students.
Infection prevention and prevention at work hand in hand
Bianca Kints, Marleen Lambrechts, Katrien De Grez
IDEWE Group, Gent, Belgium
Introduction:
The transmission of infections in a day nursery is mainly caused by hand contact. Employees, who do not apply
hand hygiene, transfer infections to children but also to colleagues, visitors and themselves. Hand hygiene
directly reduces the number of infections and indirectly sickness absence. The aim of the study was to
investigate the effect of a sensibilisation campaign on the application of hand hygiene.
Methods:
A pre-post test design study was conducted in 31 day-nurseries. During a baseline measure 1) compliance with
the basic requirements; 2) the available material and 3) the efficient and effective application of hand hygiene
were assessed by means of an observation and a checklist. The sensibilisation campaign consisted of training
each employee in hand hygiene and education of reference persons. The post-test will be carried out in a
similar way in the period January-February 2019. The analysis will examine whether there is a significant
improvement in the application of hand hygiene after the intervention.
Results:
The results of the pre-test show that more than 55% of the employees wore jewels, 32% had long nails (3% gel
nails; 9% polished nails). The checklist demonstrated that pedal dirt buckets, hand alcohol in all living areas,
hand lotion, one uniform instruction card and nitrile gloves were not available. Hand hygiene was only applied
in 37% of the observed cases. The results of the post-test and the effect of the campaign and training will be
presented at the conference.
Budapest, Hungary, 24-26 April 2019 43
Discussion:
Basic requirements regarding hand hygiene need to be included in prevention measures of day nurseries.
Acquiring good hand hygiene does not only optimize qualitative care but also the health of the employees.
Therefore the provision of instructions and improving knowledge regarding hand hygiene is a necessary in the
prevention of the transmission of infections.
Keywords: infection prevention, hand hygiene, day nursery
Flu vaccination coverage
Elda Isabel Colino Romay, P. Lamas, M. Paolini, J. Cordoba, M.V. Fernández-Cifuentes,
Luis Mazón-Cuadrado
Occupational Health Unit, Hospital Universitario Fuenlabrada Madrid, Madrid, Spain
Objectives:
The flu is a disease which causes a high health care costs. To avoid the contagion, both of the patient toward
the staff and the staff to the patient, is the recommended influenza vaccination of healthcare workers. The
main objective of the study was to assess the coverage of influenza vaccination in Fuenlabrada Hospital
University of workers between the years 2006 to 2018. Secondary objectives: the analysis of the vaccination
coverage by type of profession, age and year of vaccination, and finally to assess a strategic planning of flu
vaccination.
Material and methods:
The hospital has an average population of 1,539 workers, in the study period 2006-2018. Descriptive study was
conducted by analyzing longitudinal vaccination coverage.
Results:
3,930 healthcare workers are vaccinated a total of in the years from 2006-2018, with a general index of vaccine
coverage of 19.72%. The vaccine coverage was higher in the year 2009, the year of the last epidemic Influenza
A (H1N1), with a vaccination in index of 38.36 %. The worst vaccine registry is obtained in the year 2007 with an
index of 13.95 %. Professional categories non-health personnel is more vaccine (28.76 %) that the health
personnel (18.37 %).
Conclusions:
The vaccine coverage increases in those years in which specific epidemic waves appear, as occurred in the year
2009. It seems necessary a modification of the vaccination strategy, generating greater adhesion of the
professional, a specific education and facilitating schedules and flocking to their units.
Keywords: influenza vaccination; coverage vaccination; healthcare workers
Health professionals’ health condition
Katalin Papp, Erzsébet Jakabné Harcsa, Géza Nagy, A. Radó, Zsuzsanna Hermányos Nagyné
Chamber of Hungarian Healthcare Professionals / University of Debrecen, Debrecen, Hungary
Introduction:
It is a well-known fact that many health professionals have impaired health. Even young and active workers
often go on sick-leave. We examined what kind of problems these people, who protect and improve others’
health, live day by day. They could serve as a model for patients and their relatives, showing a practice to follow.
44 7th FOHNEU International Congress
Goal:
The goal of the study is to assess health professionals’, especially nurses’ health condition and examine what
their health consciousness is like.
Method:
The data were collected in Felső-Szabolcsi Hospital and Szatmár-Beregi Hospital. We asked the staff to fill in
the survey then we analyzed the answers with SPSS 23 and Microsoft Excel programs.
Result:
From this survey we gain demographic data, get a picture of the present health condition of nurses, as well as
of their health consciousness and health education.
Keywords: health, health condition, healthy life-style, chronic diseases
Health risk awareness among healthcare professionals
Lívia Szobota1, Zoltán Balogh2
1 National Tax and Customs Administration of Hungary, Institute of Training, Health and Culture, Budapest,
Hungary 2 Semmelweis University, Faculty of Health Sciences, Institute of Applied Health Sciences, Department of Nursing,
Budapest, Hungary
Introduction:
The aim of our study was to assess how aware healthcare professionals are of the risks and dangers they are
faced with while performing their jobs.
Methods:
Data collection was done quantitatively with a survey filled out by the subjects themselves from among
medical/healthcare professionals who are currently working multiple shifts or medical professionals who are
in leadership positions and are currently continuing their higher education beside their employment. Data
analysis was done with the help of Microsoft Excel and SPSS using the Pearson chi-squared test and the Mann
Whitney-, Kruskal-Wallis tests (p<0,05) as well as descriptive statistical methods.
Results:
The 134 healthcare professionals taking part in the study were not fully aware of the health risks they are faced
with.
Discussion:
The people who provided answers were not clear on workplace dangers and risks. On the whole, it can be
determined that the cooperation of occupational health and workplace safety is necessary in order to avoid
damage to the health of healthcare professionals.
Keywords: healthcare professionals, health risks, occupational health
Budapest, Hungary, 24-26 April 2019 45
Parallel Session 4.
The prevalence of needlestick and sharps injuries among healthcare
workers in Turkey: A systematic review
Azize Karahan, Melek Nihal Esin
Istanbul University-Florence Nightingale Nursing Faculty, Public Health Nursing Department, Turkey
Introduction:
Needlestick and sharps injuries (NSIs) are the main job-related injuries that healthcare workers experience.
Healthcare workers are at greater risk of occupational exposure to NSIs and they are vulnerable to being
infected by occupational communicable diseases. Because of that to prevent injuries Centers for Diseases
Control and Prevention (CDC) recommends some rules. The aim of this study was to show the prevalence of
NSIs and that high risk for healthcare workers and to emphasize the importance in Turkish literatures.
Methods:
The framework of this study is consisted of 289 articles having been found from databases of Pubmed, Medline
and Ulakbim. Inclusion criteria;(1) published in the last 5 years (January 2013- October 2018), (2) it was the work
done in Turkey reached and (3) the full text available and published. According to the inclusion criteria, we
finally selected 14 articles. The keywords used for scanning the databases were “needlestick injuries”, “sharps
injuries”, “healthcare workers” “prevalence”, “Turkish literature”. The sample of the study is comprised of these
total 14 articles.
Results:
Findings show that NSIs prevalence among healthcare workers is between 15% and 65,8%. The data of the
analyzed articles indicated that the highest incidence of NSIs was seen in nurses and student nurses. In one
article showed that injury rates increased in eight years from 13% to 92,6%. On the other hand, two studies
mentioned the effectiveness of training in NSIs. It was determined that the injuries that occurred before the
training were higher than those after the training.
Discussion:
Needlestick and sharps injuries are the most common problem for healthcare workers. Findings show that
nurses the most experienced NSIs. To prevent NSIs there are specific recommendations like training and
periodically training repetition. Nevertheless, health care facilities should have occupational health programs
to prevent NSIs.
Keywords: needlestick injuries, sharps injuries, healthcare workers, prevalence, turkish literature
46 7th FOHNEU International Congress
Global vision about needlestick injuries
Luis Mazón-Cuadrado, Rosa Maria Orriols, Elda Isabel Colino Romay, J. Cordoba
Occupational Health Unit, Hospital Universitario de Fuenlabrada, Madrid, Spain
Introduction:
The Europe Union approved on May 2010 the Directive 2010/32/EU - prevention from sharp injuries in the
hospital and healthcare sector. This Directive implements the Framework Agreement on prevention from sharp
injuries in the hospital and healthcare sector signed by the European social partners HOSPEEM and EPSU on
17 July 2009.The purpose of the Directive is to implement the Framework Agreement so as:
• to prevent workers' injuries caused by all medical sharps (including needlesticks);
• to protect workers at risk;
• to set up an integrated approach establishing policies in risk assessment, risk prevention, training, information,
awareness raising and monitoring;
Member States shall bring into force the laws, regulations and administrative provisions necessary to comply
with this Directive or shall ensure that the social partners have introduced the necessary measures by
agreement by 11 May 2013 at the latest. Moreover, Member States shall determine what penalties are
applicable when national provisions enacted pursuant to this Directive are infringed.
Objective:
In this study we follow up the implementation of the European Directive after 5 years of approval and we made
a different analysis of injuries, based on the analysis of processes.
Material & methods:
In order to follow up the implementation, we report on the level of change that has been generated in the EU
countries and we specifically determine what challenges for implementation are needed and they are
agrupated by data gathering and reporting, risk assessment and prevention and introduction of safety devices.
The dates are extracted to final conclusions of European study group. For process analysis we have used 5
years of data from our hospital. We group the accidents in 4 processes (extraction, injection, surgical infusion)
and we analyze them this way unlike traditional studies that analyze safety devices. We use two rates, accidents
per 100 workers-year and accidents per professional category-year.
Below we formulate 4 key questions: 1.Are devices safe? 2. What is the impact of the introduction of safety
devices? 3.How many accidents do we avoid with their use? 4. What is the cost of their implementation?
Results:
Level of change required varies depending on the previous legislation existing in the countries. The challenges
for implementation are agrupated by data gathering and reporting, risk assessment and prevention and
introduction of safety devices Under reporting, no blame culture, bureaucratic reporting, no-centralised
monitoring, offer vaccination, no risk assessment, no clear assessment of cost and benefits. Since the
introduction of safety devices, accidents have been reduced by 72.3%.
At present, 40% of accidents are preventable through the correct use of the devices. The other 60% occur with
processes for which there are no biosafety devices designed.
Conclusion:
The levels of transposition of the law have been very variable in EU countries. There are common parameters
that need to be improved for effective implementation. Biosafety devices are effectives and prevent accidents.
A good selection of them is necessary. The cost effective analysis and correct training is needed.
Budapest, Hungary, 24-26 April 2019 47
The situation of needlestick accidents among health workers
between 2006 and 2018
Zoltán Balogh1,2, Tamásné Babonits1,2, Henriett Éva Hirdi1,2, Eszter Pitás3,
Erika Adamik Lászlóné Sinka3
1 Chamber of Hungarian Healthcare Professionals, Hungary 2 Semmelweis University Faculty of Health Sciences Department of Nursing, Hungary 3 Semmelweis University Health Services Management Training Centre Patient Safety Unit, Hungary
Aim of the study:
We performed investigative research into the Hungarian situation of needlestick injuries, in 2006, 2008, 2012-
2013 and 2018, among healthcare workers. The objectives of the study were twofold: to reveal the trend in the
extent to which healthcare professionals are affected, and to draw the attention of economic decision-makers
to the importance and currency of the issue.
Method and sample:
When compiling the self-completion questionnaire used in the survey the authors made use of the questions
and findings of a similar study previously carried out in Sweden. The sample was representative, selected taking
into consideration the regional and age-group distribution of the individual professions. The population of the
first sample was 4789, the second 3824, the third 4955 and the fourth 5707. The gathered data was processed
using an SPSS program, and the results were presented using descriptive statistical techniques.
Results:
Some 86% of the respondents have pricked or cut themselves in the course of their work. The percentages vary
from group to group, with surgical nurses the most susceptible, at 96%, but even in the least hazardous field
from this point of view, that of imaging diagnostics, almost 60% of workers have been involved in such
incidents. A statistically provable correlation can be found between the incidence of needlestick injuries and
the field of work.
Conclusions:
The survey revealed that the healthcare workers’ theoretical knowledge is good. The development of the results
between the four phases of the survey demonstrates that the healthcare professionals are beginning to show
improvement.
Keywords: healthcare professionals, needlestick injuries, incidence
Occupational accidents in a large tertiary hospital in Athens
Virginia Bourna1, Georgios Papadakis2, Venetia Notara3, Evangelos C. Alexopoulos4
1 Onassis Cardiac Surgery Center, Athens, Greece 2 STEPS Stoffwechselzentrum, Biel / Bienne, Switzerland 3 Department of Public and Community Health, School of Health Sciences, University of Western Attica, Athens,
Greece 4 Metropolitan General Hospital, Athens, Greece
Introduction:
The analysis of occupational accidents is essential for their prevention. The hospital employees are at risk for
multiple accidents. The aim of the present study is to examine the incidence and type of accidents, the related
causes and to identify possible risk factors, the problems related to safety measures and the control of
transmitted and infectious diseases.
48 7th FOHNEU International Congress
Methods:
In the present study, we analysed retrospectively the work accidents during a 10-years period that in employees
(N = 850) of a large tertiary hospital in Athens. The accidents were analyzed by type, specificity, age, employee
experience and other characteristics.
Results:
The incidence of occupational accidents was between 3 to 9 work accidents per 100 employees per year. The
highest incidence was observed among the medical and nursing personnel, the cleaning personnel, as well as
the employees who worked with the washing machines and in the kitchen. The younger employees and the
new recruited employees had also an increased risk for work accidents, and mostly in the first three years after
their enrolment. More accidents occurred during June, November and October, and on days Tuesday and
Sunday, as well as close to the time when the morning and afternoon shifts change. Higher incidence of
accidents were recorded in operation rooms, intensive care units and hospital wards, and were related to
injuries from a sharp object (mainly a needle) and to exposure to body fluids (mainly blood).
Discussion:
Preventive measures and necessary interventions are crucial in order to reduce the working accidents. The
prevention of accidents concerns the policy of every hospital. The analysis of the occupational accidents gives
a chance to design more specifically preventions measures and health promotion strategies.
Keywords: occupational accident, health promotion, health education
Importance and challenges of first aid training at work
Bálint Bánfai, József Betlehem
Faculty of Health Sciences Institute of Emergency Care and Pedagogy of Health, University of Pécs, Pécs, Hungary
Introduction:
Accidents and illnesses from various causes can have wide social impacts. These can happen anywhere and
anytime. In different workplaces there are specific accident mechanisms. Workplaces should be prepared for
these accidents to improve the victim’s chance of survival and the outcome of the diseases.
Methods:
Socialisation of first aid is a priority task. One of the methods can be first aid training in the workplaces. This
makes it possible to keep first aid knowledge and skills at the appropriate level and to appoint first aiders at
work who can start the treatment in a possible emergency situation before the ambulance arrives. Availability
of curriculum with current information is essential to train first aiders at work. Nowadays, regulation and
inequality of training is a barrier to implement standardized methods. Based on the current first aid guidelines
we prepared more educational guide books to improve the quality of first aid training at work.
Results:
These books provide comprehensive information about the importance of this topic. There were summarized
the legal and social background of first aid at work and most important emergency situations and their
treatment. The books contain not only written information but also many pictures. It can be useful to improve
knowledge and skills.
Discussion:
In our opinion the prepared books are useful to expand first aid knowledge. Although the main aim is to give
guidance for first aiders at work but these books can be useful for other population of laypeople. In addition,
using these books is an appropriate method to improve knowledge but practice is essential to improve skills.
Keywords: first aid at work, training, e-learning.
Budapest, Hungary, 24-26 April 2019 49
Implementation of first aid in a company
Johan Decoster
IDEWE, External Service Occupational Safety and Health, Malines, Belgium
Introduction:
First aid management (i.e. risk assessment, instructions, material, emergency services) is often not considered
a priority in companies. The aim of this study was to examine whether available first aid equipment covers the
risk that workers experience on the workplace.
Methods:
An assessment tool based on the Belgian Royal Decree regarding first aid requirements (15/12/2010), was used
in one large company specialized in aluminium solutions (n= 400). The checklist provided insight into first aid
procedures, instructions, equipment and emergency workers, listed per workstation, activity, employee and
shift. A checklist, based on literature and guidelines from the European and Belgian Resuscitation Council, was
used to assess the necessity of an automatic electronic defibrillator-device (AED). A quantitative risk
assessment estimated the risk for specific injuries at each workstation (1 = very small - 5= very high).
Result:
The audit revealed 1) the absence of a welcome brochure regarding first aid, 2) procedures about transport of
victims and 3) that employees fail to correctly complete the first aid register after each incident. Yet,
transportation procedures, basic first aid material and first aid kits were available. In the past 5 years following
injuries had occurred: superficial wounds (score 3 versus 2); open wounds (score 3 versus 2) and amputation
(score 4 versus 2). As the company employs workers of 40 years or older, the AED checklist showed an increased
cardiac risk. Four cases of arrhythmias and myocardial infarction have been registered in the past three years.
No AED was available. The average driving time of an ambulance is 8-10 minutes.
Discussion:
There is insufficient first aid material available in the company relative to existing risks. The implementation of
an AED device is required. The AED checklist is an added value for employers in view of decision-making
regarding the procurement of a device.
Keywords: first aid in company, AED, defibrillator, first aid material, risk assessment
50 7th FOHNEU International Congress
Parallel Session 5.
Health problems of hairdresser apprentices living in urban city
Emine Aktaş, Melek Nihal Esin
Istanbul University-Cerrahpaşa, Florence Nightingale Nursing Faculty/Turkish Occupational Health
Nursing Association, Istanbul, Turkey
Background and Aim:
Hairdressers have a high prevalence of many kind of occupational diseases symptoms that occurs as a result
of exposure to various occupational risk factors in the work environment as excessive wet work, exposure to
chemical substances, and long hour working. The aim of the study was to assess health risks and to make
health assessment with occupational health nurse and occupational physician
Methods:
This study was designed as cross-sectionals descriptive study, and it was conducted with 100 hairdresser
apprentices at vocational training center in Istanbul, and health examination was performed by an occupational
health nurse and a physician. The health unit was created by occupational health team and head to toe health
assessment was provided to the hairdresser apprentices. The health examination and the intervention were
recorded into “health assessment checklist".
Results:
The mean age of the hairdressers was found to be 19.72 ± 3.52. It was found that more than 70% of the
apprentices do not have any health examination before starting their working life and 88% did not receive any
dose of hepatitis B and tetonosis vaccine. During the examination 21% of apprentices complained of pain in
the neck/back/ joints, and had symptoms related to neuro-musculoskeletal system. Also, 18% of them had
respiratory problems such as shortness of breath, chest pain, cough and phlegm, and more than half of them
stated that they smoke. In the last year 8% of them have been found to have a work accident. Moreover, 6% of
them had mental health problems that used psychotic drugs. The all apprentices was found to have skin
symptoms such as itching/redness/dryness/etc.
Conclusion:
This study shows that the health status of the apprentices is lower than expected. This can be attributed to
several aspects of work exposure, organization, including longer working hours.
Prevention of psychosocial complaints in a bank-insurance
company: Well-being project
Elise Pierlet
Occupational Heath Departement, KBC Bank – Insurrance Company, Belgium
Introduction:
In our company the sikness rate has increased within the past 5 years, especially long term sikness caused by
psychosocial complaints like depressions and burn-out. 2 years ago, At the request of our CEO we worked out
a whole well being project. The main focus is mainly prevention of psychosocial complaints.
Methods:
Increases of sikness rates. This is a top-down project by the policy.
The project includes 4 subcategories: work, life, food, move
Budapest, Hungary, 24-26 April 2019 51
Results:
Each subcategory has his own campaign, with a leader figure. We even made a company-movie about
psychosocial complaints. We organize workshops, we have fitness class, yoga, tai-chi, start to run, ironing
service...Our mean intenion is to take care for our colleagues, our human capital. We want them to be stronger,
to be more resilient in their jobs. It is to soon to see the effect on the sikness rate, but the project is appreciated.
Discussion:
Investing in well-being: a cost or a long-term profit for a company
Keywords: prevention, psychosocial complaints, well-being
Assessment of environmental health and knowledge of silicosis
among dental technicians
Anett Láng1, Henriett Éva Hirdi2
1 Buda Health Center, Budapest, Hungary 2 Semmelweis University Faculty of Health Sciences, Chamber of Hungarian Healthcare Professionals, Budapest,
Hungary
The aim of the study:
The aim was to assess the health status of the Hungarian dental technicians and their knowledge of silicosis
diseases.
Methods:
The survey was conducted in December 2017- January 2018 through self-constructed online questionnaire
among dental laboratory technicians in Budapest. Data were analysed with SPSS 22.0.
Results:
The survey was completed by 157 dental technicians. The sample consisted 80 male and 77 women. The
average age was 38. Technicians were working for 9,4 hours a day. About the self equipment most of the
participants (94,3%) wear respiratory protective equipment during laboratory work but 5,1% of them do not
feel that the use of masks is necessary in laboratory.13,37% of the participants don’t know the symptoms of
the silicosis and other 39,47% of them don’t know the right answer.
Conclusions:
The research has shown that the work safety situation of dental technicians is extremely low and their access
to occupational health care is limited. The test results also demonstrated the need for early transfer of basic
knowledge about the silicosis disease (its way of preventing, symptom, diagnosis and consequences) among
dental technicians.
Keywords: dental technicians, personal protective equipment, long-term dust inhalation, silicosis, occupational illness, smoking
52 7th FOHNEU International Congress
Working conditions in immigrant workers in Spain:
A qualitative study
Rocío de Diego-Cordero1, Juan Vega-Escaño2, Manuel Romero-Saldaña3,
Alfonso Meneses-Monroy4, Antonio Moreno-Pimentel5, Araceli Santos-Posada6
1 Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Occupational
Health Nursing, Spain 2 Occupational Health Nursing University of Seville, Spain 3 Cordoba City Hall, Department of Safety and Occupational Health, Spain 4 Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid,
Spain 5 QuirónPrevención, Dirección de Salud Laboral, Spain 6 National Secretary of Spain ICOH, Servicio de Prevención de la Agencia Estatal de Administración Tributaria
AEAT, Spain
Introduction:
In Europe, labor protection has generally declined since 2008, when the global financial crisis began
(International Labor Organization, 2015).
An ILO study (2016) states that the majority of migrant workers tend to insert themselves in those sectors and
economic activities that have lower wages and, in general terms, worse working conditions. In this regard, the
levels of labor informality to which they are exposed - and as a consequence the lack of social protection - in
many of the countries of destination, are substantially higher than those of national workers.
Objective:
To explore the working conditions in immigrant workers in Spain.
Methods:
This is a qualitative, exploratory and descriptive study, with an in-depth interview technique, carried out in the
NGO Asociación Desarrollo Comunitario DECCO Internacional, which pays special attention to the integration of
the immigrant population in the Andalusian community. Sampling was intentional and under saturation
criteria, where the number of reports was completed when the interviews did not provide any new information.
Participants were selected in the DECCO International entity that is settled in Seville. A total of 50 participants
interviews were conducted between March to July 2018.
Results:
Related to the tasks performed, these are varied especially in care occupations. The participants recognize
being exposed to multiple occupational hazards and only one participant received training in occupational risk
prevention. In addition, 14 participants acknowledge having had an accident at work in Spain; regarding
absences from work due to sick leave, of the 7 who claim to have been out of work, none point out that it is
due to work, despite the fact that some of them report situations in which they are subject to sick leave. Related
to health, 10 said they had ever undergone an occupational health examination.
Conclusions:
In general, for the immigrants interviewed, occupational health and occupational risk prevention issues occupy
a secondary place, because the need to have a job predominates over any other consideration. It is necessary
to deepen in two important areas for the integration of the immigrant population: work policies and
occupational health care.
Keywords. emigration and immigration; occupational health; qualitative research; working condition
Budapest, Hungary, 24-26 April 2019 53
Health assessment of taxi drivers in the city of Miskolc
Attila Gajdos, Henriett Éva Hirdi
Semmelweis University Faculty of Health Sciences, Budapest, Hungary
The aim of the study:
The authors’ objective was to reveal the state of health and lifestyle of taxi drivers.
Methods:
The cross-sectional survey was conducted in 2017 among taxi drivers in Miskolc (N=100), selected using a
random, sampling method. The data gathering took place using paper-based, anonymous, self-completion
questionnaire. The proprietary questionnaire used was based on the questionnaire used in the National
Population Health Survey (OLEF) for the standard survey of health behaviour. The authors analysed the
gathered data with Microsoft Excel 2016, using a descriptive statistical method.
Results:
The average health value of taxi drivers was 3.39 on a scale of five grades. 79% of the drivers are overweight or
obese. 56% have a chronic disease affecting one or more organ systems. Examining their state of health based
on the psychosomatic symptoms scale, the respondents most frequently indicated back and lumbal pain, and
sleep disorders. The Epworth somnolence scale caused by 8% slightly abnormal sleeping disorder. To filter
OSAS study-aid by the responders 34% was the test positive.
Conclusions:
The results of survey revealed that the health condition of respondents is unsatisfying. Based on the results
they can state, that taxi drivers health is worse in many ways than an average Hungarian adult. On the whole
it can be concluded that health behaviour of taxi drivers needs to be changed.
Keywords: taxi, health status, OSAS, driving, lifestyle
This lecture is supperted by Főtaxi.
International commission on occupational health
Araceli Santos, Gema Arévalo Alonso
Agencia Tributaria, Madrid, Spain
The International Commission on Occupational Health (ICOH) is an international non-governmental
professional society whose aims are to foster the scientific progress, knowledge and development of
occupational health and safety in all its aspects. It was founded in 1906 in Milan as the Permanent Commission
on Occupational Health. Today, ICOH is the world's leading international scientific society in the field of
occupational health with a membership of 2,000 professionals from 93 countries. The ICOH is recognised by
the United Nations as a non-governmental organisation (NGO) and has close working relationships with ILO,
WHO, UNEP and ISSA.
The most visible activities of ICOH are the triennial World Congresses on Occupational Health, which are usually
attended by some 3,000 participants. The 2000 Congress was held in Singapore, the 2003 Congress in Iguassu
Falls (Brazil), the 2006 Centennial Congress was held in Milan (Italy), the 2009 Congress was held in Cape Town
(South Africa), the 2012 Congress in Cancun (Mexico), the 2015 Congress was held in Seoul (Rep. of Korea), the
2018 Congress venue shall be Dublin (Ireland) while the 2021 Congress will be in Melbourne (Australia). ICOH
has 37 Scientific Committees.
54 7th FOHNEU International Congress
Parallel Session 6.
Study of management practices for the prevention of occupational
diseases in Small and Medium Enterprises (SMEs) in Quebec
Fara Randrianarivelo1, Adel Badri1, François Gauthier1, Bryan Boudreau-Trudel2
1 Industrial Engineering Department, School of Engineering, Université du Québec à Trois-Rivières, Trois-Rivières,
Quebec, Canada 2 Department of Management, Université du Québec en Abitibi- Temiscamingue, Abitibi- Temiscamingue, Quebec,
Canada
Introduction:
In Quebec, occupational diseases caused 137 deaths in 2016. There were 8235 cases of occupational diseases
in Quebec at the same year. In Quebec and elsewhere in the world, SMEs have higher rates of occupational
injuries and lower occupational health and safety (OHS) performance than large firms. In addition, if the annual
rate of work accident in Quebec continues to decrease (- 4.8%) that of occupational diseases increases (+ 2.7%).
Methods:
A critical review of the literature was carried out in three distinct phases. The first phase presented an overview
of the OHS performance in SMEs. The second phase led to identify the management elements for the
prevention of occupational diseases. The third phase is devoted to analyzing how SMEs practice these
elements.
Results:
The results of this work led to identify a hundred management elements related to the prevention of
occupational diseases in SMEs. Our principal conclusion is that the practises of occupational disease
management in SMEs is bad.
Discussion:
The aim of this research project is to study the practises of occupational disease management in Quebec SMEs
by detailing the management elements for the prevention of occupational diseases. The goal is to protect
workers’ health and safety in Quebec SMEs. Finally, this work will be used as a basis for a major project in OHS
management in SMEs.
Keywords: occupational diseases, small and medium enterprises, OHS management
Budapest, Hungary, 24-26 April 2019 55
Which is the best criterion for detection of noise-induced hearing
loss? New indices for the comparison between standard threshold
shift criteria
Manuel Romero-Saldaña1, Carlos Álvarez-Fernández2, Alfonso Meneses-Monroy3,
Carlos Álvarez-López4, María Dolores Aguilera-López5, Beatriz Herruzo-Caro6,
Javier Gracia-Rivera7, Guillermo Molina-Recio8, Javier González-Caballero9,
Rocío De Diego-Cordero10
1 Department of Safety and Occupational Health, Cordoba City Hall Occupational Health Nursing, Spain 2 Department of Safety and Occupational Health, Cordoba City Hall, Spain 3 Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid,
Spain 4 Sanitary District of Córdoba, Community Health Center, Spain 5 Sanitary District of Córdoba, Lucano Health Center, Spain 6 Sanitary District of Córdoba, Occupational Health Service, Spain 7 Quiron Prevention Group, Spain 8 Department of Nursing, Faculty of Medicine and Nursing, University of Cordoba, Spain 9 National Institute of Social Security, Occupational Health Service, Bilbao, Spain 10 Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Spain
Introduction:
One third of European workers are exposed to occupational noise. Hearing conservation programs (included
in occupational health surveillance) are focussed on the prevention of noise-induced hearing loss (NIHL). Shifts
in hearing are considered early indicators of NIHL. The measure of hearing threshold shift through periodic
audiometry monitoring is supported on different standard threshold shift (STS) criteria. Occupational Health
Nursing is the qualified staff to performance the audiograms.
Objectives:
to elucidate which is the most accurate STS criterion for the early detection of NIHL; to propose new STS
assessment indices.
Methods:
A cross-sectional study was carried out over 110 workers exposed to occupational noise whose had hearing
threshold shifts in relation to their baseline audiograms. STS criteria used were: NIOSH (15 dB Twice 500-
6000Hz), AAO-HNS (500-2000 Hz and 3000-6000 Hz intervals), and OSHA (2000-4000 Hz interval). New indices
for the assessment STS criteria were proposed: detection, confirmation, prediction indices and prediction ratio.
Results:
NIOSH (6000Hz) obtained a detection index of 47.7% followed of 4000 Hz (29.1%) and AAO-HNS 3000-6000 Hz
(33.2%) p<0.05. Regarding to confirmation index, AAO-HNS 3000-6000 Hz achieved a 80.8% and NIOSH 6000
Hz a 72.4% (p=0.12). The higher prediction index was NIOSH 6000 Hz with 34.5% followed of AAO-NHS 3000-
6000 Hz 26.8% (p=0.09). Prediction Ratio (NIOSH 6000 Hz as reference) was 1.7 and 1.3 for NIOSH 4000 Hz and
AAO-HNS 3000-6000 Hz, respectively. Finally, NIOSH 6000Hz dB-Twice obtained a prediction index of 25% in
workers with a single STS.
Discussion:
The new indices proposed (detection, confirmation and prediction) are valid and useful for the clinical practice
in the assessment of STS criteria. NIOSH (15 dB Twice for 6000 Hz) has been the best STS, it was 1.7 and 1.3
times more efficacy than 4000 Hz and AAO-HNS 3000-6000 Hz for the early detection of NIHL.
Keywords: noise-induced hearing loss, standard threshold shift, hearing conservation programs, detection, confirmation and
prediction indices.
56 7th FOHNEU International Congress
Development, implementation, and evaluation of a low back pain
prevention program
Chuliporn Sopajareeya1, OiSaeng Hong2, Chompunut Sopajaree3
1 Department of Community Health Nursing, Faculty of Nursing Thammasat University, Thailand 2 Community Health Systems, School of Nursing, University of California at San Francisco, United States 3 School of Nursing, Mae Fah Luang University, Thailand
Introduction:
Although low back pain (LBP) is one of the major health problems among nurses in Thai hospitals, very few
comprehensive interventions have been developed and there is minimal application of a planning model to
design a theory-based program that is effective for nurses. The aims of this research were to develop,
implement, and evaluate an LBP prevention program among nurses in a community hospital in Thailand.
Methods:
The samples were selected using purposive sampling and they were divided into two groups, including 17
program developers and 90 program attendants. The research instruments consisted of a) a questionnaire for
assessing knowledge, attitude toward LBP and LBP prevention, and health behaviours related to LBP
prevention, b) an LBP prevention program for nurses, c) seven in-depth interview guidelines, d) record forms
for seven in-depth interviews, e) a focus group guideline for assessing LBP and prevention, and f) a tape
recorder for a focus group discussion. The data were analyzed using descriptive statistics and paired t-test. The
LBP prevention program was developed based on the PRECEDE-PROCEED model. The program consisted of
three activities: a) regular education sessions on safe patient lifting techniques and good working postures; b)
training on lifting overweight patients by using lifting devices and a lifting team; and c) training with back muscle
exercises.
Results:
The results revealed that the participants’ knowledge, attitude, and health behaviour scores increased after
participating in the program (p<.01).
Discussion:
The PRECEDE-PROCEED model can be applied and demonstrates the possibility of the use of the model to plan
interventions for community hospital nurses. Hospital administrators can use the findings of this study to
promote organizational policies on LBP prevention for the nurses. The sustainability of the LBP prevention
program needs to be tested by expanding the duration of the evaluation to 12 months after intervention.
Keywords: program development, low back pain prevention, community hospital nurses
Investigating the applicability of an intervention program to
manage musculoskeletal disorders at the workplace - a pilot study
Eleni Grana1, Styliani Tziaferi2, Emmanouel Velonakis1, Panayota Sourtzi1
1 Public Health sector, Department of Nursing, National & Kapodistrian University of Athens, Greece 2 Laboratory of Integrated Health Care, Department of Nursing, University of Peloponnese, Tripoli, Greece
Introduction:
Musculoskeletal disorders (MSD) are the main cause of absenteeism at the workplace. The incidence of
musculoskeletal disorders in the workforce, affects employees' quality of life, productivity and costs to national
economy.
Budapest, Hungary, 24-26 April 2019 57
The aim:
of this study was to examine the applicability of an intervention program that combines different methods in
order to manage MSDs at the workplace and evaluate the method of measuring its effectiveness.
Methods:
Following a systematic literature review that examined the effectiveness of various interventions to prevent
and/or manage MSDs, an intervention was developed including ergonomic training seminars and application
of focused stretching exercises in employees during their work. A questionnaire was used including
demographic characteristics, the Nordic Musculoskeletal Questionnaire, SF-36, WPAI the Work Productivity and
Activity Impairment and the Work-Related Quality of Life scales. The sample of this pilot study was all
employees in an advertising company. Evaluation of the applicability included observation of employees’
reaction in the intervention program, time needed for completing the questionnaire and discussion about
clarity, difficulty and acceptance.
Results & Conclusion:
The pilot study showed that the majority of employees had at least one musculoskeletal disorder and no
previous ergonomic training.
Τhe implementation showed that the intervention is feasible, the time required for the training seminar and
the demonstration of the exercises is sufficient. The demonstration of exercises is considered to be necessary
and the required time to complete the questionnaire was limited, with no confusing or misleading questions.
Finally, the personalized counselling on ergonomics, had a short duration and increased the satisfaction and
interest of the participants.
The study is expected to increase knowledge about the effectiveness of various interventions in a variety of
workplaces, different workforce and working conditions in Greece.
Keywords: musculoskeletal disorders, workplace interventions, management, chronic disease
Occupational rehabilitation through social cooperatives of limited
liability. The paradigm of the social cooperative of limited liability
of Corfu
Grigoris Gogas, Vasilopoulou Elpida, Konstantinou Eleni, Maria Dimopoulou,
Sotirios A. Koupidis
Health and Safety, KoiSPE Athina Elpis, Athens, Greece
Background:
Social Cooperatives of Limited liability (SCoLL) have been legislated by the 2716/99 Law, during which period,
Greece experiences a concerted effort of Psychiatric Reform through the reconstruction of the provided mental
health services. SCoLLs aim to represent and coordinate the social-economic and vocational integration for
people with severe psychosocial problems. They also offer a supported employment environment, which has
very important benefits in the rehabilitation process. Working in SCoLLs seems to offer positive effects
regarding the development of people with mental health issues.
Objectives:
The aim of the present study is to highlight the effect that work placement, as a community intervention, has
on people with serious psychosocial problems. More specifically, we examined the correlation between
employment in SCoLLs and the effect it may have on important factors in the rehabilitation process, as well as
overall mental well-being.
Moreover, based on the indicator of reduction in need for mental health services (i.e. hospitalization), Mental
Health well-being was improved.
58 7th FOHNEU International Congress
Methods:
In this quantitative research, the population group studied was 37 people with serious psychosocial problems
that were employed for the Social Cooperative of Limited Liability of Corfu “New Horizons”. We studied four
indicators:
● Total days of hospitalization
● Total days of involuntary hospitalization
● Number of hospitalizations
● Number of involuntary hospitalization
The study period of the above indices is twelve (12) years in total and is divided into six (6) years prior to the
date of recruitment of each individual and six (6) years after the recruitment to the SCoLL of Corfu “New
Horizons”
Results:
For all the indicators studied, there was a significant reduction. More specifically, the differences between the
six-year period before the beginning of work and the six-year period during which the participants worked in
the framework of supported employment in the SCoLL of Corfu are as follows:
● Total days of hospitalization (-79.36%)
● Total days of involuntary hospitalization (-67%)
● Number of hospitalizations (-41.7%)
● Number of involuntary hospitalizations (-51.1%)
Conclusions:
The Supported Employment model through SCoLL seems to help people with serious psychosocial problems
to choose, acquire and maintain a job. The above model, which is supported by mental health professionals,
proves a reduction in relapses and total days of hospitalization. In addition to the beneficial impact of work
through SCoLLs to the person themselves and their families, there is also a significant decrease in demand for
mental health services within psychiatric clinics.
Furthermore, we can support that there is a lower burden on prisons and judicial services because there is a
significant reduction in involuntary hospitalizations. Finally, the employment of people with mental health
problems through SCoLLs has led to increased employment rates, income, and a raise in insurance and tax
contributions that demonstrate the positive effect of vocational interventions.
Budapest, Hungary, 24-26 April 2019 59
Parallel Session 7.
Risk assessment method for biological agents in health care
Mária Téglásyné Bácsi, Éva Grónai, Imre Nagy
National Public Health Institute, Budapest, Hungary
According to the Decree No. 61/1999 of the Minister for Health, in Hungary the employer shall have a risk
assessment where biological risks to workers' safety and health are assessed qualitatively and, if required,
quantitatively. Risk assessment for biological agents is challenging, because of the diversity of these agents.
Risk assessment will concentrate on identifying the hazards, assessing the risks and then controlling those
risks. The authors provide a brief introduction to biological agents and the hazards generated by these agents.
The presentation will also include guides on ‘How to do a Risk Assessment’ and ‘How to use a Checklist’ in Health
Care.
Keywords: risk assessment, biological risk, health care workers
The role of the Railway Medical Center Ltd in the Health
Assessment to ensure the health, safety and welfare of all Railway
employees
Dr. Ibolya Pataki, Judit Földi, Gabriella Kovács, Pálma Nagy Béláné
Railway Medical Center Ltd, Hungary, Budapest
Life expectancy in Hungary is almost five years lower than the EU average. As could be expected, there is a
huge difference between the health status of Hungarian workers and the average EU workers.
The European regulations and national legislation’s role is to protect employees from occupational risks
associated with working conditions and occupational safety and health. In Hungary workers are required to
undergo fit to work assessments to safeguard their personal health and safety as well as to reduce risks to
other workers or other persons. The occupation of rail worker is one in which the workers are obliged to
undergo a fit to work assessment regulary. The time intervals of the medical exams differ, depending on
national legislation.
This presentation describes the role of the Railway Medical Center Ltd in the health assessment, some of the
work-related health issues in the rail transport sector, and provides an overview into how these fit to work
assessments may affect the health and well-being of railway employees.
Keywords: railway employees, health assessment, legislation
60 7th FOHNEU International Congress
Health risks, occupational diseases and prevention for employees
at beauty salons
Éva Pálvölgyi, Henriett Éva Hirdi
Semmelweis University Faculty of Health Sciences, Budapest, Hungary
Background:
The health risks of beauty salon workers are rearly mentioned. There is a lack of current research into common
health problems experienced by Hungarian beauty salon workers. The professionals in beauty jobs
(hairdressers, barbers, beauticians, manicurists and pedicurists) are not only subjected to physical or
psychological stress but also a lot of chemicals at work, which can cause serious health damage after their long-
term use. Firstly, these are the reproduction-inhibiting, mutagenic and carcinogen effects.
Aim of the Survey:
is to evaluate the health status of the beauty industry employees, and their health risks and the knowledge of
workers regarding the risk factors.
Sample and Method:
The self-administered anonymous questionnaire was carry among Hungarian beauty salons workers, which
covered socio-demographic data, workers’ health issues and occupational health issues. The data gathering
happened between 2018 December and 2019 January. Data were analyzed with Microsoft Excel 2016 software
and the SPSS 22.0.
Results:
The online questionnaire filled out by a total of 166 beauty salon workers. 165 women and 1 man getting into
the sample. The respondents had an average age of 35.21 years. The majority of participants were full time
workers (83.1%) with 86 of these workers reporting that they worked more than 40 hours per week. The
average working hours of the beauty salon workers was 8.88 hours. When using chemicals, 100% of
hairdressers reported they wearing gloves. Despite the dermatological advice to wear gloves, 50.46% of nail
technician and 55% of pedicure technician reported never wearing gloves. 33.73% of the total sample did not
visited the occupational health setting at all. The average health status ratio was 3.60. A quarter of the total
sample reported smoking daily (25.3%), with a further 14.46% smoking, but less than daily, giving a total current
smoking frequency of 39.76%. 16.26% of respondents tried unsuccessfully for over twelve months to get
pregnant. It can conclude that all of the respondents have chronical disease.
Conclusion:
The research confirmed that the employees of the beauty industry are exposed to a lot of health damaging
factors, which is primarily the permanent contamination with chemical substances. The test results prove, that
more emphasis should be placed on prevention and appearance in occupational health tests, as well as order
to the personal protective equipment to use for healthy and safe working.
Keywords: beauty salon workers, health status, lifestyle, occupational health
Budapest, Hungary, 24-26 April 2019 61
Community nurses’ challenges and occupational health hazards
associated with home health care
Henriett Éva Hirdi, Miklós Lukács, Ildikó Tóthné Bucsek, Zoltán Balogh
Semmelweis University Faculty of Health Sciences, Chamber of Hungarian Healthcare Professionals,
Budapest, Hungary
The aim of the study:
was to assess the occupational health hazards associated with the delivery of home health care among nurses
in family practices.
Methods:
The cross-sectional survey was conducted between 20 January 2016 and 15 April 2016 among nurses working
in general, child and family practices, selected using a random, sampling method (N=983). The data gathering
took place using a web-based, anonymous, self-completion questionnaire. The authors analysed the gathered
data with Microsoft Excel 2013 software, employing a descriptive statistical methods.
Results:
99,59% of nurses were female with an average of 27,34 years experience. Nurses reported the following
frequently health risks at their client’s homes: 71,4% handling sharp devices or equipment, 54,9% contact with
human body fluids, 29,51% smoking in home, 13,7% patient handling without slings or handling devices, 8,9%
aggressive pets, 7,5% neighbourhood violence/crime.
Conclusions:
Results demonstrated an increased biological health risk among nurses. Based on the results, the authors
stress the importance of developing and conducting training programs concerning occupational health hazard
issues for nurses working in family practices.
Keywords: community nursing, home visit, occupational health hazards
Career model of occupational health nurses in Hungary
Henriett Éva Hirdi, Zoltán Balogh
Semmelweis University Faculty of Health Sciences, Chamber of Hungarian Healthcare Professionals,
Budapest, Hungary
Introduction:
A consultation on the career model of health professionals took place in Hungary.
It is important for all professionals to be able to predict their carrier path. The current salary of nurses in
primary care is undeserving. According to the Act CXXIII of 2015 on Primary Health Care, one of the aims is the
development and official codification of a career model for health professionals in this sector. The first step in
order to develop this concept, is to define the principles, like individuality, predictability, security, lifelong care
and the appreciation of commitment among others. In order to do so, the Council of Hungarian Health
Professionals was set up a working group.
The aim of the study:
To assess the working conditions and level of job satisfaction of health professionals in primary care, and to
explore key elements for a successful career model.
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Methods:
The cross-sectional survey was conducted between 12 March 2018 and 06 April 2018 among health
professionals working in primary care, selected using a random, sampling method. The data gathering took
place using a web-based, anonymous, self-completion questionnaire. The sample size of the research
comprised of 3740 health care professionals. For data analysis they used SPSS version 25.0 with Chi square
test (p<0.05).
Results:
603 Occupational Health Nurse participated in the survey. The average age was 44.87 years. 63.92% reporting
19 or more years of occupational health nursing experience. Only 7.2% of respondents have a baccalaureate
degree or higher. The majority (87.7%) work full-time as employees of their organization. Only 0.7% of OHNs
are self-employed. The OHNs are generally satisfied with their work schedule (74.8%), but they expressed the
least satisfaction (81.5%) with their financial compensation. The net salary of OHNs is the lowest in the EU.
According to these survey results, pay is significant. 92% of respondents would like to be compensated
according to new government-regulated pay scales.
Conclusions:
It can be stated that increasing the job satisfaction of health professionals and to elaborate the career model
of them would be of crucial importance. Key elements of a successful career model offers benefits that are
essential for health professionals retention: direction and motivation. The concept has to involve continuous
professional development and improvement of working conditions beyond the consolidation of the salary
system.
Keywords: primary care, career model, health professionals, job satisfaction
Budapest, Hungary, 24-26 April 2019 63
Session 8.
Manual-visual inspection in a pharmaceutical company, what are
the ergonomic risks?
Hanna Vertongen1, Marc Duquet2
1 IDEWE VZW, Belgium 2 Syntra Midden-Vlaanderen Sint Niklaas, Belgium
Introduction:
Employees working at the inspection department from the Flexible Cartridge Center (FCC) in a pharmaceutical
company are regularly confronted with symptoms of Repetitive Strain Injuries (RSI). RSI are caused by dynamic-
and/or static strain of the limbs and include functioning limiting symptoms such as pain, joint inflammation,
tendinitis etc. Consequently, prevention by adapting workstations is important. The aim is to identify the
ergonomic risks and their severity within the workstation ‘manual-visual inspection’.
Methods:
The Rapid Upper Limb Assessment (RULA) method was applied to perform the analysis. It identifies ergonomic
risks of tasks involving the upper limbs. The inspection task, performed by the employees, was divided into 18
sub-tasks to which separate risk scores were assigned. They were assigned to the position, muscle work and
strength of the upper limb as well as the neck, chest and legs. A cumulative risk score was calculated (1-2 =
acceptable, 3-4 = further research needed; 5-6 = future adjustments needed; ≥7 = immediate adjustments
needed).
Results:
A score of 1 - 2 was allocated to 3 out of 18 tasks (e.g. Placing empty cassette on the left side of inspection
table). A score of 3 - 4 was given to 9 out of 18 tasks (e.g. Stacking cartridges from cassette into transfer trays).
Five out of 18 tasks received a score of 5 to 6 (e.g. checking lower compartment, upper compartment, plungers
and tray). Only one task ‘moving a cassette from the pallet to the table’ received a score of 7.
Discussion:
Assessing the ergonomics of a workstation is very important to protect employees from future health risks.
The results of the RULA analyses enable employers to determine the severity of risks and set and set prevention
priorities. A proposal for prevention measures was made such as training, adaptation of the work instructions,
adaptation of the work post sheet for temporary workers, new tools and adaptation of the workstation.
Keywords: ergonomics, repetitive strain injuries, rapid upper limb assessment
Application of hospital ergonomics in working environment of ward
nurses in health care industry of Uttarakhand, India
Promila Sharma
GB Pant University of Agriculture and Technology, Pantnagar, India
Nursing, the profession of caring for the sick, disabled and the helpless, is one of the noblest professions
throughout the world. From the general ward to the operation theatre in the hospital, nursing is the most
important component of patient care. They are always expected to display a calm, perceptive approach during
crises. An important aspect of the work environment of nurses is that they are required to work at any point in
the 24 hour day. Of all health care professionals, nurses have been found to have especially high levels of
stress. Shift workers working in different industries including health industry experience a circadian rhythm
64 7th FOHNEU International Congress
dysynchronization, which is a persistent misalignment between a patient’s sleep pattern and societal norms.
Previously, various countermeasures to prevent adverse effects due to night shift work have been examined
in various industries. Present investigation aimed to study the personal and family profile of nurses, medical
history and selected anthropometric measurements, to study the existing infrastructure facilities available in
health care industry and handling of the same i.e. environmental parameters, medical equipment medical
accessories, and furniture related to care of patients, to study the occupational details and associated
hazards/accidents /risk injuries/ at the place of work, to study the psychosocial and physiological cost of nursing
work and suggest ergonomically suitable work schedule approaches/ strategies for nursing work. For this
descriptive cum experimental research design was used
It was found that nurse were facing several health problems, headache by 40%, anemia by 19.17%, tiredness
by 44.17%. Most of the nurses had rotating 8 hours job (50.83%) and over time (40%). Activities like help in
medical test, giving medicine to patients, injury care, measuring blood pressure and heat rate were performed
by most of the nurses. Most frequently used medical equipment was heart rate monitor, accessories like
medical disposables and furniture i.e. baby cradle. About 12 percent nurses reported that available furniture
were either too high and too low, hence they felt it uncomfortable to use. Handling of BP apparatus was
reported to be comfortable to use by majority of the nurses. About 94 percent nurses revealed that the major
hazards were repetitive motion and awkward posture. Poor sleep quality was reported by about 18% nurses.
BMI was found normal among nurses but blood pressure and heart rate and EER were found maximum among
nurses during work. Rapid entire body assessment i.e. postural analysis technique showed that immediate
improvement is required at work place and ergonomically suitable work schedule, approaches and strategies
are required to be disseminated for nursing work.
Workplace visits at Small and Medium-sized Enterprises by
occupational health nurses: A practical case report
Mieke Raeijmaekers, An Houbrechts, Marc Beeldens
Mensura Occupational Health Services, Belgium
Introduction:
According to the Belgian Welfare law, workplace visits in small and medium-sized enterprises (SMEs) (<50
workers) need to be performed every two or three years by Occupational Health Services (OHS). More than one
million SMEs are registered in Belgium, making workplace visits at SMEs a core task of OHS. Performers of
workplace visits need broad knowledge of different domains (including e.g. occupational safety, ergonomics,
occupational hygiene, and psychosocial aspects) and interpersonal skills (e.g. to build trust relationships). At
Mensura OHS, occupational health nurses (OHNs) were trained to perform these workplace visits.
Methods:
Several tools were made available to maximize efficiency and effectivity of workplace visits including general
and sector-specific checklists and tablets with online tools to registrate information during the visit. To illustrate
OHNs’ suitability to perform workplace visits in SMEs, a case report of a family business in the metal sector will
be used with emphasis on the first visit.
Results:
During the first visit, information is given about legislation and the follow-up by Mensura OHS. Special attention
is given to adapt to the employer (e.g. identifying generation and needs, Insights© color) and to build a trust
relationship (e.g. by ’doing the extra mile’). During the tour in the company, special attention is needed by the
OHN to observe all aspects of occupational health and safety, but also to increase discussibility of e.g.
psychosocial themes.
Budapest, Hungary, 24-26 April 2019 65
Discussion:
The case report illustrates OHNs suitability to perform workplace visits in SMEs. They are excellent positioned
due to close relationships with occupational health physicians and examined workers. By reporting in a step-
by-step and motivating manner to employers, they create confidence. OHNs do not only facilitate the
implementation of the legal requirements, but also work inspiring regarding health promotion, and enable
openness to discuss psychosocial problems and absenteeism.
Keywords: workplace visit, occupational nurse, safety
Measuring occupational health and safety in Small and
Medium-sized Enterprises (SME)
Filip Pelgrims, Hilde De Raeve, Liesbeth Reekmans March, Kristien Johannik, Lode Godderis
IDEWE, External Service Occupational Safety and Health, Leuven, Belgium
Background:
In Belgium, Occupational Health Services (OHS) assess the global status and implementation of prevention
policy in each SME. In this study we explored the bottlenecks and strengths in SME’s active in the construction
industry.
Methods:
From 1/1/2017 till 24/4/2017 533 SME were visited. 50 predefined policy questions were evaluated, grouped in
7 modules: Module 1 evaluates the presence of policy action plans (n=3), module 2 concerns risk analysis, first-
aid, emergency planning (n=5), module 3 assesses the organisation of the internal service for prevention and
protection at work (n=2), module 4 employees’ guidance and training, health follow-up, physical, (psycho) social
well-being (n=14), Module 5 evaluates collective and personal protective equipment, fire-safety, machine-safety
(n=13), module 6 focusses on biological, chemical agents. Module 7 deals with climate, lighting, noise,
cleanliness (n=4).
Results:
SME’s score well on some legally required aspects (module 3) such as the presence of an identification
document (69,7%) and an internal prevention advisor (76,2%). At the workplace (module 5), lightening and
cleanness were fine in 83,2% and 81% respectively. On individual level, we found a medical follow-up
(module 4), which was well organised in 87,7%, together with a good provision of personal equipment (96,4%)
and work clothing (91,7 %) (module 7). In contrast, the main bottlenecks were lack of a policy plan and action
plan in module 1 (only available in 17,2% and 13,6% respectively), limited availability of an inventory of
dangerous substances (16,3%) and safety-instructions about chemicals (13,9 %) in module 6.
Conclusion:
The results correspond well with the focus of OSH in Belgian SME’s in the last 40 years, with a strong focus on
individual safety and protection, including medical health surveillance. The main challenges for SME’s are on
the implementation of collective measures after risk analysis. Also the reporting in policy and yearly action plan
can be improved.
66 7th FOHNEU International Congress
Surgical smoke evacuation, how to accomplish a surgical smoke
free work environment
Elisabeth Solvik Lundholm1, Robert Scroggins2
1 Freelance Nurse, BSN, RN, Denmark 2 MSN, RN, CMLSO, Clinical programs manager, Buffalo Filter LLC
Introduction:
Evidence show that there are over 40 potentially harmful chemicals and biological matter in surgical smoke
plume. Electro surgery is used every day, which is why we need to be able to efficiently evacuate and filter
surgical smoke from the operating room.
Articles show the consequences of repeated exposure to plume. The level of knowledge on surgical smoke
plume seems to be directly associated with the lack of using smoke evacuators and proper equipment. OR-
staff needs further education on this issue.
We created a Toolkit; ”How to accomplish a surgical smoke free work environment”. We educated the OR-staff
in minimizing smoke development and on optimizing smoke evacuation.
The Toolkit contains education on surgical smoke including hazards and effects, guidelines, the Work
Environment Act, selection of proper equipment, and local recommendations.
Methods:
Literature review and qualitative interviews.
Results:
With the toolkit implemented in the OR, we saw high compliance. The smoke development is less, and OR staff
are choosing equipment to match the procedure.
Challenges with non-compliance is; Lack of OR-staff, limited education and training sessions, plus need for
repetition.
Discussion:
Even though there is hard evidence on the fact that surgical smoke plume is harmful, there is still some
resistance within the OR-staff to use smoke evacuation. It takes time to implement new ideas and methods of
working. But when changing the culture and habits of the nursing staff on how to work with surgical smoke
plume, the rest of the staff seemingly will follow suit.
We recommend education and implementing a guideline for evacuation of surgical smoke plume based on
laws, management, safety, and health.
Prevention is better than cure.
Keywords: diathermy, smoke, evacuation
Budapest, Hungary, 24-26 April 2019 67
Evaluation methodology of medical safety device
Rosa Maria Orriols-Ramos
Institut Català de la Salut-Hospital Universitari Bellvitge, International Comission Occupational Health, Madrid,
Spain
Introduction:
Improved engineering controls are often among the most effective approaches to reducing occupational
hazards and therefore are an important element of a needle stick prevention program. Such controls include
eliminating the unnecessary use of needles and implementing devices with safety features. To determine the
effectiveness of safety devices in front of a puncture, ICS team has developed a methodology for evaluating
safety medical devices.
Method:
The Methodology was published in NTP 875 Biological risk: methodology for the evaluation of sharp and cutting
equipments with built-in biosafety devices. Spanish Government and WHO Manual on Selection and Evaluation
Medical Safety Device.
Results:
61 products have been evaluated, 11 wasn’t accepted, 13 past only the first phase, 12 Not guaranteed safety in
the event of human error and safety in the event of foreseeable misuse, is partially guaranteed; 21 was in the
category of very good, and 4 safety medical device guaranteed the safety user during all life product. In the
analysis of all material use in Institut Català de la Salut 40’63 % was needlestick; 14, 53 % was scalpel, any was
in safety medical device category. 32, 29 % was catheter and 12, 90 % was in safety medical device category;
any trocar (5,21 % material) was in the safety medical device; 4,17% of all material was lancets, and 50% was
safety medical device. Syringes with needles was 3,13% , any syringes was in safety medical device category.
Conclusions:
The assessment of Safety Medical Device must be a continuous process must be consistent with the
developments and technical innovations in the health professions.
Keywords: safety device, needle, biosafety
68 7th FOHNEU International Congress
Session 9.
Longest unemployed use primary healthcare services the least
Kirsi Lappalainen1, Pauliina Mattila-Holappa1, Kirsi Yli-Kaitala1, Marja Hult2,
Kimmo Räsänen2
1 Finnish Institute of Occupational Health, Finland 2 University of Eastern, Finland
Introduction:
Unemployment is related to abundant use of medical services, but at the same time to infrequent use of health
services. Moreover, the need for health services is not always identified. The aim of the study was to describe
the use of primary health care and special health care services among people who had been unemployed for
at least 300 days on 1.1.2016.
Methods:
The research material was collected during the TTP project of the Finnish Institute of Occupational Health as
part of the European Social Fund PARTY "Better Ability to Work" project. This project was implemented in
Finland in the municipalities of Rauma, Turku, Salo, Somero, Eura and Eurajoki. The study used register data (n
= 500) and client interviews (n = 20). We used descriptive analysis, direct distributions, cross tables, the chi-
square test and binary logistic regression analysis. We also used content analysis for the interviews.
Results:
According to the results, those unemployed for the longest time (1000 days or more) had used primary
healthcare services the least: OR 2.57 (95% CI 1.17-5.65). The long-term unemployed rarely had rehabilitation
periods (5%). In addition, the diagnosis of mental health disorders was more common among those
unemployed for longer (p = 0.065). The clients’ experiences of the service were mostly positive, but they wished
for more equality and individual treatment.
Discussion:
Infrequent use of services was highlighted among those who were unemployed for the longest time. Mental
health disorders were more common among long-term unemployed individuals than among the rest of the
population. Multidisciplinary collaboration and functional authority networks contribute to the development
of services.
Keywords: unemployed, health services
Nurses’ transition into long hours and night shifts:
Assessing the fit of a total worker health approach to risk reduction
Patricia Butterfield, Julie Postma, Lois James
Washington State University, Spokane, United States
Introduction:
Twelve-hour shifts and night work are the norm for many nurses employed in U.S. hospitals. Many questions
remain about the impact of longer shifts and clinically-intensive work on new nurses’ health and safety. The
purpose of this study was to critically examine the fit of a Total Worker Health approach with the lived
experience of nurses as they transitioned from a student role into the day-to-day demands of work.
Budapest, Hungary, 24-26 April 2019 69
Methods:
A sample of nursing students in their final semester was recruited through social media, course presentations,
and e-mails. Focus group data were collected immediately following a clinical practicum that was similar to full-
time employment. Each focus group lasted 90 to 120 minutes. Audio tape data were transcribed verbatim and
analyzed using directed content analysis methods.
Results:
Participants were predominately female and between the ages of 20 and 25 years. Occupational health
concerns brought up included being too busy to take work breaks, feeling like they needed to stay late after
work, and impaired ability to focus on medication calculations. Concerns associated with worker well-being
included being unable to fall asleep following work, feeling too busy to exercise, and increasing caffeine intake
to get through one’s shift. Participants also expressed concern about driving home after work, stating that the
level of impairment they felt was analogous to being intoxicated.
Discussion:
Participants framed almost every issue from a cross-cutting personal health and worksite safety perspective,
reinforcing the relevance of the Total Worker Health approach to worker health. They did not differentiate
between their personal health goals (e.g., nutrition, exercise) and safe work practices. Rather, they saw
occupational safety and personal well-being as logical extensions of each other. To our knowledge, this is the
first study addressing perceptions of occupational and personal health risks during nurses’ initial transition
into the workforce.
Keywords: total worker health, nurses, shift work
The status of management and leadership of occupational health
nurses in Finland
Pilvi Österman
The Finnish Association for Occupational Health Nurses, Helsinki, Finland
Introduction:
In the FAOHN Member Survey the OHN´s have reported high work demands and increase in requirements for
profitmaking from their employers. Currently over 65 % of the Occupational Health Service providers are
private owned companies. The Finnish Association for OHN´s Member Survey, in autumn 2018, was conducted
to study, what kind of results and economical goals OHN´s are expected to achieve and how the OHN´s
leadership and management was experienced to function in practice.
Methods:
Literature Analysis, FAOHN Member Survey 2018
Results:
The OHN´s experienced that resultgoals were good motivators for good economical result. The problem
seemed to be that absence from work, vacation or absence because of education, were not taken in to
consideration setting personal goals. The OHN`s felt that they did not have the possibility, to affect the goals
at all. Almost half of the OHN´s felt that resultgoal was to high considering the clientale. The resultgoals were
set by OH Management or they were universal for all OH Nurses working in the same company.
The results show that even the OHN´s reached the set resultgoals, there was no rewarding system for good
work results. The resultgoal was not a part of the OHN´s personal rewarding system. The work quality
assessment was not included in the management system. Only few OHN´s answered that they had to report
also the qualitative results of their work.
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Discussion:
The role of OHN´s is to maintain health and workability of the workers, promote health and safety at the
workplaces and not only to make profit for the stakeholders. The change in work demands is conflicted with
the ethical and legal basis of the OHN´s work results and effectiveness. The OH cost-effectivity should be
measured and evaluated more from the customer standpoint. Customer satisfaction, outcome evaluation and
cost analysis should be combined and followed as the result goals for OHN´s.
Keywords: occupational health nursing, management, leadership
How to disconnect from work during your holiday?
Elke Lauwers1, Marc Duquet1, Sofie Vandenbroeck2
1 Syntra Midden-Vlaanderen, Sint-Niklaas, Belgium 2 IDEWE, External Service Occupational Safety and Health, Leuven, Belgium
Introduction:
Employees are confronted with stress during holidays, as they often feel obliged to be accessible everywhere
and at all times. Available means of communication make it challenging to disconnect. A recent study shows
that 40% of employees experience work-related stress while being on holiday. The aim of this study was to
explore 1) if prevention workers are able to disconnect and 2) differences between professions.
Methods:
A qualitative study was performed in a sample of prevention workers employed in an external service for
prevention and protection at work Four functions were involved: nurses (n= 4), occupational physicians (n= 4),
customer services staff (n= 4) and managers (n= 4). Holiday stress was assessed by means of a structured
interview containing 17 open-ended questions addressing: 1) coping style, 2) work activities during holidays, 3)
feeling relaxed (or not) after the holidays, etc. The most important themes that emerged form the interview
were extracted and categorized.
Result:
Fourteen out of sixteen interviewees checked their mails during the holidays, of which ten interviewees stated
that this caused more stress. Eleven participants indicated that they needed at least two weeks of vacation to
completely disconnect. Managers felt more obliged to carry out work tasks, while customer service staff
seemed the least sensitive to work-stress during their holidays. The applied coping style depends on the
profession, with three out of four managers showing an active problem solving coping style. Other professions
applied an more emotional coping style.
Discussion:
Working during the holiday should not always be considered as a problem. However, if an employee sees it as
an obligation he will experience more stress, which might lead to burnout in the long term. It is important to
plan work activities and to define boundaries in advance. Holidays are essential in view of reloading the
batteries.
Keywords: work stress, disconnect, holidays
Budapest, Hungary, 24-26 April 2019 71
Introduction of the Hungary’s comprehensive health care screening
programme 2010-2020-2030
Zoltán Balogh1,2,3, Gergely Dankovics2, István Barna1,2
1 Semmelweis University, Budapest, Hungary 2 Hungary’s Comprehensive Health Care Screening Programme, Hungary 3 Chamber of Hungarian Healthcare Professional, Hungary
The Programme began operations in 2010 based on 74 professional organizations’ cooperation of European
Union directives. Coordinated by The European National Health Programme and Hungarian Medical Societies
and Associations heart and vascular diseases prevention and recovery national prevention program realized in
cooperation with serios of events between 2010-2020 and 2030. According to the available latest statistic, the
average age of the Hungarian population is below the European Union average. Our county occupies several
diseases affecting public health issue rather than a podium. Therefore, it plays a very important role of the
Hungarian society’s program which will help to get more the Hungarian citizen age, location and profession
independently meet their own health status and recognize the importance of the prevention in time. The
Program is implemented by a technical committee 74 to 85 head of professional associations, senior advisor
coordinated work. In the Professional Committee of the Programme next to the ministries and 6 governmental
organizations also represented. However, more the 50 scientific and civil society organizations and 2 chambers,
like the Chamber of Hungarian Healthcare Professionals powering an active role in professional guidelines.
Hungary’s Comprehensive Health Care Screening Programme between 2010-2018 at national level successfully
fulfilled the set goals. Across a county there were 1,700 locations. It has successfully achieved the target of 7
million tests, at the same time, more than 500,000 citizens allowed free participation. The program of this
8-years cycle of 16 000 hours sent on prevention, 1.2 million health books released, 391,000 information
prevention packages provided for families. Across the county more than 20,000 experts participated in the
embodiment in addition more than 16 million residential risk assessment questionnaire worked up in unified
data management system. Citizens can meet the program annually nearly at 200 locations, during the entire
20-year program period approximately 3,000 locations, family days, festival programs, local governmental
events, professional congresses, major sporting events and workplace prevention lifestyle days. Hungary’s
largest employers – more than 180 companies – are getting involved in the program, so thousands of active
employees participate in the screening and lifestyle advice on. For the population’s state of health deterioration
some endemic is a common appearance through, the European Union should be put more and more
emphases on prevention. Hungary’s Comprehensive Health Care Screening Programme helps to continuously
monitoring of the health status of the population, patient and physician relationships, and multi-dimensional
understanding of health. In addition to the screening program special attention is paid to the threat risk factor
of the health population: smoking, alcohol, sedentary lifestyle, inappropriate nutrition, obesity – which can we
prevented with lifestyle advice. Within the framework of the program, 37 kinds of comprehensive examinations
are available in the largest mobile diagnostic centre in Hungary. In the period between 2010 and 2018 already
processed millions of test results year after year the Technical Committee presents at Public Health
conferences in national and international levels.
72 7th FOHNEU International Congress
Preliminary results and report on occupational health nursing in
Europe
Henriett Éva Hirdi, Lotte Falck, Geert van Gent
Education & Research Working Group, Federation of Occupational Health Nursing within EU
The FOHNEU Internal Survey is one of the principal source of information on occupational health nursing in
Europe. Since 2004, the survey has been conducted by the Education & Research Working Group of the
Federation of Occupational Health Nursing within EU. The data are used widely throughout the members of
FOHNEU to monitor trends in education and practice of occupational health nurses and to track progress
toward achieving the aims of FOHNEU and occupational health objectives. The data are also used for policy
analysis of such timely issues as characterizing opportunities, determining barriers in OH Nursing education
and practice.
The FOHNEU Internal Survey is a cross-sectional survey among country representatives of FOHNEU. The
revised questionnaire implemented since 2017. The core questions remain largely unchanged and allow for
trends analysis and for data from more than one year to be pooled to increase sample size for analytic
purposes. The questionnaire covers four major components: General Nursing education, Occupational Health
Nursing education, Occupational Health Nursing practice, and Opportunities and barriers in OH Nursing. In this
talk we will present our preliminary findings of the recent analysis in these topics.
Keywords: occupational health nursing, Europe
Budapest, Hungary, 24-26 April 2019 73
ABSTRACTS OF
POSTER PRESENTATIONS
74 7th FOHNEU International Congress
Budapest, Hungary, 24-26 April 2019 75
P-01 Association of occupational noise exposure with cardiovascular
diseases among career firefighters in Northern California, USA
Dal Lae Chin, OiSaeng Hong
School of Nursing, University of California, San Francisco (UCSF), San Francisco, United States
Introduction:
Cardiovascular disease (CVD) is the leading cause of on-duty death among firefighters (FFs). Exposure to
excessive noise is associated with CVD, such as coronary heart disease and hypertension, particularly in
occupational settings. FFs are routinely exposed to high levels of intermittent noise as part of their jobs, and
thus may be at risk for increased CVD. Even though several studies have shown a link between noise exposure
and CVD, no such studies have ever been conducted with FFs. The purpose of this pilot study was to examine
the association between occupational noise exposure and CVD among career FFs.
Methods:
A cross-sectional study was conducted with a convenient sample of 152 FFs (mean age = 43.6 years, 77.6%
White) working in Northern California. A web-based survey data was collected on demographics/work factors,
noise factors, and CVD. Noise factors included in perceived noise exposure, noise-induced hearing loss, and
perceived hearing status.
Results:
Of the participants, 29.6% had any heart/cardiovascular health problems; 14.5% had hypertension, 11.8% had
other CVD such as arrhythmia and tachycardia, and 17.1% took any medication related to CVD. Exposure to
loud noise (> 50% of the time) (OR=3.287; 95% CI: 0.829-13.039) showed a marginally significant increased
likelihood of CVD (p=.091). Compared with FFs with normal hearing, FFs with hearing loss were more likely to
have CVD (OR=3.176; 95% CI: 1.155-8.73). Also, those who reported bad hearing status (OR=2.24, 95% CI: 0.933-
5.375) tended to be more likely to have CVD (p=.071) compared to those who perceived their hearing to be
good.
Discussion:
The findings of this study indicate that FFs’ noise factors (hearing status and noise exposure) may be important
risk factors for CVD. Control of noise exposure in both occupational and non-occupational environments
should be considered in designing effective health promotion programs for reducing CVD among FFs.
Keywords: occupational noise exposure, cardiovascular disease, firefighters
P-02 Bullying among Portuguese nurses: Comparative study
between Azores Island and continental Portugal
Elisabete Borges1, Cristina Queirós2, Margarida Abreu1, Tércio Maio3, Antónia Teixeira4
1 Nursing School of Porto, Portugal 2 Faculty of Psychology and Education Sciences, University of Porto, Portugal 3 Health Unit of S.Miguel-Azores, Portugal 4 Health Unit Vale do Sousa Sul, Portugal
Introduction:
During last years European Agency for Safety and Health at Work is alerting for psychosocial risks at work,
including among this bullying. This phenomenon is being a focus of research, and several studies demonstrated
that it is affecting workers' health and productivity (Olsen, Bjaalid, & Mikkelsen, 2017; Wolf et al., 2018). Among
nurses this also a recent concern, and this study aims to identify and to compare the existence of bullying
76 7th FOHNEU International Congress
among working in Azores island or in continental Portugal, as well as its relationship with sociodemographic
and professional characteristics.
Methods:
A quantitative, transversal, descriptive and comparative study was developed, applying a sociodemographic
and professional questionnaire, and the Negative Acts Questionnaire (NAQ-R, Einarsen & Hoel, 2001; Borges &
Ferreira, 2015) for bullying identification. The sample was composed by 240 Nurses (120 of Continental Portugal
and 120 from Azores island).
Results:
Considering the last six mounts, the presence of bulling was identified among these nurses, with significant
differences in different types of bullying, showing nurses of the Azores island higher values. Moreover higher
values, especially related with exclusion dimension of bullying were identified among nurses with partner in
Azores island, and among nurses with definitive job contract at continental Portugal.
Discussion:
As in this study the existence of bullying among nurses has been referred by other researchers (Reknes et al.,
2017), alerting to the frequency of this phenomenon. Thus, our results can alert to the need to implement
bullying prevention strategies, trying to contribute to the promotion of nurses’ occupational health.
Keywords: bullying, nurses, comparative study
P-03 Burnout among nurses in Europe: A comparative study
between Portugal, Spain and Italy
Elisabete Borges1, Raffaella Ruggieri2, Cristina Queirós3, Maria Pilar Mosteiro4,
Elena Fiabane5
1 Nursing School of Porto, Portugal 2 University of Pavia, Italy 3 Faculty of Psychology and Education Sciences, University of Porto, Portugal 4 Faculty of Medicine and Health Sciences, University of Oviedo, Spain 5 University of Pavia, Italy
Introduction:
Currently nurses face high job stress and emotional demands common in different European countries, related
to their central role of caregiving (Iro,2018). Burnout as a consequence of job stress gained visibility
(Eurofound,2018) and nurses with high emotional exhaustion varies between 25% (Gnerre et al.,2017) and 50-
59% (Marques et al.,2018). This work aims to compare burnout levels among nurses from Portugal/Oviedo-
Spain/Italy, and among Portuguese nurses on 2016/2018.
Methods:
During 2016, after institutional authorization, we applied Maslach Burnout Inventory to 265 Portuguese and
263 Spanish nurses, being 78% women, 72% working in public hospitals, mean age 37.36 and mean job
experience 14.03 years. In 2018, using a snowball method, the Oldenburg Burnout Inventory was applied to
226 Portuguese and 290 Italian nurses, being 84% female, 63% working in public hospitals, mean age 38.04 and
mean job experience 14.21 years. Participation was voluntary/anonymous with informed consents.
Results:
2016 presented moderate emotional exhaustion and low depersonalization, being depersonalization higher
among Spanish nurses and emotional exhaustion higher in Portuguese nurses. 2018 presented moderate
emotional exhaustion and disengagement, having Portugal higher values. Considering cut-off levels of
questionnaires and similarities of MBI depersonalization and OLBI disengagement, emotional exhaustion was
Budapest, Hungary, 24-26 April 2019 77
always higher than depersonalization/disengagement. Moreover, the high level of exhaustion in Portugal
increased from 41% (2016) to 52% (2018), being 32% in Spain2016 and 36% in Italy2018. High level of
depersonalization/disengagement in Portugal increased from 4% to 29%, being 9% in Spain and 19% in Italy.
Discussion:
High levels of burnout dimensions increased in Portugal between 2016/2018, and Portugal presented more
burnout than Italy, but less depersonalization than Spain. Despite different questionnaires and countries, data
suggests that nurses feel in Europe a common increased difficulty to manage their job stress. Thus,
Occupational Nursing (Borges,2018) should prevent burnout, since it can elicit job errors and nurses’ suicide at
workplace.
Keywords: burnout; comparative study; Portugal/Spain/Italy
P-04 Comparative study of 4 different airway management devices
in Manikins by nurses
Argyro Chatzisotiriou1, Maria Kapritsou2, Styliani Tziaferi3, Vassiliki Karra4, Maria Kalafati5*
1 Athens General Hospital "G. Gennimatas", Athens, Greece 2 Hellenic Anticancer Institute, ‘’Saint Savvas’’ Hospital, Day Care Center “N. Kourkoulos”, Athens, Greece 3 National Secretary for ICOH, Community Nursing Dep. of Nursing Laboratory of Integrated Health Care,
University of Peloponnese, Tripolis, Greece 4 Perioperative Services, Sismanoglio General Hospital, Athens, Greece 5 Laboratory Teaching Staff, National and Kapodistrian University of Athens, School of Health Sciences,
Department of Nursing, Athens, Greece
Introduction:
Securing the airway can be of utmost importance in several clinical settings involving critically ill or injured
patients. Limited physiologic reserves and a possibly imminent respiratory or circulatory collapse of these
patients often make emergency airway management necessary. Direct laryngoscopy, a method taught to many
healthcare professionals is the standard method of securing an airway via tracheal intubation. Aim of the study
was to investigate the level of retention of skills acquired by the nurses in the airway management seven
months after participating in an educational session, recording a) successful attempts for ensuring the airway
b) time needed to ensure the airway, c) level of confidence in performing and d) ease of use, with all four
different airway management devices in manikin.
Methods:
The study included 76 volunteer nurses. The educational session included a PowerPoint presentation about
the airway anatomy and demonstration of the four airway management devices [LMA ®, I-GEL®, Airtraq® and
Tracheal intubation using a mackintosh size 3 laryngoscope and Endotracheal Tube (ETT)].
Results:
Regarding the LMA® was found to have statistically significant difference in the variables “Ease of use” (p<0.001),
“Degree of confidence” (p=0.001) and “Time needed for successful effort in sec” (p=0.002). In phase A, 79.7% of
nurses answered that they considered LMA® easy, while in B phase only 53.1%. Regarding the average “degree
of confidence” in phase A was 8.5 while in B phase was 7.6. However, it was found that the average time needed
for successfully ensuring the airway in the A phase was 19 sec while in the second phase decreased to 17.23
sec.
78 7th FOHNEU International Congress
Discussion:
Although the tracheal intubation remains the “gold standard”, supraglottic devices are valuable and powerful
alternatives in airway management and should be used by nurses whenever a life is in danger and an
anaesthesiologist is not present.
Keywords: airway management; nurses and airway management; airway management manikins
*The author thanks Special Account for Research Grants and National and Kapodistrian University of Athens for funding to attend
the meeting
P-05 Cost-effectiveness analysis after implementation of fast-track
protocol in patients undergoing major abdominal surgery
Maria Kapritsou1, Maria Kalafati2*, Margarita Giannakopoulou3, Styliani Tziaferi4,
Evangelos A. Konstantinou5, Vassiliki Karra6, Dimitrios P. Korkolis7
1 Hellenic Anticancer Institute, ‘’Saint Savvas’’ Hospital, “N. Kourkoulos”, Athens, Greece 2 Department of Nursing, National and Kapodistrian University of Athens, Greece
3 Department of Nursing National and Kapodistrian University of Athens, Greece 4 National Secretary for ICOH, Community Nursing Dep. of Nursing Laboratory of Integrated Health Care,
University of Peloponnese Tripolis, Greece 5 Department of Nursing National and Kapodistrian University of Athens, Greece 6 Perioperative Services, Sismanoglio General Hospital, Athens, Greece 7 Hellenic Anticancer Institute, ‘’Saint Savvas’’ Hospital, Athens, Greece
Introduction:
Global financial crisis has led in a crisis to health care systems. Due to this economical pressure, health
professionals have to organize, prioritize and analyze, considering the patient’s safety, in combination with the
low cost. Aim of the study was the evaluation of cost-effectiveness after implementation of Enhanced recovery
program (ERAS) in oncological patients undergoing hepatectomy or pancreatectomy.
Methods:
It was a prospective randomized clinical study design. In the study, 283 patients have participated, who
underwent hepatectomy or pancreatoduodenectomy. In group ERAS, (N=146), ERAS protocol was applied,
while in group CON (N=137), conventional care was followed. Patients’ demographic and anthropometric data,
the presence or absence of nausea-vomiting and complications as well as the length of postoperative stay were
recorded.
Results:
There were no statistically significant differences according to gender and age between the 2 groups. The total
cost in Euros with ERAS program was reduced in comparison with CON (p=0.001).
Discussion:
ERAS protocol yields the best benefits for pancreatoduodenectomized and hepatectomized oncological patient,
providing simultaneously a new era in the social and private health insurance sectors.
Keywords: cost-effectiveness; eras program; fast track protocol; liver and pancreatic surgery
*The author thanks Special Account for Research Grants and National and Kapodistrian University of Athens for funding to attend
the meeting
Budapest, Hungary, 24-26 April 2019 79
P-06 Creating a GIS web application for efficient cost management
and control of diagnostic imaging examinations
Dimitrios Zarakovitis1, Dimitrios Tsoromokos1, Styliani Tziaferi2, Athina Lazakidou1
1 University of Peloponnese, Digital Health Applications and Health Economics Analytics Laboratory, Tripolis,
Greece 2 University of Peloponnese, Department of Nursing, Laboratory of Integrated Health Care, Sparti, Greece
Introduction:
Recent health care cost cuts on orders of international lenders have affected the Greek National Health Care
System. In Greece, the rational management of total expenditures and revenues of hospital units is a major
issue. Geographic Information Systems are a useful tool for efficient management and cost control of
diagnostic imaging examinations. They play a strong role in the estimation of the performance analysis
indicators of hospital units, as well as technical indicators of medical equipment.
Methods:
ArcGIS software is used for creating an online platform for accurate estimating and digital registration of
financial data of radiology examinations. Data concerns the revenues of mammographies and the total cost of
radiology departments in five Greek public hospitals in Peloponnese between 2012 - 2015.
Results:
Spatial data recording reveals that there is an overtime total revenue increase of the radiology departments in
Peloponnese in 2012 – 2014. The revenue increase rate is estimated at almost 58%. In 2014 – 2015, there is a
small cost reduction estimated at almost 6%. An overall cost increase of radiology supplies of the majority of
hospitals is also estimated in 2012 – 2015. The increase percentages rate to almost 10,35% - 102%. In most
Hospital Units, the total cost of radiology supplies exceeds the total revenues of mammographies by a factor
of around 1 – 11 times.
Discussion:
The online platform is innovative because it enables big financial data processing in real time. It can be
established in the Ministry of Health or in a Health Region as a cost surveillance system. Health budget waste
can also be prevented by using the digital platform for the rational expenditure control of all kinds of radiology
examinations. Financial indicators can also be calculated for extracting useful conclusions. Health professionals
can emphasize on the GIS-based platform when making operating decisions, in order to maximize the efficiency
of hospital units.
Keywords: Geographic Information Systems (GIS), mammographies, diagnostic imaging
80 7th FOHNEU International Congress
P-07 Descriptive study of day care anaesthesia
Maria Kapritsou1, Anastasia Alvanou2, Maria Kalafati3*, Spiridoula Mperdousi2,
Christina Georgopoulou2, Maria Koletsi2, Anastasia Papathanasopoulou2,
Dimitra Vasilopoulou2, Eunomia Vrachnou-Alexopoulou2
1 “Saint Savvas” Hospital, Day Care Clinic “N. Kourkoulos” 2 Anesthiology Department, “Saint Savvas” Hospital, Day Care Clinic “N. Kourkoulos”, Athens, Greece 3 National and Kapodistrian University of Athens, School of Health Sciences, Department of Nursing,
Athens, Greece
Introduction:
The development of anesthetic agents, the management of acute pain, as well as the progress of monitoring,
training, patient’ s pain assessment and the development of perioperative care are the main reasons for
providing safer anesthesia to day care centers. The introduction of minimally invasive surgical techniques
results in the reduction of tissue damage and postoperative pain, along with the economic factors and patient’
s preferences have given an additional boost to the preference of day surgery. The aim of this study was to
present anesthesia parameters including patient demographics, type of anesthesia, drugs and the appearance
of postoperative complications associated with anesthesia in a day care center.
Methods:
A descriptive study of the parameters of anesthesia (drugs, type of anesthesia and complications) in a day care
center from February 2018 to May 2018. Four hundred & forty-nine interventions, minimally and medium
surgeries with duration 30 to 120min, breast biopsy, lymph node biopsy, breast reconstruction, inguinal hernia
repair as well as hysteroscopy & diagnostic abrasion. Statistical analysis was performed with SPSS 22 (IMB SPSS
Software, Chicago, Illinois) at a significant level 0.05.
Results:
Fifty three men & 396 women participated in the study. Of the total of 449 interventions, 201 were made with
general anesthesia and endotracheal intubation, 76 with general anesthesia and laryngeal mask & 69 with
neuroleptanalgesic. Also, 103 of short duration gynecological procedures, such as hysteroscopy and diagnostic
abrasions, were performed with general anesthesia and face mask ventilation. Prevention of nausea / vomiting
occurred in 208 patients with ondansetron-ranitidine-metoclopramide-droperidol, while in 189 patients with
ondosetron-ranitidine-metoclopramide. Upon awakening, 16 patients experienced cough, 3 bronchospasm &
2 deliriums.
Discussion:
Day care centers have been established in developed countries, ensuring shorter hospitalizations, while
anesthesia is safe for the patient.
Keywords: day care anaesthesia; nausea/vomiting; day care surgery
*The author thanks Special Account for Research Grants and National and Kapodistrian University of Athens for funding to attend
the meeting
Budapest, Hungary, 24-26 April 2019 81
P-08 Do perceptions of locus of control influence industrial
workers’ engagement in occupational health and safety?
Julie M. C. Staun
Independent Occupational & Environmental Health Consultant, Jægerspris, Denmark
Introduction:
This investigation focused on perceptions of control and its potential influence on engagement in occupational
health and safety by industrial workers, and highlight the much needed attention to this important group of
workers. The study aimed to address the main question of the research: to what extent do perceptions of
control explain the engagement in occupational health and safety by industrial workers, and what are the
perceived barriers to sustainable engagement experienced by this group of workers?
Methods:
The mixed method quantitative-qualitative approach aimed to identify how the value and impact of the locus
of control external/powerful others versus the intrinsic values perceived to be held by an individual, can
contribute to the perceived causes and barriers to sustainable engagement in health and safety by workers in
a contemporary industrial setting
Two variants of the locus of control construct were selected as the measurement tools for the quantitative
investigation. The multidimensional Internal-Powerful Others-Chance (IPC), (Levenson 1973) scale to assess the
generic personality orientations, and the domain specific Work Locus of Control scale (WLCS), (Spector 1988)
was selected to identify potential context specific criteria.
Following the results of the quantitative survey qualitative in-depth interviews were conducted to to detect
potential influences perceived by the workers to engagement in health and safety.
Results:
The quantitative findings (n=167) identified an incongruity between the inherent internality of the IPC scales
and the internality variable of the WLCS suggesting an internal orientated workforce demonstrating less
internality at the workplace. Interviews (n=10) provided in-depth perspectives including potential barriers to
sustainable engagement in health and safety activities.
Conclusions:
The quantitative findings indicate perceptions of control amongst an industrial workforce could relate to the
engagement in occupational health and safety, and the qualitative interviews allowed for identification of
perceptions related to occupational health and safety as experienced by this group of workers.
Keywords: occupational health, locus of control, industrial workers.
P-09 Does working with a sit-stand desk improve musculoskeletal
health?
Judith Fakkel-van den Berge
Occupational Health Nurse, Master Advanced Nursing Practice student, Utrecht, The Netherlands
Introduction:
In 2016 nearly 2 million people visited their General Practitioner with neck or back pain. People spent
increasingly more time in sedentary jobs. There is a link between sedentary behaviour and health problems,
that results in health-related reductions of working years caused by musculoskeletal complaints. As a
consequence sit-stand desks were introduced in occupational settings to prevent musculoskeletal complaints.
82 7th FOHNEU International Congress
The question is, does the evidence support the recommendation of sit-stand desks as a preventive strategy
against neck and back complaints including the usage of sit-stand desks for employees suffering from existing
neck and back complaints?
Method:
To answer these questions a systematic review was carried out via the Patient Intervention Comparison
Outcome-system.
In five Randomised Controlled Trials (RCT) the effects of the usage of a sit-stand desk on musculoskeletal
complaints in an occupational setting was investigated.
The populations in the research ranged between 38 and 146 employees.
In all RCT’s the sit-stand desk was used as an intervention strategy.
In four RCT’s the musculoskeletal complaints were measured by self-assessment.
In one RCT the musculoskeletal discomfort was measured by neuromuscular balance.
Results:
No significant musculoskeletal effect was found supporting the usage of sit-stand desks for employees without
musculoskeletal complaints. No evidence was found for the preventive usage of sit-stand desk against neck
and back complaints. There was a musculoskeletal effect for employees suffering from existing musculoskeletal
complaints. This effect was not significant for all neck and back problems but significant for specific areas of
the back and neck depending on the seriousness of the complaints. It will take time before this effect is
measurable, and only when the usage of the sit-stand desk is combined with an intensive coaching program
and follow-up.
Conclusion:
More research is required to measure the long-term health effects of using sit-stand desks.
Keywords: musculoskeletal complaints, sit-stand desk
P-10 Evaluating error correlation between the use of digital pen &
paper technology and the users satisfaction degree of the DPP4ICU
application
Dimitrios Tsoromokos1, Dimitrios Zarakovitis1, Styliani Tziaferi2, Athina Lazakidou1
1 University of Peloponnese, Digital Health Applications and Health Economics Analytics Laboratory, Tripolis,
Greece 2 University of Peloponnese, Department of Nursing, Laboratory of Integrated Health Care, Sparta, Greece
Introduction:
The aim of this paper is to present the results of the error correlation between the use of the digital pen
technology and the nurses satisfaction degree of the DPP4ICU application. Digital Pen & Paper technology can
be used in the hospital units for better monitoring and efficient management of patients’ health, as well as
rational use of valuable resources.
Methods:
The DPP4ICU pilot application was carried out by fourty nine nurses in the ICUs of three Greek Public Hospitals
between January and July 2016. Demographics and personal data was acquired through a digital questionnaire.
The digitized ICU nursing account form was also used for data acquire. Nursing staff completed their personal
data, current date, working shift and patients’ data by using the digital pen. The thematic categories, depending
on patients’ condition, were also completed by the nursing staff. The descriptive and statistical analysis of all
indicators and variables was performed at a statistical significance level p = 0.05 by using SPSS 18.
Budapest, Hungary, 24-26 April 2019 83
Results:
The t-test for independent samples was applied in order to investigate the correlation of errors between the
use of digital pen and nurses satisfaction. T-test results revealed that there was no statistically significant
difference between the 1) average satisfaction rate of the use of digital pen in ICUs (p-value = 0.225> 0.05), 2)
the average satisfaction rate of the digitized nursing account in ICUs (p- value = 0.238> 0.05) and 3) the average
satisfaction rate of the overall use of the application in ICUs (p-value = 0.113> 0.05). Consequently, the errors
in the use of digital pen are not dependent on the nurses satisfaction degree in the ICUs of public hospitals.
Discussion:
The subsequent errors of the DPP4ICU application are independent of the nurses satisfaction degree of using
the digital pen, the ICU nursing account form and the overall use of the digital pen.
Keywords: Digital Pen & Paper (DPP), satisfaction, Intensive Care Unit (ICU)
P-11 Evaluation of occupational health nurse’ interventions in the
military vehicle maintenance repair factory
Melek Nihal Esin1, Emine Aktaş1, Mine Bahar2
1 Istanbul University-Cerrahpaşa, Istanbul, Turkey 2 Military Vehicle Maintenance Repair Factory, Turkey
Backgrounds and Aim:
The occupational health nurses (OHN) are the key professional to forecast the occupational risks of all
employees, and to make a significant difference in the specific health care needs of military personnel and civil
personnel. The aim of the study is to determine OHN intervention among worker in a military company by
using standardized methods that named Omaha System (OS) as a one of the most suitable classification
systems in nursing.
Methods:
The study designed as retrospective study. In this study, we used OS to report of OHN interventions that
performed on 331 workers (98 % male, 2 % female). The sample included 3312 OHN interventions and data
was analyzed according to components of OS: Problem Classification Scheme (PCS) and Intervention Scheme
(IS). PSC consist of 42 problems with associated signs/symptoms. The IS has four intervention categories;
Training/Monitoring/Consulting (TMC), treatments and procedures (TP), Case Management (CM), and
Surveillance(S).
Results:
The mean age was 41±3.1, and majority of the workers activities were mostly classified as very dangerous and
hazardous risk groups that includes Physical and chemical factors exposures. The most common health
problems recorded in workers were “workplace safety”, “Neuro-musculo-skeletal function”, “Mental Health
(Fatigue)”, and “substance use (smoking)”, and “Circulation (high blood pressure)”. In the last one year, 4.8 % of
work accidents occurred. The nursing interventions were comprised with 5325% of TMC, 39,38 % of HS, 7,14 %
of TP and 0,23% of CM. The most important interventions were checking the hazard source, ventilation and
control technology, dust control, ergonomic assessment, use of personal protective equipment, and regulation
of thermal conditions. After the intervention, 12 employees' workplace environment changed to the
appropriate job such as dust-free environment, not heavy lifting activity areas, and noiseless environment.
84 7th FOHNEU International Congress
Conclusion:
OHN must continue to provide the best evidence-based practice to manage specific occupational health risks
and carry on the health status of all employees to contribute to achieving military objectives. The OS can be
used and effectively in identifying OHN interventions offered in this specific area.
P-12 Evalulation of occupational health nurses’ interventions in a
health unit of University Campus
Melek Nihal Esin1, Ayşe Dost2, Emine Aktaş1, Elif Üner2
1 Istanbul University-Cerrahpaşa, Istanbul, Turkey 2 Istanbul Medipol University, Istanbul, Turkey
Background and Objectives:
The universities are including students, academic staff and administrative staff in different field working so in
these services may experience health problems due to different occupational risks. In this context, occupational
health nurses in health care unit has an important role to prevent health risks and treat health problems. The
aim of this study is to evaluate of occupational health nurses’ interventions in a health unit of university campus.
Methods:
This study contains the health unit of university campus services which were performed on 1923 workers/
students/ academicians from 1 January 2018 to 31 August 2018. The sample of the individual’s intervention
included 6157 nursing interventions. The nursing intervention that provided to the individuals who applied to
the unit of university campus were recorded into “nursing practice notebook" and examined retrospectively.
Every intervention was evaluated by using Omaha System (OS). The OS consist of four interventions categories
as Health Surveillance (HS), Training/Monitoring/Consulting (TMC), Treatment/Processing (TP), and Case
Management (CM). The written permission was obtained from campus management
Results:
53.6% of the clients were women and the mean age was 31,80 ± 1,70 years. Applications made to the health
unit 54,7% of them were students, 11,1% academic staff, 12.6% of the administrative unit’s workers and 17.8%
support services workers. The reasons of application to health unit are examined; 34.6% of the patients applied
for pain, 15.3% for work accident, 12.3% for treatment intervention and 7.7% for gastrointestinal problems.
The nursing interventions were comprised with 55,4% of TMC, 16,2% of HS, 82,4% of TP and 2,2% of CM. The
intervention in all these categories will more likely to have lowest sign and symptom related to their application
to health unit. (p=0.000)
Conclusion:
Occupational health nurses play an important role in protecting the health of employees in services. Regular
health records maintained by nurses are very important in occupational health and safety services. The result
of this study was useful in determining the nursing interventions presented in this area.
Budapest, Hungary, 24-26 April 2019 85
P-13 Geographical information systems and financial analysis of
Non-Ionizing Radiation (NIR) for diagnostic purposes
Dimitrios Tsoromokos1, Dimitrios Zarakovitis1, Styliani Tziaferi2, Athina Lazakidou1
1 University of Peloponnese, Digital Health Applications and Health Economics Analytics Laboratory, Tripolis,
Greece 2 University of Peloponnese, Department of Nursing, Laboratory of Integrated Health Care, Sparti, Greece
Introduction:
Geographic Information Systems (GIS) are widely used in the health sector for spatial analysis of financial and
technical data of medical equipments. These systems help users to present their results on interactive maps
and share data from different locations.
Methods:
ArcGIS software is used for creating a geodatabase for the digital recording of the revenues and total
expenditures of public hospitals. Data concerns the revenues of non-ionizing examinations, such as Magnetic
Resonance Imaging (MRI) scans. Data analysis also concerns the total cost of radiology supplies in two Greek
public hospitals in Epirus in 2012 - 2015. Non-ionizing examinations are used in patients’ treatment without
emitting harmful radiation in the human body. Statistics is also used for estimating financial and performance
indicators.
Results:
The revenues of the General Hospital of Ioannina were increased in 2012 – 2013 and the increase rate was
estimated at almost 70%. In the University Hospital of Ioannina, there was almost a 3% revenue increase in the
same period. In 2014 – 2015, there was a revenue reduction rate for both hospitals. The reduction rates were
estimated at almost 16% and 3% respectively. The mean revenue rate was almost 884.000 euros. The daily cost
of radiology supplies of the General Hospital of Ioannina was 89 euros and the relevant cost of the University
Hospital of Ioannina was 11 euros.
Discussion:
Spatial data analysis revealed that there was a revenue increase of the two public hospitals in Epirus in 2012 –
2013. The cost of radiology supplies of the General Hospital of Ioannina was greater than the relevant cost of
the University Hospital of Ioannina. The platform can be used by health professionals to organize their work
tasks and develop strategies to promote transformation in the health care delivery and payment services.
Keywords: Geographic Information Systems (GIS), spatial data analysis, Magnetic Resonance Imaging (MRI)
P-14 Humanitarian workers' mental health; state of art and
prevention of work disability
Jacinthe Douesnard1, Grazia Ceschi2, Lindsay Ouellet1
1 Université du Québec à Chicoutimi, Canada 2 Université de Genève, Switzerland
Often working in unstable, dangerous context and witness to human suffering as well as atrocities, it is well
known that the humanitarian workers work in difficult situations and are exposed to several stressors. This
context is not without consequence on their mental health. The actual context of migratory crisis requires
qualified and long-term committed workers. It is urgent to decrease the mental illness engendered by their
work and increasing retention and re-engagement for future missions. What is the state of art on this subject?
What kind of research and interventions programs can be developed to decrease the mental impacts of
working in traumatic situations?
86 7th FOHNEU International Congress
This study, conducted with an exhaustive literature review methodology, presents the state of art about
Humanitarian workers' mental health (2010-2018). From this analysis, we will present: classification of core
topics related to the research area of humanitarian workers’ mental health; up-to-date prevalences;
methodology and most used psychometric tools. Also, new avenues of research and interventions concerning
the post-intervention follow-up will be presented to guide the development of mental health support program
for humanitarian workers back from a mission. These avenues aim to decrease mental impacts of working in
traumatic situations, increase retention and re-engagement for future missions. These elements will be
articulated around the precise concerns bound to the mental health in emergency and trauma for work
disability prevention.
Keywords: humanitarian workers, mental health, stat of art
P-15 Impact of an antenatal breastfeeding course in terms of
breastfeeding knowledge, attitudes, self-efficacy and perceived
barriers among working, or not, pregnant women in Greece
Maria Iliadou1, Katerina Lykeridou2, Panagiotis Prezerakos3, Styliani G Tziaferi3
1 Department of Nursing, Laboratory of Integrated Health Care, Faculty of Human Movement and Quality of Life
Sciences, University of Peloponnese, Sparti, Greece, Department of Midwifery, Faculty of Health and Caring
Professions, University of West Attica, Athens, Greece 2 Department of Midwifery, Faculty of Health and Caring Professions, University of West Attica, Athens, Greece 3 Department of Nursing, Laboratory of Integrated Health Care, Faculty of Human Movement and Quality of Life
Sciences, University of Peloponnese, Sparti, Greece
Introduction:
The need of women for antenatal breastfeeding education is clearly articulated. The goal of educating mothers
-working or not- is not only to increase their breastfeeding knowledge and skills, but also to influence other
indicators as attitudes and self-efficacy towards breastfeeding. Even though many hospitals in Greece provide
prenatal educational programmes, the impact of this kind of intervention on the modifiable factors of
breastfeeding knowledge, attitudes, self-efficacy and perceived barriers has not been yet evaluated. The aim
of the study was to evaluate the impact of an educational intervention on these breastfeeding determinants in
working women or not.
Methods:
This was a quasi experimental and prospective study that employed a pre-post design. A total of 203 pregnant
women (intervention group, n = 103 and control group, n = 100) participated in the study. Data were collected
using the Breastfeeding Self-efficacy Scale, The Iowa Infant Feeding Attitude Scale -IlFAS, The Breast Feeding
Knowledge Questionnaire and The Perceived Breast Feeding Barriers Questionnaire.
Results:
Pre intervention: there were no significant differences between control and intervention group in any of the
scales. Post intervention: women in the intervention group, compared to the control group, had better attitude
(73.59% versus 66.14%, p<0.001), more knowledge (14.65% versus 13.11%, p<0.001), more self-efficacy (51.4%
versus 45.65%, p<0.001), less perceived barriers (27.4% versus 31.05%, p<0.001), regarding breastfeeding.
Budapest, Hungary, 24-26 April 2019 87
Conclusion:
Antenatal breastfeeding education has a significant positive impact on breastfeeding indicators compared to
routine care. Our findings could inform clinical and community practice regarding antenatal care in working
mothers as well.
Keywords: breastfeeding self-efficacy, knowledge, attitudes, antenatal programme
P-16 Influenza vaccination of healthcare workers: Overview of
systematic reviews and meta-analysis
Panagiota Kalatzi1, Maria Iliadou2, Styliani Tziaferi3
1 Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Greece 2 Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese Lecturer, Department of
Obstetrics, University of West Attica 3 Community & Occupational Health Nursing, Department of Nursing, Laboratory of Integrated Health Care,
University of Peloponnese, Greece
Introduction:
Outbreaks of influenza in health care settings may result in significant morbidity and mortality especially
among vulnerable patients. World Health Organization recommends that health care workers (HCWs), who are
at high risk of getting influenza due to workplace exposure and also may transmit influenza to those with
compromised or immature immune systems, should receive the vaccine annually. However, vaccination rates
of HCWs against influenza remain low. Factors that may influence HCWs decision about vaccination uptake are
of important value.
Methods:
A literature search of systematic reviews and meta- analysis was conducted through MEDLINE, and EMBASE
databases, between April and August of 2018. Studies investigating potential factors that may associate with
influenza vaccination uptake, and those written in English, were included in the review. Systematic reviews
published before 2012 were excluded from the study.
Results:
Three systematic reviews and one meta- analysis identified as eligible for inclusion in the study. The belief that
the vaccine is safe and effective, being willing to protect patients and the loved ones, believing that influenza is
highly contagious with serious and severe complications, believing that influenza prevention is important and
having a family environment that has a positive attitude towards vaccination were the main factors associated
with a higher vaccine uptake. Access on scientific literature, trust in public health policies and physicians and
co- workers recommendation were also found to influence HCWs vaccination uptake. On the other hand, a
range of perceptions act as barriers to immunization, including concerns about side- effects, doubts about
vaccine effectiveness and the belief that influenza is not a serious illness. Lack of time, vaccine access related
barriers and the influence by the growing anti- vaccine movement, also promote vaccine opposition among
HCWs.
Conclusion:
Targeted actions should be implemented to increase influenza vaccination coverage among HCWs, taking into
account the individual beliefs about influenza immunization.
Keywords: Influenza vaccination, healthcare workers, beliefs
88 7th FOHNEU International Congress
P-17 Investigating the users satisfaction degree of DPP4ICU
application in the intensive care units of public hospitals
Dimitrios Tsoromokos1, Dimitrios Zarakovitis1, Styliani Tziaferi2, Athina Lazakidou1
1 University of Peloponnese, Digital Health Applications and Health Economics Analytics Laboratory, Tripolis,
Greece 2 University of Peloponnese, Department of Nursing, Laboratory of Integrated Health Care, Sparta, Greece
Introduction:
Digital Pen & Paper technology can be used in the hospitals for better monitoring and efficient management
of patients’ health, as well as rational use of valuable resources.
Methods:
The DPP4ICU pilot application was carried out by fourty nine nurses in the Intensive Care Units (ICUs) of three
Greek Public Hospitals between January and July 2016. The participants were asked to answer in three
questions in order to estimate the satisfaction degree of the use of digital pen, the use of the nursing account
form and the overall use of the application. The participants were also asked to score their answers according
to a 5-level scale (1 - 2 - 3 - 4 - 5) that was formatted as follows: 1 = Not at all satisfied, 2 = Not satisfied, 3 =
Neutral 4 = Satisfied and 5 = Completely satisfied.
Results:
The majority of nurses are satisfied with the use of digital pen, the nursing account form and the overall use of
the application in ICUs (59.2%, 59.2% and 65.3% respectively). It is well mentioned that none of the participants
stated that he or she was not at all satisfied. The mean satisfaction degree (SD) of the use of digital pen was
estimated at 4 (0.7), namely all the participants were on average satisfied. The mean satisfaction degree (SD)
of the use of the nursing account form and the overall use of the application was estimated at 4 (0,8) and 4 (0,7)
respectively. Consequently, all the participants were on average satisfied.
Discussion:
The evaluation questions revealed that all nurses are on average satisfied of the use of DPP4ICU application,
the use of nursing accounting form and the overall use of the application.
Keywords: Digital Pen & Paper (DPP), Satisfaction, Intensive Care Unit (ICU)
P-18 Is night shift work associated with breast cancer risk among
nursing staff?
Maria Iliadou1, Panagiota Kalatzi2, Styliani G. Tziaferi2
1 Department of Nursing, Laboratory of Integrated Health Care, Faculty of Human Movement and Quality of Life
Sciences, University of Peloponnese, Sparti, Greece, Department of Midwifery, Faculty of Health and Caring
Professions, University of West Attica, Athens, Greece 2 Department of Nursing, Laboratory of Integrated Health Care, Faculty of Human Movement and Quality of Life
Sciences, University of Peloponnese, Sparti, Greece
Introduction:
Some evidence suggest that night shift work causes circadian disruption, which leads to lower melatonin levels,
that contribute to tumor development. However, existing findings for this relevance are controversial.
Meanwhile, nursing staff is occupied quite extensively at night shifts, thus being a high risk group. The aim of
the present review is to summarize the existing evidence on the relationship between night shift work and
breast cancer risk among female nurses.
Budapest, Hungary, 24-26 April 2019 89
Methods:
Review of relevant literature in PubMed, Cinahl and Google Scholar databases was performed on October 2018,
by using the keywords "night shift", "shift work"," breast cancer". Articles that were published in English
between 2006 and 2017 were eligible for inclusion. Manual searching of citing and reference lists for the
identification of other relevant studies was also conducted.
Results:
We enrolled 11 cohort studies involving an association between night shift and breast cancer among female
nurses. Studies showed a modestly elevated or increased risk of breast cancer related to night shifts. Breast
cancer risk was increased according to the number and the periods of rotating night work.
Conclusion:
Number of night shifts are positivey related to the risk of breast cancer. Measures should be taken for the
health of female nurses working with rotating shift schedules.
P-19 Living with diabetes at the workplace: Implications for nurse
education
Claire Farrugia Imbroll, Maria Cassar
University of Malta, Msida, Malta
Introduction:
In view of increased focus on the health needs of the person at the workplace, the role of the nurse in the
workplace is receiving more and more attention. This has implications on nurse training and education. This
paper presents the findings of a research study which sought to explore the support and challenges
experienced by adults with diabetes in fulfilling their respective employment commitment at a specific private
entity in Malta. Diabetes is one of the most common non-communicable diseases prevalent in the population.
The effective management of diabetes implies knowledge, action, and support. Individuals spend long hours
at their place of employment and so those having diabetes must have the adequate support needed to manage
their condition properly at work.
Methods:
Semi-structured individual face-to-face interviews were conducted with a purposive sample of 11 adults; 6
employees having either Type 1 or Type 2 diabetes, 2 managers, and 3 key informants. Verbatim transcripts
were later analysed through a Thematic Analysis of the data revealed four main themes.
Results:
A Thematic Analysis of the data revealed four main themes: (i) Awareness of Complications & Risks; (ii) Working
with diabetes; (iii) Employing individuals with diabetes; (iv) New Services & Developments / Initiatives.
Discussion:
The conclusions drawn from the analysis suggest that both employees and managers were not adequately
aware of the possible complications which might develop with the mismanagement of the disease at the place
of work. Minor adjustments at the place of employment can enable employees having diabetes lead a normal
life at their workplace. More research in this area is indicated particularly in view of the role of the nurse in the
workplace and the skills which nurse education need to secure amongst nurses in this regard.
Keywords: diabetes, employment, job, work
90 7th FOHNEU International Congress
P-20 Migrant workers re-joined wives’ perspective on health issues
and social integration
Mirko Prosen, Sabina Ličen, Igor Karnjuš
University of Primorska, Faculty of Health Sceinces, Department of Nursing, Izola, Slovenia
Introduction:
The specific lifestyle of migrant workers, who are in majority of cases absent from home all day, increases the
possibilities for women’s social isolation and consequently their exclusion from all possible societal structures,
including healthcare system. The aim of the study was to determine how migrant women who migrated to be
re-joined with their husbands experience and perceive social integration, including their encounters with
healthcare system.
Methods:
A qualitative descriptive method was used. A purposive sample included six migrant women who migrated to
be re-joined with their husbands, being migrant workers in Slovenia. Three women migrated from Bosnia and
Herzegovina, two from Serbia and one from Kosovo. Their average age was 27.8 years. Four of them migrated
in 2017. Two of them had finished vocational school, while four of them finished secondary school. The data
were collected by using in-depth, one-on-one semi-structured interviews in 2018. The data were audio-
recorded, transcribed verbatim and analysed using the computer program NVivo. Thematic analysis was
chosen as a method of content analysis.
Results:
The analysis yield two major themes: (1) integration barriers and (2) limited access to healthcare services. All
interviewees pointed out the lack of social support mechanism and language barrier in the process of social
integration. Language barrier was also perceived as a major obstacle in accessing healthcare system, which in
turn increased their dependence on their husbands. Along with that it was noticeable that inadequate health
literacy limits women in making appropriate and independent health decisions.
Discussion:
Health and social structural improvements are needed in order to meet the needs of migrant women who
migrated to be re-joined with their husbands. Community nurse’s role should gain more importance, since it
has an ideal position to address both social and health issues with which migrant women are faced.
Keywords: social isolation, health access, health disparities, community nurse
The research was partially funded by the INTERREG European programme V A Italia-Slovenija 2014-2020.
P-21 Portuguese results of INT-SO: An international project about
occupational health of Portuguese, Brazilian and Spanish nurses
Elisabete Borges1, Cristina Queirós2, Maria Pilar Mosteiro3, Patricia Baptista4, Vanda Felli4,
Margarida Abreu1
1 Nursing School of Porto, Portugal 2 Faculty of Psychology and Education Sciences, University of Porto, Portugal 3 Facultad de Medicina y Ciencias de la Salud (Enfermería), Universidad de Oviedo 4 Nursing School of Porto of São Paulo, Brasil
Introduction:
It is estimated that in 2030, 30 to 40% of European workers have between 55- 64 years, which imply a more
prolonged exposure to occupational risks (OSHA, 2016). Nurses are a group of workers facing numerous health
problems resulting from their different job contexts, namely stress, burnout and bullying (Iro,2018). Moreover,
they present presentism and job engagement (Rainbow, 2017; Li, Cheng & Zhu, 2018), and also face new
Budapest, Hungary, 24-26 April 2019 91
threats/challenges, namely to assure their job safety and job healthy conditions. This study aims to describe
the international occupational health project INT-SO (Portugal/Brazil/Spain) and to present some the
preliminary results of a sample of nurses.
Methods:
Cross-sectional and descriptive study, with Portuguese nurses, using the Portuguese versions of the
questionnaires Nursing Stress Scale (Gray-Troft & Andreson,1991), Presentisms Standford Questionnaire SPS6
(Koopman et al., 2002), Maslach Burnout Inventory (Maslach & Jackson, 1997) and Utrecht Working Engagement
Scale (Schaufeli & Bakker, 2003). The sample was composed by 400 Portuguese nurses, being 72% women, 60%
working on hospitals, 62% with definitive job contract, 57% working for shifts, mean age 35.9 years and mean
working years 11.5 years.
Results:
Preliminary results revealed moderate values of job stress (between 1.06 and 1.38 using a 0-3 scale), moderate
burnout (between 1.10 and 2.79, 0-6 scale), moderate presentism (between 2.91 and 3.88, 1-5scale) and high
job engagement (between 4.13 and 4.40, 0-6 scale). Age and years of job experience presented negative
correlations with the psychological state, suggesting to constitute protective factors.
Discussion:
These results highlight the need to implement protective measures of workers’ health, by institutional
occupational services, since earlier career stages, contributing to healthy working contexts and to the increase
the productivity. INT-SO project is currently comparing the three countries, predicting that the difficulties
nurses face are similar all over the world.
Keywords: burnout, nurses, cross-cultural project
P-22 Postoperative pain perception between nurses and oncological
patients undergoing hepatectomy and pancreatectomy using visual
analogue scale and observational & behavioral pain scales
Maria Kapritsou1, Maria Kalafati2*, Margarita Giannakopoulou2, Styliani Tziaferi3,
Dimitrios P. Korkolis4, Tasoula Siskou5, Vassiliki Karra6, Evangelos A. Konstantinou7
1 Hellenic Anticancer Institute, ‘’Saint Savvas’’ Hospital, KHN, “N. KOURKOULOS”, Athens, Greece. 2 Department of Nursing, National and Kapodistrian University of Athens, Greece 3 National Secretary for ICOH; Community Nursing Dep. of Nursing Laboratory of Integrated Health Care,
University of Peloponnese, Greece 4 Hellenic Anticancer Institute, ‘’Saint Savvas’’ Hospital, Athens, Greece 5 Nursing Service, Special Units, Hellenic Anticancer Institute, ‘’Saint Savvas’’ Hospital, Athens, Greece 6 Perioperative Services, Sismanoglio General Hospital, Athens, Greece 7 Nursing Anesthesiology, Department of Nursing, National and Kapodistrian University of Athens, Greece
Introduction:
The identification and assessment of pain is the foundation for creating an individualized nursing care plan.
While, pain relief is an important nursing intervention, that it requires skill and knowledge, particularly after
major abdominal surgery. Aim of the study was the perception of postoperative pain between oncology
patients, undergoing major abdominal surgery, and nurses, fulfilling CPOT, BPS & VAS pain scales & cross-
sectional correlations.
92 7th FOHNEU International Congress
Methods:
It was a prospective cross-correlation study. The study enrolled 173 oncology patients, undergoing major
abdominal surgery, such as hepatectomy or pancreatectomy. It was collected demographic and clinical data.
Postoperative pain was evaluated by clinical pain assessment tools based on the variation of patients’ vital signs
and behavioural reactions (CPOT and BPS scales), wherein recorded by the researcher, while the visual
analogue scale (VAS) with values 0-10, which was filled by patients. The scales were translated in Greek language
and then held reverse translation in English. The internal consistency and reliability was conducted through
SPSS 22, at a significance level of 0.05.
Results:
The internal consistency was adequate. The Cronbach alpha for CPOT & BPS scales were a = 0.738. There was
a positive correlation of scales CPOT & BPS (rho = 0.796, p<0.001), while the VAS scale was correlated with CPOT
& BPS scales (rho = 0.351, p<0.001 & rho = 0.352, p<0.001, respectively), at a significance level of 0.01. Patients’
age was negatively correlated with the 3 pain scales CPOT, BPS & VAS (rho=-0.25, p=0.001, rho=-0.29, p<0.001
& rho=-0.17, p=0.019, respectively), while BMI and gender were not correlated with the pain scales (p>0.05), in
significant level 0.01.
Discussion:
The management of postoperative pain after major abdominal surgery requires clinical review capability by
nurses to achieve the reduction or suppression of it.
Keywords: pain perception; oncological nurses & patient; surgery- trauma & pain
* The author thanks Special Account for Research Grants and National and Kapodistrian University of Athens for funding to attend
the meeting
P-23 Professional quality of life of nursing and its relationship with
patient safety: Analysis in Portuguese and Brazilian contexts
Edenise Maria Santos da Silva Batalha1, Elisabete Maria das Neves Borges2,
Marta Maria Melleiro3
1 University of São Paulo, Brazil; Superior School of Nursing of Porto, Portugal; Department of Life Sciences, State
University of Bahia, Brazil 2 Superior School of Nursing of Porto, Portugal
3 Nursing School of the University of São Paulo, Brazil
Introduction:
The Professional Quality of Life (PQL) comprises the quality that the professional feels in relation to their work
and includes two aspects, the positive Compassion Satisfaction (CS) and the negative Compassion Fatigue (CF).
Several studies have demonstrated the importance of PQL for workers health and for the quality and safety of
health care. In the hospital care, nursing is the category that has more direct and continuous contact with
patients, which posits it in an important position to promote its safety. In this way, studying the PQL of this
category and its relationship with patient safety becomes relevant. We intend to present the design of a PhD
research which aims: to analyze the relationship between PQL of nursing workers and the culture of patient
safety in Portuguese and Brazilian hospitals.
Methods:
This study will be performed in a cross-sectional quantitative study approach. The population to be investigated
are the nursing workers from hospitals of northern Portugal and north-eastern Brazil. Data will be collected
using the Professional Quality Scale and the Hospital Survey on Patient Safety Culture, which were translated
and validated for the Portuguese and Brazilian contexts. The data will be analysed through descriptive and
inferential statistics. The ethical requirements concerning the research process will be attended.
Budapest, Hungary, 24-26 April 2019 93
Results:
The following hypotheses will be tested: workers who evaluate positively the safety culture will have better
levels of PQL, while those who evaluate the culture as punitive will have higher CF levels and those with higher
CF levels will have reported more incidents. The results of this study will allow the construction of proposals
for more robust internationally contextualized interventions to improve nursing workers' PQL, as well as
patient quality and safety in the hospitals.
Keywords: nursing; patient safety; occupational health
P-24 Teamwork in operating room and its impact on patient safety
and the personnel
Petros Kolovos, Styliani Tziaferi
Laboratory of Integrated Health Care, Department of Nursing, University of Peloponnese, Greece
Introduction:
Surgical care represents a complex and dynamic domain of healthcare environment. Technology
developments, clinical staff’s competencies and the allocation of resources all require an effective coordination
in order to ensure quality of the services provided, workers’ and patients’ (W&P) safety. Moreover, there is
evidence that surgical team performance is associated with staff’s well-being, which also affects patient care.
The current study aims to review the current research on teamwork in operating room with a focus on the
impact to the personnel performance and the care they provide.
Methods:
A critical literature review was conducted. Data were collected through databases and critical analysis was
made of the evidence provided.
Results:
Teamwork in the operating room has been recognized to affect the quality and safety of patient care and
surgical team performance. Adverse events in surgical care are associated with human factors more frequently
rather than technical ones. In addition, the literature provides evidence that teamwork is related not only to
patient safety but also to staff’s efficiency and personnel outcomes, such as emotional exhaustion, burnout,
job satisfaction and organizational commitment. These factors contribute to staff’s well-being in addition to
workload, time pressure and job control.
Discussion:
W&P safety has become a critical part of the health care policy and political agendas and factors that contribute
to safety have been studying in literature. As a result, the encouragement of a safety culture in surgical care
remains a priority. Team-based approaches and training either in postgraduate education or through
continuing professional programmes, are recommended to further improve patient safety in operating room.
Teamwork and leadership behaviour improves staff well-being and decrease negative outcomes. Further
research in diverse clinical and cultural settings should be providing evidence in order to formulate guidelines
and stimulate changes in the organization of work systems and processes.
Keywords: teamwork, operating room, patient safety, personnel well-being
94 7th FOHNEU International Congress
P-25 The phenomenon of mobbing among health professionals in a
Greek public hospital: A qualitative study
Aristotelis Koinis ¹, Emmanouil Velonakis², Foteini Tzavella³, Styliani Tziaferi³
1 University of Pelopponese, Faculty of Nursing, Sparti, Greece 2 National and Kapodistrian University of Athens, Faculty of Health Sciences, Athens, Greece 3 University of Peloponnese, Faculty of Nursing, Sparti, Greece
Introduction:s
In the last 18 years, a significant increase of incidents of mobbing in occupational health professionals
(Hositals), mainly in nursing, medical, and administrative staff. The phenomenon of mobbing and its effects on
mental and physical health of health professionals, and consequently on the quality of life, in workplace is a
significant limitation in the psycho-spiritual balance of employees as well as for the proper functioning of the
organization. The aim of the study is to investigate the views, experiences and beliefs of health professionals
about the phenomenon of Mobbing. In particular, it was studied: (a) the understanding of the definition, (b) the
adequate information (updating), and (c) the sensitization of health professionals.
Methods:
A qualitative study was carried out using the phenomenological approach. The sample consisted of 12 health
professionals (nurses, physicians, administrative staff) who work in a Greek public hospital. 12 semi-structured
interviews were conducted. The semi-structured interview consists of 3 main axes with 9 questions in total.
Results:
The problem of mobbing is a reality for Greece. Hospital professionals recognize that workplace mobbing is a
form of psychological violence and its forms of expression are mainly verbal and behavioural. They point out
that it can be manifested both by colleagues and superiors, but also by the patients' relatives/helpers.
Discussion:
To avoid such incidents in the health sector, should the Hospitals Administration, have anthropocentric
character. The heads of departments, it is important to be educated and made aware, so to know how to tackle
any job harassment, as well as to organize information and awareness seminars for employees and self-help
groups, through specific appropriate programs support, rehabilitation and reintegration for people who have
suffered mobbing.
Keywords: mobbing, health professionals, hospital
P-26 The vitality scan: Assessing workers’ health and lifestyle
behavior and interests to build sustainable health and lifestyle
policies in organizations
Nancy Doyen, Erik Carlier, Mathieu Verbrugghe
Mensura Occupational Health Services, Brussels, Belgium
Introduction:
In Belgium, the average overall absenteeism rate is 7%. Clear relations have been found between attendance
behaviour and lifestyle factors such as smoking, excessive weight, and low physical activity. Incorporating
health promotion programs in the organizations’ policy is crucial to increase sustainable employability. To build
a sustainable health and lifestyle policy, an insight into workers’ current lifestyle behaviors, interests and
expectations is needed. Therefore, Mensura Occupational Health Services (OHS) developed the Vitality Scan.
Budapest, Hungary, 24-26 April 2019 95
Methods:
In 2017, a multidisciplinary working group was formed consisting of an occupational health physician (OHP),
an occupational health nurse (OHN)/lifestyle coach, and a researcher/psychologist. Based on literature and
group discussions, a set of items was developed. Hereafter, the set of items was validated in a two-stage Delphi
process by a panel of nine lifestyle experts followed by a pilot test in a company. Based on the final set, induvial
lifestyle feedback and advice were developed.
Results:
The Vitality Scan, an online questionnaire, includes 66 items among the following topics: moving, smoking,
alcohol, food, mental health, and demographics. At the end, individual results are given and individual feedback
and advice are provided, increasing the workers’ self-management. Anonymous group results are provided to
the employer followed by a discussing leading to an action plan to increase workers’ healthy lifestyle. By the
FOHNEU congress, preliminary results of the Vitality Scan in Belgium will be available.
Discussion:
The Vitality Scan may be used as a basic tool to promote health among workers. By not only assessing workers’
behavior but also their interests and wishes, the chance of successful implementation of health promotion
programs could be increased. Consequently, this may lead to lower absenteeism rates. OHNs could play a key
role in the initiation and follow-up of the Vitality Scan since they have multidisciplinary knowledge and
experience of health promotion.
Keywords: vitality scan, healthy lifestyle, sustainable employability
P-27 Work related quality of life and turnover intention of nursing
staffs: A longitudinal study
Vasiliki Katsikavali, Dafni Kaitelidou, Chrysoula Lemonidou, Panayota Sourtzi
Public Health sector, Department of Nursing, National & Kapodistrian University of Athens,
Introduction:
Work-related quality of life of nursing staff is influenced by many factors such as experience, training, workplace
relationships and work-family life balance.
The purpose of this study was to investigate the factors that affect work-related quality of life of nursing staff
working in general hospitals over time.
Methods:
This longitudinal study was conducted in three general hospitals, at two points in time with one year difference.
The initial sample - selected by randomized stratified sampling - was 353(80.41%), of which 310(87.8%)
participated in the second round. The anonymous questionnaire included the Work-Related Quality of Life
questionnaire-WRQL and demographic characteristics. The analysis was performed with SPSS-22.
Results:
Of the 310 nursing staff, 274(88.4%) were women and 221(71.5%) were married. In both measurements the
majority wished 159(51.3%) to change profession and 175(56.5%) to change workplace. Mean values in all
dimensions of WRQL were medium to high. Comparing the dimensions of WRQL between the two points in
time, job career satisfaction (p=0.000), control at work (p=0.000), stress at work (p=0.000), home–work interface
(p = 0.01) and working conditions (p=0.000) were improved in the second measurement compared to the first
one, except for general well-being, that had deteriorated at a statistically significant level (p=0.005). In relation
to turnover intentions in the first measurement, those that they had no wish to change their profession or
change their workplace had better results in all dimensions of WRQL, while in the second one, better results
96 7th FOHNEU International Congress
were observed in the dimensions of job career satisfaction, control at work, home-work interface, working
conditions and general well-being, but not in stress at work.
Conclusions:
Nursing staff’s work-related quality of life influences turnover intentions. Therefore, it is important that
management should take into account those factors and implement measures for improving the working
environment.
P-28 Industrial welfare nurse courses in Hungary between 1933 and
1945
Henriett Éva Hirdi
Federation of Occupational Health Nurses within the EU, EU
Chamber of Hungarian Healthcare Professionals, Hungary
Introduction:
Occupational Health Nursing aims at securing the health, safety and well-being of the workforce. The purpose
of this presentation is to introduce the origin of specific education for the occupational health nurses, which
fell into oblivion by this time.
Methods:
The research method was a holistic data gathering in which printed and online available archival, literature,
legal sources and press-material between 1883 and 1950 were explored. A search of the electronic databases
was concluded, using the keywords 'nursing', 'history', 'education' and 'teaching'. Content analysis using
bibliometric and historical research methods on available documentation sources.
Results:
The idea of the training of Industrial Welfare Nurses developed by Dr Mária Baloghy (1895-1970?) secondary
school teacher. The first factory-nurse course has been started in 1933 in Budapest, Hungary. Participants of
the course had to suit strict admission requirements. The two-years full-time (45 hours/week) training covered
four major fields: health, social, legal and cultural studies. The Minister of Industry supported the development
of the institutional system of factory nurses from 1935. There are data available with reference to the
uninterrupted existence of training until 1945; according to these more than 150 women obtained a
qualification. Requirements of taking up an OH nurse job were regulated by law from 1941.
Conclusion:
It has been stated that OH nurse education has a more than 85-year-old history in Europe that throw new light
upon theories until now about origin of OH nursing education.
Keywords: history, industrial welfare nurses, education
Budapest, Hungary, 24-26 April 2019 97
Social Events
Pre-congress tour – EGIS Science and Technology Centre
Egis Science and Technology Centre (ESTC) was established with the aim to present the magical
world of pharma production and the high-tech, 21st century practice of generic pharmaceutical
research and development. Egis Pharmaceuticals PLC, whose activities cover the whole
pharmaceutical value chain from generic research and development to production, offers highly
informative visits for professional audiences on three floors of the Centre. With its cutting-edge
multimedia devices and applications, Egis Science and Technology Centre provides a great number
of interesting professional facts and interactive multimedia content for its visitors.
Date: Tuesday, 23 April 2019
Time: 16:00-19:00
Location: Egis Tudományos és Technológiai Központ, 1106 Budapest, Keresztúri út 11-13.
Price: Free of charge for the congress particpants. Registration in advance is required.
Note: There is a limited number of seats available for this tour.
Lecture: Occupational Health Care in EGIS Pharmaceuticals PLC
Gábor Réti
Director of the EHS division at EGIS PLC
16:00 Departure of the bus from the congress venue
17:00 Virtual Tour in the pharma industry at Egis Pharmaceuticals PLC
19:00 Departure of the bus to the congress venue
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Opening ceremony
Music will be performed by the Finance Guard Orchestra
The 77 years old Finance Guard Orchestra looks back on a long history. Members of the Finance
Guard 'Autodidactic Circle' have performed at smaller and larger social dinners and artists' evenings
already as far back as 1898. In 1942, the Hungarian Royal Finance Guard Wind Orchestra was
founded. The orchestra has a wide range of tasks: festive, charity and radio concerts; television
broadcasts; open-air concerts, musical marches and festivals all belong to the appearances of the
symphony orchestra, which occupy all members of the orchestra, while there the orchestra also has
a dance music section, a chamber orchestra formation and a big band to provide entertainment. The
repertoire is also varied: starting from traditional Hungarian, Czech and German marches, through
symphonic-, opera- and operetta transcriptions and compilations, to contemporary Hungarian and
foreign wind music, traditional and modern light music are all on the programme of the orchestra.
Their beautifully tailored historical uniform and their formational programme regularly earns them
success both in Hungary and abroad. The Customs Directorate World Organisation's anthem and
march, composed by Ferenc Horváth-Kapi, the leading conductor of the orchestra, was first
introduced at the 2002 Brussels Congress of the organisation. It is one of the best wind orchestras
of Hungary and a determining participant of international and Hungarian wind music life. The
orchestra conducted by: Ferenc Kapi-Horváth and Alex Nyers.
Budapest, Hungary, 24-26 April 2019 99
Honorary Member Award Ceremony
Artists participating in the ceremony:
Budapest Capital Bartók Dance Ensemble
http://bartokdance.hu/
BOR-óka orchestra
100 7th FOHNEU International Congress
Welcome reception
Date: Wednesday, 24 April 2019
Time: 18:30 – 20:30
Price: Free of charge for the congress participants.
Location: Room Jázmin (Congress venue)
The reception is sponsored by the City Hall of Budapest
Banquet dinner
Date: Thursday, 25 April 2019
Time: 19:00 – 22:00
Price: Free of charge for the congress participants.
Gathering point: in the Kamilla Lobby of the venue hotel at 18:50
Budapest, Hungary, 24-26 April 2019 101
Sightseeing tour - Budapest
Date: Friday, 26 April 2019
Time: 14:30 – 17:30
Price: Free of charge for the congress participants. Registration in advance is required.
Note: There is a limited number of seats available for this tour.
Budapest, the capital of Hungary, is an economic, financial and cultural centre with two million
inhabitants. The city, which is beautifully situated on both sides of the Danube river has a history
dating back over 2000 years. There are ruins from the times of the Roman Empire as well as from the
Middle Ages. Its main characteristics reflect the atmosphere of the end of the 19th century when the
millennium of the Hungarian State was celebrated. It boasts a number of museums, theatres, concert
halls, a lot of restaurants and other amenities. Several baths and thermal waters of various medicinal
springs are also at the disposal of visitors. In recent years the UNESCO put several parts of the city
on the World Heritage list.
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Budapest, Hungary, 24-26 April 2019 103
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