1.Interruptions, Unreasonable Tasks, and Quality-Threatening Time Pressure in Home Care: Linked to Attention Deficits and Slips, Trips, and Falls.
Achim ELFERING ; Maria U KOTTWITZ ; Evelyne HÄFLIGER ; Zehra CELIK ; Simone GREBNER
Safety and Health at Work 2018;9(4):434-440
BACKGROUND: In industrial countries, home care of community dwelling elderly people is rapidly growing. Frequent injuries in home caregivers result from slips, trips, and falls (STFs). The current study tests attentional cognitive failure to mediate the association between work stressors and STFs. METHODS: A sample of 125 home caregivers participated in a questionnaire study and reported work interruptions, unreasonable tasks, quality-threatening time pressure, conscientiousness, attentional cognitive failures, and STFs. RESULTS: In structural equation modeling, the mediation model was shown to fit empirical data. Indirect paths with attentional cognitive failures as the link between work stressors and STF were all significant in bootstrapping tests. An alternative accident-prone person model, that suggests individual differences in conscientiousness to predict attentional cognitive failures that predict more frequent work stressors and STFs, showed no significant paths between work conditions and STFs. CONCLUSION: To prevent occupational injury, work should be redesigned to reduce work interruptions, unreasonable tasks, and quality-threatening time pressure in home care.
Accidental Falls*
;
Aged
;
Caregivers
;
Home Care Services*
;
Humans
;
Independent Living
;
Individuality
;
Negotiating
;
Occupational Health
;
Occupational Injuries
2.Orthopaedic Practices and Surgeries during COVID-19 in Pakistan - A Survey Based Study
Saad-Ilyas M ; Zehra U ; Khan UU ; Mohammad I ; Muhammad R ; Aziz A
Malaysian Orthopaedic Journal 2021;15(No.1):72-78
Introduction: The study aimed to target the current practices
of the orthopaedic community in outpatient (OPD),
emergency (ER) and surgical services (OT) during COVID19.
Material and method: This study surveyed 303 orthopaedic
surgeons from all over Pakistan. The survey had 30 questions
targeting the setup of outpatient, emergency and operation
services in orthopaedic departments of different hospitals in
Pakistan.
Result: A total of 302 surgeons were included from 53 cities
all over Pakistan. Between 35-48% of the respondents
reported lack of availability of standard operating procedures
in OPD, ER and in OT. Majority of the respondents noted
that their OPD and surgical practice had been affected to
some degree and 69% of the surgeons were only doing
trauma surgery. This trend was higher in younger consultants
of less than 45 years of age (p<0.001). Almost two-third of
the surgeons, mostly senior (p=0.03) were using surgical
masks as the only protective measure during various
practices of OPD, ER and OT, while most of the setups were
not assessing patients even for signs and symptoms of
COVID. Almost 89% of the orthopaedic community is
facing definite to mild stress during this pandemic and this
has significantly affected the senior surgeons (p=0.01).
Conclusion: Our study highlighted that COVID-19 has
resulted in marked changes to the practices of the majority of
Pakistani orthopaedic surgeons. Despite a sharp upsurge in
the number of cases and mortality due to COVID-19,
guidelines were still lacking at most of the settings and a
substantial percentage of the orthopaedic community were
not following adequate safety measures while attending to
patients.