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61
Medicine
We will use our strengths and opportunities in the future when 
developing risk management measures in the activities of mid-level 
medical personnel. To identify the significance of various factors of 
the internal environment of the clinic, to assess their contribution to 
the overall level of risks, a quantitative SWOT analysis was conducted. 
In the clinic’s activities, strengths exceed weaknesses by 18.4%, and 
opportunities prevail over threats — by 34.6%. In order to identify 
risks in the activities of nurses, a survey of 44 nurses of the clinic was 
conducted. More than half of the respondents had extensive work ex-
perience in their specialty (16–20 years-28.9%, 21–25 years-19.1%, 
26–30 years-12.4%). The identification of risks in the activities of 
nurses caused by environmental factors affecting them directly at the 
workplace was carried out. The identification of risks in the activities 
of nurses caused by environmental factors affecting them directly at 
the workplace was carried out. The identification of risks in the activi-
ties of nurses caused by environmental factors affecting them directly 
at the workplace was carried out. The largest share of injuries is ac-
counted for those that were received by glass fragments at the time of 
opening the ampoules — 61.1%. The next most frequently is damage 
to the skin by the needles of syringes — 20.3 per cent. 11.4% of the 
total amount is accounted for injuries associated with the installa-
tion of infusion systems (puncture needles of peripheral venous cath-
eters) and injuries caused by other cutting objects. At the time of per-
forming the procedures, 11.4% of all injuries were received. After the 
end of the manipulations, 20.3% of injuries were caused during the 
disassembly of the syringe and 5.2% during the disposal of waste. In-
juries were mostly accidental, as evidenced by their uniqueness, and 
were received mainly by glass fragments at the time of opening the 
ampoules and, less often, by needles of syringes. Compounding the 
situation in the clinic, the high amount of stress placed on nurses, in 
terms of volume of work performed during the shift and number of 
shifts. We obtained generalized indicators of the risk of developing 
diseases in the activities of the nurses of the clinic using the Fine-
Kinney method. The highest risk is acute respiratory diseases, acute 
respiratory viral diseases and allergic rhinitis (228 points), it is clas-
sified as a high-risk category and requires immediate improvements. 
The risk of developing chronic bronchitis and viral hepatitis was esti-
mated at 92 points and is classified as a serious risk that requires im-
provements. Bronchial asthma (55 points), diseases of the musculo-
skeletal system (53 points) and dermatitis (38 points) belong to the 
group of possible risks and their prevention should be paid atten-
tionThe risk of developing varicose veins of the lower extremities (14 
points) is small, possibly acceptable. The obtained generalized indica-
tors of the risk of developing diseases allowed us to conclude that the 
highest risk in the activities of the clinic’s nursing staff is acute respi-
ratory diseases, acute respiratory viral diseases and allergic rhinitis, it 
belongs to the category of high risk and requires immediate improve-
ments. The risk of developing chronic bronchitis and viral hepatitis 
is classified as a serious risk that requires improvements. Bronchial 
asthma, diseases of the musculoskeletal system and dermatitis belong 
to the group of possible risks and their prevention should be paid at-
tention. The risk of developing varicose veins of the lower extremities 
is small, possibly acceptable.


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