2019-02-01 12:00 - Messages

Santé et maintien en emploi : prévention de la désinsertion professionnelle des travailleurs

Dans un contexte de vieillissement de la population active, de prévalence des maladies chroniques et de recul progressif de l'âge de départ en retraite, le maintien en emploi est un facteur de santé et d'augmentation de l'espérance de vie en bonne santé. Le périmètre de ces recommandations est circonscrit à la stratégie à mettre en œuvre à une échelle individuelle, dès lors qu'un risque de désinsertion professionnelle est identifié ou pressenti du fait d'une altération de la santé du travailleur.

Source : https://www.has-sante.fr/portail/upload/docs/application/pdf/2019-02/fs_sante_maintien_emploi_v1.pdf 

A systematic review of the safety climate intervention literature: Past trends and future directions

Safety climate represents the meaningfulness of safety and how safety is valued in an organization. The contributions of safety climate to organizational safety have been well documented. There is a dearth of empirical research, however, on specific safety climate interventions and their effectiveness. The present study aims at examining the trend of safety climate interventions and offering compiled information for designing and implementing evidence-based safety climate interventions. Our literature search yielded 384 titles that were inspected by three examiners. Using a stepwise process that allowed for assessment of interobserver agreement, 19 full articles were selected and reviewed. Results showed that 10 out of the 19 articles (52.6%) were based on a quasi-experimental pre- and postintervention design, whereas 42.1% (n = 8) studies were based on a mixed-design approach (including both between- and within-subject design). All interventions in these 19 studies involved either safety-/health-related communication or education/training. Improvement of safety leadership was also a common component of safety climate interventions. According to the socio-technical systems classification of intervention strategies, all studies were categorized as interventions focusing on improving organizational and managerial structure as well as the personnel subsystem; four of them also aimed at improving technological aspects of work, and five of them aimed at improving the physical work subsystem. In general, a vast majority of the studies (89.5%, n = 17) showed a statistically significant improvement in safety climate across their organizations postintervention.

Source : 

Lee, J., Huang, Y.-h., Cheung, J. H., Chen, Z., & Shaw, W. S. (2019). A systematic review of the safety climate intervention literature: Past trends and future directions. Journal of Occupational Health Psychology, 24(1), 66-91. http://dx.doi.org/10.1037/ocp0000113

 

A systematic review and meta-analysis of workplace mindfulness training randomized controlled trials

This meta-analytic review responds to promises in the research literature and public domain about the benefits of workplace mindfulness training. It synthesizes randomized controlled trial evidence from workplace-delivered training for changes in mindfulness, stress, mental health, well-being, and work performance outcomes. Going beyond extant reviews, this article explores the influence of variability in workforce and intervention characteristics for reducing perceived stress. Meta-effect estimates (Hedge's g) were computed using data from 23 studies. Results indicate beneficial effects following training for mindfulness (g = 0.45, p < .001) and stress (g = 0.56, p < .001), anxiety (g = 0.62, p < .001) and psychological distress (g = 0.69, p < .001), and for well-being (g = 0.46, p = .002) and sleep (g = 0.26, p = .003). No conclusions could be drawn from pooled data for burnout due to ambivalence in results, for depression due to publication bias, or for work performance due to insufficient data. The potential for integrating the construct of mindfulness within job demands-resources, coping, and prevention theories of work stress is considered in relation to the results. Limitations to study designs and reporting are addressed, and recommendations to advance research in this field are made.

Source : https://psycnet.apa.org/record/2019-05630-002

Revue systématique sur les effets du télétravail chez les gestionnaires

Le télétravail représente une option envisageable pour diminuer la surcharge de travail des cadres du réseau de la santé et des services sociaux québécois. Cet arrangement de travail permettrait de se centrer sur des tâches exigeant un plus haut degré de concentration, tout en demeurant disponible pour les équipes de travail. La présente évaluation des technologies et des modes d'intervention (ETMI) a pour but d'identifier les effets du télétravail pour les cadres et de statuer si cette pratique améliore leurs conditions de travail, en situation de surcharge. Plus spécifiquement, elle vise à circonscrire les impacts du télétravail sur les employés et les organisations et à identifier les conditions favorables à son implantation.

Source : https://www.ciusss-capitalenationale.gouv.qc.ca/sites/default/files/docs/UETMISS/rapport_teletravail_2018-06-01.pdf

Impact of behavior management training on nurses’ confidence in managing patient aggression

Objective The aim of this study was to evaluate the impact of behavior management training on nurses' confidence in managing aggressive patients.

Background Nurses are at a high risk of experiencing violence directed toward them by patients.

Methods This quality improvement project used a pre-and-post study design. A survey was administered within 1 month before behavior management training and 1 month after training, capturing participants' demographic and work characteristics, as well as their experiences with patient/visitor-perpetrated violence. Confidence was measured using the Confidence in Coping with Patient Aggression Instrument. Open-ended questions sought participants' thoughts on workplace violence prevention initiatives.

Results Thirty-eight confidence scores were assessed. Nurses' confidence in coping with patient aggression was significantly higher after behavior management training. Nurse participants described the training as “timely,” “helpful,” and “beneficial.”

Conclusion With an increased understanding of violent behavior stages and warning signs, a nurse is better able to manage a potentially violent situation

Source : de la Fuente, M., Schoenfisch, A., Wadsworth, B., & Foresman-Capuzzi, J. (2019). Impact of behavior management training on nurses' confidence in managing patient aggression. JONA: The Journal of Nursing Administration, 49(2),73-78. 

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