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Boden LI, Pan Y, Gregas M, McTernan M, Peters SE, Bhagia D, Wagner GR, Sabbath EL. Who do you ask? predicting injury rates from survey responses. Work 2024:WOR240029. [PMID: 38995756 DOI: 10.3233/wor-240029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/14/2024] Open
Abstract
BACKGROUND Few studies have addressed whether using manager or worker perceptions of safety policies and practices alone predict reported injury rates less accurately than using both. OBJECTIVE This study provides an example and describes a method that can be used to address this issue with survey instruments designed to measure safety climate, policies, or practices. METHODS Using multilevel logistic regression, we estimated the relationship between worker and manager perceptions of a given exposure and the odds of worker injury during the post-survey year for three safety scales. We tested whether surveying both workers and managers provides additional predictive value compared with surveying just one group. RESULTS Injury in the year following the survey was significantly associated with worker scores on two of the three scales. Manager responses were not significantly associated with injury and did not significantly improve injury rate prediction when added to a model with only worker survey responses. CONCLUSIONS The capacity of manager-only or worker-only perceptions of safety policies and practices to predict worker injuries should be established before choosing to survey just one or the other. The approach and findings in this paper can be applied to other survey instruments and in other settings to help make this choice.
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Affiliation(s)
- Leslie I Boden
- Department of Environmental Health, Boston University School of Public Health, Boston, Massachusetts, USA
| | - Yixin Pan
- Academic Research Services, Boston College, Chestnut Hill, MA, USA
| | - Matt Gregas
- Academic Research Services, Boston College, Chestnut Hill, MA, USA
| | - Melissa McTernan
- Academic Research Services, Boston College, Chestnut Hill, MA, USA
| | - Susan E Peters
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Div Bhagia
- Department of Economics, California State University, Fullerton, CA, USA
| | - Gregory R Wagner
- Harvard Center for Work, Health, and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Erika L Sabbath
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Harvard Center for Work, Health, and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA, USA
- School of Social Work, Boston College, Chestnut Hill, MA, USA
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Olson R, Johnson PW, Shea SA, Marino M, Springer R, Rice SP, Rimby J, Donovan C. The Tech4Rest Randomized Controlled Trial: Applying the Hierarchy of Controls to Advance the Sleep, Health, and Well-being of Team Truck Drivers. J Occup Environ Med 2023; 65:937-948. [PMID: 37590443 PMCID: PMC11098532 DOI: 10.1097/jom.0000000000002941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/19/2023]
Abstract
OBJECTIVE The aim of the study was to evaluate the effectiveness of interventions to improve sleep, reduce fatigue, and advance the well-being of team truck drivers. METHODS In a randomized controlled trial ( k = 24 teams; N = 49 drivers; 61.3% of planned sample), intervention teams were exposed to baseline (3-4 weeks), cab enhancements (active suspension seat, therapeutic mattress; 3-4 weeks), and cab enhancements plus a behavioral sleep-health program (1-2 months). Control teams worked as usual during the same period. RESULTS Trends in sleep-related outcomes favored the intervention. Large and statistically significant intervention effects were observed for objectively measured physical activity (a behavioral program target). The discussion of results addresses effect sizes, statistical power, intervention exposure, and work organization. CONCLUSIONS Trends, effect sizes, and significant findings in this rare trial provide valuable guidance for future efforts to improve working conditions and outcomes for team drivers.
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Affiliation(s)
- Ryan Olson
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University
- School of Public Health, Oregon Health & Science University-Portland State University
- Department of Psychology, Portland State University
| | - Peter W. Johnson
- Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington
| | - Steven A. Shea
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University
- School of Public Health, Oregon Health & Science University-Portland State University
| | - Miguel Marino
- School of Public Health, Oregon Health & Science University-Portland State University
- Department of Family Medicine, Oregon Health & Science University
| | - Rachel Springer
- Department of Family Medicine, Oregon Health & Science University
| | - Sean P.M. Rice
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University
- School of Public Health, Oregon Health & Science University-Portland State University
| | - Jarred Rimby
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University
| | - Courtney Donovan
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University
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Kwon S, Lee SJ. Underreporting of work-related low back pain among registered nurses: A mixed method study. Am J Ind Med 2023; 66:952-964. [PMID: 37635360 DOI: 10.1002/ajim.23530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 08/09/2023] [Accepted: 08/11/2023] [Indexed: 08/29/2023]
Abstract
BACKGROUND Identifying and addressing work-related health problems early is crucial, but workers often perceive barriers in reporting these to management. This study aimed to investigate the factors associated with nurses' reporting of work-related low back pain to their managers and explored the reasons why nurses with patient handling injuries did not report them. METHODS This study is a concurrent mixed-method analysis of data from two statewide cross-sectional surveys of California registered nurses conducted in 2013 and 2016. The reporting of work-related low back pain to management (n = 288) was examined for associations with individual, occupational, and organizational factors. For qualitative analysis, the reasons for not reporting patient handling injuries were explored using open-ended responses (n = 42). RESULTS Reporting was associated with BIPOC (Black, Indigenous, and People of Color) men (adjusted odds ratio [AOR]: 1.31, 95% confidence interval [CI]: 1.07-1.59) compared to non-Hispanic White women; being a non-US educated nurse (AOR: 0.90, 95% CI: 0.80-1.01); experiencing greater low back pain (AOR: 1.07, 95% CI: 1.02-1.12); missing work (AOR: 1.38, 95% CI: 1.21-2.62); perceiving high physical workload (AOR: 0.89, 95% CI: 0.81-0.98); perceiving high people-oriented culture (AOR: 1.14, 95% CI: 1.04-1.25); and perceiving high ergonomic practices (AOR: 0.89, 95% CI: 0.81-0.98). Identified themes on the reasons for not reporting injuries included organizational-culture attitudes toward work-related injuries and injury characteristics of musculoskeletal disorders. CONCLUSIONS The findings indicate a need for management to remove structural barriers and improve organizational practices, and for a culture that promotes trust and open communication between workers and management.
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Affiliation(s)
- Suyoung Kwon
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
| | - Soo Jeong Lee
- School of Nursing, University of California San Francisco, San Francisco, California, USA
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Olson R, Hess JA, Turk D, Marino M, Greenspan L, Alley L, Donovan C, Rice SPM. COMMunity of Practice And Safety Support for Navigating Pain (COMPASS-NP): study protocol for a randomized controlled trial with home care workers. Trials 2023; 24:264. [PMID: 37038235 PMCID: PMC10088173 DOI: 10.1186/s13063-023-07149-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 02/08/2023] [Indexed: 04/12/2023] Open
Abstract
BACKGROUND Chronic pain is a prevalent and costly problem that often has occupational origins. Home care workers (HCWs) are at high risk for work-related injuries, pain, and disability. Current treatments for chronic pain emphasize medications, which are an inadequate stand-alone treatment and can produce significant adverse effects. METHODS In this translational study, we will adapt an established work-based injury prevention and health promotion program (COMmunity of Practice And Safety Support: COMPASS) to address the needs of HCWs experiencing chronic pain. COMPASS employs peer-led, scripted group meetings that include educational content, activities, goal setting, and structured social support. The translated intervention, named COMPASS for Navigating Pain (COMPASS-NP), will be delivered in an online group format. Safety protections will be strengthened through an ergonomic self-assessment and vouchers for purchasing ergonomic tools. Educational content will integrate a self-management approach to chronic pain using proven cognitive-behavioral therapy (CBT) principles. We will use a mixed-methods hybrid type 2 evaluation approach to assess effectiveness and implementation. A cluster-randomized waitlist control design will involve 14 groups of 10 HCWs (n = 140) recruited from Washington, Oregon, and Idaho. Half of the groups will be randomly selected to complete the intervention during the first 10 weeks, while the waitlist groups serve as controls. During weeks 10-20, the waitlist groups will complete the intervention while the original intervention groups complete a follow-up period without further intervention. Our primary hypothesis is that COMPASS-NP will reduce pain interference with work and life. Secondary outcomes include injury and pain prevention behaviors, pain severity, changes in medication use, risk for opioid misuse, well-being, physical activity, and sleep. Qualitative data, including phone interviews with group facilitators and organizational partners, will evaluate the implementation and guide dissemination. DISCUSSION The results will advance the use and knowledge of secondary prevention interventions such as ergonomic tools and cognitive behavior therapy, to reduce injury, pain, and disability and to encourage appropriate uses of analgesic medications among HCWs. TRIAL REGISTRATION ClinicalTrials.gov NCT05492903. Registered on 08 August 2022.
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Affiliation(s)
- Ryan Olson
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3222 SW Research Drive, Portland, OR, 97239-3098, USA
- Oregon Health & Science University-Portland State University School of Public Health, VPT, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA
- Department of Psychology, Portland State University, P.O. Box 751, Portland, OR, 97207-0751, USA
| | - Jennifer A Hess
- Labor Education & Research Center, University of Oregon, 1675 Agate Street, Eugene, OR, 97403-1289, USA.
| | - Dennis Turk
- Department of Anesthesiology & Pain Medicine, University of Washington, BB 1425 HSC, Box 356540, 1949 NE Pacific Street, Seattle, WA, 98195-6540, USA
| | - Miguel Marino
- Oregon Health & Science University-Portland State University School of Public Health, VPT, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA
- Family Medicine, School of Medicine, Oregon Health & Science University, FM, 3181 SW Sam Jackson Park, Portland, OR, 97239, USA
| | - Leah Greenspan
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3222 SW Research Drive, Portland, OR, 97239-3098, USA
| | - Lindsey Alley
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3222 SW Research Drive, Portland, OR, 97239-3098, USA
| | - Courtney Donovan
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3222 SW Research Drive, Portland, OR, 97239-3098, USA
| | - Sean P M Rice
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3222 SW Research Drive, Portland, OR, 97239-3098, USA
- Oregon Health & Science University-Portland State University School of Public Health, VPT, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA
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Smith TG, Lowndes BR, Schmida E, Lund SB, Linden AR, Rivera M, Gas BL, Hallbeck MS. Course Design and Learning Outcomes of a Practical Online Ergonomics Course for Surgical Residents. JOURNAL OF SURGICAL EDUCATION 2022; 79:1489-1499. [PMID: 35907697 DOI: 10.1016/j.jsurg.2022.07.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 05/23/2022] [Accepted: 07/05/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Course content was designed and the learning outcomes assessed for an online ergonomics course for surgical residents. This course could fulfill an optional Surgical Council on Resident Education (SCORE) curriculum on Surgical Ergonomics. DESIGN The online course included five 5-minute modules within the residents' learning system, each ending with an ungraded knowledge question, and a final 5-question multiple-choice retention quiz that allowed infinite attempts. The course was designed by ergonomists and surgeons at a quaternary academic hospital system. Participants were given two weeks to complete the modules. An electronic survey with questions assessing ergonomics knowledge and understanding on a 5-point Likert scale (strongly disagree - strongly agree) was distributed both before and after the course. The post-course survey included three additional questions to elicit feedback regarding learning experience and course design. Descriptive statistics and nonparametric paired comparisons were used to evaluate learning outcomes. SETTING General surgery residency program at an academic medical center in the U.S. PARTICIPANTS Twenty-two general surgery post graduate year 1 residents (PGY1s) were recruited to participate and completed the pre-course survey. Eight out of the 22 participants (36%) completed the online course and quiz; seven (32%) completed the course, quiz, and the post-course survey. RESULTS Participants had high pre-course awareness of the importance of surgical ergonomics, benefits of work-related musculoskeletal disorder (WMSD) prevention, as well as awkward intraoperative postures being an WMSD risk factor. Participants' confidence increased significantly from pre- to post-course in ability to assess risk (p = 0.021), but not in ability or willingness to mitigate risky surgical postures. Participants who completed the quiz answered a median of 4 (IQR: [4, 5]) questions correctly. All participants indicated that they would recommend this course to other residents. CONCLUSIONS These short practical ergonomics online learning modules increased surgical residents' confidence in assessing surgical WMSD risks.
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Affiliation(s)
- Tianqi G Smith
- Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota
| | | | - Elizabeth Schmida
- Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota
| | - Sarah B Lund
- Department of Surgery, Mayo Clinic, Rochester, Minnesota
| | - Anna R Linden
- Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota
| | - Mariela Rivera
- Department of Surgery, Mayo Clinic, Rochester, Minnesota
| | - Becca L Gas
- Department of Surgery, Mayo Clinic, Rochester, Minnesota
| | - M Susan Hallbeck
- Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota; Health Care Delivery Research, Mayo Clinic, Rochester, Minnesota; Department of Surgery, Mayo Clinic, Rochester, Minnesota.
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Pierce SM, Heiman AJ, Ricci JA. Evaluating the Current State of Ergonomics Education Offered to Students in US Medical Students. Am Surg 2022:31348211063555. [PMID: 35285298 DOI: 10.1177/00031348211063555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND The high rate of work-related musculoskeletal disorders (WMSD) among surgeons is well-documented and found to factor into medical students' interest in surgical specialties. Ergonomic techniques can reduce musculoskeletal pain in surgeons. Access to ergonomics education in residency is minimal and the ergonomics education offered in medical school has not been characterized. METHODS An anonymous, online survey was distributed to 210 administrators in medical education and curriculum at all accredited US allopathic medical schools. They were asked about their knowledge of ergonomics, assessment of potential benefits of ergonomics education to their students, and the ergonomics education offered at their institution. RESULTS A total of 71 surveys were completed (33.8% response rate). 82% of schools reported familiarity with the study of ergonomics and 81% thought it would be beneficial to the future careers of their students to receive ergonomics education. Respondents estimated 43% of surgeons experience WMSDs and those that did not think ergonomics education would be beneficial to their students' future careers had a statistically significantly lower estimate of WMSD burden amongst practicing surgeons. Only one respondent reported that students at their institution receive greater than three hours of ergonomics education, while 98% reported their students will receive less than three hours. Considering this, 81% of respondents reported that students do have access to other resources that encourage ergonomic practices, such as gym access, yoga classes, and surgical simulation labs. DISCUSSION Medical schools should increase access to ergonomics education and integrate it into their curriculum as early as possible.
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Affiliation(s)
- Scott M Pierce
- The Division of Plastic Surgery, 138207Albany Medical Center, Albany, NY, USA
| | - Adee J Heiman
- The Division of Plastic Surgery, 138207Albany Medical Center, Albany, NY, USA
| | - Joseph A Ricci
- The Division of Plastic and Reconstructive Surgery, 2013Montefiore Medical Center, Bronx, NY, USA
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Does Postural Feedback Reduce Musculoskeletal Risk?: A Randomized Controlled Trial. SUSTAINABILITY 2022. [DOI: 10.3390/su14010583] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Background: There is a high prevalence of musculoskeletal disorders among personnel working in the healthcare sector, mainly among nursing assistants and orderlies. Objective: The objective is to analyze the effectiveness of a multi-component intervention that included postural feedback in reducing musculoskeletal risk. Method: A total of 24 nursing assistants and orderlies in a hospital setting were randomly assigned to an intervention group or a control group. After collecting sociodemographic information, a selection of tasks was made and assessed using the REBA (rapid entire body assessment) method. A multi-component intervention was designed combining theoretical and practical training, including feedback on the postures performed by the professionals involved, especially those involving high musculoskeletal risk. This program was applied only to participants in the intervention group. Subsequently, eight months after the first assessment and intervention, the second assessment was carried out using the same method and process as in the first evaluation. Results: The results indicate that the musculoskeletal risk in the second assessment in the intervention group was significantly reduced. However, no significant changes were observed in the control group. Conclusion: The multi-component intervention applied can significantly reduce the musculoskeletal risk of nursing assistants and orderlies. In addition, it is a low-cost intervention with great applicability.
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Wipfli B, Wild S, Richardson DM, Hammer L. Work as a Social Determinant of Health: A Necessary Foundation for Occupational Health and Safety. J Occup Environ Med 2021; 63:e830-e833. [PMID: 34456326 DOI: 10.1097/jom.0000000000002370] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Brad Wipfli
- OHSU-PSU School of Public Health, Portland, Oregon
- Oregon Institute of Occupational Health Sciences, OHSU Portland, Oregon
| | - Sara Wild
- Oregon Institute of Occupational Health Sciences, OHSU Portland, Oregon
| | | | - Leslie Hammer
- Oregon Institute of Occupational Health Sciences, OHSU Portland, Oregon
- Department of Psychology, Portland State University, Portland, Oregon
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The active workplace study: Protocol for a randomized controlled trial with sedentary workers. Contemp Clin Trials 2021; 103:106311. [PMID: 33539991 DOI: 10.1016/j.cct.2021.106311] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 01/25/2021] [Indexed: 12/31/2022]
Abstract
OBJECTIVES Sedentary behavior is pervasive in the workplace and is harmful to health. Research on the effectiveness of comprehensive workplace interventions to reduce sedentary behavior and improve worker health and safety is crucial as sedentary jobs become more common. METHODS We developed a Total Worker Health intervention targeting sedentary behavior in call centers, and are evaluating intervention effectiveness in a randomized controlled trial. Four worksites will be randomly assigned to an intervention or control condition. The intervention condition includes the provision of active workstations along with programs and procedures at environmental, organizational, and individual levels. Control worksites will receive active workstations with no additional support, following common organizational practices. RESULTS Outcomes include objectively measured physical activity, biological markers of health, and self-report survey data at baseline, after the 6-month intervention or control period, and at a 12-month follow-up. CONCLUSIONS The aims of the study are to determine whether a Total Worker Health intervention has stronger impacts on workplace sedentary behavior, uninterrupted bouts of sitting, and worker health and safety compared to a usual practice control condition. The study will inform future workplace sedentary behavior intervention and dissemination research, along with organizational best practices for reducing sedentary behavior in the workplace.
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Kim S, Madinei S, Alemi MM, Srinivasan D, Nussbaum MA. Assessing the potential for "undesired" effects of passive back-support exoskeleton use during a simulated manual assembly task: Muscle activity, posture, balance, discomfort, and usability. APPLIED ERGONOMICS 2020; 89:103194. [PMID: 32854824 DOI: 10.1016/j.apergo.2020.103194] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Revised: 06/10/2020] [Accepted: 06/14/2020] [Indexed: 06/11/2023]
Abstract
Back-support exoskeletons (BSEs) are wearable systems designed to reduce physical demands on the back, but which could have undesired effects beyond this design intention. Participants (n = 18) used two commercial BSEs to complete a brief (~15-20 s) simulated manual assembly task in varying conditions, with outcome measures that included: working posture, activity levels in "secondary" muscle groups (shoulders and thighs), perceived balance, discomfort, and usability. Using a BSE led to small and inconsistent changes in working postures (e.g., < ~14° change in lumbar flexion), muscular activity in the secondary muscle groups (<±2% of maximum voluntary isometric contractions), or perceived balance. Limitations in movement were reported for both BSEs, however, along with moderate levels of discomfort. Task-specific responses were evident for all outcome measures, though these depended on the specific BSE used and differed between genders in many cases. Future work should focus on interactions between a given user, BSE design, and task conditions.
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Affiliation(s)
- Sunwook Kim
- Department of Industrial and Systems Engineering, Virginia Tech Blacksburg, VA, 24061, USA
| | - Saman Madinei
- Department of Industrial and Systems Engineering, Virginia Tech Blacksburg, VA, 24061, USA
| | - Mohammad Mehdi Alemi
- Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, 02115, USA
| | - Divya Srinivasan
- Department of Industrial and Systems Engineering, Virginia Tech Blacksburg, VA, 24061, USA
| | - Maury A Nussbaum
- Department of Industrial and Systems Engineering, Virginia Tech Blacksburg, VA, 24061, USA; School of Biomedical Engineering and Sciences, Virginia Tech Blacksburg, VA, 24061, USA.
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Lee SJ, Kang KJ, Lee JH. Safe patient handling legislation and changes in programs, practices, perceptions, and experience of musculoskeletal disorders by hospital characteristics: A repeated cross-sectional survey study. Int J Nurs Stud 2020; 113:103791. [PMID: 33152606 DOI: 10.1016/j.ijnurstu.2020.103791] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Revised: 10/04/2020] [Accepted: 10/06/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Safe patient handling legislation has been enacted in 11 states in the United States to protect healthcare workers from patient handing injuries. Implementations and outcomes may vary across hospitals by the characteristics of the institution. OBJECTIVES This study was to investigate the changes in safe patient handling programs in hospitals, and nurses' perceptions, work practices, and musculoskeletal symptoms by hospital characteristics after the passage of California's safe patient handling legislation. DESIGN Repeated cross-sectional surveys. SETTINGS Two statewide surveys of registered nurses were conducted in California, where a safe patient handling law became effective in 2012. Random samples were selected from the lists of the California Board of Registered Nurses (2000 nurses in 2013 and 3000 nurses in 2016). PARTICIPANTS Among survey respondents (26% in 2013 and 20% in 2016), the study sample included 254 nurses in 2013 and 281 nurses in 2016, who met the eligibility for this study: nurses employed in a hospital and had direct patient care or patient handling duties. METHODS Data were collected by postal and on-line surveys. Data were compared by hospital size, geographic area, hospital teaching status, and ownership (for-profit, non-profit, government). RESULTS Between 2013 and 2016, nurses' reports showed improvements in safe patient handling policies and programs across the different characteristics of hospitals. In 2016, nurses in large, teaching, non-profit, and rural hospitals reported slightly better scores for safe patient handling program variables than their counterparts; however, changes in the use of mechanical lifting devices and experiences of musculoskeletal symptoms and injury were not significantly different by hospital characteristics. Overall, teaching hospitals consistently showed greater improvements than non-teaching hospitals for both hospital-level (safe patient handling programs and organizational practices) and individual-level (perceptions and symptoms) variables. CONCLUSIONS Our findings indicate overall improvements of safe patient handling programs in California hospitals after the passage of safe patient handling legislation. Positive changes appear to be greater among teaching, non-profit, and rural hospitals. However, greater positive changes in safe patient handling programs shown in certain hospital characteristics were not necessarily linked to more improvements in nurses' safe work practices and experiences of musculoskeletal symptoms or injuries.
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Affiliation(s)
- Soo Jeong Lee
- Department of Community Health Systems, School of Nursing, University of California San Francisco, 2 Koret Way, Suite N-505, Box 0608, San Francisco, CA 94143-0608, USA.
| | - Kyung Ja Kang
- College of Nursing, Jeju National University, 102 Jeju-daehakno, Jeju-city, Jeju 63243, South Korea.
| | - Joung Hee Lee
- Department of Community Health Systems, School of Nursing, University of California San Francisco, 2 Koret Way, Suite N-505, Box 0608, San Francisco, CA 94143-0608, USA; Department of Nursing, Chodang University, 380 Muanro, Muaneup, Muangun, Jeollanamdo 58530, South Korea.
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Womack KN, Alvord TW, Trullinger-Dwyer CF, Rice SPM, Olson R. Challenging Aggressive Behaviors Experienced by Personal Support Workers in Comparison to Home Care Workers: Relationships between Caregiver Experiences and Psychological Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E5486. [PMID: 32751378 PMCID: PMC7432386 DOI: 10.3390/ijerph17155486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 07/20/2020] [Accepted: 07/23/2020] [Indexed: 11/25/2022]
Abstract
Personal support workers (PSW) are caregivers for children and adults with intellectual and developmental disabilities (IDDs) or adults experiencing mental illness or other behavioral health conditions. The work can be very meaningful, but many PSWs must prepare for, monitor, and manage challenging behaviors, including aggression. This study was designed to estimate the prevalence of aggression experienced by PSWs in Oregon, and compare it to a previous sample of Oregon home care workers (HCWs). This comparison included an analysis of relationships between exposures to aggression and psychological health factors. PSWs in Oregon (N = 240) were surveyed electronically at a single time point. PSWs generally reported higher rates of exposure to aggression compared to HCWs. Experiences with aggression were positively associated with fatigue and weakly associated with depression, but not stress. PSWs' self-reported lost work time injury rate was elevated compared to the US average, but it was comparable to previous self-reported injury rates from HCWs. Physical demands of work were the most prevalent reported primary safety concern, followed by challenging behaviors (including aggression). Developing tailored training to help PSWs understand, plan for, minimize, and manage challenging behaviors is a social priority.
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Affiliation(s)
- Kelsey N. Womack
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland, OR 97239, USA; (K.N.W.); (T.W.A.); (C.F.T.-D.); (S.P.M.R.)
| | - Teala W. Alvord
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland, OR 97239, USA; (K.N.W.); (T.W.A.); (C.F.T.-D.); (S.P.M.R.)
- School of Public Health, OHSU-Portland State University (PSU), Portland, OR 97201, USA
| | - Caitlyn F. Trullinger-Dwyer
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland, OR 97239, USA; (K.N.W.); (T.W.A.); (C.F.T.-D.); (S.P.M.R.)
| | - Sean P. M. Rice
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland, OR 97239, USA; (K.N.W.); (T.W.A.); (C.F.T.-D.); (S.P.M.R.)
| | - Ryan Olson
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland, OR 97239, USA; (K.N.W.); (T.W.A.); (C.F.T.-D.); (S.P.M.R.)
- School of Public Health, OHSU-Portland State University (PSU), Portland, OR 97201, USA
- Department of Psychology, OHSU-Portland State University (PSU), Portland, OR 97201, USA
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Wright RR, Nelson R, Garcia S, Butler A. Health Behavior Change in the Classroom: A Means to a Healthy End? J Prim Prev 2020; 41:445-472. [DOI: 10.1007/s10935-020-00605-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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The Current State of Surgical Ergonomics Education in U.S. Surgical Training: A Survey Study. Ann Surg 2020; 269:778-784. [PMID: 29381528 DOI: 10.1097/sla.0000000000002592] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVE The aim of this study was to characterize the current state of surgical ergonomics education in the United States. BACKGROUND The burden of work-related musculoskeletal disorders (MSDs) in surgeons is high and no overarching strategy for redress exists. Twelve distinct specialties describe an unmet need for surgical ergonomics education (SEE). This study aimed to define the current state of SEE in U.S. surgical training programs. METHODS We performed a descriptive analysis of a 20-item questionnaire of ACGME-certified program directors from 14 surgical and interventional medical specialties. Formal SEE was defined as any organized education module that reviewed the occupation-specific burden of common work-related MSDs and described a framework for prevention via occupation-specific applied ergonomics. Program directors were queried regarding SEE provision, characteristics, and perceived trainee attitude toward the education. RESULTS Questionnaires were received from 130 of 441 (29.5%) program directors. Two (1.5%) provided formal SEE and 33 (25.4%) provided informal SEE, which consisted of unstructured intraoperative directives and isolated lectures. Two programs previously provided SEE but discontinued the effort due to lack of an evidence-based framework and instructors. Trainees appeared to think that learning surgical ergonomics skills was a worthwhile time investment in 100% and 76.7% of current formal and informal SEE, respectively. CONCLUSION SEE is rarely provided in any capacity (25.4%), let alone in a consistent or evaluable fashion (1.5%). Impediments to sustainable SEE include lack of an evidence-based framework for education and instructors. An evidence-based, reproducible, and accreditation council-compliant SEE module would be a valuable resource for the surgical and interventional medical communities.
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Lee SJ, Rempel D. Comparison of lift use, perceptions, and musculoskeletal symptoms between ceiling lifts and floor-based lifts in patient handling. APPLIED ERGONOMICS 2020; 82:102954. [PMID: 31546092 DOI: 10.1016/j.apergo.2019.102954] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 08/26/2019] [Accepted: 09/14/2019] [Indexed: 06/10/2023]
Abstract
Lifting equipment can reduce the risk of injury from patient handling, but limited availability and adoption have been a persistent problem. Data from statewide surveys of California nurses (N = 389) in 2013 and 2016 were analyzed to evaluate lift use, perceptions about lifts and injury risk, and musculoskeletal symptoms by type of available lifts. Nurses with ceiling lifts (23%) were significantly more likely to use lifts and had more positive perceptions about lifts, regarding worker safety, patient safety and comfort, ease of use, access, and storing, than nurses with only floor lifts (77%). Nurses with ceiling lifts reported less low back pain and shoulder pain. Our study findings suggest that providing ceiling lifts can result in superior outcomes to floor-based lifts in multiple aspects, including better acceptance and use by nurses for patient handling, as well as being associated with reduced work-related musculoskeletal symptoms in the low back and shoulders.
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Affiliation(s)
- Soo-Jeong Lee
- Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA.
| | - David Rempel
- Department of Bioengineering, University of California, Berkeley, CA, USA
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Ogunlana MO, Awobayo AO, Oyewole OO, Ayodeji AF. Work and musculoskeletal discomfort of Nigerian health workers: pattern and predictors. PHYSICAL THERAPY REVIEWS 2019. [DOI: 10.1080/10833196.2019.1662208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Michael O. Ogunlana
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Nigeria
| | | | - Olufemi O. Oyewole
- Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
| | - Ayomikun F. Ayodeji
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Nigeria
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Total Worker Health® Intervention for Construction Workers Alters Safety, Health, Well-Being Measures. J Occup Environ Med 2019; 60:700-709. [PMID: 29389813 DOI: 10.1097/jom.0000000000001290] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the effectiveness of a 14-week Total Worker Health (TWH) intervention designed for construction crews. METHODS Supervisors (n = 22) completed computer-based training and self-monitoring activities on team building, work-life balance, and reinforcing targeted behaviors. Supervisors and workers (n = 13) also completed scripted safety and health education in small groups with practice activities. RESULTS The intervention led to significant (P < 0.05) improvements in family-supportive supervisory behaviors (d = 0.72). Additional significant improvements included reported frequency of exercising 30 minutes/day and muscle toning exercise (d = 0.50 and 0.59), family and coworker healthy diet support (d = 0.53 and 0.59), team cohesion (d = 0.38), reduced sugary snacks and drinks (d = 0.46 and d = 0.46), sleep duration (d = 0.38), and objectively-measured systolic blood pressure (d = 0.27). CONCLUSION A TWH intervention tailored for construction crews can simultaneously improve safety, health, and well-being.
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Literature Review of Policy Implications From Findings of the Center for Work, Health, and Well-being. J Occup Environ Med 2019; 61:868-876. [PMID: 31453894 DOI: 10.1097/jom.0000000000001686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To review the publications of a Total Worker Health Center of Excellence, the Harvard T.H. Chan School of Public Health Center for Work, Health, and Well-being, in order to identify research findings relevant to either organizational or public policies. METHODS Two researchers independently reviewed 57 publications from 2011 to 2019 to identify cross-cutting themes that focus on working conditions or related health outcomes and their organizational and public policy implications. RESULTS Twelve cross-cutting themes were identified with their respective organizational and public policy implications. Several policy implications cut across work-related themes. CONCLUSIONS Policy implications of TWH research will aid in setting priorities to translate this from research into practice in future studies and help identify gaps that we and others can use to plan future TWH research.
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Sabbath EL, Hashimoto D, Boden LI, Dennerlein JT, Williams JAR, Hopcia K, Orechia T, Tripodis Y, Stoddard A, Sorensen G. Cohort profile: The Boston Hospital Workers Health Study (BHWHS). Int J Epidemiol 2019; 47:1739-1740g. [PMID: 30107500 DOI: 10.1093/ije/dyy164] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/10/2018] [Indexed: 12/18/2022] Open
Affiliation(s)
- Erika L Sabbath
- School of Social Work, Boston College, Chestnut Hill, MA, USA
| | - Dean Hashimoto
- Partners HealthCare, Boston, MA, USA.,School of Law, Boston College, Newton, MA, USA
| | - Leslie I Boden
- School of Public Health, Boston University, Boston, MA, USA
| | - Jack T Dennerlein
- Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA
| | | | | | | | | | - Anne Stoddard
- Centre for Community-based Research, Dana-Farber Cancer Institute, Boston, MA, USA
| | - Glorian Sorensen
- Centre for Community-based Research, Dana-Farber Cancer Institute, Boston, MA, USA.,Department of Social and Behavioural Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
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Caban-Martinez AJ, Santiago K, Baniak M, Jordan MM, Menger-Ogle L. Musculoskeletal Pain Is Impacted by Job Tasks in Temporary Construction Workers Hired Through Construction Staffing Agencies. J Occup Environ Med 2019; 61:e100-e103. [PMID: 30855531 PMCID: PMC6561103 DOI: 10.1097/jom.0000000000001533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Readers are invited to submit letters for publication in this department. Submit letters online at http://joem.edmgr.com . Choose “Submit New Manuscript.” A signed copyright assignment and financial disclosure form must be submitted with the letter. Form available at www.joem.org under Author and Reviewer information.
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Affiliation(s)
- Alberto J Caban-Martinez
- Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, Florida Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, Florida Occupational Health and Safety Program, Florida Department of Health, Tallahassee, Florida Occupational Health and Safety Program, Florida Department of Health, Tallahassee, Florida National Institute for Occupational, Safety and Health, Cincinnati, Ohio
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21
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Sabbath EL, Yang J, Dennerlein JT, Boden LI, Hashimoto D, Sorensen G. Paradoxical Impact of a Patient-Handling Intervention on Injury Rate Disparity Among Hospital Workers. Am J Public Health 2019; 109:618-625. [PMID: 30789763 DOI: 10.2105/ajph.2018.304929] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVES To test whether a comprehensive safe patient-handling intervention, which successfully reduced overall injury rates among hospital workers in a prior study, was differentially effective for higher-wage workers (nurses) versus low-wage workers (patient care associates [PCAs]). METHODS Data were from a cohort of nurses and PCAs at 2 large hospitals in Boston, Massachusetts. One hospital received the intervention in 2013; the other did not. Using longitudinal survey data from 2012 and 2014 plus longitudinal administrative injury and payroll data, we tested for socioeconomic differences in changes in self-reported safe patient-handling practices, and for socioeconomic differences in changes in injury rates using administrative data. RESULTS After the intervention, improvements in self-reported patient-handling practices were equivalent for PCAs and for nurses. However, in administrative data, lifting and exertion injuries decreased among nurses (rate ratio [RR] = 0.64; 95% confidence interval [CI] = 0.41, 1.00) but not PCAs (RR = 1.10; 95% CI = 0.74,1.63; P for occupation × intervention interaction = 0.02). CONCLUSIONS Although the population-level injury rate decreased after the intervention, most improvements were among higher-wage workers, widening the socioeconomic gap in injury and exemplifying the inequality paradox. Results have implications for public health intervention development, implementation, and analysis.
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Affiliation(s)
- Erika L Sabbath
- Erika L. Sabbath is with the School of Social Work, Boston College, Chestnut Hill, MA. At the time of the study, Jie Yang was with the School of Social Work, Boston College, and is also with the School of Social Work, East Carolina University, Greenville. Jack T. Dennerlein is with the Bouve College of Health Sciences, Northeastern University, Boston, MA. Leslie I. Boden is with the Department of Environmental Health, School of Public Health, Boston University, Boston. Dean Hashimoto is with Partners HealthCare, Somerville, MA. Glorian Sorensen is with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston
| | - Jie Yang
- Erika L. Sabbath is with the School of Social Work, Boston College, Chestnut Hill, MA. At the time of the study, Jie Yang was with the School of Social Work, Boston College, and is also with the School of Social Work, East Carolina University, Greenville. Jack T. Dennerlein is with the Bouve College of Health Sciences, Northeastern University, Boston, MA. Leslie I. Boden is with the Department of Environmental Health, School of Public Health, Boston University, Boston. Dean Hashimoto is with Partners HealthCare, Somerville, MA. Glorian Sorensen is with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston
| | - Jack T Dennerlein
- Erika L. Sabbath is with the School of Social Work, Boston College, Chestnut Hill, MA. At the time of the study, Jie Yang was with the School of Social Work, Boston College, and is also with the School of Social Work, East Carolina University, Greenville. Jack T. Dennerlein is with the Bouve College of Health Sciences, Northeastern University, Boston, MA. Leslie I. Boden is with the Department of Environmental Health, School of Public Health, Boston University, Boston. Dean Hashimoto is with Partners HealthCare, Somerville, MA. Glorian Sorensen is with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston
| | - Leslie I Boden
- Erika L. Sabbath is with the School of Social Work, Boston College, Chestnut Hill, MA. At the time of the study, Jie Yang was with the School of Social Work, Boston College, and is also with the School of Social Work, East Carolina University, Greenville. Jack T. Dennerlein is with the Bouve College of Health Sciences, Northeastern University, Boston, MA. Leslie I. Boden is with the Department of Environmental Health, School of Public Health, Boston University, Boston. Dean Hashimoto is with Partners HealthCare, Somerville, MA. Glorian Sorensen is with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston
| | - Dean Hashimoto
- Erika L. Sabbath is with the School of Social Work, Boston College, Chestnut Hill, MA. At the time of the study, Jie Yang was with the School of Social Work, Boston College, and is also with the School of Social Work, East Carolina University, Greenville. Jack T. Dennerlein is with the Bouve College of Health Sciences, Northeastern University, Boston, MA. Leslie I. Boden is with the Department of Environmental Health, School of Public Health, Boston University, Boston. Dean Hashimoto is with Partners HealthCare, Somerville, MA. Glorian Sorensen is with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston
| | - Glorian Sorensen
- Erika L. Sabbath is with the School of Social Work, Boston College, Chestnut Hill, MA. At the time of the study, Jie Yang was with the School of Social Work, Boston College, and is also with the School of Social Work, East Carolina University, Greenville. Jack T. Dennerlein is with the Bouve College of Health Sciences, Northeastern University, Boston, MA. Leslie I. Boden is with the Department of Environmental Health, School of Public Health, Boston University, Boston. Dean Hashimoto is with Partners HealthCare, Somerville, MA. Glorian Sorensen is with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston
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Kotejoshyer R, Punnett L, Dybel G, Buchholz B. Claim Costs, Musculoskeletal Health, and Work Exposure in Physical Therapists, Occupational Therapists, Physical Therapist Assistants, and Occupational Therapist Assistants: A Comparison Among Long-Term Care Jobs. Phys Ther 2019; 99:183-193. [PMID: 31222334 DOI: 10.1093/ptj/pzy137] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2016] [Accepted: 09/01/2018] [Indexed: 02/09/2023]
Abstract
BACKGROUND Patient/resident-handling tasks are physically demanding and associated with musculoskeletal disorders (MSDs) among nursing personnel. The routine performance of such tasks by physical therapists and occupational therapists during treatment can cause similar problems. OBJECTIVE This study characterized the magnitude of MSDs and the risk factors for MSDs in physical therapists, occupational therapists, physical therapist assistants, and occupational therapist assistants (collectively called "therapy personnel" for this study) and compared them with those of other nursing home workers, especially nursing staff. DESIGN This was a cross-sectional study. METHODS Workers' compensation claim (WCC) data from 1 year of experience in a long-term care company were used to compute claim rates by body region, nature, and cause of injury, and the costs per case and per full-time-equivalent employee. Data regarding musculoskeletal symptoms, use of patient/resident-lifting equipment, and perceived physical and psychological job demands were obtained from a concurrent cross-sectional survey of workers from 24 long-term care facilities. RESULTS About 80% of the WCCs were related to musculoskeletal incidents in nursing aides and therapy personnel. WCC costs paid per case for therapy personnel were more than twice those for nursing staff for both ergonomic and resident-handling incidents. Prevalence of low back pain in therapy personnel was the same as in nursing aides (48%) but involved more chronic, milder pain. About half of therapy personnel reported "never" or "rarely" using patient/resident-lifting equipment. Therapy personnel, nursing aides, and housekeeping/dietary/maintenance personnel reported the highest physical job demands. LIMITATIONS Causal inference cannot be determined due to the cross-sectional nature of the survey data. Study findings are relevant only to therapy work in long-term care settings because exposures vary in other health care settings (hospitals, outpatient, and others). CONCLUSIONS MSD prevalence and claim costs in therapy personnel are high enough to deserve more attention. The low use of patient/resident-lifting equipment in therapy could increase the risk for MSDs. Future studies with comprehensive ergonomic analysis of therapist tasks and recommendations to reduce injuries are warranted.
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Affiliation(s)
- Rajashree Kotejoshyer
- Department of Work Environment, University of Massachusetts Lowell, Lowell, MA 01854 (USA)
| | - Laura Punnett
- Department of Biomedical Engineering, Department of Work Environment, University of Massachusetts Lowell
| | - Gerard Dybel
- Department of Physical Therapy, University of Massachusetts Lowell
| | - Bryan Buchholz
- Department of Biomedical Engineering, Department of Work Environment, University of Massachusetts Lowell
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Sparer EH, Boden LI, Sorensen G, Dennerlein JT, Stoddard A, Wagner GR, Nagler EM, Hashimoto DM, Hopcia K, Sabbath EL. The relationship between organizational policies and practices and work limitations among hospital patient care workers. Am J Ind Med 2018; 61:10.1002/ajim.22864. [PMID: 29845635 PMCID: PMC6265111 DOI: 10.1002/ajim.22864] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2018] [Indexed: 01/02/2023]
Abstract
OBJECTIVE We examined relationships between organizational policies and practices (OPPs) (safety practices, ergonomic practices, and people-oriented culture) and work limitations in a sample of hospital workers. METHODS We used the 6-item Work Limitations Questionnaire (WLQ) to assess workers' perceptions of health-related work limitations. Self-reported OPPs and the WLQ were collected from workers in Boston, Massachusetts (n = 1277). We conducted random-intercept multi-level logistic regression models for each OPP using stepwise selection of covariates. RESULTS As the unit-average ergonomic practice score increased by one, the odds of a worker reporting work limitations decreased by approximately 39% (P-value = 0.018), adjusted for job title, age, and body mass index. A similar relationship existed for people-oriented culture (P-value = 0.038). The association between safety practices and work limitations was similar, but not statistically significant. CONCLUSIONS This study demonstrated the importance of workplace OPPs. OPPs that promote positive and supportive environments and that foster improvements in ergonomics may help reduce work limitations.
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Affiliation(s)
- Emily H. Sparer
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Leslie I. Boden
- Department of Environmental Health, Boston University School of Public Health, Boston, MA
| | - Glorian Sorensen
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA
| | | | - Anne Stoddard
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA
| | - Gregory R. Wagner
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Eve M. Nagler
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Dean M. Hashimoto
- Workplace Health and Wellbeing, Partners HealthCare System, Boston, MA
- Boston College Law School, Chestnut Hill, MA
| | - Karen Hopcia
- Workplace Health and Wellbeing, Partners HealthCare System, Boston, MA
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Hegewald J, Berge W, Heinrich P, Staudte R, Freiberg A, Scharfe J, Girbig M, Nienhaus A, Seidler A. Do Technical Aids for Patient Handling Prevent Musculoskeletal Complaints in Health Care Workers?-A Systematic Review of Intervention Studies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E476. [PMID: 29522440 PMCID: PMC5877021 DOI: 10.3390/ijerph15030476] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Revised: 02/28/2018] [Accepted: 03/05/2018] [Indexed: 01/25/2023]
Abstract
The physical load ensuing from the repositioning and moving of patients puts health care workers at risk of musculoskeletal complaints. Technical equipment developed to aid with patient handling should reduce physical strain and workload; however, the efficacy of these aids in preventing musculoskeletal disorders and complaints is still unclear. A systematic review of controlled intervention studies was conducted to examine if the risk of musculoskeletal complaints and disorders is reduced by technical patient handling equipment. MEDLINE®/PubMed®, EMBASE®, Allied and Complementary Medicine Database (AMED), and Cumulative Index of Nursing and Allied Health Literature (CINAHL®) were searched using terms for nursing, caregiving, technical aids, musculoskeletal injuries, and complaints. Randomized controlled trials and controlled before-after studies of interventions including technical patient handling equipment were included. The titles and abstracts of 9554 publications and 97 full-texts were screened by two reviewers. The qualitative synthesis included one randomized controlled trial (RCT) and ten controlled before-after studies. A meta-analysis of four studies resulted in a pooled risk ratio for musculoskeletal injury claims (post-intervention) of 0.78 (95% confidence interval 0.68-0.90). Overall, the methodological quality of the studies was poor and the results often based on administrative injury claim data, introducing potential selection bias. Interventions with technical patient handling aids appear to prevent musculoskeletal complaints, but the certainty of the evidence according to GRADE approach ranged from low to very low.
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Affiliation(s)
- Janice Hegewald
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
| | - Wera Berge
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
| | - Philipp Heinrich
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
| | - Ronny Staudte
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
| | - Alice Freiberg
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
| | - Julia Scharfe
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
| | - Maria Girbig
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
| | - Albert Nienhaus
- Institute for Health Service Research in Dermatology and Nursing, University Clinics Hamburg Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.
- Department of Occupational Health Research, German Social Accident Insurance Institution for the Health and Welfare Service, Pappelallee 33-37, 22089 Hamburg, Germany.
| | - Andreas Seidler
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
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Hurtado DA, Kim SS, Subramanian SV, Dennerlein JT, Christiani DC, Hashimoto DM, Sorensen G. Nurses' but not supervisors' safety practices are linked with job satisfaction. J Nurs Manag 2017; 25:491-497. [PMID: 28547876 PMCID: PMC10866307 DOI: 10.1111/jonm.12484] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/26/2017] [Indexed: 11/29/2022]
Abstract
AIMS To test the associations of safety practices as reported by nurses and their respective unit supervisors with job satisfaction. BACKGROUND Psychosocial workplace factors are associated with job satisfaction; however, it is unknown whether nurses and supervisors accounts of safety practices are differentially linked to this outcome. METHODS Cross-sectional study design including nurses (n = 1052) nested in 94 units in two hospitals in Boston (MA, USA). Safety practices refer to the identification and control of occupational hazards at the unit. Safety practices were measured aggregating nurses' responses per unit, and supervisory levels. Individual's job satisfaction for each nurse was the response variable. RESULTS Supervisors assessed safety practices more favourably than their unit nursing staff. Adjusted random intercept logistic regressions showed that the odds of higher job satisfaction were higher for nurses at units with better safety practices (OR: 1.67, 95% CI: 1.04, 2.68) compared with nurses at units that averaged lower safety practices. Supervisors' reports of safety practices were not correlated with the job satisfaction of their staff. CONCLUSIONS Adequate safety practices might be a relevant managerial role that enhances job satisfaction among nurses. IMPLICATIONS FOR NURSING MANAGEMENT Nursing supervisors should calibrate their safety assessments with their nursing staff to improve nurses' job satisfaction.
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Affiliation(s)
- David A Hurtado
- Oregon Institute of Occupational Health Sciences and OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA
| | - Seung-Sup Kim
- Department of Public Health Sciences, Korea University, Seoul, Korea
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA, USA
| | - S V Subramanian
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA, USA
| | - Jack T Dennerlein
- Department of Physical Therapy, Movement & Rehabilitation Science, Northeastern University, Bouvé College of Health Science, Boston, MA, USA
| | - David C Christiani
- Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA
| | - Dean M Hashimoto
- Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA
- Occupational Health Services, Partners HealthCare System, Boston, MA, USA
| | - Glorian Sorensen
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA, USA
- Center for Work, Health and Wellbeing, Harvard T. H. Chan School of Public Health, Boston, MA, USA
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA, USA
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Safe patient handling behaviors and lift use among hospital nurses: A cross-sectional study. Int J Nurs Stud 2017; 74:53-60. [DOI: 10.1016/j.ijnurstu.2017.06.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Revised: 06/02/2017] [Accepted: 06/03/2017] [Indexed: 11/20/2022]
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Grant MP, Okechukwu CA, Hopcia K, Sorensen G, Dennerlein JT. An Inspection Tool and Process to Identify Modifiable Aspects of Acute Care Hospital Patient Care Units to Prevent Work-Related Musculoskeletal Disorders. Workplace Health Saf 2017; 66:144-158. [DOI: 10.1177/2165079917718852] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A dearth of practical resources is available for evaluating ergonomic risk factors in dynamic health care work environments. Of particular need are tools for inspecting patient care environments for hazards. The goal of this study was to describe the development and application of an inspection tool and a process for identifying hazards inherent in the modifiable aspects of the physical environment to reduce injury risk to hospital workers. Through an iterative and participatory process, the tool and inspection process were developed with three purposes in mind: (a) create a framework for the inspection of physical work environments and physical conditions of work associated with injury risk (hazards), (b) document the physical conditions, and (c) provide feedback to decision makers. The tool and process were used by an ergonomics researcher on four patient care units as part of the Be Well, Work Well Total Worker Health® intervention. The resulting inspection process provided a structured method for recognizing hazards in the dynamic modifiable physical work environment and reporting both observations and recommendations to decision makers. The development and implementation of the inspection tool provided guidance to modify the physical work environment by implementing ergonomic solutions. The tool allowed the organization to plan and prioritize ergonomic hazard abatement (e.g. resource allocation and tracking trends). Within a Total Worker Health® framework, this tool can measure work practices which can then be used to inform organizational programs and policies within a health care setting.
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Associations of Organizational Safety Practices and Culture With Physical Workload, Perceptions About Work, and Work-Related Injury and Symptoms Among Hospital Nurses. ACTA ACUST UNITED AC 2017; 47:404-411. [DOI: 10.1097/nna.0000000000000504] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Dennerlein JT, O'Day ET, Mulloy DF, Somerville J, Stoddard AM, Kenwood C, Teeple E, Boden LI, Sorensen G, Hashimoto D. Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme. Occup Environ Med 2016; 74:336-343. [PMID: 27919058 DOI: 10.1136/oemed-2015-103507] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 09/15/2016] [Accepted: 10/03/2016] [Indexed: 12/11/2022]
Abstract
OBJECTIVE With increasing emphasis on early and frequent mobilisation of patients in acute care, safe patient handling and mobilisation practices need to be integrated into these quality initiatives. We completed a programme evaluation of a safe patient handling and mobilisation programme within the context of a hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans. METHODS Baseline and 12-month follow-up surveys of 1832 direct patient care workers assessed work practices and self-reported pain while an integrated employee payroll and injury database provided recordable injury rates collected concurrently at 2 hospitals: the study hospital with the programme and a comparison hospital. RESULTS Safe and unsafe patient handling practice scales at the study hospital improved significantly (p<0.0001 and p=0.0031, respectively), with no differences observed at the comparison hospital. We observed significant decreases in recordable neck and shoulder (Relative Risk (RR)=0.68, 95% CI 0.46 to 1.00), lifting and exertion (RR=0.73, 95% CI 0.60 to 0.89) and pain and inflammation (RR=0.78, 95% CI 0.62 to 1.00) injury rates at the study hospital. Changes in rates at the comparison hospital were not statistically significant. CONCLUSIONS Within the context of a patient mobilisation initiative, a safe patient handling and mobilisation programme was associated with improved work practices and a reduction in recordable worker injuries. This study demonstrates the potential impact of utilising a systems approach based on recommended best practices, including integration of these practices into the patient's plan for care.
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Affiliation(s)
- Jack T Dennerlein
- Department of Physical Therapy, Movement, and Rehabilitation Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.,Department of Environmental Health and The Center for Work, Health, and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Elizabeth Tucker O'Day
- Department of Occupational Health Services, Partners HealthCare System, Boston, Massachusetts, USA
| | - Deborah F Mulloy
- Center for Nursing Excellence, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Jackie Somerville
- Patient Care Services Center for Nursing Excellence, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Anne M Stoddard
- Center of Community Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | | | - Erin Teeple
- Department of Environmental Health and The Center for Work, Health, and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.,Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Leslie I Boden
- Department of Environmental Health, Boston University School of Public Health, Boston, Massachusetts, USA
| | - Glorian Sorensen
- Center of Community Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.,Department of Social and Behavioral Sciences Health and The Center for Work, Health, and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Dean Hashimoto
- Department of Occupational Health Services, Partners HealthCare System, Boston, Massachusetts, USA.,Boston College Law School, Newton Centre, Massachusetts, USA.,Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA
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Sorensen G, McLellan DL, Sabbath EL, Dennerlein JT, Nagler EM, Hurtado DA, Pronk NP, Wagner GR. Integrating worksite health protection and health promotion: A conceptual model for intervention and research. Prev Med 2016; 91:188-196. [PMID: 27527576 PMCID: PMC5050152 DOI: 10.1016/j.ypmed.2016.08.005] [Citation(s) in RCA: 96] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 06/28/2016] [Accepted: 08/01/2016] [Indexed: 01/03/2023]
Abstract
There is increasing recognition of the value added by integrating traditionally separate efforts to protect and promote worker safety and health. This paper presents an innovative conceptual model to guide research on determinants of worker safety and health and to inform the design, implementation and evaluation of integrated approaches to promoting and protecting worker health. This model is rooted in multiple theories and the premise that the conditions of work are important determinants of individual safety and health outcomes and behaviors, and outcomes important to enterprises such as absence and turnover. Integrated policies, programs and practices simultaneously address multiple conditions of work, including the physical work environment and the organization of work (e.g., psychosocial factors, job tasks and demands). Findings from two recent studies conducted in Boston and Minnesota (2009-2015) illustrate the application of this model to guide social epidemiological research. This paper focuses particular attention on the relationships of the conditions of work to worker health-related behaviors, musculoskeletal symptoms, and occupational injury; and to the design of integrated interventions in response to specific settings and conditions of work of small and medium size manufacturing businesses, based on a systematic assessment of priorities, needs, and resources within an organization. This model provides an organizing framework for both research and practice by specifying the causal pathways through which work may influence health outcomes, and for designing and testing interventions to improve worker safety and health that are meaningful for workers and employers, and responsive to that setting's conditions of work.
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Affiliation(s)
- Glorian Sorensen
- Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA; Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.
| | - Deborah L McLellan
- Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA; Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
| | - Erika L Sabbath
- Boston College, School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA
| | - Jack T Dennerlein
- Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA; Northeastern University, Bouvé College of Health Sciences, 360 Huntington Ave, Boston, MA, USA
| | - Eve M Nagler
- Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA; Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
| | - David A Hurtado
- Oregon Institute of Occupational Health Science, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, L606, Portland, OR 97239, USA
| | - Nicolaas P Pronk
- Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA; HealthPartners, Inc., 8170 33rd Ave S, Bloomington, MN 55425, USA
| | - Gregory R Wagner
- Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA; National Institute for Occupational Safety and Health, 395 E Street, SW, Washington, DC 20201, USA
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Olson R, Thompson SV, Elliot DL, Hess JA, Rhoten KL, Parker KN, Wright RR, Wipfli B, Bettencourt KM, Buckmaster A, Marino M. Safety and Health Support for Home Care Workers: The COMPASS Randomized Controlled Trial. Am J Public Health 2016; 106:1823-32. [PMID: 27552270 DOI: 10.2105/ajph.2016.303327] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
OBJECTIVES To determine the effectiveness of the COMmunity of Practice And Safety Support (COMPASS) Total Worker Health intervention for home care workers. METHODS We randomized 16 clusters of workers (n = 149) to intervention or usual-practice control conditions. The 12-month intervention was scripted and peer-led, and involved education on safety, health, and well-being; goal setting and self-monitoring; and structured social support. We collected measures at baseline, 6 months, and 12 months, which included workers' experienced community of practice (i.e., people engaged in a common activity who interact regularly for shared learning and improvement). Implementation occurred during 2013 and 2014 in Oregon. RESULTS In an intent-to-treat analysis, relative to control, the intervention produced significant and sustained improvements in workers' experienced community of practice. Additional significant improvements included the use of ergonomic tools or techniques for physical work, safety communication with consumer-employers, hazard correction in homes, fruit and vegetable consumption, lost work days because of injury, high-density lipoprotein cholesterol, and grip strength. Consumer-employers' reports of caregiver safety behaviors also significantly improved. CONCLUSIONS COMPASS was effective for improving home care workers' social resources and simultaneously impacted both safety and health factors.
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Affiliation(s)
- Ryan Olson
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Sharon V Thompson
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Diane L Elliot
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Jennifer A Hess
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Kristy Luther Rhoten
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Kelsey N Parker
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Robert R Wright
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Brad Wipfli
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Katrina M Bettencourt
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Annie Buckmaster
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
| | - Miguel Marino
- At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene
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Sorensen G, Nagler EM, Hashimoto D, Dennerlein JT, Theron J, Stoddard AM, Buxton OM, Wallace L, Kenwood C, Nelson CC, Tamers SL, Grant MP, Wagner G. Implementing an Integrated Health Protection/Health Promotion Intervention in the Hospital Setting: Lessons Learned From the Be Well, Work Well Study. J Occup Environ Med 2016; 58:185-94. [PMID: 26849263 PMCID: PMC4746007 DOI: 10.1097/jom.0000000000000592] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE This study reports findings from a proof-of-concept trial designed to examine the feasibility and estimates the efficacy of the "Be Well, Work Well" workplace intervention. METHODS The intervention included consultation for nurse managers to implement changes on patient-care units and educational programming for patient-care staff to facilitate improvements in safety and health behaviors. We used a mixed-methods approach to evaluate feasibility and efficacy. RESULTS Using findings from process tracking and qualitative research, we observed challenges to implementing the intervention due to the physical demands, time constraints, and psychological strains of patient care. Using survey data, we found no significant intervention effects. CONCLUSIONS Beyond educating individual workers, systemwide initiatives that respond to conditions of work might be needed to transform the workplace culture and broader milieu in support of worker health and safety.
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Affiliation(s)
- Glorian Sorensen
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA
- Harvard T.H. Chan School of Public Health, Boston, MA
| | - Eve M. Nagler
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA
- Harvard T.H. Chan School of Public Health, Boston, MA
| | - Dean Hashimoto
- Partners HealthCare System, Boston, MA
- Boston College Law School, Newton Centre, MA
- Harvard Medical School, Boston, MA
| | - Jack T. Dennerlein
- Harvard T.H. Chan School of Public Health, Boston, MA
- Bouvé College of Health Sciences, Northeastern University, Boston, MA
| | - Julie Theron
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA
| | | | - Orfeu M. Buxton
- Harvard Medical School, Boston, MA
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA
- Department of Medicine, Brigham and Women’s Hospital, Boston, MA
| | - Lorraine Wallace
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA
| | | | | | - Sara L. Tamers
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Washington DC*
| | | | - Gregory Wagner
- Harvard T.H. Chan School of Public Health, Boston, MA
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Washington DC*
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Abstract
OBJECTIVE To develop a team-based Total Worker Health™ (injury prevention + health promotion) intervention for home care workers and estimate intervention effects on workers' well-being and health and safety behaviors. METHODS Home care workers (n = 16) met monthly in teams for education and social support using a scripted, peer-led approach. Meeting process measures and pre-/postintervention outcome measures were collected. RESULTS Knowledge gains averaged 18.7% (standard deviation = 0.04), and 62.0% (standard deviation = 0.13) of participants reported making safety or health changes between meetings. Workers' well-being improved significantly (life satisfaction, d = 0.65, P < 0.05; negative affect, d = 0.64, P < 0.05), and the majority of other safety and health outcomes changed in expected directions. CONCLUSIONS COMPASS is a feasible intervention model for simultaneously preventing injuries and promoting health among home care workers.
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Physical activity levels at work and outside of work among commercial construction workers. J Occup Environ Med 2015; 57:73-8. [PMID: 25563543 DOI: 10.1097/jom.0000000000000303] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Characterize the number of minutes of moderate and vigorous physical activities at work and outside of work during seven consecutive days, in a sample of 55 commercial construction workers. METHODS Workers wore accelerometers during work and outside-of-work hours for seven consecutive days and completed brief survey at the seventh day of data collection. RESULTS From the directly measured physical activity, the average number per participant of moderate minutes of occupational physical activity and physical activity outside of work obtained in short bouts were 243 minutes (65%) and 130 minutes (35%), respectively. Directly measured minutes of vigorous occupational physical activity were significant and positively correlated with self-reported fatigue. CONCLUSIONS Among commercial construction workers, physical activity from work contributes significantly, approximately two thirds, toward a worker's total amount of weekly minutes of moderate physical activity.
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Impact of organizational policies and practices on workplace injuries in a hospital setting. J Occup Environ Med 2015; 56:802-8. [PMID: 25099405 DOI: 10.1097/jom.0000000000000189] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This study aimed to assess relationships between perceptions of organizational practices and policies (OPP), social support, and injury rates among workers in hospital units. METHODS A total of 1230 hospital workers provided survey data on OPP, job flexibility, and social support. Demographic data and unit injury rates were collected from the hospitals' administrative databases. RESULTS Injury rates were lower in units where workers reported higher OPP scores and high social support. These relationships were mainly observed among registered nurses. Registered nurses perceived coworker support and OPP as less satisfactory than patient care associates (PCAs). Nevertheless, because of the low number of PCAs at each unit, results for the PCAs are preliminary and should be further researched in future studies with larger sample sizes. CONCLUSIONS Employers aiming to reduce injuries in hospitals could focus on good OPP and supportive work environment.
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Olson R, Elliot D, Hess J, Thompson S, Luther K, Wipfli B, Wright R, Buckmaster AM. The COMmunity of Practice And Safety Support (COMPASS) Total Worker Health™ study among home care workers: study protocol for a randomized controlled trial. Trials 2014; 15:411. [PMID: 25348013 PMCID: PMC4226848 DOI: 10.1186/1745-6215-15-411] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Accepted: 09/25/2014] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Home care workers are a high-risk group for injury and illness. Their unique work structure presents challenges to delivering a program to enhance their health and safety. No randomized controlled trials have assessed the impact of a Total Worker Health™ program designed for their needs. METHODS/DESIGN The COMPASS (COMmunity of Practice And Safety Support) study is a cluster randomized trial being implemented among Oregon's unionized home care workers. Partnering with the Oregon Home Care Commission allowed recruiting 10 pairs of home care worker groups with 8 participants per group (n = 160) for balanced randomization of groups to intervention and control conditions. Physiologic and survey evaluation of all participants will be at enrollment, 6 months and 12 months. Primary outcomes are to increase health promoting (for example, healthy nutrition and regular physical activity) and health protecting (that is, safety) behaviors. In addition to assessing outcomes adjusted for the hierarchical design, mediation analyses will be used to deconstruct and confirm the program's theoretical underpinnings and intervention processes. Intervention groups will participate in a series of monthly 2-hour meetings designed as ritualized, scripted peer-led sessions to increase knowledge, practice skills and build support for healthy actions. Self-monitoring and individual and team level goals are included to augment change. Because generalizability, reach and achieving dissemination are priorities, following initial wave findings, a second wave of COMPASS groups will be recruited and enrolled with tailoring of the program to align with existing Home Care Commission educational offerings. Outcomes, process and mediation of those tailored groups will be compared with the original wave's findings. DISCUSSION The COMPASS trial will assess a novel program to enhance the safety and health of a vulnerable, rapidly expanding group of isolated caregivers, whose critical work allows independent living of frail seniors and the disabled. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02113371, first registered 11 March 2014.
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Affiliation(s)
- Ryan Olson
- />Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L606, Portland, OR 97239-3098 USA
- />Department of Public Health & Preventive Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, CB 669, Portland, OR 97239-3098 USA
- />Department of Psychology, Portland State University, P.O. Box 751, Portland, OR 97207-0751 USA
| | - Diane Elliot
- />Division of Health Promotion & Sports Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L606, Portland, OR 97239-3098 USA
| | - Jennifer Hess
- />Labor Education & Research Center, University of Oregon, 1675 Agate Street, Eugene, OR 97403-1289 USA
| | - Sharon Thompson
- />Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L606, Portland, OR 97239-3098 USA
| | - Kristy Luther
- />Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L606, Portland, OR 97239-3098 USA
| | - Brad Wipfli
- />Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L606, Portland, OR 97239-3098 USA
| | - Robert Wright
- />Department of Psychology, Brigham Young University – Idaho, 525 South Center Street, Rexburg, ID 83460 USA
| | - Annie Mancini Buckmaster
- />Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L606, Portland, OR 97239-3098 USA
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Reme SE, Shaw WS, Boden LI, Tveito TH, O'Day ET, Dennerlein JT, Sorensen G. Worker assessments of organizational practices and psychosocial work environment are associated with musculoskeletal injuries in hospital patient care workers. Am J Ind Med 2014; 57:810-8. [PMID: 24737462 DOI: 10.1002/ajim.22319] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2014] [Indexed: 11/08/2022]
Abstract
BACKGROUND Hospital patient care (PC) workers have high rates of workplace injuries, particularly musculoskeletal injuries. Despite a wide spectrum of documented health hazards, little is known about the association between psychosocial factors at work and OSHA-recordable musculoskeletal injuries. METHODS PC-workers (n = 1,572, 79%) completed surveys assessing a number of organizational, psychosocial and psychological variables. Associations between the survey responses and injury records were tested using bivariate and multivariate analyses. RESULTS A 5% of the PC-workers had at least one OSHA-recordable musculoskeletal injury over the year, and the injuries were significantly associated with: organizational factors (lower people-oriented culture), psychosocial factors (lower supervisor support), and structural factors (job title: being a patient care assistant). CONCLUSIONS The results show support for a multifactorial understanding of musculoskeletal injuries in hospital PC-workers. An increased focus on the various dimensions associated with injury reports, particularly the organizational and psychosocial factors, could contribute to more efficient interventions and programs.
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Affiliation(s)
- Silje Endresen Reme
- Harvard School of Public Health; Boston Massachusetts
- Uni Health; Uni Research AS; Bergen Norway
| | - William S. Shaw
- Liberty Mutual Research Institute for Safety; Hopkinton Massachusetts
| | | | | | | | - Jack T. Dennerlein
- Harvard School of Public Health; Boston Massachusetts
- Northeastern University; Boston Massachusetts
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Qin J, Kurowski A, Gore R, Punnett L. The impact of workplace factors on filing of workers' compensation claims among nursing home workers. BMC Musculoskelet Disord 2014; 15:29. [PMID: 24476529 PMCID: PMC3912896 DOI: 10.1186/1471-2474-15-29] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2013] [Accepted: 11/06/2013] [Indexed: 11/10/2022] Open
Abstract
Background Injuries reported to workers’ compensation (WC) system are often used to estimate incidence of health outcomes and evaluate interventions in musculoskeletal epidemiology studies. However, WC claims represent a relatively small subset of all musculoskeletal disorders among employed individuals, and perhaps not a representative subset. This study determined the influence of workplace and individual factors on filing of workers’ compensation claims by nursing home employees with back pain. Methods Surveys were conducted in 18 skilled nursing facilities in four U.S. states. Self-administered questionnaires obtained information on demographic characteristics, working environment, and health behaviors/status. Employees who reported low back pain at least once in four questionnaire surveys were included. WC claims from the same facilities were obtained from the employer’s workers compensation insurer and matched by employee name. The dichotomous dependent variable was filing of back-related worker’s compensation claim. Association with predictors of interest, including pain severity, physical job demand, job strain, social support, schedule control, and safety climate, was assessed using multivariate regression modeling. Individual characteristics were tested as potential confounders. Results Pain severity level was significantly associated with filing low-back related claims (odds ratio (OR) = 1.49, 95% CI = 1.18 – 1.87). Higher physical demands at work (OR = 1.07, 95% CI = 1.01 – 1.14) also increased the likelihood of claim filing. Higher job strain (OR = 0.83, 95% CI = 0.73 – 0.94), social support at work (OR = 0.90, 95% CI = 0.82 – 0.99), and education (OR = 0.79, 95% CI = 0.71 – 0.89) decreased the likelihood of claim filing. Conclusions The results suggest that the WC system captured the most severe occupational injuries. Workplace factors had additional influence on workers’ decision to file claims, after adjusting for low back pain severity. Education was correlated with worker’s socioeconomic status; its influence on claim filing is difficult to interpret because of the possible mixed effects of working conditions, self-efficacy, and content knowledge.
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Affiliation(s)
| | | | | | - Laura Punnett
- Department of Work Environment, University of Massachusetts Lowell, One University Avenue, 01854 Lowell, MA, USA.
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Physical Activity at Work Contributes Little to Patient Care Workers' Weekly Totals. J Occup Environ Med 2013; 55:S63-8. [DOI: 10.1097/jom.0000000000000046] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Caspi CE, Dennerlein JT, Kenwood C, Stoddard AM, Hopcia K, Hashimoto D, Sorensen G. Results of a pilot intervention to improve health and safety for health care workers. J Occup Environ Med 2013; 55:1449-55. [PMID: 24270297 PMCID: PMC3858503 DOI: 10.1097/jom.0b013e3182a7e65a] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To test the feasibility of a multicomponent pilot intervention to improve worker safety and wellness in two Boston hospitals. METHODS A 3-month intervention was conducted on seven hospital units. Pre- (374 workers) and postsurveys (303 workers) assessed changes in safety/ergonomic behaviors and practices, and social support. Wellness outcomes included self-reported pain/aching in specific body areas (musculoskeletal disorders or MSDs) and physical activity (PA). RESULTS Pain was reported frequently (81%), and PA averaged 4 hours per week. There was a postintervention increase in safe patient handling (P < 0.0001), safety practices (P = 0.0004), ergonomics (P = 0.009), and supervisor support (P = 0.01), but no changes in MSDs or PA. CONCLUSIONS Safe patient handling, ergonomics, and safety practices are good targets for worker safety and wellness interventions; longer intervention periods may reduce the risk of MSDs.
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Affiliation(s)
- Caitlin Eicher Caspi
- From the Department of Family Medicine and Community Health (Dr Caspi), University of Minnesota, Minneapolis, Minn; Department of Physical Therapy (Dr Dennerlein), Northeastern University, Boston, Mass; New England Research Institutes (Mr Kenwood and Dr Stoddard), Watertown, Mass; College of Nursing (Dr Hopcia), University of Illinois at Chicago, Chicago, Ill; Department of Occupational Heath (Dr Hashimoto), Partner's HealthCare, Inc, Boston, Mass; Department of Society, Human Development and Health (Dr Sorensen), Harvard School of Public Health, Boston, Mass; and Center for Community-Based Research (Dr Sorensen), Dana-Farber Cancer Institute, Boston, Mass
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Cantley LF, Taiwo OA, Galusha D, Barbour R, Slade MD, Tessier-Sherman B, Cullen MR. Effect of systematic ergonomic hazard identification and control implementation on musculoskeletal disorder and injury risk. Scand J Work Environ Health 2013; 40:57-65. [PMID: 24142048 DOI: 10.5271/sjweh.3394] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVES This study aimed to examine the effect of an ergonomic hazard control (HC) initiative, undertaken as part of a company ergonomics standard, on worker injury risk. METHODS Using the company's ergonomic hazards database to identify jobs with and without ergonomic HC implementation and linking to individual job and injury histories, injury risk among person-jobs with HC implementation (the HC group) was compared to those without HC (NoHC group) using random coefficient models. Further analysis of the HC group was conducted to determine the effect of additional ergonomic hazards controlled on injury risk. RESULTS Among 123 jobs at 17 plant locations, 347 ergonomic hazards were quantitatively identified during the study period. HC were implemented for 204 quantified ergonomic hazards in 84 jobs, impacting 10 385 persons (12 967 person-jobs). No HC were implemented for quantified ergonomic hazards in the remaining 39 jobs affecting 4155 persons (5046 person-jobs). Adjusting for age, sex, plant origin, and year to control for any temporal trend in injury risk, the relative risk (RR) for musculoskeletal disorder (MSD) was 0.85 and the RR for any injury or MSD was 0.92 in the HC compared to NoHC group. Among the HC group, each ergonomic hazard controlled was associated with risk reduction for MSD and acute injury outcomes (RR 0.93). CONCLUSION Systematic ergonomic HC through participatory ergonomics, as part of a mandatory company ergonomics standard, is associated with MSD and injury risk reduction among workers in jobs with HC implemented.
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Affiliation(s)
- Linda F Cantley
- Yale University School of Medicine, Occupational and Environmental Medicine Program, 135 College Street, Suite 366, New Haven, CT 06510, USA.
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Sembajwe G, Tveito TH, Hopcia K, Kenwood C, O'Day ET, Stoddard AM, Dennerlein JT, Hashimoto D, Sorensen G. Psychosocial stress and multi-site musculoskeletal pain: a cross-sectional survey of patient care workers. Workplace Health Saf 2013; 61:117-25. [PMID: 23452130 DOI: 10.1177/216507991306100304] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2012] [Accepted: 10/15/2012] [Indexed: 11/17/2022]
Abstract
The aim of this study was to assess the relationship between psychosocial factors at work and multi-site musculoskeletal pain among patient care workers. In a survey of 1,572 workers from two hospitals, occupational psychosocial factors and health outcomes of workers with single and multi-site pain were evaluated using items from the Job Content Questionnaire that was designed to measure psychological demands, decision latitude, and social support. An adapted Nordic Questionnaire provided data on the musculoskeletal pain outcome. Covariates included body mass index, age, gender, and occupation. The analyses revealed statistically significant associations between psychosocial demands and multi-site musculoskeletal pain among patient care associates, nurses, and administrative personnel, both men and women. Supervisor support played a significant role for nurses and women. These results remained statistically significant after adjusting for covariates. These results highlight the associations between workplace psychosocial strain and multi-site musculoskeletal pain, setting the stage for future longitudinal explorations.
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Affiliation(s)
- Grace Sembajwe
- City University New York School of Public Health at Hunter College, New York, NY 10035, USA.
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Kim SS, Okechukwu CA, Buxton OM, Dennerlein JT, Boden LI, Hashimoto DM, Sorensen G. Association between work-family conflict and musculoskeletal pain among hospital patient care workers. Am J Ind Med 2013; 56:488-95. [PMID: 23019044 DOI: 10.1002/ajim.22120] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/20/2012] [Indexed: 12/12/2022]
Abstract
BACKGROUND A growing body of evidence suggests that work-family conflict is an important risk factor for workers' health and well-being. The goal of this study is to examine association between work-family conflict and musculoskeletal pain among hospital patient care workers. METHODS We analyzed a cross-sectional survey of 1,119 hospital patient care workers in 105 units in two urban, academic hospitals. Work-family conflict was measured by 5-item Work-Family Conflict Scale questionnaire. Multilevel logistic regression was applied to examine associations between work-family conflict and self-reported musculoskeletal pain in the past 3 months, adjusting for covariates including work-related psychosocial factors and physical work factors. RESULTS In fully adjusted models, high work-family conflict was strongly associated with neck or shoulder pain (OR: 2.34, 95% CI: 1.64-3.34), arm pain (OR: 2.79, 95% CI: 1.64-4.75), lower extremity pain (OR: 2.20, 95% CI: 1.54-3.15) and any musculoskeletal pain (OR: 2.45, 95% CI: 1.56-3.85), and a number of body areas in pain (OR: 2.47, 95% CI: 1.82-3.36) in the past 3 months. The association with low back pain was attenuated and became non-significant after adjusting for covariates. CONCLUSIONS Given the consistent associations between work-family conflict and self-reported musculoskeletal pains, the results suggest that work-family conflict could be an important domain for health promotion and workplace policy development among hospital patient care workers.
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Affiliation(s)
- Seung-Sup Kim
- Department of Environmental and Occupational Health, The George Washington University School of Public Health and Health Services, Washington, DC 20037, USA.
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Sembajwe G, Tveito TH, Hopcia K, Kenwood C, O’Day ET, Stoddard AM, Dennerlein JT, Hashimoto D, Sorensen G. Psychosocial Stress and Multi-site Musculoskeletal Pain: A Cross-sectional Survey of Patient Care Workers. Workplace Health Saf 2013. [DOI: 10.3928/21650799-20130226-01] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Relationship of sleep deficiency to perceived pain and functional limitations in hospital patient care workers. J Occup Environ Med 2012; 54:851-8. [PMID: 22796931 DOI: 10.1097/jom.0b013e31824e6913] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Health care workers are at high risk of developing musculoskeletal symptoms and pain. This study tested the hypothesis that sleep deficiency is associated with pain, functional limitations, and physical limitations that interfere with work. METHODS Hospital patient care workers completed a survey (79% response rate) including measures of health, sociodemographic, and workplace factors. Associations of sleep deficiency with pain, work interference due to this pain, and functional limitations were determined. RESULTS Of 1572 respondents (90% women; mean age, 41 years), 57% reported sleep deficiency, 73% pain in last 3 months, 33% work interference, and 18% functional limitation. Sleep deficiency was associated with higher rates of pain, work interference, and functional limitation controlling for socioeconomic, individual, and workplace characteristics. CONCLUSIONS Sleep deficiency is significantly associated with pain, functional limitation, and workplace interference, suggesting modifiable outcomes for workplace health and safety interventions.
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