İntörnlerin Çalışma Ortamında Karşılaştıkları Risklerin Değerlendirilmesi / Assessing the Risks that Interns Meet in the Working Environment

Amaç: Sağlık profesyonellerinin çalışma ortamları, çalışanların sağlığı için riskli alanlardan biridir. Tıp fakültesi öğrencileri, özellikle de intörnler, eğitimleri ve hastanelerdeki klinik uygulamaları sırasında bu risklere maruz kalmaktadırlar. Bu çalışmada, Tıp Fakültesi’nde öğrenim gören intörnlerin karşılaştıkları bazı mesleki risklerin ve işle ilgili şikayetlerinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı tipteki çalışmaya 2016 yılında bir Tıp Fakültesi Hastanesinde öğrenim gören tüm intörnler dahil edilmiştir. Veriler araştırmacı tarafından geliştirilen anket formu ile toplanmış ve SPSS 22.0 paket programında analiz edilmiştir. Veriler sayı, yüzdelik, ortalama ve ortanca ile ifade edilmiştir. Bulgular: İntörnlerin %87'sinin çalışma süresi haftalık 45 saati aşmaktadır. Çalışma ortamı ve koşullarıyla ilişkili olarak uykusuzluk (%84,3), yorgunluk (%79,1), yeterli ve dengeli beslenememe(%76,9), sosyal kısıtlılık (%75,4), boyun ve sırt ağrısı (%57,5) gibi şikayetlerinin olduğu belirlenmiştir. İntörnler en sık biyolojik etkenler (%92,5’i) ile karşılaşabileceklerini ifade etmişlerdir. İntörnlerin delici-kesici aletle yaralanması sıklığı %73,9 olup, yaralananların %86’sı yaralanma sırasında eldiven kullandıklarını belirtmişlerdir. Son bir yılda hasta ve/veya hasta yakınları tarafından şiddete uğrama sıklığının %61,9 olduğu tespit edilmiştir. Sonuç: Sağlıklarını tehdit eden ve en sık karşılaşılan risk faktörleri fazla çalışma süresi ve delici-kesici alet yaralanması olarak belirlenmiştir. Ayrıca şiddet oranındaki yükseklik de dikkat çekici bulunmuştur. Tıp fakültesi ve eğitim veren hastanelerin yöneticilerinin, risk faktörlerini azaltılmaya yönelik düzenlemeler yapması ve intörnlerde de mesleki risk faktörleri açısından farkındalığın arttırılması önerilmektedir

Anahtar Kelimeler:

İntörn, tıp öğrencisi, mesleki maruziyet

Assessing the Risks that Interns Meet in the Working Environment

Objective: The working environments of health professionals are one of the risky areas for employees' health. Medical faculty students especially intens, are exposed to these risks during their training and clinical practices in hospitals. In this study, it was aimed to determine some occupational risks and work-related complaints encountered by the interns who were educated at a Faculty of Medicine. Materials and Methods: All the interns trained at the Faculty of Medicine Hospital in 2016 were included in the descriptive study.The data were collected by the questionnaire developed by the researcher and analyzed in the SPSS 22.0 package program. The data were evaluatedin terms of number, percentile, mean and median. Results: The study period of 87% of interns exceeds 45 hours per week. Regarding with the working environment and conditions; There were complaints such as insomnia (84.3%), fatigue (79.1%), adequate and balanced nutrition (76.9%), social limitation (75.4%) and neck and back pain (57.5%).Interns said that they could most frequently encountered with biological agents (92.5%). The prevalence of interns injuries with penetrating-cutting instruments was 73.9%, and 86% of the injuries stated that they used gloves during the injury. It has been determined that the frequency of being exposed to violance by patients and/or relatives is 61.9%. Conclusion: The most common risk factors that threaten their health have been identified as overtime and needlestick and sharps injuries. In addition, the height of the violence rate is also remarkable. It is suggested that managers of medical faculties and training hospitals should make regulations to reduce risk factors. It is also proposed to increase awareness in terms of occupational risk factors in the interns.

Keywords:

Intern, medical student, occupational exposure,

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