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  1. Article ; Online: Discrimination in In-Patient Geriatric Care: A Qualitative Study on the Experiences of Employees with a Turkish Migration Background.

    Ulusoy, Nazan / Schablon, Anja

    International journal of environmental research and public health

    2020  Volume 17, Issue 7

    Abstract: In most studies, nurses with a migrant background report experiences of interpersonal discrimination. These often occur in interaction with those in need of care. However, in Germany this topic has remained largely unexplored, although a large proportion ...

    Abstract In most studies, nurses with a migrant background report experiences of interpersonal discrimination. These often occur in interaction with those in need of care. However, in Germany this topic has remained largely unexplored, although a large proportion of the employees in geriatric care have a migration background. The aim of the study was to investigate whether care workers with Turkish migration background in in-patient geriatric care are exposed to discrimination from residents. Furthermore, the reasons for discrimination, handling of discrimination and recommendations for in-patient geriatric facilities to avoid/reduce discrimination were examined. In a qualitative, explorative study, 24 employees with Turkish migrant background working in in-patient geriatric care were interviewed in 2017. The semi-structured interviews were evaluated using a qualitative content analysis according to Mayring. The majority (N = 20) experienced or observed discrimination. This occurred mainly in the form of xenophobic insults and rejections. They perceived visible traits (dark hair and eye color, clothing) as potential reasons. To deal with the discrimination, most of them temporarily left the scene. They recommend that institutions should primarily make the diversity of the workforce transparent to avoid/reduce discrimination. More research is needed about discrimination against care workers with migration background because discrimination may have serious psychological effects that impact employee retention and the quality of care.
    MeSH term(s) Adult ; Emigrants and Immigrants ; Eye Color ; Female ; Geriatrics ; Germany ; Health Personnel ; Humans ; Language ; Male ; Middle Aged ; Qualitative Research ; Turkey ; Xenophobia
    Language English
    Publishing date 2020-03-25
    Publishing country Switzerland
    Document type Journal Article
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17072205
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Interventions for Workplace Violence Prevention in Emergency Departments: A Systematic Review.

    Wirth, Tanja / Peters, Claudia / Nienhaus, Albert / Schablon, Anja

    International journal of environmental research and public health

    2021  Volume 18, Issue 16

    Abstract: Emergency departments (EDs) are high-risk settings for workplace violence, but interventions to prevent violent incidents and to prepare staff are not yet consistently implemented, and their effectiveness is often unclear. This study aims to summarise ... ...

    Abstract Emergency departments (EDs) are high-risk settings for workplace violence, but interventions to prevent violent incidents and to prepare staff are not yet consistently implemented, and their effectiveness is often unclear. This study aims to summarise evidence on workplace violence prevention interventions that were implemented in EDs to reduce violent incidents caused by patients/relatives or to increase the knowledge, skills or feelings of safety of ED staff. A systematic review was conducted. The databases MEDLINE, Web of Science, Cochrane Library, CINAHL and PsycINFO were searched for studies dated between January 2010 and May 2021. Interventional and observational studies reporting on behavioural, organisational or environmental interventions among healthcare workers in hospital EDs were included. Studies were assessed for methodological quality using the Johanna Briggs Institute Tools. Key findings of studies were summarised narratively. Fifteen studies were included, of which eleven examined behavioural interventions (classroom, online or hybrid training programmes) on de-escalation skills, violent person management or self-defence techniques. Four studies included in addition, organisational and environmental interventions. Most studies showed that interventions had a positive effect in the form of a reduction of violent incidents or an improvement in how prepared staff were to deal with violent situations; however, evidence is still sparse. Further studies should consider in particular, environmental and organisational interventions and ensure a high methodological quality.
    MeSH term(s) Aggression ; Emergency Service, Hospital ; Health Personnel ; Humans ; Workplace ; Workplace Violence/prevention & control
    Language English
    Publishing date 2021-08-10
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph18168459
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Risk of Occupational Latent Tuberculosis Infection among Health Personnel Measured by Interferon-Gamma Release Assays in Low Incidence Countries-A Systematic Review and Meta-Analysis.

    Peters, Claudia / Kozak, Agnessa / Nienhaus, Albert / Schablon, Anja

    International journal of environmental research and public health

    2020  Volume 17, Issue 2

    Abstract: Healthcare workers (HCWs) have increased risk for latent tuberculosis infection (LTBI) and tuberculosis (TB) disease due to their occupational exposure. For some years now, interferon-γ release assays (IGRAs) have replaced the tuberculin skin test for ... ...

    Abstract Healthcare workers (HCWs) have increased risk for latent tuberculosis infection (LTBI) and tuberculosis (TB) disease due to their occupational exposure. For some years now, interferon-γ release assays (IGRAs) have replaced the tuberculin skin test for the diagnosis of LTBI in many countries. This review examined the occupational risk of LTBI in HCWs with IGRA testing in low incidence countries. A systematic review and meta-analysis of studies from 2005 onwards provide data regarding the prevalence of LTBI in HCWs. In addition, the pooled effect estimates were calculated for individual regions and occupational groups. 57 studies with 31,431 HCWs from four regions and a total of 25 countries were analysed. The prevalence of LTBI varied from 0.9 to 85.5%. The pooled estimation found the lowest prevalence of LTBI for North American and West Pacific countries (<5%), and the highest prevalence for Eastern Mediterranean countries (19.4%). An increased risk for LTBI was found only for administrative employees. Studies on the occupational risk of LTBI continue to show increased prevalence of HCWs, even in low-incidence countries. Good quality studies will continue to be needed to describe occupational exposure.
    MeSH term(s) Health Personnel ; Humans ; Interferon-gamma Release Tests ; Latent Tuberculosis/diagnosis ; Latent Tuberculosis/epidemiology ; Occupational Exposure ; Prevalence
    Language English
    Publishing date 2020-01-16
    Publishing country Switzerland
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17020581
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Interventions for Workplace Violence Prevention in Emergency Departments

    Tanja Wirth / Claudia Peters / Albert Nienhaus / Anja Schablon

    International Journal of Environmental Research and Public Health, Vol 18, Iss 8459, p

    A Systematic Review

    2021  Volume 8459

    Abstract: Emergency departments (EDs) are high-risk settings for workplace violence, but interventions to prevent violent incidents and to prepare staff are not yet consistently implemented, and their effectiveness is often unclear. This study aims to summarise ... ...

    Abstract Emergency departments (EDs) are high-risk settings for workplace violence, but interventions to prevent violent incidents and to prepare staff are not yet consistently implemented, and their effectiveness is often unclear. This study aims to summarise evidence on workplace violence prevention interventions that were implemented in EDs to reduce violent incidents caused by patients/relatives or to increase the knowledge, skills or feelings of safety of ED staff. A systematic review was conducted. The databases MEDLINE, Web of Science, Cochrane Library, CINAHL and PsycINFO were searched for studies dated between January 2010 and May 2021. Interventional and observational studies reporting on behavioural, organisational or environmental interventions among healthcare workers in hospital EDs were included. Studies were assessed for methodological quality using the Johanna Briggs Institute Tools. Key findings of studies were summarised narratively. Fifteen studies were included, of which eleven examined behavioural interventions (classroom, online or hybrid training programmes) on de-escalation skills, violent person management or self-defence techniques. Four studies included in addition, organisational and environmental interventions. Most studies showed that interventions had a positive effect in the form of a reduction of violent incidents or an improvement in how prepared staff were to deal with violent situations; however, evidence is still sparse. Further studies should consider in particular, environmental and organisational interventions and ensure a high methodological quality.
    Keywords emergency service ; hospital ; health personnel ; workplace violence ; prevention ; occupational health ; Medicine ; R
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: COVID-19 infections in staff of an emergency care hospital after the first wave of the pandemic in Germany.

    Stüven, Philipp / Mühlenbruch, Georg / Evenschor-Ascheid, Agnes / Conzen, Ellen / Peters, Claudia / Schablon, Anja / Nienhaus, Albert

    GMS hygiene and infection control

    2022  Volume 17, Page(s) Doc04

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2022-03-01
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2717852-3
    ISSN 2196-5226
    ISSN 2196-5226
    DOI 10.3205/dgkh000407
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Occupational Infection Risk with Multidrug-Resistant Organisms in Health Personnel-A Systematic Review.

    Peters, Claudia / Dulon, Madeleine / Nienhaus, Albert / Schablon, Anja

    International journal of environmental research and public health

    2019  Volume 16, Issue 11

    Abstract: The increase in multi-drug-resistant organisms (MDROs) in the last years has become a public health problem. MDROs are partially responsible for numerous nosocomial infections, extended hospital stays, high costs, and high mortality. In addition to ... ...

    Abstract The increase in multi-drug-resistant organisms (MDROs) in the last years has become a public health problem. MDROs are partially responsible for numerous nosocomial infections, extended hospital stays, high costs, and high mortality. In addition to methicillin-resistant
    MeSH term(s) Anti-Bacterial Agents/pharmacology ; Bacteria/drug effects ; Bacterial Infections/microbiology ; Drug Resistance, Multiple, Bacterial ; Health Personnel ; Humans ; Occupational Exposure
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2019-06-04
    Publishing country Switzerland
    Document type Journal Article ; Systematic Review
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph16111983
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Inter-library loan at ZB MED

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  7. Article: MRSA prevalence among patient transport staff in Hamburg.

    Schablon, Anja / Kleinmüller, Olaf / Nienhaus, Albert / Peters, Claudia

    GMS hygiene and infection control

    2018  Volume 13, Page(s) Doc03

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2018-03-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2717852-3
    ISSN 2196-5226
    ISSN 2196-5226
    DOI 10.3205/dgkh000309
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Risk of Occupational Latent Tuberculosis Infection among Health Personnel Measured by Interferon-Gamma Release Assays in Low Incidence Countries—A Systematic Review and Meta-Analysis

    Claudia Peters / Agnessa Kozak / Albert Nienhaus / Anja Schablon

    International Journal of Environmental Research and Public Health, Vol 17, Iss 2, p

    2020  Volume 581

    Abstract: Healthcare workers (HCWs) have increased risk for latent tuberculosis infection (LTBI) and tuberculosis (TB) disease due to their occupational exposure. For some years now, interferon-γ release assays (IGRAs) have replaced the tuberculin skin test for ... ...

    Abstract Healthcare workers (HCWs) have increased risk for latent tuberculosis infection (LTBI) and tuberculosis (TB) disease due to their occupational exposure. For some years now, interferon-γ release assays (IGRAs) have replaced the tuberculin skin test for the diagnosis of LTBI in many countries. This review examined the occupational risk of LTBI in HCWs with IGRA testing in low incidence countries. A systematic review and meta-analysis of studies from 2005 onwards provide data regarding the prevalence of LTBI in HCWs. In addition, the pooled effect estimates were calculated for individual regions and occupational groups. 57 studies with 31,431 HCWs from four regions and a total of 25 countries were analysed. The prevalence of LTBI varied from 0.9 to 85.5%. The pooled estimation found the lowest prevalence of LTBI for North American and West Pacific countries (<5%), and the highest prevalence for Eastern Mediterranean countries (19.4%). An increased risk for LTBI was found only for administrative employees. Studies on the occupational risk of LTBI continue to show increased prevalence of HCWs, even in low-incidence countries. Good quality studies will continue to be needed to describe occupational exposure.
    Keywords latent tuberculosis infection (ltbi) ; health personnel ; occupational risk ; interferon-gamma release assays (igra) ; low incidence countries ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Tuberculosis among Health Workers-A Secondary Data Analysis of German Social Accident Insurance Data from 2002-2017.

    Kersten, Jan Felix / Nienhaus, Albert / Schneider, Stephanie / Schablon, Anja

    International journal of environmental research and public health

    2020  Volume 17, Issue 5

    Abstract: Tuberculosis (TB) is the most common cause of fatal infections worldwide. Recent TB figures in Europe indicate that 30 people were infected with tuberculosis each hour in 2017. Healthcare workers are at particular risk of being infected through patient ... ...

    Abstract Tuberculosis (TB) is the most common cause of fatal infections worldwide. Recent TB figures in Europe indicate that 30 people were infected with tuberculosis each hour in 2017. Healthcare workers are at particular risk of being infected through patient contact. TB is the second most common occupational infectious disease among German healthcare workers. Routine data from the German Social Accident Insurance were used to examine trends in occupational TB diseases. We analyzed annual cross-sectional data for the years 2002 to 2017. The data underwent descriptive analysis. A total of 4653 TB cases were recognized as occupational diseases (OD) in the period under study. In 2002, 60 TB cases were recognized as OD No. 3101, i.e., transmissions from person to person. Since 2013, the level has settled at around 500 recognized cases per year. This is around eight times the number of cases compared to 2002. The following three groups collectively accounted for the largest share of TB cases (88.5%): nurses (including geriatric nurses), other healthcare employees, and physicians. The upward trend in the number of TB cases recognized as occupational diseases is probably due to improvements in diagnostic tests used to diagnose TB infections. TB in health and welfare workers remains an important issue in the health and welfare sector in Germany, partly due to the long latency period between potential exposure to infectious patients or materials and the recognition of the latent tuberculosis infection (LTBI) or active TB as OD.
    MeSH term(s) Cross-Sectional Studies ; Data Analysis ; Germany/epidemiology ; Health Personnel ; Humans ; Insurance, Accident ; Occupational Diseases/epidemiology ; Tuberculosis/epidemiology
    Language English
    Publishing date 2020-02-28
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17051564
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Risk Analysis of Latent Tuberculosis Infection among Health Workers Compared to Employees in Other Sectors.

    Hermes, Lisa / Kersten, Jan Felix / Nienhaus, Albert / Schablon, Anja

    International journal of environmental research and public health

    2020  Volume 17, Issue 13

    Abstract: Latent tuberculosis infection (LTBI) represents a work-related risk for health workers (HWs). Tuberculosis remains the second most common occupational infectious disease among HWs in Germany. Comparative figures on LTBI prevalence in the general ... ...

    Abstract Latent tuberculosis infection (LTBI) represents a work-related risk for health workers (HWs). Tuberculosis remains the second most common occupational infectious disease among HWs in Germany. Comparative figures on LTBI prevalence in the general population are missing because testing is only carried out in the context of an outbreak situation. The objective of this study is to investigate whether HWs are at greater risk of LTBI than workers in other sectors. This study is based on two samples. The first sample is a database of HWs who were examined by the German Occupational Physicians Network using an interferon-gamma release assay (IGRA). The second sample consists of general employees (non-health workers, non-HWs) from Hamburg who had no professional contact with the health care system. Propensity score matching (PS matching) was performed to ensure better comparability of the groups. The differences in the prevalence of positive test results from IGRAs were examined using univariate and multivariate analyses. After the PS matching of 1:10, 100 test subjects in the non-HW group and 1000 HWs remained to form the analysis collective. The HWs tended to exhibit higher IGRA values than non-HWs. The univariate analysis showed an odds ratio (OR) of 3.86 for the HWs (95% confidence interval (CI): 0.99 to 32.5;
    MeSH term(s) Adult ; Female ; Germany/epidemiology ; Health Personnel ; Humans ; Interferon-gamma Release Tests ; Latent Tuberculosis/diagnosis ; Latent Tuberculosis/epidemiology ; Male ; Occupations ; Prevalence ; Risk Assessment ; Tuberculosis/epidemiology
    Language English
    Publishing date 2020-06-28
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17134643
    Database MEDical Literature Analysis and Retrieval System OnLINE

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