Ultrashort Version of the Utrecht Work Engagement Scale (UWES-3): A Psychometric Assessment.

The objective was to determine the validity of the UWES-3, an ultrashort measure of work engagement lacking evidence in Hispanic populations. In total, 200 workers with heterogeneous positions and careers from Metropolitan Lima were enrolled via nonprobabilistic sampling. The UWES-3 and measures of external variables (work accidents, stress overload, and others) were used. Data were collected through a web platform. Items were analysed, nonparametric response theory methods (Mokken scale analysis and Ramsay curves) were applied to the items, and ordinal and linear regression were used to determine the relationships with external variables. The items had statistically similar distributional properties and monotonic associations with external variables but with fewer functional response options. The UWES-3 complied with the monotonic homogeneity model and invariant ordering of items; the scaling of the items, score (greater than 0.80), and reliability (0.94) were high. With the effects of age and sex controlled, the UWES-3 significantly predicted minor accidents at work and job satisfaction and revealed effects of stress overload and perceived efficacy. The theoretical implications of the UWES-3 as a brief unidimensional measure integrating the three original dimensions of the instrument and the practical implications of its use for research and professional practice are discussed.

Vigilância em Saúde do Trabalhador e articulações intersetoriais no enfrentamento do trabalho infantil em Diadema, SP, Brasil / Surveillance in Occupational Health and intersectorial articulations in the fight against child labour in Diadema, SP, Brazil

Este artigo visa apresentar uma intervenção desenvolvida no âmbito de atuação do Centro de Referência em Saúde do Trabalhador de Diadema, SP. Os objetivos foram analisar os acidentes de trabalho com adolescentes notificados pela rede municipal de saúde de 2009 a 2019 e relatar as estratégias intersetoriais e as ações de vigilância e prevenção implementadas. Foram analisados os dados do Sistema de Informação de Agravos de Notificação, relatórios técnicos das vigilâncias e registros de reuniões e eventos da equipe. Dos 5.179 acidentes de trabalho graves notificados, 7,5% atingiram jovens entre 14 e 17 anos, sendo 72% do sexo masculino e 28% do feminino. A compreensão do fenômeno de modo ampliado foi favorecida pela discussão intersetorial e pelo matriciamento na saúde. Foram constatadas as dificuldades dos profissionais de saúde em identificar o acidente de trabalho e a negação dos pais sobre as condições adversas de trabalho. Espera-se superar a invisibilidade e subnotificação das situações de trabalho infantil e contribuir para aplicação dos princípios da precaução e da prevenção para construir paradigmas protetivos sobre as crianças e suas famílias no enfrentamento do trabalho infantil

This study aims to show an intervention developed within the scope of the Worker's Health Reference Centre in Diadema. We analysed municipal health network reports of occupational accidents with adolescents from 2009 to 2019 to assess intersectoral strategies and the implemented surveillance and prevention actions. Notifiable Diseases Information System, technical reports from surveillance, and records of our team's meetings and events of were analyzed. Of the 5,179 reported serious work accidents, 7.5% affected young people aged between 14 and 17 years, 72% of which were boys and 28%, girls. Intersectoral discussion and a matrix health support favoured a broader understanding of the phenomenon. We found difficulties of healthcare providers in identifying work accidents and parents' denial about adverse working conditions. We expect to overcome the invisibility and underreporting of child labour and contribute to the application of principles of precaution and prevention to build protective paradigms for children and their working families to combat child labour

Clima de segurança no trabalho em unidade de atenção psicossocial: Perceção de trabalhadores de enfermagem / Occupational safety climate in a psychosocial care unit: The perception of nursing workers / Clima de seguridad laboral en una unidad de atención psicosocial: Percepción de los trabajadores de enfermería

Resumo Enquadramento: O clima de segurança é um elemento mensurável da cultura de segurança. A partir da perceção dos profissionais é possível conhecer o contexto de segurança de uma organização. Objetivo: Avaliar o clima de segurança e sua relação com acidentes/doenças de trabalho em unidade de atenção psicossocial. Metodologia: Estudo quantitativo, inferencial com trabalhadores de enfermagem de uma Unidade de Atenção Psicossocial. Utilizou-se um questionário semiestruturado e a Escala de Clima de Segurança no Trabalho Hospitalar. Análise realizada no programa IBM SPSS Statistics. Resultados: Quanto ao clima de segurança, o domínio com pior avaliação foi Apoio às práticas de trabalho e segurança. Houve associação entre o clima de segurança e as variáveis acidentes/doenças do trabalho, uso de medicamentos e afastamentos decorrentes do acidente/doença relacionada ao trabalho. Conclusão: Existem fragilidades na cultura de segurança e estão relacionadas com o suporte para práticas de trabalho e segurança. Sofrer acidente/doença do trabalho, usar medicações e/ou ter que se afastar está associado às piores perceções do clima de segurança.

Abstract Background: The safety climate is a measurable element of safety culture. Based on professionals' perceptions, it is possible to know the safety context of an organization. Objective: Assess the safety climate and its relationship to accidents/occupational diseases in a psychosocial care unit. Methodology: Quantitative, inferential study with nursing workers in a psychosocial care unit. A semi-structured questionnaire and the ClimaSeg-H - Escala de Clima de Segurança no Trabalho Hospitalar (Hospital Work Safety Climate Scale) were used. Analysis was carried out using the IBM SPSS Statistics program. Results: As for the safety climate, the domain with the worst evaluation was "Support for work and safety practices". There was an association between the safety climate and the variables accidents/occupational diseases, use of medications, and missed work resulting from work-related accidents/illnesses. Conclusion: There are weaknesses in the safety culture related to work and safety practices support. Having an accident/illness at work, using medications, and/or missing work is associated with the poorest perceptions of the safety climate.

Resumen Marco contextual: El clima de seguridad es un elemento medible de la cultura de seguridad. A partir de la percepción de los profesionales es posible conocer el contexto de seguridad de una organización. Objetivo: Evaluar el clima de seguridad y su relación con los accidentes/enfermedades laborales en una unidad de atención psicosocial. Metodología: Estudio cuantitativo, inferencial con trabajadores de enfermería de una Unidad de Atención Psicosocial. Se utilizó un cuestionario semiestructurado y la Escala de Clima de Seguridad en el Trabajo Hospitalario. Análisis realizados en el programa IBM SPSS Statistics. Resultados: En cuanto al clima de seguridad, el ámbito peor valorado fue el apoyo a las prácticas de trabajo y seguridad. Se observó una asociación entre el clima de seguridad y las variables accidentes/enfermedades laborales, uso de medicación y ausencias laborales debido a accidentes/enfermedades laborales. Conclusión: Existen puntos débiles en la cultura de seguridad y están relacionados con el apoyo a las prácticas de trabajo y seguridad. Sufrir un accidente/lesión en el trabajo, utilizar medicación o tener que ausentarse del trabajo se asocia con las peores percepciones del clima de seguridad.

Accident Risk in the Production Sector of EU Countries-Cohort Studies.

(1) Background: accident rates prove the uneven development of the member countries in the area of work safety. Remedial actions and structural programmes should take into account, e.g., the level of work safety in all European Union (EU) countries. Aim: the identification of differences in the level of work safety in the production sector of EU countries, especially the so-called "old" and "new" EU countries. (2) Methods: for each country UE (in 2008-2018), the relative risk (RR) of an accident at work was determined and a comparative analysis was conducted. (3) Results: an increase in the RR of an accident at work was observed along with an increase in the GDP of a given country. It was found that the level of occupational safety in Sweden and the United Kingdom is higher than in other countries, and lower in Spain and Portugal. In the three largest economies of the EU, Germany, France, and Italy, the RR of the accident in the industrial sector in relation to the national data is one of the lowest in the entire EU, not exceeding 1.3. In The Netherlands, an increase of 1.7 RR of fatal accidents in the industrial sector was observed between 2008 and 2018. (4) Conclusions: RR in the manufacturing sector of the so-called "old" EU is higher than in the so-called "new" EU, which may result from the implementation of Industry 4.0 assumptions in the "old" EU. The presented results and conclusions may be useful in shaping the EU policy in the field of sustainable development of production sectors of individual member countries.

The Role of the Unitary Prevention Delegates in the Participative Management of Occupational Risk Prevention and Its Impact on Occupational Accidents in the Spanish Working Environment.

The aim of this research was to study the impact of the unitary prevention delegates (UPDs) on the Spanish working environment. To this end, a cross-sectional study was carried out using microdata from the National Survey on Health and Safety Management in Companies (ENGE-2009) with a sample of 5147 work centres. To measure the relationship between the presence of UPD in workplaces with preventive management indicators and damage to health, individual and multiple logistic regression models were carried out, calculating the crude (cOR) and adjusted (aOR) odds ratios by sociodemographic covariates, with their corresponding 95% confidence intervals (95% CI). Ambivalent results were obtained. On the one hand, a positive impact of the UPDs was found, in the management of prevention showing a higher probability of prevention plans being carried out (aOR = 3.97; 95% CI: 3.26-4.83), risk assessments (aOR = 5.96; 95% CI: 4.44-8.01) and preventive actions were planned (aOR = 3.01; 95% CI: 2.55-3.56), as well as 1.56 times less likely to register minor occupational accidents (aOR = 0.64; 95% CI: 0.53-0.76). On the other hand, the presence of the UPDs did not promote the activation of a participatory culture and did not reduce the probability of suffering serious and fatal accidents at work. In conclusion, UPDs need to activate workers' participation to improve results.

Conhecimento dos acadêmicos de enfermagem sobre acidentes com material biológico / Nursing academics' knowledge of biological material accidents / Conocimiento académico de enfermería sobre accidentes con material biológico

Introdução: No cenário prático de ensino-aprendizagem, acadêmicos de Enfermagem têm contato com agentes biológicos por realizarem suas atividades em circunstâncias parecidas com a prática profissional, sendo fundamental ampliar o conhecimento sobre as medidas de precauções-padrão e biossegurança. Objetivo: Comparar o conhecimento acerca das práticas de risco, tipos de exposição e cuidados imediatos após o acidente com material biológico entre acadêmicos da 4ª. série de Enfermagem. Método: Estudo descritivo, transversal, com análise quantitativa, desenvolvido em duas Instituições de Ensino Superior do interior do estado de São Paulo, sendo uma privada e a outra pública. Resultados: Os dados revelam que os acadêmicos têm conhecimento acima de 88% sobre as doenças que podem ser transmitidas após a exposição a material biológico. Não houve significância estatística no conhecimento dos acadêmicos referente às atividades de risco durante a prática assistencial: reencape de agulha, descarte inadequado perfurocortante, punção venosa, descarte perfurocortante em saco preto, administração de medicamento IV, administração de medicamento IM, administração de medicamento SC. Entretanto para as atividades de risco como: lavagem de material sujo/contaminado (p=0,0572), punção arterial (p=0,0572) e administração de medicamento ID (p=0,0572) houve significância estatística. Quanto aos cuidados imediatos após exposição, não houve significância estatística entre os cuidados imediatos. Conclusão: Pudemos verificar que o conhecimento dos acadêmicos das IES privada e pública, referente ao contágio do HIV, hepatites B e C e prática de risco não apresentou significância estatística. A respeito dos tipos de exposição e cuidados imediatos o conhecimento é insuficiente. Contribuições e implicações: O estudo demonstrou a necessidade de ampliar e fortalecer o ensino quanto aos riscos aos quais os profissionais de saúde estão expostos, desde sua formação. Torna-se necessário o desenvolvimento de estratégias pelas instituições de ensino, para que os riscos inerentes ao processo de cuidar sejam minimizados em toda a sua prática assistencial.(AU)

Introduction: In the practical scenario of teaching-learning, Nursing academics have contact with biological agents for performing their activities in circumstances similar to professional practice, being fundamental to expand the knowledge about precautionary measuresstandard and biosafety. Objective: To compare the knowledge about risk practices, types of exposure and immediate care after the accident with biological material among academics of the 4th grade of Nursing. Method: Descriptive, cross-sectional study, with quantitative analysis, developed in two Higher Education Institutions in the interior of the state of São Paulo, one private and the other public. Results: The data reveal that academics have more than 88% knowledge about diseases that can be transmitted after exposure to biological material. There was no statistical significance in the knowledge of academics regarding the activities of risk during the care practice: reincarnation of a needle, inappropriate perfunctory disposal, venous puncture, perfunctory discharge in a black bag, administration of drug IV, drug administration IM, drug administration SC. However, for risk activities such as: washing of dirty/contaminated material (p=0.0572), arterial puncture (p=0.0572) and drug administration ID (p=0.0572) there was statistical significance. As for immediate care after exposure, there was no statistical significance between immediate care. Conclusion: We were able to verify that the knowledge of the academics of the private and public IES, referring to the contagion of HIV, hepatitis B and C and risk practice did not present statistical significance. Regarding the types of exposure and immediate care the knowledge is insufficient. Contributions and implications: The study demonstrated the need to expand and strengthen teaching on the risks to which health professionals are exposed, since their formation. It is necessary to develop strategies by educational institutions, so that the risks inherent to the care process are minimized in all its care practice.(AU)

Introducción: En el escenario práctico de enseñanza-aprendizaje, los estudiantes de enfermería tienen contacto con agentes biológicos, ya que desarrollan sus actividades en circunstancias similares a la práctica profesional, y es fundamental ampliar el conocimiento sobre las medidas estándar de precaución y bioseguridad. Objetivo: Comparar el conocimiento sobre prácticas de riesgo, tipos de exposición y atención inmediata posterior al accidente con material biológico entre estudiantes de enfermería de 4°. grado. Metodología: Estudio descriptivo, transversal, con análisis cuantitativo, desarrollado en dos Instituciones de Educación Superior del interior del estado de São Paulo, una privada y otra pública. Resultados: Los datos revelan que los académicos tienen más del 88% de conocimiento sobre las enfermedades que se pueden transmitir tras la exposición a material biológico. No hubo significación estadística en el conocimiento de los estudiantes con respecto a las actividades de riesgo durante la práctica asistencial: taponamiento de agujas, eliminación inadecuada de objetos punzantes, punción venosa, eliminación de objetos punzantes en bolsa negra, administración de medicamentos IV, administración de medicamentos IM, administración de medicamentos SC. Sin embargo, para actividades de riesgo como: lavado de material...(AU)

Exploração e precariedade na nova dinâmica produtiva nos canaviais e a persistência do desgaste e adoecimento do trabalho / Exploitation and precariousness in new productive dynamics in the sugar cane fields and the persistence of wear and illness at work

Nas últimas décadas, o processo de trabalho no setor agrícola brasileiro passou por transformações. Essas alterações, desencadeadas em grande medida pela inserção de tecnologia e mecanização de etapas do processo produtivo, impuseram uma nova dinâmica ao trabalho nos canaviais, articulando antigas formas de organização e condições de trabalho com os imperativos da mecanização. Neste contexto, situações de suscetibilidade à ocorrência de acidentes e diferentes agravos à saúde, presentes no cotidiano do trabalho nos canaviais, renovaram-se. Exposição aos agrotóxicos, novas práticas de queima da cana, manuseio de máquinas e instrumentos de trabalho em um contexto de aumento da produtividade e intensificação do trabalho exemplificam esta situação. Este artigo tem por objetivo apresentar e problematizar situações de trabalho, assim como as circunstâncias de ocorrências de acidentes típicos e doenças com nexo laboral no segmento da agroindústria canavieira da região de Araraquara (SP). As reflexões desenvolvidas têm como ponto de apoio pesquisa de campo desenvolvida entre 2013 e 2014. A partir das entrevistas com 14 trabalhadores(as) pode-se compreender as distintas articulações entre as histórias de vida desses homens e mulheres e o cotidiano do trabalho nos canaviais. Os dados obtidos indicam que o ritmo e a jornada intensa de trabalho, em conjunto com a falta de equipamento de proteção, a exposição aos agrotóxicos e com outros riscos presentes no meio rural estão na base da ocorrência dos acidentes, marcas da ampliação da exploração e da precariedade do trabalho com o avanço de medidas de perfil neoliberal.

In the last few decades, the labor process in the Brazilian agricultural sector underwent important transformations. These changes, triggered to a great extent by the insertion of technology and mechanization of stages of the productive process, imposed new dynamics to labor in sugarcane fields, articulating old forms of organization and working conditions with the imperatives of mechanization. In this context, situations of susceptibility to the occurrence of accidents and different health problems that are quite present in the daily life of labor in sugarcane have been renewed. Exposure to pesticides, new practices of sugarcane burning, as well as the handling of machines and working tools in a context of increased productivity and intensification of work exemplify this situation. This article analyzes such labor conditions and situations, as well as the circumstances of occurrences of typical accidents and diseases resulting from labor relations in the sugarcane agribusiness segment of the Araraquara (SP) region. The considerations developed here are supported by field research developed between 2013 and 2014. Fourteen workers were interviewed, which allowed to understand the different articulations between the life stories of these men and women and the daily work in the cane fields. The data obtained indicate that the pace and intense working hours associated to lack of protective equipment, exposure to pesticides and other risks present in rural areas are the basis for the occurrence of accidents, marks of the expansion of exploration and precariousness with the advancement of neoliberal measures.

Occupational Exposure to Potentially Infectious Biological Material Among Physicians, Dentists, and Nurses at a University.

OBJECTIVE: The objective of this study was to evaluate the prevalence and incidence of accidents with biological material, the level of knowledge, and compliance to standard precautions (SPs) among dentists, physicians, nurses, and dental and medical students. METHODS: A closed cohort study with a prospective and retrospective component was conducted between August 2014 and September 2015. The participants were contacted in two moments during the follow-up period, during which a structured questionnaire divided into six sections was used; the interviews were conducted during the follow-up period (Month 6) and at the end of the observation period (Month 12). RESULTS: The global prevalence of accidents in the previous 12 months was 10.2%, with a difference between professionals and students (13.0% vs. 5.1%, respectively; p < 0.003). The incidence rate was 6.49 per 100 person/year, with difference between the groups (6.09 per 100 person/year in professionals and 7.26 per 100 person/year in students), type of specialization (hazard ratio, 3.27), and hours worked per week (hazard ratio, 2.27). The mean of compliance to SP was 31.99 (±3.85) points, with a median of 33 (30, 35) points against the expected 27.75 points. Adherence to SP was associated with the accident report (p < 0.020). CONCLUSION: We conclude that the proportion/incidence rate of accidents with biological material was high in relation to that in the literature, being higher in professionals and especially among physicians. The levels of knowledge and adherence to SP were good, with the best found in dentists and dental students.

Satisfação ocupacional e acidentes de trabalho entre os profissionais de enfermagem hospitalar / Satisfação ocupacional e acidentes de trabalho entre os profissionais de enfermagem hospitalar

O objetivo principal deste estudo foi avaliar a associação entre a satisfação ocupacional e os acidentes de trabalho entre profissionais de enfermagem da área hospitalar no interior de Minas Gerais. Tratou-se de um estudo descritivo-analítico, transversal e de abordagem quantitativa, com os dados coletados em 2018. Para a coleta de dados utilizou-se um instrumento para a caracterização dos trabalhadores e o Questionário de Satisfação do Trabalho S20/23, validado para o Brasil. Testes estatísticos foram aplicados. Tornou-se evidente que dos 451 participantes deste estudo, a maioria, foi constituída por técnicos de enfermagem, do sexo feminino, entre 19 a 39 anos, casados/companheiros, sem filhos, católicos, trabalhando no período da manhã, nas alas de internação, cumprindo 36 horas semanais, com até 5 anos de formação e atuação no hospital e renda familiar entre um salário e meio a três salários mínimos, sendo este seu único emprego. Esses valores corresponderam a R$1431,00 a R$2862,00 na data da coleta. Uma minoria acidentou-se nos últimos doze meses e o fato ocorreu principalmente no período da tarde. Em geral, os trabalhadores notificaram os acidentes e comunicaram às suas chefias sobre eles; o principal tipo de acidente foi "com fluidos corporais", seguidos daqueles com objetos perfurocortantes, sendo a falta de atenção de médicos e de treinamento, os motivos destas ocorrências. A maioria dos acidentados não se afastou nem teve sequelas decorrentes destes acidentes. A média da satisfação dos trabalhadores da enfermagem foi elevada, sendo as dimensões de Satisfação Intrínseca no Trabalho e Ambiente Físico as mais relevantes, seguidas de Satisfação com as Relações Hierárquicas, demonstrando a considerável satisfação laboral dos profissionais da enfermagem. Houve associação significativa entre os acidentes de trabalho com o tempo de profissão na enfermagem e o tempo de atuação no hospital. Houve associação entre a satisfação no trabalho e a religião católica, a existência de filhos, a categoria profissional de enfermeiros e os setores especializados como Unidade de Terapia Intensiva, Hemodiálise e Centro Cirúrgico. Não foi comprovada a associação entre a satisfação e ocorrência de acidente de trabalho. Identificar ações que promovam a satisfação no trabalho hospitalar pode influenciar, positivamente, na qualidade final da assistência ofertada pelos trabalhadores de enfermagem, na produtividade e na saúde física e psíquica destes profissionais

The main objective of this study was to evaluate the association between job satisfaction and accidents at work among nursing professionals in the hospital area in the interior of Minas Gerais. This was a descriptive-analytical cross-sectional study with a quantitative approach, with data collected in 2018. Data collection was used to characterize the workers and the Job Satisfaction Questionnaire S20 / 23, validated to Brazil. Statistical tests were applied. It was evident that of the 451 participants in this study, the majority were nursing technicians, female, between the ages of 19 and 39, married / companions, without children, Catholics, working in the morning, in the wards of hospitalization, fulfilling 36 hours a week, with up to 5 years of training and performance in the hospital and family income between a salary and a half to three minimum salaries, this being his only job. These amounts corresponded to R$ 1431.00 to R$ 2862.00 on the date of collection. A minority has been injured in the last twelve months, and this occurred mainly in the afternoon. In general, the workers reported the accidents and reported their bosses to them; the main type of accident was "with body fluids", followed by those with sharp objects, being the lack of attention of third parties and training, the reasons for these occurrences. Most of the accident victims did not leave nor had sequels due to these accidents. The average satisfaction of nursing workers was high, and the Inner Work Satisfaction and Physical Environment dimensions were the most relevant, followed by Satisfaction with Hierarchical Relationships, demonstrating the considerable job satisfaction of nursing professionals. There was a significant association between Accidents at work and nursing profession time and the time spent in the hospital. There was an association between job satisfaction and the Catholic religion, the existence of children, the professional category of nurses and specialized sectors such as Intensive Care Unit, Hemodialysis and Surgical Center. The association between satisfaction and occurrence of an occupational accident has not been proven. Identifying actions that promote satisfaction in hospital work can positively influence the final quality of care offered by nursing workers, productivity and physical and mental health of these people

Occupational Exposure to Potentially Infectious Biological Material Among Physicians, Dentists, and Nurses at a University

OBJECTIVE: The objective of this study was to evaluate the prevalence and incidence of accidents with biological material, the level of knowledge, and compliance to standard precautions (SPs) among dentists, physicians, nurses, and dental and medical students.METHODS: A closed cohort study with a prospective and retrospective component was conducted between August 2014 and September 2015. The participants were contacted in two moments during the follow-up period, during which a structured questionnaire divided into six sections was used; the interviews were conducted during the follow-up period (Month 6) and at the end of the observation period (Month 12).RESULTS: The global prevalence of accidents in the previous 12 months was 10.2%, with a difference between professionals and students (13.0% vs. 5.1%, respectively; p < 0.003). The incidence rate was 6.49 per 100 person/year, with difference between the groups (6.09 per 100 person/year in professionals and 7.26 per 100 person/year in students), type of specialization (hazard ratio, 3.27), and hours worked per week (hazard ratio, 2.27). The mean of compliance to SP was 31.99 (±3.85) points, with a median of 33 (30, 35) points against the expected 27.75 points. Adherence to SP was associated with the accident report (p < 0.020).CONCLUSION: We conclude that the proportion/incidence rate of accidents with biological material was high in relation to that in the literature, being higher in professionals and especially among physicians. The levels of knowledge and adherence to SP were good, with the best found in dentists and dental students.

Fatores associados a acidentes de trabalho entre profissionais mototaxistas / Factors associated with accidents at work among motorcycle taxi drivers / Factores asociados a accidentes de trabajo entre profesionales de mototaxis

O número de acidentes de trânsito envolvendo motocicleta é cada vez maior, o que expõe o profissional mototaxista à ocorrência de acidentes de trabalho. O presente estudo tem como objetivo estimar a incidência anual de acidentes de trabalho entre profissionais mototaxistas e os fatores associados a estes agravos segundo características sociodemográficas, características profissionais, condições de trabalho e presença de sintomas osteomusculares. Trata-se de estudo transversal de caráter analítico com amostra composta por 123 mototaxistas cadastrados na Associação de Mototaxistas de Jequié (taxa de resposta 77,8%). Para análise estatística, foi utilizada a técnica de regressão logística, com cálculo das razões de incidência, intervalo de confiança (95%) e nível de significância p ≤ 0,05. A incidência anual de acidentes de trabalho entre mototaxistas foi de 26,8%. Foi observada, ainda, uma incidência expressiva de acidentes entre aqueles que relataram possuir outra atividade remunerada além do serviço de mototáxi (86,7%), com associação estatisticamente significante (p = 0,03). O desempenho de duas profissões parece predispor o mototaxista a maior ocorrência de acidentes com o veículo, sendo considerado um importante problema de saúde pública.

The number of traffic accidents involving motorcycles is increasing, this exposes motorcycle taxi drivers to work accidents. This study aims to estimate the incidence of accidents at work among motorcycle taxi drivers and factors associated with these problems according to sociodemographic characteristics, professional characteristics, working conditions and the presence of musculoskeletal symptoms. It is a cross-sectional study of analytical character with sample composed of 123 registered motorcycle taxi drivers at the Associação de Mototaxistas de Jequié (77.8 response rate). For statistical analysis, we used the logistic regression technique, with calculation of incidence ratio, confidence interval (95%), and p ≤ 0.05 significance level. The annual incidence of work accidents with motorcycle taxi drivers was 26.8%. A significant incidence of accidents was observed among those who reported having another remunerated activity in addition to the taxi service (86.7%), with statistically significant association (p = 0.03). The performance of two professions seem to predispose the motorcycle taxi drivers to more of accidents with the vehicle and is considered an important public health problem.

Se viene aumentando el número de accidentes de tráfico con motocicletas, lo que expone al profesional mototaxista a accidentes de trabajo. El presente estudio pretende estimar la incidencia anual de accidentes en el trabajo entre profesionales mototaxistas y los factores asociados a estas enfermedades según las características sociodemográficas, características profesionales, condiciones de trabajo y presencia de síntomas musculoesqueléticos. Este estudio es transversal, de carácter analítico, con una muestra compuesta por 123 mototaxistas registrados en la Associação de Mototaxistas de Jequié (una tasa de respuesta del 77,8%). Para el análisis estadístico, se aplicó la técnica de regresión logística, con cálculo de razones de incidencias, intervalo de confianza (95%) y nivel de significación p ≤ 0,05. La incidencia de accidentes fue de un 26,8% en los mototaxistas. Se observó una incidencia significativa de accidentes entre aquellos que reportaron tener otra actividad remunerada, además del servicio de mototaxi (86,7%), con una asociación estadísticamente significativa (p = 0,03). Se concluye que el manejo de dos profesiones puede predisponer al profesional a una mayor ocurrencia de accidentes con el vehículo y se considera un importante problema de salud pública.

Acidentes de trabalho entre profissionais de enfermagem / Accidentes de trabajo entre profesionales de enfermería / Work accidents among nursing professionals

RESUMO Introdução: Historicamente, os trabalhadores têm sofrido diversos infortúnios no ambiente de trabalho, com grandes repercussões nos âmbitos social, econômico e na saúde. Objetivo: Identificar os acidentes de trabalho entre os profissionais de enfermagem no Brasil. Métodos: Revisão integrativa da literatura, com pesquisa em bases de dados, entre maio e junho de 2015 utilizando os descritores "acidentes de trabalho", "equipe de enfermagem" e "enfermagem do trabalho". Foram incluídos estudos com data de publicação entre 2000 e 2015, chegou-se a amostra final de 16 artigos. Conclusões: A partir da análise da produção científica, sugere-se a implementação de um programa de educação permanente no ambiente de trabalho dos profissionais de enfermagem para fomentar a aquisição de conhecimento, e incentivá-los a refletir sobre sua prática e responsabilidade social(AU)

RESUMEN Introducción: Históricamente, los trabajadores han sufrido diversos infortunios en el ambiente de trabajo, con grandes repercusiones en los ámbitos social, económico y en la salud. Objetivo: Identificar los accidentes de trabajo entre los profesionales de enfermería en Brasil. Métodos: Revisión integradora de la literatura, con investigación en las bases de datos, entre mayo y junio de 2015 utilizando las palabras claves "accidentes de trabajo", "equipo de enfermería" y "enfermería del trabajo". Fueron incluidos estudios con fecha de publicación entre 2000 y 2015, llegándose a la muestra final de 16 artículos. Conclusiones: A partir del análisis de la producción científica, se sugiere la implementación de un programa de educación permanente en el ambiente de trabajo de los profesionales de enfermería para fomentar la adquisición de conocimiento, e incentivarlos a reflexionar sobre su práctica y responsabilidad social(AU)

ABSTRACT Introduction: Historically, workers have suffered several misfortunes in the workplace, with big repercussions in the social, economic and health areas. Objective: To identify work accidents among nursing professionals in Brazil. Methods: This is an integrative review of the literature with research in databases between May and June 2015 using the keywords "work accidents", "nursing team" and "nursing work." Studies with a publication date between 2000 and 2015 were included, having a final sample of 16 articles. Conclusions: From the analysis of the scientific literature, it is suggested the implementation of a continuing education program in nursing professional working environment to foster the acquisition of knowledge, and encourage them to reflect on their practice and social responsibility(AU)

Catching and Correcting Unreported, Under-Reported Accidents (Near-Misses) among Healthcare Provider in Thailand.

OBJECTIVES: Latent errors in an incident reporting system pose threats to accident and near-miss prevention in hospitals. The aims of this study were to gain insight into the incident reporting system by exploring and investigating the refinement of unreported and under-reported (near-miss) patterns and by estimating under-reported annual hospital accidents over three months in one hospital. METHODS: Sequential mixed-method research was undertaken using both qualitative and quantitative approaches. 120 health care providers were selected from 13 departments of a selected study hospital. Self-reported questionnaires, information from annual reports and focus group interviews among stakeholders were employed. Based on a quantitative mixed-model approach, estimation of lost cases from near-miss incidents was made. RESULTS: In 2015, 20% of accidents had been reported to the hospital center while under-reported accidents and near-miss incidents by self-report over 3 months equaled 18% and 25.9%, respectively. Recent trends were positive, driven by changing values about incident reporting. However, confusion and fear still remain among practitioners about near-miss reporting due to old beliefs. This study confirms that incident reporting needs improvement so that there is an enhanced organizational culture of safety, raised awareness for individual reporting, and recovery of lost cases using mixed-model estimation of near-misses.

[The INAIL contribution to gender medicine through analysis of the accidents at work and occupational diseases data.] / Il contributo dell'INAIL alla medicina di genere attraverso l'analisi dei dati relativi all'andamento infortunistico e tecnopatico.

OBJECTIVES: The gender mainstreaming is important from the different repercussions that diseases can cause in women rather than in men. METHODS: For several years, Inail has been involved in the collection of accidents at work and occupational diseases data, having regard to the gender difference. In this contest statistical data on accidents at work and occupational diseases reported to Inail in the last five years in the Inail Statistical Database have been analyze.

Participatory organizational intervention for improved use of assistive devices for patient transfer: study protocol for a single-blinded cluster randomized controlled trial.

BACKGROUND: Epidemiological studies have shown that patient transfer is a risk factor for back pain, back injuries and long term sickness absence, whereas consistent use of assistive devices during patient transfer seems to be protective. While classical ergonomic interventions based on education and training in lifting and transferring techniques have not proven to be effective in preventing back pain, participatory ergonomics, that is meant to engage and motivate the involved parties while at the same time making the intervention maximally relevant, may represent a better solution. However, these findings are largely based on uncontrolled studies and thus lack to be confirmed by studies with better study designs. In this article, we present the design of a study which aims to evaluate the effect and process of a participatory organizational intervention for improved use of assistive devices. METHODS: The study was performed as a cluster randomized controlled trial. We recruited 27 departments (clusters) from five hospitals in Denmark to participate in the study. Prior to randomization, interviews, observations and questionnaire answers (baseline questionnaire) were collected to gain knowledge of barriers and potential solutions for better use of assistive devices. In April 2016, the 27 departments were randomly allocated using a random numbers table to a participatory intervention (14 clusters, 324 healthcare workers) or a control group (13 clusters, 318 healthcare workers). The participatory intervention will consist of workshops with leaders and selected healthcare workers of each department. Workshop participants will be asked to discuss the identified barriers, develop solutions for increasing the use of assistive devices and implement them in their department. Use of assistive devices (using digital counters -, primary outcome, and accelerometers and questionnaire - secondary outcome), perceived physical exertion during patient transfer, pain intensity in the lower back, occurrence of work-related back injuries during patient transfer, organizational readiness to change, knowledge on how to perform proper patient transfer, social capital and work ability (secondary outcomes) were assessed at baseline and will also be assessed at 1 year follow-up. Process evaluation will be based on qualitative and quantitative data to assess the implementation, the change process, and the impact of context aspects. DISCUSSION: The study will evaluate the effect and process of a participatory intervention on improving the use of assistive devices for patient transfer among hospital healthcare workers. By using cluster-randomization, as well as process- and effect evaluation based on objective measures we will contribute to the evidence base of a promising intervention approach. TRIAL REGISTRATION: ClinicalTrials.gov ( NCT02708550 ). March, 2016.

Prevalência e fatores associados a acidentes de trânsito com mototaxistas / Prevalencia y factores asociados a accidentes de tránsito con mototaxistas / Prevalence and factors associated with traffic accidents involving motorcycle taxis

RESUMO Objetivo: identificar a prevalência de acidentes motociclísticos envolvendo mototaxistas e fatores associados. Método: estudo transversal e exploratório, com aplicação de questionários aos mototaxistas das 32 praças de Caicó, Rio Grande do Norte, Brasil (N=420). Resultados: os mototaxistas têm alta carga horária de trabalho diária (12 horas em média) e foi verificado que 63,6% já se envolveram em pelo menos um acidente motociclístico. A ocorrência de acidentes motociclísticos foi associada significativamente apenas com escolaridade (p<0,001), não havendo associação significativa com as demais variáveis, tais como idade (p=0,132), tempo de serviço (p=0,744) e carga horária de trabalho (p=0,830). Conclusão: é necessário implementar ações preventivas e educativas com os mototaxistas e usuários do serviço acerca dos acidentes e condutas emergenciais, devido à constante exposição a acidentes durante sua rotina de trabalho.

RESUMEN Objetivo: identificar la prevalencia de accidentes motociclísticos involucrando mototaxistas y factores asociados. Método: estudio trasversal y exploratorio, con aplicación de cuestionarios a los mototaxistas de las 32 plazas de Caicó, Rio Grande do Norte, Brasil (N=420). Resultados: los mototaxistas tienen alta carga horaria de trabajo diario (12 horas en media), y se verificó que 63,6% ya se involucraron en por lo menos un accidente motociclístico. La ocurrencia de accidentes motociclísticos se asoció significativamente apenas con escolaridad (p<0,001), no habiendo asociación significativa con las demás variables, tales como edad (p=0,123), tiempo de servicio (p=0,744) y carga horaria de trabajo (p=0,830). Conclusión: es necesario implementar acciones preventivas y educativas con los mototaxistas y usuarios del servicio acerca de los accidentes y conductas emergenciales, debido a la constante exposición a accidentes durante su rutina de trabajo.

ABSTRACT Objective: to determine the prevalence of motorcycle accidents involving motorcycle taxi drivers and associated factors. Method: this is a cross-sectional and exploratory study, with application of questionnaires to motorcycle taxi drivers of 32 regions of Caicó, Rio Grande do Norte, Brazil (N=420). Results: motorcycle taxi drivers have a high level of daily working hours (12 hours on average), and it was found that 63.6% were involved in at least one motorcycling accident. The occurence of motorcycling accidents was significantly associated only to level of education (p<0.001), with no significant association with the other variables, such as age (p=0.132), time of service (p=0.744) and working hours (p=0.830). Conclusion: it is necessary to implement preventive and educational actions with motorcycle taxi drivers and users of this service concerning accidents and emergency measures, due to constant exposure to accidents during work routine.

Allometric scaling and accidents at work.

Allometry is the knowledge concerning relations between the features of some beings, like animals, or cities. For example, the daily energy rate is proportional to a mass of mammals rise of 3/4. This way of thinking has spread quickly from biology to many areas of research concerned with sociotechnical systems. It was revealed that the number of innovations, patents or heavy crimes rises as social interaction increases in a bigger city, while other urban indexes such as suicides decrease with social interaction. Enterprise is also a sociotechnical system, where social interaction and accidents at work take place. Therefore, do these interactions increase the number of accidents at work or, on the contrary, are they reduction-driving components? This article tries to catch such links and assess the allometric exponent between the number of accidents at work and the number of employees in an enterprise.

Occupational Safety and Health in Peru.

Peru is a country located on the Pacific coast of South America with a population of more than 30 million inhabitants. In the past 10 years, Peru has had a steady economic growth. Peru is predominantly an extractive industry country, but the manufacturing and construction sectors are booming. It is in this context that regulations have been implemented to protect the safety and health of workers. One of the most important regulations is the Law on Safety and Health at Work, which has been recently promulgated. Regulations are complemented by training and education in occupational safety and health. The measures are yet to be fully implemented thus a positive effect in reducing accidents and occupational diseases at work has not yet been seen.

Construção e implantação de diretrizes para os acidentes de trabalho com o material biológico / Construction and implementation of guidelines for work accidents with biological material

Os trabalhadores da área da saúde se expõem diariamente a vários riscos no seu ambiente de trabalho, podendo ocasionar os acidentes de trabalho. Nesta pesquisa foi enfocado o acidente de trabalho com material biológico por apresentar o risco em contrair doenças transmissíveis que acarretam vários danos ao trabalhador. Esta pesquisa teve como objetivo geral estabelecer diretrizes frente à exposição biológica nos acidentes de trabalho, como objetivos específicos determinar o perfil dos acidentes de trabalho com exposição biológica; diagnosticar os problemas relacionados à exposição biológica; construir diretrizes para o enfrentamento dos problemas levantados; e, implementar as diretrizes no programa informatizado do referido cenário. Trata-se de uma pesquisa-ação de abordagem qualitativa, composta por 4 fases, delineada pelo método proposto por Thiollent, composta por amostra de onze membros da Comissão Gestora Multidisciplinar de Prevenção de Acidentes com Perfurocortantes. A coleta de dados ocorreu nas fases I e II da pesquisa-ação. Na fase I, foi realizado o diagnóstico dos acidentes de trabalho com material biológico com dados secundários fornecidos pelo Serviço de Epidemiologia do Hospital, dados retirados do SINAN referentes ao período de setembro de 2010 a setembro de 2013, bem como a realização de um seminário para a apresentação da pesquisa aos membros da referida comissão. Na fase II foram realizados 3 seminários de planejamento para a construção coletiva das diretrizes. Na fase III, fase de ação, foi realizada a divulgação das diretrizes, na comunidade hospitalar, por meio de reuniões, pelo correio eletrônico, pelo boletim informativo mensal e pela página do hospital na intranet. Na fase IV foi realizado o seminário de avaliação de todo o processo proposto. Os dados foram analisados segundo a técnica de análise de conteúdo, na modalidade temática de Bardin. A partir das categorias foi possível discutir sobre os problemas relacionados à exposição biológica, estruturar diretrizes e avaliar sua forma de aplicação, coletivamente. A pesquisa-ação possibilitou a compreensão do acidente de trabalho com material biológico e suas implicações, permitiu a construção do consenso das diretrizes, contribuindo para a produção de conhecimentos, confirmando a necessidade e a importância de mudanças nos processos de trabalho e o comprometimento da instituição na promoção da saúde do trabalhador. Conclui-se que são necessárias novas pesquisas, principalmente, relacionadas à avaliação das diretrizes e do conhecimento do trabalhador acerca do acidente com materiais biológicos.

Workers in the health field are exposed daily to various risks in their work environment, which may cause accidents at work, this research was focused on the accident involving biological material present risk contracting diseases that cause severe damage to the worker. This research aimed to establish opposite biological exposure guidelines in workplace accidents, specific objectives determine the profile of occupational accidents with biological exposure; diagnosing problems related to biological exposure; building guidelines for addressing the problems raised and implement guidelines on computerized program such a scenario. This is an action research qualitative approach, consisting of four phases outlined by the proposed Thiollent, the sample comprised of eleven members of the Management Committee Multidisciplinary Accident Prevention with Sharps method. Data collection occurred in phases, I and II of action research. In phase I, the diagnosis of occupational accidents with biological material with secondary data provided by the Department of Hospital Epidemiology, data from the Sinan for the period from September 2010 to September 2013 was conducted, as well as conducting a seminar for the presentation of research to members of the committee. In three Phase II planning seminars for the collective development of the guidelines were made. In phase III, the action phase release of the guidelines was held in the hospital community through meetings, by mail, the monthly newsletter and the hospital's intranet page. In phase IV the seminar evaluation of all proposed process was conducted. Data were analyzed using the technique of content analysis, the thematic Bardin. From the categories was possible to discuss the problems related to biological exposure and structure collectively, guidelines and assess your application form. The action research allowed the understanding of the accident with biological material and its implications, allowed the construction of consensus guidelines, contributing to the production of knowledge, confirming the need and the importance of changes in work processes and the commitment of the institution in promoting the health of workers. We conclude that the new research, especially related to the evaluation guidelines and the knowledge worker about the accident with biological materials is necessary.

Woodworking injuries: a comparative study of work-related and hobby-related accidents.

The primary objective of this study was to describe the injury characteristics and demographics of patients injured during woodworking activities, upon their arrival to the emergency department in a regional of France where this industry is prevalent. The secondary objective was to compare patient and injury characteristics for work-related and hobby-related accidents. A cohort of 87 patients who had suffered a woodworking accident over a two-year period was evaluated; 79 were available for follow-up. The context and circumstances of the accident, nature and location of the injuries and patient demographics were recorded. Hobby-related accidents accounted for two-thirds of the accidents (51/79). Most of the injured workers were either loggers (35%) or carpenters (46%). The hand was injured in 53 cases (67%). Work-related accidents resulted in significantly more serious consequences in terms of hospital stay, work stoppage, resumption of work or retraining than hobby-related accidents. For the workplace accidents, 86% occurred on new machines; more than 25% of the machines involved in accidents at home were over 15 years. Sixty-eight per cent of workers were wearing their safety gear, while only 31% of those injured during recreational woodworking wore the appropriate gear. Several elements of prevention should be improved: information about the need to maintain the equipment, protect the worker with suitable clothing, and learn which maneuvers are considered hazardous. Safety gear should be regularly inspected in the workplace.