Objectives: The study aimed at assessment of the Polish occupational medicine service system after over ten years of functioning in the current shape, made by occupational nurses. The article focuses on the job satisfaction level among Polish occupational medicine nurses. Materials and Methods: The survey was performed among 600 randomly selected occupational medicine nurses, registered in the regional occupational medicine centers. A questionnaire, designed by the research team, containing several questions concerning different aspects of OMS system assessment, including a part dedicated to job satisfaction assessment, was sent to the selected occupational nurses. The response rate was 33.3% (200 questionnaires). Results: The survey shows a relatively high satisfaction level in case of five out of eleven investigated job aspects, and a very low satisfaction level in case of two of them (“Possibility of professional promotion”, “Salary”). 26% of the OMS nurses had considered going abroad to work as a nurse in the general health care system, and 17% in the OHS system. Almost 25% of them would not choose a profession of an occupational nurse once again, including 10% who would not choose a nurse job at all. There is a statistically significant correlation between the general job satisfaction and satisfaction with other aspects of nursing work. A strong correlation was observed in case of “Scope of performed tasks” and “Cooperation with employers (clients of the occupational medicine service units)”. There is a statistically significant correlation of average strength between the decision concerning choosing an occupational nurse job in case of taking a decision on professional carrier once again and “General job satisfaction”. Conclusion: Polish occupational nurses are satisfied with their job, however only 26% are fully satisfied. In their work there is place for improvement. The areas which definitely need attention and improvement are “Possibility of professional promotion” and “Salary”. Improvements in cooperation between occupational nurses and physicians can make it close to the best practice.
Wstęp Celem badania było zdobycie wiedzy na temat świadomości lekarzy i pielęgniarek medycyny pracy w zakresie zadań zawodowych wykonywanych przez kolegów/koleżanki z zespołów tworzonych przez lekarza i pielęgniarkę służby medycyny pracy (SMP). Materiał i metody Badanie przeprowadzono z wykorzystaniem ankiety pocztowej rozesłanej do jednostek SMP z terenu Polski, w których pracują zespoły lekarz–pielęgniarka. Analiza uwzględnia odpowiedzi przesłane przez 232 zespoły lekarz–pielęgniarka. Wyniki Wiedza na temat zadań wykonywanych w ramach tego samego zespołu przez kolegów/koleżanki wydaje się niewielka. Respondentów poproszono o wskazanie osób wykonujących w ramach zespołu lekarz–pielęgniarka zadania SMP wymienione w ustawie o służbie medycyny pracy. W przypadku zaledwie 3 spośród 21 grup zadań rozbieżność odpowiedzi nie przekraczała 30%. Niektóre zadania są wykonywane przez profesjonalistów bez udziału innych osób. Duża część ankietowanych wykazywała niewiedzę na temat zadań wykonywanych przez partnera z zespołu. Wnioski Lekarze i pielęgniarki medycyny pracy w Polsce wykonują zróżnicowane zadania. Pielęgniarki, oprócz zadań typowo medycznych, pełnią w swoich jednostkach także ważne funkcje organizacyjne. Należy zauważyć, że współpraca między tymi dwoma grupami zawodowymi w ramach systemu ochrony zdrowia pracujących jest w pewnym stopniu zakłócana przez niewystarczającą komunikację interpersonalną. Należy dążyć do poprawy w tym obszarze w celu poprawy funkcjonowania całego systemu służby medycyny pracy. Med. Pr. 2015;66(5):625–633
EN
Background The goal of the study has been to learn about physicians’ and nurses’ awareness of the professional activities that are being performed by their colleague in the physician–nurse team. Material and Methods Postal questionnaires were sent out to occupational physicians and nurses in Poland. The analysis includes responses from 232 pairs of physician–nurse teams. Results The knowledge among occupational professionals about tasks performed by their colleagues in the physician–nurse team seems to be poor. Respondents were asked about who performs tasks from each of 21 groups mentioned in the Occupational Medicine Service Act. In the case of only 3 out of 21 groups of tasks, the rate of non-consistence in answers was lower than 30%. A specified number of professionals performed their tasks on the individual basis. Although in many cases their team colleagues knew about those activities, there was a major proportion of those who had no awareness of such actions. Conclusions Polish occupational physicians and nurses perform a variety of tasks. Occupational nurses, besides medical role, also play important organizational roles in their units. The cooperation between the two professional groups is, however, slightly disturbed by the deficits in communication. This issue needs to be improved for the betterment of operations within the whole system. Med Pr 2015;66(5):625–633
Objectives In the contemporary Western culture, working population health issues, stressed in various publications, have been perceived as a crucial part of public health. To deal with occupational health issues properly, occupational health services (OHS), aiming at the protection of the workers’ health, are organized in many countries. The survey was to find the differences in occupational health systems that the European Economic Area countries use in order to execute prophylactic activities focused on diseases of affluence and how the OHS are used for health promotion actions. Material and Methods The survey was conducted with the use of an on-line expert questionnaire. No deep statistical analysis was performed as for the designed aims of the study simple statistics were sufficient. Results All the reviewed countries have organized OHS. The funding mechanisms are based mainly on the financial involvement of employers. In the majority of countries, the main goal of the OHS is certification of the ability to work. Workplace surveillance aiming at the occupational risk assessment and health promotion activities that focus on work-related and/or occupational diseases are the most popular services provided within national systems. Conclusions Occupational health professionals are well placed to perform actions directed at health promotion and prophylactics of a wide range of diseases – not only occupational/work-related, but also non-communicable, particularly life-style-related diseases of affluence. The engagement of the occupational medical services (OMS) in prevention of the non-work-related health issues would be valuable. However, it would be inevitable for employers to finance a wider range of services to a greater extent. Int J Occup Med Environ Health. 2019;32(3):353–61
Objectives The aging of the workforce is an issue that calls for concrete measures to promote the health of older workers. This study reports on the results of the European “ProHealth65+” research project interventions conducted in Poland in relation to workplace health promotion for older workers (WHPOW) and the institutions involved in these programs. Material and Methods A three-stage search of peer-reviewed and grey literature on the WHPOW in Poland. Results A total of 59 WHPOW programs were retrieved in Poland in the observation period (2000–2015). Most of these aimed at improving the Qualification and Training or at the Work Climate and attitudes toward older workers. The promotion, organization, and funding of these activities were carried out mainly by supra-national and governmental bodies, enterprises and employers, and educational and trainee institutions. Conclusions Although there is great commitment to the medical surveillance of workers on the part of the Polish occupational health service, our search detected a relatively low number of the WHPOW initiatives. Greater efforts should be made to introduce strategies for addressing aging of the workforce. Int J Occup Med Environ Health 2018;31(6):753–761
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