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Kim JH, Yoon J, Kim SJ, Kim JY, Kim SS. People-Oriented Culture and Its Association With Burnout, Depressive Symptoms, and Sleep Problems During COVID-19 Pandemic Among EMS Providers in Korea. J Occup Environ Med 2024; 66:e359-e364. [PMID: 38769075 DOI: 10.1097/jom.0000000000003154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2024]
Abstract
OBJECTIVE This study examined how perceived people-oriented culture (POC) was associated with burnout, depressive symptoms, and sleep problems during the COVID-19 pandemic among emergency medical service (EMS) providers in Korea. METHODS We conducted a cross-sectional survey among 693 EMS providers in 2021. RESULTS Overall, prevalence of personal burnout, work-related burnout, and citizen-related burnout were 61.5%, 60.0%, and 60.6%, respectively. Prevalence of depressive symptoms was 25.1%. Prevalence of poor sleep quality, unrestful sleep, and sleep disturbance were 46.5%, 58.2%, and 52.2%, respectively. Compared to high POC group, higher prevalence of depressive symptoms was observed among medium (prevalence ratio: 1.57, 95% CI: 1.06, 2.32) and low (prevalence ratio: 2.70, 95% CI: 1.92, 3.79) POC group. Similar trends were observed in the analysis of burnout and sleep problems. CONCLUSIONS Our findings underscore that low POC could play a critical role in worsening burnout, depressive symptoms, and sleep problems among EMS providers.
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Affiliation(s)
- Ji-Hwan Kim
- From the Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea (J.H.K., J.Y.K., S.S.K.), Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Republic of Korea (J.Y.); National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yangpyeong, Republic of Korea (J.Y.); Department of Paramedicine, College of Health Sciences, Eulji University, Seongnam, Republic of Korea (S.J.K.); and Department of Environmental Health Sciences, Graduate School of Public Health, Seoul National University, Republic of Korea (S.S.K.)
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Colin R, Wild P, Paris C, Boini S. Co-exposures to physical and psychosocial work factors increase the occurrence of workplace injuries among French care workers. Front Public Health 2022; 10:1055846. [PMID: 36582372 PMCID: PMC9792696 DOI: 10.3389/fpubh.2022.1055846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 11/21/2022] [Indexed: 12/15/2022] Open
Abstract
Objective The aim of this study was to analyze the effect of co-exposures to physical and psychosocial factors (PSF) regarding the incidence of workplace injuries (WI) among care workers. Additional objective was to identify the work factors associated with the co-exposure combinations leading to the highest rates of WI. Methods The study sample consisted of 4,418 care workers participating to the French Working Conditions Survey both in 2013 and 2016. WI were assessed during the 4-year follow-up by matching the databases of the National Health Insurance Funds' compensation system. We assessed exposure for physical factors and PSF using factorial analyses and hierarchical clustering. We implemented a Poisson regression model with the WI incidence as the outcome and the clusters as independent variables of interest. Logistic regression model allowed identifying the work factors that predicted co-exposure combinations with a WI rate > 40%. Results WI were highly related to both physical and psychosocial exposures. With low exposure to one or the other, there was no increased risk of WI. Physical factors and PSF potentiated each other and their co-exposure significantly increased the risk of WI, with model predicted rates per 1,000 persons-year for those most exposed to physical risk of 14.6 [4.5-24.8] with low PSF and 38.0 [29.8-46.3] with high PSF. Work factors that predicted co-exposure combinations with a rate > 40 WI% were: working as nursing assistant or hospital services officer, lack of predictability and flexibility of schedules, overtime, controlled schedules, work-family imbalance and insufficient preventive measures. Conclusions Our findings highlight the need to take into account psychosocial factors in addition of only considering physical factors when analyzing WI occurrence, as usually done. Prevention actions must be taken to reduce both physical and psychosocial exposure. These results provide keys points for the prevention of WI among care workers.
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Affiliation(s)
- Régis Colin
- Department of Occupational Epidemiology, Occupational Health and Safety Institute (INRS), Vandoeuvre-les-Nancy, France,INSERM U1085 Institut de Recherche en Santé, Environnement et Travail (IRSET), Rennes, France,*Correspondence: Régis Colin
| | - Pascal Wild
- Department of Occupational Epidemiology, Occupational Health and Safety Institute (INRS), Vandoeuvre-les-Nancy, France
| | - Christophe Paris
- INSERM U1085 Institut de Recherche en Santé, Environnement et Travail (IRSET), Rennes, France
| | - Stéphanie Boini
- Department of Occupational Epidemiology, Occupational Health and Safety Institute (INRS), Vandoeuvre-les-Nancy, France
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Weilguny-Schöfl G, Dolak W, Fellinghauer M, Schober T, Schöfl R. Gesundheitszustand des Endoskopiepersonals in Österreich. ZEITSCHRIFT FÜR GASTROENTEROLOGIE 2022; 60:1625-1634. [DOI: 10.1055/a-1727-9788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Zusammenfassung
Hintergrund Die Arbeit in der Endoskopie ist mit physischen und psychischen Herausforderungen verbunden, es gibt jedoch kaum Daten, ob dadurch die Gesundheit der Betroffenen beeinflusst wird. Ziel der Erhebung war, den Gesundheitszustand von Österreichs Endoskopie-Personal zu evaluieren und Vergleiche anzustellen.
Methode 2019 wurde an Ärzt*innen (n=236) und Pflegepersonen (n=324) in österreichischen gastrointestinalen Endoskopien ein standardisierter Fragebogen des Hogrefe Verlags und ein selbst entworfener SurveyMonkey Fragebogen online versendet. Die Rücklaufquote betrug 17,9%. Die Daten wurden mit einer Normbevölkerung, mit einer ähnlichen älteren Erhebung aus 2004 und nationalen Krankenstandsdaten verglichen.
Ergebnisse Im Vergleich mit einer Normbevölkerung gleichen Alters und Geschlechtsverteilung hat österreichisches Endoskopiepersonal mehr gesundheitliche Beschwerden. Im Vergleich mit den Ärzt*innen geben Pflegepersonen mehr Beeinträchtigungen an, am deutlichsten Müdigkeit und übermäßiges Schlafbedürfnis (p=0,001), Schweregefühl in den Beinen (p=0,001) sowie Wärme- (p<0,001) und Kälte-Überempfindlichkeit (p=0,002). Pflegepersonen sind etwas häufiger im Krankenstand als Ärzt*innen, die Krankenstandstage haben sich gegenüber 2004 vermehrt, liegen aber deutlich niedriger als im österreichischen Durchschnitt. Lebensstil übt wenig Einfluss auf die Symptome aus.
Schlussfolgerung Die Umfrageergebnisse zeigen, dass Arbeiten in der Endoskopie im Vergleich mit der Normbevölkerung mit gering stärkeren gesundheitlichen Problemen einhergeht. Pflegepersonen sind stärker belastet als Ärzt*innen. Diese Daten können Grundlage für gezielte Maßnahmen zur Prävention darstellen.
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Affiliation(s)
- Gerlinde Weilguny-Schöfl
- Gastroenterologie und Hepatologie, Endoskopie, Medizinische Universität Wien Universitätsklinik für Innere Medizin III, Wien, Austria
| | - Werner Dolak
- Gastroenterologie und Hepatologie, Endoskopie, Medizinische Universität Wien Universitätsklinik für Innere Medizin III, Wien, Austria
| | - Martina Fellinghauer
- Gastroenterologie und Hepatologie, Endoskopie, Medizinische Universität Wien Universitätsklinik für Innere Medizin III, Wien, Austria
| | - Theresia Schober
- Gastroenterologie und Hepatologie, Endoskopie, Wiener Gesundheitsverbund Klinik Ottakring, Wien, Austria
| | - Rainer Schöfl
- Interne 4-Gastroenterologie, Ordensklinikum Linz Barmherzige Schwestern Hospital, Linz, Austria
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Donovan M, Khan A, Johnston V. Associations Between Work-Zone Groups and Compensation Claims: Experience From a Poultry Meat Processing Plant. J Occup Environ Med 2021; 63:e679-e684. [PMID: 34469900 DOI: 10.1097/jom.0000000000002332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE At a poultry meat processing plant, work-zone group was an influencing factor upon an intervention program aimed at reducing musculoskeletal disorders (MSD), and also upon safety climate and disability management practices. This study aimed to explore if compensation claim outcomes also differed across work-zones in this plant. METHODS De-identified workers' compensation claims data from the processor were categorized according to three main work-zones (kill, process, and despatch). Multivariable generalized linear modeling explored the compensation claims costs across these work-zones, adjusted for age, shift, and claim type. RESULTS For MSDs, costs per claim were 3.5 times lower in the kill-zone compared to the despatch-zone. Shift worked and claim type were significant covariates in the modeling. CONCLUSION Organizations should prioritize interventions within work-zones with poorer compensation outcomes and consider the association of organizational microclimates upon these claims.
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Affiliation(s)
- Michael Donovan
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Qld, Australia (Mr Donovan, Dr Khan, and Dr Johnston)
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Sears JM, Schulman BA, Fulton-Kehoe D, Hogg-Johnson S. Workplace Organizational and Psychosocial Factors Associated with Return-to-Work Interruption and Reinjury Among Workers with Permanent Impairment. Ann Work Expo Health 2021; 65:566-580. [PMID: 33843964 DOI: 10.1093/annweh/wxaa133] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 11/30/2020] [Accepted: 12/03/2020] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Roughly 10% of occupational injuries result in permanent impairment and a permanent partial disability (PPD) award. After initial return to work (RTW) following a work injury, many workers with permanent impairment face RTW interruption (breaks in ongoing employment due to reinjury, poor health, disability, lay-off, etc.). Most RTW and reinjury research has focused on worker-level risk factors, and less is known about contextual factors that may be amenable to workplace or workers' compensation (WC)-based interventions. The aim of this study was to identify modifiable organizational and psychosocial workplace factors associated with (i) RTW interruption and (ii) reinjury among workers with a permanent impairment. METHODS This retrospective cohort study included WC claims data and survey data for 567 injured workers who RTW at least briefly after a work-related injury that resulted in permanent impairment. Workers were interviewed once by phone, 11-15 months after WC claim closure with a PPD award. Logistic regression models were used to estimate associations between each workplace factor of interest and each outcome, controlling for whole body impairment percentage, gender, age, nativity, educational level, State Fund versus self-insured WC coverage, employer size, union membership, industry sector, and employment duration of current/most recent job. RESULTS Twelve percent of workers had been reinjured in their current or most recent job, 12% of workers were no longer working at the time of interview, and <1% of workers reported both outcomes. The most frequently reported reason for RTW interruption was impairment, disability, and/or pain from the previous work injury. Lower reported levels of safety climate, supervisor support, and ability to take time off work for personal/family matters were significantly associated with both RTW interruption and reinjury. Inadequate employer/health care provider communication, perceived stigmatization from supervisors and/or coworkers, and lower levels of coworker support were significantly associated with RTW interruption but not with reinjury. Discomfort with reporting an unsafe situation at work, absence of a health and safety committee, and higher job strain were significantly associated with reinjury, but not with RTW interruption. Inadequate safety training and lack of needed job accommodations were not significantly associated with either outcome. There were no notable or statistically significant interactions between workplace factors and degree of impairment, and no consistent direction of association. CONCLUSIONS This study provides evidence that several potentially modifiable organizational and psychosocial factors are associated with safe and sustained RTW among injured workers with work-related permanent impairment. The lack of interaction between any of these workplace factors and degree of impairment suggests that these findings may be generalizable to all workers, and further suggests that workplace interventions based on these findings might be useful for both primary and secondary prevention. Though primary prevention is key, secondary prevention efforts to sustain RTW and prevent reinjury may reduce the considerable health, economic, and social burden of occupational injury and illness.
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Affiliation(s)
- Jeanne M Sears
- Department of Health Services, University of Washington, Seattle, WA, USA.,Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA.,Harborview Injury Prevention and Research Center, Seattle, WA, USA.,Institute for Work and Health, Toronto, Ontario, Canada
| | - Beryl A Schulman
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
| | - Deborah Fulton-Kehoe
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
| | - Sheilah Hogg-Johnson
- Institute for Work and Health, Toronto, Ontario, Canada.,Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.,Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
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Job and family demands and burnout among healthcare workers: The moderating role of workplace flexibility. SSM Popul Health 2021; 14:100802. [PMID: 33997249 PMCID: PMC8102798 DOI: 10.1016/j.ssmph.2021.100802] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 03/31/2021] [Accepted: 04/18/2021] [Indexed: 12/13/2022] Open
Abstract
Burnout is a growing problem among healthcare workers. Whereas there are numerous predictors of burnout, this article explores the compounding effects of job and family demands among nurses and Patient Care Associates (PCA). This study used the 2018 survey data of the Boston Hospital Health Workers Study (BHWHS) to assess the relationship of job and family demands, workplace flexibility, and burnout (N = 874). In addition, it aimed to evaluate the moderating effect of workplace flexibility and job and family demands on burnout. Results of the study demonstrate that active and high strained healthcare workers are associated with higher odds of experiencing burnout as well as workers who reported perceived low workplace flexibility. In addition, workplace flexibility is associated with reduced odds of experiencing burnout. Workplace flexibility moderated the relationship of childless married healthcare workers and burnout. The study shows that workplace flexibility plays a critical role in potentially reducing odds of burnout in the healthcare worker population. Assessing the perception and accessibility to workplace flexibility among workers is imperative to improve worker well-being and the quality of care provided to patients especially the current effects to worker's health during a pandemic. Burnout is an increasing concern among healthcare workers. We examined the buffering effects of workplace flexibility on the compounding effects of job and family demands on burnout. Workplace flexibility is associated with lower odds of burnout. Healthcare workers who are categorized as active and high-strained are associated with higher odds of burnout. Workplace flexibility moderated the relationship of married healthcare workers without children and burnout.
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Donovan M, Khan A, Johnston V. The Contribution of Onsite Physiotherapy to an Integrated Model for Managing Work Injuries: A Follow Up Study. JOURNAL OF OCCUPATIONAL REHABILITATION 2021; 31:207-218. [PMID: 32666382 DOI: 10.1007/s10926-020-09911-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Purpose As part of an integrated system to manage work injuries, some organisations utilise the skills of an onsite physiotherapist. Onsite physiotherapy can provide benefits for the workers and organisation when delivered as part of an early intervention injury prevention program (IPP) at a poultry meat processing plant. However, once established, the sustainability of this service on work injury and compensation outcomes without ongoing physiotherapy contribution is unknown. Methods Through analysis of two large secondary datasets of workplace injuries and compensation claims, outcome measures of injury rates, cost per workers' compensation claim and duration of work absence were compared over a 36-month period where onsite physiotherapy contributed to the IPP and was later removed. Results 3951 injuries and their 781 resultant compensation claims were analysed within a 36-month analysis period. A small but non-significant rise in injury rates and duration of work absence was associated with the removal of onsite physiotherapy. There was also a shift towards more compensations claims with work absence after physiotherapy was removed. However, there was a significant reduction in adjusted mean costs per claim of $847 for all injury types (p < 0.001) and $930 for musculoskeletal disorders (p < 0.001) after the removal of onsite physiotherapy. Conclusions Once an IPP was embedded within an organisation, onsite physiotherapy services were able to be discharged without significantly and negatively impacting demonstrated benefits and injury outcomes. There was also cost savings to the insurer through reduced mean claim costs and to the employer by not funding the onsite physiotherapy service.
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Affiliation(s)
- Michael Donovan
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia.
| | - Asaduzzaman Khan
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia
| | - Venerina Johnston
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, QLD, Australia
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Crockett S, Dellon ES, Biggers L, Ernst DA. Use of Patient Abdominal Compression Device Reduces Staff Musculoskeletal Pain Associated With Supporting Colonoscopy: Results From a Randomized Controlled Trial. Gastroenterol Nurs 2021; 44:136-145. [PMID: 33795622 PMCID: PMC8021235 DOI: 10.1097/sga.0000000000000550] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 06/22/2020] [Indexed: 11/25/2022] Open
Abstract
Work-related musculoskeletal disorders occur frequently among the endoscopy staff, and patient-handling duties involved with colonoscopy-applying manual pressure and repositioning patients-are particularly physically demanding. This study explored whether the use of a lower abdominal compression device (ColoWrap), previously shown to reduce the need for manual pressure and patient repositioning, would diminish the frequency of staff-reported musculoskeletal pain. A randomized, blinded, sham-controlled clinical trial was performed at the University of North Carolina Hospitals. Three hundred fifty patients had either ColoWrap or a sham device applied before colonoscopy. The primary outcome was the frequency of staff-reported musculoskeletal pain after assisting with colonoscopy. In the intention-to-treat analysis, which included procedures in which ColoWrap was removed, there was no statistical difference in the frequency of staff-reported pain in the control versus ColoWrap arm (4.6% vs. 3.4% of procedures, p = .59). However, when ColoWrap was used as directed (e.g., remained in place for the duration of the procedure), the frequency of staff-reported musculoskeletal pain was significantly reduced (4.6% vs. 0.7% of procedures, p = 0.04). Use of ColoWrap as directed was also found to be independently associated with reduced odds of staff-reported pain relative to the sham arm (OR = 0.12; 95% CI [0.02, 0.95]). When used as directed, ColoWrap reduced the frequency of musculoskeletal pain experienced related to assisting with colonoscopy and may reduce the risk of musculoskeletal disorders and injuries among the endoscopy staff.
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Affiliation(s)
- Seth Crockett
- Seth Crockett, MD, MPH, is Associate Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Evan S. Dellon, MD, MPH, is Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Larissa Biggers, MA, is Director of Learning, ColoWrap, LLC, Durham, North Carolina
- Donna A. Ernst, DNP, MSN, NEA-BC, CNL, CGRN, is Assistant Professor, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth
| | - Evan S. Dellon
- Seth Crockett, MD, MPH, is Associate Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Evan S. Dellon, MD, MPH, is Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Larissa Biggers, MA, is Director of Learning, ColoWrap, LLC, Durham, North Carolina
- Donna A. Ernst, DNP, MSN, NEA-BC, CNL, CGRN, is Assistant Professor, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth
| | - Larissa Biggers
- Correspondence to: Larissa Biggers, MA, ColoWrap, LLC, 3333 Durham-Chapel Hill Blvd, Ste A200, Durham, NC 27707 ()
| | - Donna A. Ernst
- Seth Crockett, MD, MPH, is Associate Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Evan S. Dellon, MD, MPH, is Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Larissa Biggers, MA, is Director of Learning, ColoWrap, LLC, Durham, North Carolina
- Donna A. Ernst, DNP, MSN, NEA-BC, CNL, CGRN, is Assistant Professor, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth
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Literature Review of Policy Implications From Findings of the Center for Work, Health, and Well-being. J Occup Environ Med 2019; 61:868-876. [PMID: 31453894 DOI: 10.1097/jom.0000000000001686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To review the publications of a Total Worker Health Center of Excellence, the Harvard T.H. Chan School of Public Health Center for Work, Health, and Well-being, in order to identify research findings relevant to either organizational or public policies. METHODS Two researchers independently reviewed 57 publications from 2011 to 2019 to identify cross-cutting themes that focus on working conditions or related health outcomes and their organizational and public policy implications. RESULTS Twelve cross-cutting themes were identified with their respective organizational and public policy implications. Several policy implications cut across work-related themes. CONCLUSIONS Policy implications of TWH research will aid in setting priorities to translate this from research into practice in future studies and help identify gaps that we and others can use to plan future TWH research.
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Woo JM, Tae H, Kim H, Cha H, Lim SK, Chae JH, Kim JH. The effect of positive psychology group intervention for occupationally injured employees. JOURNAL OF WORKPLACE BEHAVIORAL HEALTH 2019. [DOI: 10.1080/15555240.2019.1646657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Jong-Min Woo
- Hanbyul Psychiatric Hospital, Gyeonggi-do, Republic of Korea
| | - Hyejin Tae
- Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea
| | - Haejung Kim
- Korea Employee Assistance Professionals Association, Seoul, Republic of Korea
| | - Hana Cha
- Korea Employee Assistance Professionals Association, Seoul, Republic of Korea
| | - Seong-Kyeon Lim
- Korea Employee Assistance Professionals Association, Seoul, Republic of Korea
| | - Jeong-Ho Chae
- Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea
| | - Jung-Ho Kim
- Department of Psychology, Duksung Women's University, Seoul, Republic of Korea
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Sabbath EL, Hashimoto D, Boden LI, Dennerlein JT, Williams JAR, Hopcia K, Orechia T, Tripodis Y, Stoddard A, Sorensen G. Cohort profile: The Boston Hospital Workers Health Study (BHWHS). Int J Epidemiol 2019; 47:1739-1740g. [PMID: 30107500 DOI: 10.1093/ije/dyy164] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/10/2018] [Indexed: 12/18/2022] Open
Affiliation(s)
- Erika L Sabbath
- School of Social Work, Boston College, Chestnut Hill, MA, USA
| | - Dean Hashimoto
- Partners HealthCare, Boston, MA, USA.,School of Law, Boston College, Newton, MA, USA
| | - Leslie I Boden
- School of Public Health, Boston University, Boston, MA, USA
| | - Jack T Dennerlein
- Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA
| | | | | | | | | | - Anne Stoddard
- Centre for Community-based Research, Dana-Farber Cancer Institute, Boston, MA, USA
| | - Glorian Sorensen
- Centre for Community-based Research, Dana-Farber Cancer Institute, Boston, MA, USA.,Department of Social and Behavioural Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
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12
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Sabbath EL, Sparer EH, Boden LI, Wagner GR, Hashimoto DM, Hopcia K, Sorensen G. Preventive care utilization: Association with individual- and workgroup-level policy and practice perceptions. Prev Med 2018; 111:235-240. [PMID: 29567439 PMCID: PMC6028933 DOI: 10.1016/j.ypmed.2018.03.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 02/05/2018] [Accepted: 03/14/2018] [Indexed: 01/13/2023]
Abstract
Preventive medical care may reduce downstream medical costs and reduce population burden of disease. However, although social, demographic, and geographic determinants of preventive care have been studied, there is little information about how the workplace affects preventive care utilization. This study examines how four types of organizational policies and practices (OPPs) are associated with individual workers' preventive care utilization. We used data collected in 2012 from 838 hospital patient care workers, grouped in 84 patient care units at two hospitals in Boston. Via survey, we assessed individuals' perceptions of four types of OPPs on their work units. We linked the survey data to a database containing detailed information on medical expenditures. Using multilevel models, we tested whether individual-level perceptions, workgroup-average perceptions, and their combination were associated with individual workers' preventive care utilization (measured by number of preventive care encounters over a two-year period). Adjusting for worker characteristics, higher individual-level perceptions of workplace flexibility were associated with greater preventive care utilization. Higher average unit-level perceptions of people-oriented culture, ergonomic practices, and flexibility were associated with greater preventive care utilization. Overall, we find that workplace policies and practices supporting flexibility, ergonomics, and people-oriented culture are associated with positive preventive care-seeking behavior among workers, with some policies and practices operating at the individual level and some at the group level. Improving the work environment could impact employers' health-related expenditures and improve workers' health-related quality of life.
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Affiliation(s)
- Erika L Sabbath
- Boston College, School of Social Work, Chestnut Hill, MA, United States.
| | - Emily H Sparer
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA, United States; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United States
| | - Leslie I Boden
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, United States
| | - Gregory R Wagner
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United States
| | - Dean M Hashimoto
- Workplace Health and Wellbeing, Partners HealthCare System, Boston, MA, United States; Boston College Law School, Chestnut Hill, MA, United States
| | - Karen Hopcia
- Workplace Health and Wellbeing, Partners HealthCare System, Boston, MA, United States
| | - Glorian Sorensen
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA, United States; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United States
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13
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Sparer EH, Boden LI, Sorensen G, Dennerlein JT, Stoddard A, Wagner GR, Nagler EM, Hashimoto DM, Hopcia K, Sabbath EL. The relationship between organizational policies and practices and work limitations among hospital patient care workers. Am J Ind Med 2018; 61:10.1002/ajim.22864. [PMID: 29845635 PMCID: PMC6265111 DOI: 10.1002/ajim.22864] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2018] [Indexed: 01/02/2023]
Abstract
OBJECTIVE We examined relationships between organizational policies and practices (OPPs) (safety practices, ergonomic practices, and people-oriented culture) and work limitations in a sample of hospital workers. METHODS We used the 6-item Work Limitations Questionnaire (WLQ) to assess workers' perceptions of health-related work limitations. Self-reported OPPs and the WLQ were collected from workers in Boston, Massachusetts (n = 1277). We conducted random-intercept multi-level logistic regression models for each OPP using stepwise selection of covariates. RESULTS As the unit-average ergonomic practice score increased by one, the odds of a worker reporting work limitations decreased by approximately 39% (P-value = 0.018), adjusted for job title, age, and body mass index. A similar relationship existed for people-oriented culture (P-value = 0.038). The association between safety practices and work limitations was similar, but not statistically significant. CONCLUSIONS This study demonstrated the importance of workplace OPPs. OPPs that promote positive and supportive environments and that foster improvements in ergonomics may help reduce work limitations.
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Affiliation(s)
- Emily H. Sparer
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Leslie I. Boden
- Department of Environmental Health, Boston University School of Public Health, Boston, MA
| | - Glorian Sorensen
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA
| | | | - Anne Stoddard
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA
| | - Gregory R. Wagner
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Eve M. Nagler
- Center for Community-based Research, Dana-Farber Cancer Institute, Boston, MA
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Dean M. Hashimoto
- Workplace Health and Wellbeing, Partners HealthCare System, Boston, MA
- Boston College Law School, Chestnut Hill, MA
| | - Karen Hopcia
- Workplace Health and Wellbeing, Partners HealthCare System, Boston, MA
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14
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Oranye NO, Bennett J. Prevalence of work-related musculoskeletal and non-musculoskeletal injuries in health care workers: the implications for work disability management. ERGONOMICS 2018; 61:355-366. [PMID: 28756736 DOI: 10.1080/00140139.2017.1361552] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Accepted: 07/24/2017] [Indexed: 06/07/2023]
Abstract
To compare the prevalence of musculoskeletal and non-musculoskeletal injuries in a cohort of workers in Manitoba health care sector, who made injury claims between 2002 and 2012. A retrospective study, using secondary data from WCB Manitoba. Logistic regression was used to determine odds ratios for nature of work-related injuries among different groups of workers. Idiopathic work-related musculoskeletal disorders (WMSD) constituted 74.6% of all the injury claims. Injury risks varied between worker groups, and a significant difference was found within the female group, χ2 = 13.4, p = 0.0094, but not among the males. Compared to the married, single workers were more likely to experience traumatic than idiopathic injuries (OR = 1.72, CI, 1.28, 2.29), and much higher risk of traumatic injuries than non-WMSD (OR = 1.93, CI, 1.31, 2.84). Work-related injury risks vary significantly across occupations and worker groups, with idiopathic injuries being higher in high physical tasks. Practitioner Summary: To compare musculoskeletal and non-musculoskeletal injuries among workers in health care sector, and explore the implications for work disability management. Retrospective study, using workers' compensation claims data. The risk of idiopathic work-related musculoskeletal disorders continue to be high compared to traumatic and non-musculoskeletal disorders, particularly in tasks that involved high physical activities.
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Affiliation(s)
- Nelson Ositadimma Oranye
- a Department of Occupational Therapy, College of Rehabilitation Sciences , University of Manitoba , Winnipeg , Canada
| | - Jayson Bennett
- a Department of Occupational Therapy, College of Rehabilitation Sciences , University of Manitoba , Winnipeg , Canada
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15
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Amick BC, Lee H, Hogg-Johnson S, Katz JN, Brouwer S, Franche RL, Bültmann U. How Do Organizational Policies and Practices Affect Return to Work and Work Role Functioning Following a Musculoskeletal Injury? JOURNAL OF OCCUPATIONAL REHABILITATION 2017; 27:393-404. [PMID: 27654622 DOI: 10.1007/s10926-016-9668-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Purpose Organizational-level policies and practices that promote safety leadership and practices, disability management and ergonomic policies and practices are considered key contextual determinants of return to work. Our objective was to examine the role of worker-reported organizational policies and practices (OPPs) in return to work (RTW) and work role functioning (WRF) and the mediating role of pain self-efficacy and work accommodation. Methods A worker cohort (n = 577) in Ontario, Canada was followed at 1, 6 and 12 months post injury. Both RTW (yes/no) and WRF (WLQ-16) status (3 levels) were measured. OPPs were measured (high vs. low) at 1 month post-injury. Pain self-efficacy (PSE) and work accommodation (WA) were included in mediation analyses. Results OPPs predicted RTW at 6 months (adjusted OR 1.77; 95 % CI 1.07-2.93) and 12 months (adjusted OR 2.07; 95 % CI 1.18-3.62). OPPs predicted WRF at 6 months, but only the transition from working with limitations to working without limitations (adjusted OR 3.21; 95 % CI 1.92-5.39). At 12 months, OPPs predicted both the transition from not working to working with and without limitations and from not working or working with limitations to working without limitations (adjusted OR 2.13; 95 % CI 1.37-3.30). Offers of WA mediated the relationship between OPPs and both RTW and WRF at 6 months follow-up. PSE mediated the relationship between OPPs and RTW and WRF at 6 months. At 12 months neither mediated the relationship. Conclusions The findings support worker-reported OPPs as key determinants of both RTW and WRF. These results point to the importance of WA and PSE in both RTW and WRF at 6 months.
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Affiliation(s)
- Benjamin C Amick
- Institute for Work and Health, Toronto, ON, Canada.
- Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St., AHC-5-453, Miami, FL, 33199, USA.
| | - Hyunmi Lee
- Institute for Work and Health, Toronto, ON, Canada
| | - Sheilah Hogg-Johnson
- Institute for Work and Health, Toronto, ON, Canada
- Dalla Lana School of Public Health, Toronto, ON, Canada
| | | | - Sandra Brouwer
- Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Renée-Louise Franche
- Institute for Work and Health, Toronto, ON, Canada
- WorkSafeBC, Vancouver, BC, Canada
| | - Ute Bültmann
- Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
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16
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Associations of Organizational Safety Practices and Culture With Physical Workload, Perceptions About Work, and Work-Related Injury and Symptoms Among Hospital Nurses. ACTA ACUST UNITED AC 2017; 47:404-411. [DOI: 10.1097/nna.0000000000000504] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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17
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McGuire C, Kristman VL, Shaw W, Loisel P, Reguly P, Williams-Whitt K, Soklaridis S. Supervisors' perceptions of organizational policies are associated with their likelihood to accommodate back-injured workers. Disabil Rehabil 2017; 39:346-353. [PMID: 26883582 PMCID: PMC4939087 DOI: 10.3109/09638288.2016.1141245] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Revised: 01/04/2016] [Accepted: 01/08/2016] [Indexed: 11/13/2022]
Abstract
Background Low back pain (LBP) is a major concern among North American workplaces and little is known regarding a supervisor's decision to support job accommodation for workers with LBP. The extent to which supervisors are included in a company's effort to institute disability management policies and practices and workplace safety climate are two factors that may influence a supervisor's decision to accommodate workers with LBP. Objective Determine the association between supervisors' perceptions of disability management policies, corporate safety culture and their likelihood of supporting job accommodations for workers with LBP. Methods We conducted a cross-sectional study of supervisors (N=796) recruited from a non-random, convenience sample of 19 Canadian and US employers. The outcome was supervisors' likeliness to support job accommodation and the exposure was global work safety culture and disability management policies and practices. A multivariable generalized linear modelling strategy was used and final models for each exposure were obtained after assessing potential effect modifiers and confounders. Results In the study, 796 eligible supervisors from 19 employers participated. Disability management policies and practices were positively associated with supervisors' likeliness to accommodate (β=0.19; 95% CI: 0.13; 0.24) while no significant association was found between corporate safety culture (β= -0.084; 95% CI: -0.19; 0.027) and supervisors' likeliness to accommodate. Conclusions Employers should ensure that proactive disability management policies and practices are clearly communicated to supervisors in order to improve job modification and return to work efforts. Implications for Rehabilitation Low back pain (LBP) is a major workplace concern and little is known regarding what factors are associated with a supervisor's likelihood to support job accommodation for workers with LBP. The objective of this article was to determine the association between supervisors' perceptions of disability management policies and practices, corporate safety culture and their likelihood of support job accommodations for workers with LBP. Results suggest that disability management policies and practices are positively associated with supervisors' likelihood to accommodate while corporate safety culture is not. These results are important for employers as it suggests that employers should ensure that their disability management policies and practices are clearly communicated to supervisors in order to improve job accommodation and return to work efforts.
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Affiliation(s)
- Connor McGuire
- Department of Health Sciences, Lakehead University, Thunder Bay, ON, CANADA
| | - Vicki L Kristman
- Department of Health Sciences, Lakehead University, Thunder Bay, ON, CANADA
- Institute for Work & Health, Toronto, ON, CANADA
- Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, CANADA
- Northern Ontario School of Medicine, Lakehead University, Thunder Bay, ON, CANADA
| | - William Shaw
- Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA
| | - Patrick Loisel
- Occupational and Environmental health, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, CANADA
| | - Paula Reguly
- Department of Health Sciences, Lakehead University, Thunder Bay, ON, CANADA
| | | | - Sophie Soklaridis
- Department of Health Sciences, Lakehead University, Thunder Bay, ON, CANADA
- Centre for Addiction and Mental Health, Toronto, ON, CANADA
- Department of Psychiatry, University of Toronto, Toronto, ON, CANADA
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18
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Williams-Whitt K, Bültmann U, Amick B, Munir F, Tveito TH, Anema JR. Workplace Interventions to Prevent Disability from Both the Scientific and Practice Perspectives: A Comparison of Scientific Literature, Grey Literature and Stakeholder Observations. JOURNAL OF OCCUPATIONAL REHABILITATION 2016; 26:417-433. [PMID: 27614465 PMCID: PMC5104758 DOI: 10.1007/s10926-016-9664-z] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Purpose The significant individual and societal burden of work disability could be reduced if supportive workplace strategies could be added to evidence-based clinical treatment and rehabilitation to improve return-to-work (RTW) and other disability outcomes. The goal of this article is to summarize existing research on workplace interventions to prevent disability, relate these to employer disability management practices, and recommend future research priorities. Methods The authors participated in a year-long collaboration that ultimately led to an invited 3-day conference, Improving Research of Employer Practices to Prevent Disability, held October 14-16, 2015, in Hopkinton, Massachusetts, USA. The collaboration included a topical review of the literature, group conference calls to identify key areas and challenges, drafting of initial documents, review of industry publications, and a conference presentation that included feedback from peer researchers and a question/answer session with an expert panel with direct employer experience. Results Evidence from randomized trials and other research designs has shown general support for job modification, RTW coordination, and organizational support, but evidence is still lacking for interventions at a more granular level. Grey literature reports focused mainly on job re-design and work organization. Panel feedback focused on organizational readiness and the beliefs and values of senior managers as critical factors in facilitating changes to disability management practices. While the scientific literature is focused on facilitating improved coping and reducing discomforts for individual workers, the employer-directed grey literature is focused on making group-level changes to policies and procedures. Conclusions Future research might better target employer practices by tying interventions to positive workplace influences and determinants, by developing more participatory interventions and research designs, and by designing interventions that address factors of organizational change.
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Affiliation(s)
- Kelly Williams-Whitt
- University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4, Canada.
| | - Ute Bültmann
- University Medical Center Groningen, Community and Occupational Medicine, University of Groningen, Groningen, The Netherlands
| | - Benjamin Amick
- Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
- Institute for Work and Health, Toronto, Canada
| | - Fehmidah Munir
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, UK
| | - Torill H Tveito
- Uni Research Health, Bergen, Norway
- Department of Health Promotion, University College of Southeast Norway, Horten, Norway
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19
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Dennerlein JT, O'Day ET, Mulloy DF, Somerville J, Stoddard AM, Kenwood C, Teeple E, Boden LI, Sorensen G, Hashimoto D. Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme. Occup Environ Med 2016; 74:336-343. [PMID: 27919058 DOI: 10.1136/oemed-2015-103507] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 09/15/2016] [Accepted: 10/03/2016] [Indexed: 12/11/2022]
Abstract
OBJECTIVE With increasing emphasis on early and frequent mobilisation of patients in acute care, safe patient handling and mobilisation practices need to be integrated into these quality initiatives. We completed a programme evaluation of a safe patient handling and mobilisation programme within the context of a hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans. METHODS Baseline and 12-month follow-up surveys of 1832 direct patient care workers assessed work practices and self-reported pain while an integrated employee payroll and injury database provided recordable injury rates collected concurrently at 2 hospitals: the study hospital with the programme and a comparison hospital. RESULTS Safe and unsafe patient handling practice scales at the study hospital improved significantly (p<0.0001 and p=0.0031, respectively), with no differences observed at the comparison hospital. We observed significant decreases in recordable neck and shoulder (Relative Risk (RR)=0.68, 95% CI 0.46 to 1.00), lifting and exertion (RR=0.73, 95% CI 0.60 to 0.89) and pain and inflammation (RR=0.78, 95% CI 0.62 to 1.00) injury rates at the study hospital. Changes in rates at the comparison hospital were not statistically significant. CONCLUSIONS Within the context of a patient mobilisation initiative, a safe patient handling and mobilisation programme was associated with improved work practices and a reduction in recordable worker injuries. This study demonstrates the potential impact of utilising a systems approach based on recommended best practices, including integration of these practices into the patient's plan for care.
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Affiliation(s)
- Jack T Dennerlein
- Department of Physical Therapy, Movement, and Rehabilitation Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.,Department of Environmental Health and The Center for Work, Health, and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Elizabeth Tucker O'Day
- Department of Occupational Health Services, Partners HealthCare System, Boston, Massachusetts, USA
| | - Deborah F Mulloy
- Center for Nursing Excellence, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Jackie Somerville
- Patient Care Services Center for Nursing Excellence, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Anne M Stoddard
- Center of Community Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | | | - Erin Teeple
- Department of Environmental Health and The Center for Work, Health, and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.,Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Leslie I Boden
- Department of Environmental Health, Boston University School of Public Health, Boston, Massachusetts, USA
| | - Glorian Sorensen
- Center of Community Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.,Department of Social and Behavioral Sciences Health and The Center for Work, Health, and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Dean Hashimoto
- Department of Occupational Health Services, Partners HealthCare System, Boston, Massachusetts, USA.,Boston College Law School, Newton Centre, Massachusetts, USA.,Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA
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20
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Sorensen G, McLellan DL, Sabbath EL, Dennerlein JT, Nagler EM, Hurtado DA, Pronk NP, Wagner GR. Integrating worksite health protection and health promotion: A conceptual model for intervention and research. Prev Med 2016; 91:188-196. [PMID: 27527576 PMCID: PMC5050152 DOI: 10.1016/j.ypmed.2016.08.005] [Citation(s) in RCA: 97] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 06/28/2016] [Accepted: 08/01/2016] [Indexed: 01/03/2023]
Abstract
There is increasing recognition of the value added by integrating traditionally separate efforts to protect and promote worker safety and health. This paper presents an innovative conceptual model to guide research on determinants of worker safety and health and to inform the design, implementation and evaluation of integrated approaches to promoting and protecting worker health. This model is rooted in multiple theories and the premise that the conditions of work are important determinants of individual safety and health outcomes and behaviors, and outcomes important to enterprises such as absence and turnover. Integrated policies, programs and practices simultaneously address multiple conditions of work, including the physical work environment and the organization of work (e.g., psychosocial factors, job tasks and demands). Findings from two recent studies conducted in Boston and Minnesota (2009-2015) illustrate the application of this model to guide social epidemiological research. This paper focuses particular attention on the relationships of the conditions of work to worker health-related behaviors, musculoskeletal symptoms, and occupational injury; and to the design of integrated interventions in response to specific settings and conditions of work of small and medium size manufacturing businesses, based on a systematic assessment of priorities, needs, and resources within an organization. This model provides an organizing framework for both research and practice by specifying the causal pathways through which work may influence health outcomes, and for designing and testing interventions to improve worker safety and health that are meaningful for workers and employers, and responsive to that setting's conditions of work.
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Affiliation(s)
- Glorian Sorensen
- Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA; Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.
| | - Deborah L McLellan
- Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA; Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
| | - Erika L Sabbath
- Boston College, School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA
| | - Jack T Dennerlein
- Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA; Northeastern University, Bouvé College of Health Sciences, 360 Huntington Ave, Boston, MA, USA
| | - Eve M Nagler
- Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA; Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
| | - David A Hurtado
- Oregon Institute of Occupational Health Science, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, L606, Portland, OR 97239, USA
| | - Nicolaas P Pronk
- Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA; HealthPartners, Inc., 8170 33rd Ave S, Bloomington, MN 55425, USA
| | - Gregory R Wagner
- Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA; National Institute for Occupational Safety and Health, 395 E Street, SW, Washington, DC 20201, USA
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21
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Sorensen G, Nagler EM, Hashimoto D, Dennerlein JT, Theron J, Stoddard AM, Buxton OM, Wallace L, Kenwood C, Nelson CC, Tamers SL, Grant MP, Wagner G. Implementing an Integrated Health Protection/Health Promotion Intervention in the Hospital Setting: Lessons Learned From the Be Well, Work Well Study. J Occup Environ Med 2016; 58:185-94. [PMID: 26849263 PMCID: PMC4746007 DOI: 10.1097/jom.0000000000000592] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE This study reports findings from a proof-of-concept trial designed to examine the feasibility and estimates the efficacy of the "Be Well, Work Well" workplace intervention. METHODS The intervention included consultation for nurse managers to implement changes on patient-care units and educational programming for patient-care staff to facilitate improvements in safety and health behaviors. We used a mixed-methods approach to evaluate feasibility and efficacy. RESULTS Using findings from process tracking and qualitative research, we observed challenges to implementing the intervention due to the physical demands, time constraints, and psychological strains of patient care. Using survey data, we found no significant intervention effects. CONCLUSIONS Beyond educating individual workers, systemwide initiatives that respond to conditions of work might be needed to transform the workplace culture and broader milieu in support of worker health and safety.
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Affiliation(s)
- Glorian Sorensen
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA
- Harvard T.H. Chan School of Public Health, Boston, MA
| | - Eve M. Nagler
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA
- Harvard T.H. Chan School of Public Health, Boston, MA
| | - Dean Hashimoto
- Partners HealthCare System, Boston, MA
- Boston College Law School, Newton Centre, MA
- Harvard Medical School, Boston, MA
| | - Jack T. Dennerlein
- Harvard T.H. Chan School of Public Health, Boston, MA
- Bouvé College of Health Sciences, Northeastern University, Boston, MA
| | - Julie Theron
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA
| | | | - Orfeu M. Buxton
- Harvard Medical School, Boston, MA
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA
- Department of Medicine, Brigham and Women’s Hospital, Boston, MA
| | - Lorraine Wallace
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA
| | | | | | - Sara L. Tamers
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Washington DC*
| | | | - Gregory Wagner
- Harvard T.H. Chan School of Public Health, Boston, MA
- National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Washington DC*
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22
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Hamblin LE, Essenmacher L, Ager J, Upfal M, Luborsky M, Russell J, Arnetz J. Worker-to-Worker Violence in Hospitals: Perpetrator Characteristics and Common Dyads. Workplace Health Saf 2015; 64:51-6. [PMID: 26450899 DOI: 10.1177/2165079915608856] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Worker-to-worker (Type III) violence is prevalent in health care settings and has potential adverse consequences for employees and organizations. Little research has examined perpetrator characteristics of this type of violence. The current study is a descriptive examination of the common demographic and work-related characteristics of perpetrators of Type III workplace violence among hospital workers. Analysis was based on documented incidents of Type III violence reported within a large hospital system from 2010 to 2012. Nurses were involved as either the perpetrator or target in the five most common perpetrator-target dyads. Incidence rate ratios revealed that patient care associates and nurses were significantly more likely to be perpetrators than other job titles. By examining characteristics of perpetrators and common worker dyads involved in Type III workplace violence, hospital stakeholders and unit supervisors have a starting point to develop strategies for reducing conflict between workers.
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Affiliation(s)
| | | | | | - Mark Upfal
- Wayne State University Detroit Medical Center
| | | | | | - Judith Arnetz
- Wayne State University Uppsala University Michigan State University
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