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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.


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


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).


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


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.


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


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


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


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



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.


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




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




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.


Thursday, 25 April 2019 – Room Jázmin


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



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



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)


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


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


P-14 Humanitarian workers' mental health; state of art and prevention of work

disability

Prof. Jacinthe Douesnard, Grazia Ceschi, Lindsay Ouellet


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


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


KEYNOTE

PRESENTATIONS


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


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


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


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.


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.


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.


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.


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.


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.


ABSTRACTS OF

ORAL PRESENTATIONS


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


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.


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


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


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


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


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


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


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.


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.


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.


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


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


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.

https://osha.europa.eu/en/legislation/guidelines/framework-agreement-on-prevention-from-sharp-injuries-in-the-hospital-and-healthcare

https://osha.europa.eu/en/legislation/guidelines/framework-agreement-on-prevention-from-sharp-injuries-in-the-hospital-and-healthcare


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.


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.


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


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


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


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


Health assessment of taxi drivers in the city of Miskolc

Attila Gajdos, Henriett Éva Hirdi

Semmelweis University Faculty of Health Sciences, Budapest, Hungary


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.


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


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.


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.


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.


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.


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


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


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


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.


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.


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


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


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.


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.


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


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


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.


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.


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


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.


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


ABSTRACTS OF

POSTER PRESENTATIONS


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


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


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.


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 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 meeting


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


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 meeting


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.


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


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.


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.


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.


P-13 Geographical information systems and financial analysis of

Non-Ionizing Radiation (NIR) for diagnostic purposes



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?


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.


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


P-17 Investigating the users satisfaction degree of DPP4ICU

application in the intensive care units of public hospitals



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.


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


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


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.


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.


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


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.


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


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


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


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.


Honorary Member Award Ceremony

Artists participating in the ceremony:

Budapest Capital Bartók Dance Ensemble

http://bartokdance.hu/

BOR-óka orchestra


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


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.


Notes

welcome message - diamond congress kft. and book of...the company minibud is the official airport...

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