• Title/Summary/Keyword: Endoscopy Unit

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The Effects of Musculoskeletal Symptom and Burden Work on Presenteeism among Gastrointestinal Endoscopy Unit Nurses (소화기 내시경실 간호사의 근골격계질환 증상, 근골격계부담작업이 프리젠티즘에 미치는 영향)

  • Lee, Young-Joo;Yu, Jungok
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.4
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    • pp.152-163
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    • 2023
  • Purpose: This study aimed to identify the effects of musculoskeletal symptoms and burden on presenteeism among nurses in a gastrointestinal endoscopy unit. Methods: This was an observational cross-sectional study. Data were collected through self-reported questionnaires administered to 140 nurses working in the gastrointestinal endoscopy unit of a hospital located in Busan metropolitan city. Results: The body part with the most musculoskeletal symptoms was the back (73.2%), and the most common musculoskeletal burden work was "when you have to stand or maintain the same posture for a long time in a lead apron protection clothes." The factors most related to work impairment were working hours, musculoskeletal symptoms, and musculoskeletal burden, with an explanatory power of 63.3%. Factors affecting perceived productivity were working hours and musculoskeletal symptoms, with an explanatory power of 29.2 %. Conclusion: To reduce work impairment and increase the perceived productivity of nurses in gastrointestinal endoscopy units, various programs and improved working environments are needed that can improve musculoskeletal symptoms and reduce musculoskeletal burden.

Factors Influencing Endoscopy Nurses' Protective Behavior against Radiation Exposure (내시경실 간호사의 방사선피폭 방어행위에 영향을 미치는 요인)

  • Hong, Sunmi;Shin, Sung Hee
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.2
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    • pp.177-188
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    • 2014
  • Purpose: This study was conducted to identify factors influencing endoscopy nurses' protective behavior against radiation exposure. Methods: Data were collected using self-report questionnaires from 122 endoscopy nurses in 21 hospitals located in Seoul, Gyeonggi province and six metropolitan cities in Korea. Collected data were analyzed using SPSS 18.0 program and included multiple regression analysis. Results: 1) There were significant relationships between protective behavior and protective environment (r=.74, p<.001), number of education sessions on radiation protection (r=.32, p<.001), number of protective devices (r=.28, p=.002), number of fellow nurses (r=.27, p=.003), and protective attitude (r=.18, p=.048). 2) Protective environment (${\beta}=0.79$, p<.001), type of hospital foundation (${\beta}=0.18$, p=.011) and marital status (${\beta}=-0.13$, p=.040) significantly predicted endoscopy nurses' protective behavior against radiation exposure (adjusted R square=.58, p<.001). The most powerful predictor for protective behavior against radiation exposure was a protective environment. Conclusion: Effective protective behavior of endoscopy nurses from radiation exposure requires improvement in their protective environment. Hospital administrators and managers should make efforts to increase protective facilities in endoscopy departments and provide endoscopy nurses with regular education on radiation protection.

Colorectal Cancer Screening among Government Servants in Brunei Darussalam

  • Chong, Vui Heng;Bakar, Suriawati;Sia, Rusanah;Lee, James;Kassim, Norhayati;Rajak, Lubna;Abdullah, Muhd Syafiq;Chong, Chee Fui
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7657-7661
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    • 2013
  • Background: This study concerns uptake and results of colorectal cancer (CRC) screening of government servant as part of the Health Screening Program that was conducted in Brunei Darussalam in 2009. Materials and Methods: Government servants above the age of 40 or with family history of CRC were screened with a single fecal occult blood test (FIT, immunohistochemistry). Among 11,576 eligible subjects, 7,360 (66.9%) returned their specimen. Subjects with positive family history of CRC (n=329) or polyps (n=135) were advised to attend clinics to arrange screening. All the subjects with positive FIT (n=142, 1.9%) were referred to the endoscopy unit for counselling for screening colonoscopy. Results: Overall only 17.7% of eligible subjects attended for screening; 54.9% (n=79/142) of positive FIT, 8.8% (n=29/329) of positive family history of CRC and none with history of polyps (n=0/135). Of these, only 54 patients (50.5%) agreed for colonoscopy, 52 (48.6%) declined as they were asymptomatic, and one was not offered (0.9%) due to his very young age. On screening colonoscopy, 12.9% (n=7) had advanced lesions including a sigmoid carcinoma in situ and six advanced polyps. The other findings included non advanced polyps (n=21), diverticular (n=11) and hemorrhoids (n=26). One patient who missed his screening colonoscopy appointment re-presented two years later and was diagnosed with advanced right sided CRC. All the advanced lesions were detected in patients with positive FIT, giving a yield of 20.5% for advanced lesions including cancers in the 5.1% FIT positive subjects. Conclusions: Our study showed screening for CRC even with a single FIT was effective. However, the uptake rate was poor with just over half of the patients agreeing to screening colonoscopy. Measures to increase public awareness are important. Since one limitation of our study was the relatively small sample size, larger studies should be conduced in future.

A Study on exposure-Worker to Formaldehyde in the Endoscopy Unit of Hospitals (일부 종합병원 내시경실 근무자의 포름알데히드 노출에 관한 연구)

  • Kim, Jeong Hun;Kim, Dae-Jong;Kim, Hyunwook
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.19 no.3
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    • pp.195-201
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    • 2009
  • To identify relationship between the airborne concentrations of formaldehyde and the causal factors in the endoscope unit of hospitals, a total of 48 workers selected from 4 hospitals (3 university hospitals and 1 national hospital) were investigated. Airborne formaldehyde samples were collected using passive samplers and subsequently analyzed by HPLC according to the OSHA method 1007. The geometric mean(GM) of airborne formaldehyde concentrations was 0.056 ppm (range: 0.003~0.923 ppm). The rates of exceeding exposure limits of OSHA PEL-TWA and NIOSH REL-TWA were 4.2 % and 83.3%, respectively. The STEL GM concentration was 1.428 ppm(range: 0.103~14.773 ppm). Ventilation condition (p=0.001) and temperature (p=0.017) were statistically significant causal factors for the airborne exposure concentration of formaldehyde in the endoscope unit of hospitals. In conclusion, the workers in the endoscope unit of hospitals were highly exposed to formaldehyde, and adequate controls such as appropriate management of ventilation and temperature are recommended to reduce over exposure to formaldehyde.

Job Stress and Job Satisfaction among Nurses in Gastrointestinal Endoscopy Units (소화기 내시경실 간호사의 직무 스트레스와 직무 만족도)

  • Son, Seung Suk;Yang, Sook Ja
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.2
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    • pp.189-199
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    • 2014
  • Purpose: The purpose of this study was to investigate job stress and job satisfaction among nurses in gastrointestinal endoscopy units, and factors related to their job stress and job satisfaction. Methods: The study participants were 153 nurses working in gastrointestinal endoscopy units at eleven general hospitals. Job stress and job satisfaction were measured using nurses's job stress scale and the index of work satisfaction respectively. Results: The average job stress was 3.67 (range 1~5) and job satisfaction was 2.90 (range 1~5). Gastrointestinal endoscopy unit nurses, who were full time worker, having more than 7 years of clinical experiences, having higher incomes, having high subjective work-intensity, and having an intention to change their working units, showed greater job stresses than those of the others. There were significant differences in job satisfaction according to subjective health status, the types of employment, subjective work-intensity, subjective aptitude, intention to change working units, major nursing tasks, and the numbers of major nursing tasks. Also, the subjects's job stress showed a negative correlation with job satisfaction. Conclusion: Findings suggest that management strategies should be developed to increase job satisfaction focusing on general and job characteristics associated with job stress.

Investigation of Efficacy of Lidocaine Spray for Sedated Esophagogastroduodenoscopy in Children

  • Basturk, Ahmet;Artan, Reha;Yilmaz, Aygen
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.2
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    • pp.87-93
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    • 2017
  • Purpose: Our aim in this study is to investigate efficacy of topical lidocaine spray for sedated esophagogastroduodenoscopy (EGD) in children. Methods: The endoscopy of children aged between 3-18 years who underwent EGD in our endoscopy unit. Intravenous (IV) midazolam and ketamine were used for sedation. Prior to sedation, endoscopy nurse applied topical lidocaine 10% with pump spray at 1 mg/kg dose in group 1, and distilled water via identically scaled pump spray in group 2, in a double blinded fashion. Results: Sedation was not applied in 24.1% of the cases in topical lidocaine spray group (LS group) and in 5.7% of the cases in distilled water spray group (DS group). Gag reflex was observed in 6.5% of cases in LS group and 33.3% of cases in DS group (p=0.024), increased oral secretion was observed in 9.3% of cases in LS group and 51.7% of cases in DS group (p=0.038), sore throat was observed in 3.7% of cases in LS group and 35.6% of cases in DS group (p=0.019) and the difference was statistically significant. Conclusion: The study showed that topical pharyngeal lidocaine reduces both requirement and amount of IV sedation before EGD in children and sore throat, gag reflex and decreased oral secretion increase.