Ditemukan 8 dokumen yang sesuai dengan query :: Simpan CSV
NSSI.Needle-stick and Sharp Injuries (NSSI) are incidents of cuts, punctures, scratches, slashes caused by medical instruments such as syringes and other sharp objects accidentally while working, NSSI is the most common type of injury in the scope of health services. The purpose of this study was to determine and identify risk factors (individual characteristics/factors, unsafe behavior and unsafe work environment) associated with NSSI incidents in nurses at XYZ Hospital. This study was an observational study, using a cross-sectional study design. The sample taken was 172 nurses who worked in the Inpatient Installation, Emergency Installation and Central Surgical Installation. The variables in this study consisted of independent variables, namely individual characteristics/factors, unsafe behavior and unsafe work environment, while the dependent variable was the incident of NSSI. Data collection was carried out by distributing questionnaires, with data analysis techniques, namely univariate and bivariate. The results showed that most nurses had never experienced an NSSI incident within a period of one year, namely 81.4%. Another 18.6% had experienced NSSI at least once in a year. There was a significant relationship between work environment factors, namely supervision, and NSSI incidents, indicating that the view of supervision is a protective factor from NSSI incidents.
Keselamatan kerja pada jalur hauling di industri pertambangan batubara merupakan aspek penting yang memerlukan perhatian serius, mengingat tingginya risiko kecelakaan kerja pada aktivitas pengangkutan material. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kecelakaan kerja dan menyusun model pencegahan berbasis Human Factor Analysis and Classification System for Mining Industry (HFACS-MI) serta metode investigasi Australian Transport Safety Bureau (ATSB). Pendekatan campuran digunakan dalam penelitian ini, dengan data kuantitatif diperoleh melalui survei terhadap 420 operator dump truck di tiga perusahaan tambang terbuka di Kalimantan, serta data kualitatif dari wawancara mendalam, Focus Group Discussion (FGD), dan observasi langsung di lapangan. Analisis regresi linier berganda digunakan untuk menguji pengaruh enam variabel independen faktor eksternal, pengaruh organisasi, kepemimpinan tidak berkeselamatan, pengendalian risiko, kondisi lingkungan, dan tindakan individu terhadap kecelakaan. Hasil penelitian menunjukkan bahwa seluruh variabel memiliki pengaruh signifikan, dengan kepemimpinan tidak berkeselamatan dan kondisi lingkungan sebagai faktor dominan penyebab kecelakaan. Temuan ini mengindikasikan perlunya penguatan pengawasan, perbaikan perilaku kerja operator, serta peningkatan kualitas jalur hauling. Model pencegahan yang diusulkan menitikberatkan pada penguatan kepemimpinan, pengendalian risiko, dan perawatan infrastruktur hauling secara berkelanjutan untuk menurunkan angka kecelakaan kerja di sektor pertambangan.
Occupational safety in hauling roads within the coal mining industry is a critical aspect that requires serious attention, considering the high risk of work accidents during material transportation activities. This study aims to analyze the factors influencing occupational accidents and to develop a preventive model based on the Human Factor Analysis and Classification System for Mining Industry (HFACS-MI) and the Australian Transport Safety Bureau (ATSB) investigation method. A mixed-method approach was used, with quantitative data collected through a survey of 420 dump truck operators across three open-pit mining companies in Kalimantan, and qualitative data gathered from in-depth interviews, focus group discussions (FGDs), and direct field observations. Multiple linear regression analysis was employed to assess the influence of six independent variables external factors, organizational influence, unsafe leadership, risk control, environmental conditions, and individual actions on work accidents. The results indicated that all variables had a significant effect, with unsafe leadership and environmental conditions emerging as the dominant contributing factors. These findings highlight the need to strengthen supervision, improve operator behavior, and enhance the quality of hauling road infrastructure. The proposed accident prevention model emphasizes the reinforcement of leadership roles, risk control management, and continuous improvement of hauling infrastructure to reduce the incidence of occupational accidents in the mining sector.
Falls are the leading cause of unintentional injuries in preschool-aged children, and prinarily occur in the home environment. Injuries from falls at an early age have the potential to cause long-term effects on a child's physical, cognitive, and neurological development. Previous research has focused more on identifying risk factors and the occurrence of injuries, while this study aims to model the success of fall prevention in children based on a household-based risk management framework. This approach integrates the Safety I–III and the Theory of Graceful Extensibility (TGE) to evaluate the protective and adaptive capacity of family systems in sustaining child safety. The study used a cross-sectional design with 167 primary caregivers of preschool-aged children in Depok, who care for children in household settings. Data was collected through a questionnaire developed based on four main factors: the child, the home, the agent, and the companion's knowledge. The analysis was conducted in stages using Rasch measurement to test the validity and reliability of the instrument, Principal Component Analysis (PCA) to determine factor scores, Receiver Operating Characteristic (ROC) to establish the cut-off point for protective categories, and Bayesian Network and Bayesian Logistic Regression to map the probabilistic relationships between factors.
The results show that 65.3% of children experienced at least one fall in the past six months. The developed instrument proved to be valid and reliable in measuring the protective capacity of families against falls in children. Based on modeling results, the baseline probability of successful fall prevention for children, at 42%, reflects the limitations of the family system's protective capacity in actual conditions. Through sensitivity analysis, home factors and child factors were identified as the main protective factors against the success of fall prevention. Protective home and child conditions triple the system's chances of success (OR = 3.14). Furthermore, the what-if scenario simulation shows that strengthening home and child factors are the main leverage points in the system that can increase the probability of success in prevention by 53% and 52% respectively. Companion knowledge and agent factors play a role as adaptive enhancers in the next layer of protection.
The implication of these findings is the need to develop a household-based fall prevention program in the form of a layered protection system (barrier-based approach). The first barrier prioritizes strengthening home and child factors in parallel and interactively through improving the physical environment of the home and increasing knowledge and shaping basic child safety behaviors according to the developmental stage. The second barrier focuses on strengthening caregivers' knowledge, while the third barrier concentrates on controlling agent factors through arranging furniture and children's toys.
The success of fall prevention in preschool-aged children at home is the result of the adaptive and dynamic performance of the family system. Integrating risk management, Safety I–III, and the Theory of Graceful Extensibility allows fall prevention to be understood as a positive safety outcome resulting from the family system's capacity.