Investigation of the relationship between working tension and health literacy and approach to communicable diseases in hospital employees

In our study, the stress levels of the hospital staff related to their duties and their knowledge about general health and communicable diseases were examined. It is targeted that the deficiencies of the employees, if any, can be seen and contribute to the studies to be carried out on this issue and as a result, the incidence of infectious diseases originating from hospitals is reduced. This study was carried out on 300 health workers (doctor, nurse / health officer, emergency medical technician, paramedic, laboratory worker, health technician, patient caretaker and cleaning staff, etc.) working at Van YYÜ Dursun Odabaş Medical Center. Face to face survey method was used. Our questionnaire consists of a demographic information form prepared by scanning the literature, and a questionnaire form consisting of 44 questions that measure the level of knowledge about infectious diseases and prevention from these diseases and consists of a work-related tension scale consisting of 18 questions and an adult health literacy scale consisting of 23 questions. Our research is a cross-sectional descriptive survey study, which is in the form of multiple choice and filling the spaces. One-Way Variance Analysis, Chi-square test and Pearson Correlation Analysis tests were used in the statistical analysis of the data. P <0.05 value was considered statistically significant. 43.7% (n = 131) of the healthcare workers included in the study are women and 56.3% (n = 169) are men. 33.7% (n = 101) of the participants were doctors, 33% (n = 99) nurses/health officers and 33.3% (n = 100) cleaning staff/caregivers. Health workers participating in the study are at most 30-35 age range with 35.3% (n = 106). 72% (n = 216) of the participants had 1-10 years of professional experience. 86% of employees (n = 258) work 40 hours or more per week. 40.7% (n = 130) of the participants work in internal units. 64% (n = 192) of the participants had a bachelor's degree and above. In general, only 34% (n = 102) of the participants in our study stated that they received any training on infectious diseases in the hospital, while only 27.7% (n = 28) of the doctors received any in-service training. It was determined that 33.3% (n = 100) of the participants had previously contacted the patient who with any infectious disease. It was determined that 36% of those who were cleaning staff / caregiver did not know about anthrax and 31% did not know about the transmission path of the CCHF disease factor. It was determined that 76.5% of the individuals in our study who considered themselves sufficient about infectious diseases did not apply any preventive method after risky contact. It was determined that 11.3% (n = 34) of the participants did not make any vaccines in the national vaccination program. 3.3% (n = 10) of the respondents said that after any medical intervention they had done from one patient to another, they unintentionally transmitted an infectious disease factor. The total score averages that the participants in our study received from YSOÖ were determined as 15.58 ± 3.75. According to our research, among the health literacy levels of the participants; those who are new to in the task, who have a high level of education, who work more hours on a weekly basis, who themselves find sufficient for protection from infectious diseases, who make all vaccines in the national vaccination schedule completely, who say no to the possibility of transmitting disease from one to another, those who are doctors from employees and those who are satisfied with their work have higher YSOÖ results. It was found our study shows a statistically significant difference in this respect (p <0.05). The total score averages that the individuals in our study received from the IBGÖ were determined as 41.4 ± 7.49. In our study, among individuals' work-related tension levels; who works in child clinics, those who have anxiety about transmitting infectious diseases to themselves or their families due to their jobs those who accept probability of transmitting disease from one to another by mediated themselves were found to have higher IBGÖ results. these differences show statistically significant difference (p <0.05). As a result, in our study, it was noticed that even those who considered themselves sufficient about infectious diseases didn't take to receive medical support after risky contact. For active health workers there is a need to organize re-in-service training programs with more inclusive training materials and brochures on this subject, and the old training curricula should be revised in existing health faculties and it should be arranged to explain methods for protection in this way new training curricula maybe explain what will to do make pre-contact and after risky contact. Re-inclusion of all healthcare professionals in a training program, especially on BZBHs, which are more common in our country.and school curricula of health students, whose education is still continuing, should be arranged accordingly. Those who are cleaning staff / carer; anthrax, CCHF, etc., which are mostly seen as endemic in our country It was determined that it should be taken into a training program again in terms of diseases prevention methods. It was noticed that among the participants, those without vaccines. In this regard, training programs on vaccines and the importance of vaccines should be organized, and healthcare workers who have never been vaccinated should be vaccinated by the infection unit or by directing them to their own family physician. The health literacy level of both healthcare workers and the society will be increased by regularly taking in-service trainings with cleaning staff / caregivers and those with less education level, or by improving the university curricula. Even if there has been an increase in our country in recent years, it can be suggested to carry out current studies on SOY since sufficient levels have not been reached yet. The healthcare workers' thoughts about infecting themselves or their families have been identified and it has been determined that they experience stress due to these thoughts, therefore, it is necessary to provide healthcare professionals with materials and new medical technologies that will reduce the possibility of infection also should disinfect the clothes that healthcare workers wears after work or they have to be made compulsory to work with business uniforms to be given by the hospital management during work. Due to the decrease in work-related stress and tension in the hospital, increase in the wages and payment in time of the will have a positive effect. Also, increasing the number of employees in places such as ICU, which are risky departments, and the reduce of working hours on a weekly basis will also reduce the work-related tension, will increase motivation positively. Since the well-motivated healthcare workers will do their jobs more willingly, the satisfaction of our patients, who are health buyers, will be increased. In addition, it is thought that the results obtained in this research will contribute to similar studies to be carried out from now on.