2013-10-01 12:00 - Messages

Occupational injury among hospital patient-care workers

What is the association with workplace verbal abuse?
OBJECTIVE: To test the association between workplace abuse exposure and injury risk among hospital workers. We hypothesized that exposed workers would have higher injury rates than unexposed workers. METHODS: Survey of direct-care workers (n = 1,497) in two hospitals. Exposure to workplace abuse was assessed through self-report; occupational injury reports were extracted from employee records. We tested associations between non-physical workplace violence and injury using log-binomial regression and multilevel modeling. RESULTS: Adjusted prevalence ratio (PR) for injury associated with being yelled at was 1.52 (95% CI 1.19, 1.95); for experiencing hostile/offensive gestures 1.43 (1.11, 1.82); and for being sworn at 1.41 (1.09, 1.81). In analyses by injury subtypes, musculoskeletal injuries were more strongly associated with abuse than were acute traumatic injuries. Associations operated on group and individual levels and were most consistently associated with abuse perpetrated by patients. CONCLUSION: Exposure to workplace abuse may be a risk factor for injuries among hospital workers.

Source : Sabbath EL, Hurtado DA, Okechukwu CA, Tamers SL, Nelson C, Kim SS, Wagner G, Sorenson G. Am. J. Ind. Med. 2013.
http://dx.doi.org/10.1002/ajim.22271

The effects of rest breaks, work shift start time, and sleep on the onset of severe injury among workers in the People’s Republic of China

Objective : The aim of the present study was to investigate the effects of the duration and timing of rest breaks on traumatic injury risk across a shift in a relatively large sample of hospitalized workers with severe work-related hand injury in the People's Republic of China (PRC).
Methods : Hospitalized workers from multiple industries with severe work-related traumatic hand injury were recruited from 11 hospitals in three industrially-developed cities in the PRC: Ningbo, Liuzhou, and Wuxi. Cox regression was used to compare time into the work shift of injury across categories of rest breaks, while evaluating several potential covariates including age, gender, work hours, work start time and duration, injury day and time, duration and quality of last sleep, alertness/sleepiness, job control, and several transient work-related factors. Effect modification by work shift start time was also evaluated.
Results : With four days of injury, 703 hospitalized workers completed a face-to-face interview. After adjusting for significant covariates, workers with rest breaks of 1–30, 31–60, and >60 minutes were able to work significantly (P<0.001) longer into their work shift without an injury (>5 hours) then those with no rest break. A significant interaction was also observed between rest break status and start time of the work shift.
Conclusion : The results of this study suggest that rest breaks of any duration have a significant effect on delaying the onset of a work-related injury, which is modified by the time of day in which a shift begins.

Source : Lombardi DA, Jin K, Courtney TK, Arlinghaus A, Folkard S, Liang Y, Perry MJ. Scand J Work Environ Health.
http://dx.doi.org/10.5271/sjweh.3395

Mesures de santé et de sécurité du travail dans les petites entreprises montréalaises embauchant une main-d’œuvre immigrante

Les stratégies favorables à la prise en charge
Dans les sociétés qui misent sur l'embauche des travailleurs immigrants pour combler leurs besoins de main-d'œuvre, la gestion des pratiques SST en contexte de diversité ethnoculturelle devient un sujet incontournable. De ces préoccupations ont émergé les questions suivantes : quels sont les stratégies et les arguments favorables à la prise en charge de la SST dans les petites entreprises qui embauchent de façon importante une main-d'œuvre immigrante? Comment créer une culture de santé et de sécurité du travail dans ces milieux? Les responsabilités et obligations sont-elles comprises de la même manière lorsque les propriétaires-dirigeants sont eux-mêmes issus de l'immigration? Pour répondre à ces questions, l'équipe s'est centrée sur les dynamiques de prise en charge en s'inspirant des travaux menés antérieurement au Québec auprès des petites entreprises (PE).

Source : http://www.irsst.qc.ca/-publication-irsst-mesures-de-sante-et-de-securite-du-travail-dans-les-petites-entreprises-montrealaises-embauchant-une-main-d-oeuvre-immigrante-les-strategies-favorables-a-la-prise-en-charge-r-793.html?utm_source=SendBlaster&utm_medium=email&utm_term=infoirsst%2D2013%2D09%2Doct&utm_content=infoirsst%2D2013%2D09%2Doct&utm_campaign=infoirsst%2D2013%2D09%2Doct

Accidents routiers au travail survenus au Québec de 2000 à 2008

Caractéristiques et classification
Les travailleurs indemnisés à la suite d'un accident routier au travail (ART) représentent environ 2 % de tous les travailleurs indemnisés par la Commission de la santé et de la sécurité du travail du Québec (CSST). Toutefois, les décès liés à un accident routier représentent entre 25 % et 30 % de tous les décès accidentels au travail. Ils représentent la première cause de décès accidentels au travail.
Le présent rapport propose une analyse inédite de données statistiquest. Un effort conjoint de la CSST et de la Société de l'assurance automobile du Québec (SAAQ) a en effet permis la création d'une base de données unique de plus de 8000 travailleurs qui ont été indemnisés par la CSST à la suite d'un accident de la route au travail ayant eu lieu entre les années 2000 et 2008.

Source : http://www.irsst.qc.ca/-publication-irsst-accidents-routiers-au-travail-survenus-au-quebec-2000-2008-caracteristiques-et-classification-r-792.html?utm_source=SendBlaster&utm_medium=email&utm_term=infoirsst%2D2013%2D09%2Doct&utm_content=infoirsst%2D2013%2D09%2Doct&utm_campaign=infoirsst%2D2013%2D09%2Doct

Les accidents routiers au travail

Une revue de littérature
Dans le monde industrialisé, les accidents de la route comptent pour une part très importante, sinon la plus importante, des décès accidentels survenus au travail. Plusieurs catégories de travailleurs conduisent dans le cadre de leur travail et le fait de circuler sur la route place ces travailleurs dans une situation à risque. Malgré ce constat, relativement peu d'études sont réalisées sur ce sujet afin de connaître les caractéristiques et les facteurs de risque des accidents routiers au travail.
Ce rapport est une revue de la littérature scientifique qui constitue le premier volet d'une étude sur les accidents routiers au travail au Québec subventionnée par l'Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST).

Source : http://www.irsst.qc.ca/-publication-irsst-les-accidents-routiers-au-travail-une-revue-de-litterature-r-791.html?utm_source=SendBlaster&utm_medium=email&utm_term=infoirsst%2D2013%2D09%2Doct&utm_content=infoirsst%2D2013%2D09%2Doct&utm_campaign=infoirsst%2D2013%2D09%2Doct

Improving Employee Productivity Through Improved Health

Objective: The objective of this study was to estimate productivity-related savings associated with employee participation in health promotion programs. Methods: Propensity score weighting and multiple regression techniques were used to estimate savings. These techniques were adjusted for demographic and health status differences between participants who engaged in one or more telephonic health management programs and nonparticipants who were eligible for but did not engage in these programs. Results: Employees who participated in a program and successfully improved their health care or lifestyle showed significant improvements in lost work time. These employees saved an average of $353 per person per year. This reflects about 10.3 hours in additional productive time annually, compared with similar, but nonparticipating employees. Conclusions: Participating in health promotion programs can help improve productivity levels among employees and save money for their employers.

Source : Mitchell, R. J.; Ozminkowski, R.J. ; Serxner, S. Journal of Occupational & Environmental Medicine, Oct. 2013, Vol. no 10, p. 1142–1148.
http://dx.doi.org/10.1097/JOM.0b013e3182a50037

Investigating Work Conditions and Burnout at Three Hierarchical Levels

Objective: To investigate the differences and the association between work conditions and symptoms of burnout at the three hierarchical levels: subordinates, first-line managers, and middle managers. Methods: Analyses were based on questionnaire data from 4096 employees in nine organizations, containing three hierarchical levels: subordinates (n = 3659), first-line managers (n = 345), and middle managers (n = 92). Results: Work conditions were found to differ between the three hierarchical levels, mostly between subordinates and managers. Managers experienced fewer symptoms of burnout than subordinates. Furthermore, the association between work conditions and burnout differed for subordinates, first-line managers, and middle managers. Conclusions: Occupational health research needs to focus more on differences between hierarchical levels regarding work conditions and burnout.

Source : Lundqvist, D.; Reineholm, C. ; Gustavsson, M. ; Ekberg, K. .Journal of Occupational & Environmental Medicine, Oct. 2013, Vol. 55, no 10, p. 1157–1163.
http://dx.doi.org/10.1097/JOM.0b013e31829b27df

A model for occupational safety and health intervention diffusion to small businesses

Background Smaller businesses differ from their larger counterparts in having higher rates of occupational injuries and illnesses and fewer resources for preventing those losses. Intervention models developed outside the United States have addressed the resource deficiency issue by incorporating intermediary organizations such as trade associations. Methods This paper extends previous models by using exchange theory and by borrowing from the diffusion of innovations model. It emphasizes that occupational safety and health (OSH) organizations must understand as much about intermediary organizations as they do about small businesses. OSH organizations (“initiators”) must understand how to position interventions and information to intermediaries as added value to their relationships with small businesses. Examples from experiences in two midwestern states are used to illustrate relationships and types of analyses implied by the extended model. Results The study found that intermediary organizations were highly attuned to providing smaller businesses with what they want, including OSH services. The study also found that there are opinion leader organizations and individual champions within intermediaries who are key to decisions and actions about OSH programming. Conclusions The model places more responsibility on both initiators and intermediaries to develop and market interventions that will be valued in the competitive small business environment where the resources required to adopt each new business activity could always be used in other ways. The model is a candidate for empirical validation, and it offers some encouragement that the issue of sustainable OSH assistance to small businesses might be addressed.

Source : Sinclair, R. C., Cunningham, T. R. and Schulte, P. A. (2013), Am. J. Ind. Med. http://dx.doi.org/10.1002/ajim.22263

Roles of age, length of service and job in work-related injury: A prospective study of 63,620 person-years in female workers.

Background The roles of age, length of service and job in various work-related injury types are unknown and deserve investigations among female workers. This study assessed their roles in the occurrence of injury. Methods Three-year prospective study of all 22,952 permanently employed women at the French national railway company: 63,620 person-years, 756 injuries with working days lost, coded using the company's injury classification derived from that of the French health insurance scheme. We investigated the incidence of four types of injury: fall on same level, fall to lower level, materials/equipment/objects handling, and other injuries. Data were analyzed using negative binomial regression. Results Workers aged <25 were subject to a higher risk for all types of injuries. Older workers (45–55 years) were subject to a higher injury risk for fall on same level and fall to lower level. For fall on same level as for fall to lower level the relative risk decreased steadily with increasing length of service with the company, from 1.60 for 1 year to 0.50–0.60 for ≥30 years. For injuries due to materials/equipment/objects handling the relative risk decreased from 1.05 for one year to 0.49 for 5–9 years, and then increased to about 1.50 for 20–29 years and ≥30 years. Conclusions Younger and shorter lengths of service were at risk for various types of injuries. Higher length of service was at risk for injury due to materials/equipment/objects handling. Preventive measures should consider the respective risks associated with age, years of employment and job.

Source : Chau, N., Dehaene, D., Benamghar, L., Bourgkard, E., Mur, J.-M., Touron, C. and Wild, P. (2013),  Am. J. Ind. Med. http://dx.doi.org/10.1002/ajim.22259

Assessment of occupational health and safety hazard exposures among working college students

Background Adolescents and young adults have higher injury rates than their adult counterparts in similar jobs. This study used the working college student population to assess health and safety hazards in the workplace, characterize related occupational diseases and injuries, and describe worker health/safety activities provided by employers. Methods College students (≥17 years old) were assessed via online surveys about work history, workplace exposure to hazards, occupational diseases/injuries, and workplace health/safety activities. Results Approximately half (51%) of participants (n = 1,147) were currently employed at the time of the survey or had been employed while enrolled in college. Restaurants (other than fast food) were the most frequently reported work setting. The most reported workplace hazards included noise exposure and contact with hot liquids/surfaces. Twenty percent of working students experienced injury at work; some injuries were severe enough to limit students' normal activities for >3 days (30%) or require medical attention (44%). Men had significantly higher prevalence of injuries (P = 0.05) and near-misses (P < 0.01) at work than women. Injury occurrence was associated with near-misses (AOR = 5.08, P < 0.01) and co-worker injuries (AOR = 3.19, P < 0.01) after gender and age adjustments. Most (77%) received worker safety training and half were given personal protective equipment (PPE) by their employers. Conclusions Risk reduction from workplace injuries and illnesses among working college students may be achieved by implementing occupational health and safety (OHS) strategies including incorporation of OHS in the college curriculum, promotion of OHS by university/college student health services, and improving awareness of OHS online resources among college students, employers, and educators.

Source : Balanay, J. A. G., Adesina, A., Kearney, G. D. and Richards, S. L. (2013), Am. J. Ind. Med. http://dx.doi.org/10.1002/ajim.22256

 

Un guide RPS à l’usage des CHSCT

Réalisé à l’initiative d’un groupe de travail pluridisciplinaire, ce guide sur la prévention des risques psychosociaux est spécifiquement destiné aux membres des CHSCT (Comités d'Hygiène de Sécurité et des Conditions de Travail). Avec l’émergence accrue des risques psychosociaux ces dernières années, les CHSCT sont de façon croissante amenés à intervenir dans ce champ d’action. Le guide RPS à l’usage des CHSCT a pour objectif de donner des éléments clairs aux représentants du personnel confrontés aux risques psychosociaux : stress, souffrance, charge psychique, usure professionnelle, mal-être et violence au travail... Il traite de nombreux thèmes :
•le CHSCT : quels sont ses pouvoirs de décision et d’action ?
•Notions de base relatives aux RPS : les causes, les symptômes, la dimension réglementaire
•Comment le CHSCT peut-il intervenir en prévention des RPS : niveaux collectif et individuel, mise en place d’un dispositif de prévention, mise en œuvre et évaluation
Ce guide très riche est destiné à fournir une ressource méthodologique pour les élus peu familiarisés avec les RPS.
Il resitue la problématique des RPS autour des questions au dialogue social et aux conditions permettant le plein exercice de ses missions par le CHSCT. Les aspects relatifs aux stratégies d’action des CHSCT sont largement développés. En outre, il constitue une ressource documentaire très complète avec de nombreuses références bibliographiques, ressources méthodologiques et sources d’information utiles.

Source : http://www.presanse.org/arkotheque/client/presanse/_depot_arko/basesdoc/2/7942/guide-rps-a-l-usage-des-chsct.pdf

TMS et facteurs psychosociaux

Dans ce numéro, intitulé « TMS et facteurs psychosociaux », la prévention des risques sera abordée dans une approche globale de la santé au travail. Les TMS sont sans cesse en augmentation dans un contexte de travail marqué par l'intensification, le cumul des contraintes et des évolutions rapides des métiers. Le partage de connaissances et de compétences entre chercheurs et praticiens, issus de plusieurs disciplines, est nécessaire pour faire progresser l'étiologie et les méthodes d'intervention. En centrant le point de vue sur l'activité de travail, le lecteur pourra enrichir ses connaissances sur les TMS et les facteurs psychosociaux. Il trouvera au travers d'exemples empiriques des moyens d'améliorer la prévention par la combinaison de méthodes visant à développer l'évaluation des déterminants des risques ainsi que l'intervention sur la conception de l'organisation du travail et de la pluridisciplinarité.

Source : http://pistes.revues.org/

Risques psychosociaux et document unique d’évaluation des risques : changer de regard sur le travail

Inscrire les risques psychosociaux dans le document unique répond à une obligation réglementaire. Afin d'aider les entreprises et pour les accompagner dans leurs démarches d'évaluation des risques, plusieurs méthodologies sont aujourd'hui disponibles. La revue Travail et sécurité propose dans l'édition de septembre un dossier sur les risques psychosociaux.

Source : http://www.travail-et-securite.fr/

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