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Lind CM. A Rapid Review on the Effectiveness and Use of Wearable Biofeedback Motion Capture Systems in Ergonomics to Mitigate Adverse Postures and Movements of the Upper Body. SENSORS (BASEL, SWITZERLAND) 2024; 24:3345. [PMID: 38894134 PMCID: PMC11175029 DOI: 10.3390/s24113345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2024] [Revised: 05/16/2024] [Accepted: 05/19/2024] [Indexed: 06/21/2024]
Abstract
Work-related diseases and disorders remain a significant global health concern, necessitating multifaceted measures for mitigation. One potential measure is work technique training utilizing augmented feedback through wearable motion capture systems. However, there exists a research gap regarding its current effectiveness in both real work environments and controlled settings, as well as its ability to reduce postural exposure and retention effects over short, medium, and long durations. A rapid review was conducted, utilizing two databases and three previous literature reviews to identify relevant studies published within the last twenty years, including recent literature up to the end of 2023. Sixteen studies met the inclusion criteria, of which 14 were of high or moderate quality. These studies were summarized descriptively, and the strength of evidence was assessed. Among the included studies, six were rated as high quality, while eight were considered moderate quality. Notably, the reporting of participation rates, blinding of assessors, and a-priori power calculations were infrequently performed. Four studies were conducted in real work environments, while ten were conducted in controlled settings. Vibration feedback was the most common feedback type utilized (n = 9), followed by auditory (n = 7) and visual feedback (n = 1). All studies employed corrective feedback initiated by the system. In controlled environments, evidence regarding the effectiveness of augmented feedback from wearable motion capture systems to reduce postural exposure ranged from strong evidence to no evidence, depending on the time elapsed after feedback administration. Conversely, for studies conducted in real work environments, the evidence ranged from very limited evidence to no evidence. Future reach needs are identified and discussed.
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Affiliation(s)
- Carl M Lind
- IMM Institute of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
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2
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Banerjee S, Goswami K. Whether occupational injuries of the industrial workers can be prevented: an analysis from the slums of West Bengal-India? Int J Inj Contr Saf Promot 2024; 31:48-60. [PMID: 37740694 DOI: 10.1080/17457300.2023.2258511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 09/10/2023] [Indexed: 09/25/2023]
Abstract
A lack of research exists concerning the heterogeneity of the occupational injuries of slum dwellers across industries which has a close link with health expenditure and hence livelihood. It necessitates analysing their occupational injuries and associated out-of-pocket health expenditures. Multi-stage random sampling is used to collect the primary data and the logit model is used for data analyses. Permanent non-fatal injuries in the civil-mechanical industries and temporary non-fatal injuries in textile industries are common. The share of health expenditure of the injured workers seeking medical consultations remains 59% of their average monthly income. Average monthly income, parental occupation, types of industry, job security, risk intensity, and salary basis are significant estimates of occupational injuries. The differences in the nature and extent of the occupational injuries of the workers across industries in the light of the socio-demographic and working environment context provide significant insight into the policy implications.
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Affiliation(s)
- Shashwati Banerjee
- Department of Humanities and Social Sciences, Indian Institute of Engineering Science and Technology Shibpur, Shibpur, India
| | - Kishor Goswami
- Department of Humanities and Social Sciences, Indian Institute of Technology Kharagpur, Kharagpur, India
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3
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Neumann W, Purdy N. The better work, better care framework: 7 strategies for sustainable healthcare system process improvement. Health Syst (Basingstoke) 2023; 12:429-445. [PMID: 38235296 PMCID: PMC10791105 DOI: 10.1080/20476965.2023.2198580] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 03/23/2023] [Indexed: 01/19/2024] Open
Abstract
Healthcare systems are under pressure to control costs and improve performance. Efforts to apply improvement trends such as "Lean" and other industrial engineering approaches have led to degradation of the working environment for healthcare professionals. Research is increasingly demonstrating how poor working environments contribute to declines in care quality and has led to calls for a "quadruple aim" with a focus on the working environment alongside quality, cost, and patient experience factors. This paper contributes to the debate by using a "systems" perspective to propose seven strategies by which healthcare systems might be improved without compromising the working environment. This article presents a rationale for these strategies based on current organisational psychology and human factors research and how these strategies might be deployed in practice. The authors argue that better working conditions leads to better care for patients and presents a viable approach for both practitioners and researchers to pursue the "Better Work, Better Care" agenda.
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Affiliation(s)
- W.P. Neumann
- Department of Mechanical and Industrial Engineering, Toronto Metropolitan University, Toronto, ON, Canada
| | - N. Purdy
- Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada
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4
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Fan X, Forsman M, Yang L, Lind CM, Kjellman M. Surgeons' physical workload in open surgery versus robot-assisted surgery and nonsurgical tasks. Surg Endosc 2022; 36:8178-8194. [PMID: 35589973 PMCID: PMC9613719 DOI: 10.1007/s00464-022-09256-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 04/08/2022] [Indexed: 01/06/2023]
Abstract
BACKGROUND Musculoskeletal disorders (MSDs) are common among surgeons, and its prevalence varies among surgical modalities. There are conflicting results concerning the correlation between adverse work exposures and MSD prevalence in different surgical modalities. The progress of rationalization in health care may lead to job intensification for surgeons, but the literature is scarce regarding to what extent such intensification influences the physical workload in surgery. The objectives of this study were to quantify the physical workload in open surgery and compare it to that in (1) nonsurgical tasks and (2) two surgeon roles in robot-assisted surgery (RAS). METHODS The physical workload of 22 surgeons (12 performing open surgery and 10 RAS) was measured during surgical workdays, which includes trapezius muscle activity from electromyography, and posture and movement of the head, upper arms and trunk from inertial measurement units. The physical workload of surgeons in open surgery was compared to that in nonsurgical tasks, and to the chief and assistant surgeons in RAS, and to the corresponding proposed action levels. Mixed-effects models were used to analyze the differences. RESULTS Open surgery constituted more than half of a surgical workday. It was associated with more awkward postures of the head and trunk than nonsurgical tasks. It was also associated with higher trapezius muscle activity levels, less muscle rest time and a higher proportion of sustained low muscle activity than nonsurgical tasks and the two roles in RAS. The head inclination and trapezius activity in open surgery exceeded the proposed action levels. CONCLUSIONS The physical workload of surgeons in open surgery, which exceeded the proposed action levels, was higher than that in RAS and that in nonsurgical tasks. Demands of increased operation time may result in higher physical workload for open surgeons, which poses an increased risk of MSDs. Risk-reducing measures are, therefore, needed.
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Affiliation(s)
- Xuelong Fan
- IMM Institute of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
| | - Mikael Forsman
- IMM Institute of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
- Division of Ergonomics, School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, Hälsovägen 11C, 14157 Huddinge, Sweden
- Centre for Occupational and Environmental Medicine, Stockholm County Council, 113 65 Stockholm, Sweden
| | - Liyun Yang
- IMM Institute of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
| | - Carl M. Lind
- IMM Institute of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
| | - Magnus Kjellman
- Department of Molecular Medicine and Surgery, Department of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
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5
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Eib C, Bernhard-Oettel C, Leineweber C, Näswall K. You can’t always get what you want: mechanisms and consequences of intra-organizational job change among middle managers in Sweden. INTERNATIONAL JOURNAL OF HUMAN RESOURCE MANAGEMENT 2022. [DOI: 10.1080/09585192.2021.1886153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Constanze Eib
- Department of Psychology, Uppsala University, Uppsala, Sweden
- Stress Research Institute, Stockholm University, Stockholm, Sweden
| | | | | | - Katharina Näswall
- School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand
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Llorens-Serrano C, Salas-Nicás S, Navarro-Giné A, Lluís SM. Delegation and consultation on operational and tactical issues: Any difference in their potentialities for a healthier psychosocial work environment? Am J Ind Med 2022; 65:800-812. [PMID: 35938976 PMCID: PMC9544612 DOI: 10.1002/ajim.23414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 07/05/2022] [Accepted: 07/07/2022] [Indexed: 11/11/2022]
Abstract
Background Despite the growing number of studies on direct participation labor‐management practices, little is known about the role of their different discretionary degrees (delegation or consultation) and topics in their relationship with the psychosocial work environment by occupational groups. Methods Cross‐sectional study on the relationship between direct participation and work‐related psychosocial risks (using COPSOQ‐ISTAS21 v3) on a representative sample of the salaried and wage‐earning employees in Spain (n = 1807). Prevalence ratios were calculated using adjusted Poisson regression models, controlling for 10 other labor‐management practices, sex, and age, and stratified by occupational group. Results The use of direct participation was either associated consistently with a healthier psychosocial work environment (mostly in manual occupations, which presented twice as many positive associations as nonmanual occupations, and of greater strength, mostly in the control and social support dimensions) or there were no significant associations (mostly among nonmanual occupations and in relation to work pace). More frequent and stronger associations were observed when consultation and delegation were used in combination. If used separately, consultation achieved better results among manual occupations and delegation among nonmanual occupations. Direct participation topics were not important for results in manual occupations whereas results were better on tactical (vs. operational) issues in nonmanual occupations. Conclusions Direct participation does not change power structure, but it may be a useful intervention at the company level to reduce work‐related psychosocial exposures and associated diseases among workers in manual occupations, and consequently for decreasing occupational exposures and health inequalities.
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Affiliation(s)
- Clara Llorens-Serrano
- Sociology Department, Faculty of Sociology and Political Sciences, Autonomous University of Barcelona (UAB), Cerdanyola del Vallès, Spain.,Union Institute of Work, Environment and Health (ISTAS), Reference Centre on Work Organization and Health, Barcelona, Spain.,Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Autonomous University of Barcelona (UAB), Cerdanyola del Vallès, Spain
| | - Sergio Salas-Nicás
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Autonomous University of Barcelona (UAB), Cerdanyola del Vallès, Spain
| | - Albert Navarro-Giné
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Autonomous University of Barcelona (UAB), Cerdanyola del Vallès, Spain.,Biostatistics Unit, Faculty of Medicine, Autonomous University of Barcelona (UAB), Cerdanyola del Vallès, Spain
| | - Salvador Moncada Lluís
- Union Institute of Work, Environment and Health (ISTAS), Reference Centre on Work Organization and Health, Barcelona, Spain
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Chiang HL, Lien YC, Lin AP, Chuang YT. How Followership Boosts Creative Performance as Mediated by Work Autonomy and Creative Self-Efficacy in Higher Education Administrative Jobs. Front Psychol 2022; 13:853311. [PMID: 35712160 PMCID: PMC9194574 DOI: 10.3389/fpsyg.2022.853311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 05/11/2022] [Indexed: 11/13/2022] Open
Abstract
Followership is an important but understudied domain. This study adopted a follower-centric perspective to examine the internal process by which followership affects creative performance via work autonomy and creative self-efficacy. The study employed a 3-wave survey of 341 employees of a Taiwanese university to achieve the research purpose. This study showed that effective followership (Time 1) is positively associated with employees' work autonomy (Time 1) and creative self-efficacy (Time 2). Work autonomy and creative self-efficacy mediate the relationship between effective followership and creative performance (Time 3). This study's empirical findings provide an improved way of measuring followership and broaden our understanding of how followership triggers intrinsic motivation to facilitate creative performance.
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Affiliation(s)
- Hua-Ling Chiang
- Department of International Business, College of Management, National Taiwan University, Taipei, Taiwan
| | - Yung-Chih Lien
- Department of International Business, College of Management, National Taiwan University, Taipei, Taiwan
| | - An-Pan Lin
- Department of Civic Education and Leadership, National Taiwan Normal University, Taipei, Taiwan
| | - Ya-Ting Chuang
- Office of Administrative Affairs, National Taiwan Normal University, Taipei, Taiwan
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Bodin J, Garlantézec R, Descatha A, Evanoff B, Thomas T, Roquelaure Y. Risk factors for shoulder disorders among French workers: prospective cohort study. Int Arch Occup Environ Health 2022; 95:1511-1519. [PMID: 35294628 PMCID: PMC9424162 DOI: 10.1007/s00420-022-01853-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 03/02/2022] [Indexed: 11/17/2022]
Abstract
Objectives Shoulder disorders are common in the working population. This longitudinal study aimed to explore the relationships between personal factors and occupational organisational, psychosocial, and biomechanical factors and the incidence of shoulder disorders. Methods A total of 3710 workers in the Pays de la Loire region (Loire Valley area, France) were randomly included by their occupational physician in the Cosali cohort between 2002 and 2005. All workers completed a self-administered questionnaire about personal factors and work exposure, and using a standardised physical examination, occupational physicians diagnosed shoulder disorders. Between 2007 and 2010, 1611 workers were re-examined by their occupational physician. The 1,320 workers free of shoulder disorders at baseline were studied. A conceptual model was developed in which relationships between organisational, psychosocial, biomechanical, and personal factors at baseline and the incidence of shoulder disorders were assumed. Structural equation modelling was used to test the model. Results Shoulder disorders were directly associated with biomechanical factors and age but not with psychosocial factors. However, skill discretion and psychological demand influenced shoulder disorders indirectly through biomechanical factors. Exposure to a work pace dependent on an automatic rate and to a work pace dependent on customers’ demands were associated with biomechanical and psychosocial factors, but not directly to shoulder disorders. Conclusions This study identified the complex direct and indirect relationships between occupational factors and shoulder disorders. Our data confirmed our conceptual causation model: organisational and psychosocial factors were associated with biomechanical factors, while biomechanical factors were associated with the incidence of shoulder disorders. Supplementary Information The online version contains supplementary material available at 10.1007/s00420-022-01853-9.
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Affiliation(s)
- Julie Bodin
- Univ Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, SFR ICAT, F-49000, Angers, France.
| | - Ronan Garlantézec
- Univ Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-35000, Rennes, France
| | - Alexis Descatha
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, SFR ICAT, F-49000, Angers, France.,Inserm, UMS 011, Unité Cohortes Epidémiologiques en Population, Villejuif, France
| | - Bradley Evanoff
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, St. Louis, MO, 13 63310, USA
| | - Thierry Thomas
- Department of Rheumatology, CHU Saint-Etienne, Saint-Etienne, France.,INSERM U1059, Université de Lyon, Saint-Etienne, France
| | - Yves Roquelaure
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, SFR ICAT, F-49000, Angers, France
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9
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How Human Resources Index, Relational Justice, and Perceived Productivity Change after Reorganization at a Hospital in Sweden That Uses a Structured Support Model for Systematic Work Environment Management. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111611. [PMID: 34770126 PMCID: PMC8583354 DOI: 10.3390/ijerph182111611] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 10/28/2021] [Accepted: 11/01/2021] [Indexed: 11/17/2022]
Abstract
To facilitate systematic work environment management, which should be a natural part of business development, a structured support model was developed. The Stamina model has previously been used in Swedish municipalities, showing positive results. The aim was to study how the Human Resources Index (HRI), relational justice, short-term recovery and perceived productivity changed in a recently reorganised perioperative setting in a hospital in Sweden that uses a structured support model for systematic work environment management. A longitudinal design that took measurements at four time points was used in a sample of 500 employees in a perioperative hospital department. The results for the overall sample indicated a positive trend in the HRI (Mt1 = 48.5, SDt1 = 22.5; Mt3 = 56.7, SDt1 = 21.2; p < 0.001). Perceived health-related production loss (Mdt1 = 2, IQR = 3; Mdt3 = 0, IQR = 3; p < 0.001) and perceived work environment-related production loss (Mdt1 = 2, IQR = 3; Mdt3 = 0, IQR = 4; p < 0.001) showed major improvements. Short-term recovery showed a minor improvement (Mt1 = 2.61, SDt1 = 1.33; Mt3 = 2.65, SDt3 = 1.22; p = 0.872). In conclusion, the implementation of the Stamina model, of which the HRI constitutes an important part, seems to be a helpful tool to follow-up on work environment processes, and minimise production losses due to health and work environment-related issues.
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10
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Souza CS, Cardoso JP, Aguiar AP, Macêdo MMSR, Oliveira JDS. Work-related musculoskeletal disorders among schoolteachers. Rev Bras Med Trab 2021; 19:140-150. [PMID: 34603409 PMCID: PMC8447634 DOI: 10.47626/1679-4435-2020-545] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Accepted: 08/27/2020] [Indexed: 11/24/2022] Open
Abstract
Introduction: Teachers belong to a risk group for the onset of musculoskeletal disorders, which may be justified by some work-related factors, with a direct impact on their lives. Objectives: To evaluate the occurrence of musculoskeletal disorders among elementary school teachers in Jequié, state of Bahia, Brazil, and to investigate the association of these disorders with sociodemographic, occupational, organizational and health variables. Methods: A cross-sectional epidemiological study with a sample of 304 elementary school teachers in Jequié. A standardized collection instrument was applied and the instrument data were analyzed using descriptive statistics procedures, with prevalence ratios and 95% confidence interval. Results: The prevalence of musculoskeletal disorders was 24.3% for any of the body segments, 15.5% for the back, 16.1% for the upper limbs and 12.5% for the lower limbs. There was a statistically significant association between musculoskeletal disorders and female sex, older age, black, brown and red skin, time working as a teacher of more than 14 years, presence of comorbidities, irregular sleeping pattern, consumption of alcohol and tobacco, and a regular lifestyle. Conclusions: Teachers presented a high prevalence of musculoskeletal disorders in upper limbs, back, and lower limbs. In addition, associations with the investigated factors demonstrate that inadequate teaching conditions contribute negatively to teachers’ health.
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Affiliation(s)
- Cícero Santos Souza
- Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da Bahia, Jequié, BA, Brazil
| | - Jefferson Paixão Cardoso
- Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da Bahia, Jequié, BA, Brazil
| | - Amanda Pacheco Aguiar
- Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da Bahia, Jequié, BA, Brazil
| | | | - Juliana da Silva Oliveira
- Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da Bahia, Jequié, BA, Brazil
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11
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Lundmark R, Richter A, Tafvelin S. Consequences of Managers’ Laissez-faire Leadership During Organizational Restructuring. JOURNAL OF CHANGE MANAGEMENT 2021. [DOI: 10.1080/14697017.2021.1951811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - Anne Richter
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
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12
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Matsuura S, Suzuki S, Motoki K, Yamazaki S, Kawashima R, Sugiura M. Ventral-Dorsal Subregions in the Posterior Cingulate Cortex Represent Pay and Interest, Two Key Attributes of Job Value. Cereb Cortex Commun 2021; 2:tgab018. [PMID: 34296163 PMCID: PMC8152834 DOI: 10.1093/texcom/tgab018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 03/01/2021] [Accepted: 03/03/2021] [Indexed: 11/14/2022] Open
Abstract
Career choices affect not only our financial status but also our future well-being. When making these choices, individuals evaluate their willingness to obtain a job (i.e., job values), primarily driven by simulation of future pay and interest. Despite the importance of these decisions, their underlying neural mechanisms remain unclear. In this study, we examined the neural representation of pay and interest. Forty students were presented with 80 job names and asked to evaluate their job values while undergoing functional magnetic resonance imaging (fMRI). Following fMRI, participants rated the jobs in terms of pay and interest. The fMRI data revealed that the ventromedial prefrontal cortex (vmPFC) was associated with job value representation, and the ventral and dorsal regions of the posterior cingulate cortex (PCC) were associated with pay and interest representations, respectively. These findings suggest that the neural computations underlying job valuation conform to a multi-attribute decision-making framework, with overall value signals represented in the vmPFC and the attribute values (i.e., pay and interest) represented in specific regions outside the vmPFC, in the PCC. Furthermore, anatomically distinct representations of pay and interest in the PCC may reflect the differing roles of the two subregions in future simulations.
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Affiliation(s)
- Shunsui Matsuura
- Institute of Development, Aging and Cancer, Tohoku University, Sendai 980-8575, Japan
| | - Shinsuke Suzuki
- Institute of Development, Aging and Cancer, Tohoku University, Sendai 980-8575, Japan.,Frontier Research Institute for Interdisciplinary Sciences, Tohoku University, Sendai 980-0845, Japan.,Brain, Mind and Markets Laboratory, Department of Finance, Faculty of Business and Economics, The University of Melbourne, Carlton, VIC 3053, Australia
| | - Kosuke Motoki
- Institute of Development, Aging and Cancer, Tohoku University, Sendai 980-8575, Japan.,Department of Food Management, Miyagi University, Sendai 982-0215, Japan
| | - Shohei Yamazaki
- Institute of Development, Aging and Cancer, Tohoku University, Sendai 980-8575, Japan
| | - Ryuta Kawashima
- Institute of Development, Aging and Cancer, Tohoku University, Sendai 980-8575, Japan
| | - Motoaki Sugiura
- Institute of Development, Aging and Cancer, Tohoku University, Sendai 980-8575, Japan.,International Research Institute of Disaster Science, Tohoku University, Sendai 980-8572, Japan
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13
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Bakhuys Roozeboom MC, Wiezer NM, Boot CRL, Bongers PM, Schelvis RMC. Use of Intervention Mapping for Occupational Risk Prevention and Health Promotion: A Systematic Review of Literature. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041775. [PMID: 33670376 PMCID: PMC7918071 DOI: 10.3390/ijerph18041775] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 02/02/2021] [Accepted: 02/03/2021] [Indexed: 11/19/2022]
Abstract
Aim: Intervention mapping (IM) is a method to systematically design interventions that is applied regularly within the public health domain. This study investigates whether IM is effectively used within the occupational safety and health domain as well. Specifically, this study explores the relation between the fidelity regarding the use of the IM protocol for intervention development, the implementation process and the effectiveness of the occupational risk prevention and health promotion interventions. Methods: A systematic review was conducted including articles on development, implementation, and effects of occupational risk prevention and health promotion interventions that were developed according to the IM-protocol. By means of a checklist, two authors reviewed the articles and rated them on several indicators regarding the fidelity of the IM-protocol, the implementation process, and the intervention effect. Results: A literature search resulted in a total of 12 interventions as described in 38 articles. The fidelity to the IM-protocol was relatively low for participation throughout the development process and implementation planning. No relationship was found between fidelity of the IM-protocol and the intervention effect. A theory-based approach (as one of the core elements of IM) appears to be positively related to a successful implementation process. Conclusion: Results of the review suggest that organizing a participative approach and implementation planning is difficult in practice. In addition, results imply that conducting matrices of change objectives as part of the intervention development, although challenging and time-consuming, may ultimately pay off, resulting in a tailored intervention that matches the target group.
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Affiliation(s)
- Maartje C. Bakhuys Roozeboom
- Department of Healthy Living, Netherlands Organisation for Applied Scientific Research (TNO), Schipholweg 77, 2316 ZL Leiden, The Netherlands; (N.M.W.); (P.M.B.)
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University, Amsterdam UMC, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands;
- Correspondence:
| | - Noortje M. Wiezer
- Department of Healthy Living, Netherlands Organisation for Applied Scientific Research (TNO), Schipholweg 77, 2316 ZL Leiden, The Netherlands; (N.M.W.); (P.M.B.)
| | - Cécile R. L. Boot
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University, Amsterdam UMC, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands;
| | - Paulien M. Bongers
- Department of Healthy Living, Netherlands Organisation for Applied Scientific Research (TNO), Schipholweg 77, 2316 ZL Leiden, The Netherlands; (N.M.W.); (P.M.B.)
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University, Amsterdam UMC, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands;
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Brunoro CM, Bolis I, Sigahi TFAC, Kawasaki BC, Sznelwar LI. Defining the meaning of "sustainable work" from activity-centered ergonomics and psychodynamics of Work's perspectives. APPLIED ERGONOMICS 2020; 89:103209. [PMID: 32658773 DOI: 10.1016/j.apergo.2020.103209] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 06/23/2020] [Accepted: 06/24/2020] [Indexed: 05/28/2023]
Abstract
INTRODUCTION Work-related issues are already part of the theoretical framework and the historical rationale that underpin corporate sustainability. However, the relationship between work and sustainability is still little known in company practices. Based on the concepts of activity-centered ergonomics (ACE) and psychodynamics of work (PDW), this paper investigates the meaning of "sustainable work" in Brazilian companies. Thus, two research questions guided this study: How the concept of "sustainable work" can be defined in the perception of companies based on the perspective of ACE and PDW? How the concepts provided by these approaches can help companies in developing practices towards sustainable work? METHOD Case studies conducted in ten Brazilian companies engaged in corporate sustainability practices involving document analysis, interviews, and content analysis. RESULTS Companies recognize the importance of human action in organizational processes, by considering people as the cornerstone for ensuring corporate sustainability, and seeking to build a work with meaning and significance. However, i) Improvement actions are usually mitigatory or compensatory, acting on the effects while the root causes remain untouched; ii) Sustainability initiatives focus on individual issues, in most cases on the leader (individual), narrowing its scope and neglecting broader, important topics such as work organization and work content; iii) Both work overload and work for sustainability agenda are usually disregarded; iv) A comprehensive view of health should not be limited to the workplace. CONCLUSIONS According to companies' perceptions, sustainable work includes but is not limited to integrating work to corporate sustainability guidelines, respecting labor laws and human rights, developing synergy between areas/departments towards sustainability, providing possibilities for constructing health in its multidimensionality with the worker as protagonist, and creating work that is meaningful, pleasurable and leads to happiness and recognition. ACE and PDW offer valuable concepts to support companies in bridging the gap between their corporate sustainability vision and practices, i.e., transforming guidelines into actions towards sustainable work. In this sense, sustainable work is believed to be that which improves the organization's performance and promotes professional development as well as workers' health broadly and positively (not limited to the absence of illness, but in the sense of building health) and well-being. Thus, it fosters respect for and the development of intelligence and creativity (as opposed to alienating work) by performing work that has meaning and significance, understanding the profound importance of physical, cognitive and organizational issues, and above all, the importance of work to the development of culture (Bolis et al., 2014).
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Affiliation(s)
| | - Ivan Bolis
- Department of Psychology, Federal University of Paraíba, João Pessoa, PB, Brazil.
| | - Tiago F A C Sigahi
- Department of Production Engineering, University of São Paulo, São Paulo, SP, Brazil.
| | - Bruno C Kawasaki
- Department of Production Engineering, University of São Paulo, São Paulo, SP, Brazil.
| | - Laerte I Sznelwar
- Department of Production Engineering, University of São Paulo, São Paulo, SP, Brazil.
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Tian J, Lin Z, Wang F. Resilient trade-offs between safety and profitability: perspectives of sharp-end drivers in the Beijing taxi service system. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2020; 28:721-733. [PMID: 32900280 DOI: 10.1080/10803548.2020.1821511] [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: 10/23/2022]
Abstract
Background. Trade-offs are common behaviors of resilient systems, when the systems adapt to changing situations to meet multiple goals. Objective. In the context of the Beijing taxi service system (BTSS), this work investigates the sharp-end taxi drivers' trade-offs between work safety and business profitability, demonstrates their resilience in balancing these two goals and identifies factors that contribute to the trade-offs. Methods. An empirical framework incorporating questionnaire surveys, semi-structured interviews, field observation, data screening and categorization was adopted. Data were collected from a random sample of 70 taxi drivers. Results. In the drivers' decisions we found a slight bias in favor of profitability rather than safety (regardless of their finances), and a high level of resilience that the drivers had developed in making strategies for the trade-offs. Trip distance, possibility of traffic congestion, redundant consumption, weather conditions, road features and real-time broadcast information were identified as determinants of the drivers' decision-making. Conclusion. The findings inform BTSS organizational layers and regulators about the sharp-end drivers' needs for productive safety, and provide an evidence base for making more definitive recommendations about support provision and resource re-allocation in an effective and proactive manner.
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Affiliation(s)
- Jin Tian
- Beihang University, People's Republic of China
| | - Zheying Lin
- Beihang University, People's Republic of China
| | - Feng Wang
- Beihang University, People's Republic of China
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Øygarden O, Olsen E, Mikkelsen A. Changing to improve? Organizational change and change-oriented leadership in hospitals. J Health Organ Manag 2020; ahead-of-print:687-706. [PMID: 32830931 PMCID: PMC7810022 DOI: 10.1108/jhom-09-2019-0280] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 03/31/2020] [Accepted: 07/02/2020] [Indexed: 11/17/2022]
Abstract
PURPOSE This paper aims to fill gaps in one's knowledge of the impact of organizational change on two outcomes relevant to hospital service quality (performance obstacles and physician job satisfaction) and in one's knowledge of the role of middle manager change-oriented leadership in relation to the same outcomes. Further, the authors aim to identify how physician participation in decision-making is impacted by organizational change and change-oriented leadership, as well as how it mediates the relationships between these two variables, performance obstacles and job satisfaction. DESIGN/METHODOLOGY/APPROACH The study adopted a cross-sectional survey design including data from Norwegian hospital physicians (N = 556). A hypothetical model was developed based on existing theory, confirmatory factor analysis was carried out in order to ensure the validity of measurement concepts, and the structural model was estimated using structural equation modelling. FINDINGS The organizational changes in question were positively related to performance obstacles both directly and indirectly through participation in decision-making. Organizational change was also negatively related to job satisfaction, both directly and indirectly. Change-oriented leadership was negatively related to performance obstacles, but only indirectly through participation in decision-making, whereas it was positively related to job satisfaction both directly and indirectly. ORIGINALITY/VALUE The authors developed a theoretical model based on existing theory, but to their knowledge no other studies have tested these exact relationships within one model. These findings offer insights relevant to current and ongoing developments in the healthcare field and to the question of how hospitals may deal with continuous changes in ways that could contribute positively towards outcomes relevant to service quality.
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Affiliation(s)
- Olaug Øygarden
- University of Stavanger Business School
, Stavanger,
Norway
- NORCE Norwegian Research Centre
, Stavanger,
Norway
| | - Espen Olsen
- University of Stavanger Business School
, Stavanger,
Norway
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Grønstad A, Kjekshus LE, Tjerbo T, Bernstrøm VH. Work-related moderators of the relationship between organizational change and sickness absence: a longitudinal multilevel study. BMC Public Health 2020; 20:1218. [PMID: 32770987 PMCID: PMC7414577 DOI: 10.1186/s12889-020-09325-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 08/02/2020] [Indexed: 02/01/2023] Open
Abstract
Background A sizeable body of research has demonstrated a relationship between organizational change and increased sickness absence. However, fewer studies have investigated what factors might mitigate this relationship. The aim of this study was to examine if and how the relationship between unit-level downsizing and sickness absence is moderated by three salient work factors: temporary contracts at the individual-level, and control and organizational commitment at the work-unit level. Methods We investigated the association between unit-level downsizing, each moderator and both short- and long-term sickness absence in a large Norwegian hospital (n = 21,085) from 2011 to 2016. Data pertaining to unit-level downsizing and employee sickness absence were retrieved from objective hospital registers, and moderator variables were drawn from hospital registers (temporary contracts) and the annual work environment survey (control and organizational commitment). We conducted a longitudinal multilevel random effects regression analysis to estimate the odds of entering short- (< = 8 days) and long-term (> = 9 days) sickness absence for each individual employee. Results The results showed a decreased risk of short-term sickness absence in the quarter before and an increased risk of short-term sickness absence in the quarter after unit-level downsizing. Temporary contracts and organizational commitment significantly moderated the relationship between unit-level downsizing in the next quarter and short-term sickness absence, demonstrating a steeper decline in short-term sickness absence for employees on temporary contracts and employees in high-commitment units. Additionally, control and organizational commitment moderated the relationship between unit-level downsizing and long-term sickness absence. Whereas employees in high-control work-units had a greater increase in long-term sickness absence in the change quarter, employees in low-commitment work-units had a higher risk of long-term sickness absence in the quarter after unit-level downsizing. Conclusions The results from this study suggest that the relationship between unit-level downsizing and sickness absence varies according to the stage of change, and that work-related factors moderate this relationship, albeit in different directions. The identification of specific work-factors that moderate the adverse effects of change represents a hands-on foundation for managers and policy-makers to pursue healthy organizational change.
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Affiliation(s)
- Anniken Grønstad
- Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Forskningsveien 3A, N-0373, Oslo, Norway.
| | - Lars Erik Kjekshus
- Department of Sociology and Human Geography, Faculty of Social Sciences, University of Oslo, Moltke Moes vei 31, N-0851, Oslo, Norway
| | - Trond Tjerbo
- Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Forskningsveien 3A, N-0373, Oslo, Norway
| | - Vilde Hoff Bernstrøm
- Work Research Institute, OsloMet - Oslo Metropolitan University, Stensberggata 26, N-0170, Oslo, Norway
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Social Dialogue and Psychosocial Risk Management: Added Value of Manager and Employee Representative Agreement in Risk Perception and Awareness. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103672. [PMID: 32456084 PMCID: PMC7277720 DOI: 10.3390/ijerph17103672] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 05/15/2020] [Accepted: 05/20/2020] [Indexed: 11/16/2022]
Abstract
The present study aimed to explore the added value of managers’ and employee representatives’ agreement in risk perception and awareness in explaining the management of more ‘subjective’ psychosocial risks as compared to the more ‘objective’ traditional OSH risks. The general assumption tested was whether the added value of agreement in risk perception and awareness between these parties would be larger for psychosocial risk management as compared to traditional OSH risk management. European Survey of Enterprises on New and Emerging Risks (ESENER-1) data were used from 7226 enterprises in which both managers and employee representatives were interviewed. Answers by employee representatives and managers to mirror questions on risk perception and awareness were used as independent variables, and answers to questions on risk management by the manager were used as dependent variables. Polynomial regression with response surface analysis was used. Differences in risk perception and awareness between managers and employee representatives explained more variance in psychosocial risk management as compared to more traditional OSH risk management. The implications of these findings and the importance of ‘social dialogue’ particularly in the case of psychosocial risk management as opposed to general OSH management are discussed.
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Bakhuys Roozeboom MC, Schelvis RMC, Houtman ILD, Wiezer NM, Bongers PM. Decreasing employees' work stress by a participatory, organizational level work stress prevention approach: a multiple-case study in primary education. BMC Public Health 2020; 20:676. [PMID: 32404084 PMCID: PMC7218833 DOI: 10.1186/s12889-020-08698-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Accepted: 04/14/2020] [Indexed: 11/17/2022] Open
Abstract
Background Work stress is an important problem among employees in education in the Netherlands. The present study aims to investigate the effects of a participatory organizational level work stress prevention approach to reduce (quantitative) job demands, increase resources (i.e. autonomy, supervisor and coworker support) and to reduce work stress and increase job satisfaction of employees in primary education. Methods This study makes use of a multiple case study research design. The stress prevention approach is implemented at 5 primary schools and questionnaires were filled out by 119 employees of the 5 schools at baseline and 1 year later, measuring job demands, resources, work stress, job satisfaction and implementation factors. Results Multilevel analyses showed a significant decrease in job demands and a significant increase in job satisfaction between baseline and follow up. In addition, employees that were more satisfied with the communication about the intervention showed more improvements in autonomy and job satisfaction. However, employees reporting an increased dialogue in work stress between employees and management showed a smaller decrease in job demands. Conclusion The study shows a decrease in job demands and an increase in job satisfaction in the schools that implemented a stress prevention approach. Results of the study underline the importance of communication about the intervention as part of the implementation process, impacting the effectiveness of the intervention to improve autonomy and job satisfaction. Trial registration ISRCTN registry, study ID: ISRCTN14697835, registration date: 11-10-2019 (retrospectively registered).
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Affiliation(s)
| | | | - Irene L D Houtman
- TNO (The Netherlands Organization for Applied Scientific Research), Leiden, Netherlands
| | - Noortje M Wiezer
- TNO (The Netherlands Organization for Applied Scientific Research), Leiden, Netherlands
| | - Paulien M Bongers
- TNO (The Netherlands Organization for Applied Scientific Research), Leiden, Netherlands.,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, Netherlands
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20
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Cha JS, Monfared S, Stefanidis D, Nussbaum MA, Yu D. Supporting Surgical Teams: Identifying Needs and Barriers for Exoskeleton Implementation in the Operating Room. HUMAN FACTORS 2020; 62:377-390. [PMID: 31593495 PMCID: PMC10027361 DOI: 10.1177/0018720819879271] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
OBJECTIVE The objective of this study was to identify potential needs and barriers related to using exoskeletons to decrease musculoskeletal (MS) symptoms for workers in the operating room (OR). BACKGROUND MS symptoms and injuries adversely impact worker health and performance in surgical environments. Half of the surgical team members (e.g., surgeons, nurses, trainees) report MS symptoms during and after surgery. Although the ergonomic risks in surgery are well recognized, little has been done to develop and sustain effective interventions. METHOD Surgical team members (n = 14) participated in focus groups, performed a 10-min simulated surgical task with a commercial upper-body exoskeleton, and then completed a usability questionnaire. Content analysis was conducted to determine relevant themes. RESULTS Four themes were identified: (1) characteristics of individuals, (2) perceived benefits, (3) environmental/societal factors, and (4) intervention characteristics. Participants noted that exoskeletons would benefit workers who stand in prolonged, static postures (e.g., holding instruments for visualization) and indicated that they could foresee a long-term decrease in MS symptoms with the intervention. Specifically, raising awareness of exoskeletons for early-career workers and obtaining buy-in from team members may increase future adoption of this technology. Mean participant responses from the System Usability Scale was 81.3 out of 100 (SD = 8.1), which was in the acceptable range of usability. CONCLUSION Adoption factors were identified to implement exoskeletons in the OR, such as the indicated need for exoskeletons and usability. Exoskeletons may be beneficial in the OR, but barriers such as maintenance and safety to adoption will need to be addressed. APPLICATION Findings from this work identify facilitators and barriers for sustained implementation of exoskeletons by surgical teams.
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Affiliation(s)
- Jackie S Cha
- 311308 Purdue University, West Lafayette, Indiana, USA
| | - Sara Monfared
- 12250 Indiana University School of Medicine, Indianapolis, USA
| | | | | | - Denny Yu
- 311308 Purdue University, West Lafayette, Indiana, USA
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21
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Bodin J, Garlantézec R, Costet N, Descatha A, Viel JF, Roquelaure Y. Shoulder pain among male industrial workers: Validation of a conceptual model in two independent French working populations. APPLIED ERGONOMICS 2020; 85:103075. [PMID: 32174363 DOI: 10.1016/j.apergo.2020.103075] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 01/31/2020] [Accepted: 02/04/2020] [Indexed: 06/10/2023]
Abstract
This study aims to validate a conceptual model for shoulder pain risk factors in two independent samples of male industrial workers: the Cosali cohort (n = 334) and one pharmaceutical company (n = 487). Direct and indirect relationships between work organization factors (automatic speed of a machine or movement of a product and work pace dependent on customers' demand), psychosocial factors (Job strain model), biomechanical factors (working with abducted arms, working with arms at or above shoulder level, and perceived physical exertion), perceived stress, and shoulder pain were explored using structural equation models. Shoulder pain was positively associated with biomechanical exposure in both samples, and with perceived stress only in the pharmaceutical preparation manufacturer, while factors related to work organization and psychosocial factors had indirect impacts on the risk of chronic shoulder pain in both samples. The results provide a deeper understanding of the complex relationships between workplace risk factors and shoulder pain.
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Affiliation(s)
- Julie Bodin
- Univ Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-49000, Angers, France.
| | - Ronan Garlantézec
- Univ Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-35000, Rennes, France
| | - Nathalie Costet
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, Environnement et travail) - UMR_S 1085, F-35000, Rennes, France
| | - Alexis Descatha
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-49000, Angers, France
| | - Jean-François Viel
- Univ Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-35000, Rennes, France
| | - Yves Roquelaure
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-49000, Angers, France
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The Impact of the Direct Participation of Workers on the Rates of Absenteeism in the Spanish Labor Environment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072477. [PMID: 32260481 PMCID: PMC7177909 DOI: 10.3390/ijerph17072477] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 04/02/2020] [Accepted: 04/03/2020] [Indexed: 11/16/2022]
Abstract
The aim of this research was to study the relationship between the different levels of direct participation of workers (passive, consultative or active-delegated) in risk prevention management with the levels of absenteeism in Spain. To this end, a transversal study was carried out using microdata from the Second European Survey of Companies on New and Emerging Risks (ESENER-2-Spain, 2014) with a master population of 3162 work centres. A multinomial logistic regression model was carried out, with the dependent variable being the levels of absenteeism and the independent variables, the participation indicators and preventive management, calculating the adjusted odds ratio (aOR) between all the independent and control variables, with their corresponding 95% confidence intervals (95% IC). The results obtained showed how the active-delegative participation of workers in the design and adoption of psychosocial risk prevention measures reported 2.33 less probabilities of having a very high or fairly high level of absenteeism (aOR = 0.43; 95%IC:0.27-0.69). However, having documented aspects of preventive management (plan, risk assessment, planning measures) did not have any impact on absenteeism levels, which shows that we can fall into an unrealistic institutional mirage of security with active policies of co-education or co-management being necessary to reduce absenteeism.
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Sarbat I, Ozmehmet Tasan S. A structural framework for sustainable processes in ergonomics. ERGONOMICS 2020; 63:346-366. [PMID: 31282822 DOI: 10.1080/00140139.2019.1641614] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 06/27/2019] [Indexed: 06/09/2023]
Abstract
Considering today's globalised world, new concepts that assist ergonomics are needed to provide human well-being. Accordingly, the sustainability concept is used in this study to satisfy the needs of stakeholders, put environmentally-friendly and cost-effective interventions into practice and provide ergonomically well-designed and easily managed processes that are more flexible, adaptable and human-sensitive. To achieve this, a practical and easily adaptable framework, which integrates ergonomics and sustainability by presenting the relations between fundamental elements of ergonomics and sustainability dimensions (SDs), is proposed. Within this base framework, ergonomic indicators (EIs) and sub-dimensions proposed for the classification of EIs are structured for ergonomics under a sustainability point-of-view. The sub-dimensions proposed in this study, which have direct or indirect relations to humans, are 'Loss', 'Investment', 'Conditions', 'Contribution', 'Self-Development', and 'Satisfaction'. This structural framework, which can be easily used by ergonomists or managers, ensures a good starting point for providing sustainable processes in ergonomics. Practitioner summary: This study proposes a structural framework to present the relations between ergonomics and sustainability. In the context of ergonomics, fundamental elements of ergonomics are chosen, while three dimensions of sustainability and proposed sub-dimensions are used in the context of sustainability. The adapted ergonomic indicators are also classified within these sub-dimensions.Abbreviations: SDs: sustainability dimensions; SIs: sustainability indicators; EIs: ergonomic indicators.
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Affiliation(s)
- Irem Sarbat
- Department of Industrial Engineering, Dokuz Eylul University, Izmir, Turkey
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Felekoglu B, Ozmehmet Tasan S. Interactive ergonomic risk mapping: a practical approach for visual management of workplace ergonomics. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2020; 28:45-61. [PMID: 31928167 DOI: 10.1080/10803548.2020.1712127] [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] [Indexed: 10/25/2022]
Abstract
Current studies identify an increasing need to develop enriched tools for ergonomic risk management that can foster an atmosphere enhancing commitment of all stakeholders to create a safe and heathy work environment using ergonomic principles. In this study, a new tool for visualization of ergonomic practices in the workplace is proposed. For developing this tool, an interactive ergonomic risk mapping (intERM) methodology is introduced consisting of five steps while integrating the company's strategic vision and helping to accommodate the impacts of changes in policy and regulatory context, economic and demographic environment, technology and employment context. The proposed systematic and practical methodology is demonstrated on a real-life example. This visual and interactive tool enables prompt identification of and reaction to ergonomic risks, anticipating changes for reducing/eliminating ergonomic risks, as well as increasing company-wide awareness for ergonomic risks and enhancing engagement and ownership of stakeholders.
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Affiliation(s)
- Burcu Felekoglu
- Department of Industrial Engineering, Dokuz Eylul University, Turkey
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Ipsen C, Karanika-Murray M, Nardelli G. Addressing mental health and organisational performance in tandem: A challenge and an opportunity for bringing together what belongs together. WORK AND STRESS 2020. [DOI: 10.1080/02678373.2020.1719555] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Christine Ipsen
- Department of Management, Technical University of Denmark, Lyngby, Denmark
| | | | - Giulia Nardelli
- Department of Management, Technical University of Denmark, Lyngby, Denmark
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Xin S, Jiang W, Xin Z. Changes in Chinese nurses' mental health during 1998-2016: A cross-temporal meta-analysis. Stress Health 2019; 35:665-674. [PMID: 31692200 DOI: 10.1002/smi.2907] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 10/12/2019] [Accepted: 10/17/2019] [Indexed: 11/07/2022]
Abstract
In China, nursing is a profession with considerable stress, which may cause both physiological and psychological problems. The present study conducted a cross-temporal meta-analysis of 244 papers using the Symptom Checklist 90 (SCL-90) to investigate the changes in the mental health level of Chinese nurses (N = 71,286) from 1998 to 2016. Results showed that (a) relationships between scores of all nine types of mental problems in the SCL-90 and year were significantly positive, indicating that the mental health level of nurses decreased steadily in the past 19 years; (b) relationships between three social indicators (patient-to-nurse ratio, unemployment rate, and divorce rate) and scores of all nine types of mental problems in the SCL-90 were significantly positive, suggesting that the increase in these social indicators may be responsible for the decrease in Chinese nurses' mental health level.
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Affiliation(s)
- Sufei Xin
- School of Education Science, Ludong University, Yantai, China
| | - Wenyuan Jiang
- School of Education Science, Ludong University, Yantai, China
| | - Ziqiang Xin
- School of Sociology and Psychology, Central University of Finance and Economics, Beijing, China
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27
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Grønstad A, Kjekshus LE, Tjerbo T, Bernstrøm VH. Organizational change and the risk of sickness absence: a longitudinal multilevel analysis of organizational unit-level change in hospitals. BMC Health Serv Res 2019; 19:895. [PMID: 31771576 PMCID: PMC6880570 DOI: 10.1186/s12913-019-4745-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Accepted: 11/14/2019] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Organizational change is often associated with reduced employee health and increased sickness absence. However, most studies in the field accentuate major organizational change and often do not distinguish between and compare types of change. The aim of this study was to examine the different relationships between six unit-level changes (upsizing, downsizing, merger, spin-off, outsourcing and insourcing) and sickness absence among hospital employees. METHODS The study population included employees working in a large Norwegian hospital (n = 26,252). Data on unit-level changes and employee sickness absence were retrieved from objective hospital registers for the period January 2011 to December 2016. The odds of entering short- (< = 8 days) and long-term (> = 9 days) sickness absence for each individual employee were estimated in a longitudinal multilevel random effects logistic regression model. RESULTS Unit-level organizational change was associated with both increasing and decreasing odds of short-term sickness absence compared to stability, but the direction depended on the type and stages of change. The odds of long-term sickness absence significantly decreased in relation to unit-level upsizing and unit-level outsourcing. CONCLUSIONS The results from this study suggested that certain types of change, such as unit-level downsizing, may produce greater strain and concerns among employees, possibly contributing to an increased risk of sickness absence at certain stages of the change. By contrast, changes such as unit-level insourcing and unit-level upsizing were related to decreased odds of sickness absence, possibly due to positive change characteristics.
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Affiliation(s)
- Anniken Grønstad
- Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Forskningsveien 3A, N-0373 Oslo, Norway
| | - Lars Erik Kjekshus
- Department of Sociology and Human Geography, Faculty of Social Sciences, University of Oslo, Moltke Moes vei 31, N-0851 Oslo, Norway
| | - Trond Tjerbo
- Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Forskningsveien 3A, N-0373 Oslo, Norway
| | - Vilde Hoff Bernstrøm
- Work Research Institute, OsloMet, Oslo Metropolitan University, Stensberggata 26, N-0170 Oslo, Norway
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Hamja A, Maalouf M, Hasle P. Assessing the effects of lean on occupational health and safety in the Ready-Made Garment industry. Work 2019; 64:385-395. [DOI: 10.3233/wor-192982] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Abu Hamja
- Department of Materials and Production, Aalborg University, Copenhagen, Denmark
| | - Malek Maalouf
- Department of Materials and Production, Aalborg University, Copenhagen, Denmark
| | - Peter Hasle
- Department of Materials and Production, Aalborg University, Copenhagen, Denmark
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Kaltenbrunner M, Bengtsson L, Mathiassen SE, Högberg H, Engström M. Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care. BMC Health Serv Res 2019; 19:652. [PMID: 31500624 PMCID: PMC6734292 DOI: 10.1186/s12913-019-4502-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Accepted: 08/30/2019] [Indexed: 11/30/2022] Open
Abstract
Background Lean is commonly adopted in healthcare to increase quality of care and efficiency. Few studies of Lean involve staff-related outcomes, and few have a longitudinal design. Thus, the aim was to examine the extent to which changes over time in Lean maturity are associated with changes over time in care-giving, thriving and exhaustion, as perceived by staff, with a particular emphasis on the extent to which job demands and job resources, as perceived by staff, have a moderated mediation effect. Method A longitudinal study with a correlational design was used. In total, 260 staff at 46 primary care units responded to a web survey in 2015 and 2016. All variables in the study were measured using staff ratings. Ratings of Lean maturity reflect participants’ judgements regarding the entire unit; ratings of care-giving, thriving, exhaustion and job demands and resources reflect participants’ judgements regarding their own situation. Results First, over time, increased Lean maturity was associated with increased staff satisfaction with their care-giving and increased thriving, mediated by increased job resources. Second, over time, increased Lean maturity was associated with decreased staff exhaustion, mediated by decreased job demands. No evidence was found showing that job demands and job resources had a moderated mediation effect. Conclusion The results indicate that primary care staff may benefit from working in organizations characterized by high levels of Lean maturity and that caregiving may also be improved as perceived by staff. Electronic supplementary material The online version of this article (10.1186/s12913-019-4502-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Monica Kaltenbrunner
- Department of Occupational Health Sciences and Psychology, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden.
| | - Lars Bengtsson
- Department of Industrial Management, Industrial Design and Mechanical Engineering, Faculty of Engineering and Sustainable Development, University of Gävle, 801 76, Gävle, Sweden
| | - Svend Erik Mathiassen
- Department of Occupational Health Sciences and Psychology, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden
| | - Hans Högberg
- Department of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden
| | - Maria Engström
- Department of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden.,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.,Nursing Department, Medicine and Health College, Lishui University, Lishui, China
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Liang K, Fung IWH. The impact of macroeconomic and industrial fluctuation on fatalities of construction workers in China. JOURNAL OF SAFETY RESEARCH 2019; 70:149-158. [PMID: 31847990 DOI: 10.1016/j.jsr.2019.06.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 04/25/2019] [Accepted: 06/13/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE This study explores the relationship between fluctuation in economic and industrial development and work-related fatalities of Chinese construction workers. METHODS The data for work-related fatalities in housing and civil engineering in China from 1996 to 2016 were tested for fluctuation and trends of both general economic and industry-specific indicators using the Engle-Granger cointegration analysis and the augmented Granger Causality test the with modified Wald method. RESULTS Both the long-run equilibrium associations and short-run dynamic interactions between construction safety and macroeconomic development in China were determined. According to the estimates, fatalities in the construction industry appeared to be more significantly associated with changes in the gross output value of the industry, and the improvement in the workers' efficiency also contributed to the decline of fatalities. It initially revealed that the changes in growth rate, instead of growth itself, had a more significant influence on construction safety in China, while a marginal decreasing trend of positive effects exerted by the growth can be expected with the gradual maturity of the industry. SIGNIFICANCE The application of econometrical methods explored an untapped data source for gaining an insight into the underlying rules of occurrence of construction fatalities, thus strengthening the body of knowledge of construction safety by providing a new research perspective that some safety indicators can be treated as the macro-level socioeconomic index. Practical applications: The findings reminded policymakers and practitioners to be aware of potential challenges from the slowing or even declining trend facing the industry in the near future, and offered a reference to relevant authorities for establishing a more targeted and effective governance strategy.
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Affiliation(s)
- Kongzheng Liang
- Department of Civil & Architectural Engineering, City University of Hong Kong, Hong Kong, China.
| | - Ivan W H Fung
- Department of Civil & Architectural Engineering, City University of Hong Kong, Hong Kong, China
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31
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Wijnen BFM, Lokkerbol J, Boot C, Havermans BM, van der Beek AJ, Smit F. Implementing interventions to reduce work-related stress among health-care workers: an investment appraisal from the employer's perspective. Int Arch Occup Environ Health 2019; 93:123-132. [PMID: 31451925 PMCID: PMC6989605 DOI: 10.1007/s00420-019-01471-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 08/19/2019] [Indexed: 11/30/2022]
Abstract
Purpose The Stress-Prevention@Work implementation strategy has been demonstrated to be successful in reducing stress in employees. Now, we assess the economic return-on-investment to see if it would make for a favourable business case for employers. Methods Data were collected from 303 health-care workers assigned to either a waitlisted control condition (142 employees in 15 teams) or to Stress-Prevention@Work (161 employees in 15 teams). Main outcome was productivity losses measured using the Trimbos and iMTA Cost questionnaire in Psychiatry. Measurements were taken at baseline, 6, and 12 months post-baseline. Results The per-employee costs of the strategy were €50. Net monetary benefits were the benefits (i.e., improved productivity) minus the costs (i.e., intervention costs) and were the main outcome of this investment appraisal. Per-employee net benefits amounted to €2981 on average, which was an almost 60-fold payout of the initial investment of €50. There was a 96.7% likelihood for the modest investment of €50 to be offset by cost savings within 1 year. Moreover, a net benefit of at least €1000 still has a likelihood of 88.2%. Conclusions In general, there was a high likelihood that Stress-Prevention@Work offers an appealing business case from the perspective of employers, but the employer should factor in the additional per-employee costs of the stress-reducing interventions. Still, if these additional costs were as high as €2981, then costs and benefits would break even. This study was registered in the Netherlands National Trial Register, trial code: NTR5527.
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Affiliation(s)
- Ben F M Wijnen
- Centre for Economic Evaluation, Trimbos-Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands. .,Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, P.O. Box 616, 6200, Maastricht, The Netherlands.
| | - Joran Lokkerbol
- Centre for Economic Evaluation, Trimbos-Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.,Department of Public Mental Health, Trimbos-Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.,Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
| | - Cecile Boot
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.,TNO-VU University Medical Centre, Body@Work, Research Centre Physical Activity, Work and Health, Amsterdam, The Netherlands
| | - Bo M Havermans
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.,TNO-VU University Medical Centre, Body@Work, Research Centre Physical Activity, Work and Health, Amsterdam, The Netherlands
| | - Allard J van der Beek
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.,TNO-VU University Medical Centre, Body@Work, Research Centre Physical Activity, Work and Health, Amsterdam, The Netherlands
| | - Filip Smit
- Centre for Economic Evaluation, Trimbos-Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.,Department of Public Mental Health, Trimbos-Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.,Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Centre, Amsterdam, The Netherlands
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Vogazianos P, Petkari E, Arakliti A, Soteriades ES, Antoniades A, Tozzi F. Work-Related Psychological Distress and Its Management: The Perspective of Employees in the Financial Industry Compared With Those in Human Services. J Occup Environ Med 2019; 61:e348-e353. [PMID: 31348420 DOI: 10.1097/jom.0000000000001632] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Investigate psychological distress and its link to stress management interventions in the financial industry (FI) in comparison to the human services (HS) sector. METHOD Observational study across participating organizations in FI (66) and HS (81). Web-based version of depression anxiety stress scales (21 questions) and eight questions related to stress prevention interventions adopted by employers. RESULTS Indicated that FI workers are twice as likely as HS employees to present with stress and depression. Differences emerged on the availability of support at the workplace: FI workers reporting total lack of psychological support, although other forms of wellbeing promotion were more frequent. Close to 60% of individuals in the HS group reported no support (48% in the FI). CONCLUSION Workers in the FI industry have increased levels of workplace stress that could be possibly attributed to absence of prevention interventions at the workplace.
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Affiliation(s)
- Paris Vogazianos
- Department of Behavioural and Social Sciences, European University, Nicosia (Drs Vogazianos, Petkari, Ms Arakliti); College of Medicine and Health Sciences, Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates (Dr Soteriades); Advanced Analytics Department, Stremble Ventures (Dr Antoniades); Brain Sciences Department, Stremble Ventures, Limassol, Cyprus (Dr Tozzi); Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology (EOME), Harvard T. H. Chan School of Public Health, Boston, Massachusetts (Dr Soteriades)
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Revolution or 30-year fad? A role for I-O psychology in Lean management. INDUSTRIAL AND ORGANIZATIONAL PSYCHOLOGY-PERSPECTIVES ON SCIENCE AND PRACTICE 2019. [DOI: 10.1017/iop.2019.23] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractLean management and related ideas have had a significant impact on organizations throughout North America and the world. Despite its popularity and impact, I-O psychologists have largely neglected Lean as a research topic and few I-O psychologists engage in applied practice in the area. In this focal article, we provide a working definition of Lean and present examples of Lean’s influence. Next, we outline possible reasons to explain I-O psychologists’ indifference to Lean. Finally, we provide some topic areas that I-O psychologists can use to contribute to the Lean literature. By using I-O psychologists’ skill in measurement and evaluation, along with our considerable organizational theory, we believe that I-O psychology can improve Lean and broaden their impact. We hope this focal article will inspire I-O psychologists to reconsider a research and practice area that they have previously ignored. In addition, we hope that this article causes I-O psychologists to reflect on their role to play in addressing popular management trends.
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Langseth-Eide B. It's Been a Hard Day's Night and I've Been Working Like a Dog: Workaholism and Work Engagement in the JD-R Model. Front Psychol 2019; 10:1444. [PMID: 31293485 PMCID: PMC6598113 DOI: 10.3389/fpsyg.2019.01444] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Accepted: 06/05/2019] [Indexed: 11/25/2022] Open
Abstract
The study investigates if the job-demands resources (JD-R) model could be improved by including workaholism in its health impairment process. Salient predictors and antecedents of workaholism and work engagement are identified in a sample of 12170 employees at Norwegian universities and university colleges. Structural equation modeling suggested that job demands and job resources relate to workaholism and work engagement, respectively. The results also revealed that both workaholics and work-engaged employees put in more hours at work than was expected of them. We found that workaholism was negatively related to work-related health, whereas work engagement was positively related to work-related health. These findings support the notion of workaholism and work engagement as two different forms of working hard. Finally, we tested the buffer hypothesis that job resources would moderate the effect of job demands on workaholism. The moderations were in the expected direction, but effect sizes were weaker than those typically reported in previous investigations. In conclusion, the present study supports the expansion of including workaholism in the JD-R model.
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The Line Manager's Role in Implementing Successful Organizational Interventions. SPANISH JOURNAL OF PSYCHOLOGY 2019; 22:E5. [PMID: 30819272 DOI: 10.1017/sjp.2019.4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The aim of the paper is to discuss the role of the line manager in implementing to plan, implement and evaluate successful organizational interventions using our experiences from the ARK-program. Earlier literature has shown that line managers have a major influence on an intervention's outcomes (Nielsen, 2017; Saksvik, Nytrø, Dahl-Jørgensen, & Mikkelsen, 2002), however, there is a lack of knowledge about the managements' role throughout the entire intervention process and how line managers are influenced by the context at different levels. We therefore discuss the line managers' role within the five phase cycle of an organizational intervention, including preparation, screening, action planning, implementation and evaluation. We also introduce a more in-depth understanding of the context by using of the IGLO-model (Individual, Group, Leadership and Organizational level). Based on our knowledge and experience from the ARK-program we make some recommendations for (a) what the line managers need throughout the five phases in order to contribute to a successful intervention, and (b) on what the line manager has to provide in order to develop and implement a successful intervention process.
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36
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Ghodrati N, Yiu TW, Wilkinson S. Unintended consequences of management strategies for improving labor productivity in construction industry. JOURNAL OF SAFETY RESEARCH 2018; 67:107-116. [PMID: 30553411 DOI: 10.1016/j.jsr.2018.09.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Revised: 07/23/2018] [Accepted: 09/10/2018] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Labor productivity and safety are important topics in the construction industry. Even so, the literature provides little information for project managers trying to determine how management strategies designed to improve labor productivity impact safety. METHOD This research addresses the gap by measuring the impact of two groups of management strategies that involve human resource related management strategies and construction related management strategies related to safety performance in construction projects. Data were collected from 111 general construction projects through the survey. RESULTS The results show that the relationship between the implemented management strategies and safety performance is nuanced with 'Communication' harming safety performance while implementation of 'Labor Management,' 'Supervision and Leadership,' 'Planning' and 'Management of Construction' strategies improve the level of safety performance. This study took a further step by measuring the impact of the interactions between the two groups of management strategies on safety performance. The results show that the interactions of construction and human related management strategies are not always in the favor of safety. Practical Applications: This paper adds to the literature on the relationship between productivity and safety in the construction industry. The research findings can assist project managers to improve labor productivity without harming the safety of laborers unintentionally.
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Affiliation(s)
- Nariman Ghodrati
- School of Engineering, Computer and Mathematical Sciences, Department of Built Environment Engineering, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand.
| | - Tak Wing Yiu
- School of Engineering, Computer and Mathematical Sciences, Department of Built Environment Engineering, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand.
| | - Suzanne Wilkinson
- School of Engineering, Computer and Mathematical Sciences, Department of Built Environment Engineering, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand.
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Edwards K, Winkel J. A method for effect modifier assessment (EMA) in ergonomic intervention research. APPLIED ERGONOMICS 2018; 72:113-120. [PMID: 29885722 DOI: 10.1016/j.apergo.2018.05.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Revised: 05/07/2018] [Accepted: 05/16/2018] [Indexed: 05/24/2023]
Abstract
The numerous opportunities for effect modifications pose a major challenge in ergonomic intervention research. Even studies in systematic reviews that are assessed as being of high quality generally lack any proper consideration of the potential effect modifiers. We have developed a method for effect modifier assessment (EMA) in intervention research. The EMA method uses a participatory workshop consisting of representatives from all occupational groups in the investigated organization. The workshop identifies both intervention and modifier events including “confounders” and “effect modifiers” according to epidemiologic terminology. These are categorized into themes, then analyzed and evaluated for their potential effects on the investigated outcomes. The overall impact of the pooled modifier themes is finally estimated in relation to the estimated impact of the intervention events. In the present study, the EMA method was tested in two cases. The findings suggest that it provides information that strengthens inferences about the impact of the investigated ergonomic interventions. Further evaluation of the method is recommended.
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Affiliation(s)
- Kasper Edwards
- DTU Management Engineering, Building 424, Technical University of Denmark, DK-2800, Lyngby, Denmark.
| | - Jörgen Winkel
- DTU Management Engineering, Building 424, Technical University of Denmark, DK-2800, Lyngby, Denmark; Department of Sociology and Work Science, University of Gothenburg, Box 705, SE-405 30, Gothenburg, Sweden.
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Pagell M, Wiengarten F, Fan D, Humphreys P, Lo CKY. Managerial Time Horizons and the Decision to Put Operational Workers at Risk: The Role of Debt. DECISION SCIENCES 2018. [DOI: 10.1111/deci.12338] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Mark Pagell
- Smurfit Graduate School of BusinessUniversity College Dublin Carysfort Avenue Blackrock Co. Dublin Ireland
| | | | - Di Fan
- Research School of ManagementAustralian National University Canberra Australia
| | | | - Chris K. Y. Lo
- Institute of Textiles and ClothingThe Hong Kong Polytechnic University Hong Kong
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39
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Process Evaluation of a Digital Platform-Based Implementation Strategy Aimed at Work Stress Prevention in a Health Care Organization. J Occup Environ Med 2018; 60:e484-e491. [DOI: 10.1097/jom.0000000000001402] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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40
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Why Do Workers Take Safety Risks?—A Conceptual Model for the Motivation Underpinning Perverse Agency. SAFETY 2018. [DOI: 10.3390/safety4020024] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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41
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Jeon SW, Kim YK. Application of Assessment Tools to Examine Mental Health in Workplaces: Job Stress and Depression. Psychiatry Investig 2018; 15:553-560. [PMID: 29865780 PMCID: PMC6018143 DOI: 10.30773/pi.2016.10.24] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2016] [Accepted: 10/24/2016] [Indexed: 11/27/2022] Open
Abstract
Despite the fact that the lifetime and yearly prevalence rates of mental illness continue rising, such diseases have only been acknowledged as involved in workplace health issue since the 2000s. Additionally, while the number of recognized cases of mental illnesses is rather low compared to their prevalence, they have a high likelihood of causing significant problems, including fatalities. Many workers are terrified of losing their jobs due to mental illness and therefore attempt to hide their mental health problems. For this reason, clinicians involved in occupational and environmental medicine should focus on interviews or screenings to identify such hidden mental health problems. More specifically, it would be helpful to evaluate job stress and depression in workplaces to ensure appropriate preventive actions and thereby reduce the prevalence of mental illness. Job stress not only causes mental illness and dissatisfaction with work, but also can increase the prevalence and morbidity of medical diseases, as well as other physical health problems. Depression is a major contributor to work loss and absence with effects surpassing almost all of the chronic medical disorder. These facts show why measure of job stress and depression should be highlighted in the occupational settings. This article introduces a variety of assessment tools to examine mental health, particularly stress and depression, in workplaces. These tools can be used by clinicians or professionals involved in the mental health, occupational safety, or health service fields for running diagnostics or screening tests.
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Affiliation(s)
- Sang Won Jeon
- Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Yong-Ku Kim
- Department of Psychiatry, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea
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42
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Havermans BM, Brouwers EPM, Hoek RJA, Anema JR, van der Beek AJ, Boot CRL. Work stress prevention needs of employees and supervisors. BMC Public Health 2018; 18:642. [PMID: 29784044 PMCID: PMC5963034 DOI: 10.1186/s12889-018-5535-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Accepted: 05/02/2018] [Indexed: 11/19/2022] Open
Abstract
Background Work stress prevention can reduce health risks for individuals, as well as organisational and societal costs. The success of work stress interventions depends on proper implementation. Failure to take into account the needs of employees and supervisors can hinder intervention implementation. This study aimed to explore employee and supervisor needs regarding organisational work stress prevention. Methods Semi-structured telephone interviews were conducted with employees (n = 7) and supervisors (n = 8) from different sectors, such as the finance, health care, and services industry. The interviews focused on respondents’ needs regarding the prevention of work stress within an organisational setting. Performing thematic analysis, topics and themes were extracted from the verbatim transcribed interviews using Atlas.ti. Results Both employees and supervisors reported a need for: 1) communication about work stress, 2) attention for determinants of work stress, 3) supportive circumstances (prerequisites) for work stress prevention, 4) involvement of various stakeholders in work stress prevention, and 5) availability of work stress prevention measures. Both employees and supervisors expressed the need for supervisors to communicate about work stress. Employees and supervisors reported similar psychosocial work factors that should be targeted for prevention (e.g., social support and autonomy). There was greater variety in the sub-themes within communication about work stress and supportive circumstances for work stress prevention in supervisor responses, and greater variety in the sub-themes within availability of work stress prevention measures in employee responses. Conclusions Both employees and supervisors were explicit about who should take part in communication about work stress, what prerequisites for work stress prevention should exist, and which stakeholders should be involved. These results can inform work stress prevention practice, supporting selection and implementation of interventions. Trial registration This study was registered in the Netherlands National Trial Register, trial code: NTR5527.
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Affiliation(s)
- Bo M Havermans
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, PO box 7057, 1007, Amsterdam, MB, The Netherlands.,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands
| | - Evelien P M Brouwers
- School of Social and Behavioural Sciences, Tranzo, Tilburg University, Tilburg, The Netherlands
| | - Rianne J A Hoek
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, PO box 7057, 1007, Amsterdam, MB, The Netherlands.,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands
| | - Johannes R Anema
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, PO box 7057, 1007, Amsterdam, MB, The Netherlands.,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands
| | - Allard J van der Beek
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, PO box 7057, 1007, Amsterdam, MB, The Netherlands. .,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.
| | - Cécile R L Boot
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, PO box 7057, 1007, Amsterdam, MB, The Netherlands.,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands
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Oakman J, Bartram T. Occupational health and safety management practices and musculoskeletal disorders in aged care. J Health Organ Manag 2018; 31:331-346. [PMID: 28686131 DOI: 10.1108/jhom-03-2017-0061] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose The purpose of this paper is to examine whether occupational health and safety (OHS) management used to manage musculoskeletal disorders (MSDs) in the aged care sector reflects contemporary research evidence of best practice to reduce the incidence of these disorders. Design/methodology/approach In total, 58 interviews were conducted with managers and supervisors in the aged care sector across four organisations in Australia. Policies and procedures relating to MSDs were reviewed for each organisation. Findings Policies and procedures for managing MSDs do not reflect contemporary evidence, which supports a complex aetiology, related to a range of physical and psychosocial workplace factors. Despite strong evidence that psychosocial factors contribute to MSD development, these were not included in the policies and procedures reviewed. Findings from the interviews management practices including leadership and various components of HRM were functioning well but fragmentation was evident due to the challenging nature of the aged care sector. Practical implications To address the significant burden of MSDs in the aged care sector, policies and procedures need to include coverage of psychosocial and physical workplace factors. The development of systematic and integrated OHS management at the workplace level may play an important role in the effective management of MSDs. Originality/value This study offers insights into the previously unexplored area of MSD risk management and the role of management practices such as HRM in the aged care sector.
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Affiliation(s)
- Jodi Oakman
- Centre for Ergonomics and Human Factors, School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University , Melbourne, Australia
| | - Timothy Bartram
- Department of Management and Marketing, La Trobe Business School, College of Arts, Social Sciences and Commerce (ASSC), La Trobe University , Melbourne, Australia
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Strömgren M, Eriksson A, Ahlstrom L, Bergman DK, Dellve L. Leadership quality: a factor important for social capital in healthcare organizations. J Health Organ Manag 2018; 31:175-191. [PMID: 28482768 DOI: 10.1108/jhom-12-2016-0246] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose The purpose of this paper is to investigate the relation between leadership and social capital and what qualities of leadership are important for social capital among employees in hospital settings over time. Design/methodology/approach A cohort of employees in hospitals answered a questionnaire at three occasions. Five small (approx. 100-bed) or mid-sized (approx. 500-bed) hospitals were included. The response rate was 54 percent at baseline ( n=865), 59 percent at one-year follow-up ( n=908) and 67 percent at two-year follow-up ( n=632). Findings Repeated measures over time showed differences between groups in levels of social capital with respect to levels of leadership quality. Relation-oriented leadership had the strongest association with social capital. There was evidence that leadership was associated with social capital over time and that different kinds of leadership qualities were associated with social capital. Research limitations/implications This study conducted and analyzed quantitative data, and therefore, there is no knowledge of managers' or employees' own perceptions in this study. However, it would be interesting to compare managers' decreased and increased leadership quality and how such differences affect social capital over time. Practical implications The findings feature the possibility for healthcare leaders to build high quality leadership as an important resource for social capital, by using different leadership orientations under different circumstances. Originality/value The paper showed that leadership was an important factor for building social capital and that different leadership qualities have different importance with respect to certain circumstances.
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Affiliation(s)
- Marcus Strömgren
- Department of Ergonomics, Royal Institute of Technology , Huddinge, Sweden
| | - Andrea Eriksson
- Department of Ergonomics, Royal Institute of Technology , Huddinge, Sweden
| | - Linda Ahlstrom
- Institute of Health and Care Sciences , The Sahlgrenska Academy, Gothenburg, Sweden
| | - David Kristofer Bergman
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet , Stockholm, Sweden
| | - Lotta Dellve
- Department of Sociology and Work Science, The Sahlgrenska Academy, Gothenburg, Sweden
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Dellve L, Strömgren M, Williamsson A, Holden RJ, Eriksson A. Health care clinicians' engagement in organizational redesign of care processes: The importance of work and organizational conditions. APPLIED ERGONOMICS 2018; 68:249-257. [PMID: 29409641 DOI: 10.1016/j.apergo.2017.12.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 11/26/2017] [Accepted: 12/02/2017] [Indexed: 06/07/2023]
Abstract
The Swedish health care system is reorienting towards horizontal organization for care processes. A main challenge is to engage health care clinicians in the process. The aim of this study was to assess engagement (i.e. attitudes and beliefs, the cognitive state and clinical engagement behaviour) among health care clinicians, and to investigate how engagement was related to work resources and demands during organizational redesign. A cohort study was conducted, using a questionnaire distributed to clinicians at five hospitals working with care process improvement approaches, two of them having implemented Lean production. The results show that kinds of engagement are interlinked and contribute to clinical engagement behaviour in quality of care and patient safety. Increased work resources have importance for engagements in organizational improvements, especially in top-down implementations. An extended work engagement model during organizational improvements in health care was supported. The model contributes to knowledge about how and when clinicians are mobilized to engage in organizational changes.
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Affiliation(s)
- L Dellve
- KTH Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden; Department of Sociology and Work Science, Gothenburg University, Gothenburg, Sweden.
| | - M Strömgren
- KTH Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden
| | - A Williamsson
- KTH Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden
| | - R J Holden
- School of Informatics and Computing, Indiana University, Indianapolis, IN, USA
| | - A Eriksson
- KTH Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden
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Yazdani A, Hilbrecht M, Imbeau D, Bigelow P, Neumann WP, Pagell M, Wells R. Key Informants' Perspectives: Management Commitment, Training, and Worker Participation in the Prevention of Musculoskeletal Disorders. IISE Trans Occup Ergon Hum Factors 2017. [DOI: 10.1080/24725838.2017.1386142] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Amin Yazdani
- Department of Kinesiology, Faculty of Applied Health Science, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada
| | - Margo Hilbrecht
- Canadian Index of Wellbeing, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Daniel Imbeau
- Département de Mathématiques et de Génie Industriel, École Polytechnique de Montréal, Montreal, Quebec, Canada
| | - Philip Bigelow
- School of Public Health and Health Systems, Faculty of Applied Health Science, University of Waterloo, Waterloo, Ontario, Canada
| | - W. Patrick Neumann
- Department of Mechanical and Industrial Engineering, Ryerson University, Toronto, Ontario, Canada
| | - Mark Pagell
- Smurfit Graduate School of Business, University College Dublin, Dublin, Ireland
| | - Richard Wells
- Department of Kinesiology, Faculty of Applied Health Science, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada
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Norval M, Zare M, Brunet R, Coutarel F, Roquelaure Y. Operational leeway in work situations: do ergonomic risk assessment tools consider operational leeway for job analysis? INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2017; 25:429-442. [PMID: 28980878 DOI: 10.1080/10803548.2017.1387392] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Our study shows that information on operational leeway is limited in the originator articles of the ergonomic risk assessment tools for prevention of musculoskeletal disorders (MSDs). The tools' underlying theoretical models do not consider the indicators of operational leeway, and they cannot determine the sufficiency of the situational operational leeway in a work situation. Consequently, regulation of the activity, which ensures the performance goals and the individual's health, has been overlooked. The lack of literature on indicators of situational operational leeway is one of the reasons for this deficit. Defining the indicators for this concept would be an innovation in the approach of MSD risk prevention. Developing empirically the concept of situational operational leeway in risk assessment tools would help to progress the current approach of MSD prevention. This study therefore proposes indicators of situational operational leeway to increase the representativeness and reliability of the risk assessment tools for MSDs.
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Affiliation(s)
- Maxime Norval
- a Laboratory of INSERM-Ester U1085 , IRSET, University of Bretagne Loire , France
| | - Mohsen Zare
- b ERCOS Group Laboratory of ELLIAD-ERCOS , UTBM-University of Bourgogne Franche-Comté , France
| | - René Brunet
- a Laboratory of INSERM-Ester U1085 , IRSET, University of Bretagne Loire , France
| | - Fabien Coutarel
- c Laboratory of ACTÉ , University of Clermont-Auvergne , France
| | - Yves Roquelaure
- a Laboratory of INSERM-Ester U1085 , IRSET, University of Bretagne Loire , France
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48
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Andreeva E, Brenner MH, Theorell T, Goldberg M. Risk of psychological ill health and methods of organisational downsizing: a cross-sectional survey in four European countries. BMC Public Health 2017; 17:758. [PMID: 28962605 PMCID: PMC5622469 DOI: 10.1186/s12889-017-4789-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2017] [Accepted: 09/21/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The manner in which organizational downsizing is implemented can make a substantial difference as to whether the exposed workers will suffer from psychological ill health. Surprisingly, little research has directly investigated this issue. We examined the likelihood of psychological ill health associated with strategic and reactive downsizing. METHODS A cross-sectional survey included 1456 respondents from France, Sweden, Hungary and the United Kingdom: 681 employees in stable workplaces (reference group) and 775 workers from downsized companies. Reactive downsizing was exemplified by the exposures to compulsory redundancies of medium to large scale resulting in job loss or surviving a layoff while staying employed in downsized organizations. The workforce exposed to strategic downsizing was represented by surplus employees who were internally redeployed and supported through their career change process within a policy context of "no compulsory redundancy". Symptoms of anxiety, depression and emotional exhaustion were assessed in telephone interviews with brief subscales from Hospital Anxiety Scale (HADS-A), Hopkins Symptom Checklist (SCL-CD6) and Maslach Burnout Inventory (MBI-GS). Data were analyzed using logistic regression. RESULTS We observed no increased risk of psychological ill health in the case of strategic downsizing. The number of significant associations with psychological ill health was the largest for the large-scale reactive downsizing: surviving a layoff was consistently associated with all three outcome measures; returning to work after the job loss experience was related to anxiety and depression, while persons still unemployed at interview had elevated odds of anxiety. After reactive medium-scale downsizing, unemployment at interview was the only exposure associated with anxiety and depression. CONCLUSIONS The manner in which organizational downsizing is implemented can be important for the psychological wellbeing of workers. If downsizing is unavoidable, it should be achieved strategically. Greater attention is needed to employment and health policies supporting the workers after reactive downsizing.
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Affiliation(s)
- Elena Andreeva
- Centre for Applied Rehabilitation Research, Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany.
| | - M Harvey Brenner
- Department of Behavioral and Community Health, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, USA.,Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
| | - Töres Theorell
- Institute for Stress Research, Stockholm University, Stockholm, Sweden
| | - Marcel Goldberg
- Inserm, Population-based Epidemiologic Cohorts Unit, UMS, 11, Villejuif, France.,Paris Descartes University, Paris, France
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49
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Havermans BM, Boot CRL, Hoekstra T, Houtman ILD, Brouwers EPM, Anema JR, van der Beek AJ. The association between exposure to psychosocial work factors and mental health in older employees, a 3-year follow-up study. Int Arch Occup Environ Health 2017; 91:57-66. [PMID: 28921049 PMCID: PMC5752729 DOI: 10.1007/s00420-017-1261-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Accepted: 09/13/2017] [Indexed: 11/17/2022]
Abstract
Purpose Unfavourable exposure to psychosocial work factors threatens older employees’ mental health, and their sustained employment. This study assesses whether an improved compared to stable unfavourable and stable favourable exposure to psychosocial work factors is associated with a change in mental health in older employees at 3-year follow-up. Methods The current study used data from the Study on Transitions in Employment, Ability and Motivation (STREAM), in workers aged 45–65 years (n = 5249). Two-year (2010–2012) exposure was assessed for psychological demands, autonomy, support, mental load, and distributive justice. Linear regression analyses were performed to compare improved exposure to unfavourable psychosocial work factors with stable unfavourable and stable favourable exposure and mental health at follow-up (2013), corrected for confounders. Analyses were stratified for age groups (45–54 and 55–65 years) and gender. Results In certain subgroups, stable unfavourable exposure to psychological demands, autonomy, support, and distributive justice was associated with a significantly lower mental health score than improved exposure. Stable favourable exposure to support was associated with a higher mental health score than improved support, whereas stable favourable exposure to autonomy was associated with a lower mental health score compared to improved exposure. Conclusions There is a longitudinal association between changes in exposure to psychosocial work factors and mental health. Improvement in unfavourable exposure to psychosocial work factors was associated with improved mental health. This is important information for organisations that consider deploying measures to improve the psychosocial work environment of older workers. Electronic supplementary material The online version of this article (doi:10.1007/s00420-017-1261-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Bo M Havermans
- Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands
| | - Cécile R L Boot
- Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands. .,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.
| | - Trynke Hoekstra
- Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
| | - Irene L D Houtman
- Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.,Netherlands Organisation for Applied Scientific Research, TNO, Leiden, The Netherlands
| | - Evelien P M Brouwers
- School of Social and Behavioural Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands
| | - Johannes R Anema
- Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands
| | - Allard J van der Beek
- Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.,Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands
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50
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Meyer F, Eweje G, Tappin D. Ergonomics as a tool to improve the sustainability of the workforce. Work 2017. [DOI: 10.3233/wor-172563] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Affiliation(s)
- Felipe Meyer
- Ergonomics Unit, University of Concepcion, Chile
| | | | - David Tappin
- Management School, Massey University, New Zealand
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