Millennials and Recognition in the Workplace. Maximize Your Influential Power. Stimulate Emotional and Social Intelligence. Best Practices in Environmental Management. The Keys to Change Management. Improve your Time Management. How to Attract the Best Talent in your Team. Strategic Planning for Impact. Understanding Google Analytics to Thrive. Real Value in Big Data. Adoptez un mode de gestion LEAN.
Strategies for Effective Decision-Making. OP , 39 4 , Les 4T de la gestion des risques. Convergence, 32 3 , Tous y trouvent leur compte. Cormier, Yves Novembre La force de persuasion en SSE. Est-ce par manque de bonne foi? Evidence of an effect of shift work on all-cause and cause-specific mortality is inconsistent. This study aims to examine whether shift work is associated with increased all-cause and cause-specific mortality.
Nurses exhibit among the highest nonfatal injury rates of all occupations, which may be a consequence of long, cumulative work shift schedules. Fatigue may accumulate across multiple shifts and lead to performance impairments, which in turn may be linked to injury risks. This study aimed to examine the effects of accumulating nursing work on maximal and rapid strength characteristics in female nurses and compare these effects in day versus night shift workers.
Health care workers may potentially spread Staphylococcus aureus and methicillin-resistant S aureus MRSA to patients by contaminated high-touch items. The results showed that S aureus and MRSA contamination statuses of high-touch items are worrisome and should be paid greater attention. Developing country status was a risk factor for S aureus contamination. The effects of implementing a pharmacy intravenous admixture service. The study aimed to determine the health risks of antineoplastic drugs ADs occupational exposure in nurses and to evaluate the effects of implementing a pharmacy intravenous admixture service PIVAS in two Chinese hospitals.
The health risks to AD were significantly alleviated by implementing a pharmacy intravenous admixture service. American Journal of Industrial Medicine, 59 4 , There is a paucity of data available to assess the occupational health and safety risk associated with exposure to monoclonal antibodies. Industry standards and published guidelines are conflicting or outdated.
Guidelines offer contrary recommendations based on an array of methodological approaches. This survey aimed to describe current practices, beliefs and attitudes relating to the handling of monoclonal antibodies by Australian medical, nursing and pharmacy clinicians. Journal of Oncology Pharmacy Practice, 22 2 , Moving machine parts have the potential to cause severe injuries in the workplace and a significant percentage of injuries in the workplace can be attributed to machine-related incidents each year.
Machine safeguarding measures are essential to protecting the workers who come into contact with machines as part of their job duties. Any machine that may cause injury must be safeguarded. This third edition specifies requirements for the design, manufacture including remanufacture and rebuilding , installation, maintenance, operation, and safeguarding of industrial equipment to prevent injuries and accidents and enhance the safety of personnel who operate, assemble, and maintain machinery.
The need for a new edition was prompted by the changing technology related to these machines and the wish of stakeholders, including regulators, employers, manufacturers, and labour, for a document that would reflect the latest thinking concerning operator and equipment safety. This study investigated trichloramine exposure and prevalence of respiratory and ocular symptoms among Swedish indoor swimming pool workers.
Questionnaires were distributed to pool workers and referents. Lung function and fraction of exhaled nitric oxide FeNO were measured before and after work. Exposure to trichloramine and trihalomethanes was measured over work shifts. Journal of Occupational and Environmental Medicine, 58 12 , Convergence , 32 3 , 9. Quel est le bilan de cette approche? Interprofessional health care teams are increasingly utilized in health care organizations. Although there is support for their capacity to solve complex problems, there is also evidence that such teams are not always successful. In an effort to understand the capacity of interprofessional teams to innovate successfully, we investigate the role of cognitive diversity to establish whether and how knowledge differences lead to innovation.
The aim of this study was to construct and investigate a model of team innovation predicted by cognitive diversity. In addition to investigating the direct impact of cognitive diversity in interprofessional health care teams, the authors develop a model incorporating mediated and moderated effects. In this study, they explore the role of debate as a mediating factor capable of explaining the impact of cognitive diversity on innovation.
They further propose that the link between cognitive diversity and innovation through debate is contingent upon trans-specialist knowledge, knowledge shared by health care professionals, spanning specialist divides and enabling mutual understanding. Health Care Management Review, 42 1 , The role of attentional processes. Although psychologically detaching from work is beneficial for employee well-being and productivity, heavy workloads can interfere with detachment.
Drawing from the self-regulation literature, the authors expand the stressor-detachment model to explore 2 attentional factors that shape the workload-detachment relationship: Overall, they hypothesized that the ability to control and redirect attention is crucial for detaching from high workloads. Journal of Occupational Health Psychology, 21 4 , Musculoskeletal pain is the most common cause of incapacity among nurses.
This study aimed to report the prevalence of musculoskeletal pain among hospital nurses and to explore the associations of work-related psychosocial factors and mental health problems with musculoskeletal pain. Higher quantitative and emotional demands, work pace, low justice and respect in the workplace, influence on work organisation, and role conflicts were significantly associated with musculoskeletal pain among nurses.
All mental health problems and most strongly somatic stress symptoms were associated with musculoskeletal pain. Pain Research and Management, , 7 p. Convergence, 32 3 , 9. There is limited research on the effects of different types of rest-break interventions for VDU Visual display Units operators on neck and shoulder postures.
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This study examined the effect of rest-break interventions on the neck and shoulder postures of symptomatic VDU operators during prolonged computer work. Thirty subjects were randomly and equally assigned to breaks with stretching, breaks with dynamic movement, and passive breaks. Subjects performed the typing task for 60 min and received 3-min breaks after min of work. The craniovertebral and forward shoulder angles were obtained from a 3D motion analysis system. Results showed that there were no significant differences in the craniovertebral and forward shoulder angles among any types of rest—breaks.
It can be concluded that the three types of rest-break interventions had positive effects on neck and shoulder posture during prolonged computer terminal work. Health Care Management Review , 42 1 , Initiating and utilizing shared leadership in teams: Factors affecting fall severity from a ladder: Work-related musculoskeletal injuries and disorders WMSD are a significant issue in the health care sector. Safety and Health at Work, 7 4 , Engagement in development, job satisfaction or exhaustion? Conclusions about implementing the management concept lean in healthcare are contradictory and longitudinal studies are scarce.
In particular, little is known of how working conditions contribute to the sustainability of lean in healthcare. The aim of this article is to identify to what extent lean tools visual follow-up boards, standardised work, 5S [housekeeping], and value stream mapping [VSM] promote working conditions for employees and managers in healthcare organisations outcomes: A longitudinal quantitative study was conducted that involved employees and managers in two hospitals and one municipality. Journal of Hospital Administration, 5 5 , Health Care Management Review, 41 2 , Effects of organizational context on Lean implementation in five hospital systems: Health Care Management Review, 41 4 , Dans la jungle de nos bureaux.
Journal of Hospital Administration , 5 5 , Health Care Management Review , 41 4 , Do clothes make the healthcare worlker? To facilitate enforcement of this guideline for OR personnel, the ACS suggests the adoption of distinctive, colored scrub suits for the operating room personnel. Hospital Employee Health, 35 11 , The aim of this study was to examine a laundry facility that processes clinical linens for the presence and seasonality of vancomycin resistant Enterococcus spp.
Although examinations of incivility have gained momentum in organizational research, theory and empirical tests involving dynamic, within-person processes associated with this negative interpersonal behavior are limited. Drawing from ego depletion theory, the authors test how experiencing incivility precipitates instigating incivility toward others at work via reduced self-control. Journal of Applied Psychology. Incivility has negative consequences in the workplace and remains a prevalent issue in nursing.
Research has consistently linked incivility to nurse burnout and, in turn, to poor mental health and turnover intentions. To retain high-quality nurses, it is important to understand what factors might protect nurses from the negative effects of workplace mistreatment. The aim of the study was to investigate the role of relational occupational coping self-efficacy in protecting nurses from workplace incivility and related burnout and turnover intentions.
Fida, Roberta, Laschinger, Heather K. Incivil behaviors at work—put-downs, sarcasm, and other condescending comments—tend to have a contagious effect, according to a new study by a management professor at the University of Arkansas and several colleagues. Incivil behaviors are less serious than openly hostile behavior such as bullying, harassment, and threats, but incivil behaviors are also more frequent in the workplace and have a significant effect on employees, the study found.
Guide des aires et des appareils de jeu: Managing pharmaceutical waste throughout a multi-facility health system that services a wide geographic area can be quite challenging, especially considering the varying waste requirements in different states. Adhering to the multiple, complex regulations guiding compliant pharmaceutical waste management requires significant knowledge and expertise to ensure the safe containment and disposal of all waste streams.
As the resident medication experts, it is the professional responsibility of pharmacists to help implement a compliant waste management program that protects the environment and keeps pharmaceutical waste out of the water system. Old-school workers may resist new equipment. While there is a general consensus that safe patient handling programs nationally suffer from a lack of implementation and enforcement, employee health professionals should be aware that OSHA is taking a close look at the issue when they inspect healthcare facilities. In an encouraging sign to advocates of safe patient handling, OSHA made it an issue of emphasis for healthcare inspections in a memorandum issued last year.
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. The authors 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.
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Pressure ulcers are distressing events, caused when skin and underlying tissues are placed under pressure sufficient to impair blood supply. They can have a substantial impact on quality of life and have significant resource implications.
Repositioning is a key prevention strategy, but can be resource intensive, leading to variation in practice. This economic analysis was conducted to identify the most cost-effective repositioning strategy for the prevention of pressure ulcers. The aim of this study was to assess the cost effectiveness of two repositioning strategies and inform the National Institute for Health and Care Excellence clinical guideline recommendations on pressure ulcer prevention. Journal of Advanced Nursing, 71 12 , Despite numerous strategies developed to reduce caregiver injuries, nurses are still experiencing work-related musculoskeletal injuries.
A comprehensive SPHM program has been found to be effective in reducing patient handling injuries among nurses. Journal of Nursing Administration, 46 11 , With proposed federal legislation in political limbo, too many nurses and their colleagues at the bedside remain at risk of life-altering injuries as they try to care for an increasing population of acutely ill, heavier patients without safe handling equipment. If change does not come from the top down, perhaps it will come from the bottom up. Some nursing schools have added safe patient lifting equipment to their classes and curricula, creating the expectation that the injury prevention tools and devices will be available when their students graduate and take jobs in the field.
And if said equipment is conspicuously absent on their first day of work? Condition can be controlled, but challenge to keep workers enrolled. Diabetes in healthcare workers is a major driver of medical insurance costs, as the chronic blood sugar disorder can set off a range of health problems and increase risk of stroke and heart disease. Diabetes is a primary cause of kidney failure, and can cause nerve damage that affects vision and leads to foot ulcers and problems in other extremities.
The chemicals in the disinfectant pose a health risk to the person using them that is often overlooked and staff are not routinely aware of actions to take in the home if they are inadvertently exposed to them. Home Healthcare Now, 34 9 , NIOSH comments on study that found no difference in clinical settings. Respirator and Surgical Mask Myths and Controversies. Aux dires des personnels soignants, travailler en EHPAD est difficile, aussi bien physiquement que psychiquement, et la charge mentale y est importante. Les Dossiers de la Drees , 5. NFPA report — Fires in health care facilities.
Structure fires in health care facilities have generally followed a steady downward trend over the past decade. This report provides estimates of fire frequency and associated losses for reported fires in: Structure Fires in Health Care Facilities. National Fire Protection Association, v, p. Optimum Leadership for Safety Culture Development. These developments cannot be implemented, let alone hardwired, without employee buy-in and especially leadership buy-in.
This article explains the optimum leadership required for successful organizational safety culture development. AOHP Journal, 36 3 , Leadership and approaches to the management of workplace bullying. Leadership behaviour has been identified as an important antecedent of workplace bullying since managers may prevent, permit, or engage in the mistreatment of others. However, the issue of how managers respond when bullying occurs has received limited attention.
With this in mind, the aim of this study was to explore how managers behave when bullying occurs in their work group and to elucidate the contextual issues that underlie this behaviour. This was achieved through analysis of in-depth interviews with individuals involved in cases of bullying.
The findings revealed a typology of four types of management behaviour in cases of bullying, each underpinned by contextual factors at the individual, group, and organizational levels. The study shows that the role of leadership in workplace bullying is more complex than previously thought and suggests several ways in which managers and organizations could deal with bullying behaviour. Studies show that high-quality reciprocal relationships between leaders and followers are positively associated with employee well-being.
However, the pathways for promoting this health-enhancing leadership behaviour have not yet been well explored, and most studies have been cross-sectional. The primary objective of this study was to examine the effects of the interplay between job-related resources and leader—member exchange LMX on employee well-being, measured as the emotional exhaustion component of burnout. A comparison of organizational team communication networks over time.
Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested.
We adopt a social network perspective to examine intraorganizational communication within each team and assess change in a the frequency of communication among team members, b communication across organizational hierarchies, and c the overall structure of team communication networks. Health care Management Review. Although many studies link teamwork in health care settings to patient safety, evidence linking teamwork to hospital worker safety is lacking. This study addresses this gap by providing evidence linking teamwork perceptions in hospital workers to worker injuries, and further, finds a linkage between manager commitment to safety and teamwork.
Organizational records of worker injuries and survey responses regarding management commitment to safety and teamwork from hospital workers within 42 work units in a multi-site hospital system were examined. Results underscored the particular importance of teamwork on worker injuries as well as the importance of management commitment to safety as relating to teamwork. To improve worker safety, organizational leaders and unit managers should work to maintain environments wherein teamwork can thrive.
Journal of Hospital Administration , 5 6 , Y a-t-il un seuil critique de fatigue face aux changements? Si oui, quel serait-il et comment le mesurer? AOHP Journal , 36 3 , Risks are omnipresent in most human activities. Risk analysis helps to establish the level of risk of a given situation, and to determine if the risk is acceptable, tolerable or unacceptable. At this stage, the consideration of individual or societal factors becomes very important in the decision-making process regarding the acceptability or the tolerability of a risk. In the occupational health and safety OHS field, these factors are often implicit and poorly defined.
In this work, the risk acceptability influential factors in the domain of OHS are indexed, and a typology of these factors is suggested. In total, 8 parameters regrouping 19 criteria and 14 variables that influence the risk acceptability process are presented, and their scope in OHS is discussed.
Safety Science , 92, Safety Science, 92, The objective of this study was to estimate he prevalence of a comprehensive set of self-reported sleep problems by job characteristics, including shiftwork status, among a representative sample of US workers. Occupational and Environmental Medicine. Rest breaks are effective in avoiding an accumulation of fatigue during work. However, little is known about individual differences in rest-break behavior. A tabletop-type ultraviolet C UVC light—emitting disinfecting device was evaluated for microbiologic effectiveness, safety, usability, and end-user satisfaction.
Three different inoculums of methicillin-resistant Staphylococcus aureus, Pseudomonas aeruginosa, and Acinetobacter calcoaceticus-baumannii complex strains suspended in both saline and trypticase soy broth were applied onto stainless steel carriers and electronic device surfaces in triplicate and cultured for growth after UVC disinfection. Assessments of functionality and usability were performed by biomedical and human factors engineers.
End-user feedback was captured using a standardized in-use survey. This is a concerning, as compliance with the current version of the chapter in some important areas, such as high-risk level compounding, personnel and environmental sampling, sterility testing, and training, have demonstrated little or slow progress toward improvement. What will it take? While much emphasis has been placed on the improvement of I.
Although healthcare organizations typically require competency validation for nurses and other professionals with I. Graduate nurses may learn much of their I. These factors contribute to variation in knowledge and skill development and a lack of standard practices across organizations, potentially compromising patient safety. To address unsafe practices and at-risk behaviors associated with the preparation and administration of I. Based on guidelines issued by summit participants and prepared by ISMP, this article summarizes important safe practice guidelines for the preparation, labeling, and administration of I.
Nursing, 46 10 , Healthcare workers who prepare or give hazardous drugs to patients, such as those used for cancer therapy, as well as support staff may face individual health risks when exposed to these drugs. National Institute for Occupational Safety and Health. Education and Information Division. Occupational Exposure to Antineoplastic Agents: Approximately 8 million health care workers are unnecessarily exposed to highly toxic drugs used to treat cancer; antineoplastic drugs can contribute to negative health effects for these workers.
The drugs have been detected in the urine of workers and on the floors and counters of worksites. Safety precautions that could reduce the risk of exposure are underutilized. This cross-sectional study of oncology health care workers used a survey to measure workplace and individual factors, and environmental sampling to measure surface contamination.
The study objective was to identify potential exposures to antineoplastic drugs and factors influencing safety behavior. Personal protective equipment PPE use was lower than recommended; unit of employment was significantly associated with PPE use. Chemical residue from antineoplastic drugs was found, revealing potential exposures. Workplace safety must be a higher organizational priority.
The contamination of common work areas where PPE use is not expected was of utmost concern. Oncology workers are occupationally exposed to antineoplastic drugs. This exposure can induce adverse health effects. In order to reduce their exposure, contamination on surfaces should be kept as low as possible. The aims of this study were 1 to monitor environmental contamination with cyclophosphamide, ifosfamide, and methotrexate in oncology pharmacy and patient care areas in Canadian hospitals 2 to describe the impact of some factors that may limit contamination.
Journal of Oncology Pharmacy Practice. Three decades of research findings have documented the health effects of handling hazardous drugs. Oncology nurses are vulnerable due to frequent administration of antineoplastics, low adherence to equipment use, reported barriers to use, and perceived low risk of health effects. All people exhibit some imbalance from the standard anatomical pose which assumes alignment with the frontal and median planes.
In this study natural posture imbalance is the starting point for determining posture deviation which is posture imbalance resulting from an activity, carrying an item. International Journal of Ergonomics, 56 11 , Evidence-based safe practice guidelines for I. Much is known and reported about sharps injuries in registered nurses, but there has been a lack of published evidence regarding sharps injuries within the student nurse population. The purpose of this review was to discover the impact of sharps injuries in the student nurse population.
A systematic review of nursing, health and psychology databases was conducted. The limits set were publications between and in the English language. This review highlight the potential psychological issues that can result from sharps injuries in this population. British Journal of Nursing, 25 19 , The consequences of annual influenza outbreaks are often underestimated by the general public. Influenza poses a serious public health threat around the world, particularly for the most vulnerable populations.
Fortunately, vaccination can mitigate the negative effects of this common infectious disease. Although inoculating frontline health care workers HCWs helps minimize disease transmission, some HCWs continue to resist participating in voluntary immunization programs. A potential solution to this problem is government-mandated vaccination for HCWs; however, in practice, there are substantial barriers to the adoption of such policies.
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The purpose of this paper is to identify the likelihood of adopting a policy for mandatory immunization of HCWs in Ontario based on a historical review of barriers to the agenda setting process. Test your knowledge of fume hood best practices and safety protocols with this free poster. There is growing recognition of the influence of the workplace environment on the eating habits of the workforce, which in turn may contribute to increased overweight and obesity.
Overweight and obesity exact enormous costs in terms of reduced well-being, worker productivity and increased risk of non-communicable diseases. The workplace is an ideal place to intervene and support healthy behaviours. Hospital Employee Health , 35 11 , Moral distress among nurses compromises their ability to provide optimal patient care and may cause them to leave their job. The aim of this study was to assess the frequency, intensity and level of moral distress perceived by nurses working in medical, surgical and intensive care units.
The results showed that highest level of moral distress was associated with the provision of treatments and aggressive care that were not expected to benefit the patients and the competency of the health-care providers. Nurses working in medical settings, nurses with lower levels of experience working in medical, surgical or intensive care settings, and nurses who intend to leave their job experienced the highest levels of moral distress. Properly locking out machinery to complete tasks where sudden activation could be disastrous is challenging enough for one person.
It Could Boost Your Health. Your social links with your co-workers could have a significant impact on your health, researchers say. Steffens and colleagues analyzed 58 studies that included more than 19, employed people in 15 countries. They found that how strongly people identified with their work colleagues or organization was associated with better health and a lower risk of burnout. Healthy Brains at Work. Des cerveaux sains au travail: Le Conference Board du Canada. Mindfulness-based interventions have been shown to be effective in reducing stress and increasing well-being in a wide range of populations and contexts.
However, controlled studies with healthcare professionals, and especially nurses, are scarce. The aim of this study was to explore the effectiveness of an on-site, abbreviated mindfulness-based intervention for nurses, using a nonrandomized, wait-list comparison design. International Journal of Nursing Studies, 64 12 , Do joy and anger from different sources of stakeholders matter? The present study adds novel knowledge to the literature on emotional contagion EC , discrete emotions, job burnout, and the management of healthcare professionals by simultaneously considering EC as both a job demand and a job resource with multiple social pathways.
The findings show that not all emotional exchange sources contribute to the EC experience or likelihood of burnout. Specifically, we found that doctors absorbed joy and anger from their colleagues but not from their leaders or patients. In contrast, nurses absorbed joy and anger from leaders, colleagues, and patients. Occupational stress is a major modern health and safety challenges. While the ED is known to be a high-pressure environment, the specific organisational stressors which affect ED staff have not been established.
The authors conducted a systematic review of literature examining the sources of organisational stress in the ED, their link to adverse health outcomes and interventions designed to address them. A narrative review of contextual factors that may contribute to occupational stress was also performed. All articles written in English, French or Spanish were eligible for conclusion. Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians.
A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary. The literature indicates that both individual-focused and structural or organisational strategies can result in clinically meaningful reductions in burnout among physicians.
Further research is needed to establish which interventions are most effective in specific populations, as well as how individual and organisational solutions might be combined to deliver even greater improvements in physician wellbeing than those achieved with individual solutions. Home Healthcare Now , 34 9 , The purpose of this study was to identify occupational exposures for home health-care nurses and aides. A majority of the sample was over 40 years old and obese, potentially increasing injury risks.
Home health-care nurses performed more clinical tasks, increasing exposure to blood-borne pathogens. Home health-care aides performed more physical tasks with risk for occupational musculoskeletal injuries. They also dispensed oral medications and anti-cancer medications, and were exposed to drug residue at a frequency comparable to home health-care nurses. Both groups were exposed to occupational second-hand smoke. Office workers spend a large proportion of their working hours sitting.
This may contribute to an increased risk of chronic disease and premature mortality. This study explored barriers to reducing office workplace sitting, and the feasibility and acceptability of strategies targeting prolonged sitting in this context. Highlights of a systematic review. In Canada, upper extremity MSDs and low-back pain are the leading causes of disabling work-related injuries. While there is general agreement that work hazards such as repetitive, awkward and static postures, heavy loads, vibration, low job control and poor social support can contribute to the development of upper extremity MSDs, there is less agreement on the most appropriate ways to reduce or eliminate these hazards.
This systematic review, an update of another conducted about 10 years ago, sets out to find occupational health and safety OHS interventions that effectively prevent and manage upper extremity MSDs. Journal of Hospital Administration, 5 6 , Use this checklist to help ensure scaffolding has been erected properly, safety requirements are all in place, and workers are using the scaffolding safely.
You can either complete the checklist online or print it out and complete it by hand. For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. Suman, Arnela, Dikkers, Marije F. Needlestick injuries NSIs represent a major concern for the safety of health care workers involved in clinical care. These injuries appear to occur most frequently where organizational factors contribute to the risk.
Research has shown that the injury rate for shiftworkers is higher than the injury rate for non-shiftworkers.
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The aim of this report is to determine whether the elevated risk of shiftwork affects all groups of shiftworkers or only particular groups of shiftworkers. This is achieved by analysing statistics from a nationally representative survey that was undertaken in — The report also analyses the characteristics and outcomes of work-related injuries to determine whether there are significant differences between shiftworkers and non-shiftworkers.
Safe Work Australia, 21 p. More than numbers, match staff to patient acuity. Inappropriate staffing — either in terms of numbers or a mismatch between the level of caregiver and the acuity of patients — is a chronic issue in healthcare that puts both patients and staff at higher risk. They discussed variables that create staffing mismatches, identified barriers to solving the problem, and explored potential solutions. Though staffing influences patient and worker safety, fiscal pressure on healthcare facilities means doing more with less in many areas.
Staffing Woes Endanger Workers and Patients: Hospital Employee Health, 35 8 , A Pretest-Posttest Intervention Study. Workplace violence can lead to serious consequences for victims, organizations, and society. Most workplace violence prevention programs aim to train staff to better recognize and safely manage at-risk situations. The Omega education and training program was developed in Canada in , and has since been used to teach healthcare and mental health workers the skills needed to effectively intervene in situations of aggression.
The present study was designed to assess the impact of Omega on employee psychological distress, confidence in coping, and perceived exposure to violence. This program was offered to employees in a psychiatric hospital in Montreal, Canada. Eighty-nine of them accepted to participate. Questionnaires were completed before the training, after a short period of time and at follow-up. Results demonstrated statistically significant improvements in short-term and follow-up posttest scores of psychological distress, confidence in coping, and in levels of exposure to violence.
This study is one of very few to demonstrate the positive impact of this training program. Healthcare , 4 3 , Workplace safety is a critical issue in health care. The Journal of the American Medical Association, 10 , The established links between workplace bullying and poor mental health provide a prima facie reason to expect that workplace bullying increases the risk of suicidal ideation thoughts and behaviours.
Until now, there has been no systematic summary of the available evidence. This systematic review summarises published studies reporting data on workplace bullying and suicidal ideation, or behaviour. The review sought to ascertain the nature of this association and highlight future research directions. This study estimated the associations between these factors and experiencing client violence among direct care workers in the home settings DCWHs.
American Journal of Industrial Medicine. Occupational exposure to disinfectants is associated with work-related asthma, especially in healthcare workers. However, little is known about the specific products involved. To evaluate disinfectant exposures, we designed job-exposure JEM and job-task-exposure JTEM matrices, which are thought to be less prone to differential misclassification bias than self-reported exposure.
We then compared the three assessment methods: Henneberger, PK, Varrasom R. Planning Health Facilities for Patients and Visitors. This third edition begins with a look at humanistic health facility design and related research. It also describes how users can meaningfully participate in health facility design. Jossey-Bass, Wiley, xx, p. The study of the operating room OR began over a century ago and has continued to advance.
However, for nonmedical researchers, unique challenges present themselves that must be carefully addressed. We present an overview of the OR aimed at nonmedical researchers interested in studying the OR environment. Based on our extensive experience, we identify several key challenges and describe ways to circumvent them. With a respectable understanding of the OR environment, we can prepare a researcher to gather useful data. Such investigations have the potential to yield great insights about cost savings, efficiency, methods, processes, and general human interaction, among others.
Nicholas, Still, Brady R. OP , 39 3 , OP, 39 3 , A survey of physician anesthesiologists, nurse anesthetists and anesthesiologist assistants. Scavenging systems and administrative and work practice controls for minimizing occupational exposure to waste anesthetic gases have been recommended for many years. Anesthetic gases and vapors that are released or leak out during medical procedures are considered waste anesthetic gases. To better understand the extent recommended practices are used, the NIOSH Health and Safety Practices Survey of Healthcare Workers was conducted in among members of professional practice organizations representing anesthesia care providers including physician anesthesiologists, nurse anesthetists, and anesthesiologist assistants.
This national survey is the first to examine self-reported use of controls to minimize exposure to waste anesthetic gases among anesthesia care providers. Journal of Occupational and Environmental Hygiene , 13 10 , Up in surgical smoke. It has been known to cause genital warts in the noses of anesthesiologists. A surgeon developed a rare throat tumor caused by the human papillomavirus HPV because of this.
It has been linked to miscarriages among nurses. In a hospital in London, Ont. The human immunodeficiency virus HIV and hepatitis have also been found in it. Canadian Occupational Safety, 54 4 , Multi-pronged room decontamination yields best results. While the Centers for Disease Control and Prevention CDC reports that significant progress has been made in preventing some types of healthcare-associated infections HAIs , the agency points out that approximately one in 25 hospital patients has at least one HAI on any given day. According to the CDC, about 75, patients with HAIs died during their hospitalizations in , and more than half of all HAIs occurred outside of the intensive care unit.
Healthcare Purchasing News, 40 9 , Exposures to noise and resulting noise-induced hearing loss NIHL are not well understood in the dental profession. Previous studies have focused primarily on practicing dental professionals, and have often evaluated hearing loss in the absence of adequate noise exposure assessment. This study was conducted to evaluate exposures among students and staff working in four clinics within a major U. Journal of Occupational and Environmental Hygiene, 13 10 , Treating hospital patient textiles with ionic silver after each washing results in a significant decrease in microbial contamination.
Although further study is needed to better understand the role textiles play in hospital-acquired infections and to quantify the influence of silver textile treatment on health care-associated infection risk and patient outcomes, ionic silver treatment of textiles may prove useful in hospital-acquired infection reduction strategies. How much marijuana or THC should be allowable? This is an extremely difficult question and is asked of the drug testing industry regularly. While the majority of companies, particularly those that have safety-sensitive employees, choose to maintain a zero-tolerance policy, there are plenty of employers asking how to create some form of tolerance.
There are multi-faceted issues in a culture of acceptance, and each particular issue must be carefully reviewed with safety at the core of the conversation. The pulses may be causing unnecessary exposure of the staff. This study measures the exposure of occupational therapists from a 1. A total of 14 time-series on each of the chest, head and hand were taken before and after different MRI procedures.
The peak values were noted in each case together with an average of all data recorded in the time-series. Maisons Alfort Cedex, France: Quels risques pour les utilisateurs? Pour visionner le webinaire: This research investigated the conditions under which exposure to incivility at work was associated with engaging in counterproductive work behavior CWB.
Drawing from stressor-strain and coping frameworks, we predicted that experienced incivility would be associated with engaging in production deviance and withdrawal behavior, and that these relationships would be strongest for employees who had high levels of job involvement and worked under task interdependent conditions. Gender differences in these effects were also investigated. Journal of Occupational Health Psychology. The present study investigated the influence of different stool types on muscle activity and lumbar posture.
Twenty five participants completed a simulated dental procedure on a standard stool, a saddle and the Ghopec. The latter stool comprises a seat pan consisting of a horizontal rear part for the pelvis and an inclinable sloping down front part for the upper legs, with a vertically and horizontally adjustable back rest. De Bruyne, Mieke A. Applied Ergonomics, 56 9 , Vous vous penchez souvent vers les enfants. Since William Charney first introduced the concept of lift teams back in the s, lift teams have received a mixed reception as a viable option for introducing safe patient handling into a healthcare setting.
However, the evidence for their effectiveness is beyond dispute, offering a measurable impact on the reduction of musculoskeletal injuries to clinical staff and having a positive effect on patient outcomes. Though every healthcare worker who handles patients is at risk of injury, it may be difficult to convince hospital administrators to purchase a sufficient inventory of safe patient lifting equipment.
She described the program she developed to generate the data needed to make the case for new lifting and handling equipment in an interview with Hospital Employee Health. Leading indicators and, perhaps, a personal testimony. Hospital Employee Health, 3 5 10 , In recent years, safe patient handling in the health care industry has been addressed by various stakeholders, but much work remains to reduce health care worker injuries, and improve safety and care quality for patients. Recently, safe patient handling in ambulatory care settings has gained attention.
As health care delivery evolves, demands on ambulatory care will increase and more dependent patients will visit ambulatory care clinics. Typically, ambulatory care clinics are not equipped with appropriate safe patient handling equipment. Examination tables, standard in ambulatory care clinics, currently have fixed height and are not easily accessible. This study investigated the benefits of introducing new height-adjustable examination tables to an ambulatory care setting. The results of this study indicate that by using height-adjustable examination tables, work-related musculoskeletal disorder WMSD risk for caregivers can be significantly reduced.
There is a high incidence of musculoskeletal injuries MSIs to healthcare workers in patient care environments while performing patient handling PH tasks. For years in health care, providing education and training has been the approach taken to prevent MSIs; however, research in this area has demonstrated that training alone is not effective for reducing the risks of MSIs or changing the work practices of healthcare workers.
Due to its fast-paced, often chaotic environment and its variety and complexity of patients, the Emergency Department ED faces distinct challenges with respect to PH. The purpose of this study was to investigate the effects of embedding a safe client handling champion within the ED team at 3 intervention units to address PH issues specific to the emergency care environment and measure the effectiveness of this intervention on the work practice, safety culture, and rates of PH injuries against 3 control units.
Early mobility EM and safe patient handling and mobility SPHM programs can improve patient outcomes and patient and caregiver safety, respectively. Further understanding how therapists choose safe patient handling interventions for early mobility is needed. This descriptive case study outlines the decision-making factors used by therapists for integrating SPHM with early mobilization treatments for a female patient who had suffered a stroke and was treated at a facility with a mature SPHM program and a growing early mobility program.
The patient was mobilized to a higher level of function than the therapy team felt they could achieve without use of the SPHM technology, which increased safety and enabled increased patient activity and progressive upright mobility with fewer staff involved. Assessing Ergonomic, Time, and Quality Aspects. Besides patient handling tasks, postural or static load is a well-known, yet underestimated, occupational health risk related to disabling back pain in nurses.
Exposure is high during tasks such as washing. This descriptive study intends to provide quantitative insight into postural load during hygiene tasks. One hundred twelve standardized procedures performed by 4 nurses using 6 types of equipment and 2 washing techniques on role-playing patients with varying mobility were filmed.
Quantitative data on time and postural load were collected by analyzing each second of video and by subjective data via surveys. Patient mobility, type of equipment, and washing technique were related significantly to hygiene care duration. The skill of the nurse, type of equipment, and mobility were linked to the postural load of the back.
The nurses expressed an overall lower satisfaction with procedures on the high-low bed. Recommendations for reducing duration and extent of static load are given, but more research is needed. In a study that included interviews with healthcare workers, Wilson found workers wearing gloves for routine tasks like making a bed. Hospital Employee Health , 35 8 , There is urgent need for improvements to the current guidance on personal protective equipment PPE use for health care workers from the Centers for Disease Control and Prevention.
Standards from other international partners differ, particularly in the doffing sequence. Health care workers are known to inconsistently or inadequately use PPE, even in the face of epidemic diseases, such as severe acute respiratory syndrome and pandemic influenza A H1N1 virus. This article describes the evaluation of an open-access web-based respiratory protective equipment selector tool RPE-Select, accessible at http: RPE-Select can be used for identifying adequate and suitable RPE for dusts, fibres, mist solvent, water, and oil based , sprays, volatile solids, fumes, gases, vapours, and actual or potential oxygen deficiency.
It can be applied for substances and products with safety data sheets as well as for a large number of commonly encountered process-generated substances PGS. The Annals of Occupational Hygiene, 60 7 , NIOSH-certified N95 filtering facepiece respirators FFRs are used in healthcare settings as a control measure to mitigate exposures to airborne infectious particles.
When the outer surface of an FFR becomes contaminated, it presents a contact transmission risk to the wearer. Adherence to proper doffing technique is reportedly low due to numerous factors including difficulty in locating and grasping the straps. This study compares the impact of tabs placed on FFR straps to controls without tabs on proper doffing, ease of use and comfort, and reduction of transfer of contamination to the wearer. The majority of commercially available corrective spectacles used by workers do not provide effective eye protection against mechanical hazards in the workplace.
One of the risks commonly occurring during work is hitting the head on some protruding elements, such as components of machines, buildings, or tree branches in a forest. Due to the considerable weight of the human head and the speed of movement during impact, this type of accident may be very serious.
The paper presents a method of testing the mechanical strength of corrective lenses, simulating the results of an impact of the head to elements of workplaces. Also the results of tests of commercially available materials used for the construction of corrective and protective spectacles are presented and discussed. Healthcare Purchasing News , 40 9 , Some cancer patients at two healthcare facilities in Seattle have been advised to seek testing for tuberculosis after a healthcare worker with latent tuberculosis infection developed active disease that went undiagnosed for some time. In addition, 47 healthcare workers were exposed and all have thus far tested negative for TB, which is not thought to be a drug-resistant strain.
Oncology worker goes from latent to active infection. Hospital Employee Health, 35 10 , That is why OSHA requires the first line of defense against workplace hazards to be engineering controls. However, engineering controls are not perfect, as our example shows. But controlling a hazard at its source is the first choice because this method can either eliminate it from the workplace altogether or isolate it from the worker, How to choose the right personal protective equipment PPE for your lab, look after it, and ensure employees use it properly.
Lab Manager, 11 8 , 36, Protection des yeux et du visage. Medical examination gloves and surgical gloves protect the wearer directly and the patient indirectly from the risk of contamination. Because of concerns related to latex allergy, an increasing trend toward the use of synthetic gloves made of materials other than latex is observable. However, currently it is unknown if the physical properties of different materials may influence bacterial passage in case of a glove puncture.
The authors 2xamined 9 different medical examination gloves from various manufacturers made of nitrile, latex or neoprene. Additionally, 1 latex surgical glove each with and without antibacterial chlorhexidine gluconate coating and 1 synthetic surgical glove made of thermoplastic elastomer were included in the experiments. Awkward postures represent one of the major ergonomic risk factors that cause WMSDs among sonographers while working with an ultrasound transducer.
This study aimed to design and evaluate a new holder for the ultrasound transducer. This guide for employers is designed to help them provide support for staff members with dementia. It may also be a useful resource for people living with, or affected by, dementia in the workplace.