2019-04-01 12:00 - Messages

Occupational safety and health interventions to protect young workers from hazardous work – A scoping review


Occupational injury rates are higher among young people when compared to older age groups.
Objective Identifying preventive occupational safety and health interventions that aim at protecting young workers from hazards at work while considering their ongoing physical and mental maturation.
Methods We ran a sensitive search strategy in twelve electronic databases to locate studies. Two review authors independently screened titles and abstracts, and later full texts for eligibility. One person extracted the details of studies and another checked for errors. Data were analyzed in an iterative process.
Results We included 39 studies. Three studies evaluated environmental interventions, 29 evaluated behavioral, one evaluated clinical and six combined more than one type of intervention. Developmental characteristics of young workers that could contribute to risk were addressed in 13 studies. Thirty-five studies were from high income countries, one was from an upper middle-income country and three were from lower middle- income countries. We found no studies from low income countries.
Conclusions There is a dearth of evidence when it comes to evaluating interventions in low and lower middle income countries and adapting interventions developed in high income countries to the needs of low and middle income ones. A higher and more integrated participation of young workers themselves, parents and other key social actors such as policy makers, employers and occupational safety and health regulators is required to optimally protect young workers. We recommend developing and evaluating interventions that specifically address the risks that youth face at work due to their ongoing developmental process. Further we need systematic reviews of the interventions identified in this review such as for young workers in the service sector.

Source : Safety Science (2019) 113, 389-403   https://doi.org/10.1016/j.ssci.2018.11.024


Quebec Serve and Protect Low Back Pain Study: What About Mental Quality of Life?

Background As of now, the impact of low back pain (LBP) and its chronic state, chronic low back pain (CLBP), on mental health-related quality of life (HRQOL) has never been investigated among police officers. The present investigation aims at studying this relationship using a biopsychosocial model.

Methods Between May and October 2014, a Web-based cross-sectional study was conducted among Quebec police officers (Quebec, Canada). Mental HRQOL was measured using the role emotional (RE) and the mental health (MH) domains of the SF-12v2 Health Survey. The impact of CLBP on mental HRQOL (as opposed to acute/subacute LBP or no LBP) was studied with a multivariate linear regression model.

Results Our results underscore how frequent CLBP is among police officers and how burdensome it is. Considering the importance of good physical and mental health for this occupational population, police organizations should be aware of this issue and contribute to the efforts toward CLBP prevention and management in the workplace. 

Conclusion Our results underscore how frequent CLBP is among police officers and how burdensome it is. Considering the importance of good physical and mental health for this occupational population, police organizations should be aware of this issue and contribute to the efforts toward CLBP prevention and management in the workplace

Source : Douma, N.B., Côté, C. et Lacasse, A. (2019). Safety and Health at Work, 10, (1), 39-46. https://doi.org/10.1016/j.shaw.2018.08.006

Occupational Safety and Health Among Young Workers in the Nordic Countries: A Systematic Literature Review

This review aimed to identify risk factors for occupational accidents and illnesses among young workers in the Nordic countries and to attain knowledge on specific vulnerable groups within the young working force that may need special attention. We conducted a systematic review from 1994 to 2014 using five online databases. Of the 12,528 retrieved articles, 54 met the review criteria and were quality assessed, in which data were extracted focusing on identifying occupational safety, health risk factors, and vulnerable groups among the young workers. The review shows that mechanical factors such as heavy lifting, psychosocial factors such as low control over work pace, and organizational factors such as safety climate are all associated with increased injury risk for young Nordic workers. Results show that exposures to chemical substances were associated with skin reactions, e.g., hand eczema. Heavy lifting and awkward postures were risk factors for low back pain, and high job demands were risk factors for mental health outcomes. The review identified young unskilled workers including school drop-out workers as particularly vulnerable groups when it comes to occupational accidents. In addition, apprentices and young skilled workers were found to be vulnerable to work-related illnesses. It is essential to avoid stereotyping young Nordic workers into one group using only age as a factor, as young workers are a heterogeneous group and their vulnerabilities to occupational safety and health risks are contextual. Politicians, researchers, and practitioners should account for this complexity in the education, training and organization of work, and workplace health and safety culture.

Source : Hanvold, T.N., Kines, P., Nykänen, M., Thomée, S., Holte, K.A., Vuori, J., Wærsted, M., Veiersted, K.B. (2019) Safety and Health at Work.  10(1), 3-20. https://doi.org/10.1016/j.shaw.2018.12.003

Long working hours and depressive symptoms: moderating effects of gender, socioeconomic status, and job resources

Purpose Systematic reviews and meta-analyses have found inconsistent associations between working hours and depressive symptoms. The purpose of this study was to investigate the possible moderators of this association, using data from a large-scale cross-sectional survey.

Methods A total of 16,136 Japanese employees (men 83.5%; women 16.5%) responded to a self-administered questionnaire inquiring about overtime working hours during the previous month and depressive symptoms (Center for Epidemiologic Studies Depression scale), as well as moderating factors including gender, age, marital status, socioeconomic status, commuting time, sleeping hours per day, job control and worksite social support (Job Content Questionnaire), neuroticism (Eysenck's Personality Questionnaire Revised), and social desirability (Social Desirability Scale) (response rate, 85%). We conducted sequential regression analyses to investigate the main effects and interaction effects of all moderating variables.

Results The association between overtime working hours and depressive symptoms was significantly moderated by gender (interaction effect: β = 0.03), age (β = − 0.02), manager (β = 0.03), sleeping hours (β = − 0.02), job control (β = − 0.03), and neuroticism (β = 0.02). Among workers engaged in 80 + hours of overtime, higher depressive symptoms were reported by women, younger employees, non-managers, employees with low job control, low worksite social support, and high neuroticism. A significant main effect of long overtime working hours on depressive symptoms was also observed even after controlling for all independent variables (β = 0.02).

Conclusions Long overtime working hours is associated with depressive symptoms. We also found significant heterogeneity in the association according to employee characteristics, which may explain the inconsistent findings in previous literature.

Source : Tsuno, K., Kawachi, I., Inoue, A., Nakai, S.,  Tanigaki, T., Nagotami, H. et N. Kawakami.  International Archives of Occupational  and Environmental Health (2019). https://doi.org/10.1007/s00420-019-01401-y

Short rest between shifts (quick returns) and night work is associated with work-related accidents

Purpose The aim of this study was to examine whether less than 11 h between shifts (i.e., quick returns, QRs) and night shifts is associated with self-reported work-related accidents, near accidents or dozing off at work in a sample of nurses.

Methods The study was based on cross-sectional data from 1784 nurses (response rate = 60%; mean age = 40.1 years, SD = 8.4; 91% female). Negative binomial regression analyses were conducted to investigate the association between the shift exposures, and eight different self-reported work-related items on accidents, near accidents and dozing off at work, controlling for demographics and work factors.

Results The number of QRs during a year was positively associated with seven of the eight items on work-related accidents, near-accidents and dozing off at work, and number of night shifts was positively associated with five items. Some of the key findings were that QRs were associated with nurses causing harm to themselves (incidence rate ratio [IRR] = 1.009; 95% CI = 1.005–1.013), causing harm to patients/others (IRR = 1.006; 95% CI = 1.002–1.010) and causing harm to equipment (IRR = 1.004; 95% CI = 1.001–1.007); while night shifts were associated with nurses involuntarily dozing off at work (IRR = 1.015; 95% CI = 1.013–1.018), dozing off while driving to/from work (IRR = 1.009; 95% CI = 1.006–1.011), and harming patients/others (IRR = 1.005; 95% CI = 1.001–1.009).
Conclusion QRs and night shifts were both associated with the self-reported work-related accidents, near-accidents and dozing off at work. Studies that can establish the causal relationship between QRs and accidents are called for.

Source : Vedaa, Ø., Harris, A., Erevik, E.K. et al. Int Arch Occup Environ Health (2019). https://doi.org/10.1007/s00420-019-01421-8

Caractérisation des effets des expositions aux facteurs psychosociaux sur la santé mentale et l'état de santé général perçu - Analyses à partir de l'enquête "Santé et itinéraire professionnel"

Basée sur l'enquête nationale " Santé et itinéraire professionnel ", cette étude avait l'objectif d'apporter des réponses quant à la nature des effets de 17 facteurs psychosociaux sur la survenue de troubles de la santé mentale et sur la dégradation de l'état de santé général perçu. L'effet se produit-il au moment de l'exposition ou après un certain temps ? La santé mentale et la santé générale perçue sont elles plus altérées dans le cas d'une exposition prolongée ?
Les troubles de santé surviennent-ils si l'exposition est réduite ou disparaît ? Selon les facteurs psychosociaux et le genre, les résultats suggèrent un effet principalement à court terme de l'exposition psychosociale plutôt qu'un effet décalé sur la survenue de troubles de la santé. Aucun sur-risque en cas d'exposition répétée comparée à une exposition actuelle ponctuelle n'a été mis en évidence.

Source : http://www.rst-sante-travail.fr/rst/pages-article/ArticleRST.html?ref=RST.TF%20267

Associations Between Systemic Quality of Life and Burnout Among French Canadian Workers

Burnout has very often been studied from a work-life specific perspective. However, a recent field of research leads to wonder about the impact that life events can have on the development of burnout. This study therefore investigated the associations between five domains of systemic quality of life and the three dimensions of burnout proposed by Maslach and colleagues. An analysis of correlations and multiple hierarchical regressions were performed on a sample of 202 French Canadian workers. These analyses report inverse associations between quality of life and burnout, with strong negative correlations between quality of life domains and burnout dimensions. The results also suggest that physical health and psychological health are strongly associated with the burnout dimensions and that systemic quality of life significantly adds variance into the risk factors model of emotional exhaustion and reduced personal accomplishment. This study provides empirical data supporting the belief that burnout is not work-life specific; burnout seems to have interactions with other life domains. These results point to the importance of raising awareness about the different life domains involved in the development of burnout, whether at the level of organizations, workers or practitioners.

Source : Vachon, M., Papineau, M., Dupuis, G. et al. (2019). Social Indicators Research, 142(3) 1193–1210 https://doi.org/10.1007/s11205-018-1944-x

Breaking Point: Violence Against Long-Term Care Staff

Direct resident care in long-term care facilities is carried out predominantly by personal support workers and registered practical nurses, the majority of whom are women. They experience physical, verbal, and sexual violence from residents on a regular basis. To explore this widespread problem, fifty-six staff in seven communities in Ontario, Canada, were consulted. They identified such immediate causes of violence as resident fear, confusion, and agitation and such underlying causes as task-driven organization of work, understaffing, inappropriate resident placement, and inadequate time for relational care. They saw violence as symptomatic of an institution that undervalues both its staff and residents. They described how violence affects their own health and well-being—causing injuries, unaddressed emotional trauma, job dissatisfaction, and burnout. They outlined barriers to preventing violence, such as insufficient training and resources, systemic underfunding, lack of recognition of the severity and ubiquity of the phenomenon, and limited public awareness.

Source : New Solutions : A Journal of Environmental and Occupational Health Policy, 10.1177/1048291118824872

The role of collective affective commitment in the relationship between work–family conflict and emotional exhaustion among nurses: a multilevel modeling approach

Work–family conflict (WFC) is a crucial problem in nursing because of the demanding conditions of the job, such as strenuous shifts, physical and emotional workload, and intense patient involvement. Using a multilevel approach, this study investigated the moderating role of collective affective commitment as a protective resource in the relationship between WFC and emotional exhaustion.

Source : BMC Nursing18(1), 2/18/2019. 10.1186/s12912-019-0329-z

Too sick or not too sick?: The importance of stress and satisfaction with supervisor support on the prevalence of sickness presenteeism

In a sample of 3,274 full-time Belgian workers, this article found that 62% of workers went to work while being sick (sickness presenteeism) at least once over the past 12 months. Of all workers who did not show sickness presenteeism themselves, another 6 out of 10 saw or heard about sickness presenteeism in their own organization. This turns sickness presenteeism into an important physical and mental health risk, demanding new policy measures from organizational and governmental decision makers. Women were more likely to report sickness presenteeism than men and junior workers were more prone to sickness presenteeism than senior workers. Education did not explain the choice for sickness presenteeism. Satisfaction with the supervisor had a direct negative effect on sickness presenteeism. Finally, indirect effects were found between satisfaction with the supervisor and sickness presenteeism via the prevalence of stress. While previous studies showed that good supervisor support could make sick workers more productive when they show up at work anyway, this study shows that good supervisor support lowers the probability that sick workers turn up at work at all.

Source : International Journal of Occupational Safety and Ergonomics, Mars 2019. 10.1080/10803548.2019.1570720


Technologies numériques et travail médico-social : retour d’expérience à partir d’une recherche action formation

Dans le cadre d'un programme de recherche, « Les technologies NUmériques au SERvice des USagers dans les établissements sociaux et médico-sociaux » (NUSERUS, septembre 2015 - décembre 2018), qui a pour objectif de recenser et d'analyser les dispositifs sociotechniques utilisés dans les établissements ou services sociaux ou médico-sociaux (ESSMS), notre réflexion se focalise sur les innovations numériques et sociales qui se développent dans ces organisations. Nous mettons en oeuvre une Recherche Action Formation (RAF) composée de deux phases successives, en partenariat avec le CREAI PACA et Corse (Centre inter-régional d'études, d'actions et d'informations en faveur des personnes en situation de vulnérabilité Paca et Corse).

Source : https://veille-travail.anact.fr/osiros/result/notice.php?queryosiros=id:97893&referer=home&referer=home

Workplace bullying among healthcare professionals in Sweden: a descriptive study

Workplace bullying is a taboo event which occurs worldwide, although the prevalence varies significantly between and within countries. Nurses have been regarded an occupational risk group for bullying at the work place. Bullying in health and social care contexts is sometimes reported as frequent and, other times, as not occurring, which sparked our interest in mapping the occurrence of bullying in the health and social care system in Sweden. Thus, the purpose of the study was to examine the prevalence of bullying, and to discuss cultural traditions and environmental factors that affect bullying in workplaces. The sample (n = 2810) consisted of employees at inpatient wards at four hospitals, and employees at municipal eldercare wards in Sweden. A questionnaire including NAQ‐22 R was distributed and subsequently analysed with descriptive statistics using SPSS. The youngest group of respondents scored higher than the older groups. Using contrasting estimates of bullying, the prevalence varied between 4.1 and 18.5%, with the lowest prevalence in regards to self‐reported exposure. According to the cut‐off scores, NAQ‐22 R, 8.6% of the respondents were occasionally exposed to bullying while 2.3% were considered to be victims of severe bullying. Work‐related negative acts were more common than personal negative acts. The variations in prevalence of bullying as a result of contrasting estimation strategies are discussed from perspective of the ‘law of Jante’, the ‘tall poppy syndrome’ and shame. Bullying deteriorates the working conditions which may have an impact on quality of patient care.

Source : Scandinavian Journal of Caring Sciences (2019). https://doi.org/10.1111/scs.12633

Un outil en ligne gratuit pour aider les travailleurs de nuit à mieux gérer leur sommeil

La professeure Marie Dumont, de l’UdeM, lance un outil en ligne gratuit destiné aux travailleurs de nuit pour les aider à mieux gérer leur sommeil. Il repose sur ses 30 ans de recherche sur le sujet.

Accessible gratuitement, «Mieux vivre le travail de nuit» comprend quatre modules que l’usager peut parcourir à son rythme. «Basé sur des connaissances scientifiques plutôt que sur des opinions comme c’est souvent le cas sur Internet, il propose également plusieurs ressources et références qui permettront à ceux qui le désirent d’aller plus loin», indique Marie Dumont, qui est professeure au Département de psychiatrie et d'addictologie de la Faculté de médecine de l’Université de Montréal. Le premier module permet d’évaluer l’effet du travail de nuit sur la personne, tandis que, dans le deuxième, elle apprend à connaître son cycle du sommeil. Le troisième module aide à désigner les obstacles à un bon sommeil et le dernier à choisir ses stratégies pour mieux vivre le travail de nuit.

«Ainsi, l’outil se veut à la fois interactif et adapté à la réalité de chacun pour que le travailleur puisse prendre son sommeil en main et à sa façon: les notes qu’il intègre à son carnet personnalisé lui permettent de mieux comprendre sa situation et de moduler les stratégies qui lui conviennent», poursuit Mme Dumont. À noter que le carnet personnalisé est confidentiel, puisqu’aucune information n’est enregistrée ni conservée par l’outil en ligne.

La spécialiste de la compréhension de l’horloge biologique ajoute que l’outil qu’elle a créé a été testé auprès de travailleurs de nuit, qui l’ont évalué favorablement. La plupart ont rapporté que le plan d’action proposé était réaliste et donnait envie de l’essayer. «L’une des choses les plus importantes, lorsqu’on cherche à modifier ses habitudes de vie, c’est d’y aller graduellement, recommande-t-elle. Si l’on essaie de tout changer en même temps, on risque de ne pas y parvenir.»

Source : https://nouvelles.umontreal.ca/article/2019/04/05/un-outil-en-ligne-gratuit-pour-aider-les-travailleurs-de-nuit-a-mieux-gerer-leur-sommeil/

Prevention through job design: Identifying high-risk job characteristics associated with workplace bullying.

Work environment hypothesis, a predominant theoretical framework in workplace bullying literature, postulates that job characteristics may trigger workplace bullying. Yet, these characteristics are often assessed by employees based on their experience of the job. This study aims to assess how job characteristics, independently assessed via Occupational Information Network (O*NET), are related to perceived job characteristics reported by employees, which, in turn, are associated with self-reported workplace bullying. Multilevel mediation analyses from 3,829 employees in 209 occupations confirmed that employees, whose work schedules are more irregular and whose work involves a higher level of conflictual contact (as assessed by O*NET), report experiencing higher job demands, which are associated with higher exposure to bullying. Moreover, employees working in jobs structured to allow for more discretion in decision-making (as assessed by O*NET) report experiencing more job autonomy and are less likely to experience bullying. The results offer some clues as to how the way in which a job is structured is related to how that job is perceived, which in turn is associated with exposure to bullying. Our findings also suggest that a job design perspective to redesign certain job characteristics may offer an additional viable approach to prevent workplace bullying. 

Source : Li, Y., Chen, P. Y., Tuckey, M. R., McLinton, S. S., & Dollard, M. F. (2019). Prevention through job design: Identifying high-risk job characteristics associated with workplace bullying. Journal of Occupational Health Psychology, 24(2), 297-306. http://dx.doi.org/10.1037/ocp0000133

Risques psychosociaux : peu d'employeurs agissent sur les causes

Selon une étude menée par la DGFAP, les politiques de prévention des risques psychosociaux combinant des actions de type secondaire et tertiaire sont les plus répandues, dans le secteur public comme dans le privé.

Cette étude menée en 2016 s'est intéressée aussi bien à la vision des employeurs qu'à celle des salariés. Selon les employeurs, près de 90 % des agents du secteur public et près de 70 % des salariés du secteur privé travaillent dans un établissement ayant pris, au cours des trois dernières années, des mesures pour prévenir les risques psychosociaux au travail. Ces actions ne sont pas toujours menées dans le cadre d'une démarche formalisée d'évaluation des risques. En effet, seule la moitié des établissements ont élaboré ou mis à jour, au cours des douze derniers mois, un document unique d'évaluation des risques professionnels incluant les risques psychosociaux. De ce fait, la prévention primaire tendant à modifier l'origine du risque en travaillant sur l'organisation du travail est peu présente. Les politiques de prévention des risques psychosociaux sont plus axées sur la prévention secondaire portant sur la sensibilisation et identification des risques, voire tertiaire pour favoriser le retour au travail du salarié une fois le risque réalisé. Autre enseignement de cette étude, les établissements où l'employeur déclare une faible exposition de ses salariés, petits ou moyens établissements du secteur privé, ont plus souvent une très faible activité en matière de prévention. Les établissements de taille moyenne notamment de la fonction publique hospitalière et de l'enseignement ou les grands établissements des services du secteur privé mènent une politique active et variée dans le domaine de la prévention, même si l'exposition des salariés est également relativement faible.

Les établissements signalant une exposition forte de leurs salariés aux risques psychosociaux peuvent être classés en trois groupes.
Dans le premier groupe, on retrouve surtout de petits et moyens établissements publics qui sont relativement peu actifs dans la prévention malgré des expositions signalées par les employeurs. Les risques psychosociaux constatés concernant en particulier le travail dans l'urgence, les conflits de valeurs et l'intensité du travail.
Le deuxième groupe comprend de petits établissements de la fonction publique de l'État et de la fonction publique territoriale et se distingue par une concentration des « risques généralisés » (pour plus de 50 % des salariés), notamment de ceux liés aux tensions sociales, et par une insuffisance de prévention pour y faire face.
Enfin, les établissements du troisième groupe, constitué plus souvent de grands établissements du public dans lesquels les salariés sont massivement exposés à un « risque localisé » (de 10 à 50 % des salariés) mais à tous les risques psychosociaux, se caractérisent par un climat social en tension et mènent une politique active de prévention des risques.

Source : https://www.fonction-publique.gouv.fr/files/files/statistiques/point_stat/prevention_risques_psychosociaux.pdf

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