Developing an Occupational Work-related Safety Guideline for Nurses Working at General Intensive Care Units

Document Type : Original Article

Authors

1 Nurse specialist, Directorate of Health Affairs, El-Beheira, Egypt

2 Professor of Nursing Administration, Faculty of Nursing, Damanhour University, El-Beheira, Egypt

3 Assistant Professor of Nursing Administration, Faculty of Nursing, Alexandria University, Alexandria, Egypt

Abstract

Abstract: It is becoming increasingly recognized that HCWs, especially nurses, who are critical to
the delivery of safe and effective care in Intensive Care Units (ICUs), are exposed to a variety of
occupational work-related safety hazards, as well as strategies to avoid these hazards, to maintain their
health and wellbeing. Aim: to develop an occupational work-related safety guideline at general ICUs at
EL-Beheira governorate. Methods: a methodological qualitative research design was utilized at all
general ICUs affiliated to the Ministry of Health and Population (MOHP), at El-Beheira Governorate
(n=13). Subjects: two groups: nurses (n=539) divided into head nurses (n=26) and nurses (n=513); and
panel of experts (n=40), who were divided into academic experts (n=10) and professional experts
(n=30). Tools: two tools were used Occupational Work-related Hazards Questionnaire (OWHQ)
developed by the researcher and used by nurses to identify OWSH at general ICUs, and Appraisal of
Guidelines for Research & Evaluation (AGREE II) Questionnaire, developed by Brouwers et al. and
completed by academic and professional/clinical to validate the developed guideline. Results: more
than one- half of nurses got moderate level of total OWSH mean percent score. Biological hazards was
the first; followed by ergonomic, chemical, psychosocial and; lastly, physical hazards. However, the
majority of strategies or recommendations to deal with these hazards got moderate scores. Conclusion:
both academic and professional experts agreed upon the content and face validity, clarity, and quality
of the developed occupational work-related safety guideline to be used by nurses at general ICUs.
Recommendations: implementing the developed Occupational Work-related Safety guideline for
nurses working at general ICUs to enhance their safety and conduct training programs and awareness
sessions for the developed guideline

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