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Schulte PA, Pot FD, Iavicoli I, Leso V, Fontana L, Almeida IM, Auntunes ED, Araujo TM, Caraballo-Arias Y, Balogun MO, Buralli R, Choi WJ, Cotrim T, Fischer FM, Fisher DL, Martinez MC, de Anchieta Messias I, Oakman J, Olympio KPK, Omokhodion F, Popkin SM, Ribeiro H, Pratap P, Salmen-Navarro A, Violante FS. Furthering decent work by expanding the role of occupational safety and health. Work 2024:WOR240230. [PMID: 39269879 DOI: 10.3233/wor-240230] [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: 09/15/2024] Open
Abstract
BACKGROUND The International Labour Organization (ILO) and the United Nations (UN) have promoted the concept of decent work as a Sustainable Development Goal for 2030 to address critical global problems. Occupational safety and health (OSH) are components of decent work, primarily through the ILO social protection objective of the goal, and are linked to various other objectives. OBJECTIVE This Commentary applies a previously published staging framework to stimulate thinking about how the OSH field can contribute further to the achievement of decent work. METHODS To advance the contribution of the framework, the different functions of OSH (research, practice, advocacy, governance, and professional education) were used to identify impediments to achieving decent work and develop recommendations for each determinant in the framework. RESULTS Promoting and achieving decent work are complex issues that require a multifactorial approach. Numerous recommendations supporting systems thinking and transdisciplinary approaches are provided. CONCLUSIONS The OSH field can expand to further address decent work.
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Affiliation(s)
- Paul A Schulte
- Advanced Technologies and Laboratories International, Inc., Gathersburg, MD, USA
| | | | - Ivo Iavicoli
- University of Naples, Federico II, Naples, Italy
| | | | - Luca Fontana
- University of Naples, Federico II, Naples, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Preethi Pratap
- University of Illinois at Chicago, Chicago, Illinois, USA
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Harden SM, Chang K, Chen S. Integrating a Dissemination and Implementation Science Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) Framework as a Cornerstone of a Masters in Dietetics Training Program. J Acad Nutr Diet 2024; 124:1099-1108. [PMID: 38750789 DOI: 10.1016/j.jand.2024.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 05/07/2024] [Accepted: 05/08/2024] [Indexed: 06/16/2024]
Affiliation(s)
- Samantha M Harden
- Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virginia.
| | - Kristen Chang
- Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virginia
| | - Susan Chen
- Department of Nutrition, Food Science, and Packaging, San José State University, San José, California
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Curtis K, Kennedy B, Considine J, Murphy M, Lam MK, Aggar C, Fry M, Shaban RZ, Kourouche S. Successful and sustained implementation of a behaviour-change informed strategy for emergency nurses: a multicentre implementation evaluation. Implement Sci 2024; 19:54. [PMID: 39075496 PMCID: PMC11285323 DOI: 10.1186/s13012-024-01383-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Accepted: 07/08/2024] [Indexed: 07/31/2024] Open
Abstract
BACKGROUND Implementing evidence that changes practice in emergency departments (EDs) is notoriously difficult due to well-established barriers including high levels of uncertainty arising from undifferentiated nature of ED patients, resource shortages, workload unpredictability, high staff turnover, and a constantly changing environment. We developed and implemented a behaviour-change informed strategy to mitigate these barriers for a clinical trial to implement the evidence-based emergency nursing framework HIRAID® (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, communication, and reassessment) to reduce clinical variation, and increase safety and quality of emergency nursing care. AIM To evaluate the behaviour-change-informed HIRAID® implementation strategy on reach, effectiveness, adoption, quality (dose, fidelity) and maintenance (sustainability). METHODS An effectiveness-implementation hybrid design including a step-wedge cluster randomised control trial (SW-cRCT) was used to implement HIRAID® with 1300 + emergency nurses across 29 Australian rural, regional, and metropolitan EDs. Evaluation of our behaviour-change informed strategy was informed by the RE-AIM Scoring Instrument and measured using data from (i) a post HIRAID® implementation emergency nurse survey, (ii) HIRAID® Instructor surveys, and (iii) twelve-week and 6-month documentation audits. Quantitative data were analysed using descriptive statistics to determine the level of each component of RE-AIM achieved. Qualitative data were analysed using content analysis and used to understand the 'how' and 'why' of quantitative results. RESULTS HIRAID® was implemented in all 29 EDs, with 145 nurses undertaking instructor training and 1123 (82%) completing all four components of provider training at 12 weeks post-implementation. Modifications to the behaviour-change informed strategy were minimal. The strategy was largely used as intended with 100% dose and very high fidelity. We achieved extremely high individual sustainability (95% use of HIRAID® documentation templates) at 6 months and 100% setting sustainability at 3 years. CONCLUSION The behaviour-change informed strategy for the emergency nursing framework HIRAID® in rural, regional, and metropolitan Australia was highly successful with extremely high reach and adoption, dose, fidelity, individual and setting sustainability across substantially variable clinical contexts. TRIAL REGISTRATION ANZCTR, ACTRN12621001456842 . Registered 25 October 2021.
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Affiliation(s)
- Kate Curtis
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia.
- Emergency Services, Illawarra Shoalhaven Local Health District, Wollongong Hospital, Crown St, Wollongong, NSW, Australia.
| | - Belinda Kennedy
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia
| | - Julie Considine
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia
- School of Nursing and Midwifery and Centre for Quality and Patient Safety Experience in the Institute for Health Transformation, Deakin University, Geelong, VIC, Australia
- Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, VIC, Australia
| | - Margaret Murphy
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia
- Western Sydney Local Health District, North Parramatta, NSW, 2141, Australia
| | - Mary K Lam
- School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia
| | - Christina Aggar
- Northern NSW Local Health District, Southern Cross University, Lismore, Australia
| | - Margaret Fry
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia
- Sydney Faculty of Health, University of Technology, Ultimo, NSW, Australia
- Northern Sydney Local Health District, St Leonards, NSW, Australia
| | - Ramon Z Shaban
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia
- Sydney Infectious Diseases Institute, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, 2006, Australia
- Research and Education Network, Western Sydney Local Health District, Westmead, NSW, 2145, Australia
- New South Wales Biocontainment Centre, Western Sydney Local Health District, Westmead, NSW, 2145, Australia
| | - Sarah Kourouche
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia
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Dally M, Newman LS. Productivity as an efficacy measure in rest-shade-hydration interventions: the need for a more complete dissemination and implementation science approach. Ann Work Expo Health 2024; 68:665-667. [PMID: 38776124 DOI: 10.1093/annweh/wxae044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Revised: 04/25/2024] [Indexed: 07/09/2024] Open
Affiliation(s)
- Miranda Dally
- Center for Health, Work & Environment, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 80045, USA
- Department of Environmental & Occupational Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 80045, USA
| | - Lee S Newman
- Center for Health, Work & Environment, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 80045, USA
- Department of Environmental & Occupational Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 80045, USA
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 80045, USA
- Pulmonary Division, School of Medicine, University of Colorado Anschutz Medical Campus, 80045, USA
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Hansson E, Jakobsson K, Glaser JR, Wesseling C, Chavarria D, Lucas RAI, Prince H, Wegman DH. Response to: Letter to the Editor-Productivity as an efficacy measure in rest-shade-hydration interventions: the need for a more complete dissemination and implementation science approach by Dally M and Newman LS. Ann Work Expo Health 2024; 68:668-671. [PMID: 38829828 DOI: 10.1093/annweh/wxae046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Indexed: 06/05/2024] Open
Affiliation(s)
- Erik Hansson
- La Isla Network, 2219 California NW Unit 52, 20008 Washington, District of Columbia, United States
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Box 414, 40530 Gothenburg, Sweden
| | - Kristina Jakobsson
- La Isla Network, 2219 California NW Unit 52, 20008 Washington, District of Columbia, United States
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Box 414, 40530 Gothenburg, Sweden
- Occupational and Environmental Medicine, Sahlgrenska University Hospital, Box 414, 40530 Gothenburg, Sweden
| | - Jason R Glaser
- La Isla Network, 2219 California NW Unit 52, 20008 Washington, District of Columbia, United States
| | - Catharina Wesseling
- La Isla Network, 2219 California NW Unit 52, 20008 Washington, District of Columbia, United States
- Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institute, Box 210, 171 77 Stockholm, Sweden
| | - Denis Chavarria
- Occupational Health Management, Ingenio San Antonio/Nicaragua Sugar Estates Limited, Km. 119 Carretera León-Chinandega, Chichigalpa, Nicaragua
| | - Rebekah A I Lucas
- La Isla Network, 2219 California NW Unit 52, 20008 Washington, District of Columbia, United States
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, United Kingdom
| | - Heath Prince
- La Isla Network, 2219 California NW Unit 52, 20008 Washington, District of Columbia, United States
- LBJ School of Public Affairs, University of Texas at Austin, 2315 Red River St, Austin, TX 78712, United States
| | - David H Wegman
- La Isla Network, 2219 California NW Unit 52, 20008 Washington, District of Columbia, United States
- University of Massachusetts Lowell, 1 University Avenue, Lowell, MA 01854, United States
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Vitrano G, Urso D, Micheli GJ, Guglielmi A, De Merich D, Pellicci M. Enabling Effective Implementation of Occupational Safety and Health Interventions. Saf Health Work 2024; 15:213-219. [PMID: 39035805 PMCID: PMC11255946 DOI: 10.1016/j.shaw.2024.04.003] [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: 11/09/2023] [Revised: 04/12/2024] [Accepted: 04/16/2024] [Indexed: 07/23/2024] Open
Abstract
Background The design, implementation, and evaluation are three important stages of occupational safety and health (OSH) interventions. Historically, there has been a tendency to prioritize implementation, often neglecting detailed design and rigorous outcome evaluation. Currently, much has changed, and contemporary approaches recognize the interdependence of these stages, considering them integral to the success of any intervention. This work presents a comprehensive procedure for implementing interventions, not only to ensure short-term effectiveness but also their long-term sustainability through continuous monitoring. The focus is on a national OSH project introducing a near-miss management system (NMS) in Italy. Methods Initial meetings were convened among project partners, complemented by interviews with diverse stakeholders, to plan implementation steps and test the NMS. Tailored questionnaires were designed for diverse stakeholder groups - initial promoters, company managers and employers, and employees - facilitating targeted implementation, and three case studies were started in Italian regions to assess the structured implementation, involving intervention promoters and collaborating companies. Results The primary outcome is the development of practical tools, specifically three questionnaires, which are considered valuable for establishing an effective human-centered implementation strategy, meticulously designed to facilitate ongoing monitoring of processes and continual enhancement of instruments intended for NMS integration within companies. Conclusions This work lays the foundation for successful NMS implementation in Italy and, although the outlined procedure had specific objectives, it also provides valuable insights applicable in enhancing the effectiveness and sustainability of interventions across diverse contexts. It underscores the importance of comprehensive planning, stakeholder engagement, and continuous evaluation in achieving lasting OSH interventions.
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Affiliation(s)
- Gaia Vitrano
- Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Milan, Italy
| | - Davide Urso
- Local Health Unit, ASL, ATS Insubria, Varese, Italy
| | - Guido J.L. Micheli
- Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Milan, Italy
| | - Armando Guglielmi
- Department of Medicine, Epidemiology, Occupational & Environmental Hygiene, National Institute for Insurance Against Accidents at Work (INAIL), Rome, Italy
| | - Diego De Merich
- Department of Medicine, Epidemiology, Occupational & Environmental Hygiene, National Institute for Insurance Against Accidents at Work (INAIL), Rome, Italy
| | - Mauro Pellicci
- Department of Medicine, Epidemiology, Occupational & Environmental Hygiene, National Institute for Insurance Against Accidents at Work (INAIL), Rome, Italy
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Hammer LB, Dimoff J, Mohr CD, Allen SJ. A Framework for Protecting and Promoting Employee Mental Health through Supervisor Supportive Behaviors. OCCUPATIONAL HEALTH SCIENCE 2024; 8:243-268. [PMID: 39042735 PMCID: PMC10962005 DOI: 10.1007/s41542-023-00171-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 12/11/2023] [Accepted: 12/21/2023] [Indexed: 07/25/2024]
Abstract
The attention to workplace mental health is timely given extreme levels of burnout, anxiety, depression and trauma experienced by workers due to serious extraorganizational stressors - the COVID-19 pandemic, threats to climate change, and extreme social and political unrest. Workplace-based risk factors, such as high stress and low support, are contributing factors to poor mental health and suicidality (Choi, 2018; Milner et al., 2013, 2018), just as low levels of social connectedness and belonging are established risk factors for poor mental health (Joiner et al., 2009), suggesting that social support at work (e.g., from supervisors) may be a key approach to protecting and promoting employee mental health. Social connections provide numerous benefits for health outcomes and are as, or more, important to mortality as other well-known health behaviors such as smoking and alcohol consumption (Holt-Lundstad et al., 2015), and can serve as a resource or buffer against the deleterious effects of stress or strain on psychological health (Cohen & Wills, 1985). This manuscript provides an evidence-based framework for understanding how supervisor supportive behaviors can serve to protect employees against psychosocial workplace risk factors and promote social connection and belongingness protective factors related to employee mental health. We identify six theoretically-based Mental Health Supportive Supervisor Behaviors (MHSSB; i.e., emotional support, practical support, role modeling, reducing stigma, warning sign recognition, warning sign response) that can be enacted and used by supervisors and managers to protect and promote the mental health of employees. A brief overview of mental health, mental disorders, and workplace mental health is provided. This is followed by the theoretical grounding and introduction of MHSSB. Suggestions for future research and practice follow, all with the focus of developing a better understanding of the role of supervisors in protecting and promoting employee mental health in the workplace.
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Affiliation(s)
- Leslie B. Hammer
- Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, USA
| | - Jennifer Dimoff
- Telfer School of Management, University of Ottawa, Ottawa, Canada
| | - Cynthia D. Mohr
- Department of Psychology, Portland State University, Portland, OR, USA
| | - Shalene J. Allen
- Department of Psychology, Portland State University, Portland, OR, USA
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Scott KA, Elliott KC, Lincoln J, Flynn MA, Hill R, Hall DM. Rural health and rural industries: Opportunities for partnership and action. J Rural Health 2024; 40:401-405. [PMID: 37669228 PMCID: PMC10912364 DOI: 10.1111/jrh.12791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 08/18/2023] [Accepted: 08/20/2023] [Indexed: 09/07/2023]
Affiliation(s)
- Kenneth A. Scott
- National Institute for Occupational Safety and Health, Denver, Colorado, USA
| | - K. C. Elliott
- National Institute for Occupational Safety and Health, Anchorage, Alaska, USA
| | - Jennifer Lincoln
- National Institute for Occupational Safety and Health, Cincinnati, Ohio, USA
| | - Michael A. Flynn
- National Institute for Occupational Safety and Health, Cincinnati, Ohio, USA
| | - Ryan Hill
- National Institute for Occupational Safety and Health, Spokane, Washington, USA
| | - Diane M. Hall
- Office of Rural Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
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Hansen AF, Hasle P, Caroly S, Reinhold K, Järvis M, Herrig AO, Heiberg BD, Søgaard K, Punnett L, Jensen Stochkendahl M. Participatory ergonomics: What works for whom and why? A realist review. ERGONOMICS 2024; 67:13-33. [PMID: 37070935 DOI: 10.1080/00140139.2023.2202842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 04/11/2023] [Indexed: 06/19/2023]
Abstract
Participatory workplace interventions to improve workforce musculoskeletal health are infrequently analysed regarding why they work, for whom or under what circumstances. This review sought to identify intervention strategies which achieved genuine worker participation. In total, 3388 articles on participatory ergonomic (PE) interventions were screened; 23 were suitable to analyse within a realist framework identifying contexts, mechanisms of change, and outcomes. The interventions which succeeded in achieving worker participation were characterised by one or more of these contexts: workers' needs as a core starting point; a positive implementation climate; clear distribution of roles and responsibilities; allocation of sufficient resources; and managerial commitment to and involvement in occupational safety and health. Interventions that were organised and delivered in this way generated relevance, meaning, confidence, ownership and trust for the workers in an interrelated and multi-directional manner. With such information, PE interventions may be carried out more effectively and sustainably in the future.Practitioner summary: This review focuses on the question: which mechanisms support genuine worker participation, in what context and with which necessary resources, to reduce musculoskeletal disorders. Results emphasise the importance of starting with workers' needs, making the implementation climate egalitarian, clarifying the roles and responsibilities of all involved, and providing sufficient resources.Abbreviations: PE: participatory ergonomic(s); WMSD: Work-related musculoskeletal disorders; EU: European Union; MSD: Muskuloskeletal disorders; OSH: Occupational health and safety; C: context; M: mechanism; O: outcome; CMOCs: CMO configurations; NPT: Normalization process theory; OECD: The Organisation for Economic Co-operation and Development: EU-OSHA: European Occupational Safety and Health Agency.
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Affiliation(s)
- Anne Faber Hansen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
- Department of Research and Education, University Library, University of Southern Denmark, Odense M, Denmark
| | - Peter Hasle
- Department of Technology and Innovation, SDU Global Sustainable Production, University of Southern Denmark, Odense M, Denmark
| | - Sandrine Caroly
- Pacte Laboratory- Grenoble Alpes University, Grenoble cedex 09, France
| | - Karin Reinhold
- Department of Business Administration, Tallinn University of Technology, Tallinn, Estonia
| | - Marina Järvis
- Department of Business Administration, Tallinn University of Technology, Tallinn, Estonia
- Estonian Entrepreneurship University of Applied Sciences, Tallinn, Estonia
| | - Astrid Overgaard Herrig
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
| | - Bibi Dige Heiberg
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
| | - Karen Søgaard
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense C, Denmark
| | - Laura Punnett
- Center for the Promotion of Health in the New England Workplace (CPH-NEW), University of Massachusetts Lowell, Lowell, MA, USA
| | - Mette Jensen Stochkendahl
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark
- Chiropractic Knowledge Hub, Odense, Denmark
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Guerin RJ, Barile JP, Groenewold MR, Free HL, Okun AH. COVID-19 Workplace Mitigation Strategies and Employee Leave Policies Implemented during the Height of the Pandemic, United States, Fall 2020 and 2021. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2894. [PMID: 36833588 PMCID: PMC9956394 DOI: 10.3390/ijerph20042894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 01/04/2023] [Accepted: 01/06/2023] [Indexed: 06/18/2023]
Abstract
COVID-19 workplace mitigation strategies implemented within US businesses have been effective at preventing disease and protecting workers, but the extent of their use is not well understood. We examined reported COVID-19 workplace mitigation strategies by business size, geographic region, and industry using internet panel survey data from US adult respondents working full- or part-time outside the home (fall 2020, N = 1168) andfull- or part-time, inside or outside the home (fall 2021, N = 1778). We used chi-square tests to assess the differences in the strategies used (e.g., masking and COVID-19 screening) and ANOVA tests to examine the group differences on a mitigation strategies summative score. Fewer COVID-19 mitigation strategies were reported by respondents in fall 2021 (compared to fall 2020) across businesses of different sizes and regions. The participants in microbusinesses (1-10 employees) reported significantly (p < 0.05) lower mitigation scores than all other business sizes, and the respondents in these businesses were significantly less likely (p < 0.05) to have paid leave than those in enterprises with >10 employees. The healthcare and education sectors had the highest reported mean score of COVID-19 workplace mitigation strategies. Small and essential businesses are critical to the US economy. Insight is needed on their use of mitigation strategies to protect workers during the current and future pandemics.
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Affiliation(s)
- Rebecca J. Guerin
- Division of Science Integration, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH 45226, USA
| | - John P. Barile
- College of Social Sciences, Department of Psychology, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Matthew R. Groenewold
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH 45226, USA
| | - Hannah L. Free
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH 45226, USA
| | - Andrea H. Okun
- Division of Science Integration, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH 45226, USA
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Estabrooks PA, Glasgow RE. Developing a dissemination and implementation research agenda for aging and public health: The what, when, how, and why? Front Public Health 2023; 11:1123349. [PMID: 36815160 PMCID: PMC9939692 DOI: 10.3389/fpubh.2023.1123349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 01/13/2023] [Indexed: 02/09/2023] Open
Affiliation(s)
- Paul A. Estabrooks
- Department of Health and Kinesiology, College of Health, University of Utah, Salt Lake City, UT, United States
| | - Russell E. Glasgow
- ACCORDS Dissemination & Implementation Science Program and Department of Family Medicine, University of Colorado Anschutz Medical Campus, Denver, CO, United States
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Houghtaling B, Kourouma P, Pradhananga N, Balis L. Louisiana trucking companies' implementation of workplace health promotion programs: Explanatory sequential mixed method case study. Work 2023; 76:727-735. [PMID: 37066956 PMCID: PMC10657666 DOI: 10.3233/wor-220337] [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: 06/24/2022] [Accepted: 02/03/2023] [Indexed: 04/18/2023] Open
Abstract
BACKGROUND Trucking companies may be key partners for workplace health promotion programs to improve heavy and tractor-trailer drivers' health and wellbeing. OBJECTIVE To identify barriers and facilitators to implementing workplace health promotion programs among Louisiana trucking companies' leadership and staff. METHODS A case study approach following an explanatory sequential mixed method research design was used. A quantitative survey, based on the Theoretical Domains Framework (TDF), was adapted and distributed online to a convenience sample. Survey respondents were recruited for an interview to gain additional insight on multi-level barriers to implementing workplace health promotion programs. Quantitative data was analyzed using descriptive statistics to describe barriers and facilitators following TDF constructs. Qualitative data were independently coded among two researchers following the TDF and the Consolidated Framework for Implementation Research (CFIR) to determine themes. RESULTS Eleven workplace leaders or staff took the survey. Two engaged in a follow-up interview. Regarding the quantitative results, most (82%) believed workplace health promotion programs would save their company money, although were not offering them. No TDF constructs were indicated as barriers given mixed results; however, several were facilitators: Social/Professional Role and Identity; Emotion; Action Planning; Knowledge; Motivation and Goals; and Beliefs about Consequences. Qualitative results captured several Inner (e.g., time, money) and Outer Setting contextual (e.g., truckers' needs and resources) factors considered important to trucking companies' implementation of health promotion programs. CONCLUSION Results suggest leadership and staff of Louisiana trucking companies value workplace health promotion programs, although are challenged by limited resources and the broader trucking environment.
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Affiliation(s)
- Bailey Houghtaling
- Gretchen Swanson Center for Nutrition, Omaha, NE, USA
- School of Nutrition and Food Sciences, Louisiana State University (LSU) & LSU Agricultural Center, Baton Rouge, LA, USA
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA, USA
| | - Paulette Kourouma
- School of Nutrition and Food Sciences, Louisiana State University (LSU) & LSU Agricultural Center, Baton Rouge, LA, USA
| | - Nila Pradhananga
- School of Nutrition and Food Sciences, Louisiana State University (LSU) & LSU Agricultural Center, Baton Rouge, LA, USA
| | - Laura Balis
- Gretchen Swanson Center for Nutrition, Omaha, NE, USA
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA, USA
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Schulte PA, Guerin RJ, Cunningham TR, Hodson L, Murashov V, Rabin BA. Applying Translational Science Approaches to Protect Workers Exposed to Nanomaterials. Front Public Health 2022; 10:816578. [PMID: 35757639 PMCID: PMC9226388 DOI: 10.3389/fpubh.2022.816578] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 04/25/2022] [Indexed: 11/13/2022] Open
Abstract
Like nanotechnology, translational science is a relatively new and transdisciplinary field. Translational science in occupational safety and health (OSH) focuses on the process of taking scientific knowledge for the protection of workers from the lab to the field (i.e., the worksite/workplace) and back again. Translational science has been conceptualized as having multiple phases of research along a continuum, beyond scientific discovery (T0), to efficacy (T1), to effectiveness (T2), to dissemination and implementation (D&I) (T3), to outcomes and effectiveness research in populations (T4). The translational research process applied to occupational exposure to nanomaterials might involve similar phases. This builds on basic and efficacy research (T0 and T1) in the areas of toxicology, epidemiology, industrial hygiene, medicine and engineering. In T2, research and evidence syntheses and guidance and recommendations to protect workers may be developed and assessed for effectiveness. In T3, emphasis is needed on D&I research to explore the multilevel barriers and facilitators to nanotechnology risk control information/research adoption, use, and sustainment in workplaces. D&I research for nanomaterial exposures should focus on assessing sources of information and evidence to be disseminated /implemented in complex and dynamic workplaces, how policy-makers and employers use this information in diverse contexts to protect workers, how stakeholders inform these critical processes, and what barriers impede and facilitate multilevel decision-making for the protection of nanotechnology workers. The T4 phase focuses on how effective efforts to prevent occupational exposure to nanomaterials along the research continuum contribute to large-scale impact in terms of worker safety, health and wellbeing (T4). Stakeholder input and engagement is critical to all stages of the translational research process. This paper will provide: (1) an illustration of the translational research continuum for occupational exposure to nanomaterials; and (2) a discussion of opportunities for applying D&I science to increase the effectiveness, uptake, integration, sustainability, and impact of interventions to protect the health and wellbeing of workers in the nanotechnology field.
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Affiliation(s)
- Paul A. Schulte
- Advanced Technologies and Laboratories (ATL) International, Inc., Gaithersburg, MD, United States
| | - Rebecca J. Guerin
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, United States
| | - Thomas R. Cunningham
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, United States
| | - Laura Hodson
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, United States
| | - Vladimir Murashov
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Washington, DC, United States
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