1WORK PLACE HAZARD Any working environment that possess threat to the body or the environment is known asWork Place Hazard. Work Place Hazard is also known as Occupational Hazard, and they can lead to either long term effect or consequences or the short time effect or consequences. Work Place hazard in any employment may cause any contraction of disease or loss of functionality and effect the mental health of the workers and employees. Accidents or fatality can lead to loss of livelihood and can affect the society in numerous ways. That effect the sustainablesocio-economicgrowth of the country. Healthprofessionalsare exposed to many types of work place hazards and therefore, in the demanding age ofhealth professionalsthere should be evident risk management and Occupational health Safety in an organisation as well as in the society (Bahn 2013). Since, there is an advancing technology, there has been new an introduction of new hazards in a working environment. In worldwide, the health professionals account for 12% of the working population. And healthcare workers and professionals are considered to be working in the most hazardous occupational settings (Ndejjoet al.2015). It should be also noted that there are diverse and varied types of health hazard are associated when it comes to the nursing profession. It is also reported to have higher prevalence of lower back pain in this type of profession. And ergonomic hazard possess a potential risk to the overall productivity and employment. These type of work place hazard can lead to lethal consequences and therefore, it should be neglected at any cost. Hence, there should be occupational safety and health regulation and support in a working environment. In the following paragraphs different types of hazard has been discussed in detail and the impact of these are also described. Global occupational health issues are increasing day by day as the economy of the world is rising day by day. The global market is leading to the escalating effect on the vast numbers of workers worldwide in the form of occupational disease, injuries and deaths. Therefore, essential regulation of the occupational settlement and administration is required,
2WORK PLACE HAZARD among workers especially among health professionals (Lucchini 2014). For example, any disease could amplify to a greater extent if there is no proper establishment to curb these problems.Outofalltheprofessionsnursingcanbetermedasuniquelyhazardous occupation. These could be due to the illnesses and injuries associated with nursing profession which can be due to work place environment. Nurses and midwives account for 50% of the global health work force. There is a growing demand of this profession world wide. According to the World health Organisation there is an indication of global nurse shortage. And there are mainly shortages of Nurses and midwives in Africa and South East Asia(World Health Organization, 2019). Nurses are not only employed in the nursing homes and hospitals, they are also engaged as community health workers, in clinics, schools as well as their participation in the health maintenance and corporations. While performing their routine duties the registered nurses or the RNs are often faced withhigh risk pathogensand otherhazardous components. The nurses are primarily involved in providing care and their clinical services to the patients. They are a crucial element when it comes to the matter of disease prevention, delivering primary health care and also in health promotion (Dressner and Krissinger 2018).In the current working conditions the nurses are exposed to various types of work place hazards, these type of workplace hazards can lead to short term as well as long term effects on the nurses. There are situations when nurses have to be bending, standing stretching and running that could lead the nurse to a potential risk of fatigue, fall, slipping and tripping. These type of hazards are related with the short term risks of hazards. The nurses have to sometimes even lift patients move heavy equipment’s that could elevate risks to lower back injuries.Hence, it can be understood that the working environments and the duties of nurses put them in to the front line of probable occupational risks and hazards (Alavi 2014). There are number work place hazards which are inclined especially towards nursing and work place hazards which include; Latex allergy, for example the use of vinyl
3WORK PLACE HAZARD gloves can induce mild allergic sensitivities which may cause dermatitis and anaphylaxis; chemical exposure to different drugs and hazardous chemicals which are used for sterilizing. The exposure to certain radiations, these especially are related to the nurses working in the radiology department or the nurses working in the emergency rooms. They are at a high risk of exposure to these kind of radiations. Exposure to radiations can lead to various kinds of diseases and are exposed at a risk ofDNA damage. Infectious diseases likeHIV, hepatitis B are the diseases nurses are frequently exposed to. It is important to acknowledge that the nurses are also exposed to several threats and assaults which are evidently present in the mental facilities like rehabs and in the emergency rooms. In the following paragraphs there is a detailed classification and description about the types of the hazards at workplace. There are many types of the work place hazards that are exposed in a regular working environment few of them are discussed below: Biological Hazards: Biological Hazards are commonly known as the biohazards are the biological organisms or entitiesthat pose threat to the other organisms (can be particularly to the humans) and environment. There can be the biological that can lead to potential threats like infections, diseases and can be also be a potential source of bio weapon and mass destruction. There are different categories and levels of Biohazards which can cause hazards. Bio hazards include biological vectors and transmitters (micro-organisms) like fungi, virus as well bioactive substances. Exposure to these can have potential risk to the people involved in healthcareaswell bio chemicalindustries. The probableagentsthat could cause the communicable diseases are like: blood, faeces, mucous and tissues that could cause potential communicabledisease.Inareportthehealth.Therearecertainlowfrequency electromagnetic fields act by VGCCs or voltage gated calcium channels which can in return elevate the NO signalling, therefore, exposure to such electromagnetic fields can affect the physiological processes (Pall 2014). Strict precautions should be taken care of when handling
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4WORK PLACE HAZARD biological hazards, which include not only the nurses and doctors but also the medical staffs, clinical staffs, cleaning workers. It is because the unsafe professional could lead to systemic respiratory infection in immunocompromised workers (Rim and Lim 2014). Healthcare professionals can increase the over all burden infection. Prevention and proper control measuresshouldbetakenbytheorganisationaswellasthesociety.Toavoidthe contamination of airborne diseases there should be separate and proper ventilation system for themedicalroomsspeciallymadefor infectiousandcommunicablediseases. Use of ultravioletlightsand lampcan also kill the potentialpathogensand microorganisms. Furthermore, there should be proper maintenance of hygiene which need proper protection of eyes, nose, and hands ears. Inclusion of gloves, protective masks, eye glasses, protection suits and shoe covers. If the involvement of any worker include in biohazard of higher levels for example; viruses like Ebola virus then there should be inclusion of N95 or advanced respiratory protection, which would filter the particulate as well as the liquid droplets which couldprotecttheworkersfromtheairbornediseasesaswellpotentialepidemic microorganisms. There should be an inclusion the sign of the bio hazard symbol whenever disposing or dealing with biological hazardous substances should be labelled. Hence, there should be proper attitude and knowledge that could reduce gaps and can provide better interventions (Gulilat and Tiruneh 2014). Physical Hazards:Physical hazard which can cause potential risk to the workers in that environment which may be in contact or not in contact. The physical hazards are the common sources of physical injuries and muscular pain. These can also be termed as occupational injuries. The physical hazards comprises of various types of factors like noise, vibration, radiation, electrical, hazardous manual tasks, heat sunlight. The exposure to physical hazard may cause ergonomic hazards which are related to body stressing and hazardous manual tasks. Whereas body stressing could lead to varied health problems due to repetitive and
5WORK PLACE HAZARD strenuous work load which leads to overexposure to environmental, psychological as well as the biochemical stress factors lead to physical hazard. These factors possess great threat to the older nurses and there are greater number of nurses in healthcare industries. Physical injuries:In a report it has been stated that the repetitive motion injuries, falls and trips are the major work place hazards older number of nurses. Not only that extreme noise and variable working schedules lead them to over exhaustion and fatigue (Phillips and Miltner 2015). Work place violence:Physical hazard can also include the work place violence the nurse have to face who are working especially in the mental wards (Lipscomb and Ghaziri, 2013). Moreover there are frequent cases of work place violence that could which are sometimes even goes without reporting (Kvas and Seljak 2014). Work place violence can be potential challenge for nurses and other healthcare employeesandmanagementandthatcouldleadtopotentialphysicaland psychological effects in nursing professionals(McPhaul, London and Lipscomb 2013). . In a survey it was reported that female gender experience different types of violence as a significant predator of abuse (Abed Morris and Sobers-Grannum 2016).The slippery floors and unsafe equipment or machinery can also lead to the physical hazard in workers. Radiation:There are different types of radiations which nurses are exposed to every day they come in contact with. Possible exposure to radiation could cause weakness, nausea, and diarrhoea. The sharp medical instruments and surgical equipment can also possess threat to the healthcare worker while dealing with the infected objects. oIonising radiation:There are different types of diagnostic tools which are used to detect several disorders and treatments, for example computerised
6WORK PLACE HAZARD axial topography, and others. They can include long term effects in the body. oNon-Ionising radiation:Non-ionising radiation includes ultra violet ray, lasers which are comprised of magnetic waves and field.In a survey it was concluded that there is potential to improve as well optimise the radiation protection for among nurses (Kang and Lee 2013). Hence, there should be radiation safety for nurses, especially on the nurses involved in day to day basis. Ergonomic Hazards:The physical hazard task may lead toergonomic hazard, which include repetitive movement and bad positioning of the body. These could lead to potential musculoskeletal disorder or MSD. Musculoskeletal disorders can cause disorders in the cartilage and joints which can also possess the threat to permanent physical injury (Dressner and Kissinger 2014).It is studied that the globally nurses are accounted for higher prevalence in Lower back pain or LBP (Yassi and Lockhart 2013).Lower back injuries are one of the factors due to physical hazard or occupational hazard. Some of the manual tasks done by the nurses like lifting up the patients and transferring them back to bed, as well as carrying heavy machines or bio equipment can lead to back pain.In a study it was reported that well implementation and managing of lifting device can significantly reduce the lower back pain among nurses (Burdorf, Koppelaar and Evanoff 2013)There are many nurses who face the persistent job related musculoskeletal pain (Alavi 2014). Chemical Hazards:The chemicals like, fumes, aesthetic agents or cytotoxic drugs that have potential to cause dangerous or harmful effects is termed asChemical hazards. In healthcare or a workplace there are different types of hazardous chemicals, toxins, which can be very harmful and some of the hazardous chemical can be carcinogens, reproductive toxins that can cause teratogenicity, neurotoxicity, mutagenicity and respiratory irritation. The effect
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7WORK PLACE HAZARD can either short term like sneezing and coughing and itching or long term like respiratory disease (asthma).The allergic sensation in the respiratory tract can be considered as importantaspectof healthproblemsnot onlyin the healthcare industriesbut other occupation industries as well. They can contribute towards multiple health problems that can further result in respiratory hypersensitivity reactions (Cochraneet al.2015). In a report it was stated that there ortho phthalaldehyde or OPA which is primarily used as a disinfectant for the heat sensitive equipment can have possible immunological effect in a healthcare setting(Pala and Moscato 2013).The healthcare workers who use high level disinfectants care exposed to these toxic agents that can cause skin irritation (Carraroet al.2016). They are certain cytotoxic agents and drugs that can be potentially carcinogenic if they are handled improperly.The toxic or the chemical agents can be either come in contact with the skin or the toxic substances can be inhaled or they can also be digested. However the hazard can depend on various factor for example, how long the worker has been exposed to the toxic chemical, and work practices habits and susceptibility towards particular health problems. Therefore, there should be adequate protection and precautions be taken while handling such chemical toxins. Psychological Hazard:Psychological hazards are associated with the risk of the working nursing professionals, when the nurses are deprived of personal well being and mental health. The work and stress overload can not only threaten the health of nurses but also lead to nursing turnover and fatigue (Alavi 2014). Psychological hazard are also associated with tight and longworking hours, overwork, violence and discrimination. This can lead to frustration and depression among the nurses. This can harm not only the professional productivity but can also lead to decrease in patient care effectiveness (Song and Lindquist 2015).Stress, depression and anxiety or SDAcan have a severe impact not only on the academic performance but can also affect the clinical performances. Sometimes the effects of anxiety
8WORK PLACE HAZARD and depression remains undiagnosed in nurses, if it remain undiagnosed it can even lead to suicide. It is evident that nurses involved in the psychiatric ward can suffer stressful situations, which is another source of occupational stress (Yoshizawaet al.2016).Social supportcan decrease the depression among the nurses(Drageset, Eide and Ranhoff 2013). In a report it has been suggested that emotional adaptation along with social support can reduce the risk of suicidal ideation and suicide attempts (Aradilla-Herrero, Tomás-Sábado and Gómez-Benito2014).MindfulnessbasedstressreductionorMBSRcanreducethe depression, stress and anxiety in nursing students and professionals (Song and Lindquist 2015). Stress management programs andcoping mechanism, efficient working schedule and proper employee assistance program can lead to effective prevention in case of psychological hazard. By the above discussion and literature review it could be concluded that the healthcare professionals are exposed different types of workplace hazards, and among the global health workforce the nursing profession account for 50%. And in the coming years the global demand for the nursing practice will increase. Their participation plays an important and key segment in health promotion and for delivering primary health care in the world. But it should be acknowledged from the above discussion that they are exposed to many workplace hazards that could harm them mentally or physically. Among them the workplace hazards in this assignment has been classified into five types and they are biological hazard, physical hazard, ergonomic hazard, Chemical hazard and Psychological hazard. It could be inferred that the effect of these types of could lead into short term as well as long term effects among nurses. Awareness and prevention measures could effectively reduce the hazards in the working organisations. Labelling of the hazardous (Biohazard / Chemical Hazard/ Physical Hazard) could make a better awareness among the staff which could reduce the potential cause of hazards. Proper hygiene and protective equipment can help prevent the biological
9WORK PLACE HAZARD hazardous organisms, whereas in case of physical hazard the better machine handling equipment can help reduce the work load. However, psychological hazard among all the hazards is internal but it can lead to nursing burn out and low productivity. There are several nurses in the psychiatric ward and the emergency ward face violence and that could also lead to a physical as well psychological hazard. This can be overcome by the implementation of stress management programs, coping mechanisms and evaluation of professional help can reduce the sadness, depression and anxiety. Therefore, the mental health as well as the physical health of the nurses should not be neglected and effective measures should be taken to prevent these hazards.
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