2019, Number 5
<< Back Next >>
salud publica mex 2019; 61 (5)
Occupational health and safety: educational intervention for cleaning workers in research sectors
Parra-Tapia E, Perales-Ortiz G, Quezada AD, Torres-Pereda P
Language: Spanish
References: 36
Page: 657-669
PDF size: 348.55 Kb.
ABSTRACT
Objective. To evaluate the results of educational intervention
on health and safety regarding principles of biosafety in
cleaning workers of a health institution.
Materials and
methods. Using concurrent mixed methods, we evaluated
a total of 31 workers on their knowledge, attitudes, and
practices of biosafety and risk perception. We conducted
baseline measurements and two follow-ups. Fractional logistic
regression models were fitted with study stage as covariate.
Additional models included interactions of study stage with
key workers characteristics. Thematic qualitative analysis and
triangulation was developed.
Results. The knowledge (+33.3
points, scale 0-100), attitudes (+10.6), and practices (+23.5)
increased significantly in the first follow-up; knowledge decreased
in the second follow-up (
p‹0.001). The qualitative
findings revealed an improvement in risk prevention attitudes
and practices, framed by experiences of vulnerability, stigma,
and discrimination.
Conclusions. The study provides key
elements for biosafety research related to vulnerable groups
and it is effective in promoting the health of a disadvantaged
and invisible sector.
REFERENCES
Organización Panamericana de la Salud. Plan de acción sobre la salud de los trabajadores 2015-2025. Washington: PAHO, 2017: 1-25 [citado enero 11, 2018]. Disponible en: http://iris.paho.org/xmlui/ bitstream/handle/123456789/33983/CD54_10Rev. 1-spa. pdf?sequence=1&isAllowed=y
Organización Mundial de la Salud. Entornos laborales saludables: fundamentos y modelo de la OMS: contextualización, prácticas y literatura de apoyo. Ginebra: WHO, 2010: 1-121 [citado marzo 15, 2018]. Disponible en: http://www.who.int/occupational_health/evelyn_hwp_spanish.pdf
Chen RY, Yu LH. Following the trend for a comprehensive healthy workplace in Taiwan. Glob Health Promot. 2016;23(suppl I):35-45. https://doi. org/10.1177/1757975916635505
Rodríguez CA. Los convenios de la OIT sobre seguridad y salud en el trabajo: una oportunidad para mejorar las condiciones y el medio ambiente de trabajo. Buenos Aires: CIF-OIT, 2009:543.
Organización Internacional del Trabajo. Salud y seguridad en trabajo en América Latina y el Caribe [monografía en internet]. Ginebra: ILO, 2017 [citado febrero 27, 2018]. Disponible en: http://www.ilo.org/americas/ temas/salud-y-seguridad-en-trabajo/lang--es/index.htm
Cezar-Vaz MR, Rocha LP, Bonow CA, Santos-da Silva MR, Vaz JC, Cardoso LS. Risk perception and occupational accidents: a study of gas station workers in southern Brazil. Int J Environ Res Public Health. 2012;9(7):2362-77. https://doi.org/10.3390/ijerph9072362
Lay AM, Saunders R, Lifshen M, Breslin C, LaMontagne A, Tompa E, et al. Individual, occupational, and workplace correlates of occupational health and safety vulnerability in a sample of Canadian workers. Am J Ind Med. 2016;59(2):119-28. https://doi.org/10.1002/ajim.22535
European Agency for Safety and Health at Work. The situation of cleaners and ways for improvement [monografía en internet]. Bilbao: EU-OSHA, 2007 [citado marzo 11, 2018]. Disponible en: https://oshwiki. eu/wiki/Cleaners_-The_situation_of_cleaners_and_ways_for_improvement
Zock JP. World at work: cleaners. Occup Environ Med. 2005;62(8):581-4. https://doi.org/10.1136/oem.2004.015032
Charles LE, Loomis D, Demissie Z. Occupational hazards experienced by cleaning workers and janitors: A review of the epidemiologic literature. Work. 2009;34(1):105-16. https://doi.org/10.3233/WOR-2009-0907
European Agency for Safety and Health at Work. The occupational safety and health of cleaning workers [monografía en internet]. Bilbao: EU-OSHA, 2009 [citado febrero 9, 2018]. Disponible en: https://osha.europa. eu/en/tools-and-publications/publications/literature_reviews/ cleaning_workers_and_OSH
Pérez RC, Torres SM, Bellvis GR, Msabri N, Niño AE, Sobrino MJ. Incidencia de exposiciones accidentales a sangre y fluidos biológicos en el personal sanitario de un hospital comarcal. Gac Sanit. 2017;31(6):505-10. https://doi.org/10.1016/j.gaceta.2016.08.008
Organización Internacional del Trabajo. La prevención de las enfermedades profesionales. Ginebra: ILO, 2013:1-13 [citado marzo 10, 2018]. Disponible en: http://www.ilo.org/safework/info/publications/ WCMS_209555/lang--es/index.htm
Organización Internacional del Trabajo. C187-Convenio sobre el marco promocional para la seguridad y salud en el trabajo. Ginebra: ILO, 2009 [citado marzo 20, 2018]. Disponible en: http://www.ilo.org/dyn/ normlex/es/f?p=NORMLEXPUB:12100:0::NO:12100:P12100_INSTRUMENT_ ID:312332:NO
Hernández VE, Acosta GM, Nadal TB, Pijuan PM, Fon AY, Armas RN. Intervención educativa para incrementar los conocimientos sobre bioseguridad en el personal de enfermería de una institución hospitalaria. Rev Cuba Enfermería. 2006;22(2) [citado marzo 12, 2018]. Disponible en: http://bvs.sld.cu/revistas/enf/vol22_2_06/enf08206.htm
Rodríguez HO, Aguilera BA, Barbé AA, Delgado RN. Intervención educativa sobre bioseguridad en trabajadores de la salud. Rev Arch Médico Camagüey [serie en internet] 2010;14(4) [citado marzo 16, 2018]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid =S1025-02552010000400012
Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. Thousand Oaks: SAGE Publications, 2007:275.
Creswell JW. A concise introduction to mixed methods research. Thousand Oaks: SAGE Publications, 2015:152.
Creswell JW, Poth CN. Qualitative inquiry and research design: hoosing among five approaches. 4ª ed. Thousand Oaks: SAGE Publications, 2017:488.
Ausubel DP, Novak JD, Hanesian H. Psicología educativa: un punto de vista cognoscitivo. 2a ed. México: Trillas, 1983:623.
Organización Mundial de la Salud. Manual de bioseguridad en el laboratorio. 3ª ed. Ginebra: WHO, 2005:202.
Perales OG, Gómez CC. Manual de procedimientos para el manejo de sustancias CRIT y RPBI. Cuernavaca: INSP, 2012:49.
Castañeda RL, Jiménez PJ, Urzúa GA, Manzano MR, Valentín HJ, Pérez GE, et al. Guía de cumplimiento de la NOM-087-SEMARNAT-SSA1-2002. México: SEMARNAT, 2007:1-64 [citado febrero 28, 2018]. Disponible en: http://www.cuautitlan.unam.mx/descargas/cicuae/GUIA_SEMARNAT_ MANEJO_RPBI.pdf
Teddlie C, Yu F. Mixed methods sampling: a typology with examples. J Mix Methods Res. 2007;1(1):77-100. https://doi. org/10.1177/2345678906292430
Wooldridge JM. Econometric Analysis of Cross Section and Panel Data. 2a ed. Cambridge, Massachusetts: MIT press, 2010:1064.
Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Methods. 2006;5(1):80-92. https://doi. org/10.1177/160940690600500107
Guest G, MacQueen KM, Namey EE. Applied Thematic Analysis. Thousand Oaks: SAGE Publications, 2012:295.
Meadows LM, Morse JM. Constructing evidence within the qualitative project. In: Morse JM, Swanson JM, Kuzel AJ. The nature of qualitative evidence. Thousand Oaks: SAGE Publications, 2001:187-201.
Ni K, Chen B, Jin H, Kong Q, Ni X, Xu H. Knowledge, attitudes, and practices regarding environmental cleaning among environmental service workers in Chinese hospitals. Am J Infect Control. 2017;45(9):1043-5. https://doi.org/10.1016/j.ajic.2017.02.029
World Health Organization. Jakarta Statement on Healthy Workplaces. Ginebra: WHO, 2018 [citado marzo 27, 2018]. Disponible en: http:// www.who.int/healthpromotion/conferences/previous/jakarta/statements/ workplaces/en/
Ospina JM, Manrique-Abril FG, Ariza NE. Intervención educativa sobre los conocimientos y prácticas referidas a los riesgos laborales en cultivadores de papa en Boyacá, Colombia. Rev Salud Publica. 2009;11(2):182-90. https://doi.org/10.1590/S0124-00642009000200003
Yu EA, Akormedi M, Asampong E, Meyer CG, Fobil JN. Informal processing of electronic waste at Agbogbloshie, Ghana: workers’ knowledge about associated health hazards and alternative livelihoods. Glob Health Promot. 2017;24(4):90-8. https://doi.org/10.1177/1757975916631523
Widajati N. Occupational health and safety behavior analysis and nosocomial infection risk in cleaning service workers at Dr. Seotomo Hospital Surabaya. Folia Medica Indones. 2010;46(4):270-4 [citado marzo 13, 2018]. Disponible en: https://e-journal.unair.ac.id/FMI
Matlow AG, Wray R, Richardson SE. Attitudes and beliefs, not just knowledge, influence the effectiveness of environmental cleaning by environmental service workers. Am J Infect Control. 2012;40(3):260-2. https://doi.org/10.1016/j.ajic.2011.02.024
Burgos S, Yohannessen K, Álvarez A, Rebolledo A, Valenzuela MT. Educación en salud a través del desarrollo de habilidades científicas en escolares chilenos. Salud Publica Mex. 2017;59(3):276-84. https://doi. org/10.21149/8177
Walker DM, Cohen SR, Fritz J, Olvera-García M, Zelek ST, Fahey JO, et al. Impact evaluation of PRONTO Mexico: A simulation-based program in obstetric and neonatal emergencies and team training. Simul Healthc J Soc Simul Health. 2016;11(1):1-9. https://doi.org/10.1097/ SIH.0000000000000106