Chemical hazard and healthcare workers; findings from a tertiary health institution in south-western Nigeria
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20212567Keywords:
Chemical hazards, Healthcare workers, Tertiary health institutionAbstract
Background: Improvement in diagnostic and therapeutic services has further increased the hazards in healthcare facilities, particularly the chemical hazard. Therefore, the need for more focus on chemical hazard exposure among healthcare workers. This study aimed to assess the perception of healthcare workers about chemical hazards associated with their job and the pattern of adopted preventive measures.
Methods: A descriptive cross-sectional study was employed. One hundred and seven healthcare workers were enrolled in the study. The sample size was proportionally allocated to various departments that provide care directly to patients. Data on workers’ perceptions about chemical hazard exposure and utilization of preventive measures were obtained using self-administered questionnaire.
Results: Majority of the respondents had high level of awareness (86.0%) and knowledge (81.3%) of chemical hazards. About one-fifth, 24 (22.4%), had experienced inadvertent exposure to chemical hazards. Gender, knowledge, and perception of chemical hazards had statistically significant associations with the use of personal protective equipment (PPE). Females are more likely to use PPE than male (odds ratio=5.1, p=0.008) and respondents with good perception of chemical hazard exposure are more likely to use PPE relative to respondents with poor perception (odds ratio=11.8, p=0.018). Standard operating procedures were available to less than half of the respondents, 52 (48.6%).
Conclusions: There is a need for continuous strengthening of available safety measures to further reduce incidences of inadvertent chemical hazard exposure. The hospital management should ensure availability of standard operating procedures at all service locations.
References
McDiarmid MA. Chemical Hazards in Health Care. Ann New York Acad Sci. 2006;1076(1):601-6.
Centers for Disease Control and Prevention, (NIOSH) TNIfOSaH. Healthcare Workers: Chemical Hazards. 2017. Available at: https://www.cdc.gov/ niosh/topics/healthcare/chemical.html. Accessed on 03 May 2021.
World Health Organisation. Health and Sustainable Development: Chemical, Biological and Radiological Exposures. 2020. Available at: https://www.who.int/sustainable-development/ health-sector/health-risks/chemical-biological-radiological/en/. Accessed on 03 May 2021.
Occupational Safety and Health Administration. Healthcare: Other Hazards. 2020. Available at: https://www.osha.gov/SLTC/healthcarefacilities/otherhazards.html. Accessed on 03 May 2021.
Aluko OO, Adebayo AE, Adebisi TF, Ewegbemi MK, Abidoye AT, Popoola BF. Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers. BMC Res Notes. 2016;9(1):71.
Mossburg S, Agore A, Nkimbeng M, Commodore-Mensah Y. Occupational hazards among healthcare workers in Africa: a systematic review. Ann Global Health. 2019;85(1).
Allen O, Nwaogazie I, Douglas K. Analyses and Assessment of Health Care Workers (HCWs) towards Occupational Hygiene (OH) and Infection Control (IC) Practices in Selected Tertiary Healthcare Facilities within Parts of Niger Delta, Nigeria. Asian J Res Nurs Health. 2019:1-14.
Mohammed MW, Meidan TM. Assessment of knowledge, Attitude and Practice of Biological Hazards Among Health Workers in Medical Laboratories in Benghazi Medical Center, University of Benghazi. 2018.
World Health Organisation. Health Education: Theoretical Concepts, Effectiveness Strategies and Core Competencies. Cairo, Egypt: World Health Organisation; 2012. Available at: https://apps. who.int/iris/handle/10665/119953. Accessed on 03 May 2021.
IBM. IBM SPSS Statistics 2020. Available at: https://www.ibm.com/products/spss-statistics. Accessed on 25 November 2020.
Umar AG, Code Q. Common occupational health hazards amongst Health care workers in a Tertiary Health Institution in Bida, North-central Nigeria. Int J Biomed Res. 2017;8:1-6.
Obono M, Adeosun SA, Olaiya PA, Adesina A. Assessment of the Knowledge, Attitudes and Perception of Potential Occupational Hazards by Healthcare Workers in a Tertiary Healthcare Facility in Lagos, Nigeria. Int J Res Sci Innov. 2019;6(4):243-64.
Gul SS, Esen ME. The awareness of healthcare workers about hazardous substances used in a tertiary hospital. Eur Res J. 2018;5:341-9.
Okeji M, Idigo F, Anakwue A-M, Nwogu U. Knowledge of Chemical Hazards and Prevalence of Darkroom Diseases among Darkroom Technicians and Assistants in Southeast, Nigeria. Am Med J. 2015;6:27-30.
Sheshi IM, Agbana EB. Prevalence of occupational diseases and practice of safety control measures among health workers of general hospital Minna. Facta Universitatis, Series: Working and Living Environmental Protection. 2019:147-65.
Aguwa EN, Arinze-Onyia SU, Ndu A. Use of personal protective equipment among health workers in a tertiary health institution, South East Nigeria: Pre-Ebola Period. Int J Health Sci Res. 2016;6(8):12-8.
Ogbonda P, Douglas K, Moore B. Knowledge and Compliance with Standard Precautions amongst Healthcare Workers in Selected Hospitals in Rivers State, Nigeria. Asian J Med Health. 2020:11-22.
Iliyasu G, Dayyab FM, Habib ZG. Knowledge and practices of infection control among healthcare workers in a Tertiary Referral Center in North-Western Nigeria. Ann Af Med. 2016;15(1):34.
Schwartz D, Shapira S, Bar-Dayan Y. Health Care Workers’ Knowledge and Confidence in Personal Protective Equipment During the H1N1 Pandemic in Israel. Disaster Med Public Health Preparedness. 2014;8:1-8.
Gralton J, Rawlinson W, McLaws ML. Health care workers' perceptions predicts uptake of personal protective equipment. Am J Infect Control. 2012;41.
Honarbakhsh M, Jahangiri M, Ghaem H. Knowledge, perceptions and practices of healthcare workers regarding the use of respiratory protection equipment at Iran hospitals. J Infect Prevent. 2018;19(1):29-36.
Hasanah H, Setiawati EP, Apriani L. Knowledge and intention to use personal protective equipment among health care workers to prevent Tuberculosis. Althea Med J. 2016;3(1):120-5.
Osungbemiro B, Adejumo O, Akinbodewa A, Adelosoye A. Assessment of Occupational Health Safety and Hazard among Government Health Workers in Ondo City, Southwest Nigeria. Br J Med Medical Res. 2016;13:1-8.